Zimmer Biomet Arcos Modular FemoralRevision System, Хирургическая техника

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Arcos Broach/Calcar Proximal Body
Surgical Technique
Figure 38 Figure 39
100 mm
25 mm
Narrow
claw option
(16 mm)
Wide
claw option
(17.5 mm)
Both have
grooves to
accept cable
attachments
Hex Driver
T-handle
Guide
Engraved Line
Select the bolt length that corresponds with the depth
marks on the outside of the trochanteric bolt guide as
measured according to the position of the engraved
line on the plunger. Choose the trochanteric bolt drill
bit that matches the size of the proximal body implant
(Size A–G) regardless of height or body style.
Example: If a size B Cone body is used, select
the size B trochanteric bolt drill bit. Selecting the
correct size will prevent the drill from contacting
the implant.
Note: Bolts are available in 2 mm increments.
Preparing for Auxiliary Implant
Attachment
Note: Both the large and small claw are 100 mm
in length, measured from the top to bottom. The
button is 25 mm in diameter (Figure 38).
Once the trochanteric fixation option has been
determined, compress the auxiliary implant to the
bone fragment by threading the plunger tightly against
the auxiliary implant using the 5.0 mm hex driver and
T-handle in the torque limiting position (Figure 39).
Note:
If utilizing the claw auxiliary option, ensure
that the head of the plunger is aligned with a hole
in the claw to ensure that the bolt will pass through
the claw into the implant.