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Is minimally invasive surgery-total knee arthroplasty truly less invasive than standard total knee arthroplasty? A quantitative evaluation

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

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

United States

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Título:
Is minimally invasive surgery-total knee arthroplasty truly less invasive than standard total knee arthroplasty? A quantitative evaluation
Autor: Tsuji, Shigeyoshi ; Tomita, Tetsuya ; Fujii, Masakazu ; Laskin, Richard S ; Yoshikawa, Hideki ; Sugamoto, Kazuomi
Assuntos: Activities of Daily Living ; Aged ; Arthroplasty, Replacement, Knee - methods ; Arthroplasty, Replacement, Knee - rehabilitation ; Female ; Humans ; Male ; Minimally Invasive Surgical Procedures ; Monitoring, Ambulatory ; Pain, Postoperative - drug therapy ; Postoperative Care ; Postoperative Complications ; Recovery of Function ; Walking
É parte de: The Journal of arthroplasty, 2010-09, Vol.25 (6), p.970-976
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: 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: United States
Idioma: Inglês

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Is minimally invasive surgery-total knee arthroplasty truly less invasive than standard total knee arthroplasty? A quantitative evaluation

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

United States

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