TOTAL KNEE ARTHROPLASTY SYSTEM

Similar documents
Triathlon Knee System

Distal Cut First Femoral Preparation

The information contained in this document is intended for healthcare professionals only.

Revolution. Unicompartmental Knee System

NATURAL MOTION TECHNOLOGY SURGICAL TECHNIQUE. EMPOWR 3D Knee. EMPOWR PS Knee

Surgical Technique. VISIONAIRE Disposable Instruments for the LEGION Total Knee System

INTUITION INSTRUMENTS SURGICAL TECHNIQUE

Extramedullary Tibial Preparation

INTUITION INSTRUMENTS SURGICAL TECHNIQUE

ANATOMIC SURGICAL TECHNIQUE. 5 in 1. Conventional instrumentation 07/11/2013

FLK167 02/08. Biomet UK Ltd Waterton Industrial Estate Bridgend, South Wales CF31 3XA, United Kingdom. Tel Fax:

Zimmer NexGen MIS Tibial Component. Cemented Surgical Technique IMAGE TO COME

TRK REVISION KNEE Surgical Technique

Contact your Zimmer representative or visit us at

Intramedullary Tibial Preparation

Zimmer NexGen Trabecular Metal Tibial Tray

LAMINA SPREADER SURGICAL TECHNIQUE

Triathlon TS Knee System. Surgical Protocol

1. Pre-Operative Planning Skin Incision and Arthrotomy

Surgical Technique. VISIONAIRE FastPak Instruments for the LEGION Total Knee System

The ACL-PCL Substituting Knee. BioFoam Tibial Bases. Surgical Technique For Cementless Tibial Fixation

OPERATIVE TECHNIQUE SKS Total Knee Replacement

ClassiQ. Scorpio. Anterior Referencing Surgical Protocol. Anterior Referencing. For use with Scorpio ClassiQ Instrument System

Profix. Total Knee System. As described by

INSTRUMENTS. Measured Resection Classic Surgical Technique

Zimmer FuZion Instruments. Surgical Technique (Beta Version)

Resurfacing Distal Femur. Orthopaedic Salvage System

INSTRUMENTS. Balanced Surgical Technique

DePuy Orthopaedics, Inc. 700 Orthopaedic Drive Warsaw, IN USA Tel: +1 (800)

Triathlon with Single-Use Instrumentation Optimize Your TKA Experience. Posterior Referencing Surgical Protocol

U2 PSA. Revision Knee. Surgical Protocol

MIS Cemented Tibial Component

Proven Gen-Flex Revision Knee System. Surgical Protocol

Triathlon Tritanium. Surgical Protocol. with Triathlon Cementless Beaded PA Femoral Component

CONTRIBUTING SURGEON. Barry Waldman, MD Director, Center for Joint Preservation and Replacement Sinai Hospital of Baltimore Baltimore, MD

Total Knee Original System Primary Surgical Technique

Triathlon Knee System. Universal Baseplate Surgical Protocol

Triathlon Knee System Universal Baseplate Surgical Protocol

Balanced Surgical Technique

Trabecular Metal Femoral Component. Surgical Technique

Persona The Personalized Knee. Surgical Technique

TRUMATCH PERSONALIZED SOLUTIONS with the SIGMA High Performance Instruments

ELEOS Limb Salvage System

Anterior Cut First Surgical Technique

Aesculap Orthopaedics Columbus MIOS

PIN GUIDE SYSTEM SURGICAL TECHNIQUE. with the SIGMA High Performance Instruments System. This publication is not intended for distribution in the USA.

Unicondylar Surgical Technique

SIGMA High Performance Partial Knee. Unicondylar. Surgical Technique

TRIAL COMPONENTS SURGICAL TECHNIQUE REAMING THE TIBIAL AND FEMORAL INTRAMEDULLARY CANAL

Triathlon Knee System. Anterior Referencing Surgical Protocol

Inspiring people, Enriching lives

14 mm x +30 mm Stem Extension

INSTRUMENTS SIGMA. Primary Knee System. Fixed Reference Surgical Technique Featuring the Mini-Subvastus Approach. Surgical Technique

Zimmer MOST Options System

Mako. Total Knee with Triathlon. Surgical protocol

Knee. Surgical Protocol

AGC Total Knee System. Concise Surgical Technique Featuring EquiFlex Instrumentation

Knee. Surgical Protocol

Zimmer Trabecular Metal Ankle Interpositional Spacer and Trabecular Metal Ankle Fusion Spacer

PRIMARY POROUS PATELLA WITH TRABECULAR METAL. Surgical Technique

ELEOS Limb Salvage System

Medial Rotation Knee. Distal Cut First Operative Technique. Physiological Stability and Mobility for the Active Knee Without Compromise

Medial Rotation Knee. Anterior Cut First Operative Technique. Physiological Stability and Mobility for the Active Knee Without Compromise

Persona. The Personalized Knee. Trabecular Metal Tibia. Surgical Technique

HP Knee Extraction Instrumentation. Product Overview

NexGen Cruciate Retaining (CR) and Revision Instrumentation. Surgical Technique

Operative Technique. Constrained Condylar. The Right Track It s not just a road we re on, it s a trail we re blazing.

Scorpio TS Single Axis Revision Knee System. Scorpio Total Stabilizer Revision Knee System Surgical Protocol

BIOTECH FUTURE KNEE Minimal Invasive (and classic) Surgical Technique

Pin Guide System. Surgical Technique

G K SPHERE. Surgical Technique STABILITY FOR LIFE. Hip Knee Spine Navigation

Surgical Technique. Anterior Cut First Surgical Technique

Measured Resection Fixed Reference Surgical Technique Featuring the Mini-Subvastus Approach

U2 KNEE SYSTEM. High Flexion Engineered

TRUMATCH PERSONALIZED SOLUTIONS with the SIGMA High Performance Instruments

SCORE Revision. Revision Total Knee Arthroplasty Cemented. Surgical Technique With Conventional Instrumentation Primary cases

NexGen Trabecular Metal Tibial Tray. Surgical Technique

STABILITY FOR LIFE. Surgical Technique

Patella Planing System

Vanguard ID Total Knee. Surgical Technique

The information contained in this document is intended for healthcare professionals only.

LCS COMPLETE KNEE SYSTEM

NexGen LPS Fixed Bearing Knee. Surgical Technique

Premier Total Knee Instrumentation

Passport. PR Surgical Protocol. Scorpio Total Knee System

Single Axis Revision Knee System

MRH Knee System Modular Peg Baseplate Surgical Protocol

for Standard version (STD) for Postero-stabilized version (PS) for Ultra-Congruent version (UC)

NexGen Intramedullary Instrumentation. Surgical Technique

Constrained Posterior Stabilized (CPS) Surgical Technique

NEXGEN COMPLETE KNEE SOLUTION S A. Tibial Stem Extension & Augmentation Surgical. ATechnique

A novel cementless option. Zimmer NexGen Trabecular Metal Primary Patella Surgical Technique

Zimmer NexGen MIS Tibial Component. Cemented Surgical Technique. IMAGE TO COME Designed for minimally invasive procedures

KneeAlign System Surgical Technique Guide

HP KNEE EXTRACTION Instrumentation. Product Overview

Trabecular Metal Primary Patella

LCS COMPLETE SURGICAL TECHNIQUE. MILESTONE Instruments with MBT Tray Preparation

Persona Partial Knee System. Surgical Technique

Transcription:

SURGICAL TECHNIQUE TOTAL KNEE ARTHROPLASTY SYSTEM 90-SRK-700000 B.0 0

Contents 1. Implant Sizing 2. Surgical Technique a. Incision and Exposure b. Distal Femoral Resection c. Tibial Resection d. Femoral Sizing e. Femoral Chamfer Cutting f. Trialing g. Femoral Preparation h. Tibial Preparation i. Patellar Resection and Preparation j. Final Component Implantation k. Closure l. Appendix I: A/P Adjustment of Femoral Chamfer Cutting m. Appendix II: PS Femoral Preparation n. Appendix III: Tibial Tray Extraction 3. Instrument Set 4. Reorder List 5. Instructions for Use 1

1. Implant Sizing CR/CS Femoral Components Patellas Size AP Length ML Width Height 1 52 57 49 2 56 60 51 3 61 63 54 4 65 66 56 5 69 73 58 6 74 77 61 PS Femoral Components Size Major Minor Diameter Diameter Thickness Oval 32 32 29 8 Oval 35 35 31 8 Oval 38 38 33 9 Oval 41 41 34 10 Round 29 29 29 8 Round 31 31 31 8 Round 33 33 33 9 Round 36 36 36 10 Poly Inserts Size AP Length ML Width Height 1 53.5 57 49 2 57.5 60 52 3 62.5 63 55 4 66.5 66 57 5 70.5 73 59 6 75.5 77 62 Tibial Trays Size ML Width AP Length 1 59 40 2 59 40 3 64 43 4 68 46 5 72 48 6 76 51 Thickness Height 10 6.5 12 8.5 14 10.5 16 12.5 18 14.5 20 16.5 Size ML Width AP Length Stem Height 1 59 40 33 2 64 43 34 3 68 46 36 4 72 48 38 5 76 51 38 6 83 55 38 *NOTE - Poly Inserts defined by both a size profile and a thickness. Poly Inserts offered in CR, UCCS, PS, and MPCS families. The MPCS is offered in right and left options. 2

2. Surgical Technique a) Incision and Exposure The Responsive Orthopedics Total Knee Arthroplasty Instruments are designed for a standard, medial parapatellar surgical approach. Incision and exposure should be performed according to the surgeon s preference. b) Distal Femoral Resection Remove intercondylar osteophytes. With the knee in flexion, use the Femoral Drill to access the femoral intramedullary canal slightly medial of the center of the intercondylar notch and 1cm above the origin of the PCL. Attach the T-Handle to the IM Rod. Collar of T-Handle should line up with groove on the IM Rod when fully attached. Slide on the Distal Femoral Angle Guide. Insert the IM Rod into the intramedullary canal and adjust the Distal Femoral Angle Guide so that it rests on the condyles. 3

Adjust the varus/valgus resection angle by squeezing the trigger and rotating the pointer until it indicates the desired angle from 0 to 9. Move the pointer towards the R for right knees, and the L for left knees. To lock the varus/valgus angle, push the locking tab on the side down towards the trigger. To unlock, push it up towards the pointer. Slide the bone-facing side of the Distal Femoral Angle Guide towards the femur until it touches. Optionally, use the lower or upper set of pin holes and a threaded headed pin to hold in place. Attach a Distal Femoral Cutting Guide to the Distal Femoral Resection Guide. Choose either 0 or 3 of distal femoral flexion as appropriate. Drop the Distal Femoral Resection Guide onto the Distal Femoral Angle Guide by lining up the two posts on top of the Distal Femoral Angle Guide with the two holes through the Distal Femoral Resection Guide. 4

Rotate the knob on the Distal Femoral Resection Guide to set the resection depth. Read the depth by aligning the tick marks on the knob with the thick line centered on the top of the Distal Femoral Resection Guide. The femoral implants are all 9mm thick distally. Once resection depth has been set, pin the Distal Femoral Cutting Guide in place. Use non-headed pins through the 0, +2 or -2 holes to allow for adjustments in resection depth, or use headed threaded pins in the off-axis holes to lock the Distal Femoral Cutting Guide in place (shown). Remove the IM Rod, Distal Femoral Angle Guide and Distal Femoral Resection Guide by pulling back on the lock on the Distal Femoral Resection Guide while sliding all three instruments away from the femur in the same direction as the IM Rod. Resect the femoral condyles by cutting through one of the two slots. Use the 0 slot to resect at the same depth as read on the knob. Use the +4 slot to resect an additional 4mm of bone. 2mm adjustments can be made by using the +2 or -2 pin holes. *NOTE The Distal Femoral Resection Guide is designed to be used with a saw blade that is 1.27 mm thick. 5

c) Tibial Resection Assemble the Tibial Alignment Guide. Slide the Ankle Clamp into the dovetail on the Tibial Alignment Guide and lock by rotating the far knob. Attach a Tibial Cutting Block to the Tibial Alignment Guide by aligning the two pegs on the Tibial Alignment Guide to the two large holes in the Tibial Cutting Block and pushing them together until the Tibial Cutting Block snaps in place. Use either the Tibial Cutting Block, Right or Symmetric for a right knee and either the Tibial Cutting Block, Left or Symmetric for a left knee. Attach the Tibial Resection Stylus to the cutting block by sliding the post into the hole on the top of the Tibial Cutting Block until it snaps into place. Select the corresponding stylus for either 10mm of resection from the more prominent side or 2mm of resection from the more deficient side. *NOTE - the minimum combined thickness of the Poly Insert and Tibial Tray is 10mm. 6

Place the knee in flexion and place the Ankle Clamp around the malleoli. Adjust the varus/valgus angle by sliding the Tibial Alignment Guide relative to the Ankle Clamp. The up-rod of the Tibial Alignment Guide should fall approximately 6mm medial of center at the ankle, centered on the distal tibial anterior crest. For reference, the tick marks are spaced at 5mm. Tighten the far knob to lock. Adjust the posterior slope by sliding the uprod away from the Ankle Clamp. The Poly Inserts have a built-in 3 of posterior slope. To maintain that slope, slide two fingers between the uprod and the patient s leg and set the uprod parallel to the tibia. The tick marks represent 1 of posterior slope when the uprod is in the middle of its motion range. Tighten the angled knob to lock the angle. Uprod Lock Posterior Slope Lock Varus/Valgus Lock 7

Place the Tibial Cutting Block against the tibia with the Tibial Resection Stylus in the center of the chosen side of the tibia. Secure the Tibial Cutting Block to the bone with non-headed pins through the 0, +2 or -2 holes to adjust resection depth, or use the lower off-axis pin hole with threaded headed pins to lock the Tibial Cutting Block in place. Remove the Tibial Alignment Guide by pressing the button near the Tibial Cutting Block and pulling the Ankle Clamp off of the patient. Remove the Tibial Resection Stylus by squeezing the button on the post and pulling upwards. Resect the tibia by cutting through the slot to maintain the resection depth of the the Tibial Resection Stylus, or on the top face of the Tibial Cutting Block to resect 4mm less. 2mm depth adjustments can be made using the +2 or -2mm holes. *NOTE: The Tibial Cutting Block is designed to be used with a saw blade that is 1.27 mm thick 8

d) Femoral Sizing Rotate the locking tab on the Femoral Sizer clockwise to unlock; (shown) pull the stylus and feet apart to open the Femoral Sizer to its maximum height. Slide the feet under the condyles and push the main body of the Sizer so that it sits flush against the resected distal femur. Slide the stylus so that the pointers match the size predicted from templates. Rotate the stylus so that it is touching the anterior cortex just superior to the trochlea. The stylus tip indicates the location of the anterior tip of a Femoral Component of the indicated size. With the stylus touching the femur, read the size from the windows on the distal face of the Femoral Sizer. Tick marks indicate sizes. To lock the Femoral Sizer in place, rotate the locking tab counterclockwise to the position shown. 9

Use the Cutting Block Drill to drill two holes into the distal femur through the holes on the Femoral Sizer. Use the holes marked 3R for right knees, and 3L for left knees. This will place the chamfer cuts in 3 degrees of external rotation off the posterior condyles. *NOTE: the holes are centered between the anterior cortex and the posterior condyles, so if a different size Femoral Component is chosen during chamfer cutting or after trialing, the AP position of the holes does not need to be adjusted. 10

e) Femoral Chamfer Cutting Choose the same size 4-in-1 Cutting Block as indicated by the Femoral Sizer, and align the spikes with the holes drilled. If necessary, use a mallet on the 4-in-1 Cutting Block so that it is flush to the resected distal femur. The width of the anterior and posterior sections of the Block is equal to the width of the corresponding Femoral Component. Implant Width The Angel Wing can be inserted into the slots to visualize the cuts. The longer side represents the position of the anterior flange of a size 4 Femoral Component. *NOTE: For A/P adjustment of the 4-in- 1 Cutting Block, see Appendix I. Use two threaded headed pins with the two off-axis holes in the 4-in-1 Cutting Block to lock it in place. Make the four resection cuts through the slots in the 4-in-1 Cutting Block. Once complete, remove the two pins and the 4-in-1 Cutting Block. *NOTE: For PS notch resection, see Appendix II. *NOTE: The 4-in-1 Cutting Block is designed to be used with a saw blade that is 1.27 mm thick. 11

f) Trialing Choose the appropriate Femoral Component Trial that matches the size of the 4-in-1 Cutting Block and either left or right. Position the Femoral Component Trial onto the resected femur by hand or with the Femoral Inserter/Extractor. Squeeze the blue pad to engage the locking arms of the Femoral Inserter/Extractor with the Femoral Component Trial, and then tighten the lock knob to secure the Trial. Lock Knob Use the Femoral Condyle Impactor and/or the Femoral Notch Impactor to impact the trial until it sits flush with the resection cuts. 12

Size the tibia by choosing one of the Tibial Tray Trials and attaching the Tibial Tray Trial Holder. Push the central post into the rectangular hole on the anterior side of the Tibial Tray Trial, and press together until the Tibial Tray Trial snaps in place. Rotate the blue knob of the Tibial Tray Trial Holder clockwise to lock the Tibial Tray Trial in place. Place the Tibial Tray Trial onto the resected tibia to check the size. Position the Tibial Tray Trial so that it maximizes coverage without overhang. If there is too little coverage or too much overhang, switch up or down a size. *NOTE: The IM Rod can be inserted through the hourglass hole in the Tibial Tray Trial Holder to check the angle of the tibial resection cut. 13

Poly Trial Selection: Always choose a Poly Trial that is the same size as the Femoral Component. The color of the Poly Trial must match the colored insert on the Femoral Component Trial. The Poly Insert does not need to be the same size as the Tibial Tray, and the locking feature allows for upsizing and downsizing. onto the anterior lip to lock the Poly Trial in place. Keel Punch Guide - Floating: Insert the Keel Punch Guide - Floating into the Tibial Tray Trial. Slide the chosen Poly Trial onto the Tibial Tray Trial posterior-edge down until the posterior locking tabs engage. Push down on the anterior lip to lock the Poly Trial in place. Slide the Tibial Tray Trial/Poly Trial assembly onto the resected tibia. Flexing the knee can help the Poly Trial slide past the Femoral Component Trial. Keel Punch Guide - Spiked: Position the Tibial Tray Trial on the resected tibia to maximize coverage. Pulling the lower leg anterior may help access the tibia. Align the spikes on the Keel Punch Guide - Spiked with the Tibial Tray Trial, and mallet on the Keel Punch Guide - Spiked until it is fully seated on the Tibial Tray Trial. Insert the Poly Trial by sliding the posterior edge along the Tibial Tray Trial and then pressing down 14

Trial the knee by extending the knee carefully while checking the stability and alignment. If the knee has instability, switch to a thicker Poly Trial. If the knee cannot reach full extension, switch to a thinner Poly Trial. The knee should maintain stability in flexion while reaching full extension. Use the Poly Trial Removal Tool to pry out the Poly Trial through the anterior removal feature. If using the Keel Punch Guide - Floating, mark the position of the Tray Trial by marking the bone at the lines on the Tray Trial. Remove the Poly Trial (and the Tray Trial if using the Keel Punch Guide - Floating). 15

g) Femoral Preparation Drill the lug holes through the Femoral Component Trial using the Femoral Lug Drill. Remove the Femoral Component Trial using the Femoral Inserter/Extractor by clamping onto the notches at the medial and lateral sides of the trial. Squeeze the blue pad to engage the Inserter/Extractor, tighten the lock knob to secure the trial, and hit the mallet surface to pull off the Femoral Component Trial. While squeezing the blue pad, loosen the lock knob, then release the blue pad to release the Femoral Component Trial. 16

h) Tibial Preparation If using the Keel Punch Guide - Floating, place the Tibial Tray Trial back onto the tibia using the markings on the Trial for orientation. Insert two threaded headed pins through the holes in the Keel Punch Guide to lock the Tray Trial in place. Select the appropriate Keel Punch (1-2 for Tibial Tray sizes 1 & 2, 3-6 for Tibial Tray sizes 3, 4, 5 & 6) and align the tip of the Keel Punch with the cruciform cutout in the Keel Punch Guide. Use a mallet to drive the Keel Punch into the bone until the top surfaces of the Keel Punch cruciform sit flush to the Keel Punch Guide. Use a mallet to hit upwards on the Keel Punch for removal. Remove the pins. Remove the Tibial Tray Trial using the Tibial Tray Trial Holder. If necessary, pry the Keel Punch Guide - Spiked out of the Tibial Tray Trial utilizing the two slots medial and lateral of the center of the Keel Punch Guide - Spiked. 17

i) Patellar Resection and Preparation Measure the patellar thickness with the Patella Caliper. Rotate the black cap to lock or unlock the Patella Caliper. Clamp the Patella Resection Guide onto the everted patella. Place the desired depth guide so that it is touching the most prominent point on the patella. The numbers on the tabs represent resection depth in millimeters. Refer to the Implant Sizing section for thickness of the components. Squeeze the handles together and then tighten the speed lock to secure the Patella Resection Guide in place. Cut across the top surface of the Patella Resection Guide to resect the patella. Unscrew the speed lock to unlock the Patella Resection Guide. Snap the appropriate Patella Drill Guide onto the Patella Clamp Handle. Use the Patella Drill Guide Oval for Patella, Oval Components, and the Patella Drill Guide Round for Patella, Round Components. 18

Position the Patella Drill Guide onto the resected patella so that the handle extends straight in the medial/lateral plane from the medial edge of the patella. Use the markings on the Patella Drill Guide to choose the appropriate size Patella Component and check bone coverage. When satisfied, squeeze the bottom handle to clamp the Patella Drill Guide in place. Use the Patella Lug Drill to drill the three lug holes in the patella. Release ratchet bar to unlock the Patella Clamp Handle. Use the Patella Puck to confirm bone coverage and protect the resected patella during trialing. Align lugs with the lug holes from resection. Lugs are identical across all patella implants so upsizing / downsizing are permitted. 19

j) Final Component Implantation Tibial Tray: Apply bone cement to the surface of the resected tibia and/or the bonefacing surface of the Tibial Tray. Press the Tibial Tray into place by hand. Use the Tibial Tray Impactor with a mallet for final seating of the Tibial Tray. Remove any excess bone cement. If removal of the Tibial Tray is necessary, use the Tibial Tray Extractor to pry the Tibial Tray away from the Tibia. 20

Femoral Component: Apply bone cement to the surface of the resected femur and/or the bonefacing surfaces of the Femoral Component. Attach the Femoral Component to the Femoral Inserter/Extractor in the same manner as the Femoral Component Trials. Place the Femoral Component onto the femur, lining up the lugs with the lug holes. Lightly tap the back of the Femoral Inserter/Extractor if necessary. Impact the Femoral Component with the Femoral Condyle Impactor and/or the Femoral Notch Impactor for final seating. Remove any excess bone cement. Should removal of the Femoral Component be required, attach the Femoral Inserter/Extractor and mallet on the underside of the handle. 21

Poly Insert: Slide the posterior edge of the Poly Insert along the Tibial Tray. Push as far posterior as possible, applying force to the anterior surface of the Poly Insert. Use the Poly Impactor to seat the Poly Insert, aligning the tip of the Poly Impactor with the patellar relief on the Poly Insert and holding at a 45 degree angle. Strike the Poly Impactor with a mallet to snap the Poly Insert in place. When fully implanted, the bottom surface of the Poly Insert should sit flush to the polished top surface of the Tibial Tray. Should removal of the Poly Insert be required, use the Poly Removal Tool by lining up the two tines with the two reliefs on the inferior edge of the Poly Insert. Use a mallet to drive the Poly Removal Tool posteriorly, wedging the Poly Insert up off the Tibial Tray. 22

Patella: Apply bone cement to the resected patellar surface and/or the Patella Component. Align the lugs to the three lug holes drilled in the patella. If using a Patella, Oval Component, the major axis should be oriented in the medial/lateral direction. Snap the Cement Clamp onto the Patella Clamp Handle. Position the plastic Cement Clamp on the Patella Component and squeeze to lock the handle in place. Remove all excess bone cement. Leave the Cement Clamp compressed until the bone cement has set. k) Closure Prior to closing, confirm proper implant placement and knee kinematics. Closure should be performed according to the surgeon s preference. 23

l) Appendix I: A/P Adjustment of Femoral Chamfer Cutting If the position of the 4-in-1 Cutting Block based on the holes drilled through the Femoral Sizer needs to be adjusted, remove the 4-in-1 Cutting Block from the femur and align the spikes on the 4-in-1 AP Adjustment Guide with the drilled holes. *NOTE: If new holes to drill would fall too far medral or lateral, rotate the 4-in-1 Adjustment Guide 180. Push the spikes into the drilled holes, using a mallet if necessary. Use the Cutting Block Drill to drill through the upper holes to move chamfer cuts 2mm anterior or through the lower holes to move the chamfer cuts 2mm posterior. Use cutouts on the top and bottom of the 4-in-1 AP Adjustment Guide to remove from the bone. Insert the spikes on the 4-in-1 Cutting Block into the newly drilled holes and continue with chamfer cutting. 24

m) Appendix II: PS Femoral Preparation Position the Notch Cutting Guide of the same size as the 4-in-1 Cutting Block on the resected femur. The anterior curves of the Notch Cutting Guide are identical to the anterior flange of the matching PS Femoral Component (either Right or Left), and the overall width of the Notch Cutting Guide is identical to the ML width of the matching PS Femoral Component. Lock the Notch Cutting Guide in place with pins through the holes. Cut the PS box with the saw anterior to the femur, cutting along the three cutting surfaces. 25

n) Appendix III: Tibial Tray Extraction Ensure the locking arm of the Tibial Tray Extractor is released. Position the posterior tabs of the Tibial Tray Extractor under the posterior locking feature on the Tibial Tray. Squeeze the locking arm until it clicks to lock onto the Tibial Tray. Mallet upwards on the strikeplate to dislodge and remove the Tibial Tray. Press the black button above the lock arm to release the Tibial Tray. Lock Release 26

3. Instrument Set Femoral Drill (9.5mm) IM Rod Distal Femoral Angle Guide Distal Femoral Resection Guide Distal Femoral Cutting Block (0, 3 ) Femoral Sizer 27

Cutting Block Pre- Drill 4-in-1 Cutting Block (sizes 1, 2, 3, 4, 5, 6) 4-in-1 AP Adjustment Guide Notch Cutting Guide (sizes 1, 2, 3, 4, 5, 6) Angel Wing Femoral Lug Drill 28

Femoral Inserter/ Extractor Femoral Condyle Impactor Femoral Notch Impactor Tibial Alignment Guide 29

Tibial Resection Stylus (2mm, 10mm) Tibial Cutting Block (symmetric, left, right) Tibial Tray Trial Holder Keel Punch Guide (floating, spiked) Keel Punch (1-2, 3-6) 30

Tibial Tray Impactor Tibial Tray Extractor Poly Impactor Poly Removal Tool Poly Trial Removal Tool 31

CR/CS Femoral Trial (sizes 1, 2, 3, 4, 5, 6; left/right) PS Femoral Trial (sizes 1, 2, 3, 4, 5, 6; left/right) Tibial Tray Trial (sizes 1, 2, 3, 4, 5, 6) Poly Trial (CR, UCCS, PS, MPCS; sizes 1, 2, 3, 4, 5, 6; thicknesses 10, 12, 14, 16, 18, 20; left/right for MPCS only) 32

Patella Resection Guide Patella Lug Drill Patella Modular Handle Patella Drill Guide (round, oval) Cement Clamp 33

Patella Caliper Patella Pucks (Oval 32, 35, 38, 41: Round 29, 31, 33, 36) Pins (threaded, threaded headed) Pin Power Adapter T-Handle 34

4. Reorder List Name CR/CS Femoral Component CR/CS Femoral Component, Size 1, Left CR/CS Femoral Component, Size 1, Right CR/CS Femoral Component, Size 2, Left CR/CS Femoral Component, Size 2, Right CR/CS Femoral Component, Size 3, Left CR/CS Femoral Component, Size 3, Right CR/CS Femoral Component, Size 4, Left CR/CS Femoral Component, Size 4, Right CR/CS Femoral Component, Size 5, Left CR/CS Femoral Component, Size 5, Right CR/CS Femoral Component, Size 6, Left CR/CS Femoral Component, Size 6, Right PS Femoral Component PS Femoral Component, Size 1, Left PS Femoral Component, Size 1, Right PS Femoral Component, Size 2, Left PS Femoral Component, Size 2, Right PS Femoral Component, Size 3, Left PS Femoral Component, Size 3, Right PS Femoral Component, Size 4, Left PS Femoral Component, Size 4, Right PS Femoral Component, Size 5, Left PS Femoral Component, Size 5, Right PS Femoral Component, Size 6, Left PS Femoral Component, Size 6, Right Tibial Tray, Size 1 Tibial Tray, Size 2 Tibial Tray, Size 3 Tibial Tray, Size 4 Tibial Tray, Size 5 Tibial Tray, Size 6 Tibial Tray Reorder Code 90-SRK-312100 90-SRK-311100 90-SRK-312200 90-SRK-311200 90-SRK-312300 90-SRK-311300 90-SRK-312400 90-SRK-311400 90-SRK-312500 90-SRK-311500 90-SRK-312600 90-SRK-311600 90-SRK-332100 90-SRK-331100 90-SRK-332200 90-SRK-331200 90-SRK-332300 90-SRK-331300 90-SRK-332400 90-SRK-331400 90-SRK-332500 90-SRK-331500 90-SRK-332600 90-SRK-331600 90-SRK-200100 90-SRK-200200 90-SRK-200300 90-SRK-200400 90-SRK-200500 90-SRK-200600 35

Poly Insert CR, Size 1, 10mm Poly Insert CR, Size 1, 12mm Poly Insert CR, Size 1, 14mm Poly Insert CR, Size 1, 16mm Poly Insert CR, Size 1, 18mm Poly Insert CR, Size 1, 20mm Poly Insert CR, Size 2, 10mm Poly Insert CR, Size 2, 12mm Poly Insert CR, Size 2, 14mm Poly Insert CR, Size 2, 16mm Poly Insert CR, Size 2, 18mm Poly Insert CR, Size 2, 20mm Poly Insert CR, Size 3, 10mm Poly Insert CR, Size 3, 12mm Poly Insert CR, Size 3, 14mm Poly Insert CR, Size 3, 16mm Poly Insert CR, Size 3, 18mm Poly Insert CR, Size 3, 20mm Poly Insert CR, Size 4, 10mm Poly Insert CR, Size 4, 12mm Poly Insert CR, Size 4, 14mm Poly Insert CR, Size 4, 16mm Poly Insert CR, Size 4, 18mm Poly Insert CR, Size 4, 20mm Poly Insert CR, Size 5, 10mm Poly Insert CR, Size 5, 12mm Poly Insert CR, Size 5, 14mm Poly Insert CR, Size 5, 16mm Poly Insert CR, Size 5, 18mm Poly Insert CR, Size 5, 20mm Poly Insert CR, Size 6, 10mm Poly Insert CR, Size 6, 12mm Poly Insert CR, Size 6, 14mm Poly Insert CR, Size 6, 16mm Poly Insert CR, Size 6, 18mm Poly Insert CR, Size 6, 20mm Poly Insert CR 90-SRK-110110 90-SRK-110112 90-SRK-110114 90-SRK-110116 90-SRK-110118 90-SRK-110120 90-SRK-110210 90-SRK-110212 90-SRK-110214 90-SRK-110216 90-SRK-110218 90-SRK-110220 90-SRK-110310 90-SRK-110312 90-SRK-110314 90-SRK-110316 90-SRK-110318 90-SRK-110320 90-SRK-110410 90-SRK-110412 90-SRK-110414 90-SRK-110416 90-SRK-110418 90-SRK-110420 90-SRK-110510 90-SRK-110512 90-SRK-110514 90-SRK-110516 90-SRK-110518 90-SRK-110520 90-SRK-110610 90-SRK-110612 90-SRK-110614 90-SRK-110616 90-SRK-110618 90-SRK-110620 36

Poly Insert UCCS, Size 1, 10mm Poly Insert UCCS, Size 1, 12mm Poly Insert UCCS, Size 1, 14mm Poly Insert UCCS, Size 1, 16mm Poly Insert UCCS, Size 1, 18mm Poly Insert UCCS, Size 1, 20mm Poly Insert UCCS, Size 2, 10mm Poly Insert UCCS, Size 2, 12mm Poly Insert UCCS, Size 2, 14mm Poly Insert UCCS, Size 2, 16mm Poly Insert UCCS, Size 2, 18mm Poly Insert UCCS, Size 2, 20mm Poly Insert UCCS, Size 3, 10mm Poly Insert UCCS, Size 3, 12mm Poly Insert UCCS, Size 3, 14mm Poly Insert UCCS, Size 3, 16mm Poly Insert UCCS, Size 3, 18mm Poly Insert UCCS, Size 3, 20mm Poly Insert UCCS, Size 4, 10mm Poly Insert UCCS, Size 4, 12mm Poly Insert UCCS, Size 4, 14mm Poly Insert UCCS, Size 4, 16mm Poly Insert UCCS, Size 4, 18mm Poly Insert UCCS, Size 4, 20mm Poly Insert UCCS, Size 5, 10mm Poly Insert UCCS, Size 5, 12mm Poly Insert UCCS, Size 5, 14mm Poly Insert UCCS, Size 5, 16mm Poly Insert UCCS, Size 5, 18mm Poly Insert UCCS, Size 5, 20mm Poly Insert UCCS, Size 6, 10mm Poly Insert UCCS, Size 6, 12mm Poly Insert UCCS, Size 6, 14mm Poly Insert UCCS, Size 6, 16mm Poly Insert UCCS, Size 6, 18mm Poly Insert UCCS, Size 6, 20mm Poly Insert UCCS 90-SRK-120110 90-SRK-120112 90-SRK-120114 90-SRK-120116 90-SRK-120118 90-SRK-120120 90-SRK-120210 90-SRK-120212 90-SRK-120214 90-SRK-120216 90-SRK-120218 90-SRK-120220 90-SRK-120310 90-SRK-120312 90-SRK-120314 90-SRK-120316 90-SRK-120318 90-SRK-120320 90-SRK-120410 90-SRK-120412 90-SRK-120414 90-SRK-120416 90-SRK-120418 90-SRK-120420 90-SRK-120510 90-SRK-120512 90-SRK-120514 90-SRK-120516 90-SRK-120518 90-SRK-120520 90-SRK-120610 90-SRK-120612 90-SRK-120614 90-SRK-120616 90-SRK-120618 90-SRK-120620 37

Poly Insert PS, Size 1, 10mm Poly Insert PS, Size 1, 12mm Poly Insert PS, Size 1, 14mm Poly Insert PS, Size 1, 16mm Poly Insert PS, Size 1, 18mm Poly Insert PS, Size 1, 20mm Poly Insert PS, Size 2, 10mm Poly Insert PS, Size 2, 12mm Poly Insert PS, Size 2, 14mm Poly Insert PS, Size 2, 16mm Poly Insert PS, Size 2, 18mm Poly Insert PS, Size 2, 20mm Poly Insert PS, Size 3, 10mm Poly Insert PS, Size 3, 12mm Poly Insert PS, Size 3, 14mm Poly Insert PS, Size 3, 16mm Poly Insert PS, Size 3, 18mm Poly Insert PS, Size 3, 20mm Poly Insert PS, Size 4, 10mm Poly Insert PS, Size 4, 12mm Poly Insert PS, Size 4, 14mm Poly Insert PS, Size 4, 16mm Poly Insert PS, Size 4, 18mm Poly Insert PS, Size 4, 20mm Poly Insert PS, Size 5, 10mm Poly Insert PS, Size 5, 12mm Poly Insert PS, Size 5, 14mm Poly Insert PS, Size 5, 16mm Poly Insert PS, Size 5, 18mm Poly Insert PS, Size 5, 20mm Poly Insert PS, Size 6, 10mm Poly Insert PS, Size 6, 12mm Poly Insert PS, Size 6, 14mm Poly Insert PS, Size 6, 16mm Poly Insert PS, Size 6, 18mm Poly Insert PS, Size 6, 20mm Poly Insert PS 90-SRK-130110 90-SRK-130112 90-SRK-130114 90-SRK-130116 90-SRK-130118 90-SRK-130120 90-SRK-130210 90-SRK-130212 90-SRK-130214 90-SRK-130216 90-SRK-130218 90-SRK-130220 90-SRK-130310 90-SRK-130312 90-SRK-130314 90-SRK-130316 90-SRK-130318 90-SRK-130320 90-SRK-130410 90-SRK-130412 90-SRK-130414 90-SRK-130416 90-SRK-130418 90-SRK-130420 90-SRK-130510 90-SRK-130512 90-SRK-130514 90-SRK-130516 90-SRK-130518 90-SRK-130520 90-SRK-130610 90-SRK-130612 90-SRK-130614 90-SRK-130616 90-SRK-130618 90-SRK-130620 38

Poly Insert MPCS Poly Insert MPCS, Size 1R, 10mm Poly Insert MPCS, Size 1R, 12mm Poly Insert MPCS, Size 1R, 14mm Poly Insert MPCS, Size 1R, 16mm Poly Insert MPCS, Size 1R, 18mm Poly Insert MPCS, Size 1R, 20mm Poly Insert MPCS, Size 1L, 10mm Poly Insert MPCS, Size 1L, 12mm Poly Insert MPCS, Size 1L, 14mm Poly Insert MPCS, Size 1L, 16mm Poly Insert MPCS, Size 1L, 18mm Poly Insert MPCS, Size 1L, 20mm Poly Insert MPCS, Size 2R, 10mm Poly Insert MPCS, Size 2R, 12mm Poly Insert MPCS, Size 2R, 14mm Poly Insert MPCS, Size 2R, 16mm Poly Insert MPCS, Size 2R, 18mm Poly Insert MPCS, Size 2R, 20mm Poly Insert MPCS, Size 2L, 10mm Poly Insert MPCS, Size 2L, 12mm Poly Insert MPCS, Size 2L, 14mm Poly Insert MPCS, Size 2L, 16mm Poly Insert MPCS, Size 2L, 18mm Poly Insert MPCS, Size 2L, 20mm Poly Insert MPCS, Size 3R, 10mm Poly Insert MPCS, Size 3R, 12mm Poly Insert MPCS, Size 3R, 14mm Poly Insert MPCS, Size 3R, 16mm Poly Insert MPCS, Size 3R, 18mm Poly Insert MPCS, Size 3R, 20mm Poly Insert MPCS, Size 3L, 10mm Poly Insert MPCS, Size 3L, 12mm Poly Insert MPCS, Size 3L, 14mm Poly Insert MPCS, Size 3L, 16mm Poly Insert MPCS, Size 3L, 18mm Poly Insert MPCS, Size 3L, 20mm Poly Insert MPCS, Size 4R, 10mm Poly Insert MPCS, Size 4R, 12mm Poly Insert MPCS, Size 4R, 14mm Poly Insert MPCS, Size 4R, 16mm Poly Insert MPCS, Size 4R, 18mm Poly Insert MPCS, Size 4R, 20mm Poly Insert MPCS, Size 4L, 10mm Poly Insert MPCS, Size 4L, 12mm 90-SRK-141110 90-SRK-141112 90-SRK-141114 90-SRK-141116 90-SRK-141118 90-SRK-141120 90-SRK-142110 90-SRK-142112 90-SRK-142114 90-SRK-142116 90-SRK-142118 90-SRK-142120 90-SRK-141210 90-SRK-141212 90-SRK-141214 90-SRK-141216 90-SRK-141218 90-SRK-141220 90-SRK-142210 90-SRK-142212 90-SRK-142214 90-SRK-142216 90-SRK-142218 90-SRK-142220 90-SRK-141310 90-SRK-141312 90-SRK-141314 90-SRK-141316 90-SRK-141318 90-SRK-141320 90-SRK-142310 90-SRK-142312 90-SRK-142314 90-SRK-142316 90-SRK-142318 90-SRK-142320 90-SRK-141410 90-SRK-141412 90-SRK-141414 90-SRK-141416 90-SRK-141418 90-SRK-141420 90-SRK-142410 90-SRK-142412 39

Poly Insert MPCS, Size 4L, 14mm Poly Insert MPCS, Size 4L, 16mm Poly Insert MPCS, Size 4L, 18mm Poly Insert MPCS, Size 4L, 20mm Poly Insert MPCS, Size 5R, 10mm Poly Insert MPCS, Size 5R, 12mm Poly Insert MPCS, Size 5R, 14mm Poly Insert MPCS, Size 5R, 16mm Poly Insert MPCS, Size 5R, 18mm Poly Insert MPCS, Size 5R, 20mm Poly Insert MPCS, Size 5L, 10mm Poly Insert MPCS, Size 5L, 12mm Poly Insert MPCS, Size 5L, 14mm Poly Insert MPCS, Size 5L, 16mm Poly Insert MPCS, Size 5L, 18mm Poly Insert MPCS, Size 5L, 20mm Poly Insert MPCS, Size 6R, 10mm Poly Insert MPCS, Size 6R, 12mm Poly Insert MPCS, Size 6R, 14mm Poly Insert MPCS, Size 6R, 16mm Poly Insert MPCS, Size 6R, 18mm Poly Insert MPCS, Size 6R, 20mm Poly Insert MPCS, Size 6L, 10mm Poly Insert MPCS, Size 6L, 12mm Poly Insert MPCS, Size 6L, 14mm Poly Insert MPCS, Size 6L, 16mm Poly Insert MPCS, Size 6L, 18mm Poly Insert MPCS, Size 6L, 20mm Patella, Oval 32 Patella, Oval 35 Patella, Oval 38 Patella, Oval 41 Patella, Round 29 Patella, Round 31 Patella, Round 33 Patella, Round 36 Patella 90-SRK-142414 90-SRK-142416 90-SRK-142418 90-SRK-142420 90-SRK-141510 90-SRK-141512 90-SRK-141514 90-SRK-141516 90-SRK-141518 90-SRK-141520 90-SRK-142510 90-SRK-142512 90-SRK-142514 90-SRK-142516 90-SRK-142518 90-SRK-142520 90-SRK-141610 90-SRK-141612 90-SRK-141614 90-SRK-141616 90-SRK-141618 90-SRK-141620 90-SRK-142610 90-SRK-142612 90-SRK-142614 90-SRK-142616 90-SRK-142618 90-SRK-142620 90-SRK-410100 90-SRK-410200 90-SRK-410300 90-SRK-410400 90-SRK-420100 90-SRK-420200 90-SRK-420300 90-SRK-420400 40

Instruments Femoral Drill 90-SRK-300001 IM Rod 90-SRK-300002 Distal Femoral Resection Guide 90-SRK-300012 Distal Femoral Angle Guide 90-SRK-300011 Distal Femoral Cutting Block, 0 deg 90-SRK-300020 Distal Femoral Cutting Block, 3 deg 90-SRK-300023 Femoral Sizer 90-SRK-300100 Cutting Block Drill 90-SRK-300101 4 in 1 Cutting Block, Size 1 90-SRK-300201 4 in 1 Cutting Block, Size 2 90-SRK-300202 4 in 1 Cutting Block, Size 3 90-SRK-300203 4 in 1 Cutting Block, Size 4 90-SRK-300204 4 in 1 Cutting Block, Size 5 90-SRK-300205 4 in 1 Cutting Block, Size 6 90-SRK-300206 4 in 1 AP Adjustment Guide 90-SRK-300220 Notch Cutting Guide, Size 1 90-SRK-300301 Notch Cutting Guide, Size 2 90-SRK-300302 Notch Cutting Guide, Size 3 90-SRK-300303 Notch Cutting Guide, Size 4 90-SRK-300304 Notch Cutting Guide, Size 5 90-SRK-300305 Notch Cutting Guide, Size 6 90-SRK-300306 Angel Wing 90-SRK-300210 Femoral Lug Drill 90-SRK-300500 Femoral Inserter/Extractor 90-SRK-300400 Femoral Condyle Impactor 90-SRK-300410 Femoral Notch Impactor 90-SRK-300420 Tibial Alignment Guide 90-SRK-201000 Tibial Ankle Clamp 90-SRK-201001 Tibial Resection Stylus - 2mm 90-SRK-201100 Tibial Resection Stylus - 10mm 90-SRK-201101 Tibial Cutting Block, Symmetric 90-SRK-201010 Tibial Cutting Block, Left 90-SRK-201012 Tibial Cutting Block, Right 90-SRK-201011 Tibial Tray Trial Holder 90-SRK-201201 Keel Punch Guide - Floating 90-SRK-201211 Keel Punch Guide - Spiked 90-SRK-201212 Keel Punch 1-2 90-SRK-201221 Keel Punch 3-6 90-SRK-201222 Tibial Tray Impactor 90-SRK-201300 Tibial Tray Extractor 90-SRK-201310 Poly Impactor 90-SRK-100000 Poly Removal Tool 90-SRK-100010 Poly Trial Removal Tool 90-SRK-100050 41

CR/CS Femoral Component Trial Size 1, Right CR/CS Femoral Component Trial Size 2, Right CR/CS Femoral Component Trial Size 3, Right CR/CS Femoral Component Trial Size 4, Right CR/CS Femoral Component Trial Size 5, Right CR/CS Femoral Component Trial Size 6, Right CR/CS Femoral Component Trial Size 1, Left CR/CS Femoral Component Trial Size 2, Left CR/CS Femoral Component Trial Size 3, Left CR/CS Femoral Component Trial Size 4, Left CR/CS Femoral Component Trial Size 5, Left CR/CS Femoral Component Trial Size 6, Left PS Femoral Component Trial Size 1, Left PS Femoral Component Trial Size 2, Left PS Femoral Component Trial Size 3, Left PS Femoral Component Trial Size 4, Left PS Femoral Component Trial Size 5, Left PS Femoral Component Trial Size 6, Left PS Femoral Component Trial Size 1, Right PS Femoral Component Trial Size 2, Right PS Femoral Component Trial Size 3, Right PS Femoral Component Trial Size 4, Right PS Femoral Component Trial Size 5, Right PS Femoral Component Trial Size 6, Right Tibial Trial Size 1 Tibial Trial Size 2 Tibial Trial Size 3 Tibial Trial Size 4 Tibial Trial Size 5 Tibial Trial Size 6 Poly Trial - CR 1x10 Poly Trial - CR 1x12 Poly Trial - CR 1x14 Poly Trial - CR 1x16 Poly Trial - CR 1x18 Poly Trial - CR 1x20 Poly Trial - CR 2x10 Poly Trial - CR 2x12 Poly Trial - CR 2x14 Poly Trial - CR 2x16 Poly Trial - CR 2x18 Poly Trial - CR 2x20 Poly Trial - CR 3x10 Poly Trial - CR 3x12 Poly Trial - CR 3x14 90-SRK-351111 90-SRK-351112 90-SRK-351113 90-SRK-351114 90-SRK-351115 90-SRK-351116 90-SRK-351121 90-SRK-351122 90-SRK-351123 90-SRK-351124 90-SRK-351125 90-SRK-351126 90-SRK-353111 90-SRK-353112 90-SRK-353113 90-SRK-353114 90-SRK-353115 90-SRK-353116 90-SRK-353121 90-SRK-353122 90-SRK-353123 90-SRK-353124 90-SRK-353125 90-SRK-353126 90-SRK-210101 90-SRK-210102 90-SRK-210103 90-SRK-210104 90-SRK-210105 90-SRK-210106 90-SRK-160110 90-SRK-160112 90-SRK-160114 90-SRK-160116 90-SRK-160118 90-SRK-160120 90-SRK-160210 90-SRK-160212 90-SRK-160214 90-SRK-160216 90-SRK-160218 90-SRK-160220 90-SRK-160310 90-SRK-160312 90-SRK-160314 42

Poly Trial - CR 3x16 Poly Trial - CR 3x18 Poly Trial - CR 3x20 Poly Trial - CR 4x10 Poly Trial - CR 4x12 Poly Trial - CR 4x14 Poly Trial - CR 4x16 Poly Trial - CR 4x18 Poly Trial - CR 4x20 Poly Trial - CR 5x10 Poly Trial - CR 5x12 Poly Trial - CR 5x14 Poly Trial - CR 5x16 Poly Trial - CR 5x18 Poly Trial - CR 5x20 Poly Trial - CR 6x10 Poly Trial - CR 6x12 Poly Trial - CR 6x14 Poly Trial - CR 6x16 Poly Trial - CR 6x18 Poly Trial - CR 6x20 Poly Trial - UCCS 1x10 Poly Trial - UCCS 1x12 Poly Trial - UCCS 1x14 Poly Trial - UCCS 1x16 Poly Trial - UCCS 1x18 Poly Trial - UCCS 1x20 Poly Trial - UCCS 2x10 Poly Trial - UCCS 2x12 Poly Trial - UCCS 2x14 Poly Trial - UCCS 2x16 Poly Trial - UCCS 2x18 Poly Trial - UCCS 2x20 Poly Trial - UCCS 3x10 Poly Trial - UCCS 3x12 Poly Trial - UCCS 3x14 Poly Trial - UCCS 3x16 Poly Trial - UCCS 3x18 Poly Trial - UCCS 3x20 Poly Trial - UCCS 4x10 Poly Trial - UCCS 4x12 Poly Trial - UCCS 4x14 Poly Trial - UCCS 4x16 Poly Trial - UCCS 4x18 Poly Trial - UCCS 4x20 90-SRK-160316 90-SRK-160318 90-SRK-160320 90-SRK-160410 90-SRK-160412 90-SRK-160414 90-SRK-160416 90-SRK-160418 90-SRK-160420 90-SRK-160510 90-SRK-160512 90-SRK-160514 90-SRK-160516 90-SRK-160518 90-SRK-160520 90-SRK-160610 90-SRK-160612 90-SRK-160614 90-SRK-160616 90-SRK-160618 90-SRK-160620 90-SRK-170110 90-SRK-170112 90-SRK-170114 90-SRK-170116 90-SRK-170118 90-SRK-170120 90-SRK-170210 90-SRK-170212 90-SRK-170214 90-SRK-170216 90-SRK-170218 90-SRK-170220 90-SRK-170310 90-SRK-170312 90-SRK-170314 90-SRK-170316 90-SRK-170318 90-SRK-170320 90-SRK-170410 90-SRK-170412 90-SRK-170414 90-SRK-170416 90-SRK-170418 90-SRK-170420 43

Poly Trial - UCCS 5x10 Poly Trial - UCCS 5x12 Poly Trial - UCCS 5x14 Poly Trial - UCCS 5x16 Poly Trial - UCCS 5x18 Poly Trial - UCCS 5x20 Poly Trial - UCCS 6x10 Poly Trial - UCCS 6x12 Poly Trial - UCCS 6x14 Poly Trial - UCCS 6x16 Poly Trial - UCCS 6x18 Poly Trial - UCCS 6x20 Poly Trial - PS 1x10 Poly Trial - PS 1x12 Poly Trial - PS 1x14 Poly Trial - PS 1x16 Poly Trial - PS 1x18 Poly Trial - PS 1x20 Poly Trial - PS 2x10 Poly Trial - PS 2x12 Poly Trial - PS 2x14 Poly Trial - PS 2x16 Poly Trial - PS 2x18 Poly Trial - PS 2x20 Poly Trial - PS 3x10 Poly Trial - PS 3x12 Poly Trial - PS 3x14 Poly Trial - PS 3x16 Poly Trial - PS 3x18 Poly Trial - PS 3x20 Poly Trial - PS 4x10 Poly Trial - PS 4x12 Poly Trial - PS 4x14 Poly Trial - PS 4x16 Poly Trial - PS 4x18 Poly Trial - PS 4x20 Poly Trial - PS 5x10 Poly Trial - PS 5x12 Poly Trial - PS 5x14 Poly Trial - PS 5x16 Poly Trial - PS 5x18 Poly Trial - PS 5x20 Poly Trial - PS 6x10 Poly Trial - PS 6x12 Poly Trial - PS 6x14 90-SRK-170510 90-SRK-170512 90-SRK-170514 90-SRK-170516 90-SRK-170518 90-SRK-170520 90-SRK-170610 90-SRK-170612 90-SRK-170614 90-SRK-170616 90-SRK-170618 90-SRK-170620 90-SRK-180110 90-SRK-180112 90-SRK-180114 90-SRK-180116 90-SRK-180118 90-SRK-180120 90-SRK-180210 90-SRK-180212 90-SRK-180214 90-SRK-180216 90-SRK-180218 90-SRK-180220 90-SRK-180310 90-SRK-180312 90-SRK-180314 90-SRK-180316 90-SRK-180318 90-SRK-180320 90-SRK-180410 90-SRK-180412 90-SRK-180414 90-SRK-180416 90-SRK-180418 90-SRK-180420 90-SRK-180510 90-SRK-180512 90-SRK-180514 90-SRK-180516 90-SRK-180518 90-SRK-180520 90-SRK-180610 90-SRK-180612 90-SRK-180614 44

Poly Trial - PS 6x16 Poly Trial - PS 6x18 Poly Trial - PS 6x20 Poly Trial - MPCS 1x10 R Poly Trial - MPCS 1x12 R Poly Trial - MPCS 1x14 R Poly Trial - MPCS 1x16 R Poly Trial - MPCS 1x18 R Poly Trial - MPCS 1x20 R Poly Trial - MPCS 2x10 R Poly Trial - MPCS 2x12 R Poly Trial - MPCS 2x14 R Poly Trial - MPCS 2x16 R Poly Trial - MPCS 2x18 R Poly Trial - MPCS 2x20 R Poly Trial - MPCS 3x10 R Poly Trial - MPCS 3x12 R Poly Trial - MPCS 3x14 R Poly Trial - MPCS 3x16 R Poly Trial - MPCS 3x18 R Poly Trial - MPCS 3x20 R Poly Trial - MPCS 4x10 R Poly Trial - MPCS 4x12 R Poly Trial - MPCS 4x14 R Poly Trial - MPCS 4x16 R Poly Trial - MPCS 4x18 R Poly Trial - MPCS 4x20 R Poly Trial - MPCS 5x10 R Poly Trial - MPCS 5x12 R Poly Trial - MPCS 5x14 R Poly Trial - MPCS 5x16 R Poly Trial - MPCS 5x18 R Poly Trial - MPCS 5x20 R Poly Trial - MPCS 6x10 R Poly Trial - MPCS 6x12 R Poly Trial - MPCS 6x14 R Poly Trial - MPCS 6x16 R Poly Trial - MPCS 6x18 R Poly Trial - MPCS 6x20 R Poly Trial - MPCS 1x10 L Poly Trial - MPCS 1x12 L Poly Trial - MPCS 1x14 L Poly Trial - MPCS 1x16 L Poly Trial - MPCS 1x18 L Poly Trial - MPCS 1x20 L 90-SRK-180616 90-SRK-180618 90-SRK-180620 90-SRK-191110 90-SRK-191112 90-SRK-191114 90-SRK-191116 90-SRK-191118 90-SRK-191120 90-SRK-191210 90-SRK-191212 90-SRK-191214 90-SRK-191216 90-SRK-191218 90-SRK-191220 90-SRK-191310 90-SRK-191312 90-SRK-191314 90-SRK-191316 90-SRK-191318 90-SRK-191320 90-SRK-191410 90-SRK-191412 90-SRK-191414 90-SRK-191416 90-SRK-191418 90-SRK-191420 90-SRK-191510 90-SRK-191512 90-SRK-191514 90-SRK-191516 90-SRK-191518 90-SRK-191520 90-SRK-191610 90-SRK-191612 90-SRK-191614 90-SRK-191616 90-SRK-191618 90-SRK-191620 90-SRK-192110 90-SRK-192112 90-SRK-192114 90-SRK-192116 90-SRK-192118 90-SRK-192120 45

Poly Trial - MPCS 2x10 L 90-SRK-192210 Poly Trial - MPCS 2x12 L 90-SRK-192212 Poly Trial - MPCS 2x14 L 90-SRK-192214 Poly Trial - MPCS 2x16 L 90-SRK-192216 Poly Trial - MPCS 2x18 L 90-SRK-192218 Poly Trial - MPCS 2x20 L 90-SRK-192220 Poly Trial - MPCS 3x10 L 90-SRK-192310 Poly Trial - MPCS 3x12 L 90-SRK-192312 Poly Trial - MPCS 3x14 L 90-SRK-192314 Poly Trial - MPCS 3x16 L 90-SRK-192316 Poly Trial - MPCS 3x18 L 90-SRK-192318 Poly Trial - MPCS 3x20 L 90-SRK-192320 Poly Trial - MPCS 4x10 L 90-SRK-192410 Poly Trial - MPCS 4x12 L 90-SRK-192412 Poly Trial - MPCS 4x14 L 90-SRK-192414 Poly Trial - MPCS 4x16 L 90-SRK-192416 Poly Trial - MPCS 4x18 L 90-SRK-192418 Poly Trial - MPCS 4x20 L 90-SRK-192420 Poly Trial - MPCS 5x10 L 90-SRK-192510 Poly Trial - MPCS 5x12 L 90-SRK-192512 Poly Trial - MPCS 5x14 L 90-SRK-192514 Poly Trial - MPCS 5x16 L 90-SRK-192516 Poly Trial - MPCS 5x18 L 90-SRK-192518 Poly Trial - MPCS 5x20 L 90-SRK-192520 Poly Trial - MPCS 6x10 L 90-SRK-192610 Poly Trial - MPCS 6x12 L 90-SRK-192612 Poly Trial - MPCS 6x14 L 90-SRK-192614 Poly Trial - MPCS 6x16 L 90-SRK-192616 Poly Trial - MPCS 6x18 L 90-SRK-192618 Poly Trial - MPCS 6x20 L 90-SRK-192620 Patella Puck Oval 32 90-SRK-460011 Patella Puck Oval 35 90-SRK-460012 Patella Puck Oval 38 90-SRK-460013 Patella Puck Oval 41 90-SRK-460014 Patella Puck Round 29 90-SRK-460021 Patella Puck Round 31 90-SRK-460022 Patella Puck Round 33 90-SRK-460023 Patella Puck Round 36 90-SRK-460024 Threaded Pin 1290 Headed Pin 1297 Pin Power Adapter 1206 T-Handle w/quick connect 90-SRK-500000 Patella Resection Guide 90-SRK-400001 Patella Lug Drill 90-SRK-400013 Patella Clamp Handle 90-SRK-400010 46

Patella Drill Guide - Round 90-SRK-400022 Patella Drill Guide - Oval 90-SRK-400021 Cement Clamp 90-SRK-400012 Patella Caliper 5285 47

Femoral Prep Case Tibial Prep Case Patellar Prep Case Femoral Trial Case CR/CS Femoral Trial Case PS Poly Trial Case CR Poly Trial Case UCCS Poly Trial Case PS Poly Trial Case MPCS Right Poly Trial Case MPCS Left Trays 90-SRK-800030 90-SRK-800020 90-SRK-800040 90-SRK-800031 90-SRK-800033 90-SRK-800011 90-SRK-800012 90-SRK-800013 90-SRK-800014 90-SRK-800015 48

49 5. Instructions For Use