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Total knee replacement: A comparison of the subvastus and medial parapatellar approaches
OBJECTIVE: The goal of this study is to compare the subvastus method to the usual medial parapatellar technique for total knee replacement in patients with osteoarthritis who present to a tertiary care centre, based on quadriceps function recovery in days after surgery. MATERIALS AND METHODS: We ret...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8361225/ https://www.ncbi.nlm.nih.gov/pubmed/34408867 http://dx.doi.org/10.1016/j.amsu.2021.102670 |
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author | Khan, Mohammad Noah Hasan Abbas, Kashif Faraz, Ahmad Ilyas, Muhammad Waqas shafique, Hassan Jamshed, Muhammad Hamzah Hashmi, Pervaiz |
author_facet | Khan, Mohammad Noah Hasan Abbas, Kashif Faraz, Ahmad Ilyas, Muhammad Waqas shafique, Hassan Jamshed, Muhammad Hamzah Hashmi, Pervaiz |
author_sort | Khan, Mohammad Noah Hasan |
collection | PubMed |
description | OBJECTIVE: The goal of this study is to compare the subvastus method to the usual medial parapatellar technique for total knee replacement in patients with osteoarthritis who present to a tertiary care centre, based on quadriceps function recovery in days after surgery. MATERIALS AND METHODS: We retrospectively reviewed case notes of 76 patients with osteoarthritis who had total knee replacements in a tertiary care hospital over the course of a year from August 2019 to August 2020. We divided them into two groups: group A received TKR via the subvastus approach, and group B received TKR via the medial parapatellar approach. Preoperative quadriceps strength, BMI, and baseline demographics were all recorded from their initial pre-operative workup case notes. Starting on the first postoperative day, patients recorded first unassisted straight leg raise (SLR) was kept as the main determinant for muscle function. The data were evaluated to determine the quadriceps muscle function post TKR. RESULTS: When compared to the medial parapatellar approach, the quadriceps muscle function returns sooner with the subvastus technique. Patients in their sixties showed the highest improvement. Preoperative quadriceps strength has a major impact on muscle recovery after surgery. CONCLUSION: The subvastus method to total knee replacement is linked to a faster recovery of quadriceps muscle strength, resulting in a shorter hospital stay and postoperative therapy. |
format | Online Article Text |
id | pubmed-8361225 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-83612252021-08-17 Total knee replacement: A comparison of the subvastus and medial parapatellar approaches Khan, Mohammad Noah Hasan Abbas, Kashif Faraz, Ahmad Ilyas, Muhammad Waqas shafique, Hassan Jamshed, Muhammad Hamzah Hashmi, Pervaiz Ann Med Surg (Lond) Review OBJECTIVE: The goal of this study is to compare the subvastus method to the usual medial parapatellar technique for total knee replacement in patients with osteoarthritis who present to a tertiary care centre, based on quadriceps function recovery in days after surgery. MATERIALS AND METHODS: We retrospectively reviewed case notes of 76 patients with osteoarthritis who had total knee replacements in a tertiary care hospital over the course of a year from August 2019 to August 2020. We divided them into two groups: group A received TKR via the subvastus approach, and group B received TKR via the medial parapatellar approach. Preoperative quadriceps strength, BMI, and baseline demographics were all recorded from their initial pre-operative workup case notes. Starting on the first postoperative day, patients recorded first unassisted straight leg raise (SLR) was kept as the main determinant for muscle function. The data were evaluated to determine the quadriceps muscle function post TKR. RESULTS: When compared to the medial parapatellar approach, the quadriceps muscle function returns sooner with the subvastus technique. Patients in their sixties showed the highest improvement. Preoperative quadriceps strength has a major impact on muscle recovery after surgery. CONCLUSION: The subvastus method to total knee replacement is linked to a faster recovery of quadriceps muscle strength, resulting in a shorter hospital stay and postoperative therapy. Elsevier 2021-08-08 /pmc/articles/PMC8361225/ /pubmed/34408867 http://dx.doi.org/10.1016/j.amsu.2021.102670 Text en © 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Review Khan, Mohammad Noah Hasan Abbas, Kashif Faraz, Ahmad Ilyas, Muhammad Waqas shafique, Hassan Jamshed, Muhammad Hamzah Hashmi, Pervaiz Total knee replacement: A comparison of the subvastus and medial parapatellar approaches |
title | Total knee replacement: A comparison of the subvastus and medial parapatellar approaches |
title_full | Total knee replacement: A comparison of the subvastus and medial parapatellar approaches |
title_fullStr | Total knee replacement: A comparison of the subvastus and medial parapatellar approaches |
title_full_unstemmed | Total knee replacement: A comparison of the subvastus and medial parapatellar approaches |
title_short | Total knee replacement: A comparison of the subvastus and medial parapatellar approaches |
title_sort | total knee replacement: a comparison of the subvastus and medial parapatellar approaches |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8361225/ https://www.ncbi.nlm.nih.gov/pubmed/34408867 http://dx.doi.org/10.1016/j.amsu.2021.102670 |
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