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Dominic Tse, MD: Orthopaedic Surgery

Patient Education: Minimally Invasive Total Knee Replacement

Minimally Invasive Surgery (MIS)

Definitions of MIS vary, but usually include the following:
  • A smaller incision
  • Less collateral damage to muscles, tendons, and ligaments
  • Minimal bone removal
  • Implant designs that maximize muscle leverage such as the Stryker Scorpio® knee

Potential benefits of MIS (versus traditional surgery)

  • Shorter hospital stay
  • Faster recovery
  • Reduced pain
  • Smaller scar

MIS Options

Uni-Knee Replacement:

  • Surfaces are replaced only on one side of knee
  • Suitable if only one half of the knee is diseased

Patello-Femoral Replacement:

  • Surfaces are replaced only on the patella and patella contact region of the femur
  • Suitable if arthritis is limited to patella

MIS Total Knee Joint Replacement:

  • Surfaces are replaced on both sides of the knee and patella
  • Suitable for more severe knee disease

Sources:
Mahoney OM. The Effect of Total Knee Arthroplasty Design on Extensor Mechanism Function. The Journal of Arthroplasty. Vol. 17 (4) 416-21. 2002.
Tria AJ. Minimal Incision Total Knee Arthroplasty. Clinical Orthopaedics & Related Research, 2003; Vol. 416.

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Last Modified: July 10, 2006