Differences between Standard and Minimally Invasive Parapatellar Surgical Approaches for Total Knee Arthroplasty in the Tasks of Sitting and Standing

Sarah L. Jarvis; Amanda K. Johnson-Wo; Brian R. Onstot; Manoshi Bhowmik-Stoker; M. Wade Shrader; Marc C. Jacofsky; David J. Jacofsky

doi:10.1055/s-0032-1329718

The Journal of Knee Surgery, Table of Contents

J Knee Surg 2013; 26(04): 249-256
DOI: 10.1055/s-0032-1329718

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Differences between Standard and Minimally Invasive Parapatellar Surgical Approaches for Total Knee Arthroplasty in the Tasks of Sitting and Standing

Sarah L. Jarvis

¹Department of Research, The CORE Institute, Sun City West, Arizona

,

Amanda K. Johnson-Wo

¹Department of Research, The CORE Institute, Sun City West, Arizona

,

Brian R. Onstot

²Arizona College of Osteopathic Medicine, Midwestern University, Glendale, Arizona

,

Manoshi Bhowmik-Stoker

³Department of Orthopaedics, Stryker, Mahwah, New Jersey

,

M. Wade Shrader

⁴Department of Orthopaedics, Phoenix Children's Hospital, Phoenix, Arizona

,

Marc C. Jacofsky

¹Department of Research, The CORE Institute, Sun City West, Arizona

,

David J. Jacofsky

⁵Department of Research, The CORE Institute, Phoenix, Arizona

› Author Affiliations

Abstract

Minimally invasive total knee arthroplasty (TKA) aims to enhance functional recovery and minimize trauma to the knee extensor mechanism through quadriceps sparing techniques. Few have studied the effect of TKA surgical approach on activities of daily living. Stand-to-sit-down (STSD) and sit-to-stand-up (STSU) activities are challenging for patients in constrained scenarios where upper body support is limited. In this study, 60 subjects diagnosed with primary osteoarthritis undergoing TKA were randomized to receive the standard parapatellar (SP) or mini-parapatellar (MP) surgical approach performed using computer navigation. All received identical postoperative orders, hospitalization, and physical therapy. Before surgery and at 2, 4, and 6 months postoperatively, the STSD and STSU kinetics and kinematics showed differences for both groups in comparison with controls, but the two were essentially indistinguishable throughout all time points.

Keywords

total knee arthroplasty - minimally invasive - mini-parapatellar - standard parapatellar - quadriceps weakness

Full Text

References

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