My Game Changing Technique for Total Knee Replacements

What Techniques do I use for Total Knee Replacements?

I use an innovative, game changing technique for my robotic assisted total knee replacement surgeries called the sub-vastus approach. This is a muscle-sparing, soft tissue friendly approach to knee replacement surgery that is revolutionizing the patient experience by accelerating recovery and decreasing pain. With this technique, the overwhelming majority of my patients report better function than before surgery by 6 weeks after surgery! This is an advanced surgical technique that focuses on minimizing tissue trauma while ensuring optimal outcomes for patients. In this approach, I access the knee joint through a pathway under the vastus medialis muscle, which is part of the quadriceps (thigh muscle) group. Unlike the traditional medial parapatellar approach, that requires cutting or displacing parts of the quadriceps tendon, the sub-vastus approach preserves the integrity of the muscle and its associated structures. This preservation reduces postoperative pain, accelerates recovery, and enhances patient mobility shortly after surgery.

What are the advantages of a muscle sparing sub-vastus approach?

One of the primary advantages of the sub-vastus approach is the preservation of the quadriceps muscle and tendon group. Because the muscle remains intact, patients often experience a quicker return to functional activities such as walking and climbing stairs. This technique also reduces the risk of complications like extensor lag, which can occur when the quadriceps tendon is disrupted. By not cutting the natural anatomy, this method supports better muscle coordination and control in the early stages of rehabilitation. Additionally, the sub-vastus approach is associated with reduced postoperative inflammation and swelling. With minimal disturbance to the soft tissues, the body's healing response is more efficient, leading to faster recovery times. Patients undergoing this procedure typically report lower pain scores and require fewer pain medications during the recovery phase. These benefits are particularly significant for active individuals who aim to regain mobility as quickly as possible without compromising the long-term durability of the knee implant.

Why I choose to use a muscle-sparing technique:

The muscle-sparing sub-vastus total knee replacement represents a significant advancement in orthopedic surgery, offering numerous benefits such as reduced pain, quicker recovery, and preservation of muscle function. While it is not suitable for all patients, those who qualify for the procedure often experience superior outcomes compared to traditional methods. I have seen remarkable outcomes for my patients with this innovative technique and I am passionate about improving the quality of life for my patients suffering from knee arthritis.

Ask me at your next appointment if this surgery is right for you!