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RT-PLUS
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Smith & Nephew RT-PLUS - Page 36
64 pages
Manual
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34
When the def
initi
ve impla
nts ha
ve been
selected, prepar
e the components for
implantation (see instructions, star
ting
pag
e 37).
Remov
e t
he trial components w
ith t
he Knock
In/Out instrument, star
ting w
ith t
he f
emu
r
.
35
37
Table of Contents
Main Page
Table of Contents
3
Nota Bene
3
Introduction
4
Training
5
Implants
5
Responsibility
5
General Warnings and Comments
5
Concept/Description
6
Product Description
7
Femoral Component
7
Patellar Component
7
Tibial Component
8
Tibial Insert
8
Tibial Blocks (PE)
9
Indications
10
Contraindications
10
Preoperative Picture
11
Postoperative Result
11
Case Study
11
Preoperative Planning
12
Planning the Surgery Using the Radiograph
13
Surgical Procedure
15
Implant Components Removal
15
Positioning the Patient for Surgery
15
Surgical Technique
15
Overview of the Resection Sequences for Primary Application
16
Use of Speed-Pins
18
Femoral Preparation
19
Femoral Size Determination
19
Femur Opening
19
Preparing the Femoral Anchorage
20
Locating the Distal Femoral Cutting Block
21
Distal Femoral Resection
22
Checking the Resections
23
Controlling the Femoral Size
23
Locating the A/P Femoral Cutting Block
23
A/P and Chamfer Resections
24
Preparing the Femoral Box (EM)
25
Controlling the Femoral Resections and Anchorage
28
Removing Residual Dorsal Condyles
28
Opening the Tibia
29
Preparing the Tibial Anchorage
29
Tibial Preparation
29
Setting the Resection Height
30
Checking Alignment and Tibial Resection
31
Checking the Joint Gaps
32
Tibial Resection
32
Setting the Tibial Rotation
33
Tibial Size Determination
33
Preparing the Tibial IM Canal
34
Trial Reduction
35
Patellar Preparation
37
Patellar Size Determination
37
Positioning the Patellar Clamp and Performing Patella Resection
37
Drill Anchoring Holes
38
Milling
38
Implanting the Components
39
Implanting the Tibial and Femoral Components
39
Final Check
40
Insertion of Tibial Insert
40
Fixation of the Tibial Insert
41
Implanting the Cemented Patellar Component
42
Wound Closure
42
Rehabilitation
43
Postoperative Treatment
43
Instruments
44
Sterilization
44
RT-PLUS Implants for Cemented Procedure
46
Femoral Components Left
46
Tibial Components
46
Patellar Components
46
Tibial Inserts
47
Tibial Blocks
47
RT-PLUS Instrument Set (1Mm)
48
Femoral Trials
50
Optional Drill with AO Connection (on Request)
50
Optional 1.27 MM Cutting Blocks (on Request)
50
Tibial Trials
54
Optional Tibial Block Trials (on Request)
54
Patellar Instruments
56
Documents
58
Product-Accompanying Documents
58
Product Overview (Combination Table)
59
Rt-Plus
59
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