AAOS: Medial parapatellar arthrotomy VS quadriceps-sparing subvastus approach for TKA .
Functional Recovery After Total Knee Arthroplasty: A Prospective Randomized Trial Between Two Surgical Approaches
128 patients were randomly allocated to undergo a medial parapatellar arthrotomy or quadriceps-sparing approach to total knee arthroplasty (TKA), to determine if one technique provided superior early functional outcomes. To accurately compare results, both approaches used minimally invasive surgical principles. Short-term results revealed no statistically significant differences between groups in terms of hospital discharge, patient-reported independent ambulation, reliance on assistive devices, leisure activity participation, or self-care.
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