Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 17 of 24
Surgical Step Description
Intercondylar notch box cut preparation for a posterior cruciate-substituting (PS) femoral housing, placed flush with the anterior chamfer and shifted slightly lateral for optimized patellar tracking.
Master Class Pro-Tip: Intraoperative Pearl
Positioning the femoral component and notch housing slightly lateral against the lateral condyle optimizes patellar tracking across the trochlea, reducing shear stresses across the patellofemoral articulation.
Master Class Pro-Tip: Lateralized Housing Placement & Trochlear Mechanics
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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