Minimally invasive total knee arthroplasty Research.doc

 PAGE \* MERGEFORMAT 28 Minimally invasive total knee arthroplasty Research Keywords: minimally invasive Minimally invasive (minimally invasive surgery, MIS) total knee replacement began in the 20th century, late 90’s, Repicci and Romanowski in unicompartmental knee replacement (unicondyhr knee arthroplasty, UKA) used the MIS approach, with less bleeding, postoperative pain and light activity from the bed early, after a short recovery time, etc., thus arousing the people some of minimally invasive knee replacement surgery and of great interest to 〔1,2〕. Their work for the minimally invasive total knee replacement surgery basis. This paper summarized the literature in recent years, minimally invasive TKA following review. The definition of a minimally invasive TKA Currently on the minimally invasive total knee replacement surgery’s report was more, but there is no clear definition of the uniform. Minimally invasive TKA should meet the following conditions: (1) skin incision length lt;14 cm 〔3〕, but it must be clearly MIS  TKA at the expense of long-term effects can not be blind pursuit of a small incision. (2) try to avoid damage and disrupt the extensor device 〔4〕 (quadriceps sparing, QS). (3) try to avoid flipping the patella. (4) The operation to avoid knee dislocation, that is in-situ for the femur and tibia osteotomy 〔5〕. Two minimally invasive TKA indications and contraindications 〔6〕 Size and severity of deformity in patients with surgical operation and postoperative results have a significant impact, so the choice of patients with the following principles should be followed. Minimally invasive TKA far mainly applied to body weight less than 100 kg, knee activity of at least 105 °, discreet digital X ray film before and after the knee-degree varus deformity of less than 10 °, valgus deformity of less than 15 °, flexion contracture deformity of less than 10 ° in patients with osteoarthritis of the knee. Elderl