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Accession number;06A0105068
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| Title;Open book patella divided approach for TKA. |
| Author;
NAKAMURA MITSUKAZU
(Ohtawara Red Cross Hospital, JPN)
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Journal Title;Med Postgrad
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Journal Code:X0599A
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ISSN:0285-4716
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VOL.44;NO.1;PAGE.56-60(2006)
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| Figure&Table&Reference;FIG.8, TBL.1, REF.6 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The author developed a minimally invasive exposure technique for Total Knee Arthroplasy, in which the knee joint is opened through the (10cm) midline (skin incision) by longitudinally. Splitting the vasutus medialis 4cm proximally (mid vastus) as well as the whole patellar bone and ligament. After the placement of artificial knee components, the split halves of the patella were brought back in place and fixed with absorbable screws. Eight patients underwent TKA with this approaching technique. The affected knee was mobilized on the first postoperative day and begun to bear full body weight on the seventh day. Range of knee motion went beyond 100 degrees within 2 weeks postoperatively. On plain radiographs, all split patellae appeared united within 10 weeks postoperatively. There is no disturbance for after treatment plan by splitting patellae. This new exposure technique, midline patella splitting approach for TKA, can minimize damage to soft tissue of the knee joint. It is a useful alternative to the conventional parapatellar knee exposure. (author abst.) |
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