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Femoral Cones Surgical Technique

  The LEGION™ Femoral Cones were designed to 

be used with the LEGION Constrained Femoral 
Component or the LEGION HK femoral component 
and the complete range of offset couplers 
depending upon the stem size, offset needed and 
the Femoral Cone size permitted by the anatomy.

  There is a maximum of 20° of rotational freedom 

between the anterior flange of the Femoral 
Component and the Femoral Cone (+/- 10°  
each side). 

  The ability to offset is built into the Femoral Cone 

instead of in the instrumentation. Depending on 
stem size and cone size, there is the ability to offset 
up to 6mm between 3 and 9 o’clock. Reference the 
sizing guide below to determine which size cone 
can accommodate the various levels of offset.

 

Minimum Femoral Cone Size with Offset Couplers

 Note: The labeled sizes of the LEGION Cones are 

the functional internal diameters (ID). The IDs are 
relative to the functional diameters of LEGION Press-
Fit Stems including the 1mm diametrically oversized 
cutting flutes. For example, a size 22 ID LEGION 
Femoral Cone can accept up to a 22mm LEGION 
Press-Fit Stem without offset.

1. With the offset amount and Stem size desired, 

reference the chart for the minimum Femoral  
Cone Size needed to accommodate the desired 
implant construct. 

 Example: If you have used a 22mm reamer with  

a 6mm offset coupler, the minimum size Femoral  
Cone required is 24. 

 

Minimum Femoral Cone Size (per offset)

Max Offset

0

18

2mm

20

4mm

22

6mm

24

Содержание LEGION Cones

Страница 1: ...Surgical Technique...

Страница 2: ......

Страница 3: ...ligament are incompetent 6 Hinge knee systems are designed for use in patients in primary and revision surgery where the posterior cruciate ligament and one or both of the collateral ligaments i e me...

Страница 4: ...izes of the LEGION Cones are the functional internal diameters ID The IDs are relative to the functional diameters of LEGION Press Fit Stems including the 1mm diametrically oversized cutting flutes Fo...

Страница 5: ...tional positioning freedom with Tibial Cones without the use of offset couplers Figure 4 b a Figure 6 Figure 5 Figure 3 Cone Handle Assembly Insert the desired sleeve into the Cone Handle Figure 5 and...

Страница 6: ...e Broach Figure 8b Rotate the Broach a turn following the black line Figure 9 Release the gold slide Figure 10 Note The Cone Broach Handle will only engage in the direction described above To remove t...

Страница 7: ...d for anterior alignment of the Cone Handle Figure 11 A maximum of 25 of rotational freedom is provided between the Tibial Cone and the Tibial Tray fins keel with no offset Using offsets or variable p...

Страница 8: ...Impactor Heads Figure 13 14 respectively are used with the LEGION Cone Handle to connect to and control orientation of the Tibial and Femoral Cone Trials and Implants The Impactor Heads assemble to t...

Страница 9: ...ersized cutting flutes For example a size 22 ID LEGION Tibial Cone can accept up to a 22mm LEGION Press Fit Stem without offset 1 With the offset amount and Stem size desired reference the chart for t...

Страница 10: ...set placement noting stem reamer size length and the offset amount and clocking orientation Before the tibial tray counterbore step determine the maximum Cone size needed to fill the defect to ensure...

Страница 11: ...g on Tibial Cone length desired Note The depth should be below any additional hemi augments planned Note There are two lengths of Tibial Cones Short 25mm and Long 40mm The minimum depths are represent...

Страница 12: ...ach assembly in the desired orientation Figure 23 3 If the selected minimum size Tibial Cone Broach with the desired offset covers or is smaller than the defect proceed with sequential broaching using...

Страница 13: ...nal freedom 2 With attention to rotational alignment lightly impact the Cone Handle Assembly with a mallet until the desired depth is reached Figure 27 Caution If excessive force is used fracture may...

Страница 14: ...sponding Tibial Cone Broaches therefore little to no impaction should be required for the Tibial Cone Trial placement 3 Complete the remaining steps in the LEGION RK or LEGION HK surgical technique af...

Страница 15: ...ed 2 Assemble the previously used Tibial Cone Impactor Head and Offset Sleeve to the Cone Handle maintaining the same clocking orientation 3 Using the previous orientation used with the final Tibial C...

Страница 16: ...nt is applied to Tibial Tray Stem Implant construct to fill the area between the Cone s internal diameter and the Tibial Tray Stem Implant Assembly prior to insertion of the Tibial Tray Stem Implant A...

Страница 17: ...clock Reference the sizing guide below to determine which size cone can accommodate the various levels of offset Minimum Femoral Cone Size with Offset Couplers Note The labeled sizes of the LEGION Co...

Страница 18: ...ncluding any distal wedge resections noting stem reamer size and length Tip Although distal hemi augment resections can be performed using the Femoral Trials completing these resection s prior to Cone...

Страница 19: ...gure 37a Note Depth accommodations should be considered when using distal augments Sequential Broaching 1 Assemble the Neutral Sleeve into the Cone Broach Handle Assemble the 18mm Femoral Broach onto...

Страница 20: ...teral side and a 10mm wedge is present on the medial side broach to the depth shown in Figure 39 5 While utilizing the same alignment orientation as the previous broach sequentially broach with the ne...

Страница 21: ...e the chart below for the maximum allowable offset With the maximum offset limit in mind and the limited Offset Coupler orientation for LEGION Femoral Cones 3 o clock to 9 o clock return to the standa...

Страница 22: ...implant may be malaligned 2 Assemble the Neutral Sleeve and appropriate Femoral Cone Impactor Head to the Cone Handle Caution If excessive force is used fracture may occur 3 Using the previous orienta...

Страница 23: ...late fins and the Tibial Cone If not utilizing offset couplers reference the below sizing guide and the following technique Minimum Tibial Cone Size without Offset Couplers The labeled sizes of the LE...

Страница 24: ...ON Hinge HK through tibial reaming proximal resection tibial sizing and the tibial tray counterbore step s noting stem reamer size and length Tip Hemi wedge resections can be performed using the Dista...

Страница 25: ...Referencing the Initial Reamer depth assemble the 18mm Short or Long Tibial Broach onto the Cone Handle 2 With attention to rotational alignment anterior reference facing anteriorly lightly impact the...

Страница 26: ...responding Tibial Cone Broaches therefore little to no impaction should be required for the Tibial Cone Trial placement 3 Complete the remaining steps in the LEGION RK or LEGION HK surgical technique...

Страница 27: ...l Cone Trial lightly impact the selected Cone Implant into the Tibia to the desired depth and orientation Caution If excessive force is used fracture may occur Tip After the Cone implant is placed fil...

Страница 28: ...final baseplate stem construct placement There is a maximum of 25 of rotational freedom between the Tibial Baseplate fins and the Tibial Cone If not utilizing offset couplers reference the below sizin...

Страница 29: ...tray counterbore step s noting stem reamer size and length Tip Hemi wedge resections can be performed using the Distal Femoral Cutting Block Figure 60 Completing these resection s prior to Cone prepar...

Страница 30: ...ed broach using the correlating Cone Variable Sleeve Figure 63 4 If the selected minimum size Tibial Cone Broach with the desired offset covers or is smaller than the defect proceed with sequential br...

Страница 31: ...With attention to rotational alignment lightly impact the Cone Handle Assembly with a mallet until the desired depth is reached Caution If excessive force is used fracture may occur It is advised to...

Страница 32: ...eir corresponding Tibial Cone Broaches therefore little to no impaction should be required for the Tibial Cone Trial placement 3 Complete the remaining steps in the LEGION RK or LEGION HK surgical tec...

Страница 33: ...nd Tibial Cone Trial lightly impact the selected Cone Implant into the Tibia to the desired depth and orientation Caution If excessive force is used fracture may occur Tip After the Cone implant is pl...

Страница 34: ...Notes...

Страница 35: ......

Страница 36: ...informational and educational purposes only It is not intended to serve as medical advice It is the responsibility of the treating physicians to determine and utilize the appropriate products and tec...

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