Difficult exposures in total knee arthroplasty: The femoral peel

Thomas W. Huff, Russell E. Windsor

Research output: Contribution to journalReview articlepeer-review


The exposure of the stiff ankylosed knee in primary and revision total knee replacement presents particular challenges to the bone dissection and ultimate success of the operation. A careful series of technical maneuvers are described to aid the surgeon's ability to properly expose the joint. Particular attention is given to the distal femur because this is the area where the collateral ligaments and posterior capsule are attached. It is also important because adherent scar tissue usually involves tethering of the soft tissue sleeve on the femur. This tissue affects motion to a greater extent than scarring around the proximal tibia. Exposure of the scarred ankylosed knee is the first step toward a successful operation.

Original languageEnglish (US)
Pages (from-to)81-84
Number of pages4
JournalTechniques in Knee Surgery
Issue number2
StatePublished - Jun 1 2007
Externally publishedYes


  • Ankylosis
  • Difficult exposures
  • Femoral peel
  • Femoral stripping
  • Skeletonization

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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