Abstract

This prospective study included 100 knee joints (43 females, 57 males; mean age61.3years)whounder went total knee arthroplasty forgrade 4 knee osteoarthritis.AllTKA operations were performed by the single orthopaedic surgeon through the minimally invasive midvastusapproach.Pre- operatively, all patients had primary osteoarthritis.In all cases,aPScemented prosthesis with modular insertwasused.All the knees were assessed according to theKneeSociety kneeand functions cores before surgery and atthefinal follow-up.Postoperative radiographic evaluations were performed on AP and lateral radiographs according to the knee society scoreevaluation and scoring system. The mean follow-up period was 6 months (range 3 to 12months).

Highlights

  • With the advances in science, the life span of people is increasing, leading to a boost in the numbers of the geriatric population

  • Patients had nopatellar trackingabnormalityintraoperatively;,there was none ed for lateral retinacular release.Postoperative clinical and radio graphicassessments showed no signs of instability or loosing

  • In our country there is an increase in the number of people suffering from osteoarthritis; and a considerable increase in the Body Mass Index (BMI) which when combined with sitting cross legged and squatting play a strong role in joint degeneration

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Summary

Introduction

With the advances in science, the life span of people is increasing, leading to a boost in the numbers of the geriatric population. In our country there is an increase in the number of people suffering from osteoarthritis; and a considerable increase in the Body Mass Index (BMI) which when combined with sitting cross legged and squatting play a strong role in joint degeneration. This necessitating a surgical intervention with less complications. The medial parapatellar approach is the main surgical approach for most of the total knee replacements Modified approaches such as minimally invasive mid vastus approach have been introduced to improve quadriceps power, improve knee flexion, better pain relief. Does the minimally invasive mid-vastus approach really provide advantages? We report our prospective study with 100 patients undergoing total knee replacement using a medial mid-vastus approach with one year follow up

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