Proposal of a New Reference Point to Determine the Tibial Resection Depth during Total Knee Arthroplasty for Valgus Knees

Takehiko Sugita1, *, Naohisa Miyatake1, Seiya Miyamoto1, Akira Sasaki1, Ikuo Maeda1, Masayuki Kamimura2, Toshimi Aizawa2
1 Department of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai-city, Japan
2 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai-city, Japan

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© 2021 Sugita et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai-city, Japan; Tel: +81-22-371-5511; Fax: +81-22-371-5605; E-mail:


The tibial resection depth during total knee arthroplasty for valgus knees has been variously described and not been standardized yet. Accordingly, it has been proposed in this article, that the sulcus between the medial and lateral intercondylar tibial tubercles can be used as a reference point for the tibial resection depth. The resection can be performed 8 to 9 mm distal to the sulcus.

Keywords: Total knee arthroplasty, Valgus knee, Tibial resection depth, Sulcus, Intercondylar tibial tubercle.