smith&nephew RT-PLUS Surgical Technique page 51

Fixation of the tibial insert
Place the impacting attachment on the plug
inserter.
In extension position the tibial insert clamp is
manually completely inserted from anterior to
posterior by using the plug inserter with the
impacting attachment fi tted.
It should end up positioned completely against
the tibial insert and the tibial component.
Remove the impacting attachment from the
plug inserter.
In order to secure the clamp, the plug inserter
is in 90° fl exed position placed into the an-
terior tibial insert hole over the polyethylene
plug. With complete pressure until stop on
plug inserter, the polyethylene plug is set
into the clamp.
Note
If a tibial insert needs to be removed from the
tibial component, the polyethylene plug is
drilled to a depth of 6–8 mm using a Ø 3.2 mm
drill and the clamp is removed from anterior.
Make sure that such removed tibial insert will
not be reused.
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