Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 159-162 |
| Number of pages | 4 |
| Journal | Journal of Orthopaedics and Traumatology |
| Volume | 13 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Sep 2012 |
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Keywords
- Minimally invasive
- Total knee replacement
- Trivector
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
The trivector approach for minimally invasive total knee arthroplasty : A technical note. / Benazzo, Francesco; Rossi, Stefano Marco Paolo.
In: Journal of Orthopaedics and Traumatology, Vol. 13, No. 3, 09.2012, p. 159-162.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The trivector approach for minimally invasive total knee arthroplasty
T2 - A technical note
AU - Benazzo, Francesco
AU - Rossi, Stefano Marco Paolo
PY - 2012/9
Y1 - 2012/9
N2 - 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.
AB - 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.
KW - Minimally invasive
KW - Total knee replacement
KW - Trivector
UR - http://www.scopus.com/inward/record.url?scp=84869112140&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84869112140&partnerID=8YFLogxK
U2 - 10.1007/s10195-012-0197-8
DO - 10.1007/s10195-012-0197-8
M3 - Article
C2 - 22527151
AN - SCOPUS:84869112140
VL - 13
SP - 159
EP - 162
JO - Journal of Orthopaedics and Traumatology
JF - Journal of Orthopaedics and Traumatology
SN - 1590-9921
IS - 3
ER -