A resident in scrubs walks a hospital corridor toward the operating room doors, reviewing the case on a phone.

The case open on a phone in the corridor: indications, patient positioning and draping for a total knee arthroplasty.

The operative steps for the case displayed on the intraoperative monitor.

The same monitor running the live intraoperative checklist: positioning, draping and the step count.

The team working at the draped field with the case displayed on the wall monitor behind them.

An office at the end of the day with the case still open on the desk monitor.

07:32 · TOTAL KNEE ARTHROPLASTY

Walk in fully prepared.

Every attending case, the way your attending does it: positioning, steps, case cart, implants, pearls and post-op. On your phone before you scrub. Up on the monitor for the rest of the room.

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07:40 · POSITIONING AND DRAPING

The setup, before you are in the room.

Supine with a hip bump on a Skytron table. DeMayo knee positioner, tourniquet high on the thigh, spinal anaesthetic.

SURGEON PREFERENCE

Their technique, not a textbook's.

Medial parapatellar arthrotomy using a beaver blade, then elevate flaps using Mayo scissors.

08:04 · ON THE MONITOR

Up where the whole team can read it.

Same case, same preferences. The scrub tech is working from the list you are.

OPERATIVE STEPS

Every cut, in the order it is made.

Distal femoral cut at three degrees of valgus off an intramedullary guide. Proximal tibial cut at seven degrees of posterior slope.

08:16 · OR QUICK MODE

One screen, and both hands stay where they are.

Positioning, draping and the live checklist, up for the whole case.

09:02 · UNDERWAY

On time. Everyone on the same step.

POST-OPERATIVE

Ready for the next case, and the next resident.

Post-op plans, preferences and follow-up stay with the case, keeping every handoff clear and consistent.

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Free in the browser. Mac and Windows at orthovaultos.com/download.

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