IV needle.

Your bad knee is marked out.

The drugs will contain paralytic agent to keep you from moving, and is amnestic to make you forget about the surgery and relaxant to make you happy.

Tourniquet is applied.

Your leg and foot will be scrubbed thrice with Betadine.

A series of drapes are used to protect you from hard to treat infections.

The incision lines are marked out with a sterile marker, not forgetting perpendicular lines so as to ease matching up of the skin when closing the incision.

The scalpel is used to cut the skin.

Bovie pencil is used to cauterized your veins to reduce blood flow into the surgical field.

Retractors are used to hold the skin and tissue apart.

Elevate and bend the knee to 90deg so that bones are fully exposed.

Rongeur is used to remove any bone spurs on your femar, tibia and patella.

The drill is then used make a hole in your femur so as to set the cutting jig in place.

The jig is put into place to ensure that the cut will be proper.

Mallet is used to hammer in the pins.

The alignment device is then removed, leaving the jig behind.

Here comes the bone saw.

The jig for the tibia is aligned to the big toe and the highest point of the tibia.

Ditto with the hammering and sawing.

Patella jig is used to clamp your patella and again the bone saw is used.

Holes are made in the patella and tibia and chiseled out.

Time for the trial components.

The femoral component, metal tray component, plastic spacer and patella component and inserted.

Test the knee. It should move from 0-130deg.

A special cement compound is used and the components are set in place permanently.

Lay the knee flat so that the components and cement will bond from the pressure.

After about 15 minutes, range of motion test is conducted one final time.

Suture the deep tissues and fat layers.

A suture instead of a stapler is used on the skin for cosmetic purposes.