The mini-incision mid-vastus approach for total knee arthroplasty.

Operative Orthopädie und Traumatologie
Markus FlörenRichard S Laskin

Abstract

Rapid functional recovery and improved range of motion after total knee arthroplasty (TKA) without compromising implant position. Osteoarthritis of the knee requiring TKA. Preoperative flexion < 80 degrees. Flexion contracture > 20 degrees. Body mass index > 40 kg/m(2). Fixed valgus deformity > 15 degrees. Relative: previous open surgery on the knee; systematic steroids (skin fragility); tall muscular males. Straight skin incision over the medial third of the patella from 2 cm proximal to the patella, and then to the level of the tibial tuberosity. Extension of capsular incision 2 cm into the vastus medialis muscle from a point 2 cm proximal to the patella. Deep incision around the medial border of the patella and distally to the level of the tibial tuberosity. The patella is displaced laterally but is not everted in flexion. Knee flexion and extension as necessary to move the soft-tissue surgical window for proximal or distal exposure. Hyperflexion of the knee only for insertion of the tibial component. Knee flexion exercises extension/flexion 0-0-70 degrees using continuous passive motion the day after surgery. Weight bearing to tolerance allowed at 1st day after surgery (walker, two crutches). Thrombosis prophylaxis. 69 pati...Continue Reading

References

Apr 1, 1997·The Journal of Arthroplasty·G A EnghN L Parks
Feb 2, 1999·The Journal of Arthroplasty·D F Dalury, W A Jiranek
Jul 14, 2000·International Orthopaedics·A MaestroA Murcia
Jul 14, 2001·Clinical Orthopaedics and Related Research·M A RitterB M Crites
Nov 20, 2002·Clinical Orthopaedics and Related Research·E Michael KeatingMerrill A Ritter
Nov 20, 2002·Clinical Orthopaedics and Related Research·Frederick F Buechel
Dec 4, 2003·Clinical Orthopaedics and Related Research·Alfred J Tria, Thomas M Coon
Apr 6, 2004·The Orthopedic Clinics of North America·Peter M BonuttiMark A Kester
Nov 10, 2004·Clinical Orthopaedics and Related Research·Steven B HaasBurak Beksac
Nov 10, 2004·Clinical Orthopaedics and Related Research·Richard S LaskinMargaret Petersen
Jan 15, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Holger BäthisJoachim Grifka
Oct 22, 2005·Clinical Orthopaedics and Related Research·David F Dalury, Douglas A Dennis
Nov 22, 2005·Orthopedics·Keith R Berend, Adolph V Lombardi
Oct 11, 2007·The Journal of Arthroplasty·Markus FlörenRichard S Laskin

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