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Does mini-midvastus approach have an advantageous effect on rapid recovery protocols over medial parapatellar approach in total knee arthroplasty?
- Source :
- Joint Diseases and Related Surgery
- Publication Year :
- 2020
- Publisher :
- TURKISH JOINT DISEASES FOUNDATION, 2020.
-
Abstract
- Objectives: This study aims to compare the effects of mini-midvastus (MMV) versus medial parapatellar (MPP) approach on rapid recovery protocols during total knee arthroplasty (TKA).<br />Patients and methods: This prospective, randomized, single-blinded study was performed in 54 patients (4 males, 50 females; mean age 64.1 +/- 6.4 years) diagnosed as primary knee osteoarthritis and planned for unilateral TKA between May 2018 and March 2019. Patients were randomly assigned as MMV (1 male, 26 females; mean age 65 +/- 6.4 years) and MPP (3 males, 24 females; mean age 63.2 +/- 6.3 years) groups. Rapid recovery TKA protocol and discharge criteria were assembled and all patients were evaluated preoperatively, and at postoperative first and third months. Length of hospital stay (LOS) was recorded for all patients. Hemoglobin and hematocrit values, radiologic assessment of alignment, knee range of motion (ROM), quadriceps muscle strength, visual analog scale (VAS), 30-sec chair-stand test, stair-climb test, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Short Form-36 (SF-36) were used for evaluations by blinded observers.<br />Results: There was no significant difference in demographic variables between two groups. Operative time in MMV Group (78.1 +/- 2.7 min) was significantly longer than the MPP Group (65.9 +/- 2.6 min) (p0.05). In terms of quadriceps muscle strength gain, we could not find any difference between groups in pre- and postoperative difference of changes (p>0.05).<br />Conclusion: With the use of contemporary rapid recovery protocols during TKA, MMV approach had no superiority over MPP approach when quadriceps muscle strength, LOS, pain, function, and quality of life were assessed. Longer operative time in the MMV approach compared to MPP approach may be considered as a disadvantage.
- Subjects :
- Male
Knee Joint
medicine.medical_treatment
Osteoarthritis
Hematocrit
Fast-track protocol
law.invention
Quadriceps Muscle
Hemoglobins
midvastus approach
parapatellar approach
rapid
Randomized controlled trial
law
Orthopedics and Sports Medicine
Single-Blind Method
Postoperative Period
Prospective Studies
Range of Motion, Articular
Prospective cohort study
Arthroplasty, Replacement, Knee
Pain Measurement
Aged, 80 and over
Pain, Postoperative
medicine.diagnostic_test
rapid recovery protocol
Rehabilitation
Middle Aged
Osteoarthritis, Knee
Anesthesia
Female
Original Article
Range of motion
Enhanced Recovery After Surgery
WOMAC
Visual analogue scale
Operative Time
total knee arthroplasty
recovery protocol
medicine
Humans
Muscle Strength
Aged
business.industry
Length of Stay
medicine.disease
Arthroplasty
Quality of Life
Surgery
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Joint Diseases and Related Surgery
- Accession number :
- edsair.doi.dedup.....d8ecc5b85ec773c9847c8d682e8b0fd0