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 .
Mini-subvastus versus a Standard Approach in Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study
This prospect i ve r and omized study compared the clinical and radiological results of primary total knee arthropasty ( TKA ) using a mini-subvastus approach ( group I ; n = 35 ) or a st and ard approach ( group II ; n = 33 ) .  A posterior-stabilized prosthesis was used in both groups by the same surgeon . Mean follow-up was 18 months ( range 14 − 26 months ) . Patients in group I lost less blood and experienced less pain 1 day post-operatively . They achieved an active straight leg raise earlier and underwent less lateral retinacular releases . Functional outcome and the range of knee movements were significantly better in group I up to 9 months post-operatively , but there was no significant difference between the groups at 1 year post-operatively or at final follow-up . Reduced access and visibility in group I prolonged the operation time and result ed in five technical errors on radiographic evaluation . Based on these results , the authors currently only use the mini-subvastus approach for minimally invasive TKA in selected cases
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 .