ArticleMusculoskeletal surgery2018
Biochemical stress evaluation after medial parapatellar and subvastus approach in total knee replacement.
Article in Musculoskeletal surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Minimally Invasive (Epivastus) Approach for Total Knee Arthroplasty.Sovremennye tekhnologii v meditsine · 2023Trial
- Evaluating perioperative stresses in children by noninvasive modalities using salivary cortisol and autonomic reactivity.Pediatric surgery international · 2024Article
- Functional Outcome of Mechanical Alignment in Total Knee Arthroplasty Surgery: A Short-Term Cohort Study at an Indian Tertiary Care Hospital.Indian journal of orthopaedics · 2024Article
- Usefulness of patellar cartilage cross-sectional area for knee tibiofemoral osteoarthritis in elderly.Clinical interventions in aging · 2019Article
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Authors and funding
7 authors.
Funding
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Abstract
introductionEven if different surgical approaches for total knee arthroplasty are well known since decades, the standard medial parapatellar incision remains the most common one; general agreement about significant advantages with minimally invasive techniques is lacking. Furthermore, the surgical stress effect on the organism has always been analyzed through blood inflammatory parameters. This study aim was to compare the standard and subvastus approaches, using the salivary cortisol in particular as measure for systemic surgery-related stress.
methodsFifteen operations were performed in a consecutive series; clinical (Knee Society Knee Scoring System., a questionnaire score, range of motion, tourniquet time, intra-operative bleeding) and biochemical factors (salivary and hematic cortisol, C-reactive protein, muscular creatine phosphokinase levels) were evaluated. The final follow-up was at two months after the operation.
resultsNo significant differences were observed in most of the parameters; however, the subvastus group had a sharper and earlier functional improvement trend than the standard one. On the other side, it increased the CPK levels significantly.
conclusionsIn our experience, the medial subvastus approach, firstly associated with greater surgical stress, has then been characterized by a more favorable functional improvement trend. Moreover, the salivary cortisol measurement has proved to be a non-invasive and reliable method to evaluate the systemic surgery-related stress.
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