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Is Minimally Invasive Surgery–Total Knee Arthroplasty Truly Less Invasive Than Standard Total Knee Arthroplasty?

Tsuji, Shigeyoshi, MD ; Tomita, Tetsuya, MD ; Fujii, Masakazu, MD ; Laskin, Richard S., MD ; Yoshikawa, Hideki, MD ; Sugamoto, Kazuomi, MD

The Journal of arthroplasty, 2010-09, Vol.25 (6), p.970-976 [Periódico revisado por pares]

Elsevier Inc

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  • Título:
    Is Minimally Invasive Surgery–Total Knee Arthroplasty Truly Less Invasive Than Standard Total Knee Arthroplasty?
  • Autor: Tsuji, Shigeyoshi, MD ; Tomita, Tetsuya, MD ; Fujii, Masakazu, MD ; Laskin, Richard S., MD ; Yoshikawa, Hideki, MD ; Sugamoto, Kazuomi, MD
  • Assuntos: accelerometer ; minimally invasive surgery–total knee arthroplasty (MIS-TKA) ; Orthopedics ; physical activity ; postoperative recovery
  • É parte de: The Journal of arthroplasty, 2010-09, Vol.25 (6), p.970-976
  • Descrição: Abstract With recent technical advancements, the number of operative manipulations in the knee joint by minimally invasive surgery–total knee arthroplasty (MIS-TKA) is now considered to be the same as that using standard TKA (S-TKA). The question still remains, however, if MIS-TKA improves recovery compared to S-TKA. We compared MIS-TKA and S-TKA patients' physical activity as measured by an accelerometer. Physical activity expressed as cumulative acceleration was significantly higher in the MIS-TKA than in the S-TKA group on postoperative days (POD1, 2, 3, 4, 5, 10, 11) ( P < .05). The recovery time, defined as the number of days required to achieve cumulative acceleration of 80% of the preoperative level, was significantly shorter ( P < .05) in the MIS-TKA (3.0 ± 3.3 days) group than in the S-TKA (7.0 ± 3.5 days) group. Minimally invasive surgery–total knee arthroplasty appears to allow an earlier recovery after the operation than S-TKA. Less invasion to muscle during the surgery appears to contribute to shorter convalescence.
  • Editor: Elsevier Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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