INTRODUCTION: A key factor in minimally invasive knee surgery is protecting and preserving muscles. The muscles provide strength and
control of our knee range of motion. The muscles are also an important factor in regaining motion. As one would expect, not cutting or detaching
muscles around the knee results in less pain, better motion and faster recovery as in Subvastus approach of TKR. This study is Randomized
prospective observational study, in which few signicant patient factor like :- FFD, BMI, Insall-Salvati score, muscle to bone ratio and varus valgus
deformity got studied with respect to the Exposure level achieved by surgeon during knee replacement operation via Subvastus approach. This
study in near future would help surgeons to decide whether a particular patient for knee replacement can be considered for surgery via Subvastus
approach ,which is superior in terms of postop – rehabilitation and pain score than conventional approaches. 60 MATERIALS AND METHODS:
patients with difculty in walking or pain in knee, requiring replacement are taken in this study from January 2019 to December 2019.
DISCUSSION: The study shows that the exposure level for the surgeons gets restricted when the patient is Obese, muscularand one having xed
exion deformity of his knee. Recurvatum on the other hand positively related to exposure level , which means patient with knee recurvatum had
better exposure level in Tkr via Subvastus approach. Subvastus approach for Total knee re CONCLUSION: placement has benets of early postop
recovery and better patient compliance but greater surgical skills of operating surgeon required because of reduced exposure level in surgery and
muscle bulk is preserved.
The Position of Proximal Reference Point of Tibia Plateau for Correct Tibial Osteotomy in Total Knee Replacement: Prospective Randomized and 6 Years Follow-up Study
