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Mr. Messerli is 24 hours post-op on a left total knee replacement using the sub-vastus approach, which is a muscle sparing approach that leaves the extensor mechanism intact. he is going home post-op day 1! The muscle sparing approach where there is not any damage to the quadriceps tendon, allows patients to participate in physical therapy more quickly and usually head home on day 1 or 2 from surgery. Learn more about knee replacements at Madison Orthopedics. Call Madison Orthopedics today to schedule your consultation!