A New Surgical Approach in Total Knee Arthroplasty, Reproducible for Both Primary and Revision Arthroplasty

We have reduced complications in TKA in three directions. 1. The patelloplasty complications using the new approach. 2. To disperse stresses and increase implant stability in situations of severe deformity by adding a tibial stem extension. 3. Reducing the number of septic failures. We have been modifying the conventional medial approach in TKA since 2017. We have performed this modified procedure on 706 TKA patients, 281 of whom were men and 302 of whom were women. Regarding the patellar problems in total knee arthroplasty, we contrasted the findings with those of other research. The main distinction between the two surgical techniques relates to TKA's patellar problems. Patellar dislocation or subluxation, stress fractures, or avascular necrosis have not been observed in patients who have used the medial modified approach. Of the 706 TKA cases, 80 exhibited severe abnormalities such severe varus-valgus deviation, osteoporotic bone structure, or substantial previous flaws. With or without tibial stem extension, the same kind of implants were utilised. We had a lower septic incidence rate (1.27%) than other countries (2.7%). In some sepsis situations, the procedure facilitates the surgery using the modified approach. This approach is reproducible, gives a large exposure and allows even the revisions through the same approach. It is useful even in severe knee deformity, allowing tibial stem extension. The recovery is good due to the tendinous healing.