Chaidez RP, Ilizaliturri SV, Valero GF, Renán LS, Aguilera ZJM

Language: Spanish
References: 8
Page: 211-214
PDF size: 33.74 Kb.

ABSTRACT

Objective. Evaluate the convenience of the medial or lateral para-patelar approach for total knee replacement, in particular for those cases who have increased valgus. Material and methods. This is a retrospective trial about 13 out of the 14 women with TKR operated on from 1995 through 2000, who had preoperative valgus greater than 15 degrees. Lateral approach was used (not randomly) in 6 (60.8 years in av.; valgus 17.5°) and medial in 7 (70.4 years in av.; valgus 17.2°). Ethiology was arthrosis in the 6 lateral, and 5 arthrosis and 2 RA in medial approach. Results. As estimated by postoperative pain, joint stability and range of motion, results were good in 4 cases and poor in 3 for medial approach, while those were good in 5 cases and poor in 1 for the lateral approach. The only most outstanding result is the sharp difference between good and poor results for the lateral approach, which is somewhat favored in relationship to the medial approach, which actually meant no difference between good and poor results. Conclusion. Lateral parapatelar approach must be considered as a proposal for TKR, since a tendency to demonstrate a lesser rate of complications seems to arise in those cases who have an increased valgus of the knee.

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