Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 21 of 24

Surgical Step Description
High-pressure pulsed lavage bone drying followed by pressurization of doughy PMMA bone cement into trabecular bone, seating the components and placing a protective laparotomy sponge over the femoral component during curing.
Master Class Pro-Tip: Intraoperative Pearl
Meticulously inspect and clear the posterior femoral condylar recesses of extruded cement before the PMMA fully polymerizes; retained posterior cement osteophytes are a leading cause of painful postoperative impingement and flexion restriction.
Master Class Pro-Tip: Posterior Condylar Debridement & PMMA Pressurization
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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