Guijun Xu1, Xin Fu1, Peng Tian1, Daniel Bahat2, Yuting Huang3, Zhijun Li4. 1. Department of Orthopedics, Tianjin Hospital, No. 406, Jiefang Nan Street, Hexi District, Tianjin 300211, PR China. 2. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA. 3. Department of Medicine, University of Maryland Medical Center Midtown Campus 827 Linden Ave, Baltimore, MD 21201, USA. 4. Department of Orthopedics, Tianjin Medical University General Hospital, No. 154, Anshan Road, Heping District, Tianjin 300052, PR China.
Abstract
Aim: To compare the lateral and medial approaches of total knee arthroplasty (TKA) in the valgus knee. Materials & methods: An electronic search from the PubMed, Embase, Web of Science and Cochrane library was performed according to 'TKA', 'valgus', 'knee' and 'approach'. Subsequently, manual search was conducted from the reference lists in the identified studies. Results: Four randomized controlled trials and five cohorts were included. Better knee society score and function was noticed in patients after lateral approach. Similar postoperative valgus deformity, operative time, blood loss, Western Ontario and McMaster Universities Osteoarthritis Index, range of motion, pain and total complications in both groups. Conclusion: Compared with the medial approach for TKA in valgus knee, current data shows superior results after TKA by the lateral approach.
Aim: To compare the lateral and medial approaches of total knee arthroplasty (TKA) in the valgus knee. Materials & methods: An electronic search from the PubMed, Embase, Web of Science and Cochrane library was performed according to 'TKA', 'valgus', 'knee' and 'approach'. Subsequently, manual search was conducted from the reference lists in the identified studies. Results: Four randomized controlled trials and five cohorts were included. Better knee society score and function was noticed in patients after lateral approach. Similar postoperative valgus deformity, operative time, blood loss, Western Ontario and McMaster Universities Osteoarthritis Index, range of motion, pain and total complications in both groups. Conclusion: Compared with the medial approach for TKA in valgus knee, current data shows superior results after TKA by the lateral approach.
Authors: Piotr Dudek; Dariusz Marczak; Tomasz Okoń; Dariusz Grzelecki; Jan Szneider; Jacek Kowalczewski Journal: J Clin Med Date: 2022-10-09 Impact factor: 4.964