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Hay GC, Kampshoff J, Kuster MS. J Bone Joint Surg Br 2010;92:862–6.

These authors suggest that the lateral subvastus approach with tibial tubercle osteotomy is a safe technique in total knee arthroplasty, but should be reserved for patients in whom problems with patellar tracking are anticipated.


Advocates of a lateral subvastus approach with osteotomy of the lateral tibial tubercle for total knee arthroplasty (TKA) suggest that this technique leads to better exposure and positioning of the femoral component, with preservation of the patellar blood supply and sensation in the distribution of the saphenous nerve. The current authors conducted a randomized controlled trial to substantiate the validity and relevance of this contention.

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