The midvastus approach to the knee.

J Knee Surg

Anderson Orthopaedic Research Institute, Alexandria, VA 22310, USA.

Published: January 2003

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Article Synopsis
  • A study looked at patients with rheumatoid arthritis (RA) who had knee surgery and checked if using a special type of bone filled with medicine helped prevent infections.*
  • The patients were split into two groups: one group got the special medicine-loaded bone, and the other group got their own bone for the surgery.*
  • The results showed that the special treatment led to lower inflammation after surgery, but both groups had similar infection rates, suggesting more studies are needed.*
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Background: Mid-Vastus and Medial Parapatellar techniques are used for total knee arthroplasty. Their short-term effects within the first month after surgery are yet unexplored. The purpose of this study was to compare Mid-Vastus and Medial Parapatellar effects on knee strength and balance control, at 5 days, 2 weeks and one month after surgery.

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The comparison between the mini-midvastus (mini-MV) and mini-parapatellar (mini-MPP) approach in total knee arthroplasty (TKA) remains a subject of debate. The present study compared quadriceps activation, pain levels, and clinical outcomes between the two approaches; quadricep activation was assessed using surface electromyography (sEMG). This retrospective cross-sectional study comprised a total of 78 patients aged between 50 and 85 years with primary osteoarthritis.

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Objective: The aim of this study is to conduct a comprehensive evaluation of the effectiveness of the medial parapatellar approach via the vastus medialis obliquus muscle in comparison with the standard medial parapatellar approach for total knee arthroplasty, using a systematic approach.

Methods: A computer search was conducted on PubMed, EMBASE, Medline, Cochrane libraries, and Web of Science databases to comprehensively collect randomized controlled studies on minimally invasive (MMV) approaches for knee arthroplasty, specifically the vastus and medial parapatellar (MP) approaches. Two authors independently screened the literature based on inclusion and exclusion criteria, evaluated the quality of the included studies using the Cochrane systematic review method, and performed a meta-analysis using RevMan 5.

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Background: The purpose of this study was to compare the postoperative outcomes over a period of 3 years in patients who underwent bilateral total knee arthroplasty (TKA) using midvastus (MV) versus medial parapatellar (MPP) approaches.

Methods: In this retrospective study, 2 propensity-matched cohorts of patients who underwent simultaneous bilateral TKA via MV (n = 100) and MPP (n = 100) approaches from January 2017 to December 2018 were compared. Surgical parameters compared were surgery time and the incidence of lateral retinacular release (LRR).

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