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S U P P L E M E N T T O
technique. I've tried sev-
eral approaches to the
knee, but have found the
quad-sparing approach to
be the most effective for
accessing the joint with
minimal dissection before
placing implants.
After making a
medial
parapatellar incision,
I
move the patella laterally
to access the joint and
prepare the femur for the
insertion of the femoral
component and the tibia
for its tibial component.
When closing, I simply
approximate the medial
parapatellar incision;
there's no muscle cutting
or muscle releasing — the
muscle's been split in line
with its fibers.
Patients see the skin,
but they don't see what
goes on underneath.
With newer techniques,
we're able to move more
quickly and cause less
pain. Not long after sur-
O R T H O P E -
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