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学科主题: 临床医学
题名:
Are There Any Clinical and Radiographic Differences Between Quadriceps-sparing and Mini-medial Parapatellar Approaches in Total Knee Arthroplasty After a Minimum 5 Years of Follow-up?
作者: Huang, Ai-Bing; Wang, Hai-Jun; Yu, Jia-Kuo; Yang, Bo; Ma, Dong; Zhang, Ji-Ying
关键词: Minimally Invasive Surgery ; Quadriceps-sparing ; Total Knee Arthroplasty
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2015-07-20
DOI: 10.4103/0366-6999.160521
卷: 128, 期:14, 页:1898-1904
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: RANDOMIZED CONTROLLED-TRIAL ; SUBVASTUS APPROACH ; REPLACEMENT ; COMPLICATIONS ; EXPERIENCE ; SURVIVAL ; OUTCOMES
英文摘要:

Background: Although the early clinical outcomes of total knee arthroplasty (TKA) using minimally invasive surgery techniques have been widely described, data on the mid- to long-term outcomes are limited. We designed a retrospective study to compare the two most common TKA techniques - The modified quadriceps-sparing (m-QS) approach and the mini-medial parapatellar (MMP) approach - In terms of the clinical and radiographic parameters, over a minimum follow-up period of 5 years.

Methods: The m-QS approach was used in 31 knees and the MMP approach, in 36 knees. Knees in both groups were compared for component position and alignment, knee alignment, length of the skin incision, range of motion, Visual Analog Scale score, muscle torques, Knee Society Score, Western Ontario and McMaster Universities Osteoarthritis Index, and number of complications.

Results: There were no major intergroup differences in any of the clinical and radiographic outcomes assessed at the final follow-up examination.

Conclusions: On the basis of numbers studied, the m-QS group, which requires more technique, showed equivalent results with the MMP group in the postoperative 5 years. Preservation of the extensor mechanism in the m-QS approach could not ensure any improvement in the clinical outcomes during the mid-term follow-up duration.

语种: 英语
所属项目编号: Z131100005213004 ; 81327001
项目资助者: Beijing Science and Technology Planning Projects of Beijing Science and Technology Committee ; Instrument Research Project of the National Natural Science Foundation
WOS记录号: WOS:000358430300010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60491
Appears in Collections:北京大学第三临床医学院_运动医学研究所_期刊论文

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作者单位: Peking Univ, Inst Sports Med, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Huang, Ai-Bing,Wang, Hai-Jun,Yu, Jia-Kuo,et al. Are There Any Clinical and Radiographic Differences Between Quadriceps-sparing and Mini-medial Parapatellar Approaches in Total Knee Arthroplasty After a Minimum 5 Years of Follow-up?[J]. CHINESE MEDICAL JOURNAL,2015,128(14):1898-1904.
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