Zimmer MIS Multi-Reference, Surgical Technique, Page: 3 / 48

Zimmer MIS Multi-Reference 4-in-1 Femoral Instrumentation Surgical Technique
1
Table of Contents
Abbreviated Surgical Technique 2
Introduction 4
Preoperative Planning 5
Surgical Approach 5
Patient Preparation 6
Incision and Exposure 6
MIS Midvastus Approach 7
MIS Subvastus Approach 8
MIS Medial Parapatellar Arthrotomy 9
Surgical Technique 10
Establish Femoral Alignment 10
Cut the Distal Femur 12
Size Femur & Establish External Rotation 13
Finish the Femur 15
Anterior Referencing Technique 15
Posterior Referencing Technique 17
MIS Notch/Chamfer Trochlear Guide 19
MIS QS Notch Guide 21
Resect Proximal Tibia 22
Check Flexion/Extension Gaps 27
Prepare the Patella 28
Resect the Patella 29
Finish the Patella 31
Patella Protectors 32
Perform a Trial Reduction 33
Tibial Position based on Anatomic Landmarks 34
Perform a Trial Reduction 35
Implant Components 37
Close Incision 41
Appendix 1 42
Surgical Technique
For MIS Multi-Reference
4-in-1 Femoral
Instrumentation