Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Lateral approach is advantageous in total knee arthroplasty for valgus deformed knee.
Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Lateral versus medial approach for total knee arthroplasty for valgus knee deformity shows comparable functional outcomes, hip-knee-ankle angle values, and complication rates: a meta-analysis of comparative studies.Archives of orthopaedic and trauma surgery · 2024Pooled 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
- Lateral approach for total knee arthroplasty in patients with valgus deformity: A step-by-step surgical technique.SICOT-J · 2025Article
- Comparative Analysis of Outcomes of Lateral Versus Medial Approach in the Total Knee Arthroplasty for Valgus Deformity: A Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2024Review
- Lateral subvastus approach to total knee arthroplasty: A novel surgical technique and retrospective review of 931 consecutive cases.Journal of orthopaedics · 2024Article
- Mid-vastus total knee arthroplasty for medial osteoarthritis recovers gait balance control better than lateral parapatellar approach three months post-surgery.Frontiers in bioengineering and biotechnology · 2023Article
- Lateral or Medial Parapatellar Surgical Approach to the Valgus Osteoarthritic Knee? A Retrospective Single-Center Study.Journal of clinical medicine · 2022Article
- Lateral approach total knee arthroplasty achieves equivalent patellar tracking in severe valgus deformity compared to mild valgus deformity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Does surgical approach affect patient outcomes of total knee arthroplasty?Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Incidence of Soft-Tissue Releases, Clinical and Radiological Outcomes of Lateral Parapatellar Approach for Valgus Arthritic Knees: A 4-year Follow-up Study with A Review of Literature.Indian journal of orthopaedics · 2021Review
- A lateral parapatellar approach with iliotibial band dissection from the Gerdy tubercle for total knee arthroplasty of the valgus knee.Experimental and therapeutic medicine · 2021Article
- Total knee arthroplasty with the least-constrained implant possible for type II valgus knee > 20°: a 3-14 years' follow-up.Arthroplasty (London, England) · 2020Article
- Medial femoral epicondyle upsliding osteotomy with posterior stabilized arthroplasty provided good clinical outcomes such as constrained arthroplasty in primary total knee arthroplasty with severe valgus deformity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Medial parapatellar approach leads to internal rotation of tibial component in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Biographical background and origin of common eponymous terms in orthopedic surgery: anatomy and fractures in knee surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Does low-constraint mobile bearing knee prosthesis give satisfactory results for severe coronal deformities? A five to twelve year follow up study.International orthopaedics · 2017Article
- Total Knee Arthroplasty in Severe Valgus Osteoarthritis Excellent Early Results in a 90-Year-Old Patient with a Valgus Deformity of 47°.Case reports in orthopedics · 2017Article
- Osteoarthritis with permanent dislocation of the patella treated by total knee arthroplasty through a lateral approach: A report of two cases.International journal of surgery case reports · 2017Article
- Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities.International orthopaedics · 2016Article
- Current surgical strategies for total arthroplasty in valgus knee.World journal of orthopedics · 2015Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFor the total knee arthroplasty in valgus deformed knee, superiority of the medial or lateral approach is still controversial. We compared the short-term result of two approach groups. MATERIALS AND
methodsForty-seven knees in rheumatoid arthritis with valgus deformity from 6° to 24° were randomly divided into two group; medial approach (24 knees) and lateral approach (24 knees). We used Scorpio NRG PS for all knees. Median postoperative periods were 43 months in both groups. We compared the surgical time, and alignment on standing radiograph, range of motion (ROM) pre/postoperatively, and degrees of soft-tissue release procedure, and lateral laxity measured by stress radiograph immediately after operation and at final follow-up.
resultPre/postoperative alignment, surgical time, lateral laxity, and preoperative ROM had no significant in two groups; however, postoperative flexion was superior in lateral approach group 123.8°, 109° in medial approach group. All cases required iliotibial band (ITB) release at Gerdy's tubercle, 83 % ITB at joint level, 21 % lateral collateral ligament (LCL), 17 % popliteus tendon (PT) in medial approach group, and 88 % ITB at Gerdy's tubercle, 46 % ITB at joint level, 13 % LCL, 4 % PT in lateral approach group. DISCUSSION: In the valgus knee, lateral structures are tight. Lateral approach can directly adjust the tight structure, and also less vascular compromise to the patella than medial approach with lateral patellar release. Less invasiveness to the quadriceps muscle in lateral approach could result into better range of motion after the surgery.
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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.