The subvastus approach is a surgical technique for knee replacement that involves accessing the knee joint by splitting the vastus medialis muscle, rather than cutting through it.
1
Preparation
Before surgery, anaesthesia is administered to ensure the patient's comfort.
2
Muscle Preservation:
The vastus medialis muscle is partially split to access the knee joint, preserving muscle integrity.
3
Less Muscle Damage
Compared to traditional approaches that involve cutting through the muscle, the subvastus approach may result in less muscle damage and faster recovery.
By preserving the vastus medialis muscle, the subvastus approach may result in reduced post-operative pain and swelling, enhancing patient comfort and satisfaction. With less muscle trauma and tissue disruption, patients undergoing the subvastus approach knee replacement may experience a quicker recovery and earlier return to activities compared to traditional approaches. Preservation of the vastus medialis muscle and surrounding soft tissues may contribute to improved joint stability and function post-surgery, minimising the risk of complications such as joint instability or weakness. This technique also supports better long-term outcomes and overall knee performance.
Rehabilitation
Physical therapy is initiated soon after surgery to promote muscle strength, joint mobility, and functional recovery. Rehabilitation exercises are tailored to the patient’s specific needs and goals, focusing on restoring optimal knee function and range of motion.
Pain Management
Effective pain management strategies, including medications, icing, and elevation, help alleviate discomfort and facilitate recovery following the subvastus approach knee replacement. Patients are encouraged to adhere to prescribed pain medications and follow post-operative instructions to minimize pain and swelling.
Activity Modification
Patients may need to modify their activities and avoid high-impact or strenuous exercises during the initial stages of recovery to protect the newly replaced knee joint and promote healing. Gradual return to activities is recommended under the guidance of the surgeon and physical therapist to prevent complications and optimize long-term outcomes.