Vanguard XP Total Knee System Surgical Technique

Surgical Technique

One Surgeon. One Patient. Over 1 million times per year, Biomet helps one surgeon provide personalized care to one patient.

The science and art of medical care is to provide the right solution for each individual patient. This requires clinical mastery, a human connection between the surgeon and the patient, and the right tools for each situation.

At Biomet, we strive to view our work through the eyes of one surgeon and one patient. We treat every solution we provide as if it's meant for a family member.

Our approach to innovation creates real solutions that assist each surgeon in the delivery of durable personalized care to each patient, whether that solution requires a minimallyinvasive surgical technique, advanced biomaterials, or a patient-matched implant.

When one surgeon connects with one patient to provide personalized care, the promise of medicine is fulfilled.

VANGUARD XP Total Knee System

Table of Contents

Surgical Technique Summary............................................................................................................................................................................... 2

Overview.......................................................................................................................................................................................................................... 6

Preoperative Planning.............................................................................................................................................................................................. 6

Incision................................................................................................................................................................................ 6

Patella Preparation.................................................................................................................................................................................................... 7 Patella Resection....................................................................................................................... 7

Femoral Preparation...............................................................................................................................................................................................10 Distal Femoral Resection........................................................................................................ 10 Femoral Sizing.............................................................................................................................13 4-in-1 Femoral Cuts...................................................................................................................14

Tibial Preparation.....................................................................................................................................................................................................15 Tibial Resection with Intact/Functional ACL....................................................................15 Tibial Resection without Intact/Functional ACL............................................................ 26 Stem Preparation without the ACL..................................................................................... 27

Trial Reduction...........................................................................................................................................................................................................28

Implant Reduction....................................................................................................................................................................................................30 Tibial Tray Implantation with Intact/Functioning ACL................................................ 30 Tibial Tray Implantation without Intact/Functioning ACL......................................... 32 Femoral Component Implantation..................................................................................... 33 Patellar Component Implantation...................................................................................... 34 Tibial Bearings and Locking Bar Implantations............................................................. 34

Biomet does not practice medicine. The treating surgeon is responsible for determining the appropriate treatment, technique(s), and product(s) for each individual patient. This technique was prepared in conjunction with the Vanguard XP Total Knee developing surgeons; and the "eXPert Advice" sections provided in this surgical technique represent the Vanguard XP developing surgeons' recommended approach. This material is intended for health care professionals and the Biomet sales force. Distribution to any other recipient is prohibited. All content herein is protected by copyright, trademarks and other intellectual property rights owned by or licensed to Biomet Inc. or its affiliates unless otherwise indicated, and must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of Biomet.

VANGUARD XP Total Knee System

Surgical Technique Summary

1

Patella Preparation

2

Femoral Preparation

3

Femoral Preparation: 4-in-1 cuts

4

Initial Island Alignment

5

Tibial Posterior Slope

6

Tibial Resection

7

Tibial Resection Depth

2

8

Tibial Island Alignment

9

Tibial Vertical Resection

10

Tibial Horizontal Resection

11

Tibial Medial Gap Check

12

Anterior Rongeur

13

Tibial Slope Gauge

14

Flexion/Extension Gap Check

15

Tibial Sizing and Floating Tibial Trial

16

Tibial Preparation

17

Final Trialing

18

Component Implantation

3

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