Smith & Nephew TC-PLUS Revision, Surgical Technique, Page: 32 / 98

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Preparing the tibial stem connection
The chosen trial stem is attached to the extension for trial
stem ( Ø 8 mm ) and with the modular handle carefully
inserted into the tibial IM canal so the line marked with
«MIN.» is approximately level to the distal bone resection.
The modular handle is now removed. It is important to avoid
putting excessive pressure in the tibial IM canal.
Important
With too short IM guidance, the alignment may be incorrect
( varus / valgus, extension / flexion ). Therefore the 40 mm
trial stems can’t be used for the IM application!
The stem connection recess is drilled with the Ø 10 /
20 mm stepped drill until the larger laser marking
( corresponding to the tibial resection with the smallest 9
mm tibial insert ). The engraved marking
«Tibia» correspond to the joint line.
Important
The laser markings «+5», «+10», «+15» and «+20»
c orrespond to the augmentation blocks resection depth.
Locating the tibial cutting block
The two tibial resection guide IM components are coupled
together by jointing arrow «

» to arrow «

» and pressing
the button.
The femoral / tibial revision cutting block is attached to the
tibial resection guide IM with the top small grub screw and
slid completely onto the Ø 8 mm extension for trial stem.
Important
Ensure the lock lever is set to «OPEN» to slide in place the
tibial resection guide IM. The lock lever is then reversed to
fix the tibial resection guide IM in place.
The femoral / tibial revision cutting block is first lifte d
upwards by pressing the button so the tibial stylus can be
attached.