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Vanguard
®
ID Total Knee
Surgical Technique
Figure 13
Figure 12
Note:
To confirm the valgus angle, the alignment
handle can be inserted into the adjustable distal
adaptor and a 1/4 inch alignment rod can be inserted
and extended to the center of the femoral head.
Remove the valgus wing by removing the IM rod and
pulling the valgus wing and valgus block adaptor
distally away from the distal cut block, leaving the
distal cut block in place.
Use a 1.37 mm saw blade to complete the distal
resection through the selected 0 slot (Figure 13).
Check the resected distal femur using a flat instrument
surface to confirm a flat resection.
Recut or file as necessary to achieve proper resection.
Note:
Avoid over-resecting the distal femur to
prevent raising the joint line. Aim to resect 1 to 2
mm into the femoral notch.
Distal Femoral Resection
(cont.)
Option 2: Fixed Distal Femoral Resection
Guide
(cont.)
Choose the appropriate left or right valgus wing and
assemble it onto the IM rod by sliding it through the
central hole.
Slowly introduce the IM rod to the femoral canal to
depressurize the canal.
Slide the valgus wing until it rests flush with the distal
femur.
– The “left” or “right” engraving on the block
must face distally corresponding to the leg
being prepared.
Slide the distal cut block and valgus block adaptor into
the anterior holes of the valgus wing until the resection
block contacts the anterior femur.
Pin the distal cut block into place using 1/8 inch quick
release drill pins in the center pinholes of the block
(Figure 12).
9 mm
