Seminars in Arthroplasty
Volume 20, Issue 3 , Pages 187-189, September 2009

Prevention of Intraoperative Extensor Mechanism Injury in Total Knee Arthroplasty

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA

Avoiding intraoperative injuries to the extensor mechanism during total knee arthroplasty is paramount to obtaining good clinical outcomes. Knowledge of the anatomy and blood supply of the extensor mechanism, in addition to identification of risk factors to sustain these injuries, provides the basic principles to prevent them. A summary of different techniques to prevent injuries of each anatomical component of the extensor mechanism during total knee arthroplasty is provided.

Keywords: intraoperative injury, extensor mechanism, total knee arthroplasty

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 No benefits or funds were received in support of this manuscript.

 Dr. Barsoum is a consultant to Stryker, Shukla Medical, and Wright Medical; receives Royalties from Exactech, Inc. and Wright Medical; and has company equity in OtisMed and has received research funding from Stryker, Zimmer, Smith & Nephew, Tissuelink, American Geriatrics Society, and the OREF.

 Dr. Brooks is a consultant for Stryker and for Smith and Nephew.

PII: S1045-4527(09)00044-3

doi:10.1053/j.sart.2009.09.005

Seminars in Arthroplasty
Volume 20, Issue 3 , Pages 187-189, September 2009