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      A midvastus muscle-splitting approach for total knee arthroplasty

      , ,
      The Journal of Arthroplasty
      Elsevier BV

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          Abstract

          This study presents a modification of the medial parapatellar surgical approach for total knee arthroplasty. This approach separates the vastus medialis muscle in the direction of its fibers beginning at the superior pole of the patella. One hundred eighteen consecutive total knee arthroplasty cases, performed by a single surgeon, were randomized prospectively to receive a medial parapatellar or midvastus muscle-splitting surgical approach. The frequency of lateral retinacular releases was recorded, patellar tilt and translation were measured, and quadriceps strength was tested. The midvastus muscle-splitting approach provided excellent exposure to all knees. Patellar stability and quadriceps strength were equivalent for the two approaches. It is concluded that the midvastus muscle-splitting approach is an efficacious alternative to the medial parapatellar approach for primary total knee arthroplasties.

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          Author and article information

          Journal
          The Journal of Arthroplasty
          The Journal of Arthroplasty
          Elsevier BV
          08835403
          April 1997
          April 1997
          : 12
          : 3
          : 322-331
          Article
          10.1016/S0883-5403(97)90030-9
          9113548
          41e7ce6d-9d6c-4f46-b0d1-a9c635e77a52
          © 1997

          https://www.elsevier.com/tdm/userlicense/1.0/

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