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Mini-Midvastus Total Knee Arthroplasty

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Abstract

Total knee arthroplasty (TKA) is now considered a gold-standard treatment of advanced arthritis of the knee [1–4]. The early convalescence with standard surgical techniques however is longer than that of total hip arthroplasty, with significant pain and disability from the surgical insult delaying functional recovery. The traditional surgical approach for exposure in knee replacement remains the median parapatellar (MPP) approach. This was initially described by von Langenbeck in 1874 and then popularized by Insall in 1971 [5]. Although this approach is the only true extensile approach, it incises the quadriceps tendon, which may delay functional recovery.

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References

  1. Font-Rodriguez DE, Scuderi GR, Insall JN. Survivorship of cemented total knee arthroplasty. Clin Orthop Relat Res. 1997;345:79–86.

    Article  PubMed  Google Scholar 

  2. Kelly MA, Clarke HD. Long-term results of posterior cruciate sub-stituting total knee arthroplasty. Clin Orthop Relat Res. 2002;404:51–7.

    Article  PubMed  Google Scholar 

  3. Pavone V, Boettner F, Fickert S, et al. Total condylar knee arthroplasty: a long-term follow-up. Clin Orthop Relat Res. 2001;388:18–25.

    Article  PubMed  Google Scholar 

  4. Ranawat CS, Flynn WF, Saddler S, et al. Long-term results of the total condylar knee arthroplasty: a 15-year survivorship study. Clin Orthop Relat Res. 1993;286:94–102.

    PubMed  Google Scholar 

  5. Insall JN. A midline approach to the knee. J Bone Joint Surg. 1971;53A:1584–6.

    Google Scholar 

  6. Engh GA, Holt BT, Parks NL. A midvastus muscle-splitting approach for total knee arthroplasty. J Arthroplasty. 1997;12:322–31.

    Article  CAS  PubMed  Google Scholar 

  7. Hofmann AA, Plaster RL, Murdock LE. Subvastus (southern) approach for primary total knee arthroplasty. Clin Orthop Relat Res. 1991;269:70–7.

    PubMed  Google Scholar 

  8. Engh GA, Parks NL. Surgical technique of the midvastus arthrotomy. Clin Orthop Relat Res. 1998;351:270–4.

    Article  PubMed  Google Scholar 

  9. Dalury DF, Jiranek WA. A comparison of the midvastus and paramedian approaches for total knee arthroplasty. J Arthroplasty. 1999;14:33–7.

    Article  CAS  PubMed  Google Scholar 

  10. White RE, Allman JK, Trauger JA, et al. Clinical comparison of the midvastus and the median parapatellar surgical approaches. Clin Orthop Relat Res. 1999;367:117–22.

    Article  PubMed  Google Scholar 

  11. Maestro A, Suarez MA, Rodriguez L, et al. The midvastus surgical approach in total knee arthroplasty. Int Orthop Relat Res. 2000;24:104–7.

    CAS  Google Scholar 

  12. Bathis H, Perlick L, Blum C, et al. Midvastus approach in total knee arthroplasty: a randomized, double-blinded study on early rehabilitation. Knee Surg Sports Traumatol Arthrosc. 2005;13:545–50.

    Article  PubMed  Google Scholar 

  13. Parentis MA, Rumi MN, Deol SG, et al. A comparison of the vastus splitting and median parapatellar approaches in total knee arthroplasty. Clin Orthop Relat Res. 1999;367:101–16.

    Article  Google Scholar 

  14. Keating EM, Faris PM, Meding JB, et al. Comparison of the midvastus muscle-splitting approach with the median parapatellar approach in total knee arthroplasty. J Arthroplasty. 1999;14:29–32.

    Article  CAS  PubMed  Google Scholar 

  15. Engh GA, Parks NL, Ammeen DJ. Influence of surgical approach on lateral retinacular releases in total knee arthroplasty. Clin Orthop Relat Res. 1996;331:56–63.

    Article  PubMed  Google Scholar 

  16. Kelly MJ, Rumi MN, Kothari M, et al. Comparison of the vastus-splitting and median parapatellar approaches for primary total knee arthroplasty: a prospective, randomized study. J Bone Joint Surg Am. 2006;4:715.

    Article  Google Scholar 

  17. Ozkoc G, Hersekli MA, Akpinar S, et al. Time dependent changes in patellar tracking with medial parapatellar and midvastus approaches. Knee Surg Sports Traumatol Arthrosc. 2005;13:654–7.

    Article  PubMed  Google Scholar 

  18. Pongcharoen B, Yakampor T, Charoencholvanish K. Patellar tracking and anterior knee pain are similar after medial parapatellar and midvastus approaches in minimally invasive TKA. Clin Orthop Relat Res. 2013;471(5):1654–60.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Cooper Jr RE, Trinidad G, Buck WR. Midvastus approach in total knee arthroplasty: a description and a cadaveric study determining the distance of the popliteal artery from the patellar margin of the incision. J Arthroplasty. 1999;14:505–8.

    Article  PubMed  Google Scholar 

  20. Kelly MJ, Rumi MN, Kothari M, et al. Comparison of the vastus splitting and median parapatellar approaches for primary total knee arthroplasty: a prospective randomized study. J Bone Joint Surg. 2006;88A:715–20.

    Article  Google Scholar 

  21. Macdessi SJ, Manitta MA, Wu A, Reichler B, Haas SB. Electromyographic analysis of the extensor mechanism following a minimidvastus approach without patellar eversion. Unpublished data.

    Google Scholar 

  22. Haas SB, Cook S, Beksac B. Minimally invasive total knee replacement through a mini midvastus approach: a comparative study. Clin Orthop Relat Res. 2004;428:68–73.

    Article  PubMed  Google Scholar 

  23. Haas SB, et al. Follow-up study of minimally invasive total knee replacement through a mini midvastus approach. Unpublished data.

    Google Scholar 

  24. Laskin RS, Beksac B, Phongjunakorn A, et al. Minimally invasive total knee replacement through a mini-midvastus incision. Clin Orthop Relat Res. 2004;428:74–81.

    Article  PubMed  Google Scholar 

  25. Laskin RS. Minimally invasive total knee arthroplasty. The results justify its use. Clin Orthop Relat Res. 2005;440:54–9.

    Article  PubMed  Google Scholar 

  26. Liu HW, Gu WD, Xu NW, Sun JY. Surgical approaches in total knee arthroplasty: a meta-analysis comparing the midvastus and subvastus to the medial peripatellar approach. J Arthroplast. 2014;29(12):2298–304.

    Article  Google Scholar 

  27. Xu SZ, Lin XJ, Tong X, Wang XW. Minimally invasive midvastus versus standard parapatellar approach in total knee arthroplasty: a meta-analysis of randomized controlled trials. PLoS One. 2014;9(5):e95311.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Cho KY, Kim KI, Umrani S, Kim SH. Better quadriceps recovery after minimally invasive total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2014;22(8):1759–64.

    Article  PubMed  Google Scholar 

  29. Liu HC, Kuo FC, Huang CC, Wang JW. Mini-midvastus total knee arthroplasty in patients with severe varus deformity. Orthopedics. 2014;38(2):e112–7.

    Article  Google Scholar 

  30. Liebensteiner MC, Thaler M, Giesinger JM, Fischler S, Coraça-Huber DC, Krismer M, Mayr E. Mini-midvastus total knee arthroplasty does not result in superior gait pattern. Knee Surg Sports Traumatol Arthrosc. 2014;23(6):1699–705.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Guy SP, Farndon MA, Conroy JL, Bennett C, Grainger AJ, London NJ. A prospective randomised study of minimally invasive midvastus total knee arthroplasty compared with standard total knee arthroplasty. Knee. 2012;19(6):866–71.

    Article  PubMed  Google Scholar 

  32. Tria Jr AJ, Coon TM. Minimally incision total knee arthroplasty: early experience. Clin Orthop Relat Res. 2003;416:185–90.

    Article  PubMed  Google Scholar 

  33. Boerger TO, Agleitti P, Mondanelli N, Sensi L. Mini-subvastus versus medial parapatellar approach in total knee arthroplasty. Clin Orthop Relat Res. 2005;440:82–7.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, 535 East 70th Street, New York, NY, 10021, USA

    Steven B. Haas & Alberto V. Carli

  2. Sydney Knee Specialists, Sydney, NSW, Australia

    Samuel J. Macdessi

  3. Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA

    Mary Ann Manitta

Authors
  1. Steven B. Haas
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  2. Alberto V. Carli
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  3. Samuel J. Macdessi
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  4. Mary Ann Manitta
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Corresponding author

Correspondence to Steven B. Haas .

Editor information

Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

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© 2016 Springer International Publishing Switzerland

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Haas, S.B., Carli, A.V., Macdessi, S.J., Manitta, M.A. (2016). Mini-Midvastus Total Knee Arthroplasty. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_60

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_60

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

  • eBook Packages: MedicineReference Module Medicine

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