Total Knee Athroplasty
Prior to performing surgery, you can undertake a preoperative educational module reinforcing key surgical anatomy and providing a basic foundation for essential pre- and postoperative procedural knowledge.
You will prepare the knee to receive the femoral, tibial and patellar implants. Using a surgical drill and sagittal saw you will know what it feels like to make all the key resections of the femur, tibia and patella. By applying and setting cutting guides for each resection, you will pay keen attention to the cutting angles required to maintain the correct anatomical and mechanical axes of the leg. You will learn the key depths and sizes of cuts that are required and how these are matched to the implants for your patients’ anatomy, ultimately resulting in better patients’ outcomes.
Before each key surgical objective, knowledge of key anatomy and procedural awareness are assessed. You will learn how to prepare the tibia and patella to receive the implants using the tibial stem punch and patellar drill guide. You will be assessed on the key cuts with respect to the angles, depths and protecting the key lateral, medial and posterior structures of the knee from damage. Finally you will see how the implants are applied to complete the arthroplasty.
You will learn how to:
- Demonstrate preparation of the femoral, tibial and patella surfaces
- Demonstrate the use of resection guides for setting resection angles
- Identify the anatomical structures of the knee joint and use them in clinical decision making
- Understanding the importance of evaluating the extension and flexion gaps
- Understanding the importance of evaluating trial and final implants
- Demonstrate an appropriate combination of procedural accuracy and application of force throughout the procedure
- Identify key anatomical structures in relevant steps and perform steps accordingly
You will be assessed on:
- Understanding of relevant anatomy, pre-operative planning and post-operative patient care.
- Using the surgical drill to develop a hole along the anatomical axis of the femur and tibia to the correct depths and along the correct axis.
- Setting the correct angles for the primary femoral and tibial cuts as relates to the particular patient’s anatomy.
- Using the alignment rod to check the accuracy of the primary cuts by visually examining the rod in comparison to the orientation of the upper and lower leg.
- Your accuracy and completion when using the sagittal saw to resect all the cuts of the femur, tibia and patella.