Early results of subvastus versus medial parapatellar approach in primary total knee arthroplasty

Abstract

Regardless of the surgical approach, the anteroposterior tibial femoral angle improved significantly in both groups. Concerning pain, operation time, blood loss, blood substitution and complications, no major differences could be seen.

An unusual management of advanced gonarthrosis: total knee arthroplasty with posterior approach

“…Eleştirilen tarafı ise patellanın daha zor döndürülmesi ve buna bağlı olarak görüş alanının daralmasıdır. [11][12][13] Minimal invaziv yaklaşımlar da gündeme gelmiş ve zaman içerisinde artan sıklıkta kullanılmaya başlanmıştır. [14] İskelet sisteminin en sık görülen benign tümörü olan osteokondromların yarıya yakını diz çevresi yerleşimlidir.…”

Physical and functional outcomes of total knee arthroplasty: a comparison of two surgical approaches

“…The six unicompartmental knee arthroplasties were retained as the study was primarily investigating TKA, and it was desirable to include the TKAs in the same trial. Levels of evidence (National Health and Medical Research Council, 2007) ranged from level II randomised controlled trial (Roysam et al, 2001;Weinhardt et al, 2004) to level III-1 pseudo randomised controlled trial (Faure et al, 1993;Cameron, 2001;Cila et al, 2002).…”

“…The subvastus approach (SVa) is arguably more difficult and accesses the knee under the quadriceps muscle . This surgical approach purportedly affords better outcomes with research demonstrating better quadriceps function (Faure et al, 1993;Cameron, 2001;Roysam et al, 2001;Cila et al, 2002;Weinhardt et al, 2004), and less pain (Cameron, 2001;Roysam et al, 2001;Weinhardt et al, 2004) when compared to the MPa. There are, however, inconsistent findings on other outcomes.…”

“…For example, Cameron et al (2001) reported flexion was better in the SVa by, which did not concur with Roysam et al (2001) who found no difference. The trend of inconsistencies favouring the SVa is found across other outcomes including blood loss (Faure et al, 1-1 1993;Cameron, 2001;Roysam et al, 2001;Weinhardt et al, 2004) and length of surgery (Faure et al, 1993;Cameron, 2001;Weinhardt et al, 2004). To address the seeming lack of concordance in the literature, a systematic review which focused on the quality of the methodology of the research that investigated the outcomes of the SVa when compared to the MPa was required.…”

“…To address the seeming lack of concordance in the literature, a systematic review which focused on the quality of the methodology of the research that investigated the outcomes of the SVa when compared to the MPa was required. The review found only five studies that compared the relative merits of these two arthrotomies (Faure et al, 1993;Cameron, 2001;Roysam et al, 2001;Cila et al, 2002;Weinhardt et al, 2004) and due to study design limitations including randomisation and blinding concerns, firm conclusions about the superiority of either approach was not possible.…”