Advantages of the subvastus approach in primary knee arthroplasty: a systematic literature review
https://doi.org/10.25789/YMJ.2025.92.13
Abstract
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.
About the Authors
A. J. Al-Mamuri
РУДН
Russian Federation
Russian Federation
I. A. Redko
ФГБУ «Клиническая больница №1» (Волынская) Управления делами Президента РФ; РУДН
Russian Federation
Russian Federation
B. S. Dombaanai
ГБУ «НИИОЗММ ДЗМ»
Russian Federation
Russian Federation
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Review
For citations:
Al-Mamuri A.J., Redko I.A., Dombaanai B.S. Advantages of the subvastus approach in primary knee arthroplasty: a systematic literature review. Yakut Medical Journal. 2025;(4):64-69. (In Russ.) https://doi.org/10.25789/YMJ.2025.92.13
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