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Fast-track total diz artroplastisinde medial parapatellar, mini-midvastus ve subvastus cerrahi yaklaşımlarının kısa dönem radyografik sonuçlarının karşılaştırılması.

Year 2024, Volume: 17 Issue: 4, 4 - 4

Hakan Zora Harun Güngör Gökhan Bayrak

https://doi.org/10.31362/patd.1438157

Abstract

Amaç: Diz eklemine erişimdeki zorluklar nedeniyle, total diz artroplastisi (TDA) uygulaması sırasında doğru protez yerleşimi büyük önem taşımaktadır. Bu çalışmanın amacı medial parapatellar (MPP), mini-midvastus (mMV) veya subvastus (SV) cerrahi yaklaşımları ile fast-track TDA uygulanan hastalarda kısa dönem radyografik X-ray sonuçlarını karşılaştırmaktır.
Gereç ve yöntem: 2018-2020 yılları arasında MPP, mMV ve SV cerrahi yaklaşımlarıyla opere edilen ve cerrahi öncesi ve cerrahi sonrası altıncı hafta radyografik sonuçları eksiksiz olan 93 hastanın verisi retrospektif olarak analiz edildi ve hastalar üç gruba ayrıldı: MPP (n=31), mMV (n=31) ve SV (n=31). Cerrahi yaklaşımların cerrahi öncesi ve cerrahi sonrası altıncı hafta X-ray görüntülerine ait dizilimleri ölçüldü. MPP, mMV ve SV cerrahi yaklaşımlarıyla uygulanan fast-track TDA’nın operasyon süresi kaydedildi.
Bulgular: MPP grubu, cerrahi öncesinde mMV grubuna göre daha yüksek lateral distal femoral açıya ve SV grubuna göre daha yüksek lateral proksimal femoral açıya sahipti (sırasıyla p=0.018 ve p=0.027). mMV grubunun cerrahi sonrası proksimal medial tibial açısı SV grubuna göre daha yüksekti (p=0.011). Cerrahi sonrası altıncı haftada, MPP ve mMV grupları SV grubuna göre daha düşük posterior tibial eğim açısına sahipti (p=0.001). MPP yaklaşımı, mMV ve SV yaklaşımlarına göre anlamlı derecede daha kısa operasyon süresine sahipti (p=0.001).
Sonuç: Sonuçlar, MPP, mMV ve SV cerrahi yaklaşımlarının fast-track TDA sırasında memnun edici bir protez dizilimi elde etmede tercih edilebilir ve uygulanabilir olduğuna işaret etmektedir. MPP yaklaşımı daha kısa operasyon süresi ve cerrahi komplikasyon risklerini en aza indirmedeki potansiyel avantajı nedeniyle tercih edilebilir.

Keywords

Total diz artroplastisi cerrahi yaklaşımlar radyografi operasyon süresi

Ethical Statement

Pamukkale Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu çalışmayı onaylamıştır (08.03.2021-E.28632).

Supporting Institution

Yoktur

Project Number

Yoktur

Thanks

Yoktur

References

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  • 2. Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: time to change practice?. Can Urol Assoc J 2011;5:342-348. https://doi.org/10.5489/cuaj.11002
  • 3. Chen KK, Chan JJ, Zubizarreta NJ, Poeran J, Chen DD, Moucha CS. Enhanced recovery after surgery protocols in lower extremity joint arthroplasty: using observational data to identify the optimal combination of components. J Arthroplasty 2021;36:2722-2728. https://doi.org/10.1016/j.arth.2021.03.003
  • 4. Shichman I, Ben Ari E, Sissman E, Oakley C, Schwarzkopf R. Effect of total knee arthroplasty on coronal alignment of the ankle joint. J Arthroplasty 2022;37:869-873. https://doi.org/10.1016/j.arth.2022.01.059
  • 5. Hiranaka T, Miyazawa S, Furumatsu T, et al. Large flexion contracture angle predicts tight extension gap during navigational posterior stabilized-type total knee arthroplasty with the pre-cut technique: a retrospective study. BMC Musculoskelet Disord 2022;23:78(e1-8). https://doi.org/10.1186/s12891-022-05035-z
  • 6. Bouché PA, Corsia S, Nizard R, Resche Rigon M. Comparative efficacy of the different surgical approaches in total knee arthroplasty: a systematic-review and Network Meta-Analysis. J Arthroplasty 2021;36:1187-1194.e1. https://doi.org/10.1016/j.arth.2020.09.052
  • 7. Sukeik M, Sohail MZ, Hossain FS, AlShryda S, Powell J. Comparing the sub-vastus and medial parapatellar approaches in total knee arthroplasty: a meta-analysis of short-term outcomes. Dr Sulaiman Al Habib Medical Journal 2021;3:66-73. https://doi.org/10.2991/dsahmj.k.210203.001
  • 8. Güler O, Gümüşsuyu G, Sofu H, Gökçen HB. Clinical and radiological outcomes of total knee arthroplasty performed with midvastus and medial parapatellar approaches in obese patients. Adv Orthop 2021;2021:5512930(e1-7). https://doi.org/10.1155/2021/5512930
  • 9. Bonutti PM, Zywiel MG, Ulrich SD, Stroh DA, Seyler TM, Mont MA. A comparison of subvastus and midvastus approaches in minimally invasive total knee arthroplasty. J Bone Joint Surg Am 2010;92:575-582. https://doi.org/10.2106/JBJS.I.00268
  • 10. Chin PL, Foo LSS, Yang KY, Yeo SJ, Lo NN. Randomized controlled trial comparing the radiologic outcomes of conventional and minimally invasive techniques for total knee arthroplasty. J Arthroplasty 200;22:800-806. https://doi.org/10.1016/j.arth.2006.10.009
  • 11. Liu HW, Gu WD, Xu NW, Sun JY. Surgical approaches in total knee arthroplasty: a meta-analysis comparing the midvastus and subvastus to the medial peripatellar approach. J Arthroplasty 2014;29:2298-2304. https://doi.org/10.1016/j.arth.2013.10.023
  • 12. Liu HC, Kuo FC, Huang CC, Wang JW. Mini-midvastus total knee arthroplasty in patients with severe varus deformity. Orthopedics 2015;38:112-117. https://doi.org/10.3928/01477447-20150204-58
  • 13. Wu Y, Zeng Y, Bao X, et al. Comparison of mini-subvastus approach versus medial parapatellar approach in primary total knee arthroplasty. Int J Surg 2018;57:15-21. https://doi.org/10.1016/j.ijsu.2018.07.007
  • 14. Biçer EK, Sözbilen MC, Aydoğdu S, Hakkı S. Influence of total knee arthroplasty approaches on component positioning. Cukurova Med J 2018;43:343-349. https://doi.org/10.17826/cumj.341797
  • 15. Li Z, Cheng W, Sun L, et al. Mini-subvastus versus medial parapatellar approach for total knee arthroplasty: a prospective randomized controlled study. Int Orthop 2018;42:543-549. https://doi.org/10.1007/s00264-017-3703-z
  • 16. Weinhardt C, Barisic M, Bergmann EG, Heller KD. Early results of subvastus versus medial parapatellar approach in primary total knee arthroplasty. Arch Orthop Trauma Surg 2004;124:401-403. https://doi.org/10.1007/s00402-004-0692-3
  • 17. Masjudin T, Kamari Zh. A comparison between subvastus and midvastus approaches for staged bilateral total knee arthroplasty:a prospective, randomised study. Malays Orthop J 2012;6:31-36. https://doi.org/10.5704/MOJ.1207.018
  • 18. Şavkın R, Büker N, Güngör HR. The effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty. Acta Orthop Belg 2021;87:735-744. https://doi.org/10.52628/87.4.19
  • 19. Jeong SH, Schneider B, Pyne AS, Tishelman JC, Strickland SM. Patellofemoral arthroplasty surgical technique: lateral or medial parapatellar approach. J Arthroplasty 2020;35:2429-2434. https://doi.org/10.1016/j.y
  • 20. Katragadda BC, Kumar S, Suresh A, Vk K. Midvastus Versus Medial Parapatellar Approach in Simultaneous Bilateral Total Knee Arthroplasty. J Arthroplasty 2023;38:2301-2306. https://doi.org/10.1016/j.arth.2023.05.043
  • 21. Scuderi GR, Tenholder M, Capeci C. Surgical approaches in mini-incision total knee arthroplasty. Clin Orthop Relat Res 2004;428:61-67. https://doi.org/10.1097/01.blo.0000148574.79874.d0
  • 22. Ji HM, Han J, Jin DS, Seo H, Won YY. Kinematically aligned TKA can align knee joint line to horizontal. Knee Surg Sports Traumatol Arthrosc 2016;24:2436-2441. https://doi.org/10.1007/s00167-016-3995-3
  • 23. Pornrattanamaneewong C, Ruangsomboon P, Wingprawat K, Chareancholvanich K, Narkbunnam R. Accuracy of empirical distal femoral valgus cut angle of 4° to 6° in total knee arthroplasty: a randomized controlled trial. Eur J Orthop Surg Traumatol 2022;32:175-181. https://doi.org/10.1007/s00590-021-02890-9
  • 24. Yang NH, Nayeb Hashemi H, Canavan PK, Vaziri A. Effect of frontal plane tibiofemoral angle on the stress and strain at the knee cartilage during the stance phase of gait. J Orthop Res 2010;28:1539-1547. https://doi.org/10.1002/jor.21174
  • 25. Çakmak M, Özkan K. Alt ekstremite deformite analizi (I). TOTBID Dergisi 2005;4:50-62.
  • 26. Maderbacher G, Keshmiri A, Schaumburger J, et al. What is the optimal valgus pre-set for intramedullary femoral alignment rods in total knee arthroplasty?. Knee Surg Sports Traumatol Arthrosc 2017;25:3480-3487. https://doi.org/10.1007/s00167-016-4141-y
  • 27. Colyn W, Bruckers L, Scheys L, Truijen J, Smeets K, Bellemans J. Changes in coronal knee-alignment parameters during the osteoarthritis process in the varus knee. J ISAKOS 2023;8:68-73. https://doi.org/10.1016/j.jisako.2022.12.002
  • 28. Sgroi M, Faschingbauer M, Reichel H, Kappe T. Can the frontal tibiofemoral alignment be assessed on anteroposterior knee radiographs?. J Orthop Traumatol 2016;17:339-343. https://doi.org/10.1007/s10195-016-0404-0
  • 29. Weber P, Gollwitzer H. Kinematic alignment in total knee arthroplasty. Kinematisches Alignment in der Knieendoprothetik. Oper Orthop Traumatol 2021;33:525-537. https://doi.org/10.1007/s00064-021-00729-4
  • 30. Suardi C, Stimolo D, Zanna L, et al. Varus morphology and its surgical implication in osteoarthritic knee and total knee arthroplasty. J Orthop Surg Res 2022;17:299. https://doi.org/10.1186/s13018-022-03184-4
  • 31. Oka S, Matsumoto T, Muratsu H, et al. The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2014;22:1812-1818. https://doi.org/10.1007/s00167-013-2535-7
  • 32. Mora JP, Scuderi GR. Minimally invasive total knee arthroplasty: does surgical technique actually impact the outcome?. Orthop Clin North Am 2020;51:303-315. https://doi.org/10.1016/j.ocl.2020.02.009
  • 33. Sheehy L, Felson D, Zhang Y, et al. Does measurement of the anatomic axis consistently predict hip-knee-ankle angle (HKA) for knee alignment studies in osteoarthritis? analysis of long limb radiographs from the multicenter osteoarthritis (MOST) study. Osteoarthritis Cartilage 2011;19:58-64. https://doi.org/10.1016/j.joca.2010.09.011
  • 34. Chun KC, Kweon SH, Nam DJ, Kang HT, Chun CH. Tibial tubercle osteotomy vs the extensile medial parapatellar approach in revision total knee arthroplasty: is tibial tubercle osteotomy a harmful approach?. J Arthroplasty 2019;34:2999-3003. https://doi.org/10.1016/j.arth.2019.07.015
  • 35. Liu H, Mei X, Zhang Z, Sun J. Mini-midvastus versus mini-medial parapatellar approach in simultaneous bilateral total knee arthroplasty with 24-month follow-up. Acta Orthop Traumatol Turc 2015;49:586-592. https://doi.org/10.3944/AOTT.2015.15.0078
  • 36. Haas SB, Cook S, Beksac B. Minimally invasive total knee replacement through a mini midvastus approach: a comparative study. Clin Orthop Relat Res 2004;428:68-73. https://doi.org/10.1097/01.blo.0000147649.82883.ca
  • 37. Almaawi AM, Hutt JRB, Masse V, Lavigne M, Vendittoli PA. The impact of mechanical and restricted kinematic alignment on knee anatomy in total knee arthroplasty. J Arthroplasty 2017;32:2133-2140. https://doi.org/10.1016/j.arth.2017.02.028
  • 38. Gürsu S, Sofu H, Verdonk P, Şahin V. Effects of total knee arthroplasty on ankle alignment in patients with varus gonarthrosis: do we sacrifice ankle to the knee?. Knee Surg Sports Traumatol Arthrosc 2016;24:2470-2475. https://doi.org/10.1007/s00167-015-3883-2
  • 39. Kim YH, Choi Y, Kwon OR, Kim JS. Functional outcome and range of motion of high-flexion posterior cruciate-retaining and high-flexion posterior cruciate-substituting total knee prostheses. a prospective, randomized study. J Bone Joint Surg Am 2009;91:753-760. https://doi.org/10.2106/JBJS.H.00805
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Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty

Year 2024, Volume: 17 Issue: 4, 4 - 4

Hakan Zora Harun Güngör Gökhan Bayrak

https://doi.org/10.31362/patd.1438157

Abstract

Purpose: Due to the difficulties in accessing the knee joint, correct prosthesis placement is of great importance during the implementation of total knee arthroplasty (TKA). This study aimed to compare short-term radiographic X-ray outcomes in patients who underwent fast-track TKA with medial parapatellar (MPP), mini-midvastus (mMV), or subvastus (SV) surgical approaches.
Materials and methods: Between 2018 and 2020, 93 patients operated with MPP, mMV, and SV surgical approaches and who had complete data of radiographic outcomes before and sixth-week postoperative were retrospectively analyzed and patients divided into three groups: MPP (n=31), mMV (n=31), and SV (n=31). The alignments of preoperative and sixth-week postoperative X-ray images of the surgical approaches were measured. The operative time of fast-track TKA implementation with MPP, mMV, and SV surgical approaches was recorded.
Results: The MPP group had higher preoperative lateral distal femoral angle than the mMV group and a higher preoperative lateral proximal femoral angle than SV group (p=0.018 and p=0.027, respectively). The mMV group had higher postoperative proximal medial tibial angle than SV group (p=0.011). In the postoperative sixth week, the MPP and mMV groups had a lower posterior tibial slope angle than SV group (p=0.001). The MPP approach had significantly shorter operative time than mMV and SV approaches (p=0.001).
Conclusion: The outcomes indicate that MPP, mMV, and SV surgical approaches are preferable and feasible in obtaining a satisfactory prosthesis alignment during fast-track TKA. The MPP approach may be preferable because of its shorter operative time and potential advantage in minimizing surgical complication risks.

Keywords

Total knee replacement surgical approaches radiography operative time

Ethical Statement

Pamukkale University Non-Interventional Clinical Research Ethics Committee approved the study (08.03.2021-E.28632).

Supporting Institution

None

Project Number

Yoktur

Thanks

None

References

  • 1. Aljehani MS, Christensen JC, Snyder Mackler L, Crenshaw J, Brown A, Zeni JA Jr. Knee biomechanics and contralateral knee osteoarthritis progression after total knee arthroplasty. Gait Posture 2022;91:266-275. https://doi.org/10.1016/j.gaitpost.2021.10.020
  • 2. Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: time to change practice?. Can Urol Assoc J 2011;5:342-348. https://doi.org/10.5489/cuaj.11002
  • 3. Chen KK, Chan JJ, Zubizarreta NJ, Poeran J, Chen DD, Moucha CS. Enhanced recovery after surgery protocols in lower extremity joint arthroplasty: using observational data to identify the optimal combination of components. J Arthroplasty 2021;36:2722-2728. https://doi.org/10.1016/j.arth.2021.03.003
  • 4. Shichman I, Ben Ari E, Sissman E, Oakley C, Schwarzkopf R. Effect of total knee arthroplasty on coronal alignment of the ankle joint. J Arthroplasty 2022;37:869-873. https://doi.org/10.1016/j.arth.2022.01.059
  • 5. Hiranaka T, Miyazawa S, Furumatsu T, et al. Large flexion contracture angle predicts tight extension gap during navigational posterior stabilized-type total knee arthroplasty with the pre-cut technique: a retrospective study. BMC Musculoskelet Disord 2022;23:78(e1-8). https://doi.org/10.1186/s12891-022-05035-z
  • 6. Bouché PA, Corsia S, Nizard R, Resche Rigon M. Comparative efficacy of the different surgical approaches in total knee arthroplasty: a systematic-review and Network Meta-Analysis. J Arthroplasty 2021;36:1187-1194.e1. https://doi.org/10.1016/j.arth.2020.09.052
  • 7. Sukeik M, Sohail MZ, Hossain FS, AlShryda S, Powell J. Comparing the sub-vastus and medial parapatellar approaches in total knee arthroplasty: a meta-analysis of short-term outcomes. Dr Sulaiman Al Habib Medical Journal 2021;3:66-73. https://doi.org/10.2991/dsahmj.k.210203.001
  • 8. Güler O, Gümüşsuyu G, Sofu H, Gökçen HB. Clinical and radiological outcomes of total knee arthroplasty performed with midvastus and medial parapatellar approaches in obese patients. Adv Orthop 2021;2021:5512930(e1-7). https://doi.org/10.1155/2021/5512930
  • 9. Bonutti PM, Zywiel MG, Ulrich SD, Stroh DA, Seyler TM, Mont MA. A comparison of subvastus and midvastus approaches in minimally invasive total knee arthroplasty. J Bone Joint Surg Am 2010;92:575-582. https://doi.org/10.2106/JBJS.I.00268
  • 10. Chin PL, Foo LSS, Yang KY, Yeo SJ, Lo NN. Randomized controlled trial comparing the radiologic outcomes of conventional and minimally invasive techniques for total knee arthroplasty. J Arthroplasty 200;22:800-806. https://doi.org/10.1016/j.arth.2006.10.009
  • 11. Liu HW, Gu WD, Xu NW, Sun JY. Surgical approaches in total knee arthroplasty: a meta-analysis comparing the midvastus and subvastus to the medial peripatellar approach. J Arthroplasty 2014;29:2298-2304. https://doi.org/10.1016/j.arth.2013.10.023
  • 12. Liu HC, Kuo FC, Huang CC, Wang JW. Mini-midvastus total knee arthroplasty in patients with severe varus deformity. Orthopedics 2015;38:112-117. https://doi.org/10.3928/01477447-20150204-58
  • 13. Wu Y, Zeng Y, Bao X, et al. Comparison of mini-subvastus approach versus medial parapatellar approach in primary total knee arthroplasty. Int J Surg 2018;57:15-21. https://doi.org/10.1016/j.ijsu.2018.07.007
  • 14. Biçer EK, Sözbilen MC, Aydoğdu S, Hakkı S. Influence of total knee arthroplasty approaches on component positioning. Cukurova Med J 2018;43:343-349. https://doi.org/10.17826/cumj.341797
  • 15. Li Z, Cheng W, Sun L, et al. Mini-subvastus versus medial parapatellar approach for total knee arthroplasty: a prospective randomized controlled study. Int Orthop 2018;42:543-549. https://doi.org/10.1007/s00264-017-3703-z
  • 16. Weinhardt C, Barisic M, Bergmann EG, Heller KD. Early results of subvastus versus medial parapatellar approach in primary total knee arthroplasty. Arch Orthop Trauma Surg 2004;124:401-403. https://doi.org/10.1007/s00402-004-0692-3
  • 17. Masjudin T, Kamari Zh. A comparison between subvastus and midvastus approaches for staged bilateral total knee arthroplasty:a prospective, randomised study. Malays Orthop J 2012;6:31-36. https://doi.org/10.5704/MOJ.1207.018
  • 18. Şavkın R, Büker N, Güngör HR. The effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty. Acta Orthop Belg 2021;87:735-744. https://doi.org/10.52628/87.4.19
  • 19. Jeong SH, Schneider B, Pyne AS, Tishelman JC, Strickland SM. Patellofemoral arthroplasty surgical technique: lateral or medial parapatellar approach. J Arthroplasty 2020;35:2429-2434. https://doi.org/10.1016/j.y
  • 20. Katragadda BC, Kumar S, Suresh A, Vk K. Midvastus Versus Medial Parapatellar Approach in Simultaneous Bilateral Total Knee Arthroplasty. J Arthroplasty 2023;38:2301-2306. https://doi.org/10.1016/j.arth.2023.05.043
  • 21. Scuderi GR, Tenholder M, Capeci C. Surgical approaches in mini-incision total knee arthroplasty. Clin Orthop Relat Res 2004;428:61-67. https://doi.org/10.1097/01.blo.0000148574.79874.d0
  • 22. Ji HM, Han J, Jin DS, Seo H, Won YY. Kinematically aligned TKA can align knee joint line to horizontal. Knee Surg Sports Traumatol Arthrosc 2016;24:2436-2441. https://doi.org/10.1007/s00167-016-3995-3
  • 23. Pornrattanamaneewong C, Ruangsomboon P, Wingprawat K, Chareancholvanich K, Narkbunnam R. Accuracy of empirical distal femoral valgus cut angle of 4° to 6° in total knee arthroplasty: a randomized controlled trial. Eur J Orthop Surg Traumatol 2022;32:175-181. https://doi.org/10.1007/s00590-021-02890-9
  • 24. Yang NH, Nayeb Hashemi H, Canavan PK, Vaziri A. Effect of frontal plane tibiofemoral angle on the stress and strain at the knee cartilage during the stance phase of gait. J Orthop Res 2010;28:1539-1547. https://doi.org/10.1002/jor.21174
  • 25. Çakmak M, Özkan K. Alt ekstremite deformite analizi (I). TOTBID Dergisi 2005;4:50-62.
  • 26. Maderbacher G, Keshmiri A, Schaumburger J, et al. What is the optimal valgus pre-set for intramedullary femoral alignment rods in total knee arthroplasty?. Knee Surg Sports Traumatol Arthrosc 2017;25:3480-3487. https://doi.org/10.1007/s00167-016-4141-y
  • 27. Colyn W, Bruckers L, Scheys L, Truijen J, Smeets K, Bellemans J. Changes in coronal knee-alignment parameters during the osteoarthritis process in the varus knee. J ISAKOS 2023;8:68-73. https://doi.org/10.1016/j.jisako.2022.12.002
  • 28. Sgroi M, Faschingbauer M, Reichel H, Kappe T. Can the frontal tibiofemoral alignment be assessed on anteroposterior knee radiographs?. J Orthop Traumatol 2016;17:339-343. https://doi.org/10.1007/s10195-016-0404-0
  • 29. Weber P, Gollwitzer H. Kinematic alignment in total knee arthroplasty. Kinematisches Alignment in der Knieendoprothetik. Oper Orthop Traumatol 2021;33:525-537. https://doi.org/10.1007/s00064-021-00729-4
  • 30. Suardi C, Stimolo D, Zanna L, et al. Varus morphology and its surgical implication in osteoarthritic knee and total knee arthroplasty. J Orthop Surg Res 2022;17:299. https://doi.org/10.1186/s13018-022-03184-4
  • 31. Oka S, Matsumoto T, Muratsu H, et al. The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2014;22:1812-1818. https://doi.org/10.1007/s00167-013-2535-7
  • 32. Mora JP, Scuderi GR. Minimally invasive total knee arthroplasty: does surgical technique actually impact the outcome?. Orthop Clin North Am 2020;51:303-315. https://doi.org/10.1016/j.ocl.2020.02.009
  • 33. Sheehy L, Felson D, Zhang Y, et al. Does measurement of the anatomic axis consistently predict hip-knee-ankle angle (HKA) for knee alignment studies in osteoarthritis? analysis of long limb radiographs from the multicenter osteoarthritis (MOST) study. Osteoarthritis Cartilage 2011;19:58-64. https://doi.org/10.1016/j.joca.2010.09.011
  • 34. Chun KC, Kweon SH, Nam DJ, Kang HT, Chun CH. Tibial tubercle osteotomy vs the extensile medial parapatellar approach in revision total knee arthroplasty: is tibial tubercle osteotomy a harmful approach?. J Arthroplasty 2019;34:2999-3003. https://doi.org/10.1016/j.arth.2019.07.015
  • 35. Liu H, Mei X, Zhang Z, Sun J. Mini-midvastus versus mini-medial parapatellar approach in simultaneous bilateral total knee arthroplasty with 24-month follow-up. Acta Orthop Traumatol Turc 2015;49:586-592. https://doi.org/10.3944/AOTT.2015.15.0078
  • 36. Haas SB, Cook S, Beksac B. Minimally invasive total knee replacement through a mini midvastus approach: a comparative study. Clin Orthop Relat Res 2004;428:68-73. https://doi.org/10.1097/01.blo.0000147649.82883.ca
  • 37. Almaawi AM, Hutt JRB, Masse V, Lavigne M, Vendittoli PA. The impact of mechanical and restricted kinematic alignment on knee anatomy in total knee arthroplasty. J Arthroplasty 2017;32:2133-2140. https://doi.org/10.1016/j.arth.2017.02.028
  • 38. Gürsu S, Sofu H, Verdonk P, Şahin V. Effects of total knee arthroplasty on ankle alignment in patients with varus gonarthrosis: do we sacrifice ankle to the knee?. Knee Surg Sports Traumatol Arthrosc 2016;24:2470-2475. https://doi.org/10.1007/s00167-015-3883-2
  • 39. Kim YH, Choi Y, Kwon OR, Kim JS. Functional outcome and range of motion of high-flexion posterior cruciate-retaining and high-flexion posterior cruciate-substituting total knee prostheses. a prospective, randomized study. J Bone Joint Surg Am 2009;91:753-760. https://doi.org/10.2106/JBJS.H.00805
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There are 42 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research Article
Authors

Hakan Zora 0000-0002-5323-8245

Harun Güngör 0000-0002-0721-0890

Gökhan Bayrak 0000-0001-9224-996X

Project Number Yoktur
Early Pub Date April 5, 2024
Publication Date
Submission Date February 16, 2024
Acceptance Date April 3, 2024
Published in Issue Year 2024 Volume: 17 Issue: 4

Cite

APA Zora, H., Güngör, H., & Bayrak, G. (2024). Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pamukkale Medical Journal, 17(4), 4-4. https://doi.org/10.31362/patd.1438157
AMA Zora H, Güngör H, Bayrak G. Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pam Med J. April 2024;17(4):4-4. doi:10.31362/patd.1438157
Chicago Zora, Hakan, Harun Güngör, and Gökhan Bayrak. “Comparison of Short-Term Radiographic Outcomes of Medial Parapatellar, Mini-Midvastus, and Subvastus Surgical Approaches in Fast-Track Total Knee Arthroplasty”. Pamukkale Medical Journal 17, no. 4 (April 2024): 4-4. https://doi.org/10.31362/patd.1438157.
EndNote Zora H, Güngör H, Bayrak G (April 1, 2024) Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pamukkale Medical Journal 17 4 4–4.
IEEE H. Zora, H. Güngör, and G. Bayrak, “Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty”, Pam Med J, vol. 17, no. 4, pp. 4–4, 2024, doi: 10.31362/patd.1438157.
ISNAD Zora, Hakan et al. “Comparison of Short-Term Radiographic Outcomes of Medial Parapatellar, Mini-Midvastus, and Subvastus Surgical Approaches in Fast-Track Total Knee Arthroplasty”. Pamukkale Medical Journal 17/4 (April 2024), 4-4. https://doi.org/10.31362/patd.1438157.
JAMA Zora H, Güngör H, Bayrak G. Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pam Med J. 2024;17:4–4.
MLA Zora, Hakan et al. “Comparison of Short-Term Radiographic Outcomes of Medial Parapatellar, Mini-Midvastus, and Subvastus Surgical Approaches in Fast-Track Total Knee Arthroplasty”. Pamukkale Medical Journal, vol. 17, no. 4, 2024, pp. 4-4, doi:10.31362/patd.1438157.
Vancouver Zora H, Güngör H, Bayrak G. Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pam Med J. 2024;17(4):4-.

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