The MSV approach ranked better concerning clinical scores ( the lowest visual analogic scale , the higher KSS and KSFS ) and functional outcomes ( the shortest straight leg raise , the greatest degree of flexion and range of motion ) .
Concerning perioperative data , the MSV evidence d the shortest hospital stay , while the MPP the shortest surgical duration and lowest estimated blood loss .
According to the main findings of the present study , the mini-subvastus approach for total knee arthroplasty demonstrated superior overall compared to the other approaches .
Alternatives to the classical medial parapatellar ( MPP ) approach for total knee arthroplasty ( TKA ) include the mini-medial parapatellar ( MMPP ) , mini-subvastus ( MSV ) , mini-midvastus ( MMV ) and quadriceps-sparing ( QS ) approaches .
The best approach has been not fully clarified .
The purpose of the present study was to conduct a Bayesian network meta- analysis comparing these approaches .
Comparison of the early results of minimally invasive vs standard approaches to total knee arthroplasty: a prospective, randomized study.
A prospect i ve , r and omized study was performed to compare early clinical and radiographic outcomes of total knee arthroplasty using either st and ard or minimally invasive surgical approaches . Fifty-nine patients were r and omized into 3 groups : a st and ard median parapatellar incision ( n = 19 ) , a " mini mid-vastus " ( n = 20 ) , or a " quad sparing " group ( n = 20 ) . The procedures were performed by a single surgeon using similar perioperative protocol s at 1 hospital . Postoperatively , the quad sparing group demonstrated some statistically significant ( P < .05 ) improvement in week 2 and greater but not in weeks 1 and 6 compared to the other groups . No significant differences occurred regarding postoperative complications or radiographic alignment of the implants . In conclusion , our study demonstrated that the quad sparing group had some improved early results without compromising safety or efficacy
The MSV approach ranked better concerning clinical scores ( the lowest visual analogic scale , the higher KSS and KSFS ) and functional outcomes ( the shortest straight leg raise , the greatest degree of flexion and range of motion ) .
Concerning perioperative data , the MSV evidence d the shortest hospital stay , while the MPP the shortest surgical duration and lowest estimated blood loss .
According to the main findings of the present study , the mini-subvastus approach for total knee arthroplasty demonstrated superior overall compared to the other approaches .
Alternatives to the classical medial parapatellar ( MPP ) approach for total knee arthroplasty ( TKA ) include the mini-medial parapatellar ( MMPP ) , mini-subvastus ( MSV ) , mini-midvastus ( MMV ) and quadriceps-sparing ( QS ) approaches .
The best approach has been not fully clarified .
The purpose of the present study was to conduct a Bayesian network meta- analysis comparing these approaches .