Medial Release in Varus knee is key to balancing the knee right. When done optimally, it reduces reliance on excessive boney cuts and improves patients outcomes.

1. The Art of Medial release
in TKR
Dr Vaibhav Bagaria
Director - Orthopaedics
Sir HN Reliance Foundation Hospital
President - SICOT India
Mumbai, India
It’s Elemental! Series

2. Todays Talk!
• Concept of Clock, Triangle & Layers
• Anatomy
• Art of Medial release during TKR
• from 6 o’clock to 10 o clock anticlockwise
• from level 1 - 3
• from inside out
• Concept of Reduction Osteotomy

3. Release
Layers
Anti-clock wise Top to down Inner to outer
Levels

5. Top to down
Level 3
Level 1
Level 2

6. Inside to Out

10. Capsule
Medial
Retinaculum

11. MPFL
MCL

19. Releasing SM

20. Posteromedial release

21. Releasing POL

22. Consider PCL: PS Implant

26. Level 3 Release

27. Pie Crusting

29. Reduction Osteotomy

30. Reduction Osteotomy

31. Medial Structures

33. It’s Elemental! Series
vaibhavbagaria.com