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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
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
Release
Layers
Anti-clock wise Top to down Inner to outer
Levels
Top to down
Level 3
Level 1
Level 2
Inside to Out
Capsule
Medial
Retinaculum
MPFL
MCL
Releasing SM
Posteromedial release
Releasing POL
Consider PCL: PS Implant
Level 3 Release
Pie Crusting
Reduction Osteotomy
Reduction Osteotomy
Medial Structures
It’s Elemental! Series
vaibhavbagaria.com

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