SynthesisClinical orthopaedics and related research2010
Does minimally invasive surgery improve short-term recovery in total knee arthroplasty?
Synthesis in Clinical orthopaedics and related research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02516280 (Effects of Hyperbaric Gaseous Cryotherapy on Knee Flexion Range of Motion in the First Two Days After Total Knee Arthroplasty), which is not on this map. Cited by 32 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Effects of Hyperbaric Gaseous Cryotherapy on Knee Flexion Range of Motion in the First Two Days After Total Knee Arthroplasty: A Feasibility Randomized Controlled Trial
Who cites it
32 citing papers in PubMed, 6 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
- Which resistance training is safest to practice? A systematic review.Journal of orthopaedic surgery and research · 2023Pooled it
- Return to sport after conservative versus surgical treatment for pubalgia in athletes: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- Computer navigation is effective in reducing blood loss but has no effect on transfusion requirement following primary total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- A meta-analysis of minimally invasive and conventional medial parapatella approaches for primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Pooled 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
- Computer-assisted total knee arthroplasty using mini midvastus or medial parapatellar approach technique: A prospective, randomized, international multicentre trial.BMC musculoskeletal disorders · 2016Trial
- Faster recovery after minimally invasive surgery in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Faster quadriceps recovery with the far medial subvastus approach in minimally invasive total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Minimally invasive total knee arthroplasty: surgical implications for recovery.The journal of knee surgery · 2013Trial
- The John Insall award: no benefit of minimally invasive TKA on gait and strength outcomes: a randomized controlled trial.Clinical orthopaedics and related research · 2013Trial
- Minimally invasive total knee arthroplasty improves early knee strength but not functional performance: a randomized controlled trial.The Journal of arthroplasty · 2012Trial
- A minimal-incision and minimal-soft-tissue-injury (MISI) technique for robot-assisted total knee arthroplasty: a preliminary report.Journal of orthopaedic surgery and research · 2026Article
- Advancements in Total Knee Arthroplasty over the Last Two Decades.Journal of clinical medicine · 2025Review
- Compare the Quadriceps Activity between Mini-Midvastus and Mini-Medial Parapatellar Approach in Total Knee Arthroplasty with Electromyography.Journal of clinical medicine · 2024Article
- Perioperative Differences Between Outpatient and Inpatient Pathways Following Hip and Knee Arthroplasty.Arthroplasty today · 2024Article
- Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score.Journal of orthopaedic surgery and research · 2020Article
- Better outcomes after mini-subvastus approach for primary total knee arthroplasty: a Bayesian network meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Review
- Minimally invasive total knee replacement: techniques and results.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Review
- Mid-term survivorship of cruciate-retaining versus posterior-stabilized total knee arthroplasty using modular mini-keel tibial implants.Journal of orthopaedic surgery and research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConcerns have been raised regarding minimally invasive surgery (MIS) and its possible effect on postoperative functional recovery, complications, and survival rate after TKA. QUESTIONS/PURPOSES: We specifically asked whether MIS TKA would be associated with (1) increased operative time, (2) reduced blood loss, (3) shortened hospital stay, (4) faster recovery of ROM, (5) higher knee scores, (6) inferior component positioning, and (7) increased complications.
methodsWe performed a systematic literature search of randomized controlled trials between minimally invasive and standard approaches in TKA that compared operative time, blood loss, ROM, knee scores, component positioning, and complications. We conducted a systematic review and meta-analysis of 13 trials published from 2007 to 2009 of MIS versus standard TKA.
resultsPatients in the MIS group had longer operating times (10-19 minutes). Mean Knee Society scores were better after MIS than after the standard procedure at 6 and 12 weeks postoperatively, but not after 6 months. Improvement in ROM occurred more rapidly in the MIS group 6 days after TKA but later improvements are not clearly documented. We identified no differences between minimally invasive and standard approaches regarding the short-term overall complications and alignment of femoral and tibial components. However, wound healing problems and infections occurred more frequently in the MIS group.
conclusionsMIS leads to faster recovery than conventional surgery with similar rates of component malalignment but is associated with more frequent delayed wound healing and infections. Potential benefits in long-term survival rate and functional improvement require additional investigation. Level of Evidence Level II, therapeutic study (systematic review). See the Guidelines for Authors for a complete description of levels of evidence.
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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.