50-263
Abordaje transvasto mínimamente invasivo versus abordaje parapatelar medial convencional en la artroplastia total de rodilla en pacientes con gonartrosis. Estudio prospectivo comparativo no randomizado.
Minimally invasive midvastus approach versus standard parapatellar medial approach in total knee arthroplasty in patients with knee osteoarthritis. A non-randomized comparative prospective study.
C.E. Cobo Cervantes, A.D. González Pérez, F.M. Morán Asensi, C.A. Cardona Londoño, J.A. Velasco Medina
Recepción:
16/10/2015
Aceptación:
16/10/2015
Publicación:
16/10/2015
Métricas
62
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Resumen (ES)
Aim: Assess and compare short-term outcomes of total knee arthroplasty performed using twosurgical approaches. Material and methods: a prospective study with 49 patients comparing medial parapatellarapproach (24 patients) and minimally invasive trans-vastus access (25 patients) in total knee replacement.The patients included suffered knee osteoarthritis grade IV the Kellgren-Lawrences classification. Exclusioncriteria were age under 50 years, large axial deformity (varus deformity > 15° or valgus > 10°), posttraumaticosteoarthritis, rheumatoid arthritis, revision surgeries, previous osteotomies, BMI> 40 kg/m2 and of course localor systemic active infection and mental impairment. Results: statistically significant differences were found forpain in first and second postoperative days for the minimally invasive approach (1st day: 3.8 ± 2.5 vs. 6.7 ± 2.1; p<0.001. 2nd day: 3 ± 2.1 vs. 6 ± 2; p <0.001). Conclusions: there are not significant differences between mini andstandard approaches in knee replacement, so decision about which access to use in knee reconstruction surgerydepends on surgeons preferences.
Palabras clave (ES):
de
rodillaPrótesisArtroplastia
mínimamente
invasivaAbordaje
mínimamente
RodillaCirugía
invasivoGonatrosisArtrosis
Resumen (EN)
Aim: Assess and compare short-term outcomes of total knee arthroplasty performed using twosurgical approaches. Material and methods: a prospective study with 49 patients comparing medial parapatellarapproach (24 patients) and minimally invasive trans-vastus access (25 patients) in total knee replacement.The patients included suffered knee osteoarthritis grade IV the Kellgren-Lawrences classification. Exclusioncriteria were age under 50 years, large axial deformity (varus deformity > 15° or valgus > 10°), posttraumaticosteoarthritis, rheumatoid arthritis, revision surgeries, previous osteotomies, BMI> 40 kg/m2 and of course localor systemic active infection and mental impairment. Results: statistically significant differences were found forpain in first and second postoperative days for the minimally invasive approach (1st day: 3.8 ± 2.5 vs. 6.7 ± 2.1; p<0.001. 2nd day: 3 ± 2.1 vs. 6 ± 2; p <0.001). Conclusions: there are not significant differences between mini andstandard approaches in knee replacement, so decision about which access to use in knee reconstruction surgerydepends on surgeons preferences.
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