Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

RESULTS OF MISTKA USING EXTRAMEDULLARY FEMORAL GUIDE SYSTEM



Abstract

MISTKA resulted earlier recovery of ROM, muscle power and shorter incision. But bleeding after operation did not decrease compared with conventional TKA. We compared MISTKA results between several approach mini arthrotomy, mini midvastus and mini subvastus. There were no difference in these series. We thought extramedullary femoral guide may be less invasive than intramedullary femoral guide system.

34 cases were performed by minisubvastus approach. 17 cases were using intramedullary method. 17 cases were using extramedullary method. We compared JOA score, ROM, muscle power, blood examination, X ray, and operation time. Total protein(TP), albumin(alb), prealbumin(prealb), hemoglobin(Hb), total lymphocyte content(TLC) and CRP were examined.

There was no difference in JOA score, ROM and recovery of muscle power. But there were statistically difference in prealbumine at 1 week after operation and TLC at 2 week after operation.

Extramedullary group showed earlier recovery than intramedullary group.

MIS TKA does not discuss about approach but also system of bone cut. Navigation system is very good method but it is very expensive and takes more time at operation. Extramedullary system we developed is simple and low technology method and useful for MISTKA.

Correspondence should be addressed to ISTA Secretariat, PO Box 6564, Auburn, CA 95604, USA. Tel: 1-916-454-9884, Fax: 1-916-454-9882, Email: ista@pacbell.net