ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
The minimally invasive far medial subvastus approach for total knee arthroplasty in valgus knees.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quadriceps recovery after subvastus total knee arthroplasty in valgus deformity: a systematic review and pooled descriptive analysis.Journal of orthopaedic surgery and research · 2026Pooled 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
- Why Kinematic Alignment Makes Little Sense in Valgus Osteoarthritis of the Knee: A Narrative Review.Journal of clinical medicine · 2024Review
- SMOC approach for total knee arthroplasty in valgus knees.Journal of orthopaedic surgery and research · 2022Article
- A Medial Subvastus Approach for Lateral Unicompartmental Knee Arthroplasty: Technique Description and Early Outcome Results.Arthroplasty today · 2021Article
- 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
- Unconstrained total knee arthroplasty in significant valgus deformity: a modified surgical technique to balance the knee and avoid instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Changes in anteroposterior stability and proprioception after different types of knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Individual valgus correction angle improves accuracy of postoperative limb alignment restoration after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- New insight in the architecture of the quadriceps tendon.Journal of experimental orthopaedics · 2016Article
- Total knee arthroplasty for valgus osteoarthritis: the results of a standardized soft-tissue release technique.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Clinical Outcomes of Patients with Valgus Deformity Undergoing Minimally Invasive Total Knee Arthroplasty Through the Medial Approach.The open orthopaedics journal · 2016Article
- Total knee arthroplasty in patients with substantial deformities using primary knee components.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Rotational laxity and collateral ligament laxity following total knee arthroplasty with rotating platform.International orthopaedics · 2014Article
- Total knee arthroplasty in valgus knees using minimally invasive medial-subvastus approach.Indian journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe lateral approach in the valgus knee asks for a lot of soft tissue releases during the arthrotomy. The hypothesis of this study was that the far medial subvastus approach could be used in valgus knees and would guarantee both functional and radiological good to excellent results.
methodsThis is a retrospective study on 78 patients (84 knees) undergoing primary total knee arthroplasty (TKA) for type I or II fixed valgus knees. The mean (SD) preoperative mechanical alignment was 187° (4°) HKA angle. Functional recovery, pain, tourniquet times, necessary soft tissue releases as well as radiological alignment were measured.
resultsThe Knee Score improved significantly from 45 (10) to 90 (10) (P < 0.05) and the function score improved as well from 35 (20) to 85 (10) (P < 0.05). Flexion improved from 110° (10°) to 137° (8°). Hospital stay was 4 (1.2) days. Alignment was corrected to 181° (1.5°) HKA angle with a postoperative joint line shift of +2.8 (3.2) mm. No clinical instability, as evaluated by the senior author, or osteolytic lines was observed at minimal one-year radiological follow-up.
conclusionThe far medial subvastus approach is an excellent approach to perform Krackow type I and II TKA with primary PS implants.
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