�
Table of Contents
Acknowledgments ................................................................................................... 2
Introduction ............................................................................................................ 2
Assembly Instructions............................................................................................. 4
Tibial Preparation ................................................................................................... 10
Option�–ExtramedullaryReferencing........................................................�0
Flexion/ExtensionAlignment.............................................................�0
Varus/ValgusAlignment......................................................................�0
TibialSlopeAdjustment......................................................................�0
RotationalAlignment..........................................................................��
Option�–IntramedullaryReferencing.........................................................��
RotationalAlignment..........................................................................��
Varus/ValgusAlignment......................................................................��
EstablishTibialResectionLevel......................................................................�3
TibialResection...............................................................................................�4
Option�:TibialAugmentResection..............................................................�4
FlexionandExtensionGaps...........................................................................�6
TibialComponentSizing................................................................................�6
TibialTrialAssessment....................................................................................�6
Option�:TibialAugmentResection..............................................................�8
TibialReamingfortheCementedStem.........................................................�9
TibialKeelPunching.......................................................................................�0
Catalog...................................................................................................................... 22
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
�
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Acknowledgments
StrykerOrthopaedicswishestothanktheentireTriathlon®UniversalBaseplateSurgeonPanelandthedozensofsurgeonsworldwidewhoguidedthedesignanddevelopmentoftheTriathlon®UniversalBaseplateInstrumentation.
Introduction
TheTriathlon®KneeSystemInstrumentationhasbeendevelopedbasedonStryker’s30-yearorthopaedichistory.ThesystemcombinestheexpertiseoforthopaedicandhumanfactorsengineerswiththatofsurgeonsandORstaffworldwide.
Indications
TheTriathlon®TotalKneeSystemcomponentsareintendedforuseinprimarytotalkneearthroplastyandrevisionofauni-kneearthroplastyorHighTibialOsteotomytoalleviatepainandrestorefunctionforpatientssufferingfrom:
> Painful,disablingjointdiseaseofthekneeresultingfrom:degenerativearthritis,rheumatoidarthritisor post-traumaticarthritis.
> Post-traumaticlossofkneejointconfigurationandfunction.
> Moderatevarus,valgus,orflexiondeformityinwhichtheligamentousstructurescanbereturnedto adequatefunctionandstability.
> Revisionofpreviousunsuccessfuluni-kneereplacementorotherprocedure
> Ligamentousinstabilityrequiringimplantbearingsurfacegeometrieswithincreasedconstraint.
> Absentornon-functioningposteriorcruciateligament.
Contraindications
> Anyactiveorsuspectedlatentinfectioninoraboutthekneejoint.
> Distantfociofinfectionwhichmaycausehematogenousspreadtotheimplantsite.
> Anymentalorneuromusculardisorderwhichwouldcreateanunacceptableriskofprosthesisinstability, prosthesisfixationfailure,orcomplicationsinpostoperativecare.
> Bonestockcompromisedbydisease,infectionorpriorimplantationwhichcannotprovideadequate supportand/orfixationtotheprosthesis.
> Skeletalimmaturity.
> Severeinstabilityofthekneejointsecondarytotheabsenceofcollateralligamentintegrityandfunction.
> Obesity.
Warnings and Precautions
Thepatientmustbeadvisedofboththelimitationsofthereconstructionandtheneedforprotectionoftheimplantfromfullweightbearinguntiladequatefixationandhealinghaveoccurred.Excessiveactivityandtraumaaffectingthejointreplacementhavebeenimplicatedinfailureofthereconstructionbyloosening,fractureand/orwearoftheprostheticimplants.Looseningofthecomponentscanresultinincreasedproductionofwearparticles,aswellasdamagetothebone,makingsuccessfulrevisionsurgerymoredifficult.
Thepatientshouldbecautionedtolimitactivitiesandprotectthereplacedjointfromunreasonablestresses,andtofollowtheinstructionsofthephysicianwithrespecttofollow-upcareandtreatment.
Thepatientshouldbewarnedofsurgicalrisks,andmadeawareofpossibleadverseeffects.Thepatientshouldbewarnedthatthedevicedoesnotreplicatetheflexibility,strength,reliability,ordurabilityofanormalhealthyjoint,thattheimplantcanbreakorbecomedamagedasaresultofstrenuousactivityortrauma,andthatthedevicehasafiniteservicelifeandmayneedtobereplacedinthefuture.
Appropriateselection,placementandfixationofthetotalkneecomponentsarecriticalfactorswhichaffectimplantservicelife.Asinthecaseofallprostheticimplants,thedurabilityofthesecomponentsisaffectedbynumerousbiologic,biomechanicandotherextrinsicfactors,whichlimittheirservicelife.Accordingly,strictadherencetotheindications,contraindications,precautionsandwarningsforthisproductisessentialtopotentiallymaximizeservicelife.
4
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Assembly Instructions
ManyoftheTriathlon®KneeSystemInstrumentshaveuniquemechanismsincorporatedtoassistsurgeonsandORstaff,inasimplified,efficientsurgicalexperience.Therefore,assemblyinstructionshavebeenincludedinthefirstsectionofthissurgicaltechniquetoassistwithinstrumentsthatmaybepre-assembledonthebacktable,aswellasotherinstrumentsthatneedtobeassembled.
Allofthemechanismsthatallowinstrumentstobeadjustedand/orassembledhavebeenpolished.
Thesurgicaltechniquecanbefoundinthenextsectionbeginningonpage�0.
Revision Tibial Resection Guide and Revision Sagittal Resection Guide Assembly:
> SqueezethetabsontheRevisionSagittalResection GuideandinsertintotheRevision TibialResectionGuide
> ReleasethetabsandensurethattheRevisionSagittal ResectionGuideislockedinplace.
Assembly 1
�
Assembly 2A
Assembly 2B
Assembly 2C
Universal Tibial Template, Tibial Augment Trial, Alignment Handle and PS or CR Tibial Insert Trial Assembly:
> LineupthepinsoftheTibialAugmentTrialwith theholesonthecorrespondingsizedUniversal TibialTemplate.MagnetsintheTibialAugment TrialwilllockittotheUniversalTibialTemplate.
> PosteriorholeandChannelofUniversalTibial Template.
> Depressandholdthebronzeleverontheanterior positionoftheAlignmentHandle.Insertthe spring-loadedtipoftheAlignmentHandleintothe centralposteriorholeoftheUniversalTibial Template.Holdthehandleataslightangletothe topsurfaceofthetemplate.
> Compressthespring-loadedtipbypushingit forwardandlowertheAlignmentHandleinto thechannelontheanteriorportionoftheUniversal TibialTemplate.Releasethespringtensionand allowtheAlignmentHandletoengagetheUniversal TibialTemplate.
> Releasethebronzelevertosecuretheassembly.
Ass
em
bly
6
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
> PositionaPSorCRTibialInsertTrialtothe UniversalTibialTemplatebyfirstpositioningit posteriorly,ata�0-30degreeangletothetemplate andthenfullyseatitanteriorly.
Assembly 2D
Universal Tibial Template, Tibial Resection Guide Link, and Revision Tibial Resection Guide Assembly:
> SqueezethetabsontheTibialResectionGuideLink andinsertintotheRevisionTibialResectionGuide.
> ReleasethetabsandensurethattheRevisionTibial ResectionGuideislockedinplace.
> AssembletheTibialResectionGuideLinkto theUniversalTibialTemplatebyinsertingtheTibial ResectionGuideLink,ataslightangletothe UniversalTibialTemplate,intothetwolocatingslots towardstheposteriorportionoftheUniversalTibial Template.
> AllowtheTibialResectionGuideLinktositflaton theUniversalTibialTemplate.MagnetsintheTibial ResectionGuideLinkwilllockittotheUniversal TibialTemplate.
Assembly 3
�
Assembly 4A
Assembly 4B
Assembly 5A
Modular Keel Trial, Stem Trial, Tibial Augment Trial, and Universal Tibial Template Assembly:
> LineupthepinsoftheTibialAugmentTrialwith theholesonthecorrespondingsizedUniversal TibialTemplate.MagnetsintheTibialAugment TrialwilllockittotheUniversalTibialTemplate.
> ManuallythreadtheappropriatelysizedStemTrial intotheModularKeelTrialuntilthebaseofthe threadsoftheStemTrialsitflushwiththedistal- mostsurfaceoftheModularKeelTrial.
> UsingtheHeadedNailImpactor/Extractor,drop theModularKeelTrial/StemTrialsubassembly downverticallythroughthetopoftheUniversal TibialTemplate.TheModularKeelTrialwillseat flushintheUniversalTibialTemplate.
Modular Handle, Tibial Counter Wrench, Universal Torque Wrench, Slip Torque Handle, 1/8” U-Joint Hex Drive, Universal Baseplate, Tibial Augment and Cemented Stem Assembly:
> SnapboththeTibialCounterWrenchandUniversal TorqueWrenchintoanImpactionHandle.
> AssembletheTibialCounterWrenchoverthekeel oftheUniversalBaseplateandseatitflushoverthe distalsideofthebaseplate.
> AssembletheUniversalTorqueWrenchtothehex ontheendcapoftheUniversalBaseplate.Torque thewrenchcounter-clockwiseawayfromtheTibial CounterWrenchuntiltheendcaploosens.
> Manuallyunthreadtheendcapanddiscard.
Ass
em
bly
8
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Assembly 5B
Assembly 5C
Assembly 5D
> ManuallythreadtheCementedStemintothebossof theUniversalBaseplate.
> AssembletheTibialCounterWrenchoverthekeel oftheUniversalBaseplateandseatitflushoverthe distalsideofthebaseplate.
> AssembletheUniversalTorqueWrenchtothehex ontheCementedStemlocatedatthebaseofthe thread.TorquedowntheCementedStemto ��0-�80in/lbs(SeeInset).
> Snapthe�/8”U-JointHexDriveintotheSlip TorqueHandle.
> PlacetheTibialAugmentonthedistalsideofthe UniversalBaseplate.VerifybothpinsoftheTibial Augmentareengageintotheslotsontheunderside oftheUniversalBaseplateandthattheTibial Augmentisseatedflush.Usingthe�/8”U-JointHex Drive,torquethehelicalboltcapturedwithinthe tibialaugmentuntilthetorquedriverslips,atwhich timeyouwillhearanaudibleclick.Verifythatthe helicalboltisengagedwiththeslotcutintothekeel theUniversalBaseplate.Repeatonasecond augmentifrequiredontheotherside.
�0
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Figure 1
Figure 2
Figure 3
Tibial Preparation > Therearetwooptionsfortibialpreparation: extramedullary(EM)referencingalignmentand intramedullary(IM)referencingalignment.
> TheRevisionTibialResectionGuide,availablein LeftandRightconfigurations,aswellasCaptured andOpenconfigurations,isdesignedtoavoidsoft tissueimpingement.
Option 1 – ExtramedullaryReferencing> Thetibialresectionassemblyhasfiveparts:the appropriateRevisionTibialResectionGuide,the AnkleClamp,theDistalAssembly,theProximalRod andtheTibialAdjustmentHousing.Theseare assembledfirst.
Note:The0degreeTibialAdjustmentHousingisavailablein0°slope(posteriorstabilized)and3degreeslope(cruciateretaining).The0degreeTibialAdjustmentHousingshouldalwaysbeusedforpreparingfortheUniversalBaseplateifastemisindicated.
Flexion/Extension Alignment
> TheposteriorlongfixationpinoftheProximalRod ispartiallyseatedintheproximaltibiatostabilize theassembly.Placetheankleclamparoundthe ankleandunlockthelockingswitch.
> Flexion/Extensionalignmentiscorrectwhenthe longaxisoftheassemblyparallelsthemid-coronal planeofthetibia.Flexion/Extensionalignment canbecheckedbyverifyingthatthelongaxisofthe assemblyisparalleltothefibula.
Varus/Valgus Alignment
> Medial/Lateraloffsetcanbeadjustedbypushing thebronzebutton(�)andslidingtheassembly mediallyuntiltheshaftintersectsthecenterofthe tibia.
> Oncetriaxialalignmentisachieved,releasethe bronzebutton.
Tibial Slope Adjustment
Note:IftheProximalRodisparalleltothetibia,theslopeis0degrees.
> Tibialslopecanbeadjustedbypressingthebronze button(�).
��
Tib
ial
Pre
para
tion
InstrumentBar
Figure 1
Figure 2
Rotational Alignment> Rotatetheentireassemblytoensurethatthebaseoftheassemblyisalignedwiththecenteroftheankle.Thecenteroftheankleisgenerallyinlinewiththesecondmetatarsalorthemedial�/3ofthetibialtubercle.
> FixtheentireassemblyinplacebystrikingtheproximalendoftheProximalRodwithamallet,securingthetwofixationpins.
> Oncealignmentisconfirmed,setthebronzelockingswitchontheDistalAssemblytothelockedposition.
Option 2 – ExtramedullaryReferencing> Attachthe3/8”IMDrilltotheUniversalDriverandcreateaholeinthelocationdeterminedbythepreoperativeX-rays.
Left 6543-2-700 Right 6543-2-701
RevisionTibialResectionGuide-Open
Left 6543-2-710 Right 6543-2-711
RevisionTibialResectionGuide-Captured
��
Rotational Alignmen
> WiththebodyoftheTibialAlignmentJigIMresting ontheproximaltibia,properrotationalalignmentis achievedbyrotatingtheinstrumentaboutthe�/�6” IMRodsothattheverticalmountingbarisoverthe medial�/3ofthetibialtubercle.AHeadlessPinor the�/8”Drillistheninsertedintothefixationhole tofixrotation(SeeInset).
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Figure 6
Figure 7
Figure 8
> AttachtheT-HandleDrivertothe�/�6”IMRodand slowlypassintothecanal,ensuringclearance. Removethe�/�6”IMRodandinsertitintothebody oftheTibialAlignmentJigIM.Theassemblyisthen insertedintothecanaluntiltheisthmusisengaged.
Varus/Valgus Alignment
> AssembletheappropriateRevisionTibialResection Guide(leftorright)andTibialAdjustmentHousing.
Note:The0°TibialAdjustmentHousingisavailable
in0°slope(posteriorstabilized)and3°slope(cruciateretaining).The0°TibialAdjustmentHousingshouldalwaysbeusedforpreparingfortheUniversalBaseplateifastemisindicated.
> Attachtheassemblyontothemountingbarby pressingthebronzewheelontheTibialAdjustment Housing.AttachtheUniversalAlignmentHandle totheRevisionTibialResectionGuideandslidea UniversalAlignmentRodthroughthehandlefor sagittalassessment.
> Whenalignmentisconfirmed,theUniversal AlignmentHandleshouldbecenteredoverthe ankle.
�3
Tib
ial
Pre
para
tion
InstrumentBar
Figure 9
[Thefollowingappliestobothextramedullaryandintramedullaryalignment.]
Establish Tibial Resection Level> TheTibialStylusattachestotheRevisionTibial ResectionGuidewiththe“9”endreferencingthe lowestleveloftheunaffectedcompartment.
> 9mmofbonewillberesectedwiththeinitial proximaltibialresection.Alternatively,ifthe“�” endoftheTibialStylusisused,theamountofbone resectedwiththeinitialproximaltibialresectionwill be�mmbelowthetipofthestylus.
> TheheightoftheRevisionTibialResection Guide,TibialStylusandTibialAdjustmentHousing canbeadjustedusingthebronzewheelontheTibial AdjustmentHousing.Forcoarseadjustment,press thebronzewheelandslidetheassemblyupordown. Forfineadjustment,turnthebronzewheeltothe righttomovetheassemblyuptheProximalRodor turnlefttomovetheassemblydowntheProximal Rod.
�4
> RemoveallalignmentinstrumentsleavingonlytheRevisionTibialResectionGuideinplace.
• IfOption�EMAlignmentwasused:The AnkleClamp,DistalAssembly,ProximalRod andTibialAdjustmentHousingareremoved. Toremovetheassembly,releasethebronze lockswitch,squeezethebronzewheelonthe TibialAdjustmentHousingandlifttheleverarm ontheProximalRodwhileholdingthewheel releasehighenoughtoclearpins.Squeezethe bronzetabsandremovetheankleclamp assembly.Thiswillallowtheassemblyto disengagefromtheRevisionTibialResection Guideandreleasethefixationpegsfromthe plateau.
• IfOption�IMAlignmentwasused:Squeeze thebronzetabsontheTibialAdjustment Housingtodisengagetheassemblyfromthe RevisionTibialResectionGuide.SlidetheTibial AdjustmentHousinganteriorly.Removethe �/�6”IMRod,theTibialAlignmentJigIM,the TibialAdjustmentHousingandtheUniversal AlignmentHandle.
Figure 10
Tibial Resectio
> Initialresectionoftheproximaltibiaisnowcompleted.
Option 1:TibialAugmentResection> Ifanadditional�mmtibialaugmentresectionisrequired,resectthetibiathroughtheslotmarked“,�”ontheRevisionTibialResectionGuide.Optionally,tomakeanopen-faced�mmtibialaugmentresection,removethe“X”pinanddroptheresectionguidedownontothe+�mmpins.Resectthetibiaonthetopsurfaceoftheresectionguide.
Figure 11
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
��
Tib
ial
Pre
para
tion
InstrumentBar
Figure 12
> Ifanadditional�0mmtibialaugmentresectionis required,removethe“X”pinanddroptheresection guidedownontothe+�mmpins.Resectthetibia throughtheslotmarked“,�”ontheRevisionTibial ResectionGuide.
> Ifa�mmor�0mmaugmentresectionhasbeen made,thesagittalslotinthecenteroftheRevision TibialResectionguidecanbeusedwithasagittal sawtocompletetheaugmentresection.Thissagittal resectionwillover-resectthetibia3mmsagittally relativetothetibialaugment.Optionally,assemble theRevisionSagittalResectionGuidetotheRevision TibialResectionGuide.Toresectthetibiasagittally linetolinewiththetibialaugment,resectalong thesidewall(closesttotheaugmentresection)of thesagittalresectionguide.Toover-resectthetibia 3mmsagittally,resectthroughthecentralslotofthe guide.Over-resectionofthetibia3mmsagittally willallowforapproximately+/-3degreeofrotation whendeterminingtherotationofthetibial component.
> RemovetheRevisionTibialResectionGuide.
6543-2-70
TibialSagittalResectionGuide
�6
Tibial Component Sizing
> PlacethePSorCRFemoralTrialonthefemur.
> Subluxthetibiaanteriorly.AssembleaUniversal TibialTemplate,theappropriateTibialAugment Trial(s),AlignmentHandleandaPSorCRTibial InsertTrial.
> Placetheassemblyontheresectedtibialplateauand choosethesizethatbestaddressesrotationand coverage.
> Performatrialreductiontoassessoverall componentfit,ligamentstabilityandjointrangeof motion.
Note:Ensureallexcessdebris(boneandsofttissue)isclearedfromtheUniversalTibialTemplate.
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Figure 13
Figure 14
Figure 15
Flexion and Extension Gaps
> Theflexiongap(90degree)andtheextensiongap (0degree)maybeassessedusingtheAdjustable SpacerBlock.Iftibialaugmentationhasbeen preparedfor,assembletheappropriatethickness ofSpacerBlockAugmenttotheappropriateside ofthelowerpaddle.Thenumbersonthe thumbwheelcorrespondtotheimplantinsert thickness.LifttheUpperPaddleGriptofreethe adjustmentwheel.Alignthenotchwiththe appropriatethickness(seeInset)andassessthe gapspaceuntiltheappropriateinsertthicknessis established.
> AUniversalAlignmentRodcanbeplacedthrough theholeontheAdjustableSpacerBlocktocheck alignment.
Tibial Trial Assessment
> Foranoptionaltibialalignmentcheck,inserta UniversalAlignmentRodintothemostanterior holeoftheAlignmentHandleandcheckalignment.
��
Tib
ial
Pre
para
tion
InstrumentBar
Figure 16
> Placethekneeinfullextensionandassessoverall alignmentintheA/PandM/Lplanes.
> A�/8”drillcanbeinsertedintothelateralhole ontheanteriorsurfaceoftheFemoralTrialtoaidin alignment.
5mm 6543-4-605 10mm 6543-4-610
AdjustableSpacerBlockAugment
�8
> IfadditionalfixationisrequiredaftereitherOption �or�isused,placeuptofourHeadedNailsinthe holesontheUniversalTibialTemplateintothetibial plateau.
> Trialsmaybereassembledtothepinnedtemplate foranysubsequenttrialreductions.
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Figure 17
Figure 18
Figure 19
> TherearetwooptionstosecuretheUniversalTibial Templatetothetibia:
• Option�:Oncesatisfactoryalignmentand tibialcomponentorientationareachieved, removethePSorCRFemoralTrial.Place twoHeadlessPinsintheanteriorholestosecure theUniversalTibialTemplate.Disassemblethe TibialTrialInsertfromtheUniversalTibial Template.
• Option�:Oncesatisfactoryalignmentand tibialcomponentorientationareachieved,mark theanteriortibialcortexinlinewiththe referencemarksontheanteriorborderof theUniversalTibialTemplate.RemovethePS orCRFemoralTrialanddisassemblethe TibialTrialInsertfromtheUniversalTibial Template.RepositiontheUniversalTibial Template(ifrequired)byaligningtheanterior referencemarksonthetemplatewiththe referencemarksontheanteriorcortex.The templateispositionedflushtotheanteriortibial cortex.PlacetwoHeadlessPinsintheanterior holestosecuretheUniversalTibialTemplate.
Option 2: Tibial Augment Resection
> AssembletheRevisionTibialResectionGuidetotheTibialResectionGuideLink.
> AssembletheTibialResectionGuideLinktotheUniversalTibialTemplate.TheTibialResectionGuideLinkwillautomaticallyshifttheRevisionTibialResectionGuidedistally�mmsuchthattheopenfaceresectionwillpreparefora�mmaugment.
> Ifanadditional�0mmtibialaugmentresectionisrequired,resectthetibiathroughtheslotmarked“,�”intheRevisionTibialResectionGuide.Optionally,tomakeanopen-faced�0mmtibialaugmentresection,removethe“X”pinanddroptheresectionguidedownontothe+�mmpins.Resectthetibiaonthetopsurfaceoftheresectionguide.
> RemovetheUniversalTibialTemplate,RevisionTibialResectionGuideandTibialResectionGuideLink.AssembletheappropriatelysizedTibialAugmentTrialtotheUniversalTibialTemplateandpintheconstructtotheproximaltibia.
�9
Tib
ial
Pre
para
tion
InstrumentBar
Figure 20
Figure 21
Tibial Reaming for the Cemented Stem
> AssembletheKeelPunchGuidetotheUniversalTibialTemplatebyinserting,ataslightangletothetopoftheUniversalTibialTemplate,intothetwolocatingslotstowardtheposteriorportionoftheUniversalTibialTemplate.AllowtheKeelPunchGuidetositflatontheUniversalTibialTemplateandpushforwardonthehandletolocktheKeelPunchGuidetotheUniversalTibialTemplate.
> AttachtheBossReamertotheUniversalDriver.PlacetheBossReamerintotheKeelPunchGuide.ReamtotheappropriatedepthmarkerindicatedbythestepontheReamershank(UptothestepforSize�-3KeelPunchGuideandallthewaytothestopforSize4-8KeelPunchguide).
See Catalog
TibialAugmentTrial
6543-2-703
TibialResectionGuideLink
6543-4-517
TibialBossReamer
�0
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Figure 22
Figure 23
Figure 24
> AttachtheappropriateCementedStemReamerto theUniversalDriver.PlacetheCementedStem ReamerintotheKeelPunchGuide,insertingthe CementedStemReamerBushingintothecentral holeoftheKeelPunchGuide.
> TheCementedStemReamerBushinghastwodepth indicators:onecorrelatestotheSize�-3KeelPunch GuideandtheothercorrelatestotheSize4-8Keel PunchGuide(seeinset).Reamuntiltheappropriate depthmarker(�0mmor�00mm),indicatedbya grooveontheCementedStemReamer,linesupwith theappropriatesurfaceontheCementedStem ReamerBushing.
Tibial Keel Punching
> WiththeKeelPunchGuidestillassembledtothe UniversalTibialTemplate,placetheappropriate KeelPunchintotheKeelPunchGuide.Useamallet toimpactthepunch.AdvancetheKeelPunchuntil itseatsfullyintheKeelPunchGuide.
��
Tib
ial
Pre
para
tion
InstrumentBar
Figure 25
> ToextracttheKeelPunch,liftupontheKeelPunch Guidehandleandpullthehandletocantileverthe KeelPunchoutofthetibia.
11mm 6543-4-511 14mm 6543-4-514
CementedStemReamer
��
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Catalog# Description QuantityinKit
Triathlon Universal Baseplate Preparation Kit Contents - Upper Tray6543-2-620 ModularKeelTrial �
6543-2-700* RevisionTibialResectionGuide-LeftOpen �
6543-2-701* RevisionTibialResectionGuide-RightOpen �
6543-2-702 TibialSagittalResectionGuide �
6543-2-703 TibialResectionGuideLink �
6543-2-710* RevisionTibialResectionGuide-LeftCaptured �
6543-2-711* RevisionTibialResectionGuide-RightCaptured �
6543-4-511 CementedStemReamer-��mm �
6543-4-514 CementedStemReamer-�4mm �
6543-4-517 TibialBossReamer �
6543-4-605 AdjustableSpacerBlockAugment-�mm �
6543-4-610 AdjustableSpacerBlockAugment-�0mm �
6543-4-800 TibialCounterWrench �
6543-4-802 �/8”U-JointHexDrive �
6543-4-818 UniversalTorqueWrench �
6541-8-040 TriathlonUniversalBaseplatePreparationUpperTray �
6541-9-000 TriathlonCase �
Total Quantity 19*Note:OnlyonesetofRevisionTibialResectionGuides(OpenorCaptured)comeswitheachkit.
�3
Cata
log
Catalog# Description QuantityinKit
Triathlon Universal Baseplate Preparation Kit Contents - Lower Tray5560-T-112 CementedStemTrial-��x�0mm �
5560-T-209 CementedStemTrial-9x�00mm �
5560-T-212 CementedStemTrial-��x�00mm �
5545-T-101 TibialAugmentTrial#�LM/RL-�mm �
5545-T-102 TibialAugmentTrial#�RM/LL-�mm �
5545-T-201 TibialAugmentTrial#�LM/RL-�mm �
5545-T-202 TibialAugmentTrial#�RM/LL-�mm �
5545-T-301 TibialAugmentTrial#3LM/RL-�mm �
5545-T-302 TibialAugmentTrial#3RM/LL-�mm �
5545-T-401 TibialAugmentTrial#4LM/RL-�mm �
5545-T-402 TibialAugmentTrial#4RM/LL-�mm �
5545-T-501 TibialAugmentTrial#�LM/RL-�mm �
5545-T-502 TibialAugmentTrial#�RM/LL-�mm �
5545-T-601 TibialAugmentTrial#6LM/RL-�mm �
5545-T-602 TibialAugmentTrial#6RM/LL-�mm �
5545-T-701 TibialAugmentTrial#�LM/RL-�mm �
5545-T-702 TibialAugmentTrial#�RM/LL-�mm �
5545-T-801 TibialAugmentTrial#8LM/RL-�mm �
5545-T-802 TibialAugmentTrial#8RM/LL-�mm �
5546-T-101 TibialAugmentTrial#�LM/RL-�0mm �
5546-T-102 TibialAugmentTrial#�RM/LL-�0mm �
5546-T-201 TibialAugmentTrial#�LM/RL-�0mm �
5546-T-202 TibialAugmentTrial#�RM/LL-�0mm �
5546-T-301 TibialAugmentTrial#3LM/RL-�0mm �
5546-T-302 TibialAugmentTrial#3RM/LL-�0mm �
5546-T-401 TibialAugmentTrial#4LM/RL-�0mm �
5546-T-402 TibialAugmentTrial#4RM/LL-�0mm �
5546-T-501 TibialAugmentTrial#�LM/RL-�0mm �
5546-T-502 TibialAugmentTrial#�RM/LL-�0mm �
5546-T-601 TibialAugmentTrial#6LM/RL-�0mm �
5546-T-602 TibialAugmentTrial#6RM/LL-�0mm �
5546-T-701 TibialAugmentTrial#�LM/RL-�0mm �
5546-T-702 TibialAugmentTrial#�RM/LL-�0mm �
5546-T-801 TibialAugmentTrial#8LM/RL-�0mm �
5546-T-802 TibialAugmentTrial#8RM/LL-�0mm �
6541-8-140 TriathlonUniversalBaseplatePreparationLowerTray �
Total Quantity 36
�4
Triathlon®KneeSystem UniversalBaseplateSurgicalProtocol
Catalog# Description
Universal Baseplate Tibial Augment Part Numbers5545-A-101 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�mm
5545-A-102 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�mm
5545-A-201 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�mm
5545-A-202 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�mm
5545-A-301 TibialAugment,HalfBlock#3 RightLateral,LeftMedial-�mm
5545-A-302 TibialAugment,HalfBlock#3 LeftLateral,RightMedial-�mm
5545-A-401 TibialAugment,HalfBlock#4 RightLateral,LeftMedial-�mm
5545-A-402 TibialAugment,HalfBlock#4 LeftLateral,RightMedial-�mm
5545-A-501 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�mm
5545-A-502 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�mm
5545-A-601 TibialAugment,HalfBlock#6 RightLateral,LeftMedial-�mm
5545-A-602 TibialAugment,HalfBlock#6 LeftLateral,RightMedial-�mm
5545-A-701 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�mm
5545-A-702 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�mm
5545-A-801 TibialAugment,HalfBlock#8 RightLateral,LeftMedial-�mm
5545-A-802 TibialAugment,HalfBlock#8 LeftLateral,RightMedial-�mm
5546-A-101 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�0mm
5546-A-102 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�0mm
5546-A-201 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�0mm
5546-A-202 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�0mm
5546-A-301 TibialAugment,HalfBlock#3 RightLateral,LeftMedial-�0mm
5546-A-302 TibialAugment,HalfBlock#3 LeftLateral,RightMedial-�0mm
5546-A-401 TibialAugment,HalfBlock#4 RightLateral,LeftMedial-�0mm
5546-A-402 TibialAugment,HalfBlock#4 LeftLateral,RightMedial-�0mm
5546-A-501 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�0mm
5546-A-502 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�0mm
5546-A-601 TibialAugment,HalfBlock#6 RightLateral,LeftMedial-�0mm
5546-A-602 TibialAugment,HalfBlock#6 LeftLateral,RightMedial-�0mm
5546-A-701 TibialAugment,HalfBlock#� RightLateral,LeftMedial-�0mm
5546-A-702 TibialAugment,HalfBlock#� LeftLateral,RightMedial-�0mm
5546-A-801 TibialAugment,HalfBlock#8 RightLateral,LeftMedial-�0mm
5546-A-802 TibialAugment,HalfBlock#8 LeftLateral,RightMedial-�0mm
��
Catalog# Description
Universal Baseplate Tibial Part Numbers5521-B-100 UniversalTibialBaseplate Cemented#�
5521-B-200 UniversalTibialBaseplate Cemented#�
5521-B-300 UniversalTibialBaseplate Cemented#3
5521-B-400 UniversalTibialBaseplate Cemented#4
5521-B-500 UniversalTibialBaseplate Cemented#�
5521-B-600 UniversalTibialBaseplate Cemented#6
5521-B-700 UniversalTibialBaseplate Cemented#�
5521-B-800 UniversalTibialBaseplate Cemented#8
Universal Baseplate Cemented Stem Part Numbers
5560-S-112 CementedStem ��x�0mm
5560-S-209 CementedStem 9x�00mm
5560-S-212 CementedStem ��x�00mm
Cata
log
�6
Stryker SACité-CentreGrand-Rue90�8�0MontreuxSwitzerland
t:+4���966��0�f:+4���966��00www.europe.stryker.com
This document is intended solely for the use of healthcare professionals.
TheinformationpresentedinthisbrochureisintendedtodemonstratethebreadthofStrykerproductofferings.Alwaysrefertothepackageinsert,productlabeland/oruserinstructionsbefore using any Stryker product. Products may not be available in all markets. Productavailabilityissubjecttotheregulatoryormedicalpracticesthatgovernindividualmarkets.Please contact your Stryker representative if you have questions about the availability ofStrykerproductsinyourarea.
Productsreferencedwith™designationaretrademarksofStryker.
Productsreferencedwith®designationareregisteredtrademarksofStryker.
LiteratureNumber:MTXLSPK44
MTX/GS��/0�
Copyright©�00�Stryker
Top Related