ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2025.92.13ymj-3054Research ArticleМЕТОДЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯMETHODS OF DIAGNOSIS AND TREATMENTПреимущества субвастусного доступа при первичном эндопротезировании коленного суставаAdvantages of the subvastus approach in primary knee arthroplasty: a systematic literature reviewhttps://orcid.org/0009-0005-4112-4290Аль-МамуриА. Д.Al-MamuriA. J.

Аль-Мамури Ахмед Джавад – врач-травматолог, аспирант РУДН.

125009, Москва, Брюсов пер., д. 21

ahmedalmamoori30@gmail.comhttps://orcid.org/0009-0005-4463-9134РедькоИ. А.RedkoI. A.

Редько Игорь Александрович – д.м.н., зав. отд. ФГБУ «Клиническая больница №1» (Волынская) Управления делами Президента РФ; проф. РУДН.

125009, Москва, Брюсов пер., д. 21

redkoi@list.ruhttps://orcid.org/0000-0002-5887-6545ДомбаанайБ. С.DombaanaiB. S.

Домбаанай Байыр Сергеевич – к.м.н., аналитик ГБУ «НИИОЗММ ДЗМ».

115088, Москва, ул. Шарикоподшипниковская д. 9

dombaanay@mail.ruРУДНRussian FederationФГБУ «Клиническая больница №1» (Волынская) Управления делами Президента РФ; РУДНRussian FederationГБУ «НИИОЗММ ДЗМ»Russian Federation202530122025046469Copyright © Аль-Мамури А.Д., Редько И.А., Домбаанай Б.С., 20252025Аль-Мамури А.Д., Редько И.А., Домбаанай Б.С.Al-Mamuri A.J., Redko I.A., Dombaanai B.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/3054

Систематический обзор оценивает эффективность субвастусного доступа (СВД) при первичном тотальном эндопротезировании коленного сустава по сравнению с медиальным парапателлярным доступом (МПД). Анализ включает 15 исследований с выборкой более 10 тыс. пациентов. СВД показал значимые преимущества в раннем послеоперационном периоде: снижение болевого синдрома, ускоренное восстановление функции разгибания, улучшенная амплитуда движений и более высокие функциональные показатели. Отмечено уменьшение интраоперационной кровопотери, однако продолжительность операции может увеличиваться. В отдаленном периоде различия между методами нивелируются. СВД демонстрирует сопоставимую с МПД безопасность без увеличения риска осложнений. В сочетании с протоколами ускоренной реабилитации данный метод способствует ранней мобилизации и сокращению сроков госпитализации.

This systematic review evaluates the effectiveness of the subvastus approach (SVA) in primary total knee arthroplasty compared to the medial parapatellar approach (MPA). The analysis includes 15 studies with a sample size exceeding 10,000 patients. The SVA demonstrated significant advantages in the early postoperative period: reduced pain syndrome, accelerated recovery of extension function, improved range of motion, and higher functional scores. A reduction in intraoperative blood loss was noted, although operative duration may increase. In the long-term period, differences between methods become negligible. The SVA demonstrates safety comparable to MPA without increasing complication risks. When combined with enhanced recovery protocols, this method facilitates early mobilization and reduces hospitalization duration.

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The authors declare that there are no conflicts of interest present.