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Medial parapatellar approach

Medial parapatellar approach

Neurovascular structures

The saphenous nerve runs along the medial aspect of the distal femur. The infrapatellar branches of the saphenous nerve lie on the medial and inferior aspects of the patella. Postoperatively, there may be minor sensory disturbance around and below the scar, but significant saphenous nerve damage is avoidable. Occasionally, there may be postsurgical saphenous nerve neuroma formation which is rarely a significant problem.

The long saphenous vein should be preserved.

There are no surgically important arteries on the medial side of the knee joint.