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 .
Minimally invasive total knee arthroplasty improves early knee strength but not functional performance: a randomized controlled trial.
A prospect i ve , r and omized investigation compared early clinical outcomes of  total knee arthroplasty ( TKA ) using  conventional or minimally invasive surgical ( MIS ) approaches ( n = 44 ) . Outcome measures included isometric quadriceps and hamstrings strength , quadriceps activation , functional performance , knee pain , active knee range of motion , muscle mass , the Short Form-36 , and Western Ontario and McMaster University Osteoarthritis Index , assessed preoperatively and 4 and 12 weeks after TKA . Four weeks after TKA , the MIS group had greater hamstring strength ( P = .02 ) and quadriceps strength ( P = .07 ) , which did not translate to differences in other outcomes . At 12 weeks , there were no clinical ly meaningful differences between groups on any measure . Although MIS may lead to faster recovery of strength in patients undergoing TKA , there was no benefit on longer-term recovery of strength or functional performance
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 .