A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study
This prospective randomised study was undertaken to compare surgical parameters as well as clinical and radiological outcomes of subvastus (SV) to midvastus (MV) approaches in staged bilateral total knee arthroplasty (TKA). Twenty-three patients, aged 55–76 years, who underwent staged bilateral TKAs...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2012-07-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | http://www.morthoj.org/2012/v6n2/Subvastus-and-Midvastus-Approaches.pdf |
| _version_ | 1818675318262595584 |
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| author | T Masjudin ZH Kamari |
| author_facet | T Masjudin ZH Kamari |
| author_sort | T Masjudin |
| collection | DOAJ |
| description | This prospective randomised study was undertaken to compare surgical parameters as well as clinical and radiological outcomes of subvastus (SV) to midvastus (MV) approaches in staged bilateral total knee arthroplasty (TKA). Twenty-three patients, aged 55–76 years, who underwent staged bilateral TKAs, were followed up for 6 months. The SV approach was used on one knee and MV approach on the other. We found similar lateral retinacular release rates and patellar resurfacing rates between the two approaches .The SV approached knees had a more significant blood loss and increased operative time compared to the MV approached knees but they achieved significantly earlier active straight- leg raises (SLR) postoperatively (p<0.05 for all). The average postoperative pain, flexion, and Knee Society scores were comparable for both approaches. TKA via SV vs. MV approaches provides comparable satisfactory short-term clinical and radiological outcomes, even though there was slightly more difficulty, more blood loss and longer operative times with the SV approach. |
| first_indexed | 2024-12-17T08:25:40Z |
| format | Article |
| id | doaj.art-7bb8fcaeacfb4fb785dcee3cd0f09f54 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 |
| language | English |
| last_indexed | 2024-12-17T08:25:40Z |
| publishDate | 2012-07-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-7bb8fcaeacfb4fb785dcee3cd0f09f542022-12-21T21:56:47ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332012-07-01623136http://dx.doi.org/10.5704/MOJ.1207.018A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised StudyT Masjudin0ZH Kamari1MS OrthMS OrthThis prospective randomised study was undertaken to compare surgical parameters as well as clinical and radiological outcomes of subvastus (SV) to midvastus (MV) approaches in staged bilateral total knee arthroplasty (TKA). Twenty-three patients, aged 55–76 years, who underwent staged bilateral TKAs, were followed up for 6 months. The SV approach was used on one knee and MV approach on the other. We found similar lateral retinacular release rates and patellar resurfacing rates between the two approaches .The SV approached knees had a more significant blood loss and increased operative time compared to the MV approached knees but they achieved significantly earlier active straight- leg raises (SLR) postoperatively (p<0.05 for all). The average postoperative pain, flexion, and Knee Society scores were comparable for both approaches. TKA via SV vs. MV approaches provides comparable satisfactory short-term clinical and radiological outcomes, even though there was slightly more difficulty, more blood loss and longer operative times with the SV approach.http://www.morthoj.org/2012/v6n2/Subvastus-and-Midvastus-Approaches.pdfTotal knee arthroplastySubvastus approachMidvastus approach |
| spellingShingle | T Masjudin ZH Kamari A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study Malaysian Orthopaedic Journal Total knee arthroplasty Subvastus approach Midvastus approach |
| title | A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study |
| title_full | A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study |
| title_fullStr | A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study |
| title_full_unstemmed | A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study |
| title_short | A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study |
| title_sort | comparison between subvastus and midvastus approaches for staged bilateral total knee arthroplasty a prospective randomised study |
| topic | Total knee arthroplasty Subvastus approach Midvastus approach |
| url | http://www.morthoj.org/2012/v6n2/Subvastus-and-Midvastus-Approaches.pdf |
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