[Expert consensus on clinical pathway for high-conformity total knee arthroplasty through a minimally invasive surgical approach].

Authors

Expert Consensus Development Group On Clinical Pathways For High-Conformity Total Knee Arthroplasty Through A Minimally Invasive Surgical Approach, Project Team Of The Application Demonstration Of Laser Additive Manufacturing For High-Conformity Total Knee Arthroplasty A Key Project Under The National Key Research And Development Program Of China For Additive Manufacturing And Laser Manufacturing Fiscal Year

Published in

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery. Volume 40. Issue 9. Pages 1336-1345. Sep 15, 2026.

Abstract

With the growing demand for total knee arthroplasty (TKA) in patients with end-stage knee osteoarthritis, the integration of minimally invasive surgical concepts with high-conformity personalized prosthesis design has become an important strategy for improving surgical precision and postoperative outcomes. However, standardized clinical pathway guidance for this combined approach remains lacking. Therefore, based on the current body of evidence and through multicenter expert collaboration, this consensus aims to establish a standardized clinical application protocol. The consensus focuses on the technical characteristics of high-conformity prostheses and the principles of mechanical alignment, and systematically develops a comprehensive clinical pathway covering preoperative digital planning, intraoperative precision techniques, and postoperative rehabilitation and follow-up. By standardizing patient selection criteria, refining imaging-based modeling and individualized prosthesis design procedures, optimizing osteotomy accuracy and soft tissue preservation under minimally invasive conditions, and establishing a follow-up system centered on functional baseline comparison and image-based matching verification, this consensus ultimately proposes a closed loop quality management framework spanning preoperative assessment, intraoperative implementation, and postoperative evaluation. It is expected to provide practical guidance for the safe and effective clinical application of high-conformity TKA performed through minimally invasive approaches.

PMID:
42749319
Bibliographic data and abstract were imported from PubMed on 17 Sep 2026.

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