Mini-midvastus total knee arthroplasty does not result in superior gait pattern
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3154-7 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3154-7 | ||
| 245 | 0 | 0 | |a Mini-midvastus total knee arthroplasty does not result in superior gait pattern |h [Elektronische Daten] |c [M. Liebensteiner, M. Thaler, J. Giesinger, S. Fischler, D. Coraça-Huber, M. Krismer, E. Mayr] |
| 520 | 3 | |a Purpose: Previous studies dealing with gait after minimally invasive surgery (MIS) total knee arthroplasty (TKA) are rare and insufficient. It was the purpose of the study to determine in a prospective, comparative setting whether MIS influences the outcome of TKA in terms of typical 3D gait parameters. Methods: Patients scheduled for TKA or MIS TKA were invited to participate. MIS TKA was defined as TKA with shorter skin incision, mini-midvastus arthrotomy, special instruments, and avoidance of tibiofemoral dislocation and patella eversion. All other intra- and perioperative aspects were identical for both groups. A 3D gait analysis was performed with a VICON system 1month preoperative and 8weeks post-operative. A multivariate analysis of variance was conducted including the main effects time (pre- and post-surgery) and surgical group and the group-by-time interaction effect. Results: Seventeen MIS TKA patients and 20 TKA patients were eligible for the final analysis. We determined neither inter-group differences nor time×group interactions for any gait variables (temporospatial, ground reaction forces, joint angles and joint moments)—except for the varus-valgus knee kinematics. In pre- to post-operative comparison, the maximum valgus sway increased in the MIS group, whereas it decreased in the conventional group (p=0.001). Conclusion: From our findings, it was concluded that MIS TKA does not result in a superior walking pattern 8weeks post-operative. Because we previously also observed mini-midvastus MIS TKA to have equal or slightly inferior results with regard to knee scores, knee torque, radiographic outcome and tourniquet/operating time, we discontinued the procedure. Level of evidence: Prospective comparative study, Therapy, Level II. | |
| 540 | |a The Author(s), 2014 | ||
| 690 | 7 | |a Total knee replacement |2 nationallicence | |
| 690 | 7 | |a Ambulation |2 nationallicence | |
| 690 | 7 | |a Walking patterns |2 nationallicence | |
| 690 | 7 | |a Mini-midvastus approach |2 nationallicence | |
| 700 | 1 | |a Liebensteiner |D M. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | |
| 700 | 1 | |a Thaler |D M. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | |
| 700 | 1 | |a Giesinger |D J. |u Department of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands |4 aut | |
| 700 | 1 | |a Fischler |D S. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | |
| 700 | 1 | |a Coraça-Huber |D D. |u Department for Experimental Orthopaedics, Innsbruck Medical University, Innsbruck, Austria |4 aut | |
| 700 | 1 | |a Krismer |D M. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | |
| 700 | 1 | |a Mayr |D E. |u Department of Orthopaedic Surgery, Celle General Hospital, Celle, Germany |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/6(2015-06-01), 1699-1705 |x 0942-2056 |q 23:6<1699 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3154-7 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3154-7 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Liebensteiner |D M. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Thaler |D M. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Giesinger |D J. |u Department of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Fischler |D S. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Coraça-Huber |D D. |u Department for Experimental Orthopaedics, Innsbruck Medical University, Innsbruck, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Krismer |D M. |u Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Mayr |D E. |u Department of Orthopaedic Surgery, Celle General Hospital, Celle, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/6(2015-06-01), 1699-1705 |x 0942-2056 |q 23:6<1699 |1 2015 |2 23 |o 167 | ||