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Table 5 Meta-analysis results of RCTs

From: Quadriceps-sparing versus traditional medial parapatellar approaches for total knee arthroplasty: a meta-analysis

Outcomes of Demographics

Number of Contributing Studies

Number of QS TKAs

Number of MP TKAs

WMD or OR (95% CI)

P - Value

Heterogeneity

KS Knee Score beyond 24 months

2

155

155

−0.18 (−1.13, 0.77)

0.71

25%

KS Function Score beyond 24 months

2

155

155

1.86 (0.86, 2.85)

0.0002

0%

ROM beyond 16 months

3

193

192

−0.41 (−2.18, 1.37)

0.65

0%

Complications

5

243

244

1.49 (0.68, 3.27)

0.32

1%

Infections

7

301

300

1.95 (0.75, 5.10)

0.17

0%

Mechanical axis outliers

2

55

54

3.80 (0.61, 23.57)

0.15

25%

Femoral component coronal angle outliers

3

93

91

5.24 (0.80, 34.28)

0.08

20%

Tibial component coronal angle outliers

3

93

91

4.14 (0.87, 19.75)

0.07

0%

Mechanical axis

3

88

89

0.34 (−0.37, 1.05)

0.35

15%

Femoral component coronal angle

5

251

251

0.07 (−1.30, 1.44)

0.92

93%

Tibial component coronal angle

5

251

251

−0.31 (− 1.58, 0.97)

0.64

93%

Lateral patellar tilt

2

143

144

0.73 (−0.30, 1.76)

0.16

0%

KS Knee Score 1.5–3 months

3

178

179

1.01 (−0.74, 2.76)

0.26

61%

KS Function Score 1.5–3 months

3

178

179

−0.67 (−5.45, 4.10)

0.78

82%

ROM 1–2 weeks

2

58

56

4.87 (1.78, 7.96)

0.002

0%

ROM 4–8 weeks

3

93

91

1.68 (−2.16, 5.51)

0.39

60%

VAS 1 day

3

93

91

−0.07 (−0.49, 0.35)

0.74

0%

VAS 4–8 weeks

2

58

56

−0.46 (−2.31, 1.40)

0.63

87%

Surgical time (min)

5

243

241

18.86 (8.81, 28.91)

0.0002

94%

Tourniquet time (min)

3

193

192

24.39 (3.19, 45.60)

0.02

99%

Intraoperative blood loss (ml)

2

158

157

3.10 (−24.89, 31.09)

0.83

0%

Total blood loss (ml)

4

111

110

4.24 (−56.29, 64.77)

0.89

48%

Incision, extension (cm)

4

188

188

−3.76 (−6.79, −0.73)

0.02

99%

Incision, flexion (cm)

3

193

192

−1.90 (−3.99, 0.19)

0.07

99%

Length of stay (days)

4

205

204

−0.34 (−1.02, 0.34)

0.33

71%

SLR at 24 h (% of patients)

2

73

72

1.62 (0.79, 3.30)

0.19

0%

  1. TKA total knee arthroplasty, QS quadriceps-sparing, MP medial parapatellar, WMD weighted mean difference, OR odds ratio, CI confidence interval, KS knee society, ROM range of motion, VAS visual analogue scale, SLR straight leg rising