Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score
Abstract Background Low knee awareness after minimally invasive total knee arthroplasty (TKA) has become the ultimate target of a natural-feeling knee that meets patient expectations. The objective of this research was to compare the clinical outcomes of TKA via the mini-midvastus (MMV) approach or...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01869-2 |
| _version_ | 1797999261769531392 |
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| author | Wei Lin Jinghui Niu Yike Dai Guangmin Yang Ming Li Fei Wang |
| author_facet | Wei Lin Jinghui Niu Yike Dai Guangmin Yang Ming Li Fei Wang |
| author_sort | Wei Lin |
| collection | DOAJ |
| description | Abstract Background Low knee awareness after minimally invasive total knee arthroplasty (TKA) has become the ultimate target of a natural-feeling knee that meets patient expectations. The objective of this research was to compare the clinical outcomes of TKA via the mini-midvastus (MMV) approach or the medial parapatellar (MPP) approach, and to evaluate which approach can lead to a better quality of life after surgery. Methods From January 2015 to December 2016, a retrospective cohort study was conducted in 330 patients who underwent TKA via a mini-midvastus (MMV) approach. During this period, we also selected 330 patients who underwent TKA via a medial parapatellar (MPP) approach (MPP group) for comparison. Clinical results were assessed with the visual analog scale score for pain, range of motion, and the Knee Society Score. The Forgotten Joint Score was used to analyze the ability to forget the joint. Results There were significant differences with regard to visual analog scale score, range of motion, and the Knee Society Score until 6 months after surgery between the MMV and MPP groups (p < 0.05), but the differences were not significant at 12 months, 24 months, and 36 months after surgery. However, there were significant differences in the Forgotten Joint Score between the groups during the follow-up period (p < 0.05). Conclusion When forgetting the artificial joint after TKA is the ultimate target, better quality of life can be acquired by performing TKA via the MMV approach. In addition, compared with the MPP approach, the MMV approach can offer less pain and a faster recovery. |
| first_indexed | 2024-04-11T11:01:50Z |
| format | Article |
| id | doaj.art-51a2fdd2207340b2ba82008756682d0d |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T11:01:50Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-51a2fdd2207340b2ba82008756682d0d2022-12-22T04:28:30ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-08-011511610.1186/s13018-020-01869-2Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint ScoreWei Lin0Jinghui Niu1Yike Dai2Guangmin Yang3Ming Li4Fei Wang5Department of Orthopedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopedic Surgery, Third Hospital of Hebei Medical UniversityAbstract Background Low knee awareness after minimally invasive total knee arthroplasty (TKA) has become the ultimate target of a natural-feeling knee that meets patient expectations. The objective of this research was to compare the clinical outcomes of TKA via the mini-midvastus (MMV) approach or the medial parapatellar (MPP) approach, and to evaluate which approach can lead to a better quality of life after surgery. Methods From January 2015 to December 2016, a retrospective cohort study was conducted in 330 patients who underwent TKA via a mini-midvastus (MMV) approach. During this period, we also selected 330 patients who underwent TKA via a medial parapatellar (MPP) approach (MPP group) for comparison. Clinical results were assessed with the visual analog scale score for pain, range of motion, and the Knee Society Score. The Forgotten Joint Score was used to analyze the ability to forget the joint. Results There were significant differences with regard to visual analog scale score, range of motion, and the Knee Society Score until 6 months after surgery between the MMV and MPP groups (p < 0.05), but the differences were not significant at 12 months, 24 months, and 36 months after surgery. However, there were significant differences in the Forgotten Joint Score between the groups during the follow-up period (p < 0.05). Conclusion When forgetting the artificial joint after TKA is the ultimate target, better quality of life can be acquired by performing TKA via the MMV approach. In addition, compared with the MPP approach, the MMV approach can offer less pain and a faster recovery.http://link.springer.com/article/10.1186/s13018-020-01869-2Mini-midvastus approachMedial parapatellar approachTotal knee arthroplastyForgotten Joint Score |
| spellingShingle | Wei Lin Jinghui Niu Yike Dai Guangmin Yang Ming Li Fei Wang Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score Journal of Orthopaedic Surgery and Research Mini-midvastus approach Medial parapatellar approach Total knee arthroplasty Forgotten Joint Score |
| title | Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score |
| title_full | Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score |
| title_fullStr | Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score |
| title_full_unstemmed | Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score |
| title_short | Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score |
| title_sort | mini midvastus versus medial parapatellar approach in total knee arthroplasty difference in patient reported outcomes measured with the forgotten joint score |
| topic | Mini-midvastus approach Medial parapatellar approach Total knee arthroplasty Forgotten Joint Score |
| url | http://link.springer.com/article/10.1186/s13018-020-01869-2 |
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