Different Types Of Knee Replacement Approaches


Sometimes, doctors choose different types of surgical approaches that will best suit the patients. The entire team will be busy in pre-operative planning that covers the type of procedure you receive and associated medical requirements. For a smooth and successful procedure, you will be needed best knee replacement doctors in Delhi and India who will map out your knee anatomy in advance so that advanced planning, surgical approach and anticipation of special instruments or devices can be done. These matters are really essential to be discussed before the initiation of the procedure. Let’s roll down to understand the different types of knee replacement approaches:

Traditional Surgery

The most traditional approach is when the surgeon makes an 8-12 inches incision and operates on the knee using standard surgical tools and technique. In this type of surgery, the general incision is made along the front and toward the middle or along the front and to the side of the knee. The traditional surgical approach involves the cutting of quadriceps tendon to get back the kneecap over and expose the arthritic joint. In this procedure, the patient requires three to five recovery days in the hospital and around 12 weeks in total rehabilitation.

Minimally Invasive Surgery

A minimal but an invasive procedure which reduces trauma to tissues lessen pain, and decreases blood loss. And these all factors help to speed up the trauma and recovery. This procedure required incision which is normally less up to 3 to 4 inches.

A basic difference in minimally invasive surgery and traditional surgery is that the kneecap is pushed to the side rather than being turned over. This includes a smaller cut into the quadriceps tendon and less trauma to the quadriceps muscle. In this procedure, the surgeon cuts less muscle and thus the recovery statement is faster in this one.

The procedure requires the more specialised tools or instruments with the same technique as that used in traditional surgery. The modified tools help to place the implant accurately and allow such small incision possible. In both approaches, the long-term clinical outcomes are similar.

Types Of Minimally Invasive Approaches:

Quadriceps-Sparing Approaches

Quadriceps-Sparing approach is less invasive than the traditional method and spares the quadriceps muscle from as much trauma as possible. This involves small incision where the surgeon shifts the kneecap to the side and cuts away the arthritic bone without cutting through the quadriceps tendon.

This method is also called as “subvastus” because the access to the joint is taken from under the vastus muscle which is the largest part of the quadriceps muscle group.

A similar variation comes in the form of “midvastus” which involves muscle splitting along a natural line through the middle. This method avoids cutting the quadriceps tendon.

The subvastus and midvastus approaches often take longer time period to perform but may result in faster recovery or rehab from the trauma.

Lateral Approach

Lateral approach is the most rare approach used nowadays. This method is applied to the patients whose knees tend to bend outwards. As its name, the surgeon enters the knee joint laterally, or from the side of the knee. It is much less invasive than that of its traditional approach because it spares much of the quadriceps. This approach makes an easy way out for patients to return to walking much faster. But keep this in mind that minimally invasive approaches are not appropriate for every patient. Visit Surgivisor to get a list of best knee replacement surgery hospitals in Delhi, NCR and India to get the favourable results.

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