Review article

Minimally invasive total knee arthroplasty with emphasis on subvastus approach

Tomislav Prpić ; Klinika za ortopediju Lovran, Lovran
Dalen Legović ; Klinika za ortopediju Lovran, Lovran
Radovan Mihelić ; Klinika za ortopediju Lovran, Lovran
Željko Butorac ; Klinika za ortopediju Lovran, Lovran
Marijan Mikačević ; Klinika za ortopediju Lovran, Lovran
Mirela Vučković ; Klinika za ortopediju Lovran, Lovran

Abstract

Total knee arthroplasty is more than fifty years used for treatment of terminally arthrotic
knee joint. Medial parapatellar approach is golden standard when considering implantation
of total knee prosthesis. There are many advantages of medial parapatellar approach,
however its main disadvantage is disruption of vastus medialis insertion on patella. Several
approaches have been developed with a goal of good operative field overview but without
collateral muscle damage. This article presents minimally invasive approaches to the knee
used for implantation of total knee prosthesis with special emphasis on subvastus approach.
Of all this approaches, only subvastus approach preserves musculature in total. Herein, we
point out that what makes approach minimally invasive is degree of muscle preservation rather
than skin incision size. Subvastus approach to the knee is here explained in detail.

Keywords

minimally invasive; subvastus; total knee arthroplasty

Hrčak ID:

106934

URI

https://hrcak.srce.hr/106934

Publication date:

2.9.2013.

Article data in other languages: croatian

Visits: 3.889 *