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The Journal of Bone and Joint Surgery (American). 2004;86:26-32
© 2004 The Journal of Bone and Joint Surgery, Inc.

Minimally Invasive Total Knee Arthroplasty

Peter M. Bonutti, MD, Michael A. Mont, MD, Margo McMahon, RN, Phillip S. Ragland, MD and Mark Kester, PHD

Corresponding author:
Michael A. Mont, MD
Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopaedics,
2401 West Belvedere Avenue, Baltimore, MD 21215. E-mail address:
rhondamont@aol.com

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   Introduction
 
Patient demand, potential health-care savings, and the development of new instrumentation and techniques have led to the rapid advancement of less invasive surgical approaches. Minimally invasive surgery is an evolutionary process that has transformed the surgical practices of surgeons not only in the area of orthopaedics but also in other medical fields. Currently, initiatives promoting minimally invasive surgery are under way for total hip arthroplasty as well as spine surgery, in an attempt to avoid highly invasive open procedures that result in slower rates of recovery for the patient.

The introduction of minimally invasive approaches for knee replacement has been driven partially by the application of small incisions and minimal soft-tissue approaches in the performance of unicompartmental knee arthroplasty1-3. While some surgeons have expressed concerns about minimally invasive surgery and its relevance to total knee arthroplasty as well as the safety of operations performed "through a keyhole," there are . . . [Full Text of this Article]


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