The Comparision of the Midvastus and Paramedian Approaches for Total Knee Arthroplasty.
- Author:
Seung Baik KANG
1
;
Kang Sup YOON
;
Ji Ho LEE
;
Dong Ho LEE
;
Hyun Chul JO
Author Information
1. Department of Orthopedic Surgery, Seoul Municipal Boramae Hospital, Korea. sbkang@brm.co.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Total knee arthroplasty;
Midvastus approach;
Lateral release
- MeSH:
Arthroplasty*;
Arthroplasty, Replacement, Knee;
Humans;
Knee*
- From:Journal of the Korean Knee Society
2004;16(1):39-43
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To present the results of mdivastus and paramedian approach for total knee replacement arthroplasty (TKA). MATERIALS AND METHODS: Thirty two patients having bilateral total knee replacement arthroplasty were randomized prospectively-one knee having a vastus muscle-splitting approach(MVS) and the other knee having a median parapatellar approach(MPP)- to compare the difference in lateral release, operation time, postoperative ROM and drain amount, HSS score, return to SLR and extension lag at 2 weeks in TKA. RESULTS: The MVS approach offered an early advantages compared with MPP approach, especially in terms of lateral release[22(68.7%)on MPP and 5 15.6%) on MVS (p=0.014)], ROM at postoperative 2 week (p=0.043) and early return to SLR (p=0.023). There were no significant differences in operation time, postoperative ROM and drain amount, HSS score and extension lag. CONCLUSION: The MVS approach has the potential to improves the rapid restoration of quadriceps mus-cle control and to lead to reduction in the need for lateral release in TKA.
