Paper of the Month - Volume 1 Issue 3

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Minimally Invasive Total Knee Arthroplasty: What Remains After the Early Enthusiasm is Gone?

Markus Flören and Heiko Reichel

Minimally invasive surgery for total knee arthroplasty (MIS-TKA) has become a popular procedure. Several studies have shown functional advantages of MIS techniques over conventional TKA approaches in the early postoperative period. However, data showing longer-term benefits are lacking. Additionally, some critics claim that MIS-TKA is associated with an increased complication rate and a steep learning curve because of reduced visualization during surgery. Therefore, MIS techniques for TKA must be reconsidered to determine their role once the initial enthusiasm for the techniques has passed. This review considers our own results with MIS-TKA and those in the literature, focusing on the definition of MIS, the clinical results, and the mythology surrounding the learning curve. Adv Orthop 2009;1(3):85–92.



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