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CURRENT ISSUEMINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index

Ferquency: Quarterly

ISSN 0026-4911

Online ISSN 1827-1707

 

Minerva Ortopedica e Traumatologica 2009 June;60(3):241-7

HIP AND KNEE RECONSTRUCTION 

Minimally-invasive total knee arthroplasty

Parratte S., Garcia Parra C., Aubaniac J.-M., Argenson J.-N.

Center for Arthritis Surgery Sainte Marguerite Hospital University of the Mediterranee, Marseille, France

Minimally invasive surgery in total knee arthroplasty, as for unicompartmental knee arthroplasty, has been developed based on the hypothesis that minimizing the surgical trauma on the soft tissue and the extensor mechanism may reduce the discharge period and improve the functional recovery, without compromising implant positioning. When the indication of primary unconstrained prosthesis has been decided, there is no real contraindication, however using this approach for revision or obese patients is not recommended. A shorter skin incision is performed, but the attitude toward the quadriceps tendon and the absence of patellar eversion are the most important points to define the approach as mini-invasive. Several mini-invasive techniques have been described according to the type of quadricipital incision: parapatellar, midvastus or subvastus approach. The first clinical results tend to show faster recovery related to the less invasive approach without compromising implant position.

language: English


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