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Title
1. Introduction
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a. Pre-operative Radiographic Evaluation
b. Surgical Timeout
2. Positioning
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a. Patient Supine on Padded Frame
b. Prep and Drape Extremity
c. Apply Tourniquet
3. Exposure
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a. Midline Incision
b. Medial Parapatellar Capsule Opening
c. Evert Patella and Flex Knee
d. Soft Tissue Balancing
e. Remove Osteophytes
f. Excise ACL
4. Bone Cuts
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a. Femoral Bone Cuts
b. Tibial Bone Cuts
c. Pericapsular Injections
d. Trial Femoral and Tibial Components
e. Prepare Patella
5. Component Insertion
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a. Insert Trial Components and Inspect ROM
b. Tourniquet Up Prior to Cementing
c. Check PCL with Trial Components Inserted and Adjust as Needed
d. Prepare Tibia for Component
e. Check for Impingement After all Trial Components Inserted
f. Read Out Sizes on Component Packages to Verify Correct Components Selected
g. Clean and Dry Surfaces, then Cement Components
h. After Cement Cures, Release Tourniquet and Re-check ROM
6. Closure
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a. Irrigate Knee, then Reapproximate Fat Pad
b. Capsule Closed with #2 Quill in a Double Fashion
c. Re-check Full Extension and Gravity Flexion After Capsule Closure
d. Subcutaneous Tissues Closed with 2-0 Vicryl
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Total Knee Arthroplasty
Thomas S. Thornhill, MD
;
David J. Lee, MD
Brigham and Women's Hospital
Tags:
Orthopaedics
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Authors
Thomas S. Thornhill, MD
David J. Lee, MD
Filmed At:
Brigham and Women's Hospital
Article Information
Publication Date
10/21/2024
Article ID
13
Production ID
0076
Volume
2024
Issue
13
DOI
https://doi.org/10.24296/jomi/13