background image

Figure 19

SURGICAL TIPS AND PEARLS

Date of Consult:

Patient Name:

Gender:   

Male

     

Female

 

Patient Profile:   

Varus

     

Valgus

Estimated Joint Space Loss: 

0% Medial 

25% Medial 

50% Medial 

75% Medial 

100% Medial

 

0% Lateral 

25% Lateral 

50% Lateral 

75% Lateral 

100% Lateral

Femoral Comp. Type:   

CR

     

PS

 

Poly Comp. Type:   

Curved

     

     

Stabilized

     

Sta

 

Special Comments:

Height:

Flexion Contracture:   

Yes

     

No

D.O.B.:

Weight:

Affected Side:   

Left

     

Right

Tibial Comp. Type:   

Fixed Bearing

Rotating Platform

     

OPTIONAL:  COMPLETE IF USING DIFFERENT IMPLANTS FROM STATED SURGEON PREFERENCES

0612-03-510

HEALTHY BONE

BONE-ON-BONE

Order Form

®

Figure 18

PRE-OPERATIVE CONSIDERATIONS

Order Submission

Evaluate the M/L Joint Space Loss by utilizing weight-
bearing knee joint radiographs and provide the values with 
the order submission. These values are an important part of 
the algorithm used to design the cartilage offset for proper 
positioning of the guides. For ease of assessment, it is 
sufficient to select from “0”, “50” or “100” % of Joint 
Space Loss, without affecting the guide design accuracy. 
The optional Order Form (Figure 18) can be utilized to 
record all 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 from the TRUMATCH Solutions Design Team 
regarding the design of the guides. 

c. Print in Color! All Notes/Comments will be shown  

in red.

d. For intra-operative reference, display the wall chart 

summary page (Figure 19) at an easy to read location in 
the OR, such as the light box or back wall.

Intra-operative Check-List

Review the Wall Chart Summary (last page), which 
contains bone resection information and the tibial guide 
orientation line. 

The bone resection information can be used to verify if 
bone cuts within 2 mm of the planned values shown. In 
particular, the relationship between the medial and lateral 
cuts should be noted. If both cut measurements are 
proportionally similar (i.e. deviate by a similar amount), 
then the varus/valgus alignment is preserved. Otherwise, 
it is an indication that the guide placement and/ or bone 
resection(s) should be re-visited.

For clarity, the tibial resection thickness, shown for each 
condyle, is measured from the lowest point on the middle 
third of the respective condyle.

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

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...

Reviews: