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The Vastus-Splitting Approach for Primary Total Knee Arthroplasty Vincent D. Pellegrini, Jr., MD, Editor |
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General Information
Area of Focus: Hip, Knee & Lower Extremity and Joint Replacement
Learn why the vastus-splitting approach offers a viable alternative to the median parapatellar and subvastus approaches for primary TKA. Review indications, preoperative radiographs, and postoperative radiographs. Observe procedural details, covering surgical approach, splitting the vastus medialis obliquus, arthrotomy and soft tissue releases, flexion and extension gap balancing, patellar tracking, and closure. 3D animation illustrates the benefits of an inside-out retinacular release and the vector forces at play when the VMO is spared.
(Companion JBJS-A article published in April 2006.)
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