Date of Award
2019
Degree Type
Selective Evidence-Based Medicine Review
Degree Name
Master of Science in Health Sciences - Physician Assistant
Department
Physician Assistant Studies
Department Chair
Laura Levy, DHSc, PA-C
Abstract
OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Do adults undergoing minimally invasive quadriceps-sparing total knee arthroplasty have less of a risk of developing a postoperative deep venous thrombosis as compared to patients undergoing a standard medial parapatellar total knee arthroplasty?”
STUDY DESIGN: A review of one case series published in 2007 and two randomized controlled trials published in 2014.
DATA SOURCES: Primary literature found in PubMed that compared the surgical outcomes of minimally invasive quadriceps-sparing total knee arthroplasty to standard medial parapatellar total knee arthroplasty.
OUTCOME MEASURED: Postoperative deep venous thrombosis development.
RESULTS: All three studies reported that zero patients that received the minimally invasive surgery developed a DVT. In each study, at least one patient that received the standard surgery developed a DVT. In King et al., 4 patients who received the standard medial parapatellar total knee arthroplasty developed a DVT. In both Tasker et al. and Tomek et al. 1 patient who received the standard medial parapatellar total knee arthroplasty developed a DVT.
CONCLUSIONS: Although further research needs to be done to make a general statement, there is some evidence, based on the information in the studies reviewed, that adults undergoing minimally invasive quadriceps-sparing total knee arthroplasty have less of a risk of developing a postoperative deep venous thrombosis as compared to patients undergoing a standard medial parapatellar total knee arthroplasty.
Recommended Citation
Cataldo-Ramirez, Jessica, "Do Adults Undergoing Minimally Invasive Quadriceps-Sparing Total Knee Arthroplasty Have Less of a Risk of Developing a Postoperative Deep Venous Thrombosis as Compared to Patients Undergoing a Standard Medial Parapatellar Total Knee Arthroplasty?" (2019). PCOM Physician Assistant Studies Student Scholarship. 452.
https://digitalcommons.pcom.edu/pa_systematic_reviews/452