Minimally invasive total knee arthroplasty: surgical technique.
The surgical techniques associated with the variety of minimally invasive surgery (MIS) approaches for total knee arthroplasty (TKA), including the limited parapatellar, limited midvastus, limited subvastus, and quadriceps-sparing approaches, are reviewed. The patient selection criteria for mini-incision TKA are detailed. Although clinical experience with these approaches is limited, initial results seem promising and potentially adaptable to a majority of cases with modifications in either instruments or components customized for the procedure. MIS TKA represents a continuum in complexity, and surgeons should gain experience sequentially. The extensibility of these approaches allows surgeons to adapt and modify the procedure should intra-operative difficulties arise.
Scuderi
Giles R
GR
Insall Scott Kelly Institute, and Attending Orthopedic Surgeon, Lenox Hill Hospital, New York, NY, USA.
D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods