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Minimally invasive total knee arthroplasty with an optimized subvastus approach.
J Arthroplasty. 2006 Jun; 21(4 Suppl 1):22-6.JA

Abstract

The minimally invasive surgery subvastus approach provides very good exposure through a small incision, preserves all 4 attachments of the quadriceps to the patella, does not require patella eversion, minimizes disruption in the suprapatellar pouch, and allows rapid and reliable closure of the knee. The patella and entire distal portion of the extensor mechanism can be retracted into the lateral gutter of the knee where they remain out of the way and allow direct visualization of both femoral condyles. When coupled with instruments designed specifically for small incision surgery, the modified subvastus approach is reliable, reproducible, and safe. Using a simple set of retractors the surgeon can perform the surgery without making any blind cuts or freehand cuts and that enhances surgical accuracy and patient safety.

Authors+Show Affiliations

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16781423

Citation

Pagnano, Mark W., and R Michael Meneghini. "Minimally Invasive Total Knee Arthroplasty With an Optimized Subvastus Approach." The Journal of Arthroplasty, vol. 21, no. 4 Suppl 1, 2006, pp. 22-6.
Pagnano MW, Meneghini RM. Minimally invasive total knee arthroplasty with an optimized subvastus approach. J Arthroplasty. 2006;21(4 Suppl 1):22-6.
Pagnano, M. W., & Meneghini, R. M. (2006). Minimally invasive total knee arthroplasty with an optimized subvastus approach. The Journal of Arthroplasty, 21(4 Suppl 1), 22-6.
Pagnano MW, Meneghini RM. Minimally Invasive Total Knee Arthroplasty With an Optimized Subvastus Approach. J Arthroplasty. 2006;21(4 Suppl 1):22-6. PubMed PMID: 16781423.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Minimally invasive total knee arthroplasty with an optimized subvastus approach. AU - Pagnano,Mark W, AU - Meneghini,R Michael, PY - 2005/09/22/received PY - 2006/02/06/accepted PY - 2006/6/20/pubmed PY - 2006/11/15/medline PY - 2006/6/20/entrez SP - 22 EP - 6 JF - The Journal of arthroplasty JO - J Arthroplasty VL - 21 IS - 4 Suppl 1 N2 - The minimally invasive surgery subvastus approach provides very good exposure through a small incision, preserves all 4 attachments of the quadriceps to the patella, does not require patella eversion, minimizes disruption in the suprapatellar pouch, and allows rapid and reliable closure of the knee. The patella and entire distal portion of the extensor mechanism can be retracted into the lateral gutter of the knee where they remain out of the way and allow direct visualization of both femoral condyles. When coupled with instruments designed specifically for small incision surgery, the modified subvastus approach is reliable, reproducible, and safe. Using a simple set of retractors the surgeon can perform the surgery without making any blind cuts or freehand cuts and that enhances surgical accuracy and patient safety. SN - 0883-5403 UR - https://www.unboundmedicine.com/medline/citation/16781423/Minimally_invasive_total_knee_arthroplasty_with_an_optimized_subvastus_approach_ DB - PRIME DP - Unbound Medicine ER -