Figure 59
Figure 60
36
VANGUARD
X
P
Total Knee System
Tibial Bearings and
Locking Bar Implantations (cont.)
• Use the bearing pre-setting tool (32-700366)
(Figure 59) to set each bearing into position before
using the locking bar inserter (32-486125) (Figure 60).
- The tool end inserts into the middle of the tibial tray
and bearing slot at the same time and sets the
bearings by squeezing the tool handle.
Note: Pre-setting the bearings can be done in either
flexion or extension.
• Insert the appropriate size Vanguard XP locking bar
into the medial side of the anterior tibial tray/bearing
slot as far as possible using finger pressure.
Note: The Vanguard XP locking bar is packaged with the
Vanguard XP tibial tray.
• Place the large curved end of the locking bar inserter
(etched “bar”) in the notch on the Vanguard XP locking
bar. The end etched “tray” should be placed in the notch
on the lateral side of the Vanguard XP tibial tray anterior
post (Figure 60).
• Make sure the smaller square end engages on the
Vanguard XP tibial tray post and does not block the path
of the Vanguard XP locking bar.
• Squeezing the locking bar inserter will gradually
introduce the Vanguard XP locking bar until fully seated
and an audible click is heard.
• A visual and audible confirmation should be made to
ensure complete locking bar insertion.
Implant Reduction
Содержание VANGUARD XP
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