COMPLEX PRIMARY SURGICAL TECHNIQUE ADDENDUM

C O M P L E X P R I M A R Y S U R G I C A L T E C H N I Q U E A D D E N D U M

S U R G I C A L T E C H N I Q U E2

ContentsSystem Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Indications and Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4System Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Tibial Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Primary Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Recut Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Gap Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Augment Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Extramedullary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Intramedullary Option 1: T-Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Intramedullary Option 2: Stem Reamer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Intramedullary Option 3: Outrigger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Stem Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Trial Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Component Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Component Implantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Reference Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Implant Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Sizing Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Implant Part Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Instrument Material List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

DJO Surgical® is a manufacturer of orthopedic implants and does not practice medicine . This surgical technique was prepared in conjunction with licensed health care professionals . The treating surgeon is responsible for determining the appropriate treatment, technique(s), and product(s) for each individual patient .

C O M P L E X P R I M A R Y S U R G I C A L T E C H N I Q U E

A D D E N D U M

This surgical technique addendum is intended to be used in conjunction with the EMPOWR Knee System™ Cemented Surgical Technique (Document: MKT0010314-133) .


TIBIAL AUGMENTSThe EMPOWR Tibial Augments are only compatible with the EMPOWR Universal Tibial Baseplate . In all sizing combinations, the size of the first Tibial Augment used, i .e . the augment in direct contact with the baseplate, is not required to match the selected Universal Tibial Baseplate size profile . For example, a size 6 Universal Tibial Baseplate may use a size 6, size 5, or size 4 Tibial Augment . A size 6 minus Universal Tibial Baseplate may use a size 5, size 4, or size 3 Tibial Augment .

Each Tibial Augment is 5mm, is right/left flippable, and is stackable up to 15mm, i .e . three augments thick . An Augment Screw that corresponds to the total augment height (5, 10, or 15mm) must be used to secure the augments to the Universal Tibial Baseplate . Tibial Augments are packaged individually with a 5mm Augment Screw, 10mm and 15mm Augment Screws are available for order from DJO® .

The Tibial Augments can be assembled in a blocked or tapered configuration in order to match the tibial anatomy . If tapering, the Tibial Augments have 2-down sizing interchangeability . For example, a size 6 Tibial Baseplate could be a assembled to a size 6, size 5, or size 4 Tibial Augment .

SAW BLADES A 1 .27mm sagittal saw blade and a reciprocating saw blade are recommended for use with the EMPOWR Knee System and are available for order from DJO .

STERILE PINSSterile fluted or threaded headed 3 .2mm pins are recommended for use with the EMPOWR Knee System™ and are available for order from DJO .

REQUIRED TIBIAL INSTRUMENTATIONThe tibial preparation instrument trays containing the TiN coated instrumentation, shown and listed below, MUST be used to prepare the EMPOWR Universal Tibia, Stems, and Augments . The TiN coated instrumentation is distinguishable by its GOLD color . The required instrument cases containing these instruments are distinguishable by GOLD labeling .

System FeaturesFEMORAL AND TIBIAL COMPONENTSThe EMPOWR 3D Femoral Component is compatible with the EMPOWR CR™ Insert and the EMPOWR 3D Insert . In all sizing combinations, the Tibial Insert size always matches the Universal Tibial Baseplate size . The EMPOWR CR Insert has 2-up, 2-down sizing interchangeability with the EMPOWR 3D Femoral Component . The Empowr 3D Insert has 1-up, 1-down sizing interchangeability . The EMPOWR PS Insert and EMPOWR VVC™ Insert have 1-up, 1-down sizing interchangeability with the EMPOWR PS Femoral Component .

Minus sized Tibial Baseplates have the A/P and M/L profile of one size smaller Tibial Baseplates . The 11 plus Tibial Baseplate has the A/P and M/L profile of one size larger Tibial Baseplate .

For example, a size 6 Femoral Component will match a size 6, size 6 minus, or size 7 Tibial Baseplate .

TIBIAL INSERTSThe Tibial Insert thicknesses are stated by the total tibial construct height (Baseplate + Insert), measured at the thinnest point of the tibial insert . EMPOWR Knee System Tibial Baseplates are 4mm thick .

EMPOWR 3D Tibial Inserts are available in sizes 2 through 11, with five thicknesses (10, 12, 14, 16 and 19mm) .

EMPOWR CR Tibial Inserts are available in sizes 2 through 11, with seven thicknesses (10, 11, 12, 13, 16 and 19mm) .

EMPOWR PS Tibial Inserts are available in sizes 2 through 11, with seven thicknesses (10, 11, 12, 13, 14, 16 and 19mm) .

EMPOWR VVC Tibial Inserts are available in sizes 2 through 11, with seven thicknesses (10, 12, 14, 16, 19, 22 and 25mm) . Inserts with thicknesses 22 and 25mm must be used with the supplied reinforcement pin .

Baseplate Trial Handle Tibial Template Trial Tibial Reamer Tibial Punch Handle


Indications and ContraindicationsINDICATIONS

Joint replacement is indicated for patients suffering from disability due to:

• degenerative, post-traumatic or rheumatoid arthritis;

• avascular necrosis of the femoral condyle;

• post-traumatic loss of joint configuration, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy;

• moderate valgus, varus or flexion deformities;

• treatment of fractures that are unmanageable using other techniques .

This device may also be indicated in the salvage of previously failed surgical attempts . This system is to be used for cemented applications only .

While knee replacements are not intended to withstand activity levels and loads of normal healthy bone, they are a means of restoring mobility and reducing pain for many patients .

CONTRAINDICATIONSJoint replacement is contraindicated where there is:

• infection (or a history of infection), acute or chronic, local or systemic;

• insufficient bone quality which may affect the stability of the implant;

• muscular, neurological or vascular deficiencies, which compromise the affected extremity;

• obesity;

• alcoholism or other addictions;

• materials sensitivity;

• loss of ligamentous structures;

• high levels of physical activity (e .g . competitive sports, heavy physical labor) .

• The EMPOWR 3D and CR Knee are also contraindicated for patients without sufficient soft tissue integrity to provide adequate stability .

The indications and contraindications are for TKA vary among patients and are always the decision of the surgeon performing the procedure .


EMPOWR CR Inser tEMPOWR 3D Inser t

EMPOWR 3D Femur EMPOWR PS Femur

EMPOWR PS Inser t

System Compatibility

EMPOWR Universal T ibia BaseplateEMPOWR Universal T ibia Stem EMPOWR Universal T ibia Augment

EMPOWR V VC Inser t


FIGURE 3

INTRAMEDULLARY ALIGNMENT Using the Stepped Intramedullary (IM) Drill, locate and drill a pilot hole into the intramedullary tibial canal . The posterior edge of this hole should be positioned 3 to 5 mm anterior to the pinnacle of the proximal tibial spine and in line with the tibial tubercle . Insert the T-Handle IM Rod into the pilot hole created by the IM drill and introduce it beyond the depth of the pilot hole to open the intramedullary canal . Remove the T-Handle IM Rod . Slide the Proximal Body IM Rod over the T-Handle IM Rod and insert the T-Handle IM Rod back into the intramedullary canal . (FIGURE 3)

FIGURE 2

EXTRAMEDULLARY ALIGNMENT Position the center of the Tibial Cut Block just medial to the tibial tubercle . With the foot in the neutral position, align the Proximal Body with the second metatarsal . Additionally, the Tibial Cut Block may be pinned through the center slot to provide stability while the M/L position and slope of the adjustable Ankle Clamp is established . When the desired resection depth is established, secure the Tibial Cut Block to the tibia using self-drilling pins through the holes marked “0” which are highlighted with a laser mark . (FIGURE 2)Remove the Tibial Stylus and the remainder of the Tibial Assembly by depressing the black button to disengage the Proximal Body and Ankle Clamp from the Cut Block .

NOTE: For an anatomically sloped resection, place the Angel Wing in the cutting slot of the Tibial Cut Block and adjust the long axis of the Ankle Clamp by engaging the button on the Ankle Clamp while pulling away from the ankle .

Tibial Preparation – PrimaryFIGURE 1

EXTRAMEDULLARY ALIGNMENT Assemble the Distal Body Ankle Clamp, Adjustable Proximal Body, and selected Tibial Cut Block (left or right in neutral or 3°) . Position the Ankle Clamp around the patient’s ankle . Adjust the overall depth of the Extramedullary (EM) Tibial Resection Guide to the approximate tibial resection depth using the button on the Distal Body Ankle Clamp . (FIGURE 1)Place the Tibial Stylus into the medial hole of the Tibial Cut Block . Generally the Stylus is set to resect 10mm from the less affected compartment, or 2mm from the most affected compartment .

NOTE: The Ankle Clamp is R/L flippable and offers threaded M/L micro-adjustment . The Proximal Body offers Proximal/Distal threaded micro-adjustment .

NOTE: The Angel Wing can be used to confirm the thickness of the tibial resection and to visualize the planned tibial slope relative to the patient's anatomy .


FIGURE 5AFIGURE 5

INTRAMEDULLARY ALIGNMENT Select the desired amount of tibial slope (0°,3°, or 6°) and using the corresponding hole, slide the IM 0-3-6 Post Slope Tower onto the Proximal Body IM Rod .Generally the Stylus is set to resect 10mm from the less affected compartment, or 2mm from the most affected compartment . Position the center of the Tibial Cut Block just medial to the tibial tubercle . (FIGURE 5)

NOTE: Alignment can be checked prior to pinning by inserting the Alignment Rod through the magnetic IM Alignment Handle and attaching the handle to the cut block . (FIGURE 5A)


INTRAMEDULLARY ALIGNMENT Assemble the Tibial Stylus to the appropriate Tibial Cut Block . Insert the 0-3-6 Post Slope Tower through the top of the cut block . (FIGURE 4)

NOTE: The Angel Wing can be used to confirm the thickness of the tibial resection and to visualize the planned tibial slope relative to the patient's anatomy .


FIGURE 7

TIBIAL ALIGNMENT To assess proper alignment of the Tibial Cut Block, insert the Alignment Rod Guide in the resection slot of the Tibial Cut Block and insert the Alignment Rod through the Alignment Rod Guide . If the Alignment Rod is too long to accurately assess alignment, slide the Modular Stop on the Alignment Rod before inserting it into the Alignment Rod Guide . (FIGURE 7) After pinning, the Tibial Cut Block may be adjusted distally using the holes marked +2 and +4 to add an additional 2mm or 4mm to the resection depth . The cross pin hole may be used for additional fixation .

FIGURE 8

TIBIAL RESECTION Resect the proximal tibia using a 1 .27mm saw blade . (FIGURE 8)


INTRAMEDULLARY ALIGNMENT When the desired resection depth is established, secure the Augment Cut Guide to the tibia using self-drilling pins through the holes marked “0” which are highlighted with a laser mark . Remove the T-Handle IM Rod, Proximal Body IM Rod, 0-3-6 Post Slope Tower and stylus . (FIGURE 6)


Recut Guides

VARUS/ VALGUS RECUT GUIDEThe 2° Varus/ Valgus Recut Guide will change the varus/ valgus orientation of the proximal tibial resection depending on which way the guide is oriented . (FIGURE 10)

FIGURE 10

+2mm, 2° RECUT GUIDESRecut guides are available in three configurations and may be used after the proximal tibial resection . The holes on the guide are convergent and do not correlate to the holes on the Tibial Cut Block .

The Recut Guides are used by placing the feet on the resected proximal tibia and pinning the guide to the tibia . (FIGURE 9)

FIGURE 9


EXTENSIONTIGHT BALANCED LOOSE

FLEX

ION

TIG

HT

downsize insert thickness, cut more proximal tibia

select smaller size 4-in-1 guide (to downsize femoral

component) and shift anteriorly to cut more posterior condyle,

or cut more tibial slope

select smaller size 4-in-1 guide (to downsize femoral component)

and shift anteriorly to cut more posterior condyle and use a thicker insert as necessary

BA

LAN

CED

recut proximal tibia to achieve less posterior slope, or

recut distal femurno adjustment necessary

cut more posterior slope into proximal tibia and

use thicker insert

LOO

SE

recut distal femur, or recut proximal tibia to remove any

slope, and use a thicker insert if necessary

recut distal femur and use thicker poly

use thicker insert

NOTE: If gaps are imbalanced in relation to gap assessment instrumentation; i .e . Spacer Blocks and/or Implant Trials, soft tissue releases or bone cuts can balance the gaps . Refer to the chart below .

Spacer Blocks are available to evaluate proper bone removal and balancing of the joint space . Spacer Blocks are used with no trials in place, with the Spacer Block representing the total combined thickness of the baseplate, insert, and femoral component . For example, using the “10mm” Block will represent the overall implant thickness when using a 10mm insert in both extension and flexion . (FIGURE 11)

FIGURE 11

Gap Assessment

NOTE: Alignment can be checked by inserting the Alignment Rod through the Spacer Block .


FIGURE 12

NOTE: If using an EMPOWR 3D Tibial Insert, care should be taken to avoid excessive amounts of tibial external rotation . Floating the Baseplate Trial and Insert Trial may help facilitate proper tibial rotation .

TIBIAL BASEPLATE PREPARATIONSelect the appropriate size, gold Tibial Baseplate Trial . Minus size tibial bases have the A/P and M/L profile of one size smaller tibial base . Connect the Baseplate Trial that most accurately matches the periphery of the tibial plateau to the gold Baseplate Trial Handle . The Alignment Rod may be inserted through the Baseplate Trial Handle to assess Baseplate Trial alignment . Once appropriately aligned, secure the trial in place with two Tibial Bone Pins . Using the Multi-Pin Tool, grasp the Tibial Bone Pins and insert them into the middle holes in the Baseplate Trial, denoted with laser marked lines and circles . (FIGURE 12)

FIGURE 14FIGURE 13

TIBIAL BASEPLATE PREPARATIONPlace the Cemented Locking Punch Guide in the center recess of the Baseplate Trial by first inserting the Punch Guide feet posteriorly and then lock the Punch Guide by advancing the handle toward the Baseplate Trial . Use the Tibial Reamer to prepare the tibial keel . Bottom out the Tibial Reamer until it is flush with the top of the Cemented Locking Punch Guide . (FIGURE 13)

TIBIAL KEEL PREPARATIONSelect the appropriate size Cemented Tibial Punch (Silver): Small (2-3), Medium (4-8) or Large (9-11) and connect it to the Tibial Punch Handle . For minus bases, use the same size Tibial Punch as non-minus bases . For example, use a size 6 Punch for a size 6 minus base . Center the appropriate size Tibial Punch into the Tibial Punch Guide and seat the punch until the Cemented (C) engraved line is flush with the top surface of the Tibial Punch Guide . (FIGURE 14)

If desired, the Tibial Punch may be disengaged from the Tibial Punch Handle and left in place for added stability during trialing . To remove the Tibial Punch, re-insert the Tibial Punch Handle into the Modular Punch .

Tibial Preparation – Primary


FIGURE 15

Tibial Preparation – Augment Preparation

NOTE: The Ankle Clamp is R/L flippable and offers threaded M/L micro-adjustment . The Proximal Body offers Proximal/Distal threaded micro-adjustment .

EXTRAMEDULLARY AUGMENT PREPARATIONAssemble the Distal Body Ankle Clamp, Adjustable Proximal Body, and selected Augment Cut Guide (RM/LL or LM/RL) .

Position the Ankle Clamp around the patient’s ankle . Adjust the overall length of the Extramedullary (EM) Tibial Resection Guide to the approximate tibial resection depth using the button on the Distal Body Ankle Clamp . (FIGURE 15)

Place the Tibial Stylus into the medial hole of the Tibial Cut Block . Generally the Stylus is set to resect 10mm from the less affected compartment, or 2mm from the most affected compartment . The Angel Wing should be used to check the amount of bone to be resected and visualize the planned tibial slope .

FIGURE 17FIGURE 16

EXTRAMEDULLARY AUGMENT PREPARATIONPosition the sagittal cut slot of the Augment Cut Guide just medial to the tibial tubercle to establish the orientation of the sagittal augment cut . With the foot in the neutral position, align the Proximal Body with the second metatarsal, or other surgeon preferred anatomic landmark .

When the desired resection depth and rotation are established, secure the Augment Cut Guide to the tibia using self-drilling pins through the holes marked “0” which are highlighted with a laser mark . (FIGURE 16)

Remove the remainder of the Tibial Assembly by depressing the black button to disengage the Proximal Body and Ankle Clamp from the Augment Cut Guide .

INTRAMEDULLARY AUGMENT PREPARATION: OPTION 1If necessary, using the Step IM Drill, locate and drill a pilot hole into the intramedullary tibial canal . The posterior edge of this hole should be positioned 3 to 5 mm anterior to the pinnacle of the proximal tibial spine and in line with the tibial tubercle . Insert the T-Handle IM Rod into the pilot hole created by the IM Drill and introduce it beyond the depth of the pilot hole to open the intramedullary canal . Remove the T-Handle IM Rod . Slide the Proximal Body IM Rod over the T-Handle IM Rod and insert the T-Handle IM Rod into the intramedullary canal . (FIGURE 17)

NOTE: For an anatomically sloped resection, place the Angel Wing in the cutting slot of the Augment Cut Guide and adjust the long axis of the Ankle Clamp by engaging the button on the Ankle Clamp while pulling away from the ankle . If using a stem and/or a PS insert, use a neutral slope .

NOTE: Refer to page 14 to complete augment resections .


FIGURE 18

INTRAMEDULLARY AUGMENT PREPARATIONAssemble the Tibial Stylus to the selected Augment Cut Guide (RM/LL or LM/RL) . Insert the 0-3-6 Post Slope Tower through the top of the cut guide . (FIGURE 18)

FIGURE 20FIGURE 19

INTRAMEDULLARY AUGMENT PREPARATIONSelect the desired amount of tibial slope (0°,3°, or 6°) and using the corresponding hole, slide the IM 0-3-6 Post Slope Tower onto the Proximal Body IM Rod .

Generally the Stylus is set to resect 10mm from the less affected compartment, or 2mm from the most affected compartment . The Angel Wing should be used to check the amount of bone to be resected and visualize planned tibial slope .

Position the sagittal cut slot of the Augment Cut Guide just medial to the tibial tubercle to establish orientation of the sagittal augment cut . (FIGURE 19)

WARNING: If using a stem and/or a PS insert, use a neutral slope .

AUGMENT PREPARATIONWhen the desired resection depth and rotation are established, secure the Augment Cut Guide to the tibia using self-drilling pins through the holes marked “0” which are highlighted with a laser mark .

Remove the T-Handle IM Rod, Proximal Body IM Rod, 0-3-6 Post Slope Tower and stylus . (FIGURE 20)

NOTE: Alignment can be checked prior to pinning by inserting the Alignment Rod through the magnetic IM Alignment Handle and attaching handle to the cut guide . (FIGURE 19A)

FIGURE 19A



Tibial Preparation – Augment PreparationFIGURE 22FIGURE 21

TIBIAL AUGMENT PREPARATIONConfirm the preferred rotation is correct and using a reciprocating saw blade through the sagittal slot in the Augment Cut Guide, make the sagittal augment resection . (FIGURE 22)

TIBIAL RESECTIONUsing the “0” clean-up slot and corresponding non-captured slot resect the proximal tibia using a 1 .27mm saw blade . (FIGURE 21)

FIGURE 23

TIBIAL AUGMENT PREPARATION5mm and 10mm tibial augment resections can now be made with the Augment Cut Guide . Using a narrow width saw blade, make a 5mm or 10mm augment resection as appropriate . (FIGURE 23)

NOTE: If a 15mm augment resection is necessary, slide the Augment Cut Guide off and back on into the holes marked “+5” to effectively move the cut guide distally . The 0mm, 5mm, and 10mm slots can then be used for 5mm, 10mm, and 15mm augment resections, respectively .


Tibial Preparation – Augment PreparationFIGURE 24

TIBAL BASEPLATE SIZINGUsing the most proximal tibial resection, select the appropriate size Tibial Baseplate Trial . Minus size tibial bases have the A/P and M/L profile of one size smaller tibial base and are only used in conjunction with the insert trial . Connect the Baseplate Trial that most accurately matches the periphery of the tibial plateau to the Baseplate Trial Handle . The Alignment Rod may be inserted through the Baseplate Trial Handle to assess Baseplate Trial alignment . (FIGURE 24)

FIGURE 25

NOTE: Augment trials are side specific and can be stacked in either tapered or blocked configurations to match the tapered anatomy of the proximal tibia . If tapering augments, do not size down more than 2 sizes per augment . (FIGURE 26)

NOTE: If using an EMPOWR 3D Tibial Insert, care should be taken to avoid excessive amounts of tibial external rotation . Floating the Baseplate Trial and Insert Trial may help facilitate proper tibial rotation .

TIBAL BASEPLATE & AUGMENT TRIALING5mm augment trials are mechanically threaded individually to one another and to the baseplate . Using the Hex Driver, assemble the appropriate number of augment trials to the baseplate to match the resection depth . (FIGURE 25)

FIGURE 26


FIGURE 27

TIBAL BASEPLATE & AUGMENT TRIALINGOnce appropriately aligned, secure the baseplate and augment trial construct in place with two Tibial Bone Pins . Using the Multi-Pin Tool, grasp the Tibial Bone Pins and insert them into the middle holes in the Baseplate Trial, denoted with laser marked lines and circles . (FIGURE 27)


NOTE: Select the appropriate length bone pins based on resection depths to properly secure trials to the resected tibia . A longer pin may be required when augments are used . The Baseplate Trial can also be pinned through the anterior holes .

FIGURE 28

INTRAMEDULLARY AUGMENT PREPARATION: OPTION 2If necessary, using the Step IM Drill, locate and drill a pilot hole into the intramedullary tibial canal . The posterior edge of this hole should be positioned 3 to 5 mm anterior to the pinnacle of the proximal tibial spine and in line with the tibial tubercle .

Using a Stem Reamer, progressively ream, increasing diameter until cortical chatter is achieved .

Leave the final reamer in the tibial intramedullary canal . (FIGURE 28)

FIGURE 29

INTRAMEDULLARY AUGMENT PREPARATIONSlide the Proximal Body Stem Reamer over the Stem Reamer .

Assemble the Tibial Stylus to the selected Augment Cut Guide and insert the 0-3-6 Post Slope Tower through the top of the cut guide .

Using the 0° hole, slide the 0-3-6 Post Slope Tower onto the Proximal Body Stem Reamer .

Position the sagittal cut slot of the Augment Cut Guide just medial to the tibial tubercle to establish orientation of the sagittal augment cut . (FIGURE 29)


Tibial Preparation – Augment PreparationFIGURE 30

AUGMENT PREPARATIONWhen the desired resection depth and rotation are established, secure the Augment Cut Guide to the tibia using self-drilling pins through the holes marked “0” which are highlighted with a laser mark .

Remove the Stem Reamer, Proximal Body Stem Reamer, 0-3-6 Post Slope Tower and stylus . (FIGURE 30)

Using the “0” clean-up slot and corresponding non-captured slot make a clean-up cut using a 1 .27mm saw blade .


FIGURE 31

INTRAMEDULLARY AUGMENT PREPARATION: OPTION 3Select the appropriate size Tibial Baseplate Trial . Insert the Tibial Template Outrigger into the center recess of the Baseplate Trial that most accurately matches the periphery of the tibial plateau by first inserting the Outrigger feet posteriorly and then lock the Outrigger by advancing the handle toward the Baseplate Trial . (FIGURE 31)

NOTE: The clock face markings on the Tibial Template Outrigger do not pertain to this application .

NOTE: Instruments unique to Intramedullary Augment Preparation: Option 3 are available upon request from DJO .

1) Tibial Template Outrigger 2) Neutral Reamer Locator 3) Outrigger Cut Guide Adaptor

FIGURE 31A

Attach the Neutral Reamer Locator to the Outrigger by squeezing the black tabs located on both sides of the Neutral Reamer Locator . (FIGURE 31A)


FIGURE 33

INTRAMEDULLARY AUGMENT PREPARATIONSlide the Tibial Template Outrigger assembly over the Stem Reamer . Slide the cut guide assembly onto the Template Outrigger .

When the desired resection depth and rotation are established, secure the Augment Cut Guide to the tibia using self-drilling pins through the holes marked “0” which are highlighted with a laser mark . (FIGURE 33)

Unlock and remove the Outrigger Cut Guide Adapter . Remove the Template Outrigger, Neutral Reamer Locator, Baseplate Trial, and Stem Reamer .

Using the “0” clean-up slot and corresponding non-captured slot make your clean-up cut using a 1 .27mm saw blade .


INTRAMEDULLARY AUGMENT PREPARATIONAssemble the Outrigger Cut Guide Adapter to the selected Augment Cut Guide (RM/LL or LM/RL) .

The Augment Cut Guide mechanically locks to the Outrigger Cut Guide Adapter by turning the black toggle clockwise . (FIGURE 32)

FIGURE 32

UNLOCKED

LOCKED



Tibial Preparation – Stem PreparationFIGURE 34

TIBAL KEEL PREPARATIONPlace the Cemented Locking Punch Guide in the center recess of the Baseplate Trial by first inserting the Punch Guide feet posteriorly and then lock the Punch Guide by advancing the handle toward the Baseplate Trial . Use the Tibial Reamer to prepare for the tibial keel . Bottom out the Tibial Reamer until it is flush with the top of the Cemented Locking Punch Guide . (FIGURE 34)

FIGURE 35

TIBIAL STEM PREPARATIONSelect the stem reamer that corresponds with the selected stem diameter . (FIGURE 35A)

Ream the tibial intramedullary canal to the desired depth of stem . Grooves along the shaft of the reamer indicate the depth of the reamer in the canal . (FIGURE 35)

NOTE: If the IM tibial canal has been previously drilled with 15mm Tibial Reamer, the tibial canal can be broached without stem reaming .

FIGURE 35B

When selecting the 11mm or 13mm stem reamer, the corresponding 11mm or 13mm reamer bushing must be used within the tower (FIGURE 35B) . Once reamed, remove the reamer bushing .

FIGURE 35A

NOTE: The other markings on the Stem Reamer (150, 175, 200) do not pertain to this application .


FIGURE 36 FIGURE 37

TIBIAL STEM AND KEEL PREPARATIONCenter the appropriate size Tibial Punch and Stem Trial in the Tibial Tower and broach the tibial canal until the punch is fully seated . (FIGURE 37)

If desired, the Tibial Punch may be disengaged from the Tibial Punch Handle and left in place for added stability during trialing . To remove the Tibial Punch, re-insert the handle and insert the Tibial Punch Handle into the Modular Punch .

Tibial Preparation – Stem Preparation

TIBIAL STEM AND KEEL PREPARATIONSelect the desired Stem Trial and appropriate size Stemmable Tibial Punch: Small (2-3), Medium (4-8) or Large (9-11) .

Using the Hex Driver, thread the stem trial to the Tibial Punch and connect it to Tibial Punch Handle . (FIGURE 36) For minus bases, use the same size Tibial Punch as non-minus bases . For example, use a size 5 Punch for a size 5 minus base .


FIGURE 38 FIGURE 39

ARTICULATING SPACER TRIALSFor Insert Trials with thicknesses of 16, 19, 22, or 25mm, use the appropriate size Articulating Spacer Trial in conjunction with the proper thickness Insert Spacer Trial . (FIGURE 39) The Insert Trial Handle is used to hold the Articulating Spacer Trial and the Insert Spacer Trial together .

Trial Reduction

INSERT TRIAL SELECTIONIn all configurations, the insert size will always match the tibial baseplate size .

The EMPOWR VVC™ Insert has two additional insert configurations: 5 Bridge Up and 6 Bridge Down . These inserts are used to bridge the gap between the large and small PS femur box width . The 5 Bridge Up is used to bridge a size 5 tibial baseplate up to a size 6 PS femur . The 6 Bridge Down is used to bridge a size 6 tibial baseplate down to a size 5 PS femur . These inserts are designated with a color dot on the post of the insert that corresponds to the dot on the appropriately sized femoral trial . (FIGURE 38)

FIGURE 40

TRIAL INSERTION AND REMOVALUsing the Insert Trial Handle, grasp the preferred thickness Insert Trial and insert it into the Baseplate Trial, ensuring that the posterior feet of the Insert Trial engage the posterior captures of the Baseplate Trial . (FIGURE 40)

After the trial reduction is complete, remove the Insert Trial using the Insert Trial Handle . Remove the tibial bone pins with the Multi Pin Tool . Remove the Baseplate Trial and Tibial Punch if it was left in during trialing .

NOTE: For femoral trialing and final femoral implantation, refer to the EMPOWR Knee System™ Cemented Surgical Technique (Document: MKT0010314-133) .


Component AssemblyFIGURE 41

BASEPLATE ASSEMBLY WITH STEMSelect the appropriately sized Tibial Baseplate and remove the pre-assembled Stem Plug using the Hex Driver or Stem Wrench end of the Baseplate Alignment Handle .

Connect the Tibia Counter Torque Wrench to the Impactor Handle and hold the baseplate in place by aligning and seating the Tibia Counter Torque Wrench flush on the distal side of the Tibial Baseplate .

Manually thread the appropriate size stem into the threaded boss of the Tibial Baseplate keel . Place the Stem Wrench end of the Baseplate Alignment Handle on the hex of the stem base . (FIGURE 41)

Fully tighten by turning the Stem Wrench clockwise .

FIGURE 42

NOTE: If no stem will be used, the Stem Plug must remain in place as it is pre-assembled on the Universal Tibial Baseplate component .

BASEPLATE ASSEMBLY WITH AUGMENTSSelect the appropriately sized Tibial Baseplate .

Using the Hex Driver and the Augment Screw that corresponds with the total augment height (5mm, 10mm, 15mm), assemble the augments to the baseplate . (FIGURE 42)

NOTE: If using a stem, it must be attached prior to attaching augments to permit use of the counter torque wrench .

NOTE: Augments can be assembled in a blocked or tapered configuration in order to better match the tapered tibial anatomy . If tapering augments, do not size down more than 2 sizes per augment . (FIGURE 43)

NOTE: Augments are right/left flippable and are packaged individually with a 5mm augment screw . If augmenting 10mm or 15mm, the corresponding 10mm or 15mm augment screw must be used and is available for order from DJO .

FIGURE 43


FIGURE 44 FIGURE 45

INSERT IMPLANTATIONEnsure the baseplate tray is completely free of debris and place the appropriate insert into the baseplate . Engage the insert into the posterior captures of the baseplate and impact it with the Insert Impactor Head and Impactor Handle . When correctly impacted the anterior insert tabs will engage behind the anterior lip of the baseplate . (FIGURE 45)

Component Implantation

BASEPLATE IMPLANTATIONCement should be applied thoroughly to both the prepared bone surface and the underside of the baseplate, including the assembled augments and stem if they are being utilized . Cement should cover these surfaces sufficiently to optimize implant fixation to the bone .

Impact the baseplate into place using the Baseplate Impactor Head and Impactor Handle . Remove excess cement . (FIGURE 44)

FIGURE 46

INSERT REINFORCEMENT PINVVC Tibial Inserts of 22 and 25mm thicknesses must be implanted with the Insert Reinforcement Pin which is packaged with the Tibial Insert .

Place the Reinforcement Pin into the Tibial Insert post with the barbed end up . Using the Insert Reinforcement Post Tamp and the Impactor Handle, seat the Reinforcement Pin below the proximal surface of the Tibial Insert post until the ring within the post is visible . (FIGURE 46)

If necessary, to remove the Tibial Insert and Reinforcement Pin, the insert post must be removed by cutting around the circumference of the base of the post with a saw blade . Insert the Insert Reinforcement Post Extractor into the notch below the barbs of Reinforcement Pin and use the Slap Hammer to remove the Pin . (FIGURE 46A)

NOTE: Keeping the knee in full extension may facilitate cementing .

FIGURE 46A


Size M/LA

A/P Medial B

A/P Lateral C D

2- 58.9 38.6 37.3 31.0

2 61.4 40.0 38.5 31.0

3 63.9 41.8 40.1 31.0

4 66.4 43.4 41.6 35.1

5 69.0 45.1 43.3 35.1

6 71.5 46.8 45.0 35.1

7 73.9 48.4 46.5 35.1

8 76.4 50.0 48.0 35.1

9 79.1 51.7 49.7 43.0

10 81.7 53.4 51.4 43.0

11 84.2 55.0 52.9 43.0

11+ 86.9 56.8 54.6 43.0

Reference GuideIMPLANT DIMENSIONS

EMPOWR Knee System™ Universal Baseplate

* Minus sized tibial bases have the A/P and M/L profile of one size smaller tibial base .

EMPOWR Knee System Universal Baseplate Full Construct

12 mm14 mm

65 mm

10 mm

40 mm

Size Dim D2M 31mm

2 31mm3 31mm4 35mm5 35mm6 35mm7 35mm8 35mm9 43mm

10 43mm11 43mm

11P 43mm

EMPOWR Knee System�Knee Construct Measures

USE TABLE FROM SURGICAL TECHadd info from table below

EMPOWR Knee System�Universal Tibial Component

CB

D

A

D

5 mm

10 mm

15 mm25 mm


Reference GuideSIZING CHART

TIBIAL SIZE

FEM

OR

AL

SIZE

2 MINUS 2 3

MINUS 3 4 MINUS 4 5

MINUS 5 6 MINUS 6 7

MINUS 7 8 MINUS 8 9

MINUS 9 10 MINUS 10 11

MINUS 11 11 PLUS

2 2 2 33 3 3 44 4 4 55 5 5 66 6 6 77 7 7 88 8 8 99 9 9 10

10 10 10 1111 11 11 11

This box denotes a size combination that is available, but not recommended as minus size tibial bases have the A/P and M/L profile of one size smaller tibial base .

EMPOWR 3D KNEE® SIZING CHART

TIBIAL SIZE2 3 4 5 6 7 8 9 10 11

FEM

OR

AL

SIZE2 2 3 43 2 3 4 54 2 3 4 5 65 3 4 5 6 76 4 5 6 7 87 5 6 7 8 98 6 7 8 9 109 7 8 9 10 1110 8 9 10 1111 9 10 11

EMPOWR CR KNEE™ SIZING CHART

TIBIAL SIZE2 3 4 5 6 7 8 9 10 11

FEM

OR

AL

SIZE

18.5

MM

Box

2 2 3

3 2 3 4

4 3 4 5

5 4 5 6 BRIDGE DOWN

22.5

MM

Box

6 5 BRIDGE UP 6 7

7 6 7 8

8 7 8 9

9 8 9 10

10 9 10 11

11 10 11

EMPOWR PS KNEE® EMPOWR VVC™ KNEE SIZING CHART


Reference GuideSIZING CHART

TIBI

AL

AU

GM

ENT

SIZE

TIBIAL SIZE2

MINUS 2 3 MINUS 3 4

MINUS 4 5 MINUS 5 6

MINUS 6 7 MINUS 7 8



PLUS

2 MINUS 2 2 3 3 4 4 5 5 6 6 7 7 8 8BU 9 9 10 10 11 11

PLUS

2 MINUS

2 MINUS

2 MINUS 2 2 3 3 4 4 5 5 6 6 7 7BU 8BU 8BU 9 9 10 11

2 MINUS

2 MINUS

2 MINUS

2 MINUS

2 MINUS 2 2 3 3 4 4 5 5 6 6BU 7BU 7BU 8BU 8BU 9 10

2 MINUS

2 MINUS

2 MINUS

2 MINUS 2 2 3 3 4 4 5 6BU 6BU 7BU 7BU 8BU 9

2 MINUS

2 MINUS 2 2 3 3 4 6BU 6BU 7BU 8BU

TIBIAL AUGMENT SIZING CHART


EMPOWR Knee Universal Tibia Baseplate, RightPART NO. DESCRIPTION SIZE

352-02-102 EMPOWR UNIVERSAL BP, RIGHT 2










PART NO. DESCRIPTION SIZE

352-04-102 EMPOWR UNIVERSAL BP, RIGHT 2 MINUS










352-06-111 EMPOWR UNIVERSAL BP, RIGHT 11 PLUS


352-03-102 EMPOWR UNIVERSAL BP, LEFT 2 MINUS










352-05-111 EMPOWR UNIVERSAL BP, LEFT 11 PLUS

EMPOWR Knee Universal Tibia Baseplate, LeftPART NO. DESCRIPTION SIZE

352-01-102 EMPOWR UNIVERSAL BP, LEFT 2










Reference GuideIMPLANT PART NUMBERS



EMPOWR Knee Universal Tibia StemPART NO. DESCRIPTION SIZE

354-10-040 EMPOWR CEMENTED STEM 10MM X 40MM







352-00-205 EMPOWR TIBIAL AUGMENT SCREW 5MM



EMPOWR Knee Universal Tibia AugmentPART NO. DESCRIPTION SIZE

352-00-101 EMPOWR TIBIAL AUGMENT 5MM 2 MINUS

352-00-102 EMPOWR TIBIAL AUGMENT 5MM 2










352-00-112 EMPOWR TIBIAL AUGMENT 5MM 11 PLUS

352-00-166 EMPOWR TIBIAL AUGMENT 5MM 6 BRIDGE UP





EMPOWR VVC™ Knee e+™ Insert, Symmetric


346-22-100 EMPOWR VVC REINFORCEMENT PIN SMALL, 22MM

346-22-101 EMPOWR VVC REINFORCEMENT PIN LARGE, 22MM

346-25-100 EMPOWR VVC REINFORCEMENT PIN SMALL, 25MM

346-25-101 EMPOWR VVC REINFORCEMENT PIN LARGE, 25MM

EMPOWR VVC™ Insert Reinforcement Pin


346-10-702 EMPOWR VVC INSERT, 10MM 2





























346-10-755 EMPOWR VVC INSERT, 10MM 5 BU







346-10-766 EMPOWR VVC INSERT, 10MM 6 BD




















































Notes


PART NO. DESCRIPTION MATERIAL(S) COLORANT

346-22-100 EMPOWR VVC REINFORCEMENT PIN, SMALL, 22MM COBALT CHROME NONE

346-22-101 EMPOWR VVC REINFORCEMENT PIN, LARGE, 22MM COBALT CHROME NONE

346-25-100 EMPOWR VVC REINFORCEMENT PIN, SMALL, 25MM COBALT CHROME NONE

346-25-101 EMPOWR VVC REINFORCEMENT PIN, LARGE, 25MM COBALT CHROME NONE

352-00-101 DJO EMPOWR KNEE™ TIBIAL AUGMENT, HALF BLOCK, SZ 2M, 5MM TITANIUM NONE

352-00-102 DJO EMPOWR KNEE™ TIBIAL AUGMENT, HALF BLOCK, SZ 2, 5MM TITANIUM NONE










352-00-112 DJO EMPOWR KNEE™ TIBIAL AUGMENT, HALF BLOCK, SZ 11P, 5MM TITANIUM NONE

352-00-177 DJO EMPOWR KNEE™ TIBIAL AUGMENT, HALF BLOCK, SZ 7BU, 5MM TITANIUM NONE

352-00-188 DJO EMPOWR KNEE™ TIBIAL AUGMENT, HALF BLOCK, SZ 8BU, 5MM TITANIUM NONE

352-00-205 DJO EMPOWR KNEE™ TIBIAL AUGMENT SCREW, 5MM TITANIUM NONE



352-01-102 DJO EMPOWR KNEE™, UNIVERSAL BP, NP, 2L COBALT CHROME NONE










352-02-102 DJO EMPOWR KNEE™, UNIVERSAL BP, NP, 2R COBALT CHROME NONE










Instrument Material listPART NO. DESCRIPTION MATERIAL(S) COLORANT

352-03-102 DJO EMPOWR KNEE™, UNIVERSAL BP MINUS, NP, 2L COBALT CHROME NONE










352-04-102 DJO EMPOWR KNEE™, UNIVERSAL BP MINUS, NP, 2R COBALT CHROME NONE










352-05-111 DJO EMPOWR KNEE™, UNIVERSAL BP PLUS, NP, 11L COBALT CHROME NONE

352-06-111 DJO EMPOWR KNEE™, UNIVERSAL BP PLUS, NP, 11R COBALT CHROME NONE

354-10-040 DJO EMPOWR KNEE™, CEMENTED STEM, 10MM X 40MM COBALT CHROME NONE






800-01-338 PIN, BONE QUICK RELEASE, 2 PER PACK STAINLESS STEEL NONE

800-01-339 FITTING, QUICK RELEASE BONE PIN STAINLESS STEEL NONE

800-02-302 QUICK RELEASE, 2 PER PACK, HEADED PINS, 2.5" STAINLESS STEEL NONE

800-02-303 QUICK RELEASE, 2 PER PACK, HEADED PINS, 2.0" STAINLESS STEEL NONE

800-02-304 MIKA QUICK RELEASE HEADED BONE PINS STAINLESS STEEL NONE

800-05-022 DJO EMPOWR KNEE™, 1/8 QUICK CONNECT DRILL BIT STAINLESS STEEL NONE

800-05-023 T-HANDLE IM ROD STAINLESS STEEL NONE

800-05-024 DJO EMPOWR KNEE™, IMPACTOR HANDLE STAINLESS STEEL NONE

800-05-029 DJO EMPOWR KNEE™, MULTI-PIN TOOL STAINLESS STEEL NONE

800-05-030 DJO EMPOWR KNEE™, ANGEL WING STAINLESS STEEL NONE

801-01-053 FIXATION PIN TIBIA SIZER TEMPLATE, 2 PER PACK STAINLESS STEEL NONE

801-04-126 SS, TIBIAL BONE PIN STAINLESS STEEL NONE

801-05-014 DJO EMPOWR KNEE™ TIBIAL PUNCH, SMALL STAINLESS STEEL NONE



801-05-015 DJO EMPOWR KNEE™ TIBIAL PUNCH, CORE STAINLESS STEEL NONE

801-05-016 DJO EMPOWR KNEE™ TIBIAL PUNCH, LARGE STAINLESS STEEL NONE

801-05-021 2° SLOPE RECUT GUIDE STAINLESS STEEL NONE

801-05-022 2 MM RECUT GUIDE STAINLESS STEEL NONE

801-05-023 2° VARUS/VALGUS RECUT GUIDE STAINLESS STEEL NONE

801-05-026 ALIGNMENT ROD STAINLESS STEEL NONE

801-05-027 MODULAR STOP STAINLESS STEEL NONE

801-05-028 EMPOWR, TIBIAL INSERT TRIAL INSERTION HANDLE STAINLESS STEEL NONE

801-05-030 EMPOWR, TIBIAL INSERT IMPACTOR HEAD STAINLESS STEEL/POLYPHENYLSULFONE BLACK 7547C

801-05-031 ALIGNMENT ROD GUIDE STAINLESS STEEL NONE

801-05-040 TIBIAL PUNCH HANDLE STAINLESS STEEL NONE

801-05-041 DJO EMPOWR KNEE™ LOCKING TIBIAL IMPACTOR STAINLESS STEEL/POLYPROPYLENE BLACK C

801-05-042 DJO EMPOWR KNEE™ LOCKING PUNCH GUIDE STAINLESS STEEL NONE

801-05-043 DJO EMPOWR KNEE™ TIBIAL REAMER STAINLESS STEEL NONE

801-05-044 DJO EMPOWR KNEE™ BASEPLATE HANDLE WRENCH STAINLESS STEEL NONE

801-05-046 DJO EMPOWR KNEE™ DIAPHYSEAL REAMER, 11MM STAINLESS STEEL NONE



801-05-049 DJO EMPOWR KNEE™ CEMENTED STEMABLE TIBIAL PUNCH, SMALL STAINLESS STEEL NONE

801-05-050 DJO EMPOWR KNEE™ CEMENTED STEMABLE TIBIAL PUNCH, MEDIUM STAINLESS STEEL NONE

801-05-051 DJO EMPOWR KNEE™ CEMENTED STEMABLE TIBIAL PUNCH, LARGE STAINLESS STEEL NONE

801-05-052 DJO EMPOWR KNEE™ LOCKING TIBIAL TOWER REAMER BUSHING, 11MM STAINLESS STEEL NONE

801-05-053 DJO EMPOWR KNEE™ LOCKING TIBIAL TOWER REAMER BUSHING, 13MM STAINLESS STEEL NONE

801-05-054 DJO EMPOWR KNEE™ TIBAL REAMER LOCATOR, NEUTRAL STAINLESS STEEL NONE

801-05-055 DJO EMPOWR KNEE™ TIBIAL AUGMENT CUT GUIDE, RM/LL STAINLESS STEEL NONE

801-05-056 DJO EMPOWR KNEE™ TIBIAL AUGMENT CUT GUIDE, LM/RL STAINLESS STEEL NONE

801-05-057 DJO EMPOWR KNEE™ TIBIAL TEMPLATE OUTRIGGER STAINLESS STEEL NONE

801-05-058 DJO EMPOWR KNEE™ TIBIAL OUTRIGGER CUT GUIDE ADAPTER STAINLESS STEEL NONE

801-05-059 DJO EMPOWR KNEE™ STEM TRIAL, 10MM X 40MM STAINLESS STEEL NONE






801-05-065 DJO EMPOWR KNEE™ INSERT REINFORCEMENT POST TAMP STAINLESS STEEL NONE

801-05-066 DJO EMPOWR KNEE™ INSERT REINFORCEMENT POST EXTRACTOR STAINLESS STEEL NONE

801-05-067 3.5MM HEX DRIVER STAINLESS STEEL/POLYPROPYLENE BLACK C

801-05-068 DJO EMPOWR KNEE™ UNIVERSAL TIBIA COUNTER TORQUE WRENCH STAINLESS STEEL NONE

801-05-072 DJO EMPOWR KNEE™ TIBIAL EM DISTAL BODY ANKLE CLAMP STAINLESS STEEL NONE

801-05-073 DJO EMPOWR KNEE™ TIBIAL EM ADJUSTABLE PROXIMAL BODY STAINLESS STEEL NONE

801-05-074 DJO EMPOWR KNEE™ TIBIAL RESECTION GUIDE 3, LEFT STAINLESS STEEL NONE


801-05-075 DJO EMPOWR KNEE™ TIBIAL RESECTION GUIDE 3, RIGHT STAINLESS STEEL NONE

801-05-076 DJO EMPOWR KNEE™ TIBIAL 3 DEG SLOPE RESECTION GUIDE 3, LT STAINLESS STEEL NONE

801-05-077 DJO EMPOWR KNEE™ TIBIAL 3 DEG SLOPE RESECTION GUIDE 3, RT STAINLESS STEEL NONE

801-05-078 DJO EMPOWR KNEE™ TIBIAL 2/10 ROTATABLE STYLUS STAINLESS STEEL NONE

801-05-079 DJO EMPOWR KNEE™ TIBIAL IM PROXIMAL BODY - STEM REAMER STAINLESS STEEL NONE

801-05-080 DJO EMPOWR KNEE™ TIBIAL IM 0-3-6 POST SLOPE TOWER STAINLESS STEEL NONE

801-05-081 DJO EMPOWR KNEE™ TIBIAL IM PROXIMAL BODY - IM ROD STAINLESS STEEL NONE

801-05-082 DJO EMPOWR KNEE™ IM ALIGNMENT HANDLE STAINLESS STEEL NONE

801-05-101 EMPOWR, EXT GAP BLOCK, 19MM POLYPHENYLSULFONE BLACK 7547C





801-05-350 DJO EMPOWR KNEE™ TIBIAL TEMPLATE TRIAL, 2 LEFT STAINLESS STEEL NONE

801-05-351 DJO EMPOWR KNEE™ TIBIAL TEMPLATE TRIAL, 2 RIGHT STAINLESS STEEL NONE



















801-05-370 DJO EMPOWR KNEE™ TIBIAL TEMPLATE TRIAL, 2 MINUS, LEFT STAINLESS STEEL NONE

801-05-371 DJO EMPOWR KNEE™ TIBIAL TEMPLATE TRIAL, 2 MINUS, RIGHT STAINLESS STEEL NONE





















801-05-390 DJO EMPOWR KNEE™ TIBIAL TEMPLATE TRIAL, 11 PLUS, LEFT STAINLESS STEEL NONE

801-05-391 DJO EMPOWR KNEE™ TIBIAL TEMPLATE TRIAL, 11 PLUS, RIGHT STAINLESS STEEL NONE

801-05-521 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 2, 16MM POLYPHENYLSULFONE LIME GREEN 375C




801-05-525 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 3, 16MM POLYPHENYLSULFONE RUST 174C




801-05-529 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 4, 16MM POLYPHENYLSULFONE YELLOW 101C




801-05-533 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 5, 16MM POLYPHENYLSULFONE NEON ORANGE 1505C




801-05-537 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 6, 16MM POLYPHENYLSULFONE VERDE 356C




801-05-541 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 7, 16MM POLYPHENYLSULFONE GREY 7C




801-05-545 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 8, 16MM POLYPHENYLSULFONE WINDY BLUE 7459C





801-05-549 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 9, 16MM POLYPHENYLSULFONE BLACK 7547C




801-05-553 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 10, 16MM POLYPHENYLSULFONE AQUA 326C




801-05-557 DJO EMPOWR KNEE™ SPACER TRIAL 2, SIZE 11, 16MM POLYPHENYLSULFONE BEIGE 466C




801-05-821 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 2, 10MM POLYPHENYLSULFONE LIME GREEN 375C



801-05-824 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 3, 10MM POLYPHENYLSULFONE RUST 174C



801-05-827 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 4, 10MM POLYPHENYLSULFONE YELLOW 101C



801-05-830 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 5, 10MM POLYPHENYLSULFONE NEON ORANGE 1505C



801-05-833 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 5 BRIDGE UP, 10MM POLYPHENYLSULFONE NEON ORANGE 1505C, VERDE 356C



801-05-836 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 6 BRIDGE DOWN, 10MM POLYPHENYLSULFONE VERDE 356C, NEON ORANGE 1505C



801-05-839 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 6, 10MM POLYPHENYLSULFONE VERDE 356C



801-05-842 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 7, 10MM POLYPHENYLSULFONE GREY 7C



801-05-845 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 8, 10MM POLYPHENYLSULFONE WINDY BLUE 7459C



801-05-848 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 9, 10MM POLYPHENYLSULFONE BLACK 7547C





801-05-851 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 10, 10MM POLYPHENYLSULFONE AQUA 326C



801-05-854 EMPOWR VVC KNEE™ INSERT TRIAL, SIZE 11, 10MM POLYPHENYLSULFONE BEIGE 466C



801-05-857 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 2 POLYPHENYLSULFONE LIME GREEN 375C

801-05-858 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 3 POLYPHENYLSULFONE RUST 174C

801-05-859 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 4 POLYPHENYLSULFONE YELLOW 101C

801-05-860 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 5 POLYPHENYLSULFONE NEON ORANGE 1505C

801-05-861 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 5 BRIDGE UP POLYPHENYLSULFONE NEON ORANGE 1505C, VERDE 356C

801-05-862 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 6 BRIDGE DOWN POLYPHENYLSULFONE VERDE 356C, NEON ORANGE 1505C

801-05-863 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 6 POLYPHENYLSULFONE VERDE 356C

801-05-864 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 7 POLYPHENYLSULFONE GREY 7C

801-05-865 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 8 POLYPHENYLSULFONE WINDY BLUE 7459C

801-05-866 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 9 POLYPHENYLSULFONE BLACK 7547C

801-05-867 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 10 POLYPHENYLSULFONE AQUA 326C

801-05-868 EMPOWR VVC KNEE™ ART SPACER TRIAL, SIZE 11 POLYPHENYLSULFONE BEIGE 466C

801-05-869 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 2 MINUS, 5MM STAINLESS STEEL/POLYPHENYLSULFONE LIME GREEN 375C

801-05-870 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 2, 5MM STAINLESS STEEL/POLYPHENYLSULFONE LIME GREEN 375C

801-05-871 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 3, 5MM STAINLESS STEEL/POLYPHENYLSULFONE RUST 174C

801-05-872 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 4, 5MM STAINLESS STEEL/POLYPHENYLSULFONE YELLOW 101C

801-05-873 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 5, 5MM STAINLESS STEEL/POLYPHENYLSULFONE NEON ORANGE 1505C

801-05-874 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 6, 5MM STAINLESS STEEL/POLYPHENYLSULFONE VERDE 356C

801-05-875 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 7, 5MM STAINLESS STEEL/POLYPHENYLSULFONE GREY 7C

801-05-876 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 8, 5MM STAINLESS STEEL/POLYPHENYLSULFONE WINDY BLUE 7459C

801-05-877 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 9, 5MM STAINLESS STEEL/POLYPHENYLSULFONE BLACK 7547C

801-05-878 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 10, 5MM STAINLESS STEEL/POLYPHENYLSULFONE AQUA 326C

801-05-879 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 11, 5MM STAINLESS STEEL/POLYPHENYLSULFONE BEIGE 466C

801-05-880 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, LM/RL, SIZE 11 PLUS, 5MM STAINLESS STEEL/POLYPHENYLSULFONE BEIGE 466C

801-05-881 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 2 MINUS, 5MM STAINLESS STEEL/POLYPHENYLSULFONE LIME GREEN 375C

801-05-882 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 2, 5MM STAINLESS STEEL/POLYPHENYLSULFONE LIME GREEN 375C

801-05-883 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 3, 5MM STAINLESS STEEL/POLYPHENYLSULFONE RUST 174C

801-05-884 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 4, 5MM STAINLESS STEEL/POLYPHENYLSULFONE YELLOW 101C

801-05-885 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 5, 5MM STAINLESS STEEL/POLYPHENYLSULFONE NEON ORANGE 1505C

801-05-886 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 6, 5MM STAINLESS STEEL/POLYPHENYLSULFONE VERDE 356C

801-05-887 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 7, 5MM STAINLESS STEEL/POLYPHENYLSULFONE GREY 7C

801-05-888 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 8, 5MM STAINLESS STEEL/POLYPHENYLSULFONE WINDY BLUE 7459C

801-05-889 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 9, 5MM STAINLESS STEEL/POLYPHENYLSULFONE BLACK 7547C


801-05-890 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 10, 5MM STAINLESS STEEL/POLYPHENYLSULFONE AQUA 326C

801-05-891 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 11, 5MM STAINLESS STEEL/POLYPHENYLSULFONE BEIGE 466C

801-05-892 DJO EMPOWR KNEE™ TIBIAL AUGMENT TRIAL, RM/LL, SIZE 11 PLUS, 5MM STAINLESS STEEL/POLYPHENYLSULFONE BEIGE 466C


Notes

Individual results may vary. DJO Surgical is a manufacturer of orthopedic implants and does not practice medicine. Only an orthopedic surgeon can determine what treatment is appropriate. The contents of this document do not constitute medical, legal or any other type of professional advice. This material is intended for the sole use and benefit of the DJO Surgical sales force and physicians. It is not to be redistributed, duplicated or disclosed without the express written consent of DJO Surgical. For product information, including indications, contraindications, warnings, precautions and side effects, refer to the Instructions for Use supplied with the device.

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COMPLEX PRIMARY SURGICAL TECHNIQUE ADDENDUM