Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 24 of 24
Surgical Step Description
Meticulous multi-layer anatomical closure from watertight deep arthrotomy capsule to subcutaneous tissue and running subcuticular skin, establishing a sterile hermetic barrier over the prostheses.
Master Class Pro-Tip: Intraoperative Pearl
Watertight deep fascial and capsular closure is the single most critical factor in preventing postoperative hemarthrosis, superficial wound breakdown, and deep periprosthetic joint infection; always test watertight integrity by flexing the knee to 90° before closing superficial layers.
Master Class Pro-Tip: Layered Extensor Reconstruction & Hermetic Sealing
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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