Most patients worry about pain and prolong recovery time, especially the elderly with simultaneous both knees operation. Traditional surgery usually cut quadriceps tendon and muscle during operation that make post operation painful, blood loss and delay ambulation which end up with poor range of motion and prolong time to waking and stair climbing. Total knee replacement with completely muscle sparing by special subvastus approach is the promisable surgical technique which reproducible, lesser soft tissue injury, lesser complication, lesser blood loss compare to classical medial parapatella technique. Quadriceps muscle is preserved entire operation while classical technique need to cut and repair back later. This is the "avoid muscle cutting" surgical technique result in lesser tissue injury, very fast muscle recovery to flexion extension knee leading to walking and stair climbing within 24-48 hours.
The surgery to replace the artificial knee with the “Completely Muscle Sparing” technique is a modern way to reduce pain after surgery and recover quickly. It can be operated on either osteoarthritis side or simultaneously on both sides with similar result.
The surgery takes only within two hours with all the time protect muscle surgery, allowing weight and walking, knee stretching, sitting, and physical rehabilitation by a physical rehabilitation doctor immediately after recovery within 24-48 hours.
General Major Police Dr. Viroj Larbpaiboonpong, M.D. (Senior consultant orthopedic surgeons specialize in hip and knee surgery.)