More Than Just a Total Knee 4 in 1 Block: Educational For Ortho Residents and Fellows

Description

In this educational video, orthopedic surgeon Adam Rosen presents an insightful discussion aimed primarily at orthopedic residents and fellows, focusing on the complexities and nuances involved in performing knee replacement surgeries. He emphasizes that the procedure is far more than just making a series of cuts; it requires careful consideration of numerous anatomical and biomechanical factors. Throughout the talk, Rosen shares personal experiences and lessons learned over time, helping to highlight the importance of careful planning and assessment with instruments like the 4 in 1 cutting guide.



Rosen begins by addressing the foundational steps of a knee replacement, noting that as one gains experience, they will understand that the process includes much more than the initial actions of measuring and cutting. He stresses the need to consider rotation, sizing, and the implications of each surgical decision. Using the Stryker Triathlon system as an example, he explains how to properly position the cutting guide and assess factors such as the width and alignment relative to the tibial axis.



He discusses common pitfalls, particularly related to valgus knees, where he notes the tendencies to over-externally rotate the component, leading to imbalanced gaps necessitating excessive medial releases. Throughout the talk, Rosen emphasizes the need to anticipate surgical outcomes and adjust strategies accordingly, utilizing techniques that allow for increased flexibility in balancing the knee joint.



As audience members may vary in their backgrounds, Rosen encourages discussions and listening, welcoming curiosity from patients as well. He concludes with a reminder of the importance of continuous learning and adapting in orthopedic surgery, encouraging viewers to reflect on their past experiences to enhance their future practices.

DOI: 10.1302/3114-240965

Specialties