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 .
Functional and radiological outcome after total knee replacement performed with mini-midvastus or conventional arthrotomy: controlled randomised trial
The results of minimally invasive techniques used for total knee replacement are controversial . Despite reported advantages such as faster recovery , there are some concerns regarding component positioning . We compared mini-midvastus versus medial parapatellar arthrotomy with respect to component position and functional results . We included 70 osteoarthritis total knee replacement patients in our study . Patients were r and omised for the approach . We recorded Knee Society scores before and after the surgery and radiological component position . Patients were followed up to 12 weeks after the surgery . We found that the mini-midvastus approach was associated with better Knee Society scores six weeks after surgery ; after 12 weeks the difference was not statistically significant . We found no difference related to the approach in radiological component position . The mini-midvastus approach is associated with faster recovery and reproduces the same accuracy in component positioning as the medial parapatellar approach . RésuméLes techniques de chirurgie mini-invasives sont controversées dans les prothèses totales du genou . En dépit d’une récupération plus rapide , il est nécessaire de bien observer la position des implants . Nous avons comparé un abord mini-midvastus versus à un abord parapatellaire médian sur les critères position des implants et sur les résultats fonctionnels . Matériel et méthode : 70 approches du genou avec remplacement total ont été étudiés . Les patients ont été r and omisés selon la voie d’abord . Le score de la Knee Society et l’étude radiologique ont permis l’évaluation de ces prothèses . Les patients ont été suivis 12 semaines après l’intervention chirurgicale . Résultats : nous avons trouvé que l’abord mini-midvastus était associé à un meilleur score fonctionnel 6 semaines après l’intervention . Après 12 semaines , la différence n’est pas statistiquement significative . Nous n’avons pas trouvé de différence en ce qui concerne la position des implants . En conclusion : l’abord mini-midvastus est associé à une récupération plus rapide et , permet de positionner les implants de façon aussi efficace que lors d’un abord parapatellaire médian
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 .