Smith & Nephew TC-PLUS Revision, Surgical Technique, Page: 17 / 98

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Positioning of the patient for the surgery
Surgical Technique
In case of an implant revision, where
components must be removed at the
beginning of the surgery, Smith & Nephew
with the RENOVATION Knee set, offers the
surgeons a knee specific implant extraction
system that contents different instrument
options to facilitate the removal of different
femur and tibia components (loose first and
then extract).
The instrument set consists of a basic set
(no. SAP 75210243 / 0944290) and sterile
packaged, single-use chisel-blades and
saw-blades (see surgical technique Lit. No.
04044 (2025)).
Surgery is performed whilst the patient is
supine. It is recommended that the blood
supply be partially blocked with the use of a
tourniquet. But this is not absolutely
necessary. The leg must be covered, so as
to allow movement and secured to the
operating table in such a way that the knee
joint is brought into a stable 90° flexion
position. Most of the surgical steps are
performed in this position.
Surgical procedure
The skin incision can be a midline incision
or a parapatellar incision. If there are scars
from skin incisions made during previous
surgery, it is advisable to use them for
access in order to reduce the risk of
cutaneous blood flow disorders. Medical
arthrotomy is recommended, or an
approach adapted to the pathological
situation.
After the usual preparation (meniscus
resection, removal of osteophytes and
synovectomy if necessary), the cruciate
ligaments are sectioned close to the bone.
Implant component removal