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Is minimally invasive surgery in total knee arthroplasty really minimally invasive surgery?
J Arthroplasty. 2009 Jun; 24(4):499-504.JA

Abstract

Minimization of soft-tissue damage is one of the primary purposes behind the application of minimally invasive surgery (MIS) in total knee arthroplasty (TKA). A consecutive series of 147 TKAs were enrolled in the present study, with 96 MIS-TKAs using 11 quadriceps-sparing, 46 subvastus, 32 midvastus, and 7 parapatellar approaches and 51 conventional TKAs using 22 subvastus, 9 midvastus, and 20 parapatellar approaches. Serum levels of creatinine phosphokinase, myoglobin, aldolase, lactate dehydrogenase, glutamic oxaloacetic transaminase, and creatinine were measured on postoperative days 0, 1, 2, 4, 7, and 14. Postoperative rising index (RI) was expressed as a proportion of the preoperative value. When RIs were compared between MIS-TKA and conventional TKA, no significant differences were found for any enzymes. Interestingly, the midvastus approach displayed the highest RIs for creatinine phosphokinase and myoglobin between the 4 vastus-splitting approaches. Consequently, degree of muscle damage was equivalent between MIS-TKA and conventional TKA, whereas types of vastus-splitting approach appeared closely related to muscle damage.

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Authors+Show Affiliations

Niki Y
Department of Orthopaedic Surgery, Keio University, Tokyo, Japan.
Mochizuki T
No affiliation info available
Momohara S
No affiliation info available
Saito S
No affiliation info available
Toyama Y
No affiliation info available
Matsumoto H
No affiliation info available

MeSH

AdultAgedAged, 80 and overArthroplasty, Replacement, KneeAspartate AminotransferasesCreatine KinaseFemaleFructose-Bisphosphate AldolaseHumansL-Lactate DehydrogenaseMaleMiddle AgedMinimally Invasive Surgical ProceduresMuscle, SkeletalMyoglobinRetrospective StudiesRisk AssessmentTime Factors

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18757170

Citation

Niki, Yasuo, et al. "Is Minimally Invasive Surgery in Total Knee Arthroplasty Really Minimally Invasive Surgery?" The Journal of Arthroplasty, vol. 24, no. 4, 2009, pp. 499-504.
Niki Y, Mochizuki T, Momohara S, et al. Is minimally invasive surgery in total knee arthroplasty really minimally invasive surgery? J Arthroplasty. 2009;24(4):499-504.
Niki, Y., Mochizuki, T., Momohara, S., Saito, S., Toyama, Y., & Matsumoto, H. (2009). Is minimally invasive surgery in total knee arthroplasty really minimally invasive surgery? The Journal of Arthroplasty, 24(4), 499-504. https://doi.org/10.1016/j.arth.2008.04.002
Niki Y, et al. Is Minimally Invasive Surgery in Total Knee Arthroplasty Really Minimally Invasive Surgery. J Arthroplasty. 2009;24(4):499-504. PubMed PMID: 18757170.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is minimally invasive surgery in total knee arthroplasty really minimally invasive surgery? AU - Niki,Yasuo, AU - Mochizuki,Takeshi, AU - Momohara,Shigeki, AU - Saito,Seiji, AU - Toyama,Yoshiaki, AU - Matsumoto,Hideo, Y1 - 2008/08/30/ PY - 2007/12/15/received PY - 2008/04/03/accepted PY - 2008/9/2/pubmed PY - 2009/8/19/medline PY - 2008/9/2/entrez SP - 499 EP - 504 JF - The Journal of arthroplasty JO - J Arthroplasty VL - 24 IS - 4 N2 - Minimization of soft-tissue damage is one of the primary purposes behind the application of minimally invasive surgery (MIS) in total knee arthroplasty (TKA). A consecutive series of 147 TKAs were enrolled in the present study, with 96 MIS-TKAs using 11 quadriceps-sparing, 46 subvastus, 32 midvastus, and 7 parapatellar approaches and 51 conventional TKAs using 22 subvastus, 9 midvastus, and 20 parapatellar approaches. Serum levels of creatinine phosphokinase, myoglobin, aldolase, lactate dehydrogenase, glutamic oxaloacetic transaminase, and creatinine were measured on postoperative days 0, 1, 2, 4, 7, and 14. Postoperative rising index (RI) was expressed as a proportion of the preoperative value. When RIs were compared between MIS-TKA and conventional TKA, no significant differences were found for any enzymes. Interestingly, the midvastus approach displayed the highest RIs for creatinine phosphokinase and myoglobin between the 4 vastus-splitting approaches. Consequently, degree of muscle damage was equivalent between MIS-TKA and conventional TKA, whereas types of vastus-splitting approach appeared closely related to muscle damage. SN - 1532-8406 UR - https://www.unboundmedicine.com/medline/citation/18757170/Is_minimally_invasive_surgery_in_total_knee_arthroplasty_really_minimally_invasive_surgery L2 - https://linkinghub.elsevier.com/retrieve/pii/S0883-5403(08)00441-5 DB - PRIME DP - Unbound Medicine ER -