smith&nephew LEGION Cones, Хирургическая техника

Страница: 19 / 36

16
b
a
Figure 38
Figure 37
b
Initial Ream
1. With the LEGION™ Reamer (or Trial Stem and
Trial Stem Connection Rod) remaining in the
canal, place the Initial Femoral Cone Reamer
over the shaft of the LEGION Reamer (Figure 37).
Ream to the desired depth.
Note: The minimum femoral depth mark on
the Initial Reamer (Figure 44b) should be at or
below the primary distal resection (Figure 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 the Cone Handle.
2. Rotationally align the anterior references
of the Cone Handle anteriorly (Figure 38a).
Note: Medial/Lateral reference lines are on
the Femoral Broaches, Trials and Implants
for additional rotational referencing.
3. Visually verify the anterior cone flange surfaces
surfaces are /- 10° of the femoral
component’s anterior flange/resection
(Figure 38).
+/-10°
a