TKA Steps Complete Actual Exam Questions Fully Solved.

step 1 - correct answer enter the IM canal to find the anatomic axis--with IM drill step 2 - correct answer IM rod is placed to mark anatomic axis step 3 - correct answer valgus alignment guide 4 - correct answer distal femoral cutting block step 5 - correct answer cut distal femur (from anterior to posterior) 6 - correct answer size the femur ( and get 3 degrees to find the TEA) what is the TEA - correct answer transepichondial axis step 7 - correct answer get 4-in-1 cutting block out (APPA) 7A- using the box guide IF we are taking out PCL step 8 - correct answer put on tibia alignment guide (posterior tilt and height of cut) 9 - correct answer cut the tibia 10 - correct answer size the tibia 11 - correct answer trial the femur and tibia (initial trial) 12 - correct answer measure thickness of the patella (avg. is 24/25 mm thick) 13 - correct answer cut patella (leaving around 14 mm) 14 - correct answer size the patella step 15 - correct answer drill the patella pegs step 16 - correct answer patella trial 17 - correct answer re-trial all components 18 - correct answer punching tibial keel what is the keel - correct answer the spike at the bottom of the tibial implant step 19 - correct answer cement the implants 20 - correct answer retrial the plastic insert step 21- last step - correct answer insert the poly why do we cut the tibia from the high side rather than the low? - correct answer because of the deformity; the low side is medial 85% of the time because most people are varus how do you know the tibia alignment guide is right - correct answer has to be straight down the tibia, in alignment with the center of the knee and coming out of the second metatarsal the step directly after making a cut is what? - correct answer size the cut; every time