PHYSICA ZUK SURGICAL TECHNIQUE Step 8 | Implant Final Components
STEP 8 IMPLANT FINAL COMPONENTS
TECHNIQUE TIP . If the resected surfaces of the tibia and/ or femur are sclerotic, drill multiple holes with a small drill to improve cement intrusion. TIBIAL COMPONENT To facilitate insertion, flex the knee and externally rotate the tibia.
Apply cement on both the tibial component and proximal tibial bone surface.
Press the tibial base plate onto the tibia and press down the posterior portion of the component first. (Figs. 59 and 60) Then press the anterior portion of the component expressing excess cement anteriorly. Use a mallet with the Tibial Tray Impactor to impact the tibial component into its final position. After impacting the Tibial Baseplate remove the Tibial Tray Impactor carefully.
Figure 59
NOTE. If an All-Poly tibial component is used, use the Tibial tray Impactor or the Tibial Liner Impactor to impact it.
Use the Cement Remover to remove any excess cement.
TECHNIQUE TIP. Place an opened and slightly moist sterile gauze sponge behind the tibia before implanting the components to help collect excess cement behind the tibia.
Figure 60
30 Surgical Technique PHYSICA ZUK
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