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Sub-vastus approach is more effective than a medial parapatellar approach in primary total knee arthroplasty: a randomized controlled trial

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dc.contributor.author Bridgman, Stephen A.
dc.contributor.author Walley, Gayle
dc.contributor.author MacKenzie, Gilbert
dc.contributor.author Clement, Darren
dc.contributor.author Griffiths, David
dc.contributor.author Maffulli, Nicola
dc.date.accessioned 2013-01-17T11:43:25Z
dc.date.available 2013-01-17T11:43:25Z
dc.date.issued 2009
dc.identifier.uri http://hdl.handle.net/10344/2815
dc.description peer-reviewed en_US
dc.description.abstract In a prospective single-centre longitudinal randomized controlled trial 116 patients were allocated to the sub-vastus approach, and 115 to the medial parapatellar approach. At one week follow-up, compared to baseline, range of motion, Knee Society (KS) global, KS knee, and KS pain scores were significantly better in the sub-vastus group. At the one year follow-up, WOMAC global and pain scores, SF36 physical function and role-physical scores, and EuroQol utility and pain score were significantly better in the sub-vastus group. The ease of exposure in the sub-vastus approach was significantly worse. There was no significant difference in length of stay or analgesia intake. The sub-vastus approach to total knee arthroplasty was more effective than a medial parapatellar approach at both one week and one year post-operatively, but surgeons reported a less easy exposure in the sub-vastus group. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries The Knee;16(3), pp. 216-22
dc.relation.uri http://dx.doi.org/10.1016/j.knee.2008.11.012
dc.rights This is the author’s version of a work that was accepted for publication in The Knee. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in The Knee, 16(3), pp. 216-222 doi:10.1016/j.knee.2008.11.012 en_US
dc.subject total knee arthroplasty en_US
dc.subject sub-vastus approach en_US
dc.subject RCT en_US
dc.subject randomized en_US
dc.subject osteoarthritis en_US
dc.title Sub-vastus approach is more effective than a medial parapatellar approach in primary total knee arthroplasty: a randomized controlled trial en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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