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Vanguard
®
ID Total Knee
Surgical Technique
Figure 37
Tibial Tray Implantation
(cont.)
After pressurization, all cement that remains proud
of the bone should be removed. A 1/2 inch (12.7 mm)
curved osteotome, positioned concave down, is useful
to scrape away excess cement.
If there is significant blood or saline on the cement
surface, it can be carefully dried using an osteotome
wrapped in a clean, dry lap sponge prior to final implant
placement.
Note:
While drying blood or saline, make sure not
to remove the cement that was just placed on to
the surface.
Insert the tibial component.
Impact the tray with the tibial impactor (Figure 37).
Remove any excess cement from the posterior aspect
of the tibia using an angled elevator (Woodson).
The angled elevator can also be used to remove residual
cement from the anterior aspect of the tibial tray.
Check that no cement has penetrated the locking bar
slot.
