INTRODUCTION: To evaluate the clinical and radiographic results immediately after total knee arthroplasty, we compared the parapatellar and subvastus approach. MATERIALS AND METHODS: Fifty-two patients with osteoarthritis were randomly assigned to two groups. The measurement was based on clinical and radiographic features. RESULTS: There was a significant difference in passive range of motion. Patients in the subvastus approach group revealed a full knee extension and flexion of 90 degrees significantly earlier than those in the parapatellar group. However, on the day of discharge, both groups were comparable. Radiological assessment revealed analogous results in both groups. Correction of varus or valgus deformity was required in 48 patients. CONCLUSION: Regardless of the surgical approach, the anteroposterior tibial femoral angle improved significantly in both groups. Concerning pain, operation time, blood loss, blood substitution and complications, no major differences could be seen.
RCT Entities:
INTRODUCTION: To evaluate the clinical and radiographic results immediately after total knee arthroplasty, we compared the parapatellar and subvastus approach. MATERIALS AND METHODS: Fifty-two patients with osteoarthritis were randomly assigned to two groups. The measurement was based on clinical and radiographic features. RESULTS: There was a significant difference in passive range of motion. Patients in the subvastus approach group revealed a full knee extension and flexion of 90 degrees significantly earlier than those in the parapatellar group. However, on the day of discharge, both groups were comparable. Radiological assessment revealed analogous results in both groups. Correction of varus or valgus deformity was required in 48 patients. CONCLUSION: Regardless of the surgical approach, the anteroposterior tibial femoral angle improved significantly in both groups. Concerning pain, operation time, blood loss, blood substitution and complications, no major differences could be seen.
Authors: Sandro Kohl; Dimitrios S Evangelopoulos; Maximilian Hartel; Hendrik Kohlhof; Christoph Roeder; Stefan Eggli Journal: Knee Surg Sports Traumatol Arthrosc Date: 2011-02-08 Impact factor: 4.342
Authors: Michael T Hirschmann; Mathias Hoffmann; Robert Krause; Reza-Amir Jenabzadeh; Markus P Arnold; Niklaus F Friederich Journal: BMC Musculoskelet Disord Date: 2010-07-22 Impact factor: 2.362
Authors: Wouter L W van Hemert; Rachel Senden; Bernd Grimm; Matthijs J A van der Linde; Arno Lataster; Ide C Heyligers Journal: Knee Surg Sports Traumatol Arthrosc Date: 2010-10-17 Impact factor: 4.342