ArticleEFORT open reviews2018
Medial subvastus
Article in EFORT open reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07348835 (Continuous Monitoring Using a Smart Implantable Device), which is not on this map. Cited by 15 papers, 2 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.
Continuous Monitoring Using a Smart Implantable Device (Persona IQ®) to Compare Medial Parapatellar vs. Subvastus Approaches in Early Post-Operative Total Knee Arthroplasty Recovery
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
- Comparison of conventional and minimally invasive approaches of primary total knee arthroplasty: a network meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2026Pooled it
- Comparison of Patellar Tracking Following Kinematic Alignment Versus Mechanical Alignment Total Knee Arthroplasty via the Mini-Subvastus Approach.Orthopaedic surgery · 2025Trial
- Femoral nerve blockade versus local infiltration analgesia for primary knee arthroplasty. Randomised controlled trial.Anaesthesiology intensive therapy · 2022Trial
- 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
- Medial Hoffa's Fracture Treated with Subvastus Approach - Case Series.Journal of orthopaedic case reports · 2026Article
- A comparative study between Sub-vastus and medial parapatellar approaches in total knee arthroplasty: A prospective study.Journal of clinical orthopaedics and trauma · 2025Article
- Robot-assisted total knee arthroplasty using modified sub-vastus approach: A series of 120 knees.Journal of clinical orthopaedics and trauma · 2025Article
- Article
- 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
- A Medial Subvastus Approach for Lateral Unicompartmental Knee Arthroplasty: Technique Description and Early Outcome Results.Arthroplasty today · 2021Article
- Comment on article by Palazzuolo et al.: Total knee arthroplasty improves the quality-adjusted life years in patients who exceeded their estimated life expectancy.International orthopaedics · 2021Article
- Clinical and Radiological Outcomes of Total Knee Arthroplasty Performed with Midvastus and Medial Parapatellar Approaches in Obese Patients.Advances in orthopedics · 2021Article
- First Reported Series of Outpatient Total Knee Arthroplasty in the Middle East.Arthroplasty today · 2020Article
- Surgeon administered direct adductor canal block is as good as ultrasound guided adductor canal block in pain management in knee replacements- A retrospective case-control study.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
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Twenty randomized controlled trials comprising 1893 primary total knee replacements were included in this review.The subvastus approach conferred superior results for mean difference (MD) in time to regain an active straight leg raise (1.7 days, 95% confidence interval [CI] 1.0 to 2.3), visual analogue score for pain on day one (0.8 points on a scale out of 10, 95% CI 0.2 to 1.4) and total range of knee movement at one week (7°, 95% CI 3.2 to 10.7). The subvastus approach also resulted in fewer lateral releases (odds ratio 0.4, 95% CI 0.2 to 0.7) and less peri-operative blood loss (MD 57 mL, 95% CI 10.5 to 106.4) but prolonged surgical times (MD 9.7 min, 95% CI 3.9 to 15.6).There was no difference in Knee Society Score at six weeks or one year, or the rate of adverse events including superficial or deep infection, deep vein thrombosis or knee stiffness requiring manipulation under anaesthesia.This review demonstrates evidence of early post-operative benefits following the subvastus approach with equivalence between approaches thereafter. Cite this article:
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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.