The Patient's Perception Does Not Differ Following Subvastus and Medial Parapatellar Approaches in Total Knee Arthroplasty: A Simultaneous Bilateral Randomized Study

The Journal of Arthroplasty
In Jun KohYong In

Abstract

This simultaneous bilateral randomized study investigated whether patients would perceive the difference between the subvastus approach (SVA) and the medial parapatellar approach (MPA) after total knee arthroplasty (TKA). In 50 patients scheduled to undergo same-day bilateral TKA, one knee was randomly assigned to SVA and the other to MPA. Patient-reported measures (pain, Western Ontario McMaster University Osteoarthritis Index score, and side preference) and physician-assessed measures (isokinetic muscle strength, range of motion, and Knee Society score) were compared. No differences were observed in the patient-reported measures and physician-assessed measures, with the exception of greater quadriceps strength at postoperative 1 week in knees that underwent SVA. Patients receiving contemporary perioperative management after same-day bilateral TKA do not perceive any difference between knees that underwent SVA or MPA.

References

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Jan 16, 2008·International Orthopaedics·Young Bok JungChang Hyun Nam
Feb 2, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·In Jun KohTae Kyun Kim
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Dec 12, 2012·Archives of Orthopaedic and Trauma Surgery·Zhenxiang ZhangChunmao Chen

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Citations

Jan 19, 2017·The Journal of Bone and Joint Surgery. American Volume·Gwo-Chin Lee
Aug 23, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·In Jun KohYong In

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