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MATERIAL AND METHODS423 total knee replacements were performed through MIS subvastus approach from November2002 to February 2004. All cases were performed by the same surgeon. The subvastus approachwas modified to allow more quads excursion so the surgery can be performed withoutdislocating the patella. The data was processed at University of Dundee. The results werecompared to the results of 361 cases of standard subvastus approach performed by the samesurgeon.RESULTS:The average skin incision for the MIS group was 10.2 CM. as compared to 18.4 to the standardsubvastus. There was no significant difference in the blood loss between the two groups. Theprogress with rehabilitation was the same in both groups as well. Hospital stay was also thesameDISCUSSION:Kanasaki et al. (ISTA 2002) has shown that patients who had subvastus approach were able toregain the ability to do a straight leg raising faster than the standard parapateller incision. Theresults in this paper confirm the same showing that the ability of patients to rehabilitate is notrelated only to the size of the incision. Having relatively small incisions help in shorten hospitalstay but did not make any difference in blood loss.CONCLUSION:The subvastus approach is the only true quad sparing approach and it can be performed through10 cm. incision safely even in heavy patients with severe knee deformityFriday, October 8, 2010, 8:40-9:30Session A11: Knee Arthroplasty in the Middle EastINTRODUCTIONFull Flexion After Total Knee Using Lps Flex ImplantIbrahim Gado - American Hospital - Dubai, UAE*Samih Tarabichi - - Dubai, UAE*Email: samtarabichi@yahoo.comThe majority of implants available in the market today were designed to allow for a flexion upto 130 degree angle. The LPS Mobile Flex was designed to accommodate deep flexion, up tofile:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]