Total Knee Replacement for the Athlete

Total knee replacement surgery can be performed successfully in younger, active, and athletic adults. For this high-demand group, I employ a combination of innovative techniques to achieve the best possible outcomes. These include a muscle-sparing sub-vastus approach, robotic- assisted surgery (VELYS) for precision, and cementless implants (ATTUNE) designed for long-term durability and natural knee function.

Muscle-Sparing Sub-Vastus Total Knee Replacement

The sub-vastus approach is an advanced surgical technique that minimizes tissue disruption and accelerates recovery. Unlike traditional knee replacement methods that involve cutting through the quadriceps tendon, this approach gently mobilizes the vastus medialis obliquus (VMO) — preserving muscle strength and function. The result: less postoperative pain, faster return to activity, and better long-term outcomes. This technique is especially well-suited for fitness-minded adults who are eager to resume daily movement and exercise.

Robotic-Assisted Surgery for Precision and Consistency

Robotic-assisted technology (VELYS) enhances the precision of knee replacement by using 3D imaging and real-time planning to guide bone cuts and soft tissue balancing. This level of accuracy helps preserve the natural alignment and biomechanics of the knee, which is essential for active adults seeking durability and performance. When paired with the sub-vastus approach, robotics minimizes disruption to surrounding tissues, leading to more consistent and reproducible results.

Cementless Fixation for Long-Term Performance

Cementless implants offer an ideal solution for recreational athletes and younger patients. These implants allow the bone to grow directly into the prosthesis, offering biological fixation without the long-term concerns associated with cemented components. I use the modern ATTUNE implant system, which includes a medial-stabilized design for improved knee mechanics and reduced implant noise. Combined with the muscle-sparing and robotic techniques, cementless fixation provides a durable, natural-feeling joint for active lifestyles.

Synergy of Innovation: Better Outcomes, Faster Recovery

By integrating these advanced techniques — sub-vastus exposure, robotic precision, and cementless implants — patients benefit from:

• Same-day surgery capability
• Reduced need for pain medications
• Accelerated rehabilitation
• A more natural-feeling, long-lasting knee

This combination allows me to tailor each procedure to the unique anatomy and goals of my patients, particularly those who want to stay active, mobile, and engaged in the activities they love. Let's discuss how you can maintain or return to an active lifestyle at your next appointment.