Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 15 of 24

Surgical Step Description
Intramedullary distal femoral resection block positioned in fixed 5° to 6° of valgus (matched to preoperative long-leg mechanical axis alignment), executing the distal planar bone cut.
Master Class Pro-Tip: Intraoperative Pearl
Confirm the distal cutting block is seated completely flush against the distal femoral subchondral bone; soft-tissue interposition beneath the block alters the valgus cut angle and causes joint line obliquity.
Master Class Pro-Tip: Distal Femoral Valgus Angle & Subchondral Seating
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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