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Note: 

If the Femoral Fixed Reference Guide (P/N 

2004-20-920) is unavailable, two fixation pins can be 
inserted in the previously drilled distal femoral holes 
and used to set the location of the HP Femoral 4-in-1 
Cutting Block. The TRUMATCH Solutions Femoral 
Pin Guide is designed to position the pin holes 
posteriorly on the femur which maintains the ability 
to move the block to resect 2 mm more bone anterior 
or 2 mm more bone posterior with the same size 
block
 regardless if the surgeon preference is anterior-
down or posterior-up. However, if it is necessary to 
downsize the femoral component, the pin placement 
references a posterior-up preference and the smaller 
femoral block can be inserted over the posterior 
placed pins. This will keep the posterior resection 
in the same plane and take additional anterior 
femoral bone. In order to address an anterior- 
down preference and the ability to downsize the 
component, drill two fixation pins through the “0” 
mm holes, marked with a square with the planned 
femoral block. Remove the femoral block and use 
these anterior placed pins with the smaller block 
when downsizing. This will keep the anterior femoral 
resection in the same plane and take additional 
posterior femoral condylar bone. In addition, 
regarding the SIGMA Knee System, the HP SIGMA 
RP-F, SIGMA CR-150 and the standard SIGMA Fixed 
Reference Femoral 4-in-1 Cutting Blocks look very 
similar. Care should be taken to use the appropriate 
block as this could result in under or over resection 
of the posterior femoral condyles with use of the 
wrong cutting block. 

Surgical Technique  TRUMATCH Personalized Solutions Pin Guides  DePuy Synthes Joint Reconstruction    11

Summary of Contents for Depuy Synthes Trumatch

Page 1: ...Pin Guide System SURGICAL TECHNIQUE TRUMATCH PERSONALIZED SOLUTIONS with the SIGMA High Performance Instruments...

Page 2: ...operation following the use of the TRUMATCH Solutions Femoral and Tibial Pin Guides It is strongly recommended that the surgeon carefully review the TRUMATCH Solutions Patient Proposal prior to proce...

Page 3: ...ition the distal femoral cutting block with anterior reference guide Step 5 Use of angel wing to verify distal resection level Tibial Preparation SIGMA Total Knee System steps shown Step 1 Insert dril...

Page 4: ...The TRUMATCH Solutions Drill Guides P N 2004 20 925 are reusable after sterilization A minimum of four 4 drill guides should be on hand for a case They are shipped separately from the TRUMATCH Solutio...

Page 5: ...ote The position of the line in the Patient Proposal is intended to reference the medial one third of the tibial tubercle and not the middle of the tibial crest Figure 4 Note It is recommended to clea...

Page 6: ...confirm the cut orientation with the angel wing If necessary the block may be shifted 2 mm proximally or distally by selecting the appropriate offset holes adjacent to the 0 mm hole Perform the proxi...

Page 7: ...and position the feet of the guide over the distal femoral condyles Figure 11A Avoid using excessive force to seat the guide Care should be taken to avoid squeezing the block and causing the legs to...

Page 8: ...guide by flexing the guide from posterior to anterior Note The TRUMATCH Solutions Drill Guides P N 2004 20 925 are reusable after sterilization A minimum of four 4 drill guides should be on hand for...

Page 9: ...the distal femoral resection using a 1 19 mm whale tail thick saw blade Figure 14B Remove the HP Distal Femoral cutting block and confirm the bone cuts are clean and without any under cut bone fragme...

Page 10: ...ersa This will result in an incorrect rotation placement of the cutting block Evaluate the anterior cut with the angel wing Figure 16 If desired the block may be shifted 2 mm anteriorly or posteriorly...

Page 11: ...will keep the posterior resection in the same plane and take additional anterior femoral bone In order to address an anterior down preference and the ability to downsize the component drill two fixati...

Page 12: ...the necessary information required to submit the TRUMATCH Solutions order online Patient Proposal a Review in detail prior to the surgery b Review the Notes Comments section for important information...

Page 13: ...recommended to remove the thin soft tissue to expose the underlying bone b Distally the guide should be in contact with distal femoral condyles although a slight gap may exist along the periphery If...

Page 14: ...f the tibial guide does not fit verify the following 1 Is the incision preventing placement of the guide on the bone The incision must provide access for guide placement and a clear view of the guide...

Page 15: ......

Page 16: ...greater than 15 degrees of fixed varus valgus flexion or tibial slope exceeding 15 degrees Moderate to severe bony deformities Charcot knee or patients with severe patella tendon calcification that m...

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