PHYSICA ZUK SURGICAL TECHNIQUE Step 1 | Proximal Tibial Resection
The Pin Driver has to be used to insert the screws. Pressing the screws into the Pin Driver will automatically capture them. To release the screws press the red lever. (Fig. 10) VARUS/VALGUS ADJUSTMENT (IF NEEDED) Adjust the varus/valgus alignment of the EM Tibial Guide by turning the red knobs on either side of the ankle clamp. This enables the mediolateral position of the EM Guide to be fine-tuned to accurately line up with the long axis of the tibia. (Fig. 11) TECHNIQUE TIP. Use the Feeler Blade to verify that the Tibial Cutting slot is horizontally aligned. SLOPE ADJUSTMENT (IF NEEDED) Tibial Cutting Blocks have a built-in 5° posterior slope. However, if it is necessary to adjust the slope in the sagittal plane, press and hold the red button on the end of the Tibial EM Guide Slope Adjuster. Moving the Tibial EM Guide Slope Adjuster away from the ankle joint will increase the slop. (Fig. 12) TECHNIQUE TIP. In order to identify 5° of posterior slope, the EM proximal rod should be parallel to the tibial axis in the sagittal and frontal planes.
Figure 10
Figure 11
Figure 12
PHYSICA ZUK Surgical Technique 11
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