5. Stripping the Posterior Capsule

7. Postero-medial capsulotomy Corrects FFD BUT also Corrects varus deformity Fixed flexion with varus deformity Lateral Medial Medial Lateral Do not release the Supficial MCL in a Varus knee

8. Stripping the Posterior Capsule To improve flexion

11. 9 mm resection 11 mm resection 10 mm Insert LCS Rotating Platform Normal Raised Lowered PCO Restoring the Joint Line Bellemans J et al JBJS (Br) 2002 Hanratty et al JBJS (Br) 2007 Posterior stabilised knee

12. 11 mm resection 11 mm resection 14 mm resection 14 mm resection 15 mm insert 15 mm insert Common causes of a decreased PCO Normal Lowered Raised Raising joint line on tibia leads to fixed flexion

22. SEIZA Japanese sitting style (pronounced SAY-ZA) Cultural differences

28. Management of the stiff knee Treatment - 30 Patients with MUA (1.086%) All improved except one Average flexion pre MUA = 53 Average flexion post MUA = 85

34. Thank you