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The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty.
J Arthroplasty. 2008 Jan; 23(1):10-8.JA

Abstract

A single surgeon performed 200 consecutive primary total knee arthroplasties using identical implants. One hundred of these were done using a traditional medial parapatellar arthrotomy. The other knees were done using a medial parapatellar approach combined with minimally invasive surgical techniques. Patients in the minimal incision group had shorter incision length, shorter length of stay, and less pain (P < .01). Moreover, those patients in the minimal incision group had less flexion contracture (P < .05) and better flexion (P < .05) in the first 12 weeks. Manipulation was necessary in 14% of the traditional group compared with 2% in the minimal incision group (P < .001). There was no significant difference in range of motion or functional outcome at 1 year after surgery. There was no significant difference in component position or complication rates.

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Publisher Full Text (DOI)

Authors+Show Affiliations

McAllister CM
Proliance Surgeons Inc, Evergreen Orthopedic Center, Kirkland, WA 98034, USA.
Stepanian JD
No affiliation info available

MeSH

Arthroplasty, Replacement, KneeFemaleHumansKnee JointKnee ProsthesisLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresOsteotomyPatellaPostoperative PeriodProsthesis DesignRange of Motion, ArticularRecovery of FunctionTreatment Outcome

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18165022

Citation

McAllister, Craig M., and Jeff D. Stepanian. "The Impact of Minimally Invasive Surgical Techniques On Early Range of Motion After Primary Total Knee Arthroplasty." The Journal of Arthroplasty, vol. 23, no. 1, 2008, pp. 10-8.
McAllister CM, Stepanian JD. The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty. J Arthroplasty. 2008;23(1):10-8.
McAllister, C. M., & Stepanian, J. D. (2008). The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty. The Journal of Arthroplasty, 23(1), 10-8. https://doi.org/10.1016/j.arth.2007.01.011
McAllister CM, Stepanian JD. The Impact of Minimally Invasive Surgical Techniques On Early Range of Motion After Primary Total Knee Arthroplasty. J Arthroplasty. 2008;23(1):10-8. PubMed PMID: 18165022.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty. AU - McAllister,Craig M, AU - Stepanian,Jeff D, PY - 2006/01/01/received PY - 2007/01/22/accepted PY - 2008/1/1/pubmed PY - 2008/4/1/medline PY - 2008/1/1/entrez SP - 10 EP - 8 JF - The Journal of arthroplasty JO - J Arthroplasty VL - 23 IS - 1 N2 - A single surgeon performed 200 consecutive primary total knee arthroplasties using identical implants. One hundred of these were done using a traditional medial parapatellar arthrotomy. The other knees were done using a medial parapatellar approach combined with minimally invasive surgical techniques. Patients in the minimal incision group had shorter incision length, shorter length of stay, and less pain (P < .01). Moreover, those patients in the minimal incision group had less flexion contracture (P < .05) and better flexion (P < .05) in the first 12 weeks. Manipulation was necessary in 14% of the traditional group compared with 2% in the minimal incision group (P < .001). There was no significant difference in range of motion or functional outcome at 1 year after surgery. There was no significant difference in component position or complication rates. SN - 0883-5403 UR - https://www.unboundmedicine.com/medline/citation/18165022/The_impact_of_minimally_invasive_surgical_techniques_on_early_range_of_motion_after_primary_total_knee_arthroplasty_ DB - PRIME DP - Unbound Medicine ER -