Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2005
Midvastus approach in total knee arthroplasty: a randomized, double-blinded study on early rehabilitation.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Comparison of conventional and minimally invasive approaches of primary total knee arthroplasty: a network meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2026Pooled it
- Comparisons of the Efficacy and Safety of Total Knee Arthroplasty by Different Surgical Approaches: A Systematic Review and Network Meta-analysis.Orthopaedic surgery · 2022Pooled it
- Pooled it
- Comparison of the minimally invasive and standard medial parapatellar approaches for primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2012Pooled it
- Does mini-midvastus approach have an advantageous effect on rapid recovery protocols over medial parapatellar approach in total knee arthroplasty?Joint diseases and related surgery · 2020Trial
- Better quadriceps recovery after minimally invasive total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Trial
- Minimally invasive total knee arthroplasty improves early knee strength but not functional performance: a randomized controlled trial.The Journal of arthroplasty · 2012Trial
- Hypesthesia after anterolateral versus midline skin incision in TKA: a randomized study.Clinical orthopaedics and related research · 2011Trial
- Comparing early functional outcomes between the midvastus and medial parapatellar approach for total knee arthroplasty: A prospective cohort study in an Asian population.Journal of clinical orthopaedics and trauma · 2025Article
- Impaired Modulation of Motor and Functional Performance in Patients after Total Knee Arthroplasty: A Prospective Observational Study.BioMed research international · 2022Observational
- Does the type of surgical approach affect the clinical outcome of total knee arthroplasty?Der Orthopade · 2021Article
- Structured Total Knee Replacement Rehabilitation Programme and Quality of Life following Two Different Surgical Approaches - A Randomised Controlled Trial.Malaysian orthopaedic journal · 2019Article
- Current perspectives in stem cell research for knee cartilage repair.Stem cells and cloning : advances and applications · 2014Review
- Anterior knee pain after total knee arthroplasty: does it correlate with patellar blood flow?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2011Article
- Anterolateral approach with tibial tubercle osteotomy versus standard medial approach for primary total knee arthroplasty: does it matter?BMC musculoskeletal disorders · 2010Article
- [The mini-midvastus approach for total knee arthroplasty].Operative Orthopadie und Traumatologie · 2009Article
- The mini-incision mid-vastus approach for total knee arthroplasty.Operative Orthopadie und Traumatologie · 2008Article
- [Pain therapy for the lower extremities].Der Orthopade · 2008Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The medial parapatellar approach has become the standard technique in total knee arthroplasty (TKA). However, recent studies have reported superior results regarding functional recovery when using the midvastus approach. It was the aim of this study to evaluate the early functional outcome of both surgical techniques. In a prospective, double-blinded, randomized study, 50 patients for TKA were consecutively operated on either by the medial parapatellar or the midvastus approach. Exclusion criteria were defined as previous open knee surgery and leg deformity of more than 10 degrees varus or valgus. TKA was performed in all patients by one surgeon using the same type of implants in both groups. Pain scores (VAS) were documented and follow-up data including quadriceps strength and proprioception were obtained 3 weeks and 6 weeks postoperatively. Both groups were comparable in preoperative demographic data. Postoperatively, patients in the midvastus group demonstrated significantly lower pain in rest (VAS: mean 2.25 vs. 3.03) and under movement (VAS: mean 2.92 vs. 3.13). Further, they showed superior isometric quadriceps strength at 3 weeks (41.4 vs. 27.6 Nm) and 6 weeks (47.6 vs. 35.5 Nm). Moreover, this group showed a superior postoperative proprioception, while the range of motion was similar in both groups. The midvastus approach offers advantages over the standard parapatellar arthrotomy, in the early rehabilitation period. No adverse effects were observed associated with this approach. Therefore, the midvastus approach should be considered as a valuable alternative in TKA.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.