Zimmer Biomet Arcos Modular FemoralRevision System, Хирургическая техника

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Arcos Broach/Calcar Proximal Body
Surgical Technique
Figure 9 Figure 10 Figure 11
Broach the proximal femur sequentially, until the final
broach size matches the last proximal reamer used
(Figure 10). Verify that the broach is advanced into the
femur, oriented to the desired anteversion, and the
60 mm etch mark on the broach handle is aligned with
the tip of the greater trochanter.
Once the desired broach size is obtained, remove
the broach handle and tighten the broach’s captured
screw with the 3.5 mm hex driver to lock the broach
into place (Figure 11).
Note: Locking the broach and stem trial together
will aid in matching the orientation of the trial to the
final implant.
Broaching the Metaphysis
Once the desired size and 60 mm proximal body
height has been achieved utilizing the modular
reamer, loosely assemble the proximal broach and the
distal stem trial together using the 3.5 mm hex driver
(Figure 9).
Note:
Assemble the proximal broach and distal
stem trial loose to allow the distal stem to find the
appropriate position in the femur.