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Stryker Triathlon User Manual

Stryker Triathlon
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Surgical
Protocol
Orthopaedics
TRIATHLON
®
Single-Use Instruments
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Stryker Triathlon Specifications

General IconGeneral
TypeTotal Knee System
CategoryOrthopedic Implant
Shelf Life5 years
FixationCemented and cementless options available
ComponentsFemoral, Tibial, Patellar, Bearing
ManufacturerStryker
SterilizationGamma irradiation
MaterialCobalt-chrome alloy, titanium alloy, polyethylene
Intended UseTotal knee arthroplasty

Summary

Tibial Preparation Steps

Exposure

Standard anterior midline incision for exposure. Previous incisions can be incorporated to reduce skin slough risk.

Rotational Alignment

Proper rotational alignment of the assembly using the tibial tubercle as a reference landmark.

Varus-Valgus Alignment

Achieve varus-valgus alignment by adjusting the distal assembly to the proper medial/lateral position after proximal fixation.

Flexion-Extension Alignment

Determine rotational alignment, then place ankle clamp proximal to the maleolus for flexion-extension alignment.

Establishing Tibial Resection Level

Establish tibial resection level using the tibial stylus after the tibial assembly is fixed in place.

Final Tibial Resection

Osteotomize the proximal tibia after removing alignment instruments and leaving the tibial resection guide in place.

Femoral Preparation Procedures

Femoral Intramedullary Alignment

Use Universal Driver for drills/pins, attaching directly to reamer, drill, or Jacob's Chuck for intramedullary alignment.

Distal Femoral Resection

Alter distal resection level by repositioning the guide in 2 holes, removing an additional 2mm of bone.

Femoral A/P Sizing

Pre-assemble MIS Femoral Sizer Body (Left/Right) onto the MIS Femoral Sizer Adjustment Housing for A/P sizing.

Femoral Resections

Complete four femoral bone resections using a .050" (1.25mm) thick saw blade for anterior, posterior, and chamfer cuts.

PS Box Preparation

Resect intercondylar notch for PS knee using the Single-Use PS Box Cutting Guide placed onto the distal femur.

Femoral Trial Assessment

Assess fit for Posterior Stabilized or Cruciate Retaining knees using the remaining portion of the technique.

Tibial Component Sizing and Preparation

Tibial Component Sizing

Expose tibial plateau with retractors. Single-Use Femoral Trial may remain in place for component sizing.

Tibial Keel Punching

Assemble Keel Punch Guide to Universal Tibial Template in unlocked position for tibial keel punching.

Patellar Preparation and Trialing

Patellar Preparation

Remove osteophytes and synovial insertions from the patella. Measure thickness using a caliper for preparation.

Trial Assessment

Remove debris, place correct size Patella Trial (Symmetric/Asymmetric) onto prepared patella for assessment.

Component Implantation

Femoral Component Implantation

Attach Femoral Impactor Extractor to Impaction Handle and the appropriate size/side Femoral Component for implantation.

Tibial Baseplate Implantation

Connect Tibial Baseplate Impactor Extractor to the Impaction Handle for baseplate implantation.

Tibial Insert Implantation

Assemble the Tibial Insert to the Primary Tibial Baseplate to complete tibial component implantation.

Patellar Component Implantation

Place Patella Component onto prepared patella, aligning fixation peg holes with corresponding holes.

Surgical Closure

Closure Procedure

After cement removal and polymerization, thoroughly irrigate the joint and close soft tissues in layers.

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