TOP 5 MOVES: Dr. Daniel Berry’s Tips for Primary TKA
Every primary total knee arthroplasty (TKA) has a myriad of important technical elements that contribute to the success of the procedure.
For a presentation at ICJR’s 12th Annual Winter Hip & Knee Course on his top 5 tips and techniques for performing a primary TKA, Daniel J. Berry, MD, focused on those that could help the surgeon improve results and prevent complications. These include:
- Exposing the knee adequately, an underappreciated part of TKA that is often the root of subtle technical errors
- Achieving perfect bone cuts to prevent iterative mistakes in implant positioning, limb alignment, and balance
- Using the pie crusting technique to balance the ligaments
- Optimizing the tibial tray position to avoid medial or lateral tray translation
- Avoiding flexion instability
PRO TIP: Pie crusting is a surprisingly powerful tool to iteratively lengthen tissue without overlengthening them. Comparatively, traditional releases are difficult to titrate: Under-releasing can result in recurrent deformity, while over-releasing can lead to instability of the knee.
Click on the image above to hear more from Dr. Berry.
Disclosures: Dr. Berry has disclosed that he receives royalties and research support from and is a paid consultant for DePuy Synthes.