Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Faster quadriceps recovery with the far medial subvastus approach in minimally invasive total knee arthroplasty.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06267482 (Challenging The TKA Standard Of Care), which is not on this map. Cited by 20 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.
Challenging The TKA Standard Of Care: Patient Specific Surgical Targets As Enabled By The Rosa
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled 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
- Lateral or medial approach for valgus knee in total knee arthroplasty - which one is better? A systematic review.The Journal of international medical research · 2019Pooled it
- Patellar non-eversion in primary TKA reduces the complication rate.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
- 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
- Rotation in total knee arthroplasty: no difference between patient-specific and conventional instrumentation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Comparison of early outcomes of primary total knee arthroplasties performed using subvastus and medial parapatellar approaches and evaluation of quadriceps muscle elastography.Archives of orthopaedic and trauma surgery · 2024Article
- Arthroscopic-assisted robotic bi-unicompartmental knee arthroplasty: a pilot cadaveric study.Archives of orthopaedic and trauma surgery · 2023Article
- Higher satisfaction after total knee arthroplasty using restricted inverse kinematic alignment compared to adjusted mechanical alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Tourniquet Use in Arthroscopic ACL Reconstruction: A Blinded Randomized Trial.Indian journal of orthopaedics · 2021Article
- Lateral parapatellar and subvastus approaches are superior to the medial parapatellar approach in terms of soft tissue perfusion.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Comparison of quadriceps muscle volume after unilateral total knee arthroplasty with and without tourniquet use.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Total knee arthroplasty in patients with substantial deformities using primary knee components.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Restoration of constitutional alignment in TKA leads to more physiological strains in the collateral ligaments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- The minimally invasive far medial subvastus approach for total knee arthroplasty in valgus knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
- Pain after knee arthroplasty: an unresolved issue.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Review
- Pain trajectories identify patients at risk of persistent pain after knee arthroplasty: an observational study.Clinical orthopaedics and related research · 2014Observational
- Patient-specific instruments: industry's innovation with a surgeon's interest.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Article
- Author's reply.Indian journal of orthopaedics · 2013Article
- Total knee arthroplasty using subvastus approach in stiff knee: A retrospective analysis of 110 cases.Indian journal of orthopaedicsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo identify whether less proximal muscle damage during minimally invasive surgery will allow faster recovery after total knee arthroplasty in comparison with a quadriceps incision approach. A limited medial parapatellar approach without tibial medial collateral ligament (MCL) release was compared to a subvastus approach without tibial medial collateral ligament release (far medial subvastus).
methodsOne hundred and eighty patients were studied. In the mini-parapatellar group, ninety patients and in the far medial subvastus group, the remaining ninety patients were included. The evaluation was based on the Knee Society Score, VAS, morphine consumption, range of motion, time to straight leg raising, walking without aid, stairs and period of hospitalization. Alignment on full leg radiographs and component position on plain films were measured.
resultsThe far medial subvastus group showed faster recovery with earlier straight leg raising (1.7 ± 0.5 vs. 2.7 ± 0.4 days), postoperative weight bearing without aid (1.7 ± 0.6 vs. 2 ± 0.8 days) and stair negotiation (3 ± 0.4 vs. 4 ± 0.3 days) resulting in shorter length of stay (4 ± 0.5 vs. 5 ± 1.2 days). Comparable Knee Society Scores (88.5 ± 6.8 vs. 90 ± 10), Function Scores (90 ± 10) and alignment (5.4° ± 2.1° vs. 5.0° ± 2.4°) between the medial parapatellar and far medial subvastus group were observed at a follow-up of 24 months. An increase in operative time for the far medial subvastus was observed (55 ± 10.6 min vs. 67 ± 12 min tourniquet time) but without complications.
conclusionThe MCL sparing far medial subvastus approach allows good surgical exposure, faster straight leg raising, full weight bearing without aid and shorter length of stay with most importantly no radiological malalignment. LEVEL OF EVIDENCE: Therapeutic study, Level II.
Indexed as
Identifiers
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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.