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 subvastus and paramedian surgical approaches in bilateral knee arthroplasty.
A prospect i ve r and omized study was performed on 20 patients undergoing one-stage bilateral knee arthroplasty . One knee was exposed using a st and ard median parapatellar arthrotomy and the other knee with a subvastus arthrotomy . All patients underwent quantitative strength testing before surgery and at 1 week , 1 month , and 3 months after surgery . The knees were also evaluated for range of motion , and patients , who were blinded as to the approach used , completed question naires at each evaluation period as to their preference , if any , regarding knee pain and level of function . There was no difference in the range of motion between knees exposed with the paramedian or subvastus arthrotomy at any time period . The subvastus knees demonstrated significantly greater strength at the 1-week and 1-month intervals , but there was no strength difference at the 3-month interval . There were more lateral releases performed in the paramedium knees , and three minor complications were related to the subvastus approach . Patients who expressed a preference chose the subvastus knee 4:1 over the paramedian knee . The subvastus approach offers a reasonable alternative to the paramedian arthrotomy and preserves greater quadriceps strength in the early postoperative period
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 .