The trivector approach for minimally invasive total knee arthroplasty: A technical note

被引:11
作者
Benazzo F. [1 ]
Rossi S.M.P. [1 ]
机构
[1] Clinica Ortopedica e Traumatologica dell'Università degli Studi di Pavia, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia
关键词
Minimally invasive; Total knee replacement; Trivector;
D O I
10.1007/s10195-012-0197-8
中图分类号
学科分类号
摘要
One of the main criticisms of minimally invasive approaches in total knee arthroplasty has been their poor adaptability in cases of major deformity or stiffness of the knee joint. When they are used in such cases, excessive soft-tissue tension is needed to provide appropriate joint exposure. Here, we describe the 'mini trivector approach,' which has become our standard approach for total knee replacement because it permits us to enlarge the indication for minimally or less invasive total knee replacement to many knees where quad sparing, a subvastus approach, or a mini quad or mini midvastus snip may not be sufficient to achieve correct exposure. It consists of a limited double snip of the VMO and the quadriceps tendon that reduces tension on the extensor mechanism and allows easier verticalization of the patella as well as good joint exposure. © The Author(s) 2011.
引用
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页码:159 / 162
页数:3
相关论文
共 10 条
[1]  
Laskin R.S., New techniques and concepts in total knee replacement, Clinical Orthopaedics and Related Research, 416, pp. 151-153, (2003)
[2]  
Scuderi G.R., Tenholder M., Capeci C., Surgical approaches in mini-incision total knee arthroplasty, Clinical Orthopaedics and Related Research, 428, pp. 61-67, (2004)
[3]  
Goble E.M., Justin D.F., Minimally invasive total knee replacement: Principles and technique, Orthopedic Clinics of North America, 35, 2, pp. 235-245, (2004)
[4]  
Laskin R.S., Beksac B., Phongjunakorn A., Pittors K., Davis J., Shim J.-C., Pavlov H., Petersen M., Minimally invasive total knee replacement through a mini-midvastus incision: An outcome study, Clinical Orthopaedics and Related Research, 428, pp. 74-81, (2004)
[5]  
Haas S.B., Cook S., Beksac B., Minimally invasive total knee replacement through a mini midvastus approach: A comparative study, Clinical Orthopaedics and Related Research, 428, pp. 68-73, (2004)
[6]  
Tria Jr. A.J., Coon T.M., Minimal incision total knee arthroplasty early experience, Clinical Orthopaedics and Related Research, 416, pp. 185-190, (2003)
[7]  
Gandhi R., Smith H., Lefaivre K.A., Davey J.R., Mahomed N.N., Complications after minimally invasive total knee arthroplasty as compared with traditional incision techniques: A meta-analysis, J Arthroplasty, 26, pp. 29-35, (2011)
[8]  
King J., Stamper D.L., Schaad D.C., Et al., Minimally invasive total knee arthroplasty compared with traditional total knee arthroplasty. Assessment of the learning curve and the postoperative recuperative period, J Bone Joint Surg Am, 89, (2007)
[9]  
Fisher D.A., Trimble S.M., Breedlove K., The medial trivector approach in total knee arthroplasty, Orthopedics, 21, 1, pp. 53-56, (1998)
[10]  
Tria Jr. A.J., Advancements in minimally invasive total knee arthroplasty, Orthopedics, 26, 8, (2003)