The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 83-88 , January 2007

Strength and Voluntary Activation of Quadriceps Femoris Muscle in Total Knee Arthroplasty with Midvastus and Subvastus Approaches

  • Alexander Berth, MD

      Affiliations

    • Department of Orthopaedics, Otto-von-Guericke- University, Magdeburg, Germany
    • Corresponding Author InformationReprint requests: Alexander Berth, MD, Orthopädische Univers itätsklinik, Otto-von-Guericke Universität, Leipziger Str. 44, 39120 Magdeburg, Germany.
    • ,
  • Dietmar Urbach, MD

      Affiliations

    • Department of Orthopaedics, Otto-von-Guericke- University, Magdeburg, Germany
    • ,
  • Wolfram Neumann, MD

      Affiliations

    • Department of Orthopaedics, Otto-von-Guericke- University, Magdeburg, Germany
    • ,
  • Friedemann Awiszus, MD, MSc

      Affiliations

    • Neuromuscular Research Group of the Department of Orthopaedics, Otto-von-Guericke- University, Magdeburg, Germany

Received 4 June 2005 ,Accepted 26 February 2006.

References 

  1. Berth A, Urbach D, Awiszus F. Improvement of voluntary quadriceps muscle activation after total knee arthroplasty. Arch Phys Med Rehabil. 2002;83:1432
  2. Steultjens MP, Dekker J, van Baar ME, et al. Muscle strength, pain and disability in patients with osteoarthritis. Clin Rehabil. 2001;15:331
  3. Madsen OR, Bliddal H, Egsmose C, et al. Isometric and isokinetic quadriceps strength in gonarthrosis; inter-relations between quadriceps strength, walking ability, radiology, subchondral bone density and pain. Clin Rheumatol. 1995;14:308
  4. Stokes M, Young A. The contribution of reflex inhibition to arthrogenous muscle weakness. Clin Sci. 1984;67:7
  5. Steiner ME, Simon SR, Pisciotta JC. Early changes in gait and maximum knee torque following knee arthroplasty. Clin Orthop. 1989;174
  6. Faure BT, Benjamin JB, Lindsey B, et al. Comparison of the subvastus and paramedian surgical approaches in bilateral knee arthroplasty. J Arthroplasty. 1993;8:511
  7. Cila E, Guzel V, Ozalay M, et al. Subvastus versus medial parapatellar approach in total knee arthroplasty. Arch Orthop Trauma Surg. 2002;122:65
  8. Dalury DF, Jiranek WA. A comparison of the midvastus and paramedian approaches for total knee arthroplasty. J Arthroplasty. 1999;14:33
  9. Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29:1039
  10. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16:494
  11. Engh GA, Holt BT, Parks NL. A midvastus muscle-splitting approach for total knee arthroplasty. J Arthroplasty. 1997;12:322
  12. Hofmann AA, Plaster RL, Murdock LE. Subvastus (southern) approach for primary total knee arthroplasty. Clin Orthop. 1991;70
  13. Lewis B, Bellomo R, Lewis D, et al. A clinical procedure for assessment of severity of knee pain. Pain. 1995;63:361
  14. Awiszus F, Wahl B, Meinecke I. Influence of stimulus cross talk on results of the twitch-interpolation technique at the biceps brachii muscle. Muscle Nerve. 1997;20:1187
  15. Bülow PM, Norregaard J, Mehlsen J, et al. The twitch interpolation technique for study of fatigue of human quadriceps muscle. J Neurosci Methods. 1995;62:103
  16. Allen GM, Gandevia SC, McKenzie DK. Reliability of measurements of muscle strength and voluntary activation using twitch interpolation. Muscle Nerve. 1995;18:593
  17. Hurley MV, Newham DJ. The influence of arthrogenous muscle inhibition on quadriceps rehabilitation of patients with early, unilateral osteoarthritic knees. Br J Rheumatol. 1993;32:127
  18. Bigland-Ritchie BR, Dawson NJ, Johansson RS, et al. Reflex origin for the slowing of motoneurone firing rates in fatigue of human voluntary contractions. J Physiol. 1986;379:451
  19. Hales JP, Gandevia SC. Assessment of maximal voluntary contraction with twitch interpolation: an instrument to measure twitch responses. J Neurosci Methods. 1988;25:97
  20. Urbach D, Nebelung W, Weiler HT, et al. Bilateral deficit of voluntary quadriceps muscle activation after unilateral ACL tear. Med Sci Sports Exerc. 1999;31:1691
  21. Hurley MV, Scott DL, Rees J, et al. Sensorimotor changes and functional performance in patients with knee osteoarthritis. Ann Rheum Dis. 1997;56:641
  22. Norregaard J, Lykkegaard JJ, Bulow PM, et al. The twitch interpolation technique for the estimation of true quadriceps muscle strength. Clin Physiol. 1997;17:523
  23. White RE, Allman JK, Trauger JA, et al. Clinical comparison of the midvastus and medial parapatellar surgical approaches. Clin Orthop. 1999;117
  24. Matsueda M, Gustilo RB. Subvastus and medial parapatellar approaches in total knee arthroplasty. Clin Orthop. 2000;161
  25. Knezevich S, Engh G, Peters PC. Comparison of subvastus quadriceps-sparing and standard quadriceps-splitting approaches in total and unicompartmental knee arthroplasty. Orthop Trans. 1992;16:615
  26. Maric Z. The standard vs. the subvastus (southern) approach for the total knee arthroplasty—a randomized prospective study. Orthop Trans. 1991;15:43
  27. Mullen M. The subvastus approach for the total knee arthroplasty. Tech Orthop. 1991;6:64
  28. Smigielski M, Gustke K. Southern approach for the total knee replacement. Tampa: Florida Orthopedic Society; 1989;
  29. Aarons H, Hall G, Hughes S, et al. Short-term recovery from hip and knee arthroplasty. J Bone Joint Surg Br. 1996;78:555

 Benefits or funds were received in partial or total support of the research material described in this article from Deutsche Forschungsgemeinschaft AW 5/2 – 4.

PII: S0883-5403(06)00260-9

doi: 10.1016/j.arth.2006.02.161

The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 83-88 , January 2007

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