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ID:39256616
大小:2.93 MB
页数:44页
时间:2019-06-28
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1、Zimmer®NexGen®LPSFixedKneeSurgicalTechniqueIMAGETOCOMESurgicalTechniqueforLegacy®PosteriorStabilizedKneesZimmerNexGenCompleteKneeSolutionLPSSurgicalTechnique1ZimmerNexGenCompleteTableofContentsKneeSolutionSurgicalTechniqueIntroduction2PreoperativePlanning2StepOne:AligntheTibia3Micro-MillHandPiece
2、AssemblyandUsage5StepTwo(Milling):ResecttheTibia6StepTwo(Saw):ResecttheTibia9StepThree:SizetheFemur11StepFour:EstablishFemoralAlignment12OptionalTechnique12OptionalTechniques13StepFive:SetAPPositionoftheFemur14StepSix:SecureFemoralMountingBases15OptionalTechnique16StepSeven(Milling):ResecttheFemu
3、r16StepEight(Milling):FinishtheFemur20StepNine(Milling):CuttheIntercondylarNotch22StepSeven(SawBlade):ResecttheFemur23StepEight(SawBlade):FinishtheFemurandCuttheIntercondylarNotch24OptionalTechnique24OptionalTechniques:TR/PSMillingFinishing25EPINotch/ChamferGuide26NotchChamferGuide26Spacer/Alignm
4、entGuideTechnique:Flexion/ExtensionGaps26StepTen:FinishtheTibia28PositionBasedonAnatomicLandmarks28PositionBasedonTrialRangeofMotion29TibialPlatePreparation30StepEleven:PreparethePatella33PatellaThickness-ImplantThickness=BoneRemaining33PatellaReamerTechnique:TotalSurfacingProcedure34InsettingPro
5、cedure36UniversalSawGuideTechnique37StepTwelve:TrialReduction38FemoralRecutting/DownsizingTechnique38ComponentImplantation39ArticularSurfaceInsertion392ZimmerNexGenCompleteKneeSolutionLPSSurgicalTechniqueIntroductionPreoperativePlanningTheMICRO-MILL®InstrumentationSystemhasUsethetemplateoverlay(a
6、vailablethroughyourbeendesignedtoprovideasimple,preciseandZimmerrepresentative)todeterminetheanglereproducibletechniquewithanumberofoptionsbetweentheanatomicaxisandthemechanicalthatofferthesurgeonmorechoicesandgreateraxis.Thisanglewillbereproducedintraoperatively.flexibility.Inresectingthefemoral
7、andtibialThissurgicaltechniqueensuresthatthedistalsurfacestoaccepttheprostheticcomponents,thefemurwillbecutperpendiculartothemechanicalsurgeoncanchoosebetweentheMillingTechniqueaxisand,aftersofttissuebalancing,willbepa
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