The document describes the basic steps for performing a total knee replacement (TKR) surgery, including making an incision, exposing the femoral and tibial bones, preparing the femur with a 6 degree valgus cut and tibia with a 6mm cut with 3 degree posterior slope, measuring and sizing cuts on the femur and tibia, positioning and implanting the femoral and tibial trays, and closing the surgery.

1. Basic TKR
dr M Hidayat Siregar, Mked(surg),
SpOT

2. Skin incision and landmark

3. Femoral and tibia exposed

4. Femoral preparation and valgus distal femoral cut
measurement( 6 degree valgus)

5. Final distal cut zig placement

6. Distal femoral cut(9mm standard cut)

7. Tibial preparation, measuring tibial cut(
pointer must place at ¾ posteriorly)

8. Tibial cut( 6mm with 3 degree
posterior slope )

9. Measuring extension gap

10. 3 degree external rotation and
anterior cut measurement and sizing

11. Preparation to ant,post,camfer cut

12. Femoral positioning ( lateral
placement )

13. Prep for box osteotomy

14. Box osteotomy

15. Tibial tray positioning and sizing

16. Tibial tray implant palcement

17. Femoral implant placement

18. Final placement