Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 22 of 24
Surgical Step Description
Application of the patellar clamp holding the polyethylene button firmly compressed against the cancellous patellar bed with the knee held in full axial extension and the foot dorsiflexed until cement polymerization is complete.
Master Class Pro-Tip: Intraoperative Pearl
Maintain continuous perpendicular hydraulic clamp pressure without toggling until the PMMA exotherm is complete; any motion during the curing phase disrupts the cement-bone micromechanical interlock and risks early component loosening.
Master Class Pro-Tip: Perpendicular Compression & Micromechanical Interlock
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
🔗 Knowledge Graph & Clinical Correlates
OrthopaedicsOne Living Semantic Network🩺 Clinical Conditions & Indications
- Which EMR should I choose Original Clinical Contribution: Authored for the OrthopaedicsOne General Orthopaedics Specialty Section. Preserved, digitized, and updated to modern evidence-based...
- Valgus-Unloader Bracing in Knee Osteoarthritis Original Clinical Contribution: Authored for the OrthopaedicsOne Adult Reconstruction Specialty Section. Preserved, digitized, and updated to modern evidence-based...
- Valgus deformity of the knee Valgus deformity is a term for outward angulation of the distal segment of a bone or joint. The...
🔬 Anatomy, Pathology & Diagnostics
- Why I Would Not Consider Navigating My THA Hip Joint & Proximal Femur
- Why I Would Consider Navigating My THA Hip Joint & Proximal Femur
- Why I Use Metal on Metal Hip Joint & Proximal Femur
- Why I Use Cross-Linked Polyethylene Hip Joint & Proximal Femur
💼 Practice Management & Professional Operations
- What Is the Evidence-Based Data for Mobile Bearing Knees Mobile and Wireless