ArticleInternational orthopaedics2016
Optimal patellar alignment with minimally invasive approaches in total knee arthroplasty after a minimum five year follow-up.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.
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Who cites it
12 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
- Better outcomes after minimally invasive surgeries compared to the standard invasive medial parapatellar approach for total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Quadriceps-sparing versus traditional medial parapatellar approaches for total knee arthroplasty: a meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Malalignment and malposition of quadriceps-sparing approach in primary total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2017Pooled it
- No difference between resurfaced and non-resurfaced patellae with a modern prosthesis design: a prospective randomized study of 250 total knee arthroplasties.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Trial
- [A prospective randomized controlled study of total knee arthroplasty via mini-subvastus and conventional approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Trial
- Surgical approach and insert constraint are associated with small differences in patellar tilt after robotic-assisted total knee arthroplasty: A retrospective comparative radiographic study.Journal of experimental orthopaedics · 2026Article
- Personalized alignment in total knee arthroplasty reduces patellar tilt: A retrospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Does the type of surgical approach affect the clinical outcome of total knee arthroplasty?Der Orthopade · 2021Article
- Patellar tendon shortening following patellofemoral joint replacement.International orthopaedics · 2019Article
- Patient specific instrumentation versus conventional knee arthroplasty: comparative study.International orthopaedics · 2017Article
- Individualised distal femoral cut improves femoral component placement and limb alignment during total knee replacement in knees with moderate and severe varus deformity.International orthopaedics · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatellofemoral syndrome is still a common complication after total knee arthroplasty (TKA). However, the effects of specific surgical approaches on patellar tracking and alignment remain incompletely understood. In this study, we compared patellar alignment in patients who underwent TKA via three different techniques.
methodsA total of 96 patients who completed a minimum follow-up of five years were involved in three groups: 30 patients were treated with the traditional medial parapatellar approach (MPP group), 35 patients were treated with the mini-medial parapatellar approach (MMP group) and 31 were treated with a quadriceps-sparing approach (QS group). Radiographic data for patellar alignment and clinical results were compared.
resultsPatellar tilt and patellar displacement at the final follow-up evaluation differed significantly among the three groups [P < 0.01, analysis of variance (ANOVA)]. The MMP and QS groups exhibited more proper patellar alignment than the MPP group. The clinical results did not differ significantly among the groups (P > 0.05, ANOVA). In addition, there were no correlations between postoperative patellar alignment and clinical scores.
conclusionsThe results of this study indicate that TKA performed using minimally invasive approaches yields superior patellar alignment compared to the traditional MPP approach.
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