Saratov JOURNAL of Medical and Scientific Research

Different approaches to total knee replacement: a comparative research

Year: 2010, volume 6 Issue: №4 Pages: 834-841
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Zelenyak К.В., Serebryakov A.B.
Organization: Moscow Center for Treatment and Rehabilitation, Moscow

Purpose: to compare traditional and miniinvasive approaches to total knee replacement.
145 patients were divided in four groups. In 1 group (50 pts) we used medial parapatellar approach, 2 group (30 pts) - lateral parapatellar approach, 3 group (34 pts) - midvastus approach, 4 group (31 pts) - Q-S approach. All replacements were done by one experienced surgeon. Intraoperative blood loss, duration of surgery, results of KSS and quality of positioning of implants were measured. Mininvasive approaches to knee replacement showed decreased blood loss, improved functional results and positioning was as much perfect, as with traditional approach. Mininvasive knee replacement is very effective, but it should be performed by experienced surgeon

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