Triathlon Tritanium Surgical Protocol - bizwan.com

1 Triathlon Tritanium . Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component Triathlon Tritanium Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component Description.. 2. Indications .. 2. Triathlon Tritanium Knee Construct.. 4. Femoral Preparation.. 6. Step 1 Distal Resection .. 6. Step 2 Femoral Sizing .. 10. Step 3 Anterior, Posterior and Chamfer Cuts.. 12. Step 4 PS Box Preparation .. 13. Step 5 Femoral Trial Assessment.. 19. Tibial Preparation.. 22. Step 1A Tibial Preparation: Extramedullary (EM) Referencing.

2 22. Step 1B Tibial Preparation: Intramedullary (IM) Referencing.. 24. Step 2 Tibial Resection .. 26. Step 3 Tibial Keel Punch.. 29. Patella Preparation .. 32. Trial Assessment .. 33. Tibial Preparation (continued) .. 34. Step 4 Tibial Peg Preparation.. 34. Femoral Implantation.. 38. Tibial Implantation.. 39. Tibial Insert Implantation.. 41. Patella Implantation.. 42. Product Dimensions .. 44. Catalog.. 45. Acknowledgments Stryker Orthopaedics wishes to thank the global Triathlon Tritanium Knee System Surgeon Advisors for their dedication to the development and refinement of the Triathlon Tritanium Baseplate and Instrumentation.

3 Triathlon Tritanium Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component Description The Triathlon Total Knee System beaded and beaded with Peri-Apatite components are intended for Howmedica Osteonics Corp.'s total knee systems uncemented use only. include the Triathlon Tritanium Baseplate which is designed to be used with the Triathlon Primary Knee The Triathlon Tritanium Tibial Baseplate and system femoral components, tibial inserts, and patellar Tritanium Metal-Backed Patella components are components for total reconstructive replacement of the indicated for both uncemented and cemented use.

4 Knee joint. The characteristics specific to each device are The Triathlon All-Polyethylene tibial components are detailed on the product label. The Triathlon Tritanium indicated for cemented use only. Baseplate is indicated for both cementless and cemented applications. Additional Indications for Posterior Stabilized (PS). components and Total Stabilizer (TS)* components: Femoral Components: The Triathlon Tritanium Ligamentous instability requiring implant bearing Baseplate is compatible with the Triathlon cruciate surface geometries with increased constraint.

5 Retaining (CR), and cruciate sacrificing (posteriorly Absent or non-functioning posterior cruciate ligament. stabilized PS) designs. Severe anteroposterior instability of the knee joint. Tibial Components: The Triathlon Tritanium Baseplate is compatible with Triathlon tibial inserts in a cruciate Additional Indications for Total Stabilizer (TS)*. retaining (CR), posterior stabilized (PS), and condylar components: stabilizing (CS) designs. Tibial inserts are available in a Severe Instability of the knee secondary to range of thicknesses and in various degrees of constraint.

6 Compromised collateral ligament integrity or function. Note: The Triathlon Tritanium Baseplate is packaged Indication for Bone Augments: together with an Impactor Pad. The Impactor Pad is to Painful, disabling joint disease of the knee secondary be used during the tibial baseplate impaction step only to: degenerative arthritis, rheumatoid arthritis, or post- and is to be discarded once impaction has completed. traumatic arthritis, complicated by the presence of The Impactor Pad is not for implantation. bone loss.

7 Patellar Components: Patellar resurfacing components Salvage of previous unsuccessful total knee are available in symmetric and asymmetric options replacement or other Surgical procedure, accompanied in both all-plastic and metal-backed designs. Use of a by bone loss. patellar component is optional. The Triathlon Tritanium Baseplate is compatible with all Triathlon patellar components. Contraindications *Additional Revision-ONLY Compatibility Note for Any active or suspected latent infection in or about the Triathlon Tritanium Metal-Backed Patella knee joint.

8 The Triathlon Tritanium Metal-Backed Patella Distant foci of infection which may cause is indicated for use with the Total Stabilizer (TS) hematogenous spread to the implant site. components including the metal bone augmentation Any mental or neuromuscular disorder which would components, the modular stem extensions and create an unacceptable risk of prosthesis instability, offsets. Only the Tritanium Metal-Backed Patella is prosthesis fixation failure, or complications in compatible with the revision components.

9 Postoperative care. The Tritanium Tibial Baseplate is not compatible with the revision components. Bone stock compromised by disease, infection or prior implantation which cannot provide adequate support and/or fixation to the prosthesis. Indications Skeletal immaturity. General Total Knee Arthroplasty (TKA) Indications: Severe instability of the knee joint secondary to the Painful, disabling joint disease of the knee resulting absence of collateral ligament integrity and function. from: noninflammatory degenerative joint disease See package insert for warnings, precautions, adverse (including osteoarthritis, traumatic arthritis, or effects and other essential product information.)

10 Avascular necrosis), rheumatoid arthritis or post- traumatic arthritis. Post-traumatic loss of knee joint configuration and Before using Triathlon instrumentation, verify: function. Instruments have been properly disassembled prior to Moderate varus, valgus, or flexion deformity in cleaning and sterilization;. which the ligamentous structures can be returned to Instruments have been properly assembled post- sterilization;. adequate function and stability. Instruments have maintained design integrity; and, Revision of previous unsuccessful knee replacement or Proper size configurations are available.