2
Reaming
Ream the intramedullary canal with the 10mm diameter
reamer. Align the reamer with the matching sized bushing
and sequentially increase diameter until diaphyseal cortical
contact is achieved (Figure 3a).
For diameters under 18mm, the stem housing reamer
must be used to complete bone preparation (Figure 3).
Distal Cut
Re-cut the distal femur (+5mm) to accommodate the
stem housing attachment plate, using the slot on the
anterior side of the Vanguard
®
stem housing reamer guide
(Figure 4).
Figure 3
Figure 4
Figure 3a