Minimal incision total knee arthroplasty using the suspended leg technique
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Updated: Sep 21, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Peter M Bonutti1, David J Neal, Mark A Kester
1Bonutti Clinic, Effingham, Ill 62401, USA.
Abstract:
This article describes an approach to minimize the soft-tissue trauma associated with total knee arthroplasty. A suspended leg technique provides full access to the knee by using flexion and the weight of the limb to stretch the incision. Violation of the extensor mechanism is minimized and soft-tissue balancing is enhanced with the suspended technique.
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