smith&nephew REDAPT - Page 14

12
Figure 7
Figure 8
Color coding corresponds
to the reamer and stem size
* PF =Sleeveless Stem
Proximal reamer color code chart
Distal
reamer/
implant
size
Color of
reamer/
implant
Proximal Reamers by number*
Starter 1 2 3 4 5
12
Purple PF
13 Purple PF
14 Black PF
15 Black PF
16
Blue PF
17
Blue PF
18
Red PF
19
Red PF
20
Copper PF
21
Copper PF
22
Gray PF
23
Gray PF
24
Brown PF
25
Brown PF
26
White PF
27 White PF
Upon achieving desired distal t, disengage the
quick connect and power, apply a T-handle and
ensure the reamer does not rotate or translate
axially. Leave nal distal reamer in the canal and
note the size.
Proximal reaming
Select a proximal reamer that offers little or no
resistance when placed over the shaft of the
nal distal reamer. Commence proximal reaming.
The proximal reamer will rotate, however the
distal reamer will act as a guide and should
not advance. If the distal reamer advances
during proximal reaming, re-ream distally with
successively larger distal reamers until desired
distal t is achieved. The distal reamer provides
a positive depth stop for the proximal reamer,
the surgeon may hear a click or observe that
the etched depth mark is aligned to the greater
trochanter or other predetermined reference
location indicating the proximal reamer has
bottomed out (Figure 7). During progressive
reaming, pulse lavage may be used to remove
bone debris from the canal so it will not impede
the proximal reamer from bottoming out on the
distal reamer.
Proximal and distal reamers with the same color
code represent compatible and available implant
options. For example, if the nal distal reamer
is 17 (blue), the corresponding 17 PF proximal
reamer is identied by a blue band located near
the chuck end and in the size markings on the
shaft of the proximal reamer (Figure 8).
Progressively ream until the PF proximal reamer
which corresponds to the distal reamer size is
reached. Ream consistently to the determined
landmark. Remove the proximal reamer, leaving
the distal reamer in position.
Surgical Technique continued