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Minimally Invasive Surgery in Orthopedics pp 301–307Cite as

Minimally Invasive Total Knee Arthroplasty

Suspended Leg Approach and Arthroscopic-Assisted Techniques

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Abstract

Minimally invasive total knee arthroplasty (MIS TKA) was developed primarily due to patient demand for less pain, faster recovery, and, it was hoped, improved functional results. Traditional total knee arthroplasty (TKA) consisted of a technique of a supine patient, tourniquet, incision of 6–12 in., median parapatellar approach, everted patella, and dislocated tibiofemoral joint with large bulky instruments that may increase trauma to the soft tissue and prolong recovery.

We began developing MIS knee arthroplasty techniques in 1991 with the goal of reducing overall soft tissue trauma and sparing quadriceps mechanism. After instrumentation and techniques were developed, in 1999 we began performing MIS TKA on selected patients. Our goals were to (1) reduce incision size (12 cm or less); (2) avoid everting the patella; (3) use muscle-sparing techniques – vastus medialis oblique (VMO) snip (mini-midvastus); (4) use downsized instrumentation; and (5) make in situ bone cuts.

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References

  1. Bonutti P. Minimally Invasive TKR. First Series MIS TKA. Scientific Presentation. LaQuinta, CA, October 2001

    Google Scholar 

  2. Bonutti P, Neal D, Kester M. Minimal incision total knee arthroplasty using the suspended leg technique. Orthopedics 2003;26:899–903

    PubMed  Google Scholar 

  3. Bonutti P, Mont M, McMahon M, et al. Minimally invasive total knee arthroplasty. J Bone Joint Surg Am 2004;86:26–32

    PubMed  Google Scholar 

  4. Mont M, Stuchin S, Bonutti P, et al. Different surgical options for monocompartmental OA of the knee: HTO vs. UKA vs. TKA: indications, techniques, results, and controversies. Instr Course Lect 2004;53:265–283

    PubMed  Google Scholar 

  5. Bezwada H, Mont M, Bonutti P, Chauhan S, et al. Minimally invasive lateral approach to total knee arthroplasty. In: Scuderi G, Tria A, Berger R (Eds.), MIS Techniques in Orthopaedic Surgery. Springer, New York, Chapter 21:339–348, 2006

    Chapter  Google Scholar 

  6. Bonutti P. Surgical Techniques in Orthopedics. MIS TKA Mini-Subvastus Approach. Standing Room Only AAOS DVD 2005

    Google Scholar 

  7. Bonutti P. In: Hozack W, Krismer M, Nogler M, Bonutti P, Rachbauer F, Schaffer J, Donnelly W (Eds.), Minimally Invasive Total Joint Arthroplasty. Springer, New York, Chapters: 9.1:130–145; 28:284–288; 29:289–294, 2004

    Google Scholar 

  8. Bonutti PM. Minimally invasive total knee arthroplasty. OKU Hip and Knee Reconstruction 3, 8:81–91:01/2006

    Google Scholar 

  9. Bonutti P, Seyler TM, Kesler M, et al. Minimally invasive revision total knee arthroplasty. Clin Orthop Relat Res 2006;4469:69–75

    Article  Google Scholar 

  10. Bonutti P. Minimally invasive total knee arthroplasty: pitfalls & complications. AAOS Presentation, 2006

    Google Scholar 

  11. Kolisek F, Mont M, Bonutti P. MIS TKA prospective randomized multicenter study. JOA, 2006

    Google Scholar 

  12. Epinette JA. Personal communication, 1997

    Google Scholar 

  13. Bonutti P. The use of the suspended leg minimally invasive technique for total knee arthroplasty. AAOS Presentation, 2005

    Google Scholar 

  14. Bonutti P. Arthroscopic assisted total knee arthroplasty. Poster Exhibit. AAOS, 2006

    Google Scholar 

  15. Bonutti P, Mont M, Kester M. Minimally invasive total knee arthroplasty: a 10 feature evolutionary approach. Orthop Clin North Am 2004;35:217–226

    Article  PubMed  Google Scholar 

  16. Bonutti P, Mont M. The future of high performance arthroplasty. Semin Arthroplasty, August 2006

    Google Scholar 

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Author information

Authors and Affiliations

  1. Bonutti Clinic, 1303 West Evergreen Avenue, Effingham, IL, 62401, USA

    Peter Bonutti

Authors
  1. Peter Bonutti
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Correspondence to Peter Bonutti .

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Editors and Affiliations

  1. Insall Scott Kelly Institute, East 64th St. 210, New York, 10021, U.S.A.

    Giles R. Scuderi

  2. Orthopaedic Center of New Jersey, Route 27 1527, Somerset, 08873, U.S.A.

    Alfred J. Tria

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Bonutti, P. (2010). Minimally Invasive Total Knee Arthroplasty. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76608-9_34

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  • DOI: https://doi.org/10.1007/978-0-387-76608-9_34

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76607-2

  • Online ISBN: 978-0-387-76608-9

  • eBook Packages: MedicineMedicine (R0)

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