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Stryker Triathlon Surgical Manualline

Single-use instruments surgical protocol
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TRIATHLON
®
Orthopaedics
Single-Use Instruments
Surgical
Protocol

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Summary of Contents for Stryker Triathlon

  • Page 1 TRIATHLON ® Orthopaedics Single-Use Instruments Surgical Protocol...

  • Page 3: Table Of Contents

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Table of Contents Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Exposure .

  • Page 4: Single-Use Instruments Surgical Protocol

    The Triathlon Total Knee System beaded and beaded with Peri-Apatite components are intended for uncemented use only . The Triathlon Tritanium Tibial Baseplate and Tritanium Metal-Backed Patella components are indicated for both uncemented and cemented use . The Triathlon All-Polyethylene tibial components are indicated for cemented use only .
  • Page 5 • Severe instability of the knee joint secondary to the absence of collateral ligament integrity and function . The Triathlon Single-Use Instruments are intended for use in a single Total Knee Arthroplasty . See package insert for warnings, precautions, adverse effects and other essential product information .
  • Page 6 Triathlon Knee System ® Single-Use Instruments Surgical Protocol CR Femoral Triathlon CR Single-Use Femoral Prep Kit Part Numbers Size 5555-2201 5555-2202 5555-2203 5555-2204 5555-2205 5555-2206 5555-2207 5555-2208 CR Tibial Triathlon CR Single-Use Tibial Prep Kit Part Numbers Size 5555-2321 5555-2322...
  • Page 7 PS Femoral Triathlon PS Single-Use Femoral Prep Kit Part Numbers Size 5555-2251 5555-2252 5555-2253 5555-2254 5555-2255 5555-2256 5555-2257 5555-2258 PS Tibial Triathlon PS Single-Use Tibial Prep Kit Part Numbers Size 5555-2361 5555-2362 5555-2363 5555-2364 5555-2365 5555-2366 5555-2367 5555-2368 Tibial Sizers...

  • Page 8: Exposure

    . Locking Tibial Preparation Switch The tibia is prepared using the Triathlon > extramedullary alignment system . Retractors may be placed medially, laterally, and posteriorly to expose the tibial plateau for preparation . It is important to remove all osteophytes, menisci and remaining soft tissues .

  • Page 9: Varus/Valgus Alignment

    Instrument Bar 6541-6-700 MIS Uncaptured Tibial Resection Guide-Right 6541-6-701 MIS Uncaptured Tibial Resection Guide-Left 6541-6-702 MIS Captured Tibial Resection Guide-Right Figure 4 Varus-Valgus Alignment 6541-6-703 MIS Captured Tibial Resection Guide-Left Once the proximal portion of the assembly is fixed, varus-valgus >...

  • Page 10: Establishing The Tibial Resection Level

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Referencing the medial Establishing the Tibial Resection Level compartment Once the tibial assembly is fixed in place, the tibial > resection level must be established using the tibial stylus . This attaches to the tibial resection guide...

  • Page 11: Final Tibial Resection

    Instrument Bar 6541-2-610 Tibial Alignment Distal Assembly EM 6541-2-609 Tibial Alignment Ankle Clamp EM 6541-2-429 Tibial Stylus Figure 7 6541-6-611 MIS Proximal Rod EM Final Tibial Resection 0º slope 6541-2-704 Once all alignment instruments are removed leaving > 3º slope 6541-2-705 the tibial resection guide in place, the proximal tibia is Tibial Adjustment Housing osteotomized using either the right or left captured or...

  • Page 12: Femoral Preparation

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Femoral Preparation Femoral Intramedullary Alignment The Universal Driver allows for attachment of > all drills and pins . The Universal Driver may be attached directly to a reamer, drill, or a Jacob’s Chuck .
  • Page 13 MIS Femoral Adjustment Block 6541-4-003 Headless Pins - 3” Figure 12 The Triathlon MIS Knee System Instruments allow for a clear > view of the bone that is being resected to ensure the appropriate level is set . Slide the Adjustment Block Assembly posteriorly within the >...
  • Page 14 Triathlon Knee System ® Single-Use Instruments Surgical Protocol Optional Check Prior to pinning the Distal Resection Guide to the > femur, an optional external alignment check may be performed . Attach the Femoral EM Alignment Tower to the MIS Femoral Adjustment Block and insert a Universal Alignment Rod into the handle .
  • Page 15 Instrument Bar “ X” Pin-hole 6541-7-808 MIS Femoral EM Alignment Tower 6541-5-601 MIS Femoral Adjustment Block 6541-4-602 Figure 15 Universal Alignment Rod 6541-5-721 MIS Distal Resection Guide - Left Pinning through the “X” pin hole will aid in further > securing the guide .

  • Page 16: Distal Femoral Resection

    . An optional Modular Capture can be attached to the Distal Resection Guide . The Triathlon MIS Knee System Instruments are > designed to provide control of the saw blade during bone resections . When using captures or cutting through slots, a .050”...

  • Page 17: Femoral A/P Sizing

    Instrument Bar 6541-5-721 MIS Distal Resection Guide - Left Rotation Scale Adjustment 6541-5-722 A/P Translation MIS Distal Resection Guide - Right Adjustment “ EPI” 6541-5-723 Line MIS Modular Distal Capture Indicator 6541-4-003 Headless Pins - 3” Figure 18 6633-7-605 Femoral A/P Sizing Pin Puller Pre-assemble the MIS Femoral Sizer Body (Left >...
  • Page 18 A/P translation feature may be used . Simply use the Hex Driver found on the reverse side of the Femoral Flexion Impactor to translate the A/P Femoral Sizer up or down 1 .5mm . (Triathlon Primary prosthesis grows in the anterior direction approximately 3mm between sizes .) A tertiary check to verify external rotation is to >...
  • Page 19 Headed Pin Impactor Extractor 6541-4-515 Headed Nails - 1 1/2” Figure 23 See Catalog Triathlon Single-Use Instruments Femoral Prep Kit Single-Use 4:1 Cutting Block Locate the fixation pegs of the appropriate size Single-Use 4:1 Cutting > Block into the pin holes created on the distal femur .

  • Page 20: Femoral Anterior, Posterior And Chamfer Resections

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Impact the Single-Use 4:1 Cutting Block flush > against the distal bone using a Femoral Impactor or by directly impacting on to the surface of the Cutting Block . Figure 24 Stabilize the 4:1 cutting block by placing headless >...
  • Page 21 Instrument Bar See Catalog Triathlon Single-Use Instruments Femoral Prep Kit Single-Use 4:1 Cutting Block 6541-4-003 Headless Pins - 3” 6541-4-801 Universal Driver Figure 27 6633-7-605 Pin Puller Remove the Headless Pins from the Single-Use 4:1 Cutting Block > using the Pin Puller .

  • Page 22: Ps Box Preparation

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol PS Box Preparation If the surgeon has chosen a PS knee, then the > intercondylar notch must be resected . In order to accomplish this, the Single-Use PS Box Cutting Guide is placed onto the distal femur . Since the...

  • Page 23: Femoral Trial Assessment

    Instrument Bar See Catalog Triathlon Single-Use Instruments Femoral Prep Kit PS Box Cutting Guide 6541-4-003 Headless Pins - 3” 6541-4-709 Box Chisel Figure 32 6541-4-810 Impaction Handle Femoral Trial Assessment (The remaining portion of the technique should be used for a Posterior 6541-4-803 Stabilized or Cruciate Retaining knee .)
  • Page 24 Impactor/ Extractor is removed . The fit of the Femoral Trial is checked to ensure that there is a flush fit . The Triathlon CR knee has integral medial and > lateral femoral pegs . Therefore, if a CR implant...
  • Page 25 Retractors are placed to expose the tibial plateau . The Single- > Use Femoral Trial may be left in place . 6541-7-807 Triathlon Single-Use Instruments include color-coded Tibial > MIS Femoral Trial Extractor Sizers for proper sizing of the tibial resection .

  • Page 26: Tibial Component Sizing

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Posterior Tibial Component Sizing Size 1 & 2 The Tibial Alignment Handle, Single-Use Universal > Tibial Template, and Single-Use Tibial Insert Trial are used to size the tibia, perform a trial reduction, and assess overall component fit, ligament stability and joint range of motion .

  • Page 27: Tibial Keel Punching

    Instrument Bar See Catalog Triathlon Single-Use Instruments Femoral Prep Kit CR Universal Femoral Trial Lock See Catalog Triathlon Single-Use Instruments Femoral Prep Kit PS Universal Femoral Trial Figure 39 See Catalog Triathlon Single-Use Instruments Tibial Kit Tibial Keel Punching Tibial Insert Trial Making sure the punch guide is in the unlocked position, >...

  • Page 28: Patella Preparation

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Place the appropriate Keel Punch into the Keel > Punch Guide . Use a mallet to impact the punch . Advance the Keel Punch until it seats fully in the Keel Punch Guide .

  • Page 29: Trial Assessment

    . Sizes 1, 2, 3 - 6541-2-013 Sizes 4, 5, 6 - 6541-2-046 - 6541-2-078 Sizes 7, 8 Keel Punch See Catalog Triathlon Single-Use Instruments Tibial Kit Tibial Template 6633-7-605 Pin Puller Figure 44 Trial Assessment Remove any residual cartilage and wash away all debris .

  • Page 30: Component Implantation

    Triathlon Knee System ® Single-Use Instruments Surgical Protocol Component Implantation If modular Femoral Distal Fixation Pegs are desired > in a PS knee, they are added at this point . Insert the tip of the 1/8’’ Hex Drive into the >...

  • Page 31: Tibial Component Implantation- Cemented/Cementless

    Instrument Bar 6633-7-744 Patella Clamp 6633-7-738 Patella Stylus Locking 6633-7-736 Lever Slotted Patella Resection Guide Figure 48 See Catalog Express Symmetric & Asymmetric Patella Drill Templates Tibial Component Implantation- Cemented/Cementless 1 . Connect the Tibial Baseplate Impactor Extractor to the Impaction 6541-3-524 Handle .

  • Page 32: Tibial Insert Implantation

    3 . Insert is fully seated once the locking wire locks under barbs on anterior/interior surface of baseplate . Note: The Tibial Insert Impactor 6541-4-813, which is available in the standard Triathlon Primary Instrument set, may be used for the final seating of the Tibial Insert .

  • Page 33: Closure

    Instrument Bar 6541-4-810 Impaction Handle See Catalog PS Femoral Component Cemented or Cementless See Catalog CR Femoral Component Cemented or Cementless Figure 51 6541-4-802 1/8” Hex Drive Assess the joint in flexion and extension . > 6541-4-825 Slip Torque Handle Closure For Cemented Components After cement polymerization and removal of all residual cement,...

  • Page 34: Catalog

    6633-7-605 Pin Puller 7551-0000 Blade Runner 5555-5102 General – Triathlon Stryker Precision Upper Tray 5555-5202 Removable Lid Case Total Quantity † Not included in standard configuration, but MUST be ordered separately . Note: Set List provided for Reference only . Not to be used for building kits .
  • Page 35 6541-8-005E Patellar Preparation - Upper Tray 6541-8-105E Patellar Preparation - Lower Tray 6541-7-806 MIS 4:1 Impactor/Extractor 6541-9-000 Triathlon Case Total Quantity 33 Note: Set List provided for Reference only . Not to be used for building kits . 33 33...
  • Page 36 MIS Uncaptured Tibial Resection Guide – Left 6541-6-702 MIS Captured Tibial Resection Guide – Right 6541-6-703 MIS Captured Tibial Resection Guide – Left 5555-5151 Non-Nav – Triathlon Stryker Precision Upper Tray 5555-5152 Non-Nav – Triathlon Stryker Precision Lower Tray 5555-5202 Removable Lid Case Total Quantity Note: Set List provided for Reference only .
  • Page 37 Slip Torque Handle 6541-7-808 MIS Femoral EM Alignment Tower Total Quantity *Not included in standard configuration, but may be ordered separately . Triathlon Tibial Sizer Kit Part Number 5555-4600 Triathlon Stryker Precision Tibial Sizer Kit 1 kit 5555-4601 Tibial Sizer – # 1...
  • Page 38 Knee System ® Single-Use Instruments Surgical Protocol Catalog # Description Quantity in Kit Triathlon CR Single-Use Femoral Prep Kit Part Numbers 5555-2201 Triathlon® CR Single-Use Femoral Prep Kit Size 1 1 kit 5555-2101 4:1 Cutting Block Size 1 1 per kit...
  • Page 39 Catalog # Description Quantity in Kit Triathlon PS Single-Use Femoral Prep Kit Part Numbers 5555-2251 Triathlon® PS Single-Use Femoral Prep Kit Size 1 1 kit 5555-2101 4:1 Cutting Block Size 1 1 per kit 5555-0801 Universal Femoral Trial Size 1...
  • Page 40 Knee System ® Single-Use Instruments Surgical Protocol Catalog # Description Quantity in Kit Triathlon CR Single-Use Tibial Prep Kit Part Numbers 5555-2311 Triathlon® CR Single-Use Tibial Prep Kit Size 1 1 kit 5555-2301 Tibial Template Size 1 1 per kit 5555-2401 CR Tibial Insert Trial Size 1 –...
  • Page 41 Catalog # Description Quantity in Kit Triathlon PS Single-Use Tibial Prep Kit Part Numbers 5555-2351 Triathlon® PS Single-Use Tibial Prep Kit Size 1 1 kit 5555-2301 Tibial Template Size 1 1 per kit 5555-2601 PS Tibial Insert Trial Size 1 – 9mm...
  • Page 42 Triathlon CR Femoral Component - Right Cementless Beaded X = 1,2,3,4,5,6,7 and 8 1 Each Size Triathlon CR Femoral Cementless Component - Beaded w/Peri-Apatite Part Numbers 5517-F-X01 Triathlon CR Femoral Component - Left Cementless Beaded w/PA X = 1,2,3,4,5,6,7 and 8...
  • Page 43 6541-2-626 - Tritanium Tibial Peg Drill – 7/32˝ * Please note: Each Triathlon Tritanium Baseplate will be provided packaged together with an Impactor Pad (6541-4-901) which is required during the tibial baseplate impaction step and discarded immediately after . For Triathlon Tritanium Baseplates, please refer to the Triathlon Tritanium Surgical Protocol for procedure specific and instrument specific information .
  • Page 44 ® Single-Use Instruments Surgical Protocol Catalog # Description Sizes Triathlon CR Tibial Inserts - Conventional Polyethylene and X3 Part Numbers Conventional Polyethylene Inserts 5530-P-X09 Triathlon CR Tibial Insert - Conventional Polyethylene 9mm X = 1,2,3,4,5,6,7 and 8 1 Each Size...
  • Page 45 A38mm (S/I*) x 11mm 5552-L-401 Asymmetric Patella with Tritanium A40mm (S/I*) x 11mm * S/I - Superior/Inferior † For Tritanium Metal-Backed Patellas, please refer to the Triathlon Tritanium Surgical Protocol for procedure specific and instrument specific information . 43 43...
  • Page 46 Description Modular Femoral Distal Fixation Peg Part Numbers 5575-X-000 Modular Femoral Distal Fixation Peg (2 per pack) Triathlon PS Box Preparation (Optional) Part Numbers 6541-5-212 Sizes 1-2 Triathlon PS Femoral Finishing Punch 6541-5-234 Sizes 3-4 Triathlon PS Femoral Finishing Punch...
  • Page 47 Beaded with PA Screw Fix Tritanium Triathlon TS Augments Distal Augments are for use with both the medial and lateral portions of the side indicated, e .g . #4 right is used for medial and lateral compartments on a right femur .
  • Page 48 A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient . Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery .

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