Dr. Zechmann uses a MIS technique for total knee replacement.  This is a new technique that permits insertion of the joint replacement implants through a short incision - typically about 4" in length - and allows the surgeon to do so without disturbing the quadriceps muscle or tendon. The shorter incision, but more importantly the avoidance of cutting the quadriceps muscle and tendon, may result in less pain, a quicker rehabilitation, and earlier restoration of function. However, this procedure may not be appropriate for all patients with knee arthritis who undergo knee replacement; patients who are heavier, have osteoporosis in addition to arthritis, and who have significant joint deformity or stiffness may be better served with traditional approaches to total knee replacement.