19
b
a
a
a
Figure 43
Figure 44
Femoral Cones Surgical Technique
continued
Figure 42
Cone Trial Removal
1. Insert the cone removal tool into the trial until
the hooks are just past the proximal edge of
the trial. Attach the T-Handle to the removal tool
(Figure 42a) and rotate until the arms expand to
grip the Cone Trial.
2. Attach the Slap Hammer to the Cone Removal
Tool and remove the Cone Trial (Figure 42b).
Femoral Cone Implant
1. To insure proper Cone Implant placement
and orientation, insert the appropriate
LEGION Reamer (or Trial Stem and Trial Stem
Connection Rod Assembly) into the canal.
Caution: Without LEGION Reamer or Trial Stem/
Trial Stem Connection Rod in the canal, the final
cone implant may be malaligned.
2. Assemble the Neutral Sleeve and
appropriate Femoral Cone Impactor Head
to the Cone Handle.
Caution: If excessive force is used, fracture
may occur.
3. Using the previous orientation and size used
with the final Femoral Cone Broach and
Femoral Cone Trial, lightly impact the selected
Cone Implant into the femur to the previously
determined depth and orientation.
Tip: After the Cone implant is placed, fill any
existing voids between the Cone and the
endosteal of the femur with grafting material.
4. If using a hybrid cementing technique, ensure
a sufficient amount of cement is applied the
Femoral Implant construct to fill the area
between the Cone’s internal diameter and the
Femoral Implant Assembly prior to insertion.
Tip: A final depth measurement of the cone can
be taken using the Cone Removal Tool (Figure
43a) and transferred to the implant construct
(Figure 44a).
