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Place the appropriate Keel Punch into the Keel
Punch Guide. Use a mallet to impact the Keel
Punch. Advance the Keel Punch until it seats fully
in the Keel Punch Guide.
Figure 54
Figure 55
Figure 56
43
Tibial Keel Punching
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Assemble the Keel Punch Guide to the Universal
Tibial Template by inserting at a slight angle to the
top of the Universal Tibial Template (into 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)
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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 Tibial Template into the
tibial plateau.
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Trials may be reassembled to the pinned template for
any subsequent trial reductions.
Triathlon Knee System
Surgical Protocol
Summary of Contents for Triathlon Knee System
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