scholarly journals A Prospective Study of Subvastus Approach vs. Medial Parapatellar Approach for Total Knee Arthroplasty

2019 ◽  
Vol 6 (51) ◽  
pp. 3166-3170
Author(s):  
Khalid Fiyaz Mohammed ◽  
Balasubramanian Santharam ◽  
Bhargav Girish ◽  
Praveen Narayan
2011 ◽  
Vol 93 (1) ◽  
pp. 54-56 ◽  
Author(s):  
U Butt ◽  
R Ahmad ◽  
D Aspros ◽  
GC Bannister

INTRODUCTION Wound ooze is common following total knee arthroplasty (TKA) and persistent wound infection is a risk factor for infection, and increased length and cost of hospitalisation. PATIENTS AND METHODS We undertook a prospective study to assess the effect of tourniquet time, peri-articular local anaesthesia and surgical approach on wound oozing after TKA. RESULTS The medial parapatellar approach was used in 59 patients (77%) and subvastus in 18 patients (23%). Peri-articular local anaesthesia (0.25% Bupivacaine with 1:1,000,000 adrenalin) was used in 34 patients (44%). The mean tourniquet time was 83 min (range, 38–125 min). We found a significant association between cessation of oozing and peri-articular local anaesthesia (P = 0.003), length of the tourniquet time (P = 0.03) and the subvastus approach (P = 0.01). CONCLUSIONS Peri-articular local anaesthesia, the subvastus approach and shorter tourniquet time were all associated with less wound oozing after total knee arthroplasty.


2005 ◽  
Vol 40 (7) ◽  
pp. 902 ◽  
Author(s):  
Moo Ho Song ◽  
Bu Hwan Kim ◽  
Seong Jun Ahn ◽  
Seong Ho Yoo ◽  
Min Soo Lee

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