A meta-analysis of randomised controlled trials comparing the clinical and radiological outcomes following minimally invasive to conventional exposure for total knee arthroplasty

Smith, Toby O. ORCID: https://orcid.org/0000-0003-1673-2954, King, Jonathan J. and Hing, Caroline B. (2012) A meta-analysis of randomised controlled trials comparing the clinical and radiological outcomes following minimally invasive to conventional exposure for total knee arthroplasty. The Knee, 19 (1). pp. 1-7. ISSN 1873-5800

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Abstract

Proponents of minimally invasive total knee arthroplasty (TKA) state accelerated patient recovery and increased patient satisfaction as advantages. However, retractors state a greater incidence of iatrogenic nerve injury, implant mal-positioning and increased rates of revision. This study compares the clinical and radiological outcomes of minimally invasive and conventional exposure TKA using a meta-analysis. A search of published and unpublished literature was performed. Eighteen studies including 1582 TKAs were reviewed: 822 minimally invasive versus 760 conventional exposure TKAs. The findings of this study suggest that whilst incision length was significantly smaller in MIS (p = 0.001), and flexion range of motion was significantly greater following MIS (p = 0.01), there was no statistically significant differences in all other clinical or radiological outcomes between MIS or conventional approach TKA surgery (p>0.05).

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Allied Health Professions
Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Rhiannon Harvey
Date Deposited: 19 Dec 2011 13:51
Last Modified: 23 Oct 2022 00:11
URI: https://ueaeprints.uea.ac.uk/id/eprint/35775
DOI: 10.1016/j.knee.2010.12.001

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