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Mathys balanSys REV Surgical Techniques

Extension gap first: 3in1
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Surgical technique
balanSys REV
Extension Gap First: 3in1

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Summary of Contents for Mathys balanSys REV

  • Page 1 Surgical technique balanSys REV Extension Gap First: 3in1...
  • Page 2 Step by step with our clinical partners Towards a goal of preserving mobility As a Swiss company, Mathys is committed to this guiding principle and pursues a product portfolio with the goal of further developing traditional philosophies with respect to materials or design in order to address existing clinical challenges.

  • Page 3: Table Of Contents

    Mathys Ltd Bettlach. Make use of the Mathys user training and proceed according to the recommended surgical technique.

  • Page 4: Introduction

    • 12 diameters: 10 to 24 mm • 3 lengths: 80, 140 and 200 mm Intended use The balanSys REV prosthesis is intended for treating degenerative joint diseases of the knee joint in skeletally mature patients. 4 – balanSys REV – Extension Gap First: 3in1...

  • Page 5: Indications And Contraindications

    • Skeletal immaturity • Genu recurvatum • Insufficiency of the extensor mechanism • Progressive neoplastic disease For further information, please refer to the instructions for use or ask your Mathys representative. balanSys REV – Extension Gap First: 3in1 – 5...

  • Page 6: Optional Combination Possibilities With Balansys Bicondylar

    Tensor are not suitable for gap assessment with a tibia or trial tibia in place. Surgical techniques for balanSys are available on the website or from your Mathys repre- sentative. For further information, please refer to the instructions for use or ask your Mathys representative. 6 – balanSys REV – Extension Gap First: 3in1...

  • Page 7: Preoperative Planning

    For the use of balanSys REV implants in a complex primary situation the alignment and sizing of the components follows the same landmarks as balanSys BICONDY- LAR.

  • Page 8: Exposure Of The Revision Total Knee

    TKA. Proper tissue planes medially and laterally must be elevated and fasciocutaneous flaps must be maintained in order to minimize wound healing complications. 8 – balanSys REV – Extension Gap First: 3in1...

  • Page 9: Extraction Of Primary Components

    In cases you prefer retaining a stable balanSys BICONDYLAR component, make sure to protect all articulation surfaces against damage. Any wear, scratch or mark on an articulating implant surface must result in removal of that component. balanSys REV – Extension Gap First: 3in1 – 9...

  • Page 10: Surgical Technique

    • Diameter 10 to 18 mm: in 1 mm steps Diameter Leave the last reamer with the best fit in the intramed- ullary canal. It will be used to align the Tibial Reference System. 10 – balanSys REV – Extension Gap First: 3in1...
  • Page 11 The assembly of the Tibial Reference System is ex- plained in Appendix 7. Slide the assembled Tibial Reference System over the shaft of the last used Reamer (79.02.0310 to 79.02.0325). Fig. 4 balanSys REV – Extension Gap First: 3in1 – 11...
  • Page 12 Slot: 10 mm below superior surface of Tibial Cutting Block (for a 10 mm augmentation) Fig. 7 After performing the refresh-cut, remove the Tibial Cutting Guide (79.02.0290) to have better access to the cut surface. 12 – balanSys REV – Extension Gap First: 3in1...
  • Page 13 It must be ensured that the chosen template provides the desired tibial coverage. Check if the chosen tibial size is compatible with the probable femur size (Ap- pendix 1 – Size Compatibility of the balanSys REV Im- plants). Fig. 8 Use the Memory Board (79.02.0637) to record the...
  • Page 14 Fig. 11 If the medial and lateral augments have different heights, use a saw or chisel in order to perform the central cut and to remove the bone block. Fig. 12 14 – balanSys REV – Extension Gap First: 3in1...

  • Page 15: Tibial Offset Determination And Preparation

    Put the entire configuration (Tibial Template with the Offset Graduated Collar and Tibial Augmentation) with the aid of the Holder Tibial Template (71.34.0196) over the reamer shaft onto the tibial osteotomy. Fig. 15 balanSys REV – Extension Gap First: 3in1 – 15...
  • Page 16 (in this example: 9 o’clock). The number references the position of the tibial pla- teau trial and / or final implant when connected to the trial stem and / or final implant. Fig. 18 16 – balanSys REV – Extension Gap First: 3in1...
  • Page 17 Remove all of the following instruments: 1. Offset Tibial Guide (79.02.0541 or 79.02.0543) 2. Offset Graduated Collar (79.02.0258) 3. Reamer (79.02.0310 to 79.02.0325) and Guide Sleeve (79.02.0510 to 79.02.0525) 4. Holder Tibial Template (71.34.0196) Fig. 21 balanSys REV – Extension Gap First: 3in1 – 17...
  • Page 18 REV Tibial Plateau. Remark In case of sclerotic bone, it might be advisable to pre- cut the fins with a saw. Fig. 24 18 – balanSys REV – Extension Gap First: 3in1...
  • Page 19 Pins and mill the required number of cavities. • These recesses will accommodate the screw-sock- ets on the lower surface of the balanSys REV Tibial Plateau (in this example: required on the medial side, since a 5 mm augmentation on the lateral side is chosen).

  • Page 20: Trial Tibial Implant Assembly

    79.02.0064) onto the Test Stem Core. Fig. 28 Put the Offset Alignment Disk (79.02.0287) onto the Trial Tibial Plateau (put the open rectangle window over the anterior nose of the Trial Tibial Plateau). Fig. 29 20 – balanSys REV – Extension Gap First: 3in1...
  • Page 21 Rotate the Offset Alignment Disk (79.02.0287) until the Reference Plate (77.02.0031) corresponds with the predetermined position (in this example: 9 o’clock). Fig. 31 Tighten the Trial Stem Screw (79.02.0071) with the Hexagonal Screwdriver (314.270). Fig. 32 balanSys REV – Extension Gap First: 3in1 – 21...
  • Page 22 Tibia Augmentation. Insert the tip into the gap be- tween Trial Tibial Plateau and Augmentation and push. Fig. 34 Connect the Positioner (79.02.0272) to the test as- sembly. Tighten the screw to secure the assembly. Fig. 35 22 – balanSys REV – Extension Gap First: 3in1...
  • Page 23 BICONDYLAR CR or PS Femur: When measuring the extension gap using spacer blocks, consider that the distal femoral resection is done with 7° slope while the tibial cut is done without slope. Fig. 37 balanSys REV – Extension Gap First: 3in1 – 23...

  • Page 24: Femoral Preparation

    (in this example: REV Femur size C, left leg). Fig. 39 If necessary, drill a pilot-hole with the 8.5 mm in- tramedullary Drill Bit (71.02.3009). Fig. 40 24 – balanSys REV – Extension Gap First: 3in1...
  • Page 25 • Diameter 20 to 24 mm: in 2 mm steps 200 mm straight and offset stems: • Diameter 10 to 18 mm: in 1 mm steps Diameter Leave the last reamer with the best fit in the intramed- ullary canal. balanSys REV – Extension Gap First: 3in1 – 25...
  • Page 26 The anterior «left» or «right» marking must corre- spond to the side of the knee involved (if this is not so, the clamp lever of the 3in1 system can be turned round). Fig. 44 Fig. 45 26 – balanSys REV – Extension Gap First: 3in1...
  • Page 27 Reference Plate touches the more prominent condyle. To make this adjustment loosen the screw holding the distal cutting block of the 3in1 system in place by turning the knob. Fig. 48 balanSys REV – Extension Gap First: 3in1 – 27...
  • Page 28 Holes marked «R» can only be used for right knees. Holes marked «L» can only be used for left knees. Holes that are not marked can be used for both left and right knees. Fig. 51 28 – balanSys REV – Extension Gap First: 3in1...
  • Page 29 (distal cutting block guide and clamp lever of the 3in1 system) may be untightened and the reamer removed Fig. 52 for the distal resection. Note that the reamer will be required again for the subsequent steps! Fig. 53 balanSys REV – Extension Gap First: 3in1 – 29...
  • Page 30 In case of using a balanSys BICONDYLAR PS Tibia, the tibial resection may be performed with posterior slope resulting in a mild flexion situation for the extension gap measurement. Fig. 55 30 – balanSys REV – Extension Gap First: 3in1...

  • Page 31: Offset And Rotation

    3in1 system (5 or 10 mm, 71.34.0670 to 71.34.0679) must be put into place on the proximal surface of the cutting block of the 3in1 system that is being used. balanSys REV – Extension Gap First: 3in1 – 31...
  • Page 32 (79.02.0730 to 79.02.736) and the size 12 femoral spacer block (79.02.0652) • Make the final setting of the femur rotation Fig. 60 32 – balanSys REV – Extension Gap First: 3in1...
  • Page 33 All adjust- ments also affect the ML position of the implant. Fig. 61 Fig. 62 The defined offset is fixated with the anterior screw using the screwdriver. Fig. 63 balanSys REV – Extension Gap First: 3in1 – 33...
  • Page 34 • by alignment with the epicondylar axis • by means of a right-angled bending gap Having determined the flexion gap in this way, the rotation guide can be removed. Fig. 66 34 – balanSys REV – Extension Gap First: 3in1...
  • Page 35 • Saw blade slot marked «5» for a 5 mm augmentation • Saw blade slot marked «0» for a cut with no augmentation Use the Memory Board (79.02.0637) to record the measured Inlay thickness (in this example: 10.5). Fig. 68 balanSys REV – Extension Gap First: 3in1 – 35...
  • Page 36 • Slot with the «reference» mark (not a sawblade slot!): this is used to detect the dorsal condyles in those cases in which the native bone is still present and no resections have been carried out yet («primary revision») 36 – balanSys REV – Extension Gap First: 3in1...

  • Page 37: Final Preparation

    • For a right knee, the «R» mark on the guide sleeve must correspond to the «Right» mark on the cutting block. Then remove all the instruments. Fig. 72 balanSys REV – Extension Gap First: 3in1 – 37...

  • Page 38: Trial Femur Implant Assembly And Trial Reduction

    In this example, two 5 mm augmentations distal and one 5 mm augmentation posterior lateral have been chosen. Fig. 75 Position the Trial Femur onto the Test Stem Core. Fig. 76 38 – balanSys REV – Extension Gap First: 3in1...
  • Page 39 Box Adapter (79.02.0288). The pictogram on the lower surface of the disk highlights the exact position of the adapter. Fig. 79 Fit the Box Adapter into the box of the Trial Femur. Fig. 80 balanSys REV – Extension Gap First: 3in1 – 39...
  • Page 40 Fig. 82 Rotate the Offset Alignment Disk with the Trial Femur until the Reference Plate corresponds with the prede- termined position. Fig. 83 40 – balanSys REV – Extension Gap First: 3in1...
  • Page 41 Remove the Offset Alignment Disk. Tighten the Trial Stem Screw with the Hexagonal Screwdriver (314.270). Fig. 85 Put the appropriate Trial Stem Sleeve (predetermined diameter and length) onto the Trial Stem Core. Fig. 86 balanSys REV – Extension Gap First: 3in1 – 41...
  • Page 42 The box has not been prepared yet! Fig. 88 Insert the femoral trial combination with the help of the femur holder (71.02.3016) and impact it into place with the femoral impactor (71.34.0699). Fig. 89 42 – balanSys REV – Extension Gap First: 3in1...
  • Page 43 Fig. 91 After cutting the box, the previously determined femur box inlay (79.02.470 to 79.02.0474) must be intro- duced back into the trial femur. Fig. 92 balanSys REV – Extension Gap First: 3in1 – 43...
  • Page 44 PS Trial Inlay can be used. Remark It might be advisable to ventralize the tibia as much as possible with Hohmann retractors in order to facilitate the insertion of the Trial Inlay. Fig. 94 44 – balanSys REV – Extension Gap First: 3in1...
  • Page 45 Remove all trial implants and clean the osteotomy sur- faces thoroughly from blood, fat and debris (e. g. with a pulse lavage). Fig. 96 balanSys REV – Extension Gap First: 3in1 – 45...

  • Page 46: Tibial Implant Assembly

    In this example, the following implants have been chosen: • balanSys REV Tibial Plateau 75 • balanSys REV Tibia Augmentation 75 / 5 LL / RM • balanSys REV Stem 16 / 140 off. 4 uncemented Fig. 97 Position the chosen balanSys REV Tibial Plateau onto the Assembly Device (reverse side).
  • Page 47 Device (79.02.0271) around. Insert the Reference Plate (77.02.0031) in the slot of the black Assembly Device and insert the distal end of the chosen balanSys REV Stem into it. Tighten the fixation screw of the black Assembly Device. Remark There is a marking on the stem – this marking must be orientated towards the Reference Plate (see picture).
  • Page 48 The necessity to use and the side of the Sizing Ring Positioner is defined by the chosen tibial plateau sizes. • balanSys REV Tibial Plateau 64 and 70: 64 – 70 • balanSys REV Tibial Plateau 75 and 80: 75 – 80 •...
  • Page 49 The threads of the Positioner Rod will fix the stem to the tibial plateau. This will secure the whole implant assembly. Fig. 107 Hit the whole implant assembly once with a hammer on the top. Fig. 108 balanSys REV – Extension Gap First: 3in1 – 49...
  • Page 50 Turn it clockwise again to re-tighten the rod. Fig. 109 Remove the tibial implant from the Assembly Device. The balanSys REV Tibial Plateau is ready for cementing. Remark The positioner (handle) stays connected to the tibial implant for implantation. Fig. 110...

  • Page 51: Femur Implant Assembly

    In this example, the following implants have been chosen: • balanSys REV Femur C left • balanSys REV Stem 18 / 140 off. 4 uncem. • balanSys REV Femur Augmentation C / 5 distal medial and lateral • balanSys REV Femur Augmentation C / 5 dorsal Fig.
  • Page 52 There is a marking on the stem – this marking must be orientated towards the Reference Plate (see picture). Fig. 115 Put the balanSys REV Femur onto the tapered cone of the stem. Remark The taper needs to be dry and free of any foreign matter before assembling.
  • Page 53 One stem screw is packed together with each implant. The screw is partially turned into the thread of the stem. Fig. 118 Rotate the Offset Alignment Disk until the Reference Plate corresponds with the predetermined rotation. Fig. 119 balanSys REV – Extension Gap First: 3in1 – 53...
  • Page 54 Tighten the stem screw with the Torque Wrench (18.410-RAL5002) with 2 clicks. After implantation, the stem screw must be re-tightened since the screw 2x Click can loosen during impaction! Fig. 123 54 – balanSys REV – Extension Gap First: 3in1...

  • Page 55: Implantation

    Femur with the aid of the Femur Holder (71.02.3016) and impact it with the Femoral Impactor (71.34.0699). The femoral condyles of the balanSys REV Femur must be protected to prevent any scratching. Remove excess cement carefully. It is strongly recom-...
  • Page 56 It will counteract against the applied torque. Tighten the stabilization screw with the Torque Wrench (18.410-RAL5002) with 2 clicks. Fig. 129 56 – balanSys REV – Extension Gap First: 3in1...
  • Page 57 Torque Wrench (18.410-RAL5002) with 2 clicks. Fig. 130 The leg should be in extension during hardening of the bone cement. Avoid hyperextension during curing of the bone ce- ment. Fig. 131 balanSys REV – Extension Gap First: 3in1 – 57...

  • Page 58: Appendix

    1 – Size compatibility of the balanSys REV Implants 2.1 – Optional combination balanSys REV Inlay 2.2 – Optional combination balanSys REV Femur with balanSys BICONDYLAR PS Inlay 2.3 – Optional combination balanSys REV Tibia with balanSys BICONDYLAR Inlays 3 – Item numbers of the balanSys REV Implants 4 –...

  • Page 59: Size Compatibility Of The Balansys Rev Implants

    Appendix 1 – Size compatibility of the balanSys REV Implants balanSys REV Femur with REV Inlay and Tibia REV Femur 64 / 45 70 / 48 75 / 51 80 / 53 85 / 55 The REV Inlay may only be used in combination with cortically supported stems on both sides, femoral and tibial.

  • Page 60: Optional Combination With Balansys Bicondylar

    REV Tibias. PS PE Inlay PS vitamys Inlay REV Tibia PS Tibia balanSys REV Femur with BICONDYLAR PS Inlay and PS Tibia or REV Tibia REV Femur 59 / 40* 62 / 42* 64 / 45 67 / 46*...

  • Page 61: Optional Combination Balansys Rev Tibia With Balansys Bicondylar Inlays

    85 / 55 Remark balanSys BICONDYLAR CR and PS Femurs of size ‹XS› cannot be used in combination with a balanSys REV Tibia. Not all implant sizes are available in all countries. balanSys REV – Extension Gap First: 3in1 – 61...

  • Page 62: Item Numbers Of The Balansys Rev Implants

    Appendix 3 – Item numbers of the balanSys REV Implants balanSys REV Femur, cemented Item no. Mediolat. Size 79.15.0021 60 mm A right 79.15.0022 64 mm B right 79.15.0023 68 mm C right 79.15.0024 72 mm D right 79.15.0025 76 mm E right 79.15.0031...
  • Page 63 13 mm 79.30.0145 85 mm 20.5 mm 79.30.0123 75 mm 15.5 mm 79.30.0146 85 mm 23 mm Material: UHMWPE / CoCrMo * The Inlays are packed with the matching stabilization screw. balanSys REV – Extension Gap First: 3in1 – 63...
  • Page 64 Material: CoCrMo * The Augmentations are packed with the matching number of screws. Item no. Description 79.15.0061 balanSys REV Sealing Cap* * The Sealing Cap is packed with the Stem screw. 64 – balanSys REV – Extension Gap First: 3in1...
  • Page 65 16 mm 200 mm 79.15.0103 12 mm 200 mm 79.15.0108 17 mm 200 mm 79.15.0104 13 mm 200 mm 79.15.0109 18 mm 200 mm 79.15.0105 14 mm 200 mm Material: CoCrMo balanSys REV – Extension Gap First: 3in1 – 65...
  • Page 66 REV Stem*, uncemented, offset 4 mm Diameter mm 10 * The Stems are packed with the Stem screw. balanSys REV Stem 80 mm, uncemented, offset 4 mm Item no. Diameter Length Item no. Diameter Length 79.15.0280 10 mm 80 mm 79.15.0288...
  • Page 67 3-Peg Patella components Item no. Diameter 72.30.0128 28 mm 72.30.0131 31 mm 72.30.0134 34 mm 72.30.0137 37 mm Material: UHMWPE, FeCrNiMoMn (Contrast balls) Not all products are available in all countries. balanSys REV – Extension Gap First: 3in1 – 67...

  • Page 68: Packaging Of Screws For The Balansys Rev Implants

    Appendix 4 – Packaging of screws for the balanSys REV Implants The matching screws are packed together with the individual implants. Tibial Augmentations Description Packed with 2 Augmentation Screws. The Screws are packed in an extra pouch. Femoral Augmentations Description Packed with 1 Augmentation Screw.

  • Page 69: Item Numbers Of The Balansys Rev 3In1 Instruments

    REV Tray Basic No. 1, page 68 balanSys REV Tray Basic No. 2, page 70 balanSys REV Tray Basic No. 3 with Insert, page 72, 74 balanSys REV Tray Basic No. 4, page 76 balanSys REV – Extension Gap First: 3in1 – 69...
  • Page 70 Before each surgery, instruments should be checked for damage or deformation. Use only undamaged instruments. Do not use trial components with marks or scratches. balanSys REV instruments are compatible with 1.27 mm (0.05 inch) saw blades. For saw blades distributed by Mathys refer to the brochure 336.030.032 «Sterile Sawblades».
  • Page 71 REV 3in1 Instrumentation Set 71.34.0740A Basic No. 1 No Picture / 71.34.0042 balanSys REV Lid Basic No. 1 71.34.0041 balanSys REV Tray Basic No. 1 balanSys REV – Extension Gap First: 3in1 – 71...
  • Page 72 REV Spacer PE trial inlay 18 79.02.0735 balanSys REV Spacer PE trial inlay 20.5 79.02.0736 balanSys REV Spacer PE trial inlay 23 Item no. Description 77.02.0185 balanSys UNI Holder tibia trial prosth. 72 – balanSys REV – Extension Gap First: 3in1...
  • Page 73 Basic No. 2 No Picture / 71.34.0047 balanSys REV Lid Basic No. 2 71.34.0046 balanSys REV Tray Basic No. 2 balanSys REV – Extension Gap First: 3in1 – 73...
  • Page 74 REV Guide sleeve 22 79.02.0523 balanSys REV Guide sleeve 23 79.02.0524 balanSys REV Guide sleeve 24 79.02.0525 balanSys REV Guide sleeve 25 Item no. Description 79.02.0023 balanSys REV handle with coupling 74 – balanSys REV – Extension Gap First: 3in1...
  • Page 75 Basic No. 3 No Picture / 71.34.0053 balanSys REV Lid Basic No. 3 71.34.0051 balanSys REV Tray Basic No. 3 balanSys REV – Extension Gap First: 3in1 – 75...
  • Page 76 REV Trial stem sleeve 16 / 200 79.02.0717 balanSys REV Trial stem sleeve 17 / 200 79.02.0718 balanSys REV Trial stem sleeve 18 / 200 Item no. Description 79.02.0071 balanSys REV Trial Stem Screw 76 – balanSys REV – Extension Gap First: 3in1...
  • Page 77 PS machine coupling f / reamer Item no. Description 18.410-RAL5002 Torque wrench Item no. Description 71.02.3054 balanSys pin 3.2 / 80 Item no. Description 79.02.0281 balanSys PS reamer Item no. Description 79.02.0271 balanSys REV assembly device balanSys REV – Extension Gap First: 3in1 – 77...
  • Page 78 Item no. Description 71.34.0699 balanSys femoral impactor Item no. Description 71.34.0698 balanSys tibial impactor Item no. Description 79.02.0750 balanSys REV Neck stopper curved Item no. Description 79.02.0029 balanSys REV positioning fork 78 – balanSys REV – Extension Gap First: 3in1...
  • Page 79 Basic No. 4 No Picture / 71.34.0039 balanSys REV Lid Basic No. 4 71.34.0038 balanSys REV Tray Basic No. 4 Item no. Description 70.04.0109 balanSys alignment rod centre piece Item no. Description 70.04.0110 balanSys alignment rod short Item no. Description 70.04.0111...
  • Page 80 Description 71.02.3034 balanSys Trs. aiming device distal Item no. Description 71.02.3035 balanSys Trs. ankle holder Item no. Description 71.02.3036 balanSys Trs. distal connector Item no. Description 71.02.3041 balanSys Trs. intramedullary shackle 80 – balanSys REV – Extension Gap First: 3in1...
  • Page 81 Trs. screw Item no. Description 77.02.0041 balanSys Trs. connecting screw Item no. Description 77.02.0043 balanSys Trs. locking bolt Item no. Description 71.02.1005 balanSys Trs. rubber band 3 x 25 x 300 balanSys REV – Extension Gap First: 3in1 – 81...
  • Page 82 PS reamer guide Item no. Description 71.34.0700 balanSys handle for tib. cutting chisel Item no. Description 71.34.0240 balanSys positioner for tibial plateau Item no. Description 79.02.0258 balanSys REV Offset graduated collar 82 – balanSys REV – Extension Gap First: 3in1...
  • Page 83 REV Trial tibial plateau 64 79.02.0061 balanSys REV Trial tibial plateau 70 79.02.0062 balanSys REV Trial tibial plateau 75 79.02.0063 balanSys REV Trial tibial plateau 80 79.02.0064 balanSys REV Trial tibial plateau 85 balanSys REV – Extension Gap First: 3in1 – 83...
  • Page 84 Item no. Description 79.02.0160 balanSys REV trial tibia agm. 64 / 5 LM / RL 79.02.0161 balanSys REV trial tibia agm. 64 / 5 LL / RM 79.02.0162 balanSys REV trial tibia agm. 64 / 10 LM / RL 79.02.0163 balanSys REV trial tibia agm.
  • Page 85 Femur No. 1 No Picture / 71.34.0062 balanSys REV Lid Femur No. 1 71.34.0061 balanSys REV Case Femur No. 1 Item no. Description 79.02.0330 balanSys REV trial femur A right 79.02.0331 balanSys REV trial femur A left 79.02.0332 balanSys REV trial femur B right 79.02.0333...
  • Page 86 REV dorsal trial agm. femur D 5 79.02.0456 balanSys REV dorsal trial agm. femur D 10 79.02.0465 balanSys REV dorsal trial agm. femur E 5 79.02.0466 balanSys REV dorsal trial agm. femur E 10 86 – balanSys REV – Extension Gap First: 3in1...
  • Page 87 Femur No. 2 No Picture / 71.34.0650 balanSys REV 3in1 Lid Femur No. 2 71.34.0648 balanSys REV 3in1 Tray Femur No. 2 Item no. Description 314.140 Allen Key, angled, L 80 mm Item no. Description 79.02.0027 balanSys REV Neck stopper straight Item no.
  • Page 88 REV 3in1 Cutting Bridge Item no. Description 71.34.0662 balanSys REV 3in1 Insert Offset Sleeve Item no. Description 71.34.0663 balanSys REV 3in1 Insert Reamer Guide Item no. Description 71.34.0697 balanSys REV 3in1 Conical Reamer 88 – balanSys REV – Extension Gap First: 3in1...
  • Page 89 Item no. Description 71.34.0682 balanSys REV 3in1 Cutting Block Distal Item no. Description 71.34.0683 balanSys REV 3in1 Guide Cut. Block Distal Item no. Description 71.34.0684V balanSys REV 3in1 Clamp Lever ergo balanSys REV – Extension Gap First: 3in1 – 89...
  • Page 90 REV PE trial inlay 75 / 15.5 79.02.0374 balanSys REV PE trial inlay 75 / 18 79.02.0375 balanSys REV PE trial inlay 75 / 20.5 79.02.0376 balanSys REV PE trial inlay 75 / 23 90 – balanSys REV – Extension Gap First: 3in1...
  • Page 91 REV PE trial inlay 85 / 15.5 79.02.0394 balanSys REV PE trial inlay 85 / 18 79.02.0395 balanSys REV PE trial inlay 85 / 20.5 79.02.0396 balanSys REV PE trial inlay 85 / 23 balanSys REV – Extension Gap First: 3in1 – 91...
  • Page 92 The balanSys REV Instrument Set includes 2 Memory Boards. The idea is to use one in the sterile area to record and to transfer the information to the one in the non-sterile area. The non-sterile one may serve as a «note-pad» to remember and find all required components quickly.

  • Page 93: Item Numbers Of The Balansys Rev Measuring Template

    Appendix 6 – Item numbers of the balanSys REV measuring template The item code for the balanSys REV Measuring Template is 330.030.026 and consists of 4 parts: balanSys REVISION Femur balanSys REVISION Tibia 330.030.026_A 330.030.026_B Measuring template Measuring template balanSys...

  • Page 94: Assembly Of The Tibial Reference System

    13. Impact on the bracket (13). 14. The adjustment of the cut level is made with the Fig. 133 aid of the T-screw (14). Use the Reference Plate (77.02.0031) to check the correct level. 94 – balanSys REV – Extension Gap First: 3in1...

  • Page 95: Symbols

    Symbols Manufacturer Caution balanSys REV – Extension Gap First: 3in1 – 95...
  • Page 96 07629 Hermsdorf Tel: +44 8450 580 938 Tel: +49 364 284 94 110 info.uk@mathysmedical.com info.de@mathysmedical.com Local Marketing Partners in over 30 countries worldwide … Mathys Ltd Bettlach • Robert Mathys Strasse 5 • P. O. Box • 2544 Bettlach • Switzerland...

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