Stryker SECUR-FIT ADVANCED - FINAL REDUCTION

STEP 7
FINAL REDUCTION
14 SECUR-FIT
®
ADVANCED SURGICAL TECHNIQUE
Priortonalheadassembly,necklength/headoffset
maybere-evaluatedusingaV40HeadTrial.Placethe
HeadTrialontothestemnecktaperandreducethehip.
Leglengthequalityandpropersofttissuetensionare
evaluated.RemovetheHeadTrialanddrytheimplant
trunnionwithalaparotomyspongeorsteriletowel.
SelecttheappropriatecorrespondingV40FemoralHead
(CoCr,AluminaCeramic,BIOLOXdeltaCeramic)or
sleeveandplaceitontothedrytrunnionofthefemoral
stemwithaslighttwist.Impacttheheadwithmoderate
impactionsusingtheModularHeadimpactor.
Verifytheheadissecureonthetrunnionafterhead
impactionbyapplyingtractiontotheheadandconrming
stabilityonthetrunnion.
WhenselectingaBIOLOXdeltaUniversalTaperCeramic
FemoralHeadforimplantationwiththeSecur-Fit
AdvancedStem,useofaV40UniversalAdaptorSleeve
isnecessary.Aftercompletingthetrialingprocess,intra-
operativelyassembletheAdaptorSleevetotheFemoral
Stemmanually.TheUniversalAdaptorSleevemustbe
fullyseatedontheStemtrunnionbeforetheHeadis
assembled.
Relocatethefemoralheadintotheacetabularcupand
re-checkthelaxityandrangeofmotion.Thesurgicalsite
isthenclosedaccordingtosurgeonpreference.
Figure18
Instruments
Instruments
Orthonomic Modular Handle
1020-2900
Head/Neck Impactor
1601-1700
V40 Head Trial
6264-x-xxxR
Ensure that the V40 taper is clean
prior to assembling the head trial or
head implant
Note
In no instance should any attempt
be made to preassemble the
Adaptor Sleeve inside the BIOLOX
delta Universal Ceramic Head. Intra-
operatively assemble the BIOLOX
delta Universal Taper Ceramic Head
onto the sleeved Femoral Stem
and set with moderate blows using
the Stem Head Impactor (1104-
1000). Care must be taken to avoid
excessive impact forces when
assembling the Ceramic Head to the
sleeved femoral component.
WARNING
Any debris that is potentially
generated must be fully lavaged
prior to wound closure.
WARNING
TABLE 5: UniversalAdaptorSleeves–Titanium
CATALOG NUMBER OFFSET (mm) TAPER
6519-T-025 -2.5 V40
6519-T-100 +0 V40
6519-T-204 +4 V40