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The tibial pin guide (in addition to the product packaging 
label) will have patient specific identifiers: Patient Name, 
Lot No., Size and Patient Anatomy (R/L). Verify the 
accuracy of these identifiers prior to opening the sterile 
package (Figure 1). 

Note: 

The size information was selected pre-

operatively based on the Patient Proposal. Final 
implant sizing may change due to intra-operative 
assessment of implant fit and/or joint gap balance. 

Prior to use, insert the TRUMATCH Solutions Drill Guides 
(Part Number (P/N) 2004-20-925) into the two anterior 
openings of the plastic tibial pin guide by twisting in a 
clockwise direction until tightened (Figure 2).

Note:  

The TRUMATCH Solutions Drill Guides (P/N 

2004-20-925) are reusable after sterilization.  A 
minimum of four (4) drill guides should be on hand 
for a case.  They are shipped separately from the 
TRUMATCH Solutions Pin Guides.

For optimal handling and placement stability of the tibial 
pin guide, first insert the HP Extra Medullary Tibial Uprod 
(P/N 9505-01-228) into the anterior holes of the tibial pin 
guide. Then slide the Rod Extension (P/N 2004-20-923) 
over the distal end of the uprod. This will lengthen it to 
reach the patient’s ankle. Grasp the guide using the 
medial and lateral finger pads (Figure 3A). Do not grasp 
the uprod or the area on which the metal drill guides are 
located. (Figure 3B).

Figure 2

Figure 1

Figure 3A

Figure 3B

PROXIMAL TIBIAL RESECTION

4    DePuy Synthes Joint Reconstruction  TRUMATCH Personalized Solutions Pin Guides  Surgical Technique

Содержание Depuy Synthes Trumatch

Страница 1: ...Pin Guide System SURGICAL TECHNIQUE TRUMATCH PERSONALIZED SOLUTIONS with the SIGMA High Performance Instruments...

Страница 2: ...operation following the use of the TRUMATCH Solutions Femoral and Tibial Pin Guides It is strongly recommended that the surgeon carefully review the TRUMATCH Solutions Patient Proposal prior to proce...

Страница 3: ...ition the distal femoral cutting block with anterior reference guide Step 5 Use of angel wing to verify distal resection level Tibial Preparation SIGMA Total Knee System steps shown Step 1 Insert dril...

Страница 4: ...The TRUMATCH Solutions Drill Guides P N 2004 20 925 are reusable after sterilization A minimum of four 4 drill guides should be on hand for a case They are shipped separately from the TRUMATCH Solutio...

Страница 5: ...ote The position of the line in the Patient Proposal is intended to reference the medial one third of the tibial tubercle and not the middle of the tibial crest Figure 4 Note It is recommended to clea...

Страница 6: ...confirm the cut orientation with the angel wing If necessary the block may be shifted 2 mm proximally or distally by selecting the appropriate offset holes adjacent to the 0 mm hole Perform the proxi...

Страница 7: ...and position the feet of the guide over the distal femoral condyles Figure 11A Avoid using excessive force to seat the guide Care should be taken to avoid squeezing the block and causing the legs to...

Страница 8: ...guide by flexing the guide from posterior to anterior Note The TRUMATCH Solutions Drill Guides P N 2004 20 925 are reusable after sterilization A minimum of four 4 drill guides should be on hand for...

Страница 9: ...the distal femoral resection using a 1 19 mm whale tail thick saw blade Figure 14B Remove the HP Distal Femoral cutting block and confirm the bone cuts are clean and without any under cut bone fragme...

Страница 10: ...ersa This will result in an incorrect rotation placement of the cutting block Evaluate the anterior cut with the angel wing Figure 16 If desired the block may be shifted 2 mm anteriorly or posteriorly...

Страница 11: ...will keep the posterior resection in the same plane and take additional anterior femoral bone In order to address an anterior down preference and the ability to downsize the component drill two fixati...

Страница 12: ...the necessary information required to submit the TRUMATCH Solutions order online Patient Proposal a Review in detail prior to the surgery b Review the Notes Comments section for important information...

Страница 13: ...recommended to remove the thin soft tissue to expose the underlying bone b Distally the guide should be in contact with distal femoral condyles although a slight gap may exist along the periphery If...

Страница 14: ...f the tibial guide does not fit verify the following 1 Is the incision preventing placement of the guide on the bone The incision must provide access for guide placement and a clear view of the guide...

Страница 15: ......

Страница 16: ...greater than 15 degrees of fixed varus valgus flexion or tibial slope exceeding 15 degrees Moderate to severe bony deformities Charcot knee or patients with severe patella tendon calcification that m...

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