Stryker SECUR-FIT ADVANCED - TROCHANTERIC REAMING

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
Figure7
Medial
Resection
Point
BROACH ONLY OPTION
ThefullytoothedBroachesmay
facilitatepreparationofthefemoral
canalwithouttheuseofTapered
Reamers.However,anarrow/tight
diaphysealshaft(e.g.champagne
utefemur)mayresultinbroach
resistance in the distal canal. If
resistanceisencountered,tapered
reamingisrecommendedtominimize
potentialfordistalfemoralfractures.
If the Broach does not seat at the
desiredheight,reamupwarduntilthe
Broach seats at the desired height.
Theoptiontoskipanyreamingstep
isatthediscretionofthesurgeon.
Selectandusetheappropriate
TrochantericReamertoremove
lateralproximalcorticalbone.This
willfurtherassistinestablishing
properaxialalignment.The
TrochantericReamerisavailable
in standard and large sizes. The
Reamershouldbeinsertedtoa
depthsuchthatthedistalendofthe
cuttingutesalignswiththemedial
resection point. Each Trochanteric
Reamerisdesignedtopreparefor
threestemsizes.SeeTable 1.
OPTION
ForSizes4-6,thestandard
TrochantericReamerisoptionaland
tobeusedaccordingtosurgeon’s
discretion.
TABLE 1: Recommended
TrochantericReamerSizes
STEM
SIZE
TAPERED
REAMER
7-9 StandardTrochantericReamer
10-12 LargeTrochantericReamer