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J Knee Surg
 2017
DOI: 10.1055/s-0037-1604150
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Modified Intervastus Approach to the Knee

James Kohlman
1
,
Craig J. Della Valle
2
,
Muthana M. Sartawi3

Abstract: The modified intervastus approach to the anterior knee is an approach that may be used in the majority of patients undergoing total knee arthroplasty. This article presents the first description of this approach. The advantages of this approach include its extensile nature, similar to a medial parapatellar approach, and preservation of the extensor mechanism and the vastus medialis, leading to a more rapid return to active knee extension than is traditionally observed. The approach is also simple to perform, e… Show more

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Abstract
Smart CitationsHow this paper cites the one you are viewing
“…The MIV approach is a muscle- and tendon-sparing approach. This approach closes with restoration of the anatomy that results in a robust double-layered watertight seal closure of the proximal half of the arthrotomy, which enables or tolerates an aggressive postoperative patient behavior, knee ROM or function [ 7 ]. Although the advantages of a specific surgical approach in the knee arthroplasty have been a controversial topic, several studies have shown that with quadriceps-sparing approaches that patients may possibly have a quicker rehabilitation in the short term, which may therefore enhance outpatient knee arthroplasty [ 26 , 27 ].…”
Section: Discussion
mentioning
confidence: 99%
“…A total of 192 patients with primary osteoarthritis of the knee underwent TKA using the MIV approach performed by 1 experienced orthopaedic surgeon between 2017 and 2019. The details of the MIV surgical approach to the knee have been previously described [ 7 , 8 ]. Eighty-eight of the 192 patients had similar preoperative medical status, body mass index (BMI), overall comorbidities, and American Society of Anesthesiologists score.…”
Section: Methods
mentioning
confidence: 99%
“…Several approaches have been used to perform TKA procedures including the medial parapatellar, subvastus, and midvastus techniques. The modified intervastus (MIV) approach and its application in TKA has been previously described [ 7 , 8 ]. The advantages of this approach include its extensile nature, preservation of both the extensor mechanism and the vastus medialis, and a return to active knee extension that may occur more rapidly than is traditionally observed [ 7 , 8 ].…”
Section: Introduction
mentioning
confidence: 99%
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