MIS Total Knee Arthroplasty with the Limited Medial Parapatellar Arthrotomy

  • Giles R. Scuderi


Minimally invasive (MIS) total knee arthroplasty (TKA) has become a popular procedure with surgeons using a variety of surgical exposures including the limited medial parapatellar arthrotomy, also known as the limited quadriceps-splitting approach; the midvastus approach; the subvastus approach; and the quadriceps-sparing approach.1 The limited medial parapatellar arthrotomy is a versatile approach that can be easily converted to a traditional approach if necessary. Advantages of this technique include diminished postoperative morbidity, less postoperative pain, decreased blood loss, and an earlier functional recovery.2–5 However, while limiting the exposure in MIS, the integrity of the TKA must not be compromised. Following specific guidelines in patient selection and surgical technique, the clinical outcome can be predictable.


Total Knee Arthroplasty Patella Tendon Proximal Tibia Medial Collateral Ligament Quadriceps Tendon 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Scuderi GR, Tenholder M, Capeci C. Surgical approaches in mini-incision total knee arthroplasty. Clin Orthop Relat Res 428:61–67, 2004CrossRefPubMedGoogle Scholar
  2. 2.
    Bonutti PM, Neal DJ, Kester MA. Minimal incision total knee arthroplasty using the suspended leg technique. Orthopedics 26:899–903, 2003PubMedGoogle Scholar
  3. 3.
    Coon TM, Tria AJ, Lavernia C, Randall L. The economics of minimally invasive total knee surgery. Semin Arthroplasty 16:235–238, 2005CrossRefGoogle Scholar
  4. 4.
    Laskin RS. New techniques and concepts in total knee replacement. Clin Orthop Relat Res 416:151–153, 2003CrossRefPubMedGoogle Scholar
  5. 5.
    Tenholder M, Clarke HD, Scuderi GR. Minimal incision total knee arthroplasty: the early clinical experience. Clin Orthop Relat Res 440:67–76, 2005CrossRefPubMedGoogle Scholar
  6. 6.
    Scuderi GR. Minimally invasive total knee arthroplasty. Am J Orthop 7S:7–11, 2006Google Scholar
  7. 7.
    Kim R, Scuderi GR, Cushner F, et al. Use of lidocaine with epinephrine injection to reduce blood loss in MIS TKA. Proceedings of the 2007 Annual AAOS Meeting, San Diego, CAGoogle Scholar
  8. 8.
    Cook JL, Scuderi GR, Tenholder M. Incidence of lateral release in total knee arthroplasty in standard and mini approaches. Clin Orthop Relat Res 452:123–126, 2006CrossRefPubMedGoogle Scholar
  9. 9.
    Scuderi GR. Pre-operative planning and peri-operative management for minimally invasive total knee arthroplasty. Am J Orthopedics 7S:4–6, 2006Google Scholar
  10. 10.
    Cushner FD, Lee GC, Scuderi GR, et al. Blood loss management in high risk patients undergoing total knee arthroplasty. J Knee Surg 19:249–253, 2006PubMedGoogle Scholar
  11. 11.
    Brassard MF, Insall JN, Scuderi GR, Colizza W. Does modularity affect clinical success? A comparison with a minimum 10-year follow-up. Clin Orthop Relat Res 388:26–32, 2001CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Insall Scott Kelly InstituteNew YorkUSA

Personalised recommendations