Comparative study between subvastus and standard parapatellar approach in Total knee arthroplasty”

Dr Aryan Kler; Dr Harshdeep Singh; Dr Tanya; Dr Deepali Choudhary

Article Details

Comparative study between subvastus and standard parapatellar approach in Total knee arthroplasty”

Authors:

Dr Aryan Kler | Dr Harshdeep Singh | Dr Tanya | Dr Deepali Choudhary

Publisher:

Journal of Contemporary Clinical Practice (JCCP)

Journal:

Journal of Contemporary Clinical Practice Vol.12 Issue 4, pp.56-64

Document Type:

Article

Publication Date:

6/2026

Document Language:

English

Document ID (Org No.):

2001613765

pISSN:

2457-7200

Keywords:

Abstract:

 Background: Total knee arthroplasty (TKA) is a widely performed procedure for end-stage knee arthritis. Various surgical approaches have been described, with the subvastus and medial parapatellar approaches being among the most commonly used. The subvastus approach preserves the extensor mechanism and blood supply to the patella, potentially facilitating faster postoperative recovery. Objective: To retrospectively compare the clinical and functional outcomes of the subvastus and medial parapatellar approaches in patients undergoing primary TKA. Methods: A retrospective comparative study was conducted on patients who underwent primary TKA using either the subvastus or medial parapatellar approach. Demographic data, operative parameters, postoperative pain, range of motion, functional outcomes, and complications were reviewed and analyzed. Functional outcomes were assessed using standard knee scoring systems during follow-up. Results: Patients treated with the subvastus approach demonstrated improved early postoperative recovery, including better knee function and earlier restoration of quadriceps strength. Functional knee scores were higher in the subvastus group during the early postoperative period. However, long-term outcomes and complication rates were comparable between the two groups. Conclusion: The subvastus approach in TKA offers advantages in early postoperative rehabilitation and functional recovery while maintaining outcomes comparable to the medial parapatellar approach. It may be considered a safe and effective alternative for selected patients undergoing primary TKA.

Article Details

Comparative study between subvastus and standard parapatellar approach in Total knee arthroplasty”

Authors:

Dr Aryan Kler | Dr Harshdeep Singh | Dr Tanya | Dr Deepali Choudhary

Publisher:

Journal of Contemporary Clinical Practice (JCCP)

Journal:

Journal of Contemporary Clinical Practice Vol.12 Issue 4, pp.56-64

Document Type:

Article

Publication Date:

6/2026

Document Language:

English

Document ID (Org No.):

2001613765

pISSN:

2457-7200

total knee arthroplasty

subvastus approach

medial parapatellar approach

knee replacement

functional outcome

quadriceps preservation.

Issues

Article Details

Comparative study between subvastus and standard parapatellar approach in Total knee arthroplasty”

Authors: Dr Aryan Kler | Dr Harshdeep Singh | Dr Tanya | Dr Deepali Choudhary

Publisher: Journal of Contemporary Clinical Practice (JCCP)

Journal: Journal of Contemporary Clinical Practice Vol.12 Issue 4, pp.56-64

Document Type: Article

Publication Date: 6/2026

Document Language: English

Document ID (Org No.): 2001613765

pISSN: 2457-7200

total knee arthroplasty

subvastus approach

medial parapatellar approach

knee replacement

functional outcome

quadriceps preservation.

Issues

Authors:

Dr Aryan Kler | Dr Harshdeep Singh | Dr Tanya | Dr Deepali Choudhary

Publisher:

Journal of Contemporary Clinical Practice (JCCP)

Journal:

Journal of Contemporary Clinical Practice Vol.12 Issue 4, pp.56-64

Document Type:

Article

Publication Date:

6/2026

Document Language:

English

Document ID (Org No.):

2001613765

pISSN:

2457-7200