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J Knee Surg 2018; 31(05): 422-424
DOI: 10.1055/s-0037-1604150
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Modified Intervastus Approach to the Knee

Muthana Sartawi
1   Department of Orthopedics, Christie Clinic, Champaign, Illinois
,
James Kohlman
2   Department of Orthopedics, Sarah Bush Lincoln Health System, Mattoon, Illinois
,
Craig Della Valle
3   Department of Orthopedics, Rush University Medical Center, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

01 March 2017

31 May 2017

Publication Date:
12 July 2017 (online)

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Abstract

The modified intervastus approach to the anterior knee is an approach that may be used in the majority of patients undergoing total knee arthroplasty. This article presents the first description of this approach. The advantages of this approach include its extensile nature, similar to a medial parapatellar approach, and preservation of the extensor mechanism and the vastus medialis, leading to a more rapid return to active knee extension than is traditionally observed. The approach is also simple to perform, easy to close, and is compatible with more extensile approaches such as a quadriceps snip if required in revision scenarios.

Keywords

muscle sparing - quadriceps sparing - minimally invasive - total knee arthroplasty - total knee revision
 

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