Quadriceps-Sparing Total Knee Arthroplasty

  • Rodney K. Alan
  • Alfred J. Tria


Much of the pioneering work for total knee arthroplasty (TKA) took place during the 1970s. For several years, the prosthesis and bearing surfaces were the major focus of efforts to improve the surgery. The result of this evolution is seen in the current success rate of modern TKA.1–4

During the same period in history, minimally invasive techniques in general surgery and other subspecialties of surgery were beginning to develop. This trend eventually influenced orthopedic surgeons to attempt minimally invasive arthroplasty. The logical first step for minimally invasive TKA was to begin with unicompartmental arthroplasty (UKA). The UKA implant was much smaller than the TKA implant. Repicci pioneered the concept of minimally invasive knee arthroplasty during the early 1990s. He demonstrated that UKA done through a small incision resulted in less blood loss, decreased morbidity, shorter hospitalization, and more rapid recovery.5 Since his report, other authors have written articles to support the outcome of minimally invasive UKA. Argenson and Price reported decreased morbidity and accelerated rehabi­litation with MIS UKA.6,7 After the successful reports of MIS surgery in UKA, investigators began to search for ways to carry out minimally invasive TKA.


Total Knee Arthroplasty Knee Society Score Tibial Tray Freehand Technique Unicompartmental Arthroplasty 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Rodney K. Alan
    • 1
  • Alfred J. Tria
    • 1
  1. 1.Institute for Advanced Orthopaedic StudyThe Orthopaedic Center of New JerseySomersetUSA

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