Posterior Cruciate-Retaining Total Knee Arthroplasty
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Procedure Outline
Introduction
Exposure
- Incision and Arthrotomy
- Blue Towel Draping
- Remove Menisci and Medial Osteophytes (also ACL if Present)
Femoral Cuts
- Draw Whiteside’s Line
- Enter Femoral Canal
- Distal Femoral Cuts
- Anterior Femoral Cortex Cuts
- Complete Medial Release
- Examine Flexion Gap
- Make Anterior and Posterior Femoral Cuts
- Make Anterior and Posterior Chamfer Cuts
Patellar Cuts
- Cut and Shape Patella
- Insert Trial Patella
Tibial Cuts
- Place Tibial Alignment Guide
- Make Tibial Plateau Cuts
- Plug Femoral Canal
- Complete Medial Release
Trial Femoral Component
- Position Trial Component
- Remove Overhanging Osteophytes and Soft Tissue
- Check Flexion Gap with Trial Components
Trial Tibial Components
- Position Trial Component
- Ream Tibia
Cementing
- Fill Cyst with Bone Graft
- Apply Cement and Position Tibial and Femoral Components
- Cement Patella
- Observe Patellar Tracking
- Remove Extruded Cement
Check Stability and ROM
Irrigation, Hemostasis, Hemovacs, and Closure
