Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: Difference in patient-reported outcomes measured with the Forgotten Joint Score
Background: Low knee awareness after minimally invasive total knee arthroplasty (TKA) has become the ultimate target of a natural-feeling knee that meets patient expectations. The objective of this research was to compare the clinical outcomes of TKA via the mini-midvastus (MMV) approach or the medial parapatellar (MPP) approach, and to evaluate which approach can lead to a better quality of life after surgery.
Methods: From January 2015 to December 2016, a retrospective cohort study was conducted in 330 patients who underwent TKA via a mini-midvastus (MMV) approach. During this period, we also selected 330 patients who underwent TKA via a medial parapatellar (MPP) approach (MPP group) for comparison. Clinical results were assessed with the visual analog scale score for pain, range of motion, and the Knee Society Score. The Forgotten Joint Score was used to analyze the ability to forget the joint.
Results: There were significant differences with regard to visual analog scale score, range of motion, and the Knee Society Score until 6 months after surgery between the MMV and MPP groups (p < 0.05), but the differences were not significant at 12 months, 24 months, and 36 months after surgery. However, there were significant differences in the Forgotten Joint Score between the groups during the follow-up period (p < 0.05).
Conclusion: When forgetting the artificial joint after TKA is the ultimate target, better quality of life can be acquired by performing TKA via the MMV approach. In addition, compared with the MPP approach, the MMV approach can offer less pain and a faster recovery.
Posted 17 Jun, 2020
On 17 Aug, 2020
On 06 Aug, 2020
Received 01 Jul, 2020
On 29 Jun, 2020
On 29 Jun, 2020
Received 29 Jun, 2020
Invitations sent on 29 Jun, 2020
On 17 Jun, 2020
On 16 Jun, 2020
On 16 Jun, 2020
On 10 Jun, 2020
Received 09 Jun, 2020
On 15 May, 2020
Invitations sent on 13 May, 2020
On 13 May, 2020
Received 13 May, 2020
On 06 May, 2020
On 05 May, 2020
On 05 May, 2020
On 17 Apr, 2020
Received 01 Apr, 2020
Received 01 Apr, 2020
On 30 Mar, 2020
On 30 Mar, 2020
Invitations sent on 29 Mar, 2020
On 19 Mar, 2020
On 18 Mar, 2020
On 14 Mar, 2020
On 10 Mar, 2020
Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: Difference in patient-reported outcomes measured with the Forgotten Joint Score
Posted 17 Jun, 2020
On 17 Aug, 2020
On 06 Aug, 2020
Received 01 Jul, 2020
On 29 Jun, 2020
On 29 Jun, 2020
Received 29 Jun, 2020
Invitations sent on 29 Jun, 2020
On 17 Jun, 2020
On 16 Jun, 2020
On 16 Jun, 2020
On 10 Jun, 2020
Received 09 Jun, 2020
On 15 May, 2020
Invitations sent on 13 May, 2020
On 13 May, 2020
Received 13 May, 2020
On 06 May, 2020
On 05 May, 2020
On 05 May, 2020
On 17 Apr, 2020
Received 01 Apr, 2020
Received 01 Apr, 2020
On 30 Mar, 2020
On 30 Mar, 2020
Invitations sent on 29 Mar, 2020
On 19 Mar, 2020
On 18 Mar, 2020
On 14 Mar, 2020
On 10 Mar, 2020
Background: Low knee awareness after minimally invasive total knee arthroplasty (TKA) has become the ultimate target of a natural-feeling knee that meets patient expectations. The objective of this research was to compare the clinical outcomes of TKA via the mini-midvastus (MMV) approach or the medial parapatellar (MPP) approach, and to evaluate which approach can lead to a better quality of life after surgery.
Methods: From January 2015 to December 2016, a retrospective cohort study was conducted in 330 patients who underwent TKA via a mini-midvastus (MMV) approach. During this period, we also selected 330 patients who underwent TKA via a medial parapatellar (MPP) approach (MPP group) for comparison. Clinical results were assessed with the visual analog scale score for pain, range of motion, and the Knee Society Score. The Forgotten Joint Score was used to analyze the ability to forget the joint.
Results: There were significant differences with regard to visual analog scale score, range of motion, and the Knee Society Score until 6 months after surgery between the MMV and MPP groups (p < 0.05), but the differences were not significant at 12 months, 24 months, and 36 months after surgery. However, there were significant differences in the Forgotten Joint Score between the groups during the follow-up period (p < 0.05).
Conclusion: When forgetting the artificial joint after TKA is the ultimate target, better quality of life can be acquired by performing TKA via the MMV approach. In addition, compared with the MPP approach, the MMV approach can offer less pain and a faster recovery.