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Stryker Triathlon Knee System, Surgical Protocol

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Table of Contents

Acknowledgments

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

Introduction

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

System Highlights

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Assembly Instructions

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

Exposure  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Femoral Preparation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Femoral Intramedullary Alignment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Distal Femoral Resection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Femoral Sizing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Femoral Anterior, Posterior, and Chamfer Resections  . . . . . . . . . . . . . . . . . . . . .25
PS Box Preparation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Femoral Trial Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Tibial Preparation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Option 1 - Extramedullary Referencing  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Flexion/Extension Alignment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Rotational Alignment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Varus/Valgus Alignment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Tibial Slope Adjustment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Option 2 - Intramedullary Referencing  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

Rotational Alignment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Varus/Valgus Alignment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Establish Tibial Resection Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Tibial Resection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Flexion and Extension Gaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Tibial Component Sizing  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Tibial Trial Assessment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Tibial Keel Punching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Patella Preparation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Option 1 - Bone Removing Method  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Option 2 - Bone Remaining Method  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Patella Trial Assessment  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

Component Implantation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

PS or CR Femoral Component  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Primary Tibial Baseplate  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
PS or CR Tibial Insert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Symmetric or Asymmetric Patella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Closure  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Catalog  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Triathlon Knee System

Surgical Protocol

Summary of Contents for Triathlon Knee System

Page 1: ...Posterior Stabilized Cruciate Retaining Triathlon Knee System Surgical Protocol Posterior Stabilized Cruciate Retaining ...

Page 2: ......

Page 3: ... Varus Valgus Alignment 35 Tibial Slope Adjustment 35 Option 2 Intramedullary Referencing 36 Rotational Alignment 37 Varus Valgus Alignment 37 Establish Tibial Resection Level 38 Tibial Resection 39 Flexion and Extension Gaps 39 Tibial Component Sizing 40 Tibial Trial Assessment 41 Tibial Keel Punching 43 Patella Preparation 45 Option 1 Bone Removing Method 45 Option 2 Bone Remaining Method 46 Pat...

Page 4: ...cutting blocks to enhance visualization Bold markings and color coding for ease of use and clear identification Quick attach and release mechanisms to facilitate easy assembly A logically organized tray layout based on the operational sequence for a streamlined process Flexibility The proprietary instrumentation design also delivers intra operative flexibility The following features help surgeons ...

Page 5: ...ration 5B Tibial IM Alignment Resection 5ATibial EM Alignment Resection 2 Femoral Sizing 3 Femoral Bone Resections 4 PS Box Preparation System Highlights 5ATibial EM Alignment Resection 5B Tibial IM Alignment Resection 1 Femoral Alignment Distal Resection Triathlon Knee System Surgical Protocol ...

Page 6: ... Bone Removing Method 9 Trialing 8B Patella Resection Bone Remaining Method 10Component Implantation 6 Tibial Sizing 7 Tibial Keel Preparation 8APatella Resection Bone Removing Method 9 Trialing 10Component Implantation 8B Patella Resection Bone Remaining Method ...

Page 7: ...ee System Instrumentation Highlights pullout has been included This can be torn out and used as a quick reference wall chart in the OR to aid both the surgeon and the OR staff System Highlights Triathlon Knee System Surgical Protocol ...

Page 8: ......

Page 9: ...d to femoral preparation are black those for tibial preparation are bronze and those for patella preparation are gold The surgical technique can be found in the next section beginning on page 17 Distal Resection Guide Adjustment Block and Femoral Alignment Guide Assembly Attach the Distal Resection Guide to the Adjustment Block by squeezing the black tabs on Adjustment Block and sliding into the D...

Page 10: ...ocol Assembly 2A Assembly 2B Universal Alignment Handle Distal Resection Guide and Universal Alignment Rod Assembly Insert the Universal Alignment Handle into the Distal Resection Guide as shown Insert the Universal Alignment Rod as shown ...

Page 11: ... Modular Handle 4 1 Strike Plate and 4 1 Modular Capture Assembly Insert the 4 1 Strike Plate into the anterior chamfer of the 4 1 Cutting Block until it clicks into place Press the black button on the Modular Handle and insert it into the hole shown Release the black button and turn the Modular Handle until it clicks into place To attach the 4 1 Modular Capture turn the black bow tie knob and cam...

Page 12: ...ly seated there will be an audible snap Turn the Impaction Handle counterclockwise until there is enough space approximately 10mm between the black impaction surface and the ends of the jaws to insert the Femoral Trial or Femoral Component Pull back on the mechanism to open the jaws Engage the jaws into the impaction slots on the Femoral Trial or Femoral Component Turn the Impaction Handle clockwi...

Page 13: ... slope cruciate retaining Press the bronze button on the Distal Assembly and slide into the grooves on the Ankle Clamp Ensure that the proximal side of the Ankle Clamp is showing See Inset Press the bronze wheel on the Tibial Adjustment Housing with your thumb and insert the Proximal Rod Ensure that the two fixation pins on the superior portion of the Proximal Rod See Inset are facing posteriorly ...

Page 14: ...y with the fixation pins on the superior portion of the Proximal Rod facing posteriorly Squeeze the bronze tabs on the Tibial Adjustment Housing and insert the entire assembly into the Tibial Resection Guide Release the bronze tabs and ensure that the Tibial Resection Guide is locked in place Squeeze the bronze tab on the Tibial Stylus and insert the post into the appropriate side of the Tibial Re...

Page 15: ...de Locate the posts on the bottom of the Tibial Resection Guide Modular Capture and the post holes on the top surface of the Tibial Resection Guide Insert the posts into the Tibial Resection Guide holes and slide the Tibial Resection Guide Modular Capture into place Release the bronze tab to lock the Tibial Resection Guide Modular Capture into the Tibial Resection Guide Final Assembly ...

Page 16: ...nd then fully seat it anteriorly Depress and hold the lever on the anterior position of the Alignment Handle Insert the spring loaded tip of the Alignment Handle into the central posterior hole of the Universal Tibial Template Hold the handle at a slight angle to the top surface of the template Compress the spring loaded tip by pushing it forward and lower the Alignment Handle into the channel on ...

Page 17: ...Punch Guide to the Universal Tibial Template by inserting the Keel Punch Guide at a slight angle to the Universal Tibial Template into the two locating slots towards the posterior portion of the Universal Tibial Template Allow the Keel Punch Guide to sit flat on the Universal Tibial Template and push forward on the handle of the Keel Punch Guide to lock it to the Universal Tibial Template Final As...

Page 18: ...into the holes on the Patella Clamp Squeeze the gold tab on the Patella Stylus and insert the post into the hole on either jaw Use the holes on the top surface of the jaws if using the Bone Removing Method or on the bottom surface if using the Bone Remaining Method The top surface has circular holes which allow the stylus to rotate and the bottom surface has hex shaped holes fixing the stylus in t...

Page 19: ...8 Hex Drive Slip Torque Handle and Modular Femoral Distal Fixation Pegs Assembly Snap the 1 8 Hex Drive into the Slip Torque Handle Insert the tip of the 1 8 Hex Drive into the Modular Femoral Distal Fixation Peg and turn the Slip Torque Handle to tighten ...

Page 20: ...ur Identification of landmarks may be aided by removal of osteophytes from the margins of the intercondylar notch Attach the 3 8 IM Drill to the Universal Driver and drill into the IM canal The first diameter will create a tight fit around the IM Rod If further clearance is desired continue to drill until the larger step diameter opens the hole This will allow the IM canal to dictate the position ...

Page 21: ...nd align the guide in neutral rotation Although the posterior condyles and the epicondyles may be used as landmarks for rotation determining I E rotation is not necessary at this time Impact the distal captured pins in the Femoral Alignment Guide to aid in stabilization Femoral Preparation 6541 4 801 Universal Driver 6541 4 538 3 8 IM Drill 6541 4 800 T Handle Driver 6541 4 516 5 16 IM Rod 6541 1 ...

Page 22: ... the end of the Adjustment Block and pull to set the resection to the desired level 19 The Triathlon Knee System Instruments allow for a clear view of the bone that is being resected to ensure the appropriate level is set Slide the Adjustment Block Assembly within the Femoral Alignment Guide until the Distal Resection Guide contacts the anterior surface of the femur Triathlon Knee System Surgical ...

Page 23: ...e Distal Resection Guide and insert a Universal Alignment Rod into the handle See Assembly 2 Alignment is correct when the rod intersects the center of the femoral head and roughly parallels the axis of the femur in the lateral view 6541 1 600 Adjustment Block 6541 1 657 Femoral Alignment Guide 6541 1 721 Distal Resection Guide 6541 4 806 Universal Alignment Handle 6541 4 602 Universal Alignment R...

Page 24: ...uide and the Adjustment Block may be removed by squeezing the black tabs on the Adjustment Block Pinning through the X pin hole will aid in further securing the guide Note If the X pin hole is used the pin must be removed prior to repositioning or removing the Distal Resection Guide Distal Femoral Resection The distal resection level may be altered by repositioning the Distal Resection Guide in ei...

Page 25: ... Extractor is placed flush with the Distal Resection Guide This will allow the tongue on the Headless Pin Extractor to back out the pin Remove the Distal Resection Guide and check the resection for flatness Femoral Preparation 6541 1 721 Distal Resection Guide 6541 4 003 Headless Pins 3 6541 4 801 Universal Driver 6541 4 400 Bladerunner 6541 1 723 Modular Capture Distal Resection 6541 4 804 Headle...

Page 26: ...o the Femoral Sizer to assist in stabilization See Assembly 3 In the event of Hypoplasia Pin the Femoral Sizer through the hole on the unaffected side for stability Rotate the Femoral Sizer and assess rotation using the rotational checks mentioned above 23 Position the assembly flush on the resected distal femur sliding the feet of the Femoral Sizer under the posterior condyles The Femoral Stylus ...

Page 27: ... resection Femoral Preparation Figure 16 Once size confirmation is complete attach the 1 8 Peg Drill to the Universal Driver and create fixation pin holes for the 4 1 Cutting Block through the holes on the face of the Femoral Sizer marked EPI 6541 1 603 Femoral Sizer 6541 1 605 Femoral Stylus 6541 4 400 Bladerunner 6541 4 003 Headless Pins 3 6541 4 801 Universal Driver 6541 4 518 1 8 Peg Drill 654...

Page 28: ... place Triathlon Knee System Surgical Protocol Remove the Headless Pins using the Headless Pin Extractor As a secondary sizing check use the Bladerunner to check the M L width of the Femoral component Line the Bladerunner up with the epicondyles and determine the component size Ensure that the notch of the Bladerunner is on the outside of the femur The Bladerunner scribe marks correspond to compon...

Page 29: ...and removal Headless Pins may be utilized for further stabilization See Assembly 4A 6541 4 003 Headless Pins 3 6541 4 801 Universal Driver 6541 4 804 Headless Pin Extractor 6541 4 400 Bladerunner 1 6541 1 701 2 6541 1 702 3 6541 1 703 4 6541 1 704 5 6541 1 705 6 6541 1 706 7 6541 1 707 8 6541 1 708 4 1 Cutting Block 6541 1 805 4 1 Strike Plate 6541 4 808 Modular Handle 6541 4 809 Headless Pin Driv...

Page 30: ...x The 4 1 Modular Capture may be added for the anterior resection See Assembly 4B Note Check run out of the anterior cut If there is a pronounced positive step consider selecting the next smaller size 4 1 Cutting Block if the anterior femur preparation is not adequate 27 2 Posterior condyles A Modular Capture may be added for the posterior resection See Assembly 4B 3 Posterior chamfer through the ...

Page 31: ...he midline of the femur so that the center portion of bone is resected Care should be taken not to bias the blade while resecting the bone as it will cause excess friction between the blade and the 4 1 Cutting Block Femoral Preparation 1 6541 1 701 2 6541 1 702 3 6541 1 703 4 6541 1 704 5 6541 1 705 6 6541 1 706 7 6541 1 707 8 6541 1 708 4 1 Cutting Block 6541 1 806 4 1 Modular Capture ...

Page 32: ...t component inset M L placement of the guide is based primarily on best coverage of the distal bone and alignment of the box opening with the intercondylar notch The lateral anterior periphery and medial engraved line may also be used as references Pin the PS Box Cutting Guide using Headless Pins in the holes on the anterior surface of the PS Box Cutting Guide Additional Headless Pins can be place...

Page 33: ...rom the path of the chisel The surface marked DISTAL on the Box Chisel should be oriented as shown 1 6541 1 711 2 6541 1 712 3 6541 1 713 4 6541 1 714 5 6541 1 715 6 6541 1 716 7 6541 1 717 8 6541 1 718 PS Box Cutting Guide 6541 4 003 Headless Pins 3 6541 4 801 Universal Driver 6541 4 709 Box Chisel 6541 4 803 Slap Hammer 6541 4 809 Headless Pin Driver 6541 4 810 Impaction Handle Leave the Box Chi...

Page 34: ...s may also be prepared later through the PS Femoral Trial Attach the Posterior Osteophyte Removal Tool to the Impaction Handle and remove the osteophytes beyond the posterior aspect of the PS Box Cutting Guide Remove the Headless Pins with the Headless Pin Extractor Remove the PS Box Cutting Guide using the Slap Hammer Note If it is difficult to reach the posterior osteophytes in a tight knee the ...

Page 35: ...ppropriate size and side Left Right PS or CR Femoral Trial to the Femoral Impactor Extractor with the Impaction Handle See Assembly 5 6541 4 525 1 4 Peg Drill 6541 4 801 Universal Driver 1 6541 1 711 2 6541 1 712 3 6541 1 713 4 6541 1 714 5 6541 1 715 6 6541 1 716 7 6541 1 717 8 6541 1 718 PS Box Cutting Guide 6541 4 710 Posterior Osteophyte Removal Tool 6541 4 804 Headless Pin Extractor 6541 4 80...

Page 36: ...o the Impaction Handle and remove posterior osteophytes Note If it is difficult to reach the posterior condyles in a tight knee the tibial resection can be made and then the osteophytes can more easily be removed Posterior Stabilized Knee If the Modular Femoral Distal Fixation Pegs are to be used and the holes were not prepared through the PS Box Cutting Guide use the 1 4 Peg Drill attached to the...

Page 37: ... Handle 6541 4 807 Femoral Impactor Extractor 6541 4 803 Slap Hammer Right 6541 2 700 Left 6541 2 701 Tibial Resection Guide Tibial Preparation There are two options for tibial preparation extramedullary EM referencing alignment and intramedullary IM referencing alignment The Tibial Resection Guide available in Left and Right configurations is designed to avoid soft tissue impingement ...

Page 38: ... that the long axis of the assembly is parallel to the fibula 35 Varus Valgus Alignment Medial Lateral offset can be adjusted by pushing the bronze button 1 and sliding the assembly medially until the shaft intersects the center of the tibia Once triaxial alignment is achieved release the bronze button Tibial Slope Adjustment Note If the Proximal Rod is parallel to the tibia the slope is 0 or 3 de...

Page 39: ...Rod and insert it into the body of the Tibial Alignment Jig IM The assembly is then inserted into the canal until the isthmus is engaged 6541 4 538 3 8 IM Drill 6541 4 800 T Handle Driver 6541 4 516 5 16 IM Rod 0º slope 6541 2 704 3º slope 6541 2 705 Tibial Adjustment Housing 6541 2 600 Tibial Alignment Jig IM Right 6541 2 700 Left 6541 2 701 Tibial Resection Guide 6541 2 609 Tibial Alignment Ankl...

Page 40: ...e to the Tibial Resection Guide and slide a Universal Alignment Rod through the handle for sagittal assessment When alignment is confirmed the Universal Alignment Handle should be centered over the ankle Rotational Alignment With the body of the Tibial Alignment Jig IM resting on the proximal tibia proper rotational alignment is achieved by rotating the instrument about the 5 16 IM Rod so that the...

Page 41: ...y if the 2 end of the Tibial Stylus is used the amount of bone resected will be 2mm below the tip of the stylus The height of the Tibial Resection Guide Tibial Stylus and Tibial Adjustment Housing can be adjusted using the bronze wheel on the Tibial Adjustment Housing For coarse adjustment press the bronze wheel and slide the assembly up or down For fine adjustment turn the bronze wheel to the rig...

Page 42: ...age the assembly from the Tibial Resection Guide Slide the Tibial Adjustment Housing anteriorly Remove the 5 16 IM Rod the Tibial Alignment Jig IM the Tibial Adjustment Housing and the Universal Alignment Handle Tibial Resection Resection of the proximal tibia is now completed An optional Tibial Resection Guide Modular Capture Left or Right may be added Assembly 6H Remove the Tibial Resection Guid...

Page 43: ... the size that best addresses rotation and coverage Perform a trial reduction to assess overall component fit ligament stability and joint range of motion Note Ensure all excess debris bone and soft tissue is cleared from the Universal Tibial Template 6541 4 610 Adjustable Spacer Block Right 6541 2 702 Left 6541 2 703 Tibial Resection Guide Modular Capture 1 6541 1 601 2 6541 1 602 3 6541 1 603 4 ...

Page 44: ...od into the most anterior hole of the Alignment Handle and check alignment Place the knee in full extension and assess overall alignment in the A P and M L planes A 1 8 drill can be inserted into the lateral hole on the anterior surface of the Femoral Trial to aid in align ment Triathlon Knee System Surgical Protocol ...

Page 45: ...tibial component orientation are achieved mark the anterior tibial cortex in line with the reference marks on the anterior border of the Universal Tibial Template Remove the PS or CR Femoral Trial and disassemble the Tibial Trial Insert from the Universal Tibial Template Reposition the Universal Tibial Template if required by aligning the anterior reference marks on the template with the reference...

Page 46: ...to the two locating slots toward the posterior portion of the Universal Tibial Template Allow the Keel Punch Guide to sit flat on the Universal Tibial Template and push forward on the handle to lock the Keel Punch Guide to the Universal Tibial Template See Assembly 8 If additional fixation is required after either Option 1 or 2 is used place up to four Headed Nails in the holes on the Universal Ti...

Page 47: ...eel Punch Guide Sizes 1 2 3 6541 2 013 Sizes 4 5 6 6541 2 046 Sizes 7 8 6541 2 078 Keel Punch 6541 4 804 Headless Pin Extractor To extract the Keel Punch lift up on the Keel Punch Guide handle and pull the handle to cantilever the Keel Punch out of the tibia Remove the Headless Pins with the Headless Pin Extractor and remove the Universal Tibial Template ...

Page 48: ...ion to sweep over the highest portion of the articular surface The Patella Stylus references the articular surface of the patella in order to determine how much bone to remove Set the desired resection amount on the Patella Stylus by pressing the gold button and moving the body of the Patella Stylus to the resection line Close the Patella Clamp around the patella The resection level should be set ...

Page 49: ...tylus determines how much bone will remain Set the desired resection amount on the Patella Stylus by pressing the gold button and moving the body of the Patella Stylus to the resection line Close the Patella Clamp around the patella Note The resection level should not be set at a value less than 12mm Patella Preparation 6541 3 602 Patella Caliper 6541 3 601 Patella Stylus 6541 3 600 Patella Clamp ...

Page 50: ...semble the Patella Clamp Base first with the Patella Clamp s outrigger pointing superiorly Close the Patella Clamp around the patella so that the Patella Clamp Base is touching the patella tendon and the base of the Patella Drill Template is touching the resected surface of the patella Align the Patella Drill Template so that it is horizontal with respect to the poles of the patella The following ...

Page 51: ... 29mm 6541 3 617 32mm 6541 3 618 35mm 6541 3 619 38mm 6541 3 620 40mm 6541 3 621 Assymetric Patella Drill Template 6541 3 600 Patella Clamp 6541 3 801 Patella Clamp Base 6541 3 524 All Poly Patella Drill w Stop 6541 4 801 Universal Driver Patella Preparation See Catalog Symmetric Patella Trial See Catalog Asymmetric Patella Trial Attach the All Poly Patella Drill with Stop or Metal Backed Patella ...

Page 52: ...ee Assembly 5 Place the Femoral Component on the femur and impact it until fully seated Posterior Stabilized Knee If Modular Femoral Distal Fixation Pegs are to be used assemble the pegs to the Femoral Component using the 1 8 Hex Drive and the Slip Torque Handle prior to implantation See Assembly 10 The Femoral Impactor can be attached to the Impaction Handle to further seat the Femoral Component ...

Page 53: ...tion Introduce the Primary Tibial Baseplate onto the prepared tibia and impact until the baseplate is seated Unlock the locking lever and remove the assembly from the Primary Tibial Baseplate 6541 4 700 Bone File 6541 4 805 Baseplate Impactor Extractor See Catalog Primary Tibial Baseplate Cemented See Catalog Primary Tibial Baseplate Cementless 6541 4 807 Femoral Impactor Extractor 6541 4 810 Impa...

Page 54: ... Impaction Handle Place the Tibial Baseplate Impactor on to the Primary Tibial Baseplate straddling the central island Ensure the Tibial Baseplate Impactor sits flat on the top surface of the Primary Tibial Baseplate Impact until the Primary Tibial Baseplate is fully seated Note Clear all excess bone cement while maintaining position of the Primary Tibial Baseplate PS or CR Tibial Insert Prior to ...

Page 55: ... after deflation of the tourniquet Close soft tissues in the normal layered fashion 6541 3 600 Patella Clamp 6541 3 801 Patella Clamp Base 6541 3 800 Patella Cement Cap See Catalog Symmetric Patella See Catalog Asymmetric Patella See Catalog Metal Backed Asymmetric Patella Beaded w PA 6541 4 812 Tibial Baseplate Impactor 6541 4 813 Tibial Insert Impactor See Catalog PS Tibial Insert See Catalog CR...

Page 56: ... 4 710 Posterior osteophyte removal tool 1 6541 4 800 T Handle Driver 1 6541 4 801 Universal Driver 1 6541 4 802 1 8 Hex Drive 1 6541 4 803 Slap Hammer 1 6541 4 804 Headless Pin Extractor 1 6541 4 805 Tibial Baseplate Impactor Extractor 1 6541 4 806 Universal Alignment Handle 1 6541 4 807 Femoral Impactor Extractor 1 6541 4 808 Modular Handle 2 6541 4 809 Headless Pin Driver 1 6541 4 810 Impaction...

Page 57: ...Caliper 1 6541 3 617 Asymmetric Patella Drill Template A29mm 1 6541 3 618 Asymmetric Patella Drill Template A32mm 1 6541 3 619 Asymmetric Patella Drill Template A35mm 1 6541 3 620 Asymmetric Patella Drill Template A38mm 1 6541 3 621 Asymmetric Patella Drill Template A40mm 1 6541 3 627 Symmetric Patella Drill Template S27mm 1 6541 3 629 Symmetric Patella Drill Template S29mm 1 6541 3 631 Symmetric ...

Page 58: ...plate 1 6541 2 604 4 Universal Tibial Template 1 6541 2 605 5 Universal Tibial Template 1 6541 2 606 6 Universal Tibial Template 1 6541 2 609 Tibial Alignment Ankle Clamp EM 1 6541 2 610 Tibial Alignment Distal Assembly EM 1 6541 2 611 Tibial Alignment Proximal Rod EM 1 6541 2 620 Tibial Template Converter 1 6541 2 700 Tibial Resection Guide Right 1 6541 2 701 Tibial Resection Guide Left 1 6541 2 ...

Page 59: ...nsert Trial 4 9mm 1 5532 T 411 PS Tibial Insert Trial 4 11mm 1 5532 T 413 PS Tibial Insert Trial 4 13mm 1 5532 T 416 PS Tibial Insert Trial 4 16mm 1 5532 T 419 PS Tibial Insert Trial 4 19mm 1 5532 T 509 PS Tibial Insert Trial 5 9mm 1 5532 T 511 PS Tibial Insert Trial 5 11mm 1 5532 T 513 PS Tibial Insert Trial 5 13mm 1 5532 T 516 PS Tibial Insert Trial 5 16mm 1 5532 T 519 PS Tibial Insert Trial 5 1...

Page 60: ...Trial 3 19mm 1 5530 T 409 CR Tibial Insert Trial 4 9mm 1 5530 T 411 CR Tibial Insert Trial 4 11mm 1 5530 T 413 CR Tibial Insert Trial 4 13mm 1 5530 T 416 CR Tibial Insert Trial 4 16mm 1 5530 T 419 CR Tibial Insert Trial 4 19mm 1 5530 T 509 CR Tibial Insert Trial 5 9mm 1 5530 T 511 CR Tibial Insert Trial 5 11mm 1 5530 T 513 CR Tibial Insert Trial 5 13mm 1 5530 T 516 CR Tibial Insert Trial 5 16mm 1 ...

Page 61: ...ibial Insert Trial 1 16mm 1 5532 T 119 PS Tibial Insert Trial 1 19mm 1 5532 T 809 PS Tibial Insert Trial 8 9mm 1 5532 T 811 PS Tibial Insert Trial 8 11mm 1 5532 T 813 PS Tibial Insert Trial 8 13mm 1 5532 T 816 PS Tibial Insert Trial 8 16mm 1 5532 T 819 PS Tibial Insert Trial 8 19mm 1 6541 1 701 1 4 1 Cutting Block 1 6541 1 708 8 4 1 Cutting Block 1 6541 1 711 1 PS Box Cutting Guide 1 6541 1 718 8 ...

Page 62: ... Tibial Template 1 6541 2 608 8 Universal Tibial Template 1 6541 8 112 Triathlon 1 8 CR Lower Tray 1 6541 9 000 Triathlon Case 1 5511 T 201 PS Femoral Trial 2 Left 1 5511 T 202 PS Femoral Trial 2 Right 1 5511 T 701 PS Femoral Trial 7 Left 1 5511 T 702 PS Femoral Trial 7 Right 1 5532 T 209 PS Tibial Insert Trial 2 9mm 1 5532 T 211 PS Tibial Insert Trial 2 11mm 1 5532 T 213 PS Tibial Insert Trial 2 ...

Page 63: ...m 1 5532 T 825 PS Tibial Insert Trial 8 25mm 1 6541 8 020 Triathlon Max PS Tibial Trialing Upper Tray 1 6541 8 120 Triathlon Max PS Tibial Trialing Lower Tray 1 6541 9 000 Triathlon Case 1 5510 T 201 CR Femoral Trial 2 Left 1 5510 T 202 CR Femoral Trial 2 Right 1 5510 T 701 CR Femoral Trial 7 Left 1 5510 T 702 CR Femoral Trial 7 Right 1 5530 T 209 CR Tibial Insert Trial 2 9mm 1 5530 T 211 CR Tibia...

Page 64: ...nt Cemented 1 Left 5510 F 102 CR Femoral Component Cemented 1 Right 5510 F 201 CR Femoral Component Cemented 2 Left 5510 F 202 CR Femoral Component Cemented 2 Right 5510 F 301 CR Femoral Component Cemented 3 Left 5510 F 302 CR Femoral Component Cemented 3 Right 5510 F 401 CR Femoral Component Cemented 4 Left 5510 F 402 CR Femoral Component Cemented 4 Right 5510 F 501 CR Femoral Component Cemented ...

Page 65: ...32 P 313 PS Tibial Insert 3 13mm 5532 P 316 PS Tibial Insert 3 16mm 5532 P 319 PS Tibial Insert 3 19mm 5532 P 322 PS Tibial Insert 3 22mm 5532 P 325 PS Tibial Insert 3 25mm 5532 P 409 PS Tibial Insert 4 9mm 5532 P 411 PS Tibial Insert 4 11mm 5532 P 413 PS Tibial Insert 4 13mm 5532 P 416 PS Tibial Insert 4 16mm 5532 P 419 PS Tibial Insert 4 19mm 5532 P 422 PS Tibial Insert 4 22mm 5532 P 425 PS Tibi...

Page 66: ...3 1 9mm 5532 G 111 PS Tibial Insert X3 1 11mm 5532 G 113 PS Tibial Insert X3 1 13mm 5532 G 116 PS Tibial Insert X3 1 16mm 5532 G 119 PS Tibial Insert X3 1 19mm 5532 G 122 PS Tibial Insert X3 1 22mm 5532 G 125 PS Tibial Insert X3 1 25mm 5532 G 209 PS Tibial Insert X3 2 9mm 5532 G 211 PS Tibial Insert X3 2 11mm 5532 G 213 PS Tibial Insert X3 2 13mm 5532 G 216 PS Tibial Insert X3 2 16mm 5532 G 219 PS...

Page 67: ... 25mm 5532 G 609 PS Tibial Insert X3 6 9mm 5532 G 611 PS Tibial Insert X3 6 11mm 5532 G 613 PS Tibial Insert X3 6 13mm 5532 G 616 PS Tibial Insert X3 6 16mm 5532 G 619 PS Tibial Insert X3 6 19mm 5532 G 622 PS Tibial Insert X3 6 22mm 5532 G 625 PS Tibial Insert X3 6 25mm 5532 G 709 PS Tibial Insert X3 7 9mm 5532 G 711 PS Tibial Insert X3 7 11mm 5532 G 713 PS Tibial Insert X3 7 13mm 5532 G 716 PS Ti...

Page 68: ...ial Insert 4 13mm 5530 P 416 CR Tibial Insert 4 16mm 5530 P 419 CR Tibial Insert 4 19mm 5530 P 509 CR Tibial Insert 5 9mm 5530 P 511 CR Tibial Insert 5 11mm 5530 P 513 CR Tibial Insert 5 13mm 5530 P 516 CR Tibial Insert 5 16mm 5530 P 519 CR Tibial Insert 5 19mm Catalog Description 5530 P 609 CR Tibial Insert 6 9mm 5530 P 611 CR Tibial Insert 6 11mm 5530 P 613 CR Tibial Insert 6 13mm 5530 P 616 CR ...

Page 69: ...l Insert X3 4 11mm 5530 G 413 CR Tibial Insert X3 4 13mm 5530 G 416 CR Tibial Insert X3 4 16mm 5530 G 419 CR Tibial Insert X3 4 19mm 5530 G 509 CR Tibial Insert X3 5 9mm 5530 G 511 CR Tibial Insert X3 5 11mm 5530 G 513 CR Tibial Insert X3 5 13mm 5530 G 516 CR Tibial Insert X3 5 16mm 5530 G 519 CR Tibial Insert X3 5 19mm 5530 G 609 CR Tibial Insert X3 6 9mm 5530 G 611 CR Tibial Insert X3 6 11mm 553...

Page 70: ...ymmetric Patella A35mm S I x 10mm 5551 L 381 Asymmetric Patella A38mm S I x 11mm 5551 L 401 Asymmetric Patella A40mm S I x 11mm 5575 X 000 Modular Femoral Distal Fixation Peg 2 per pack 5551 G 299 Asymmetric Patella X3 A29mm S I x 9mm 5551 G 320 Asymmetric Patella X3 A32mm S I x 10mm 5551 G 350 Asymmetric Patella X3 A35mm S I x 10mm 5551 G 381 Asymmetric Patella X3 A38mm S I x 11mm 5551 G 401 Asym...

Page 71: ...ft 5514 F 702 PS Femoral Component Beaded 7 Right 5514 F 801 PS Femoral Component Beaded 8 Left 5514 F 802 PS Femoral Component Beaded 8 Right 5516 F 101 PS Femoral Component Beaded w PA 1 Left 5516 F 102 PS Femoral Component Beaded w PA 1 Right 5516 F 201 PS Femoral Component Beaded w PA 2 Left 5516 F 202 PS Femoral Component Beaded w PA 2 Right 5516 F 301 PS Femoral Component Beaded w PA 3 Left ...

Page 72: ... Component Beaded 7 Right 5513 F 801 CR Femoral Component Beaded 8 Left 5513 F 802 CR Femoral Component Beaded 8 Right 5517 F 101 CR Femoral Component Beaded w PA 1 Left 5517 F 102 CR Femoral Component Beaded w PA 1 Right 5517 F 201 CR Femoral Component Beaded w PA 2 Left 5517 F 202 CR Femoral Component Beaded w PA 2 Right 5517 F 301 CR Femoral Component Beaded w PA 3 Left 5517 F 302 CR Femoral Co...

Page 73: ...late Beaded 7 5523 B 800 Primary Tibial Baseplate Beaded 8 5526 B 100 Primary Tibial Baseplate Beaded w PA 1 5526 B 200 Primary Tibial Baseplate Beaded w PA 2 5526 B 300 Primary Tibial Baseplate Beaded w PA 3 5526 B 400 Primary Tibial Baseplate Beaded w PA 4 5526 B 500 Primary Tibial Baseplate Beaded w PA 5 5526 B 600 Primary Tibial Baseplate Beaded w PA 6 5526 B 700 Primary Tibial Baseplate Beade...

Page 74: ...Notes Triathlon Knee System Surgical Protocol ...

Page 75: ...Notes ...

Page 76: ...ing and infection Metal sensitivity reactions have been reported following joint replacement Adverse effects may necessitate reoperation revision arthrodesis of the involved joint and or amputation of the limb Soft tissue imbalance and or laxity has been related to component malalignment which may result in early wear and or failure of the implant With all implant devices asymptomatic localized pr...

Page 77: ......

Page 78: ...formation presented in this brochure is intended to demonstrate the breadth of Stryker product offerings Always refer to the package insert product label and or user instructions before using any Stryker product Products may not be available in all markets Product availability is subject to the regulatory or medical practices that govern individual markets Please contact your Stryker representativ...

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