#orthopedicsurgery

corycalendinemd's profile picture

Knee Replacement - Surgical Approach . The medial parapatellar approach is a widely used surgical technique for #kneearthroplasty and has been the gold standard since von Langenbeck first described (1879). The approach provides excellent, extensile exposure to the knee joint. It begins with an anterior midline skin incision performed with the knee in flexion. The arthrotomy follows the medial border of the quadriceps tendon, leaving a small tissue cuff on the vastus medialis for later repair. It then extends around the medial side of the patella and continues along the medial border of the patellar tendon onto the anteromedial tibia. The patella is then everted or subluxated laterally and the knee is flexed to 90 degrees, providing full visualization of the joint surfaces for component placement. . The primary advantage is the reliability + extensility of this exposure. It adapts well to complex cases including revision surgery, severe deformities, and patients with prior incisions or soft tissue challenges. Be mindful of the infrapatellar branch of the saphenous nerve, which can be injured during the approach, potentially leading to postoperative neuroma formation. If inadvertently cut, the nerve should be resected and the end buried to reduce the risk of painful neuroma. The superior lateral genicular artery is also at risk during any subsequent lateral retinacular release. Up Next - Alternative Approaches for #KneeReplacement #orthopedicsurgery . SHARE your surgical experience & insights .

Bone Doctor - Joint Pain MD

1,700,000 views • 6 months ago

corycalendinemd's profile picture

What a Normal First Two Weeks After Knee Replacement Really Looks Like . One of the most valuable things we can give a patient before #kneereplacement is not a technique or a technology - it's an honest timeline. Knowing in advance what a normal recovery looks like, allows us to stop interpreting every hard day as evidence that something went wrong. . Why does the second week feel so different from the first few days? It comes down to physiology. Surgery triggers an inflammatory response that builds gradually, which is why the early days can feel misleadingly comfortable while the middle stretch feels like a step backward. That inflammation is not a malfunction. It is the biology of healing doing its job, and it follows a predictable arc that patients can plan around. That predictability is exactly why I give patients a yardstick instead of a promise. Recovery milestones are ranges, not deadlines. Age, preoperative strength, swelling control, and sleep quality all shift the curve, and two patients with identical surgeries can have very different day-five experiences while both being completely on track. What matters is the trajectory over weeks, not the snapshot on any single day. I encourage patients to track two or three simple markers rather than grading themselves hour to hour. Distance walked, ease of getting out of a chair, how the knee feels at the end of the day compared to three days ago. Small trends beat big expectations every time. #kneearthritis #orthopedicsurgery . 👇 SHARE your #kneereplacementrecovery experience & insights

Bone Doctor - Joint Pain MD

555,200 views • 4 months ago

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