Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Khan, Mohammad Noah Hasan, Abbas, Kashif, Faraz, Ahmad, Ilyas, Muhammad Waqas, shafique, Hassan, Jamshed, Muhammad Hamzah, Hashmi, Pervaiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
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
_version_ 1783737918260510720
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
work_keys_str_mv AT khanmohammadnoahhasan totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches
AT abbaskashif totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches
AT farazahmad totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches
AT ilyasmuhammadwaqas totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches
AT shafiquehassan totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches
AT jamshedmuhammadhamzah totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches
AT hashmipervaiz totalkneereplacementacomparisonofthesubvastusandmedialparapatellarapproaches