Alternate surgical approaches in mobile-bearing total knee arthroplasty.
Publication/Presentation Date
2-1-2002
Abstract
Surgical approaches in nonconstrained mobile-bearing total knee arthroplasty (TKA) should provide the best access for specific deformity correction. Alternatives to the standard medial approach include the medial midvastus and subvastus approaches, and the direct lateral approach, with or without tibial tubercle osteotomy or proximal "rectus snip." The direct lateral approach is a recommended alternative for fixed valgus knees, especially if there is lateral patellar subluxation and significant rotational deformity. The subvastus and midvastus medial approaches preserve quadriceps integrity and patella stability, and are recommended for severely unstable knees in nonobese, non-fixed valgus, and medial unicompartmental knee replacements.
Volume
25
Issue
2 Suppl
First Page
257
Last Page
264
ISSN
0147-7447
Published In/Presented At
Keblish, P. A. (2002). Alternate surgical approaches in mobile-bearing total knee arthroplasty. Orthopedics, 25(2 Suppl), s257-s264.
Disciplines
Medicine and Health Sciences | Other Medical Specialties | Surgery
PubMedID
11866163
Department(s)
Department of Surgery
Document Type
Article