The Journal of Bone and Joint Surgery (American). 2007;89:76-81.
doi:10.2106/JBJS.G.00606
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Evaluation of Complications Associated with Six Hundred Mini-Subvastus Total Knee Arthroplasties

William C. Schroer, MD, Paul J. Diesfeld, PA-C, Mary E. Reedy, RN and Angela R. LeMarr, RN

Corresponding author:
William C. Schroer, MD
St. Louis Joint Replacement Institute, 12266 DePaul Drive, Suite 220, St. Louis, MO 63044.
E-mail address: drschroer@yahoo.com

The first 150 words of the full text of this article appear below.


   Introduction
 
Minimally invasive surgical techniques have been developed in an effort to improve functional recovery following total knee arthroplasty1-13. A primary concern about minimally invasive surgical techniques is a possible increase in the rate of complications compared with that associated with so-called traditional total knee arthroplasty techniques involving a medial parapatellar arthrotomy. These concerns are well outlined in the physician advisory statement from the American Association of Hip and Knee Surgeons: "Minimally Invasive and Small Incision Joint Replacement Surgery: What Surgeons Should Consider."14 This pamphlet outlines several features of minimally invasive total knee arthroplasty that may be associated with an increased rate of complications:

  • Increased complexity of minimally invasive surgical techniques may be associated with increased operative time, which may lead to increased rates of infection, blood loss, or thromboembolic events.
  • Decreased visualization inherent to minimally invasive surgical techniques may lead to increased rates of intraoperative fracture, ligament damage, . . . [Full Text of this Article]


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