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Zimmer MIS Multi-Reference Instrumentation

For NexGen Cruciate Retaining & NexGen Legacy Posterior Stabilized KneesZimmer MIS Multi-Reference 4-in-1 Femoral InstrumentationSurgical TechniqueZimmer MIS Multi-Reference 4-in-1 Femoral Instrumentation Surgical Technique1 Table of ContentsAbbreviated Surgical technique 2 Introduction 4 Preoperative Planning 5 Surgical Approach 5 Patient Preparation 6 Incision and Exposure 6 MIS Midvastus Approach 7 MIS Subvastus Approach 8 MIS Medial Parapatellar Arthrotomy 9 Surgical technique 10 Establish Femoral Alignment 10 Cut the Distal Femur 12 Size Femur & Establish External Rotation 13 Finish the Femur 15 Anterior Referencing technique 15 Posterior Referencing technique 17 MIS Notch/Chamfer Trochlear Guide 19 MIS QS Notch Guide 21 Resect Proximal Tibia 22 Check Flexion/Extension Gaps 27 Prepare the Patella 28 Resect the Patella 29 Finish the Patella 31 Patella Protectors 32 Perform a Trial Reduction 33 Tibi

6 Zimmer MIS Multi-Reference 4-in-1 Femoral Instrumentation Surgical Technique Patient Preparation To prepare the limb for MIS total knee arthroplasty, adequate muscle relaxation is required. This may be accomplished with a short-acting,

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