Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 6 of 24
Surgical Step Description
Careful osteotome and rongeur debridement of impinging intercondylar notch osteophytes. Removing these hypertrophic spurs restores anatomical visualization of the intercondylar notch and provides unhindered access to the cruciate ligament insertions and the distal femoral intramedullary entry site.
Master Class Pro-Tip: Intraoperative Pearl
Thorough notch osteophyte debridement is essential before placing intramedullary femoral instrumentation; residual notch spurring can deflect the starting drill anteriorly, leading to unintended femoral component extension or anterior femoral cortex notching.
Master Class Pro-Tip: Intercondylar Notch Clearance & Drill Trajectory
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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