{"id":29801,"date":"2016-05-01T14:28:00","date_gmt":"2016-05-01T12:28:00","guid":{"rendered":"https:\/\/centreliv.yetinc.ch\/?p=29801"},"modified":"2024-08-08T14:31:15","modified_gmt":"2024-08-08T12:31:15","slug":"equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities","status":"publish","type":"post","link":"https:\/\/drvincentvilla.ch\/en\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\/","title":{"rendered":"Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities"},"content":{"rendered":"<p><strong>Abstract<\/strong><\/p>\n\n\n\n<p><strong>Purpose:&nbsp;<\/strong>When performing total knee arthroplasty (TKA) in valgus knee deformities, a medial or lateral parapatellar approach can be performed, but the lateral approach is often considered technically more difficult. The purpose of this study was to compare intra-operative, early clinical and radiological outcomes of medial and lateral parapatellar approaches for TKA in the setting of moderate knee valgus (&lt;10\u00b0).<\/p>\n\n\n\n<p><strong>Methods:&nbsp;<\/strong>We prospectively analyzed 424 knees with pre-operative valgus deformity between 3\u00b0 and 10\u00b0 that underwent TKA over an 18-year period; 109 were treated with a medial approach and 315 with a lateral approach. Intra- and post-operative outcomes and complication rates after a minimum follow-up of one year were compared.<\/p>\n\n\n\n<p><strong>Results:&nbsp;<\/strong>Tourniquet (p = 0.25) and surgical (p = 0.62) time were similar between groups. The popliteus tendon was released more frequently in the medial-approach group (p = 0.04), while the iliotibial band was released more frequently in the lateral-approach group (p &lt; 0.001). A tibial tuberosity osteotomy was performed more frequently in the lateral-than medial-approach group (p = 0.003). No significant differences in limb alignment (p = 0.78), or Knee Society Score (KSS) knee (p = 0.32) and function (p = 0.47) results were noted based on surgical approach, and complication rates were similar between groups (p = 0.53).<\/p>\n\n\n\n<p><strong>Conclusions:&nbsp;<\/strong>Lateral parapatellar approach is a safe and effective surgical technique for performing TKA in moderately valgus knees. These equivalent early results are encouraging for systematic use of the lateral approach in moderately valgus knees.<\/p>\n\n\n\n<p><strong>Keywords:&nbsp;<\/strong>Lateral approach; Lateral arthrotomy; Tibial tubercle osteotomy; Total knee arthroplasty; Valgus.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26156728\/\" target=\"_blank\" rel=\"noreferrer noopener\">See the article<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Abstract Purpose:&nbsp;When performing total knee arthroplasty (TKA) in valgus knee deformities, a medial or lateral parapatellar approach can be performed, but the lateral approach is often considered technically more difficult. The purpose of this study was to compare intra-operative, early clinical and radiological outcomes of medial and lateral parapatellar approaches for TKA in the setting [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"1080","footnotes":""},"categories":[31,28],"tags":[],"class_list":["post-29801","post","type-post","status-publish","format-standard","hentry","category-articles-scientifiques","category-dr-villa"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities - Dr Vincent Villa - Chirurgien orthop\u00e9diste<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drvincentvilla.ch\/en\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities - Dr Vincent Villa - Chirurgien orthop\u00e9diste\" \/>\n<meta property=\"og:description\" content=\"Abstract Purpose:&nbsp;When performing total knee arthroplasty (TKA) in valgus knee deformities, a medial or lateral parapatellar approach can be performed, but the lateral approach is often considered technically more difficult. The purpose of this study was to compare intra-operative, early clinical and radiological outcomes of medial and lateral parapatellar approaches for TKA in the setting [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/drvincentvilla.ch\/en\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr Vincent Villa - Chirurgien orthop\u00e9diste\" \/>\n<meta property=\"article:published_time\" content=\"2016-05-01T12:28:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-08-08T12:31:15+00:00\" \/>\n<meta name=\"author\" content=\"Nathan Stampfli\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nathan Stampfli\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/drvincentvilla.ch\\\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/drvincentvilla.ch\\\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\\\/\"},\"author\":{\"name\":\"Nathan Stampfli\",\"@id\":\"https:\\\/\\\/drvincentvilla.ch\\\/#\\\/schema\\\/person\\\/5272ab9adae699d6771313e85fab3c57\"},\"headline\":\"Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities\",\"datePublished\":\"2016-05-01T12:28:00+00:00\",\"dateModified\":\"2024-08-08T12:31:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/drvincentvilla.ch\\\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\\\/\"},\"wordCount\":261,\"commentCount\":0,\"articleSection\":[\"Articles scientifiques\",\"Dr Villa\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/drvincentvilla.ch\\\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/drvincentvilla.ch\\\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\\\/\",\"url\":\"https:\\\/\\\/drvincentvilla.ch\\\/equivalent-results-of-medial-and-lateral-parapatellar-approach-for-total-knee-arthroplasty-in-mild-valgus-deformities\\\/\",\"name\":\"Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities - 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