Bert Parcells March 15, 2017 TKA Techniques TKA SURGICAL APPROACH Bert Parcells March 15, 2017 TKA Techniques 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.