Abstract
This paper describes step by step a modified Far Medial Subvastus approach-the Eeklo Modified Subvastus approach (EMS)-for Total Knee Arthroplasty (TKA). The EMS approach is a modification of the classic Subvastus approach. It provides excellent exposure of the knee joint with preservation of all peri-articular soft tissues.
Highlights
Despite the fact that many designs of Total Knee Arthroplasty (TKA) are today available on the market, none of these seems to be associated with a patient satisfaction rate higher than 80%
The most important finding of this study was that the minimally invasive far medial Subvastus approach allows faster recovery with quick ambulation, fast straight leg raising and stair negotiation resulting in a shorter length of stay even in one day clinic and this without malalignment or complications, after TKA
We have found the Eeklo-ModifiedSubvastus (EMS) approach to provide excellent exposure and allow quicker rehabilitation after total knee surgery
Summary
Despite the fact that many designs of TKA are today available on the market, none of these seems to be associated with a patient satisfaction rate higher than 80%. The capsulotomy is extended towards the patellar tendon, following the inferior border of the meniscus but leaving the anterior tibial periosteum attached to the tibial bone. This might be beneficial to the local blood supply preventing osteonecrosis (Figure 12). The anteromedial connection of periosteum with the insertion of the patellar tendon is released parallel to its medial border. This prevents disinsertion of the tendon from the tibial tubercle. The skin is closed with the knee again in maximal flexion
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