Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 16 of 24

Surgical Step Description
Application of the 5-in-1 femoral finishing guide flush with the cut distal femur, sequentially performing the anterior resection, posterior condylar resections, and anterior/posterior chamfer bone cuts.
Master Class Pro-Tip: Intraoperative Pearl
Perform the anterior femoral cut first with an angel wing reference blade to visually verify absence of anterior cortex notching, which substantially elevates periprosthetic fracture risk.
Master Class Pro-Tip: Anterior Femoral Resection & Notching Prevention
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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