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J Knee Surg 2013; 26(03): 195-202
DOI: 10.1055/s-0032-1327449
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Minimally Invasive Total Knee Arthroplasty: Surgical Implications for Recovery

Michael R. Dayton
1   Department of Orthopaedics, University of Colorado, Aurora, Colorado
,
Michael J. Bade
2   Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado
,
Tim Muratore
1   Department of Orthopaedics, University of Colorado, Aurora, Colorado
,
Benjamin C. Shulman
3   Department of Preventive Medicine and Biostatistics, University of Colorado, Aurora, Colorado
,
Wendy M. Kohrt
4   Division of Geriatrics, University of Colorado, Aurora, Colorado
,
Jennifer E. Stevens-Lapsley
2   Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado
› Author Affiliations
Further Information

Publication History

24 May 2012

22 July 2012

Publication Date:
12 November 2012 (online)

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Abstract

Background Despite growing interest in minimally invasive surgery (MIS) techniques for total knee arthroplasty (TKA), few randomized controlled trials have compared MIS and conventional TKA using a combination of functional performance, knee pain, knee range of motion (ROM), and surgical and radiographic outcomes.

Methods A prospective, randomized investigation comparing early outcomes of TKA using conventional or MIS approaches (n = 44). Patients were assessed preoperatively, 48 hours, 4 and 12 weeks postoperatively by blinded evaluators. Outcome measures included timed-up-and-go, 100-ft walk, knee pain, passive knee ROM, Knee Society Score, blood loss, tourniquet time, hospital length of stay, surgical complications, and radiographic outcomes.

Results No significant differences in functional performance, knee pain, knee ROM, surgical, or radiographic outcomes were observed between groups at 48 hours, 4 or 12 weeks postoperatively.

Conclusion While surgical and radiographic outcomes were not compromised with MIS surgery, there were also no improvements in pain, ROM, or functional performance with MIS TKA.

Keywords

total knee arthroplasty - minimally invasive surgery - function
 

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