Prophylactic Antipropagation Stitch in Total Knee Arthroplasty Performed via Medial Parapatellar Approach: A Simple and Cost-Effective Technique for Reducing Quadriceps Injury
Autor: | Sumon Nandi, Addison Wilson, Arjun Kanuri, James V. Bono |
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Rok vydání: | 2013 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Soft Tissue Injuries Medial parapatellar business.industry Suture Techniques Total knee arthroplasty Quadriceps strength Extensor mechanism Muscle belly General Medicine musculoskeletal system Medial parapatellar approach Surgery Postoperative Complications Patient satisfaction medicine.anatomical_structure medicine Humans Quadriceps tendon Arthroplasty Replacement Knee business |
Zdroj: | Journal of Surgical Orthopaedic Advances. 22:333-335 |
ISSN: | 1548-825X |
DOI: | 10.3113/jsoa.2013.0333 |
Popis: | This article describes a novel, simple, and effective technique for limiting extensor mechanism damage during total knee arthroplasty (TKA) performed via the medial parapatellar (MPP) approach. Immediately on making the quadriceps tendon split in the MPP approach, a figure-of-eight stitch is placed at the apex of the split. The prophylactic stitch technique has been used by one surgeon in 1000 consecutive TKAs over the past 5 years. This technique has eliminated proximal extension of the quadriceps tendon split into the muscle belly and may help to decrease postoperative pain, increase postoperative quadriceps strength, and improve patient satisfaction and outcomes. |
Databáze: | OpenAIRE |
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