Avaliação isocinética em pacientes submetidos à artroplastia por via de acesso transquadricipital e minimamente invasiva / Isokinetic evaluation in patients submitted to arthroplasty by the minimally invasive and transquadricipital approaches




INTRODUCTION: It has been stated that for total knee arthroplasty (TKA), the minimally invasive approach permits earlier rehabilitation because it is not prejudicial for the femoral quadriceps muscle. To verify the influence of preserving the extensor apparatus during surgery, strength of the knee extension and flexion muscles was evaluated in patients submitted to TKA with different approaches. METHODS: The values of maximum torque and total work obtained by isokinetic dynamometry six months after surgery were compared for the MIS group of 12 individuals submitted to TKA by the minimally invasive surgical approach and the Control group of eight others submitted to TKA by the transquadricipital approach, between January 2005 and July 2006. RESULTS: Statistical analysis of the absolute values of maximum torque and total work corrected by body weights did not show a difference between the two groups. CONCLUSION: There was no difference in the extension and flexion strength of the knee muscles six months after surgery.


rehabilitation artroplastia de joelho minimally invasive surgery prótese do joelho geriatrics dinamômetro de força muscular degenerative joint. orthopedics isokinetic torque procedimentos cirúrgicos minimamente invasivos

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