13^th International Conference on
Arthroplasty

Biography:

Abstract:

This paper describes step by step a modified Far Medial Subvastus approach, the Eeklo Modified Subvastus approach (EMS) for the placement of a Total Knee Arthroplasty (TKA). The EMS approach is a modified subvastus The EMS approach provides excellent exposure of the knee joint with preservation of all peri-articular soft tissues .The incision of the EMS approach evades any bony prominence, which causes less chance of skin necrosis. The blood supply of the patella is kept intact, with less chance of patellar necrosis, fracture and loosening of the patellar component. The extensor mechanism is intact which gives less anterior knee pain, maintenance of quadriceps strength and function. The combination of all former advantages ensures more rapid recovery and better short term knee range of motion. With closure of the EMS approach the periarticular soft tissue strains are restored to those typical of the native knee and bleeding stops quickly due to complete sealing of the joint. Indications of the EMS approach are primary TKA, medial unilateral arthroplasty, patellofemoral arthroplasty, arthrotomy for other intra-articular pathologies and revision surgery in selected patients. With enough experience, obesity, contractures, deformities and revision surgery, where previous scar tissue on the medial side of the knee can make the definition of the different planes more difficult, are only relative contraindications so this EMS approach offers access to the complete knee joint in nearly each knee. The EMS approach is an improved modification of the Far Medial Subvastus Approach and can be the new golden standard for TKA, medial unilateral arthroplasty and surgery for other intra-articular knee pathologies.