OUTCOMES OF TOTAL KNEE ARTHROPLASTY USING THE MEDIAL PARAPATELLAR APPROACH AT VIET DUC UNIVERSITY HOSPITAL
Main Article Content
Abstract
Objective: This study evaluated the clinical outcomes of total knee arthroplasty (TKA) using medial parapatellar approach (MPA) at Viet Duc University Hospital. Methods: We conducted a retrospective, descriptive cross-sectional study (uncontrolled) of 51 patients (51 knees) who underwent cemented TKA without patellar resurfacing using the MPA between January 2024 and March 2025. Demographics and functional outcomes were collected, including Knee Society Knee Score (KS) and Knee Society Function Score (KFS). Results: Most patients were older than 60 years (88.3%), and women accounted for 76.5% of the cohort. Mean KFS improved from 45.4 ± 6.3 preoperatively to 86.6 ± 5.1 postoperatively, and mean KS improved from 45.3 ± 8.5 to 87.9 ± 4.8. The proportion of good-to-excellent outcomes was 100%. Conclusions: Total knee arthroplasty using the medial parapatellar approach yielded good to excellent results, significantly improving knee function and patients’ quality of life.
Article Details
Keywords
Knee osteoarthritis, Total Knee Arthroplasty – TKA
References
2. Hunter DJ, Schofield D, Callander E. The individual and socioeconomic impact of osteoarthritis. Nat Rev Rheumatol. 2014;10(7): 437-441. doi:10.1038/nrrheum.2014.44
3. Wathsuleelanond D, Youngcharoen P, Chaiviboontham S. Post-operative outcomes among knee osteoarthritis patients undergoing simultaneous bilateral total knee arthroplasty. Int J Orthop Trauma Nurs. 2025;57:101175. doi:10.1016/j.ijotn.2025.101175
4. Ryan SP, Stambough JB, Huddleston JI, Levine BR. Highlights of the 2023 American Joint Replacement Registry Annual Report. Arthroplasty Today. 2024;26:101325. doi:10.1016/j.artd.2024. 101325
5. Nguyễn Hoàng Duy Tiến. Đánh giá kết quả phẫu thuật thay khớp gối tại Bệnh viện Trường Đại học Y Dược Cần Thơ năm 2019-2021. 2021;41:42-49.
6. Vũ Trường Thịnh. Đánh giá kết quả phẫu thuật thay khớp gối toàn phần tại Bệnh viện Đại học Y Hà Nội. Tạp chí Y học Việt Nam. 2024;539(3):18-21.
7. Teimouri M, Salehi A, Shahsavan M, Rezaei H, Dayani Dardashti A. Effectiveness of Total Knee Arthroplasty on Pain Reduction and Functional Improvement in Elderly Patients: A Quasi-Experimental Study. Adv Biomed Res. 2025;14:86. doi:10.4103/abr.abr_409_24
8. Rosso F, Cottino U, Olivero M, Bonasia DE, Bruzzone M, Rossi R. Medium-term follow-up of 149 mobile-bearing total knee arthroplasties and evaluation of prognostic factors influencing outcomes. J Orthop Surg Hong Kong. 2018;26(1):2309499017754092. doi:10.1177/ 2309499017754092.