Subvastus Approach Total Knee Replacement

Description

The video features Anoop Jhurani explaining the subvastus approach for knee exposure, specifically for a left knee with lateral compartment arthritis. Throughout the presentation, he offers practical tips, tricks, and pearls for effectively exposing the knee joint using this technique. The surgical procedure is aimed at facilitating a knee replacement with the Biomet Vanguard knee system. Jhurani discusses key elements of the approach, including the importance of preserving the vastus medialis tendon, performing careful dissections to avoid disrupting blood supply, and maintaining proper alignment during cuts to ensure successful implant placement. He emphasizes the significance of accurate measurement in preparing the femur and tibia, as well as the importance of cementing procedures to ensure long-term stability of the components. Additionally, he highlights the benefits of the subvastus approach in reducing complications associated with patellar tracking and potential ligament injuries. The discussion includes specific anatomical landmarks and methods to verify cuts during the procedure, ensuring a balanced flexion and extension gap. The video serves as a detailed guide for orthopedic surgeons focusing on knee arthroplasty with a special emphasis on approaches that minimize tissue damage and enhance surgical outcomes.

DOI: 10.1302/3114-230111

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