Large Thigh Girth is a Relative Contraindication for the Subvastus Approach in Primary Total Knee Arthroplasty
Abstract The purpose of this study was to determine the thigh girth cutoff limit for the subvastus approach in primary total knee arthroplasty. One hundred forty-three consecutive total knee arthroplasties were done using the subvastus approach by one surgeon. The larger the thigh girth, the higher...
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| Veröffentlicht in: | The Journal of arthroplasty 2007-06, Vol.22 (4), p.569-573 |
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| container_title | The Journal of arthroplasty |
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| creator | In, Yong, MD Kim, Jung-Man, MD Choi, Nam-Yong, MD Kim, Seok-Jung, MD |
| description | Abstract The purpose of this study was to determine the thigh girth cutoff limit for the subvastus approach in primary total knee arthroplasty. One hundred forty-three consecutive total knee arthroplasties were done using the subvastus approach by one surgeon. The larger the thigh girth, the higher the risk for inability to evert the patella. We found that patients with a thigh girth greater than 55 cm had 27.212 times higher risk for inability to evert the patella during the subvastus approach as compared with patients with a small thigh girth (ie, |
| doi_str_mv | 10.1016/j.arth.2006.06.007 |
| format | Article |
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One hundred forty-three consecutive total knee arthroplasties were done using the subvastus approach by one surgeon. The larger the thigh girth, the higher the risk for inability to evert the patella. We found that patients with a thigh girth greater than 55 cm had 27.212 times higher risk for inability to evert the patella during the subvastus approach as compared with patients with a small thigh girth (ie, <45 cm; odds ratio = 27.212; 95% confidence interval = 4.394-168.530). If we could not evert the patella in patients with a large thigh girth, although we could slide the patella, the extensor mechanism and excessive soft tissues were obstacles to the procedure. We recommend that another approach for patients with a thigh girth greater than 55 cm be used.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2006.06.007</identifier><identifier>PMID: 17562415</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - methods ; Body Mass Index ; Contraindications ; Humans ; knee ; Knee Joint - physiopathology ; Middle Aged ; Odds Ratio ; Orthopedics ; patellar eversion ; Range of Motion, Articular ; subvastus approach ; Thigh - anatomy & histology ; thigh girth ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2007-06, Vol.22 (4), p.569-573</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-3070231f3b78608338cf99ae4cbf7ccc73c8e563a8af91ace9e6a8b191ce550f3</citedby><cites>FETCH-LOGICAL-c409t-3070231f3b78608338cf99ae4cbf7ccc73c8e563a8af91ace9e6a8b191ce550f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2006.06.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17562415$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>In, Yong, MD</creatorcontrib><creatorcontrib>Kim, Jung-Man, MD</creatorcontrib><creatorcontrib>Choi, Nam-Yong, MD</creatorcontrib><creatorcontrib>Kim, Seok-Jung, MD</creatorcontrib><title>Large Thigh Girth is a Relative Contraindication for the Subvastus Approach in Primary Total Knee Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract The purpose of this study was to determine the thigh girth cutoff limit for the subvastus approach in primary total knee arthroplasty. One hundred forty-three consecutive total knee arthroplasties were done using the subvastus approach by one surgeon. The larger the thigh girth, the higher the risk for inability to evert the patella. We found that patients with a thigh girth greater than 55 cm had 27.212 times higher risk for inability to evert the patella during the subvastus approach as compared with patients with a small thigh girth (ie, <45 cm; odds ratio = 27.212; 95% confidence interval = 4.394-168.530). If we could not evert the patella in patients with a large thigh girth, although we could slide the patella, the extensor mechanism and excessive soft tissues were obstacles to the procedure. We recommend that another approach for patients with a thigh girth greater than 55 cm be used.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Body Mass Index</subject><subject>Contraindications</subject><subject>Humans</subject><subject>knee</subject><subject>Knee Joint - physiopathology</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Orthopedics</subject><subject>patellar eversion</subject><subject>Range of Motion, Articular</subject><subject>subvastus approach</subject><subject>Thigh - anatomy & histology</subject><subject>thigh girth</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVFr2zAUhcVYWbNuf2APQ097c3Zl2bIMYxDC1pYGOtbsWcjKdaPMkTJJDuTfTyaBwR4KFy6Icw663yHkA4M5AyY-7-Y6pO28BBDzaaB5RWas5mUhKxCvyQyk5EVdAb8mb2PcATBW19Ubcs2aWpQVq2fErXR4Rrre2uctvbU5j9pINf2Jg072iHTpXQrauo01-cE72vtA0xbp09gddUxjpIvDIXhtstPRH8HudTjRtU96oA8OkS5yaPCHIYtP78hVr4eI7y_7hvz6_m29vCtWj7f3y8WqMBW0qeDQQMlZz7tGCpCcS9O3rcbKdH1jjGm4kVgLrqXuW6YNtii07FjLDNY19PyGfDrn5p_9GTEmtbfR4DBoh36MqgFRlhWwLCzPQhN8jAF7dThfoBioibLaqYmymiiraaDJpo-X9LHb4-af5YI1C76cBZhvPFoMKhqLzuDGBjRJbbx9Of_rf3YzWJcLGH7jCePOj8FleoqpWCpQT1PPU80gACrRVvwvH8WkFg</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>In, Yong, MD</creator><creator>Kim, Jung-Man, MD</creator><creator>Choi, Nam-Yong, MD</creator><creator>Kim, Seok-Jung, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>Large Thigh Girth is a Relative Contraindication for the Subvastus Approach in Primary Total Knee Arthroplasty</title><author>In, Yong, MD ; Kim, Jung-Man, MD ; Choi, Nam-Yong, MD ; Kim, Seok-Jung, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-3070231f3b78608338cf99ae4cbf7ccc73c8e563a8af91ace9e6a8b191ce550f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Body Mass Index</topic><topic>Contraindications</topic><topic>Humans</topic><topic>knee</topic><topic>Knee Joint - physiopathology</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Orthopedics</topic><topic>patellar eversion</topic><topic>Range of Motion, Articular</topic><topic>subvastus approach</topic><topic>Thigh - anatomy & histology</topic><topic>thigh girth</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>In, Yong, MD</creatorcontrib><creatorcontrib>Kim, Jung-Man, MD</creatorcontrib><creatorcontrib>Choi, Nam-Yong, MD</creatorcontrib><creatorcontrib>Kim, Seok-Jung, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>In, Yong, MD</au><au>Kim, Jung-Man, MD</au><au>Choi, Nam-Yong, MD</au><au>Kim, Seok-Jung, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Large Thigh Girth is a Relative Contraindication for the Subvastus Approach in Primary Total Knee Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>22</volume><issue>4</issue><spage>569</spage><epage>573</epage><pages>569-573</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract The purpose of this study was to determine the thigh girth cutoff limit for the subvastus approach in primary total knee arthroplasty. One hundred forty-three consecutive total knee arthroplasties were done using the subvastus approach by one surgeon. The larger the thigh girth, the higher the risk for inability to evert the patella. We found that patients with a thigh girth greater than 55 cm had 27.212 times higher risk for inability to evert the patella during the subvastus approach as compared with patients with a small thigh girth (ie, <45 cm; odds ratio = 27.212; 95% confidence interval = 4.394-168.530). If we could not evert the patella in patients with a large thigh girth, although we could slide the patella, the extensor mechanism and excessive soft tissues were obstacles to the procedure. We recommend that another approach for patients with a thigh girth greater than 55 cm be used.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17562415</pmid><doi>10.1016/j.arth.2006.06.007</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2007-06, Vol.22 (4), p.569-573 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Arthroplasty, Replacement, Knee - methods Body Mass Index Contraindications Humans knee Knee Joint - physiopathology Middle Aged Odds Ratio Orthopedics patellar eversion Range of Motion, Articular subvastus approach Thigh - anatomy & histology thigh girth total knee arthroplasty |
| title | Large Thigh Girth is a Relative Contraindication for the Subvastus Approach in Primary Total Knee Arthroplasty |
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