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 .
Minimally invasive total knee arthroplasty: surgical implications for recovery.
BACKGROUND Despite growing interest in minimally invasive surgery ( MIS ) techniques for total knee arthroplasty ( TKA ) , few r and omized controlled trials have compared MIS and conventional TKA using a combination of functional performance , knee pain , knee range of motion ( ROM ) , and surgical and radiographic outcomes . METHODS A prospect i ve , r and omized investigation comparing early outcomes of TKA using conventional or MIS approaches  ( n = 44 ) . Patients were assessed preoperatively , 48 hours , 4 and 12 weeks postoperatively by blinded evaluators . Outcome measures included timed-up- and -go , 100-ft walk , knee pain , passive knee ROM , Knee Society Score , blood loss , tourniquet time , hospital length of stay , surgical complications , and radiographic outcomes . RESULTS No significant differences in functional performance , knee pain , knee ROM , surgical , or radiographic outcomes were observed between groups at 48 hours , 4 or 12 weeks postoperatively . CONCLUSION While surgical and radiographic outcomes were not compromised with MIS surgery , there were also no improvements in pain , ROM , or functional performance with MIS TKA
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 .