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 .
Subvastus versus medial parapatellar approach in total knee arthroplasty
Abstract . The subvastus approach for total knee replacement was compared with the st and ard medial parapatellar approach in terms of postoperative knee scores and quadriceps strength . Two groups of patients with similar characteristics were formed : the first group consisted of 12 knees of 9 patients who were implanted via the medial parapatellar approach , and for the second group the subvastus approach was used in 10 knees of 10 patients . The groups ' knee scores and quadriceps strength were compared preoperatively and postoperatively at week 6 , months 3 and 6 . The knee scores improved similarly in both groups , but the change was more pronounced in the subvastus group . Quadriceps strength was greater in the subvastus group at postoperative week 6 , but there was no significant difference between the groups in months 3 and 6 . It was concluded that although the subvastus approach offers greater quadriceps strength in the early postoperative period , it has no significant advantage in this aspect over the medial parapatellar approach
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 .