Surgical approaches for TKA. Medial Parapatellar, Mid-Vastus, and Subvastus for primary TKA. Revision TKA may require extensile exposure such as Quad Snip, V-Y Turndown, or Tibial Tubercle Osteotomy. Discuss all approaches.
The TKA involves a lot of bone cuts, however, ultimately it is a soft tissue procedure. Meaning that proper balancing of the soft tissue will make or break the outcome of the case. Discuss the different schools of thought for achieving TKA balance.
Patellar resurfacing remains controversial. Arthroplasty surgeons in many countries do not routinely resurface the patella during knee arhtroplasty. Examine the pros and cons of resurfacing.
Nonoperative management for knee arthritis varies from physical therapy to NSAIDS to acetaminophen to steroid and viscosupplementation injections to arthroscopy. Examine evidence behind these treatments.
Basic principles for approaching TKA revision from incision, to exposure, to addressing joint line, bone loss and instability.
TKA for the Valgus Deformity is a unique procedure with important soft tissue and bone considerations. Outcomes are excellent when technique is excellent.