In total knee arthroplasty, the path to recovery may depend not only on what we replace, but also on what we preserve. For many patients, the decision to undergo total knee replacement depends on two very important questions: Will a total knee address my knee pain and how quickly will I be able to return to normal activities? One way to potentially expedite the recovery process is with the quad-sparing approach to total knee arthroplasty.
What is the quadricep sparing approach to total knee arthroplasty? This refers to how your surgeon exposes the knee joint to allow them to perform the knee replacement. The goal of this approach is to preserve the quadriceps tendon, an important part of the mechanism that allows you to straighten your knee. Standard approaches involve cutting through the quadricep tendon in order to access, visualize, and replace the arthritic joint. This approach is the workhorse for total joint replacement surgeons as it provides excellent exposure to the underlying joint. However, making an incision through the quadricep tendon can create pain with range of motion, impact early mobility, and may result in a slightly longer recovery process. Accessing the joint by working underneath the quadricep muscles and preserving the quadricep tendon has the potential benefit of causing less post-operative pain, improving early range of motion and mobility, and improving the overall experience following your replacement.
What are the potential benefits of the quad-sparing approach to total knee replacement?
By avoiding an incision through your quadricep tendon, this approach may help patients regain their quadricep function earlier, improve early range of motion, and reduce early post-operative pain.
Am I a candidate for the quad-sparing approach to total knee replacement?
There are certain patient specific factors that make this approach not ideal for some patients and a more standard approach may be necessary. Patients with significant stiffness in their knees preoperatively, significant muscle mass around their thighs, and patients with complex anatomy may not be great candidates as the visualization of your knee may not be as ideal in these circumstances. At the end of the day, the surgeon needs to put the implants where they are required to give you the best chance at an amazing outcome with your knee.
Does the quad-sparing approach result in a better long-term outcome when compared with the standard approach to knee replacement?
The short answer is no. The quad-sparing approach is utilized with the goal of promoting earlier recovery during the first 6 weeks post operatively. The first six weeks are when many patients are struggling to regain their range of motion, reduce pain and swelling, and improve their overall mobility/function. Many studies comparing the two approaches have found that the overall recovery converges around the 6-week mark post-operatively. It is important to know that the outcome of the knee replacement when performed through either approach tends to be equivalent at 1 year post operatively.
Will the quad-sparing approach be less painful than a traditional knee replacement?
There is a possibility that you will experience less pain during the early post operatively period. However, long-term pain relief is generally comparable between the approaches.
Is quad-sparing knee replacement the same as the Jiffy knee?
Not exactly, although the premise is similar. Jiffy knee is a trademarked name for a specific knee replacement technique. The goals of the two approaches are similar but not identical. Both approaches have the goal of earlier restoration of function, less post operative pain, and a better early post operative experience.
How can I learn more about the quadricep sparing approach to total knee arthroplasty and why choose Orthopaedic Associates?
Orthopaedic Associates has serviced the region for more than 85 years. Our surgeons provide patients with another option to consider when exploring knee replacement surgery and what might be best for you.
If you wish to learn more about the quadricep sparing approach to total knee arthroplasty, please call our office at (812)-424-9291 to schedule a consultation or request an appointment online.
You do not have to navigate knee replacement decisions alone.
