You will prepare the knee to receive the femoral, tibial and patellar implants. Using a surgical drill and sagittal saw you will know what it feels like to make all the key resections of the femur, tibia and patella. By applying and setting cutting guides for each resection, you will pay keen attention to the cutting angles required to maintain the correct anatomical and mechanical axes of the leg. You will learn the key depths and sizes of cuts that are required and how these are matched to the implants for your patients’ anatomy, ultimately resulting in better patients’ outcomes. You will learn how to prepare the tibia and patella to receive the implants using the tibial stem punch and patellar drill guide. You will be assessed on the key cuts with respect to the angles, depths and protecting the key lateral, medial and posterior structures of the knee from damage. Finally you will see how the implants are applied to complete the arthroplasty.
You will learn how to:
- Use a surgical drill to develop a hole in the intramedullary canal of the femur and tibia in order to receive cutting guides.
- Apply and set the appropriate angle (relevant to the patient’s anatomy) for the femoral and tibial cutting guides.
- Use the sagittal saw to resect the femur, tibia and patella.
- Use an alignment rod inserted into a spacer to assess the angles of your femoral and tibial resections.
- Measure the size of the resected femur and apply the correctly sized 4 in 1 cutting guide.
- Apply and use the 4 in 1 cutting guide and the PS Box cutting guide to develop the femoral resections to receive the final femoral implant, and to perform the associated cuts using the sagittal saw.
- Measure the depth of the patella and apply the cutting guide to resect the correct depth of the patella.
You will be assessed on:
- Using the surgical drill to develop a hole along the anatomical axis of the femur and tibia to the correct depths and along the correct axis.
- Setting the correct angles for the primary femoral and tibial cuts as relates to the particular patient’s anatomy.
- Using the alignment rod to check the accuracy of the primary cuts by visually examining the rod in comparison to the orientation of the upper and lower leg.
- Your accuracy and completion when using the sagittal saw to resect all the cuts of the femur, tibia and patella.