Surgical Technique Summary .............................................................................................................................................................................. 2
Overview ......................................................................................................................................................................................................................... 6
Preoperative Planning ............................................................................................................................................................................................. 6
Incision ............................................................................................................................................................................... 6
Patella Preparation ................................................................................................................................................................................................... 7
Patella Resection ...................................................................................................................... 7
Femoral Preparation...............................................................................................................................................................................................10
Distal Femoral Resection ....................................................................................................... 10
Femoral Sizing ............................................................................................................................13
4-in-1 Femoral Cuts ..................................................................................................................14
Tibial Preparation ....................................................................................................................................................................................................15
Tibial Resection with Intact/Functional ACL ...................................................................15
Tibial Resection without Intact/Functional ACL ........................................................... 26
Stem Preparation without the ACL .................................................................................... 27
Trial Reduction...........................................................................................................................................................................................................28
Implant Reduction ...................................................................................................................................................................................................30
Tibial Tray Implantation with Intact/Functioning ACL ............................................... 30
Tibial Tray Implantation without Intact/Functioning ACL ........................................ 32
Femoral Component Implantation .................................................................................... 33
Patellar Component Implantation ..................................................................................... 34
Tibial Bearings and Locking Bar Implantations ............................................................ 34
VANGUARD
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Total Knee System
Table of Contents
Biomet does not practice medicine. The treating surgeon is responsible for determining the appropriate treatment,
technique(s), and product(s) for each individual patient. This technique was prepared in conjunction with the
Vanguard XP Total Knee developing surgeons; and the “eXPert Advice” sections provided in this surgical technique
represent the Vanguard XP developing surgeons’ recommended approach.
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