ArticleOperative Orthopadie und Traumatologie2009
[The mini-midvastus approach for total knee arthroplasty].
Article in Operative Orthopadie und Traumatologie, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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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.
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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.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Influence of the tourniquet on tibial cement mantle thickness in primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Trial
- [Early results of gender-specific posterior stabilized total knee arthroplasty without patella resurfacing].Der Orthopade · 2013Trial
- Comparison of two minimally invasive implantation instrument-sets for total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2010Trial
- Innervation of the distal part of the vastus medialis muscle is endangered by splitting its muscle fibers during total knee replacement: an anatomical study using modified Sihler's technique.Acta orthopaedica · 2021Article
- [The mini-midvastus approach for total knee arthroplasty].Operative Orthopadie und Traumatologie · 2009Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMinimally invasive approach to the knee for total knee arthroplasty to reduce soft-tissue trauma. INDICATIONS: Total knee replacements. Revision surgery after total knee arthroplasty. CONTRAINDICATIONS: Severe obesity. Revision surgery with preoperative flexion<90 degrees. SURGICAL TECHNIQUE: Anterior midline incision, blunt separation of the distal part of the oblique fibers of the vastus medialis over a length of 1-3 cm. The muscle split ends at the proximal medial corner of the patella. The incision is continued medially of the patella ending at the tibial tuberosity. After approaching the joint, the patella is shifted laterally without dislocating it, thus exposing the articular surfaces. Surgery is performed in maximal knee flexion of 90 degrees . After insertion of the components, stepwise wound closure and only superficial adaptation of the muscle split. POSTOPERATIVE MANAGEMENT: Mobilization with weight bearing and range of motion as tolerated.
resultsIn a prospective study, 267 knee prostheses were implanted between 2005 and 2007 using the mini-midvastus approach. All patients (160 female, 107 male, average age 69.3 years [46-89 years]) were examined clinically and radiologically prior to and 6 weeks after surgery. The clinical results were based on the American Knee Society Score, which increased from a preoperative value of 48.9 (32-68) to 86.5 (75-100) at follow-up. Radiologically, 92.1% of the knees showed a malposition<3 degrees.
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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.