Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 14 of 24
Surgical Step Description
Application of the femoral sizing guide seated flush against the cut distal femur and resting on the posterior condyles to accurately assess anterior-posterior (A-P) sizing and establish 3° of external rotation relative to the posterior condylar axis.
Master Class Pro-Tip: Intraoperative Pearl
In patients with severe valgus deformity or lateral condylar hypoplasia, cross-reference rotation against Whiteside’s line and the transepicondylar axis to avoid excessive femoral internal rotation.
Master Class Pro-Tip: Multi-Axis Femoral Rotational Verification
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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