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J Knee Surg 2013; 26(04): 257-262
DOI: 10.1055/s-0032-1329719
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Role of Total Knee Arthroplasty Approaches in Gait Recovery through 6 Months

Thomas Satterly
1   Department of Research, The CORE Institute, Sun City West, Arizona
,
Ryan Neeley
2   Arizona College of Osteopathic Medicine, Midwestern University, Glendale, Arizona
,
Amanda K. Johnson-Wo
1   Department of Research, The CORE Institute, Sun City West, Arizona
,
Manoshi Bhowmik-Stoker
3   Department of Orthopaedics, Stryker, Mahwah, New Jersey
,
M. Wade Shrader
4   Department of Orthopaedics, Phoenix Children's Hospital, Phoenix, Arizona
,
Marc C. Jacofsky
5   Department of Research, The CORE Institute, Phoenix, Arizona
,
David J. Jacofsky
5   Department of Research, The CORE Institute, Phoenix, Arizona
› Author Affiliations
Further Information

Publication History

27 August 2012

12 September 2012

Publication Date:
02 January 2013 (online)

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Abstract

Four major approaches to total knee arthroplasty (TKA) exist: standard parapatellar, subvastus, midvastus, and mini-parapatellar. Research has shown that there may be some benefit to patients when minimally invasive approaches are employed. However, research has not shown whether the minimally invasive approaches are beneficial for restoring patients' gait when compared against those of healthy age–matched subjects. This study has compared the effect of the four surgical approaches using computer navigation on recovery of gait at 2, 4, and 6 months. Although some statistically significant differences exist among surgical approaches at specific points of the gait cycle, results demonstrate that no approach is superior to another in restoring patients' gait across the entire gait cycle.

Keywords

total knee arthroplasty - vastus - parapatellar - minimally invasive - gait
 

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