VISIONAIRE FastPak Instruments for the LEGION™ Total Knee System
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Surgical Technique ?'{ smith&nephew VISIONAIRE* FastPak Instruments

VISIONAIRE™ FastPak for LEGION™ Instrument Technique* Nota Bene The technique description herein is made available to the healthcare professional to illustrate the author’s suggested treatment for the uncomplicated procedure. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Review the package inserts for each device for more product, health and safety information. Tip: Do not remove osteophytes before evaluating guide fit. If an osteophyte prevents proper fit, remove only the offending osteophyte before reevaluating fit. Femoral...

4 Secure the femoral guide anteriorly by inserting long headless pins into the anterior pin holes. Note: Anterior predrilling is optional depending upon the type of pin used. 5 Use the external alignment rod to verify proper alignment prior to making the distal resection. Note: The anterior line corresponds to the AP axis and the distal line is perpendicular to the anterior line. 6 Remove one distal pin prior to beginning the distal resection. To complete the resection, move the remaining distal pin to the opposite side of the femoral guide. 7 After completing the resection, remove...

The following tibial technique is recommended for both the Minimally Invasive Surgery (MIS) and Traditional Anterior Approach (TAA) VISIONAIRE™ tibia guides. Positioning and exposure • Sublux the tibia. • Remove the meniscus. • Carefully remove only soft tissue from the anterior tibia cortex which may prevent proper guide fit. P'nning and drilling 8 Place the tibial guide on the proximal tibia. The key contact areas for the tibial guide are the medial and lateral plateaus and the anterior medial tibial cortex. Note: The key contact areas of the tibial guide should be mated flush to the...

12 Use the external alignment rod to verify proper alignment prior to making the proximal resection. Note: The anterior line corresponds to the medial third of the tubercle. This line is intended to help position the external alignment rod when verifying proper alignment. 13 Remove one proximal pin prior to beginning the proximal resection. To complete the resection, move the remaining proximal pin to the opposite side of the tibial guide. 14 After completing the resection, remove the tibial guide and complete the procedure per the surgical technique recommended for the implant. 15 Size the...

Femoral trialing Note: The LEGION™ FastPak femoral trial is not compatible with the femoral wedges. If femoral wedges are required, you must use the standard LEGION femoral trial. Cruciate Retaining P 17 repare the femoral lug holes through the trial using the femoral lug punch. Note: Ensure lug punch is properly aligned and fully seated prior to punching. Posterior-Stabilized P 18 in trial through the anterior flange using short headed pins. Attach the Housing Resection Collet to the femoral trial. Note: Speed pins are contraindicated for use with the FastPak femoral trial. The housing...

Final preparation 22 repare the patella using surgeon’s preferred P technique. Note: Information for patella can be found in the LEGION™ Knee System surgical technique. P 23 lace a FastPak Trial Insert into the FastPak Tibial Trial Tray and perform a trial range of motion to allow the baseplate to center on the femoral trial. As a secondary check, the surgeon may pass the alignment rod through the quick-connect handle to assess alignment. Pin the lateral side of the Fast Pack Tibial Base Trial in the determined position. After putting the knee through a trial ROM, T ip: the surgeon should...

* Refer to the Important Medical Information Package Insert included with the VISIONAIRE™ Patient Matched Instrumentation and LEGION™ Total Knee System for additional product, technique, health and safety information. For total knee replacement surgical steps please reference the 71281671 LEGION Distal Cut First Surgical Technique. Smith & Nephew, Inc. 1450 Brooks Road Memphis, TN 38116 USA Telephone: 1-901-396-2121 Information: 1-800-821-5700 Orders and Inquiries: 1-800-238-7538 ™ Trademark of Smith & Nephew. Registered US Patent and Trademark Office. All Trademarks acknowledged. ©2015...