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Simultaneous bilateral MIS-TKA results in faster functional recovery

Cited 23 time in Web of Science Cited 25 time in Scopus
Authors
Han, Ilkyu; Seong, Sang Cheol; Lee, Sahnghoon; Yoo, Jae Ho; Lee, Myung Chul
Issue Date
2008-03-21
Publisher
Lippincott, Williams & Wilkins
Citation
Clin Orthop Relat Res. 2008;466(6):1449-1453
Keywords
Arthroplasty, Replacement, Knee/*methodsCohort StudiesFemaleHumansMaleMiddle AgedOsteoarthritis, Knee/physiopathology/*surgeryRange of Motion, ArticularRecovery of FunctionSurgical Procedures, Minimally InvasiveTime FactorsTreatment OutcomeWalking
Abstract
Simultaneous bilateral TKAs subject patients to more arduous and painful functional recovery and increased risk of hemodynamic complications than staged bilateral TKAs. Minimally invasive TKA (MIS-TKA) reportedly results in more rapid return of function by limiting the amount of soft tissue disruption. We asked whether bilateral MIS-TKA had advantages over conventional TKA with respect to faster functional recovery. We prospectively randomized 30 patients into an MIS group (mini-medial parapatellar approach, 15 patients) and a conventional group (conventional medial parapatellar approach, 15 patients). We recorded range of motion and the time required to regain the ability to walk without assistance. Functional recovery in the MIS group was faster in rehabilitation milestones of walking without assistance and gain in range of motion. Minimally invasive TKA may benefit patients undergoing simultaneous bilateral procedures with faster functional recovery. LEVEL OF EVIDENCE: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
ISSN
1528-1132 (Electronic)
Language
English
URI
http://www.springerlink.com/content/181272502056w415/fulltext.pdf

https://hdl.handle.net/10371/67495
DOI
https://doi.org/10.1007/s11999-008-0216-5
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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