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The femoral pin guide (in addition to the product 
packaging label) will have patient specific identifiers: 
Patient Name, Lot No., Size and Patient Anatomy (R/L). 
Verify the accuracy of these identifiers prior to opening 
the sterile package (Figure 9).

Note: 

The size information was selected pre-

operatively based on the Patient Proposal. Final 
implant sizing may change due to intra-operative 
assessment of implant fit and/or joint gap balance. 

Prior to use, insert the TRUMATCH Solutions Drill Guides 
(P/N 2004-20-925) into the two anterior and two distal 
openings of the plastic femoral pin guide by twisting in a 
clockwise direction until tightened (Figure 10).

With the knee flexed to at least 90 degrees, place the 
femoral pin guide over on the anterior aspect of the 
femur 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 deform while 
pins are being placed (Figure 11B).

The majority of the finger pressure (~75%) should be 
applied on the anterior aspect of the guide while applying  
less pressure (~25%) over the distal aspect of the guide.

Note: 

Soft tissue impingement may cause difficulty 

in seating the femoral pin guide on the femur and 
could impact the overall alignment of the guide. It 
is recommended to clear extraneous soft tissue from 
the anterior aspect of the femur to facilitate proper 
placement of the guide. Visualization for proper 
seating may be enhanced when the guide is observed 
from a sagittal or side view.

Figure 9

Figure 11A

Figure 11B

DISTAL FEMORAL RESECTION

Figure 10

Surgical Technique  TRUMATCH Personalized Solutions Pin Guides  DePuy Synthes Joint Reconstruction    7

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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