Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 11 of 24
Surgical Step Description
Drilling of the central proximal tibial canal followed by axial impaction of the tibial keel broach, matching rotational alignment with the junction of the medial third and lateral two-thirds of the tibial tubercle.
Master Class Pro-Tip: Intraoperative Pearl
Referencing the medial third of the tibial tubercle rather than the posterior condylar axis ensures anatomical component rotation and avoids internal rotation, the primary mechanical cause of lateral patellar tilt.
Master Class Pro-Tip: Tibial Component Rotational Alignment Landmarks
Curator & Series Attribution
Curated by Dr. Joseph Bernstein, MD (Director of Education) • Managing Editor: Dr. Christian Veillette, MD • OrthopaedicsOne Surgical Education Series • Adult Reconstruction: Knee
Last Updated on September 28, 2026
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