Adnan Ahmed Saleh Aladraii
King Abdullah Medical City, KSAPresentation Title:
The functional outcome of subvastus approach versus the medial parapatellar approach for total knee replacement in KAMC osteoarthritis knee patients: A prospective cohort study
Abstract
Background: Osteoarthritis and rheumatoid arthritis affects all patients of age more than 50 years, requiring total knee replacement. There are two major approaches to total knee replacement- sub-vastus approach and medial parapatellar approach. There is no common consensus on superiority of sub-vastus approach. So, we undertook the present study to evaluate the functional outcome of total knee replacement via sub-vastus approach and medial parapatellar approach in terms of knee Oxford and WAMAC functional scores as patient reported outcome in 3 , 6,12 Month post-operative period.
Methods: The present retrospective cohort study was conducted in the Department of Orthopaedics, Unique Tertiary Speciality Hospital, Makkah, Kingdom of Saudi Arabia for a period from January 2019-May 2022 with sample size of 100 patients undergoing total knee arthroplasty. All the patients had undergone total knee replacement via sub-vastus approach 39 and Medial parapatellar approach 61 patient. The functional Outcome results was compared for significance of deference in patient reported outcome score.
Results: The mean Oxford and WAMAC scores showed a statistically significant improvement over a period of 3,6,12 months (p<0.05), for medial parapatellar in compare to sub-vastus approach on comparison the mean rank score for both Oxford and WAMAC scores.
Conclusions: On comparing the results of medial parapatellar approach with sub-vastus approach the available data from patient reported outcome scores we found a significant improvement in functional outcome with sub-vastus approach in compare with medial parapatellar approach with very few complications in both approaches.
Keywords: Osteoarthritis, Total knee arthroplasty, Sub-vastus approach, medial parapatellar approach, Oxford and WAMAC Knee scores.
Biography
Adnan Ahmed Saleh Aladraii is a consultant in orthopaedics and traumatology. He earned his doctorate in orthopaedics and traumatology in 2014
from Malaysia. He holds the MRCS from the Royal College of Surgeons in Ireland and the FRCS in orthopaedics and traumatology from the Royal
College of Surgeons of England. He has completed fellowships in traumatology at Charity Hospital Berlin and in arthroplasty in India and Turkey.
His research focuses on bone regeneration and arthroplasty, with several publications in these areas. He has been recognized with an award from the
Asia-Pacific Orthopaedics Conference and has presented at various national and international conferences, including the AO Research Olympiad.
He is a member of AO Recon, AAOS, and ESSKA, and brings 12 years of specialized experience in orthopaedics and traumatology
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