Total Knee Arthroplasty (TKA): Step-by-Step Surgical Photo Tour • Step 8 of 24
Surgical Step Description
Controlled tibial external rotation coupled with leverage on a blunt Hohmann retractor cleanly delivers the posterior-medial corner of the proximal tibia forward into the primary surgical viewing corridor.
Master Class Pro-Tip: Intraoperative Pearl
Seat the lateral retractor directly over the lateral tibial margin and avoid excessive levering against the patellar tendon insertion at the tubercle to prevent iatrogenic extensor tendon avulsion.
Master Class Pro-Tip: Tibial Delivery & Extensor Insertion Protection
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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