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

    RELATED: Register for the 13th Annual Winter Hip & Knee Course

    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.