System To Evaluate Stocks Inside Muscle Into The Road And Patellar Near The Medial Road Early Rehabilitation After Total Knee Replacement

BackgroundTotal knee replacement (total knee arthroplasty, TKA) is the treatment of kneeosteoarthritis, rheumatoid arthritis and traumatic arthritis and other serious lateosteoarthropathy effective operation method. At present commonly used surgicalapproach of total knee arthroplasty, including classic beside the medial patellar,femoral medial muscle into the middle road, femoral medial muscle below into theroad, the lateral patellar beside the road, in the middle of the road, and the smallincision minimally invasive approach, etc. And the patellar femoral medial muscleinto the road next to the medial road is a classic and efficient of the two methods. Athome and abroad a number of studies have tip: in the process of knee jointreplacement, the muscle of the middle into the way not only can well retain thestructural integrity of the inside of the quadriceps, early recovery and devicecapabilities, and can reduce the destruction of the knee medial blood supply, betterkeep knee proprioception, and the surgical approach for most patients with a goodvision can be obtained. But critics claim this approach resulted in a large amount ofblood loss and surgical exposure time is long, next to the inferior patellar inside intothe road. The small incision minimally invasive approach has more advantages, issaid to have observed this article does not), this research observed the primary totalknee arthroplasties stocks inside muscle into the road and the advantage of the medial patellar beside the road.ObjectiveValidation using the muscles of the middle into the right way, the influence of earlyfunctional training after primary total knee arthroplasty, and compared with besidethe medial patellar road.MethodsSince January2010to March2013,42patients with knee osteoarthritis, wererandomly divided into the muscle of into two groups and patellar near the medialroad. Two groups of patients in gender, age, body mass index (BM I), whether themerger other medical disease, preoperative articular mobility, and preoperative HSSscore had no significant difference (P>0.05). The two groups after all use stableprosthesis design, fixed with bone cement. Postoperative follow-up of6months, thecomparison between the two groups of surgical and clinical parameters. Surgicalparameters including: anesthesia time, operation time, intraoperative blood loss, tothe difficulty of the exposed and the proportion of the lateral retinaculum loosesolution. Clinical parameters, including: the degree of postoperative pain at rest andactivity, the straight leg-raising time, active flexion to90°, and surgicalcomplications, etc.Results42knees of42cases were complete this observation. All patients were not nervevascular injury, infection, patellar track, skin incision force complications such asnecrosis. Two groups of surgery anesthesia time, incision length, helped himadditional quantity of Lin, and false physical line in the X ray film and lateralretinaculum release rate differences had no statistical significance, femoral medialmuscle group into the road of the knee joint less intraoperative blood loss [(300+)50mL, mL (380-55), P <0.05), postoperative pain is lighter in1weeks (P <0.05),able to take the initiative to the straight leg-raising earlier movement [(2+1), d (5+1) d, P <0.01), earlier buckling to90°[d (3+1),(7-)2d, P <0.01), postoperative 7d activity to improve faster [(105°+10°),9°to98°(+), P <0.05).Conclusion1. The femoral medial muscle and patellar beside the road are is an effective securityinto the way of total knee arthroplasty..2. The patellar femoral medial muscle into the road beside the road, less bleeding,postoperative pain, early joint functional recovery faster, higher flexion mobility.3. The femoral medial muscle into the road early curative effect satisfaction is high,worthy of clinical popularization and application.