Trochanteric Reattachment Technique; Attaching The Trochanteric Bolt Guide - Zimmer Biomet Arcos Modular Femoral Revision System Surgical Technique

Arcos Broach/Calcar Proximal Body Surgical Technique
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Trochanteric Reattachment Technique

Attaching the Trochanteric Bolt Guide

All proximal body designs accept a bolt and claw
except the 50A Cone and 50A Calcar bodies.
Once the final implant has been reduced, the
osteotomy can be repaired and stabilized by choosing
one of the auxiliary options available in the Arcos
System and attaching it directly to the implant.
Depending on the surgical approach and operative
hip, select the appropriate trochanteric bolt guide
instrument (Figure 36).
Figure 36 Figure 37
Use the 5.0 mm hex driver to thread the trochanteric
bolt guide into the insertion hole on the proximal
body, ensuring the anti-rotation tabs are locked to
the proximal body implant. Place the trochanteric
fragment between the implant and the trochanteric
bolt guide (Figure 37).
If utilizing the trochanteric claw use the claw trials
(large or small) to select the needed width.
Note: Guide may be easier to attach before hip is
reduced.