Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty

Hakan Zora; Harun Güngör; Gökhan Bayrak

doi:10.31362/patd.1438157

TR EN

Fast-track total diz artroplastisinde medial parapatellar, mini-midvastus ve subvastus cerrahi yaklaşımlarının kısa dönem radyografik sonuçlarının karşılaştırılması

Abstract

Amaç: Diz eklemine erişimdeki zorluklar nedeniyle, total diz artroplastisi (TDA) uygulaması sırasında doğru protez yerleşimi büyük önem taşımaktadır. Bu çalışmanın amacı medial parapatellar (MPP), mini-midvastus (mMV) veya subvastus (SV) cerrahi yaklaşımları ile fast-track TDA uygulanan hastalarda kısa dönem radyografik X-ray sonuçlarını karşılaştırmaktır. Gereç ve yöntem: 2018-2020 yılları arasında MPP, mMV ve SV cerrahi yaklaşımlarıyla opere edilen ve cerrahi öncesi ve cerrahi sonrası altıncı hafta radyografik sonuçları eksiksiz olan 93 hastanın verisi retrospektif olarak analiz edildi ve hastalar üç gruba ayrıldı: MPP (n=31), mMV (n=31) ve SV (n=31). Cerrahi yaklaşımların cerrahi öncesi ve cerrahi sonrası altıncı hafta X-ray görüntülerine ait dizilimleri ölçüldü. MPP, mMV ve SV cerrahi yaklaşımlarıyla uygulanan fast-track TDA’nın operasyon süresi kaydedildi. Bulgular: MPP grubu, cerrahi öncesinde mMV grubuna göre daha yüksek lateral distal femoral açıya ve SV grubuna göre daha yüksek lateral proksimal femoral açıya sahipti (sırasıyla p=0,018 ve p=0,027). mMV grubunun cerrahi sonrası proksimal medial tibial açısı SV grubuna göre daha yüksekti (p=0,011). Cerrahi sonrası altıncı haftada, MPP ve mMV grupları SV grubuna göre daha düşük posterior tibial eğim açısına sahipti (p=0,001). MPP yaklaşımı, mMV ve SV yaklaşımlarına göre anlamlı derecede daha kısa operasyon süresine sahipti (p=0,001). Sonuç: Sonuçlar, MPP, mMV ve SV cerrahi yaklaşımlarının fast-track TDA sırasında memnun edici bir protez dizilimi elde etmede tercih edilebilir ve uygulanabilir olduğuna işaret etmektedir. MPP yaklaşımı daha kısa operasyon süresi ve cerrahi komplikasyon risklerini en aza indirmedeki potansiyel avantajı nedeniyle tercih edilebilir.

Keywords

Total diz artroplastisi, cerrahi yaklaşımlar, radyografi, operasyon süresi

Supporting Institution

Yoktur

Project Number

Yoktur

Ethical Statement

Pamukkale Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu çalışmayı onaylamıştır (08.03.2021-E.28632).

Thanks

Yoktur

Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty

Abstract

Purpose: Due to the difficulties in accessing the knee joint, correct prosthesis placement is of great importance during the implementation of total knee arthroplasty (TKA). This study aimed to compare short-term radiographic X-ray outcomes in patients who underwent fast-track TKA with medial parapatellar (MPP), mini-midvastus (mMV), or subvastus (SV) surgical approaches. Materials and methods: Between 2018 and 2020, 93 patients operated with MPP, mMV, and SV surgical approaches and who had complete data of radiographic outcomes before and sixth-week postoperative were retrospectively analyzed and patients divided into three groups: MPP (n=31), mMV (n=31), and SV (n=31). The alignments of preoperative and sixth-week postoperative X-ray images of the surgical approaches were measured. The operative time of fast-track TKA implementation with MPP, mMV, and SV surgical approaches was recorded. Results: The MPP group had a higher preoperative lateral distal femoral angle than the mMV group and a higher preoperative lateral proximal femoral angle than the SV group (p=0.018 and p=0.027, respectively). The mMV group had a higher postoperative proximal medial tibial angle than the SV group (p=0.011). In the postoperative sixth week, the MPP and mMV groups had a lower posterior tibial slope angle than the SV group (p=0.001). The MPP approach had significantly shorter operative time than the mMV and SV approaches (p=0.001). Conclusion: The outcomes indicate that MPP, mMV, and SV surgical approaches are preferable and feasible in obtaining a satisfactory prosthesis alignment during fast-track TKA. The MPP approach may be preferable because of its shorter operative time and potential advantage in minimizing surgical complication risks.

Keywords

Total knee replacement, surgical approaches, radiography, operative time

Supporting Institution

None

Project Number

Yoktur

Ethical Statement

Pamukkale University Non-Interventional Clinical Research Ethics Committee approved the study (08.03.2021-E.28632).

Thanks

None

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Details

Primary Language

English

Subjects

Orthopaedics

Journal Section

Research Article

Authors

Hakan Zora
0000-0002-5323-8245
Türkiye

Harun Güngör
0000-0002-0721-0890
Türkiye

Gökhan Bayrak ^*
0000-0001-9224-996X
Türkiye

Early Pub Date

April 5, 2024

Publication Date

July 5, 2024

Submission Date

February 16, 2024

Acceptance Date

April 3, 2024

Published in Issue

Year 2024 Volume: 17 Number: 3

DOI

https://doi.org/10.31362/patd.1438157

IZ

https://izlik.org/JA32GN77ER

APA

Zora, H., Güngör, H., & Bayrak, G. (2024). Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pamukkale Medical Journal, 17(3), 522-532. https://doi.org/10.31362/patd.1438157

AMA

1.Zora H, Güngör H, Bayrak G. Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pam Med J. 2024;17(3):522-532. doi:10.31362/patd.1438157

Chicago

Zora, Hakan, Harun Güngör, and Gökhan Bayrak. 2024. “Comparison of Short-Term Radiographic Outcomes of Medial Parapatellar, Mini-Midvastus, and Subvastus Surgical Approaches in Fast-Track Total Knee Arthroplasty”. Pamukkale Medical Journal 17 (3): 522-32. https://doi.org/10.31362/patd.1438157.

EndNote

Zora H, Güngör H, Bayrak G (July 1, 2024) Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pamukkale Medical Journal 17 3 522–532.

IEEE

[1]H. Zora, H. Güngör, and G. Bayrak, “Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty”, Pam Med J, vol. 17, no. 3, pp. 522–532, July 2024, doi: 10.31362/patd.1438157.

ISNAD

Zora, Hakan - Güngör, Harun - Bayrak, Gökhan. “Comparison of Short-Term Radiographic Outcomes of Medial Parapatellar, Mini-Midvastus, and Subvastus Surgical Approaches in Fast-Track Total Knee Arthroplasty”. Pamukkale Medical Journal 17/3 (July 1, 2024): 522-532. https://doi.org/10.31362/patd.1438157.

JAMA

1.Zora H, Güngör H, Bayrak G. Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pam Med J. 2024;17:522–532.

MLA

Zora, Hakan, et al. “Comparison of Short-Term Radiographic Outcomes of Medial Parapatellar, Mini-Midvastus, and Subvastus Surgical Approaches in Fast-Track Total Knee Arthroplasty”. Pamukkale Medical Journal, vol. 17, no. 3, July 2024, pp. 522-3, doi:10.31362/patd.1438157.

Vancouver

1.Hakan Zora, Harun Güngör, Gökhan Bayrak. Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty. Pam Med J. 2024 Jul. 1;17(3):522-3. doi:10.31362/patd.1438157

Pamukkale Medical Journal is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).

Fast-track total diz artroplastisinde medial parapatellar, mini-midvastus ve subvastus cerrahi yaklaşımlarının kısa dönem radyografik sonuçlarının karşılaştırılması

Abstract

Keywords

Supporting Institution

Project Number

Ethical Statement

Thanks

Comparison of short-term radiographic outcomes of medial parapatellar, mini-midvastus, and subvastus surgical approaches in fast-track total knee arthroplasty

Abstract

Keywords

Supporting Institution

Project Number

Ethical Statement

Thanks

References

Details

Primary Language

Subjects

Journal Section

Authors

Early Pub Date

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

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