J Arthroplasty. 1999 Jan;14(1):29-32.

Comparison of the midvastus muscle-splitting approach with the median parapatellar approach in total knee arthroplasty.

Keating EM, Faris PM, Meding JB, Ritter MA.

Source

Center for Hip and Knee Surgery, Mooresville, Indiana 46158, USA.

Abstract

A total of 100 patients having bilateral total knee replacements simultaneously were randomized prospectively--one knee having a vastus muscle-splitting approach and the other knee having a median parapatellar approach-to evaluate differences in lateral release, postoperative rehabilitation, ease of approach, and complications in total knee replacement surgery. There were 25 lateral releases on the muscle-splitting side and 26 on the median parapatellar side (P = .871). There were no differences in range of motion on day 2 or discharge, straight-leg raise, terminal knee extension, extensor lag, lateral release, or rehabilitation. There were 2 postoperative hematomas and 1 manipulation, all on the muscle-splitting side. All complications occurred from the muscle-splitting side. The muscle-splitting approach cannot be recommended as being superior to the median parapatellar approach.

PMID:: 9926949; [PubMed - indexed for MEDLINE]

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Cited by 2 PubMed Central articles

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