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Medacta GMK Sphere - Page 41

Medacta GMK Sphere

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41

Table of Contents

Index2
Kinematic Alignment Approach4
Indications4
Tibio-Femoral Offset Measurement5
Contraindications5
Surgical Approach5
Distal Femoral Resection6
Placing the Intramedullary Rod6
Positioning the Distal Cutting Guide7
Verification Check7
Anterior Cut, Posterior Cut and Chamfer8
Femoral Sizing8
Cutting Block Positioning9
Posterior Referencing Pins10
Posterior Cut, Anterior Cut and Chamfers12
Femoral Upsizing/Downsizing12
Tibial Resection13
Mark the A/P Axis on the Tibia13
Assembling the Extramedullary Guide13
Setting the Tibial Varus/Valgus with the Extramedullary Guide14
Setting the Tibial Slope with the Extramedullary Guide14
Setting the Tibial Resection Level with the Extramedullary Guide15
Stabilization of the Tibial Cutting Block15
Removing the Extramedullary Guide15
Flexion Gap Check16
Extension Gap Check17
Trial Reduction18
Balance the TKA with Trial Components19
Tibial Bridge Tray21
Finishing the Femur and Tibia22
Femoral Finishing22
Femoral Finishing Check23
Tibial Finishing24
Tibial Stem Extension25
Patella27
Selection of the Prosthetic Components - Size Matching28
Final Implant28
Tibial Implant28
Insert29
Femoral Implant29
Annex 1 Unslotted Guide Compatibility30
Proximal Tibial Resection30
Annex 2 Mis Guide Compatibility31
Cutting Block Compatibility32
Posterior Referencing: Femoral Sizing and External Rotation Adjustment33
Posterior Referencing: Cutting Block Position33
Femoral Upsizing/Downsing34
Implants Nomenclature37
KA Instrument Complement40
Compatibilit y Chart42

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