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Reclaim Surgical Technique

Reclaim Surgical Technique
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DePuy Synthes JOINT RECONSTRUCTION COMPANIES OF Where Strength and Modularity Connect This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE

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RECLAIM Modular Revision Hip System SURGICAL TECHNIQUE Introduction 2 STEP 1: Accessing the Femoral Canal Starter Reamer 4 STEP 2: Progressive Distal Reaming 6 Optional: Trialling Off the Distal Reamer 7 STEP 3: Finishing Rasp 8 STEP 4: Distal Stem Insertion 10 STEP 5: Proximal Body Preparation 12 STEP 6: Proximal Body Trialling 14 STEP 7: Taper Engagement 16 STEP 8: Locking Bolt Assembly 28 Optional Disassembly Step 30 Optional Instrumentation 32 ORDERING INFORMATION DePuy Synthes RECLAIM Revision Hip System

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Advanced Instrumentation Where Strength and Modularity Connect RECLAIM Revision Hip System Surgical Technique DePuy Synthes Joint Reconstruction

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THE RECLAIM MODULAR REVISION HIP SYSTEM An innovative addition to the DePuy Synthes Revision Solutions portfolio. DePuy Synthes RECLAIM Revision Hip System Surgical Tec

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Pre-Operative Planning and Templating: • It is recommended that you read and understand all of the material covered in this booklet before beginning surgical planning. Thorough pre-operative planning can prove to be very helpful at the time of surgery and provide confidence that your implant selection is appropriate. • It is strongly recommended that pre-operative, radiographic templating be employed to best assess the patient anatomy and select the proper implant construct size appropriate for the patient. All RECLAIM X-ray Templates are provided at 20% Magnification (1.2:1). Begin by...

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ACCESSING THE FEMORAL CANAL STARTER REAMER Obtaining clear access to the femoral canal is important to ensure proper alignment of implant components. Following removal of any pre-existing hardware and debris, connect the RECLAIM Distal Starter Reamer to the Reamer T-handle or power equipment (Figure 2). In many cases, due to femoral deformity, an extended trochanteric osteotomy should be performed to facilitate more direct access down the femoral canal. The 140 mm length Distal Starter Reamer is designed to obtain clear access to the femoral canal prior to distal reaming. Colored depth...

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The Clear Out Reamer is designed to obtain clear access for the reamer extension prior to progressive distal reaming. (Figure 3) It is required that the Clear Out Reamer is seated to the same depth mark as established for the Starter Reamer. In the event deeper distal reaming is required the Clear Out Reamer must be used again to obtain additional clearance. Once final distal reaming depth or a 20 mm distal reamer has been achieved the Clear Out Reamer is no longer needed. Figure 3 Clear Out Reamer RECLAIM Revision Hip System Surgical Technique DePuy Synthes Joint Reconstru

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PROGRESSIVE DISTAL REAMING RECLAIM Distal Stem implants are available in four different lengths and in 1 mm diameter increments ranging from 14 mm to 27 mm, 29 mm and 31 mm diameters. Straight Stems are available in 140 mm and 190 mm lengths. Angled stems with lengths of 190 mm, 240 mm, and 290 mm are available with a 3-degree angle to accommodate the curvature of the femoral anterior bow. Based on the Distal Stem size determined during the templating process, attach the smallest diameter Distal Reamer of the shortest length to the Distal Reamer Extension (Figure 4) via the L-Slot...

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Trialling Off the Distal Reamer (Optional) In the event that a large proximal deformity exists and traditional bony landmarks are absent, trialling off the Distal Reamer may be conducted to obtain an early indication of leg length and offset. Proximal Trials are available to replicate the biomechanics of the Proximal Body implants. Select the Proximal Trial Shaft that corresponds to the coloured depth marker selected during distal reaming, and attach it to the Distal Reamer. The Proximal Trial Shaft and Proximal Trial Neck may also be preliminarily assembled via the retaining spring inside...

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FINISHING RASP AND OPTIONAL PROXIMAL PRE-PREPARATION When implanting Angled Distal Stems of diameters 14-20 mm in patients who do not present with a large proximal deformity, it may be necessary to utilise the Finishing Rasp. The Finishing Rasp removes additional bone at the location of the Distal Stem’s planned apex to ensure that it will seat properly. The Stem’s apex is the point at which the 3-degree angle begins in order to shift the proximal geometry of the implant away from the greater trochanter. Thread the Proximal Reamer Guide Post into the Distal Reamer using the Universal Hex...

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NOTE: The Finishing Rasp should only be used in combination with a Distal Reamer and should never be used with a Distal Stem implant. Position the Finishing Rasp over the Proximal Reamer Guide Post (Figure 9). The Finishing Rasp is designed to bottom-out on the top of the Proximal Reamer Guide Post when fully seated. Proper seating height is visually confirmed by observing the alignment of the black band on the Finishing Rasp and the Proximal Reamer Guide Post through the window in the Finishing Rasp. Rotate through 180° back and forth about the planned location of the Distal Stem’s apex to...

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DISTAL STEM INSERTION Connect the Distal Stem Inserter to the Distal Stem implant that corresponds to the size of the last Distal Reamer used (Figure 10). Ensure that the key feature on the proximal end of the Distal Stem aligns with the word “APEX” etched on the Distal Stem Inserter before rotating the knob at the end of the handle to engage the threads (Figure 11). Angled Distal Stems are oriented so that the Distal Stem key feature is in line with the apex of the Distal Stem. The location of the size etch on the Distal Stem is also in line with the Stem’s apex. Ensure that the Distal...

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Figure 11 Distal Stem Inserter APEX Marking Figure 10 Distal Stem Insertion RECLAIM Revision Hip System Surgical Technique DePuy Synthes Joint Reconstruction

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PROXIMAL BODY PREPARATION Proximal Body implant preparation is performed over the Distal Stem implant to confirm final seating height and stem biomechanics. Insert the Proximal Reamer Guide Post into the Distal Stem implant (Figure 12). Ensure the distal flat feature of the Guide Post aligns with the external key feature of the Distal Stem before completely tightening down the Guide Post. Tighten the Guide Post with the Universal Hex Driver until the handle clicks (Figure 13). Note: Proximal reaming over the distal implant must be performed even if you have proximally reamed over the distal...

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