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Mini-midvastus Total Knee Arthroplasty

  • Steven B. HaasEmail author
  • Alberto V. Carli
  • Samuel J. Macdessi
  • Mary Ann Manitta
Living reference work entry
  • 294 Downloads

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.

Keywords

Electromyographic (EMG) testing Median para-patellar (MPP)-total knee arthroplasty Midvastus total knee arthroplasty Anatomical considerations Mini-midvastus modification. See Mini-midvastus total knee arthroplasty vs. MPP approach Mini-midvastus total knee arthroplasty Advantages Anesthesia Closure Component insertion Exposure Femoral preparation Final preparation Instrumentation Patient set-up Preoperative assessment Rehabilitation Tibial preparation MIS-TKA. See Mini-midvastus total knee arthroplasty Total knee arthroplasty (TKA) Midvastus approach. See Midvastus total knee arthroplasty MPP approach. See Median para-patellar (MPP)-total knee arthroplasty Subvastus approach 

Supplementary material

MiniMidvastus Video

MP4 file: 1434813 kb

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Steven B. Haas
    • 1
    Email author
  • Alberto V. Carli
    • 1
  • Samuel J. Macdessi
    • 2
  • Mary Ann Manitta
    • 3
  1. 1.Department of Orthopedic Surgery, Hospital for Special SurgeryWeill Medical College of Cornell UniversityNew YorkUSA
  2. 2.Sydney Knee SpecialistsSydneyAustralia
  3. 3.Department of OrthopedicsHospital for Special SurgeryNew YorkUSA

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