Review article on Advantages and Disadvantages of different surgical techniques of Total knee replacement (TKR).
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Abstract
Background -The operation known as a total knee replacement (TKR) involves replacing certain components of the knee joint with prosthetic ones. Between the femur and the tibia and fibula, the typical knee acts as a hinge joint. The surfaces where these bones connect can wear down with time, frequently as a result of arthritis or other illnesses, which can cause pain and swelling that interferes with people's daily activities. This is mostly observed in elderly people older than 60 years old. To overcome this the procedure of TKR is mostly used in the medical procedure in patients suffering with the end stage of osteoarthritis when all nonsurgical treatments fail. Aim: -The purpose of this article is to give a brief overview of the TKR procedure and its different methods with their advantages and complications. Describe the patient history associated with this procedure. Summarize the use of different methods and procedures for less complications and make the procedure more painless and effective for the patients. Texts, websites, and portals like Google Scholar and PubMed were used to gather pertinent literature, as well as research from various papers describing procedure of TKR and the different methods used in it. Conclusion: - To understand the review article one need Complete knowledge of the regional anatomy is essential for surgical exposure of the knee in TKR. After going through this review article, one comes to know about different types of surgical procedure involved under the TKR and the difference between the different methods used during the surgery. After reading the article, one may infer that medial parapatellar arthrotomy, also known as the anteromedial technique, has been the most widely used and has been regarded as the standard method of exposing the knee joint, offering better postoperative outcomes and fewer complications.
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References
Von Langenbeck B. Zur resection des kniegellenks. Verhandlungen der Deutschen Gesellschaft für Chirurgie. 1878;7:23–30.
Hofmann AA, Plaster RL, Murdock LE. Subvastus (Southern) approach for primary total knee replacement. Clin Orthop Relat Res. 1991;269:70–77.
Engh GA, Holt BT, Parks NL. A midvastus muscle-splitting approach for total knee replacement. J Arthroplast. 1997;12:322–331.
Warren RF, Marshall JL. The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am. 1979;61:56–63.
Ksander GA, Vistnes LM, Rose EH. Excisional wound biomechanics, skin tension lines and elastic contraction. Plast Reconstr Surg. 1977;59:398–410.
Stern SH, Moeckel BH, Insall JN. TKR in valgus knees. Clin Orthop. 1991;273:5–8.
Insall J. A midline approach to the knee. J Bone Joint Surg Am. 1971;53:1584–1586.
Vaishya R, Singh AP, Vaish A. Outcome of subvastus approach in elderly nonobese patients undergoing bilateral simultaneous total knee replacement: a randomized controlled study. Indian J Orthop. 2013;47(4):430–431.
Mochizuki RM, Schurman DJ. Patellar complications following total knee replacement. J Bone Joint Surg Am. 1979;61:879–883.
Erkes F. Weitere Erfahrungen mit physiologischer Schnittführung zur Eröffnung des Kniegelenks. Beiträge zur klinischen Chirurgie. 1929;147:221.
Roysam GS, Oakley MJ. Subvastus approach for total knee replacement: a prospective, randomized, and observer-blinded trial. J Arthroplast. 2001;16:454–457.
Matsueda M, Gustilo RB. Subvastus and medial parapatellar approaches in total knee replacement. Clin Orthop. 2000;371:161–168.
Chang CH, Chen KH, Yang RS, Liu TK. Muscle torques in total knee replacement with subvastus and parapatellar approaches. Clin Orthop. 2002;398:189–195.
Maestro A, Suarez MA, Rodriguez L, Guerra C, Murcia A. The midvastus surgical approach in total knee replacement. Int Orthop. 2000;24:104–107.
Parentis MA, Rumi MN, Deol GS, Kothari M, Parrish WM, Pellegrini VD. A comparison of the vastus splitting and median parapatellar approaches in total knee replacement. Clin Orthop. 1999;367:107–116.
White RE, Allman JK, Trauger JA, Dales BH. Clinical comparison of the midvastus and medial parapatellar surgical approaches. Clin Orthop. 1999;367:117–122.
Engh GA, Parks NL. Surgical technique of the midvastus arthrotomy. Clin Orthop. 1998;351:270–274.
Insall J. A midline approach to the knee. J Bone Joint Surg Am. 1971;53:1584–1586.
Van der Bruggen W, Hirschmann MT, Strobel K, Kampen WU, Kuwert T, Gnanasegaran G, Van den Wyngaert T, Paycha F. SPECT/CT in the postoperative painful knee. Semin Nucl Med. 2018 Sep;48(5):439-453.
Jones CA, Voaklander DC, Johnston DWC, et al. Health-related quality of life outcomes after total hip and knee arthroplasties in a community-based population. J Rheumatol. 2000;27:1745–1752.
Wylde V, Beswick A, Bruce J, Blom A, Howells N, Gooberman-Hill R. Chronic pain after total knee arthroplasty. EFORT Open Rev. 2018 Aug;3(8):461–470.
Jones CA, Voaklander DC, Johnston DWC, et al. Health-related quality of life outcomes after total hip and knee arthroplasties in a community-based population. J Rheumatol. 2000;27:1745–1752.
Plenge U, Nortje MB, Marais LC, et al. Optimising perioperative care for hip and knee arthroplasty in South Africa: a Delphi consensus study. BMC Musculoskelet Disord. 2018 May 09;19(1):140.
Loures FB, Correia W, Reis JH, Pires E, Albuquerque RS, de Paula Mozela A, de Souza EB, Maia PV, Barretto JM. Outcomes after knee arthroplasty in extra-articular deformity. Int Orthop. 2019 Sep;43(9):2065–2070.
Ryan SP, Goltz DE, Howell CB, Attarian DE, Bolognesi MP, Seyler TM. Skilled nursing facilities after total knee arthroplasty: the time for selective partnerships is now! J Arthroplasty. 2018 Dec;33(12):3612–3616.
Clement ND. Patient factors that influence the outcome of total knee replacement: a critical review of the literature. OA Orthopaedics. 2013;1:11.
Hawker GA, Bohm E, Dunbar MJ, Jones CA, Noseworthy T. The effect of patient age and surgical appropriateness and their influence on surgeon recommendations for primary TKA: a cross-sectional study of 2,037 patients. JBJS. 2022 Apr 20;104(8):700–8.
Vasso M, Antoniadis A, Helmy N. Update on unicompartmental knee arthroplasty: current indications and failure modes. EFORT Open Rev. 2018 Aug;3(8):442–448.
Lotke PA. Knee arthroplasty. 3rd ed. Raven Press; 1995. p. 1–19.
Insall JN, Thompson FM, Brause BD. Two-stage reimplantation for the salvage of infected total knee arthroplasty. J Bone Joint Surg. 1983;65:1087–1098.
Meek RM, Greidanus NV, McGraw RW. The extensile rectus snip exposure in revision of total knee arthroplasty. J Bone Joint Surg. 2003;85:1120–1131.