Triathlon Knee System Universal Baseplate Surgical … Triathlon Universal...Triathlon® Knee System...

�

Triathlon® KneeSystem UniversalBaseplate SurgicalProtocol

�

Table of Contents

Acknowledgments ................................................................................................... 2

Introduction ............................................................................................................ 2

Assembly Instructions............................................................................................. 4

Tibial Preparation ................................................................................................... 10

Option�–ExtramedullaryReferencing........................................................�0

Flexion/ExtensionAlignment.............................................................�0

Varus/ValgusAlignment......................................................................�0

TibialSlopeAdjustment......................................................................�0

RotationalAlignment..........................................................................��

Option�–IntramedullaryReferencing.........................................................��

RotationalAlignment..........................................................................��

Varus/ValgusAlignment......................................................................��

EstablishTibialResectionLevel......................................................................�3

TibialResection...............................................................................................�4

Option�:TibialAugmentResection..............................................................�4

FlexionandExtensionGaps...........................................................................�6

TibialComponentSizing................................................................................�6

TibialTrialAssessment....................................................................................�6

Option�:TibialAugmentResection..............................................................�8

TibialReamingfortheCementedStem.........................................................�9

TibialKeelPunching.......................................................................................�0

Catalog...................................................................................................................... 22

Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol

�


Acknowledgments

StrykerOrthopaedicswishestothanktheentireTriathlon®UniversalBaseplateSurgeonPanelandthedozensofsurgeonsworldwidewhoguidedthedesignanddevelopmentoftheTriathlon®UniversalBaseplateInstrumentation.

Introduction

TheTriathlon®KneeSystemInstrumentationhasbeendevelopedbasedonStryker’s30-yearorthopaedichistory.ThesystemcombinestheexpertiseoforthopaedicandhumanfactorsengineerswiththatofsurgeonsandORstaffworldwide.

Indications

TheTriathlon®TotalKneeSystemcomponentsareintendedforuseinprimarytotalkneearthroplastyandrevisionofauni-kneearthroplastyorHighTibialOsteotomytoalleviatepainandrestorefunctionforpatientssufferingfrom:

> Painful,disablingjointdiseaseofthekneeresultingfrom:degenerativearthritis,rheumatoidarthritisor post-traumaticarthritis.

> Post-traumaticlossofkneejointconfigurationandfunction.

> Moderatevarus,valgus,orflexiondeformityinwhichtheligamentousstructurescanbereturnedto adequatefunctionandstability.

> Revisionofpreviousunsuccessfuluni-kneereplacementorotherprocedure

> Ligamentousinstabilityrequiringimplantbearingsurfacegeometrieswithincreasedconstraint.

> Absentornon-functioningposteriorcruciateligament.

Contraindications

> Anyactiveorsuspectedlatentinfectioninoraboutthekneejoint.

> Distantfociofinfectionwhichmaycausehematogenousspreadtotheimplantsite.

> Anymentalorneuromusculardisorderwhichwouldcreateanunacceptableriskofprosthesisinstability, prosthesisfixationfailure,orcomplicationsinpostoperativecare.

> Bonestockcompromisedbydisease,infectionorpriorimplantationwhichcannotprovideadequate supportand/orfixationtotheprosthesis.

> Skeletalimmaturity.

> Severeinstabilityofthekneejointsecondarytotheabsenceofcollateralligamentintegrityandfunction.

> Obesity.

Warnings and Precautions

Thepatientmustbeadvisedofboththelimitationsofthereconstructionandtheneedforprotectionoftheimplantfromfullweightbearinguntiladequatefixationandhealinghaveoccurred.Excessiveactivityandtraumaaffectingthejointreplacementhavebeenimplicatedinfailureofthereconstructionbyloosening,fractureand/orwearoftheprostheticimplants.Looseningofthecomponentscanresultinincreasedproductionofwearparticles,aswellasdamagetothebone,makingsuccessfulrevisionsurgerymoredifficult.

Thepatientshouldbecautionedtolimitactivitiesandprotectthereplacedjointfromunreasonablestresses,andtofollowtheinstructionsofthephysicianwithrespecttofollow-upcareandtreatment.

Thepatientshouldbewarnedofsurgicalrisks,andmadeawareofpossibleadverseeffects.Thepatientshouldbewarnedthatthedevicedoesnotreplicatetheflexibility,strength,reliability,ordurabilityofanormalhealthyjoint,thattheimplantcanbreakorbecomedamagedasaresultofstrenuousactivityortrauma,andthatthedevicehasafiniteservicelifeandmayneedtobereplacedinthefuture.

Appropriateselection,placementandfixationofthetotalkneecomponentsarecriticalfactorswhichaffectimplantservicelife.Asinthecaseofallprostheticimplants,thedurabilityofthesecomponentsisaffectedbynumerousbiologic,biomechanicandotherextrinsicfactors,whichlimittheirservicelife.Accordingly,strictadherencetotheindications,contraindications,precautionsandwarningsforthisproductisessentialtopotentiallymaximizeservicelife.

3

AssemblyInstructions

4


Assembly Instructions

ManyoftheTriathlon®KneeSystemInstrumentshaveuniquemechanismsincorporatedtoassistsurgeonsandORstaff,inasimplified,efficientsurgicalexperience.Therefore,assemblyinstructionshavebeenincludedinthefirstsectionofthissurgicaltechniquetoassistwithinstrumentsthatmaybepre-assembledonthebacktable,aswellasotherinstrumentsthatneedtobeassembled.

Allofthemechanismsthatallowinstrumentstobeadjustedand/orassembledhavebeenpolished.

Thesurgicaltechniquecanbefoundinthenextsectionbeginningonpage�0.

Revision Tibial Resection Guide and Revision Sagittal Resection Guide Assembly:

> SqueezethetabsontheRevisionSagittalResection GuideandinsertintotheRevision TibialResectionGuide

> ReleasethetabsandensurethattheRevisionSagittal ResectionGuideislockedinplace.

Assembly 1

�

Assembly 2A

Assembly 2B

Assembly 2C

Universal Tibial Template, Tibial Augment Trial, Alignment Handle and PS or CR Tibial Insert Trial Assembly:

> LineupthepinsoftheTibialAugmentTrialwith theholesonthecorrespondingsizedUniversal TibialTemplate.MagnetsintheTibialAugment TrialwilllockittotheUniversalTibialTemplate.

> PosteriorholeandChannelofUniversalTibial Template.

> Depressandholdthebronzeleverontheanterior positionoftheAlignmentHandle.Insertthe spring-loadedtipoftheAlignmentHandleintothe centralposteriorholeoftheUniversalTibial Template.Holdthehandleataslightangletothe topsurfaceofthetemplate.

> Compressthespring-loadedtipbypushingit forwardandlowertheAlignmentHandleinto thechannelontheanteriorportionoftheUniversal TibialTemplate.Releasethespringtensionand allowtheAlignmentHandletoengagetheUniversal TibialTemplate.

> Releasethebronzelevertosecuretheassembly.

Ass

em

bly

6


> PositionaPSorCRTibialInsertTrialtothe UniversalTibialTemplatebyfirstpositioningit posteriorly,ata�0-30degreeangletothetemplate andthenfullyseatitanteriorly.

Assembly 2D

Universal Tibial Template, Tibial Resection Guide Link, and Revision Tibial Resection Guide Assembly:

> SqueezethetabsontheTibialResectionGuideLink andinsertintotheRevisionTibialResectionGuide.

> ReleasethetabsandensurethattheRevisionTibial ResectionGuideislockedinplace.

> AssembletheTibialResectionGuideLinkto theUniversalTibialTemplatebyinsertingtheTibial ResectionGuideLink,ataslightangletothe UniversalTibialTemplate,intothetwolocatingslots towardstheposteriorportionoftheUniversalTibial Template.

> AllowtheTibialResectionGuideLinktositflaton theUniversalTibialTemplate.MagnetsintheTibial ResectionGuideLinkwilllockittotheUniversal TibialTemplate.

Assembly 3

�

Assembly 4A

Assembly 4B

Assembly 5A

Modular Keel Trial, Stem Trial, Tibial Augment Trial, and Universal Tibial Template Assembly:

> LineupthepinsoftheTibialAugmentTrialwith theholesonthecorrespondingsizedUniversal TibialTemplate.MagnetsintheTibialAugment TrialwilllockittotheUniversalTibialTemplate.

> ManuallythreadtheappropriatelysizedStemTrial intotheModularKeelTrialuntilthebaseofthe threadsoftheStemTrialsitflushwiththedistal- mostsurfaceoftheModularKeelTrial.

> UsingtheHeadedNailImpactor/Extractor,drop theModularKeelTrial/StemTrialsubassembly downverticallythroughthetopoftheUniversal TibialTemplate.TheModularKeelTrialwillseat flushintheUniversalTibialTemplate.

Modular Handle, Tibial Counter Wrench, Universal Torque Wrench, Slip Torque Handle, 1/8” U-Joint Hex Drive, Universal Baseplate, Tibial Augment and Cemented Stem Assembly:

> SnapboththeTibialCounterWrenchandUniversal TorqueWrenchintoanImpactionHandle.

> AssembletheTibialCounterWrenchoverthekeel oftheUniversalBaseplateandseatitflushoverthe distalsideofthebaseplate.

> AssembletheUniversalTorqueWrenchtothehex ontheendcapoftheUniversalBaseplate.Torque thewrenchcounter-clockwiseawayfromtheTibial CounterWrenchuntiltheendcaploosens.

> Manuallyunthreadtheendcapanddiscard.

Ass

em

bly

8


Assembly 5B

Assembly 5C

Assembly 5D

> ManuallythreadtheCementedStemintothebossof theUniversalBaseplate.

> AssembletheTibialCounterWrenchoverthekeel oftheUniversalBaseplateandseatitflushoverthe distalsideofthebaseplate.

> AssembletheUniversalTorqueWrenchtothehex ontheCementedStemlocatedatthebaseofthe thread.TorquedowntheCementedStemto ��0-�80in/lbs(SeeInset).

> Snapthe�/8”U-JointHexDriveintotheSlip TorqueHandle.

> PlacetheTibialAugmentonthedistalsideofthe UniversalBaseplate.VerifybothpinsoftheTibial Augmentareengageintotheslotsontheunderside oftheUniversalBaseplateandthattheTibial Augmentisseatedflush.Usingthe�/8”U-JointHex Drive,torquethehelicalboltcapturedwithinthe tibialaugmentuntilthetorquedriverslips,atwhich timeyouwillhearanaudibleclick.Verifythatthe helicalboltisengagedwiththeslotcutintothekeel theUniversalBaseplate.Repeatonasecond augmentifrequiredontheotherside.

9

SurgicalProcedure

�0


Figure 1

Figure 2

Figure 3

Tibial Preparation > Therearetwooptionsfortibialpreparation: extramedullary(EM)referencingalignmentand intramedullary(IM)referencingalignment.

> TheRevisionTibialResectionGuide,availablein LeftandRightconfigurations,aswellasCaptured andOpenconfigurations,isdesignedtoavoidsoft tissueimpingement.

Option 1 – ExtramedullaryReferencing> Thetibialresectionassemblyhasfiveparts:the appropriateRevisionTibialResectionGuide,the AnkleClamp,theDistalAssembly,theProximalRod andtheTibialAdjustmentHousing.Theseare assembledfirst.

Note:The0degreeTibialAdjustmentHousingisavailablein0°slope(posteriorstabilized)and3degreeslope(cruciateretaining).The0degreeTibialAdjustmentHousingshouldalwaysbeusedforpreparingfortheUniversalBaseplateifastemisindicated.

Flexion/Extension Alignment

> TheposteriorlongfixationpinoftheProximalRod ispartiallyseatedintheproximaltibiatostabilize theassembly.Placetheankleclamparoundthe ankleandunlockthelockingswitch.

> Flexion/Extensionalignmentiscorrectwhenthe longaxisoftheassemblyparallelsthemid-coronal planeofthetibia.Flexion/Extensionalignment canbecheckedbyverifyingthatthelongaxisofthe assemblyisparalleltothefibula.

Varus/Valgus Alignment

> Medial/Lateraloffsetcanbeadjustedbypushing thebronzebutton(�)andslidingtheassembly mediallyuntiltheshaftintersectsthecenterofthe tibia.

> Oncetriaxialalignmentisachieved,releasethe bronzebutton.

Tibial Slope Adjustment

Note:IftheProximalRodisparalleltothetibia,theslopeis0degrees.

> Tibialslopecanbeadjustedbypressingthebronze button(�).

��

Tib

ial

Pre

para

tion

InstrumentBar

Figure 1

Figure 2

Rotational Alignment> Rotatetheentireassemblytoensurethatthebaseoftheassemblyisalignedwiththecenteroftheankle.Thecenteroftheankleisgenerallyinlinewiththesecondmetatarsalorthemedial�/3ofthetibialtubercle.

> FixtheentireassemblyinplacebystrikingtheproximalendoftheProximalRodwithamallet,securingthetwofixationpins.

> Oncealignmentisconfirmed,setthebronzelockingswitchontheDistalAssemblytothelockedposition.

Option 2 – ExtramedullaryReferencing> Attachthe3/8”IMDrilltotheUniversalDriverandcreateaholeinthelocationdeterminedbythepreoperativeX-rays.

Left 6543-2-700 Right 6543-2-701

RevisionTibialResectionGuide-Open

Left 6543-2-710 Right 6543-2-711

RevisionTibialResectionGuide-Captured

��

Rotational Alignmen

> WiththebodyoftheTibialAlignmentJigIMresting ontheproximaltibia,properrotationalalignmentis achievedbyrotatingtheinstrumentaboutthe�/�6” IMRodsothattheverticalmountingbarisoverthe medial�/3ofthetibialtubercle.AHeadlessPinor the�/8”Drillistheninsertedintothefixationhole tofixrotation(SeeInset).


Figure 6

Figure 7

Figure 8

> AttachtheT-HandleDrivertothe�/�6”IMRodand slowlypassintothecanal,ensuringclearance. Removethe�/�6”IMRodandinsertitintothebody oftheTibialAlignmentJigIM.Theassemblyisthen insertedintothecanaluntiltheisthmusisengaged.

Varus/Valgus Alignment

> AssembletheappropriateRevisionTibialResection Guide(leftorright)andTibialAdjustmentHousing.

Note:The0°TibialAdjustmentHousingisavailable

in0°slope(posteriorstabilized)and3°slope(cruciateretaining).The0°TibialAdjustmentHousingshouldalwaysbeusedforpreparingfortheUniversalBaseplateifastemisindicated.

> Attachtheassemblyontothemountingbarby pressingthebronzewheelontheTibialAdjustment Housing.AttachtheUniversalAlignmentHandle totheRevisionTibialResectionGuideandslidea UniversalAlignmentRodthroughthehandlefor sagittalassessment.

> Whenalignmentisconfirmed,theUniversal AlignmentHandleshouldbecenteredoverthe ankle.

�3

Tib

ial

Pre

para

tion

InstrumentBar

Figure 9

[Thefollowingappliestobothextramedullaryandintramedullaryalignment.]

Establish Tibial Resection Level> TheTibialStylusattachestotheRevisionTibial ResectionGuidewiththe“9”endreferencingthe lowestleveloftheunaffectedcompartment.

> 9mmofbonewillberesectedwiththeinitial proximaltibialresection.Alternatively,ifthe“�” endoftheTibialStylusisused,theamountofbone resectedwiththeinitialproximaltibialresectionwill be�mmbelowthetipofthestylus.

> TheheightoftheRevisionTibialResection Guide,TibialStylusandTibialAdjustmentHousing canbeadjustedusingthebronzewheelontheTibial AdjustmentHousing.Forcoarseadjustment,press thebronzewheelandslidetheassemblyupordown. Forfineadjustment,turnthebronzewheeltothe righttomovetheassemblyuptheProximalRodor turnlefttomovetheassemblydowntheProximal Rod.

�4

> RemoveallalignmentinstrumentsleavingonlytheRevisionTibialResectionGuideinplace.

• IfOption�EMAlignmentwasused:The AnkleClamp,DistalAssembly,ProximalRod andTibialAdjustmentHousingareremoved. Toremovetheassembly,releasethebronze lockswitch,squeezethebronzewheelonthe TibialAdjustmentHousingandlifttheleverarm ontheProximalRodwhileholdingthewheel releasehighenoughtoclearpins.Squeezethe bronzetabsandremovetheankleclamp assembly.Thiswillallowtheassemblyto disengagefromtheRevisionTibialResection Guideandreleasethefixationpegsfromthe plateau.

• IfOption�IMAlignmentwasused:Squeeze thebronzetabsontheTibialAdjustment Housingtodisengagetheassemblyfromthe RevisionTibialResectionGuide.SlidetheTibial AdjustmentHousinganteriorly.Removethe �/�6”IMRod,theTibialAlignmentJigIM,the TibialAdjustmentHousingandtheUniversal AlignmentHandle.

Figure 10

Tibial Resectio

> Initialresectionoftheproximaltibiaisnowcompleted.

Option 1:TibialAugmentResection> Ifanadditional�mmtibialaugmentresectionisrequired,resectthetibiathroughtheslotmarked“,�”ontheRevisionTibialResectionGuide.Optionally,tomakeanopen-faced�mmtibialaugmentresection,removethe“X”pinanddroptheresectionguidedownontothe+�mmpins.Resectthetibiaonthetopsurfaceoftheresectionguide.

Figure 11


��

Tib

ial

Pre

para

tion

InstrumentBar

Figure 12

> Ifanadditional�0mmtibialaugmentresectionis required,removethe“X”pinanddroptheresection guidedownontothe+�mmpins.Resectthetibia throughtheslotmarked“,�”ontheRevisionTibial ResectionGuide.

> Ifa�mmor�0mmaugmentresectionhasbeen made,thesagittalslotinthecenteroftheRevision TibialResectionguidecanbeusedwithasagittal sawtocompletetheaugmentresection.Thissagittal resectionwillover-resectthetibia3mmsagittally relativetothetibialaugment.Optionally,assemble theRevisionSagittalResectionGuidetotheRevision TibialResectionGuide.Toresectthetibiasagittally linetolinewiththetibialaugment,resectalong thesidewall(closesttotheaugmentresection)of thesagittalresectionguide.Toover-resectthetibia 3mmsagittally,resectthroughthecentralslotofthe guide.Over-resectionofthetibia3mmsagittally willallowforapproximately+/-3degreeofrotation whendeterminingtherotationofthetibial component.

> RemovetheRevisionTibialResectionGuide.

6543-2-70

TibialSagittalResectionGuide

�6

Tibial Component Sizing

> PlacethePSorCRFemoralTrialonthefemur.

> Subluxthetibiaanteriorly.AssembleaUniversal TibialTemplate,theappropriateTibialAugment Trial(s),AlignmentHandleandaPSorCRTibial InsertTrial.

> Placetheassemblyontheresectedtibialplateauand choosethesizethatbestaddressesrotationand coverage.

> Performatrialreductiontoassessoverall componentfit,ligamentstabilityandjointrangeof motion.

Note:Ensureallexcessdebris(boneandsofttissue)isclearedfromtheUniversalTibialTemplate.


Figure 13

Figure 14

Figure 15

Flexion and Extension Gaps

> Theflexiongap(90degree)andtheextensiongap (0degree)maybeassessedusingtheAdjustable SpacerBlock.Iftibialaugmentationhasbeen preparedfor,assembletheappropriatethickness ofSpacerBlockAugmenttotheappropriateside ofthelowerpaddle.Thenumbersonthe thumbwheelcorrespondtotheimplantinsert thickness.LifttheUpperPaddleGriptofreethe adjustmentwheel.Alignthenotchwiththe appropriatethickness(seeInset)andassessthe gapspaceuntiltheappropriateinsertthicknessis established.

> AUniversalAlignmentRodcanbeplacedthrough theholeontheAdjustableSpacerBlocktocheck alignment.

Tibial Trial Assessment

> Foranoptionaltibialalignmentcheck,inserta UniversalAlignmentRodintothemostanterior holeoftheAlignmentHandleandcheckalignment.

��

Tib

ial

Pre

para

tion

InstrumentBar

Figure 16

> Placethekneeinfullextensionandassessoverall alignmentintheA/PandM/Lplanes.

> A�/8”drillcanbeinsertedintothelateralhole ontheanteriorsurfaceoftheFemoralTrialtoaidin alignment.

5mm 6543-4-605 10mm 6543-4-610

AdjustableSpacerBlockAugment

�8

> IfadditionalfixationisrequiredaftereitherOption �or�isused,placeuptofourHeadedNailsinthe holesontheUniversalTibialTemplateintothetibial plateau.

> Trialsmaybereassembledtothepinnedtemplate foranysubsequenttrialreductions.


Figure 17

Figure 18

Figure 19

> TherearetwooptionstosecuretheUniversalTibial Templatetothetibia:

• Option�:Oncesatisfactoryalignmentand tibialcomponentorientationareachieved, removethePSorCRFemoralTrial.Place twoHeadlessPinsintheanteriorholestosecure theUniversalTibialTemplate.Disassemblethe TibialTrialInsertfromtheUniversalTibial Template.

• Option�:Oncesatisfactoryalignmentand tibialcomponentorientationareachieved,mark theanteriortibialcortexinlinewiththe referencemarksontheanteriorborderof theUniversalTibialTemplate.RemovethePS orCRFemoralTrialanddisassemblethe TibialTrialInsertfromtheUniversalTibial Template.RepositiontheUniversalTibial Template(ifrequired)byaligningtheanterior referencemarksonthetemplatewiththe referencemarksontheanteriorcortex.The templateispositionedflushtotheanteriortibial cortex.PlacetwoHeadlessPinsintheanterior holestosecuretheUniversalTibialTemplate.

Option 2: Tibial Augment Resection

> AssembletheRevisionTibialResectionGuidetotheTibialResectionGuideLink.

> AssembletheTibialResectionGuideLinktotheUniversalTibialTemplate.TheTibialResectionGuideLinkwillautomaticallyshifttheRevisionTibialResectionGuidedistally�mmsuchthattheopenfaceresectionwillpreparefora�mmaugment.

> Ifanadditional�0mmtibialaugmentresectionisrequired,resectthetibiathroughtheslotmarked“,�”intheRevisionTibialResectionGuide.Optionally,tomakeanopen-faced�0mmtibialaugmentresection,removethe“X”pinanddroptheresectionguidedownontothe+�mmpins.Resectthetibiaonthetopsurfaceoftheresectionguide.

> RemovetheUniversalTibialTemplate,RevisionTibialResectionGuideandTibialResectionGuideLink.AssembletheappropriatelysizedTibialAugmentTrialtotheUniversalTibialTemplateandpintheconstructtotheproximaltibia.

�9

Tib

ial

Pre

para

tion

InstrumentBar

Figure 20

Figure 21

Tibial Reaming for the Cemented Stem

> AssembletheKeelPunchGuidetotheUniversalTibialTemplatebyinserting,ataslightangletothetopoftheUniversalTibialTemplate,intothetwolocatingslotstowardtheposteriorportionoftheUniversalTibialTemplate.AllowtheKeelPunchGuidetositflatontheUniversalTibialTemplateandpushforwardonthehandletolocktheKeelPunchGuidetotheUniversalTibialTemplate.

> AttachtheBossReamertotheUniversalDriver.PlacetheBossReamerintotheKeelPunchGuide.ReamtotheappropriatedepthmarkerindicatedbythestepontheReamershank(UptothestepforSize�-3KeelPunchGuideandallthewaytothestopforSize4-8KeelPunchguide).

See Catalog

TibialAugmentTrial

6543-2-703

TibialResectionGuideLink

6543-4-517

TibialBossReamer

�0


Figure 22

Figure 23

Figure 24

> AttachtheappropriateCementedStemReamerto theUniversalDriver.PlacetheCementedStem ReamerintotheKeelPunchGuide,insertingthe CementedStemReamerBushingintothecentral holeoftheKeelPunchGuide.

> TheCementedStemReamerBushinghastwodepth indicators:onecorrelatestotheSize�-3KeelPunch GuideandtheothercorrelatestotheSize4-8Keel PunchGuide(seeinset).Reamuntiltheappropriate depthmarker(�0mmor�00mm),indicatedbya grooveontheCementedStemReamer,linesupwith theappropriatesurfaceontheCementedStem ReamerBushing.

Tibial Keel Punching

> WiththeKeelPunchGuidestillassembledtothe UniversalTibialTemplate,placetheappropriate KeelPunchintotheKeelPunchGuide.Useamallet toimpactthepunch.AdvancetheKeelPunchuntil itseatsfullyintheKeelPunchGuide.

��

Tib

ial

Pre

para

tion

InstrumentBar

Figure 25

> ToextracttheKeelPunch,liftupontheKeelPunch Guidehandleandpullthehandletocantileverthe KeelPunchoutofthetibia.

11mm 6543-4-511 14mm 6543-4-514

CementedStemReamer

��


Catalog# Description QuantityinKit

Triathlon Universal Baseplate Preparation Kit Contents - Upper Tray6543-2-620 ModularKeelTrial �

6543-2-700* RevisionTibialResectionGuide-LeftOpen �

6543-2-701* RevisionTibialResectionGuide-RightOpen �

6543-2-702 TibialSagittalResectionGuide �

6543-2-703 TibialResectionGuideLink �

6543-2-710* RevisionTibialResectionGuide-LeftCaptured �

6543-2-711* RevisionTibialResectionGuide-RightCaptured �

6543-4-511 CementedStemReamer-��mm �

6543-4-514 CementedStemReamer-�4mm �

6543-4-517 TibialBossReamer �

6543-4-605 AdjustableSpacerBlockAugment-�mm �

6543-4-610 AdjustableSpacerBlockAugment-�0mm �

6543-4-800 TibialCounterWrench �

6543-4-802 �/8”U-JointHexDrive �

6543-4-818 UniversalTorqueWrench �

6541-8-040 TriathlonUniversalBaseplatePreparationUpperTray �

6541-9-000 TriathlonCase �

Total Quantity 19*Note:OnlyonesetofRevisionTibialResectionGuides(OpenorCaptured)comeswitheachkit.

�3

Cata

log

Catalog# Description QuantityinKit

Triathlon Universal Baseplate Preparation Kit Contents - Lower Tray5560-T-112 CementedStemTrial-��x�0mm �

5560-T-209 CementedStemTrial-9x�00mm �

5560-T-212 CementedStemTrial-��x�00mm �

5545-T-101 TibialAugmentTrial#�LM/RL-�mm �

5545-T-102 TibialAugmentTrial#�RM/LL-�mm �



5545-T-301 TibialAugmentTrial#3LM/RL-�mm �

5545-T-302 TibialAugmentTrial#3RM/LL-�mm �











5546-T-101 TibialAugmentTrial#�LM/RL-�0mm �

5546-T-102 TibialAugmentTrial#�RM/LL-�0mm �



5546-T-301 TibialAugmentTrial#3LM/RL-�0mm �

5546-T-302 TibialAugmentTrial#3RM/LL-�0mm �











6541-8-140 TriathlonUniversalBaseplatePreparationLowerTray �

Total Quantity 36

�4


Catalog# Description

Universal Baseplate Tibial Augment Part Numbers5545-A-101 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�mm

5545-A-102 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�mm

5545-A-201 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�mm


5545-A-301 TibialAugment,HalfBlock#3 RightLateral,LeftMedial-�mm

5545-A-302 TibialAugment,HalfBlock#3 LeftLateral,RightMedial-�mm











5546-A-101 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�0mm

5546-A-102 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�0mm



5546-A-301 TibialAugment,HalfBlock#3 RightLateral,LeftMedial-�0mm

5546-A-302 TibialAugment,HalfBlock#3 LeftLateral,RightMedial-�0mm











��

Catalog# Description

Universal Baseplate Tibial Part Numbers5521-B-100 UniversalTibialBaseplate Cemented#�

5521-B-200 UniversalTibialBaseplate Cemented#�

5521-B-300 UniversalTibialBaseplate Cemented#3






Universal Baseplate Cemented Stem Part Numbers

5560-S-112 CementedStem ��x�0mm

5560-S-209 CementedStem 9x�00mm

5560-S-212 CementedStem ��x�00mm

Cata

log

�6

Stryker SACité-CentreGrand-Rue90�8�0MontreuxSwitzerland

t:+4��966��0�f:+4��966��00www.europe.stryker.com

This document is intended solely for the use of healthcare professionals.

TheinformationpresentedinthisbrochureisintendedtodemonstratethebreadthofStrykerproductofferings.Alwaysrefertothepackageinsert,productlabeland/oruserinstructionsbefore using any Stryker product. Products may not be available in all markets. Productavailabilityissubjecttotheregulatoryormedicalpracticesthatgovernindividualmarkets.Please contact your Stryker representative if you have questions about the availability ofStrykerproductsinyourarea.

Productsreferencedwith™designationaretrademarksofStryker.

Productsreferencedwith®designationareregisteredtrademarksofStryker.

LiteratureNumber:MTXLSPK44

MTX/GS��/0�

Copyright©�00�Stryker

Triathlon Knee System Universal Baseplate Surgical … Triathlon Universal...Triathlon® Knee System...

Documents

Transcript of Triathlon Knee System Universal Baseplate Surgical … Triathlon Universal...Triathlon® Knee System...