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 mini-midvastus with the mini-medial parapatellar approach in primary TKA.
A prospect i ve r and omized study was performed to compare the clinical and radiological results of primary total knee arthroplasties ( TKAs ) using a mini-midvastus approach or a mini-medial parapatellar approach in 134 patients . The mini-midvastus approach was used on 68 patients ( group A ) and the mini-medial parapatellar approach on 66 patients ( group B ) . All knees were implanted with the same posterior-stabilized prosthesis by the same surgeon ( T.-S.T. ) with the same set of downsized instruments . Mean follow-up in both groups was 30.5 months ( range , 24 - 48 months ) . Patients in group A achieved an active straight-leg raise and 90 ° of flexion significantly earlier ( P=.017 and P=.025 , respectively ) . However , no significant difference was detected between the groups with respect to range of movement and Knee Society scores at all the postoperative visits and at final follow-up ( all , P>.05 ) . In contrast , the tourniquet time was significantly longer in group A ( P=.015 ) , with a higher incidence of medialized tibial component ( P=.031 ) . We believe that the early clinical results are similar between the mini-midvastus and mini-medial parapatellar approach . The mini-medial parapatellar approach is easier to initially apply and provides better visualization for 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 .