Minimally invasive has been used to describe a wide spectrum of knee replacement procedures. This spectrum starts with a small skin incision with a standard incision into the capsular and the quadriceps muscle and includes patellar eversion. The spectrum currently ends with a small skin incision with a minimal capsular incision without quadriceps muscle violation and no patellar eversion. This is currently called the quadriceps-sparing or capsular-only approach.
Whatever the definition used, minimally invasive knee replacement can be done and has been shown to be beneficial to patients by minimizing surgical trauma, pain, and recovery.1–10 All of the varied minimally invasive techniques share common elements of reducing the trauma necessary for exposure, component alignment, soft tissue balance, and component fixation. Ultimately, these benefits of minimally invasive knee replacement result in a more satisfied patient.
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