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 .
Differences between midvastus and subvastus TKA surgical approaches in the tasks of sitting and standing.
The mini-midvastus ( MV ) approach to total knee arthroplasty ( TKA ) minimizes damage to the extensor mechanism ; however , the mini-subvastus ( SV ) approach is design ed to avoid such damage . Quadriceps weakness following TKA can have a significant impact on the activities of daily living , particularly st and -to-sit down ( STSD ) and sit-to-st and up ( STSU ) activities . Fifty-three subjects diagnosed with primary osteoarthritis and scheduled to undergo TKA were r and omized to receive an MV or SV surgical approach and were given identical postoperative orders . Compared with age-matched controls , the SV group had a quicker return of normal peak knee extension moment during STSU , whereas the MV group had a quicker return of normal movement patterns in hip , knee , and ankle parameters during STSD yet represented the higher functioning subjects as more MV subjects had difficulty completing the task as instructed . Considering both movements are required for daily living , neither surgical group was found to have a significant advantage over the other in functional outcome through 6 months post-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 .