STEP 3
6 SECUR-FIT
®
ADVANCED SURGICAL TECHNIQUE
CONTINUED
TROCHANTERIC REAMING
Medial
Resection
Point
Instruments
Orthonomic T-Handle
1101-2200
Secur-Fit Advanced 2 For 1
Tapered Reamer Size 5-6
1601-1556
Secur-Fit Advanced
Large Trochanteric Reamer
1601-1532
Secur-Fit Advanced
Standard Trochanteric
Reamer 1601-1531
Figure7
Medial
Resection
Point
BROACH ONLY OPTION
ThefullytoothedBroachesmay
facilitatepreparationofthefemoral
canalwithouttheuseofTapered
Reamers.However,anarrow/tight
diaphysealshaft(e.g.champagne
utefemur)mayresultinbroach
resistance in the distal canal. If
resistanceisencountered,tapered
reamingisrecommendedtominimize
potentialfordistalfemoralfractures.
If the Broach does not seat at the
desiredheight,reamupwarduntilthe
Broach seats at the desired height.
Theoptiontoskipanyreamingstep
isatthediscretionofthesurgeon.
Selectandusetheappropriate
TrochantericReamertoremove
lateralproximalcorticalbone.This
willfurtherassistinestablishing
properaxialalignment.The
TrochantericReamerisavailable
in standard and large sizes. The
Reamershouldbeinsertedtoa
depthsuchthatthedistalendofthe
cuttingutesalignswiththemedial
resection point. Each Trochanteric
Reamerisdesignedtopreparefor
threestemsizes.SeeTable 1.
OPTION
ForSizes4-6,thestandard
TrochantericReamerisoptionaland
tobeusedaccordingtosurgeon’s
discretion.
TABLE 1: Recommended
TrochantericReamerSizes
STEM
SIZE
TAPERED
REAMER
7-9 StandardTrochantericReamer
10-12 LargeTrochantericReamer