1
Introduction
Femoral size should have been determined before femoral
bone cuts were completed using desired Vanguard
®
instrument platform (Premier
™
Total Knee Instrumentation
or Microplasty
®
Minimally Invasive Knee Instruments
surgical techniques).
Setting Medial-Lateral Position
Use a 3.5mm hex driver in the upper right hand corner
of the Vanguard
®
stem housing reamer guide to set the
appropriate femoral size (Figure 1). Attach the medial-
lateral (M/L) wing, ensuring that the correct side is facing
out. Place the stem housing reamer guide flush with the
anterior cortex and distal femur. Determine the appropriate
M/L position (Figure 1a). Pin the stem housing guide in
place using
1
/
8
in pins through the anterior plate. Remove
the M/L wing and snap the stem housing reamer guide
bushing into place (Figure 2).
This surgical technique is utilized by Edward McPherson, M.D. Biomet as the
manufacturer of this device, does not practice medicine and does not recommend
this device or technique. Each surgeon is responsible for determining the
appropriate device and technique to utilize on each individual patient.
Figure 1
Figure 1a
Figure 2
