Table Of Contents - Zimmer Biomet Arcos Modular Femoral Revision System Surgical Technique

Table of Contents

Pre-operative Planning .......................................................................................2
Patient Positioning and Surgical Approach ..........................................................2
Removal of a Cemented Component ...................................................................3
Removal of a Cementless Stem ...........................................................................3
Calcar/Broach Proximal Bodies & PPS
Preparation of the Diaphysis ................................................................................ 4
Preparation of the Metaphysis ............................................................................. 4
Broaching the Metaphysis ................................................................................... 5
Calcar Resection ................................................................................................. 6
Trial Reduction .................................................................................................... 7
Implant Assembly ................................................................................................ 8
Implant Insertion ................................................................................................. 8
Inserting the Locking Screw................................................................................. 9
Final Reduction ................................................................................................... 9
Calcar/Broach Proximal Bodies & STS Distal Stems Sterile Field Techinque ........ 10
Preparation of the Diaphysis .............................................................................. 10
Trialing the Distal Stem ...................................................................................... 10
Preparation of the Metaphysis ........................................................................... 11
Broaching the Metaphysis ................................................................................. 12
Calcar Resection ............................................................................................... 13
Trial Reduction .................................................................................................. 14
Implant Assembly .............................................................................................. 15
Implant Insertion ............................................................................................... 16
Inserting the Locking Screw............................................................................... 16
Final Reduction ................................................................................................. 17
Trochanteric Reattachment Technique .............................................................. 18
Attaching the Trochanteric Bolt Guide ............................................................... 18
Preparing For Auxiliary Implant Attachment ...................................................... 19
Final Attachment of the Auxiliary Implant ........................................................... 21
In-Femur Assembly ...........................................................................................22
Implant Assembly .............................................................................................. 22
Inserter Disassembly ......................................................................................... 25
Inserting the Locking Screw............................................................................... 26
Final Reduction ................................................................................................. 27
Taper Compression Assembly ...........................................................................28
Proximal Body Insertion .................................................................................... 28
Inserter Disassembly ......................................................................................... 30
Inserting the Locking Screw............................................................................... 31
Disengaging the Taper Junction ........................................................................32
Disengaging the Proximal Body from the Distal Stem Implant ............................ 32
® Distal Stems Sterile Field Technique ........4