Stryker Triathlon Tritanium Surgical Manualline
  1. Manuals
  2. Brands
  3. Stryker Manuals
  4. Medical Equipment
  5. Triathlon Tritanium
  6. Surgical manualline

Stryker Triathlon Tritanium Surgical Manualline

With triathlon cementless beaded pa femoral component
Hide thumbs
Table of Contents

Advertisement

Quick Links

Triathlon
Tritanium
®
®
Surgical Protocol
with Triathlon Cementless Beaded
PA Femoral Component

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the Triathlon Tritanium and is the answer not in the manual?

Questions and answers

cindy pollak
February 15, 2025

what metals are in the triathlon tritanium 7 tibial knee implant model 5536-B-700

0

Related Manuals for Stryker Triathlon Tritanium

Summary of Contents for Stryker Triathlon Tritanium

  • Page 1 Triathlon Tritanium ® ® Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component...

  • Page 3: Table Of Contents

    Catalog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Acknowledgments Stryker Orthopaedics wishes to thank the global Triathlon Tritanium Knee System Surgeon Advisors for their dedication to the development and refinement of the...

  • Page 4: Description

    . The characteristics specific to each device are The Triathlon All-Polyethylene tibial components are detailed on the product label . The Triathlon Tritanium indicated for cemented use only. Baseplate is indicated for both cementless and cemented Additional Indications for Posterior Stabilized (PS) applications .
  • Page 5 Surgical Protocol...

  • Page 6: Triathlon Tritanium Knee Construct

    Triathlon Tritanium baseplate and compatible Triathlon Tritanium Metal-Backed Patellar component . Triathlon Tritanium Baseplate The Triathlon Tritanium baseplate is designed to be > similar to the Triathlon Primary baseplate . It offers the same profile and insert locking mechanism .
  • Page 7 9, 11, 13, 16 and 19mm, with additional available thicknesses of 22 and 25mm for the PS inserts . Triathlon primary inserts are available with > conventional polyethylene as well as Stryker’s X3 highly crosslinked polyethylene . Figure 3 Triathlon Tritanium Metal-Backed Patella The Triathlon Tritanium Metal-Backed Patella >...

  • Page 8: Femoral Preparation

    Femoral Preparation Step 1 Distal Resection Exposure Triathlon Total Knee Arthroplasty can be performed > through any standard approach . A standard anterior mid-line incision or other suitable approaches such as mid-vastus, sub-vastus or quadriceps sparing may be used based on surgeon preference . Any previous incision can be used or incorporated to >...
  • Page 9 Instrument Bar Button 6541-4-801 Universal Driver Universal Resection Guide 6541-4-538 3/8˝ IM Drill Adjustment Block 6541-4-800 T-Handle Driver 6541-4-516 5/16˝ IM Rod Figure 8 6541-1-657 Femoral Alignment Guide Snap the Universal Resection Guide onto the > Adjustment Block and insert the posts of the Adjustment Block into the two holes in the Femoral Alignment Guide .
  • Page 10 Femoral Preparation Step 1 Distal Resection (continued) The Adjustment Block allows for an 8mm (the distal > thickness of the femoral component) and 10mm (used to aid in the correction of a flexion contracture) resection level . Tip: The thickness of the resected femoral condyle should be measured .
  • Page 11 Instrument Bar 6541-1-600 Adjustment Block 6541-1-657 Femoral Alignment Guide 6541-1-721 Figure 10 Universal Resection Guide Distal Resection 6541-4-806 After the Universal Resection Guide is pinned in Universal Alignment Handle > place, remove the IM Rod . The Femoral Alignment Guide and the Adjustment Block may be removed by squeezing the black tabs on the Adjustment Block .

  • Page 12: Step 2 Femoral Sizing

    Femoral Preparation Step 2 Femoral Sizing Hole for Pin Assemble the Femoral Sizer with the Femoral Stylus > to Reference in the lateral hole (for both a left or right knee) and Whiteside’s Line set the stylus length to an approximate size . Set the rotation to LEFT for a left knee and RIGHT >...
  • Page 13 Instrument Bar 6541-1-603 Femoral Sizer 6541-1-605 Femoral Stylus 6541-4-003 Headless Pins – 3˝ Figure 14 6541-4-400 Bladerunner It is recommended that the anterior resection level be > checked to further confirm the correct size by sliding a Bladerunner through the sizing guide’s size-specific anterior slots and assessing the resection .

  • Page 14: Step 3 Anterior, Posterior And Chamfer Cuts

    Femoral Preparation Step 3 Anterior, Posterior and Chamfer Cuts 4:1 Cutting Block Fixation Locate the fixation pegs of the appropriate size > Express 4:1 Cutting Block into the pin holes created on the distal femur . Note: Check run-out of the anterior cut . If not enough anterior bone is resected, consider selecting the next smaller size 4:1 Cutting Block .

  • Page 15: Step 4 Ps Box Preparation

    Femoral Preparation Instrument Bar Step 4 PS Box Preparation PS Box Preparation See Catalog If it is determined that a PS femoral component will Express 4:1 Cutting Block > be used, the distal femur must be prepared for the PS box . Place the appropriate sized PS Box Cutting Guide on the resected distal femur .
  • Page 16 Femoral Preparation Step 4 PS Box Preparation (continued) PS Box Cutting Guide Pin the PS Box Cutting Guide in place using > Headless Pins . Optional surgical tip: To provide the appropriate > anterior/posterior and medial/lateral stability with a minimal number of pins, place one pin distally and one pin anteriorly .
  • Page 17 Instrument Bar See Catalog MIS PS Box Cutting Guide 6541-4-810 Impaction Handle 6541-4-709 Box Chisel Figure 19 See Catalog Triathlon PS Femoral Box Finishing Punch PS Box Preparation Option: Saw Only Option B: Saw Only: Use a narrow oscillating saw > through the proximal slot to resect the distal portion See Catalog of the femur .
  • Page 18 Femoral Preparation Step 4 PS Box Preparation (continued) Optional PS Box Preparation Finishing Punch If the optional Triathlon PS Femoral Box Finishing Punch is chosen: The chisel should be fully removed from the PS > Box Cutting Guide prior to using the Triathlon PS Femoral Box Finishing Punch .
  • Page 19 Instrument Bar See Catalog MIS PS Box Cutting Guide 6541-4-810 Impaction Handle 6541-4-709 Box Chisel Figure 23 PS Box Femoral Box Trial/Protector See Catalog If the optional and recommended Triathlon PS Triathlon PS Femoral Box Finishing Punch > Femoral Box Trial/Protector is chosen: •...
  • Page 20 Femoral Preparation Step 4 PS Box Preparation (continued) Femoral Box Protection During Tibia Subluxation To protect the prepared femoral box prior to trialing > with a femoral component, place the Triathlon PS Femoral Box Trial/Protector into the prepared box by hand (not through impaction) . Ensure the box trial is fully seated on the distal and >...

  • Page 21: Step 5 Femoral Trial Assessment

    Femoral Preparation Instrument Bar Step 5 Femoral Trial Assessment See Catalog MIS PS Box Cutting Guide See Catalog Triathlon PS Femoral Box Trial/Protector 6541-4-003 Headless Pins – 3˝ 6541-4-809 Figure 26 Headless Pin Driver 6541-4-810 The remaining portion of the technique is for both Posterior >...
  • Page 22 Femoral Preparation Step 5 Femoral Trial Assessment (continued) Cruciate Retaining Knee: Attach the 1/4˝ Peg Drill > to the Universal Driver and create the Modular Femoral Distal Fixation Peg holes . Attach the Posterior Osteophyte Removal Tool to the > Impaction Handle and remove posterior osteophytes .
  • Page 23 Instrument Bar 6541-4-801 Universal Driver See Catalog CR Femoral Trial See Catalog PS Femoral Trial Figure 28 6541-4-525 1/4˝ Peg Drill To remove the Femoral Trial, attach the Femoral 6541-4-803 > Impactor Extractor to the Slap Hammer and remove Slap Hammer the PS or CR Femoral Trial from the femur .

  • Page 24: Tibial Preparation

    Tibial Preparation Step 1A Tibial Preparation: Extramedullary (EM) Referencing Tibial Resection Assembly Fixation The Tibial Resection Guide, available in left and right > configurations, and the Universal Resection Guide Locking are designed to avoid soft tissue impingement . Switch The tibial resection assembly has five parts: the >...
  • Page 25 Instrument Bar Right 6541-2-700 Fixation Left 6541-2-701 Tibial Resection Guide Locking Switch 6541-2-610 Tibial Alignment Distal Assembly EM 6541-2-609 (6541-2-611 Tibial Tibial Alignment Ankle Clamp EM Alignment Proximal Rod EM) Figure 32 6541-2-611 Tibial Alignment Proximal Rod EM Rotational Alignment Rotate the entire assembly to ensure that the base of >...

  • Page 26: Step 1B Tibial Preparation: Intramedullary (Im) Referencing

    Tibial Preparation Step 1B: Tibial Preparation: Intramedullary (IM) Referencing Attach the 3/8˝ IM Drill to the Universal Driver and > create a hole in the location determined by the pre- operative X-rays to align with the IM canal . Figure 33 Attach the T-Handle Driver to the 5/16˝...
  • Page 27 Instrument Bar 6541-4-538 3/8˝ IM Drill 6541-4-801 Universal Driver 6541-4-800 T-Handle Driver ( Tibial Resection 6541-4-516 Guide shown) 5/16˝ IM Rod Figure 36 6541-2-600 Varus/Valgus Alignment Tibial Alignment Jig IM Assemble the appropriate Tibial Resection Guide > (left, right or Universal Resection Guide) on the Tibial Adjustment Housing .

  • Page 28: Step 2 Tibial Resection

    Tibial Preparation Step 2 Tibial Resection The following applies to both extramedullary and intramedullary alignment . Establish Tibial Resection Level The Tibial Stylus attaches to the Tibial Resection > Guide or Universal Resection Guide with the “9” end referencing the lowest level of the unaffected compartment .
  • Page 29 Instrument Bar 6541-2-611E Express Proximal Rod EM 6541-2-611 Tibial Alignment Proximal Rod EM Right 6541-2-700 Left 6541-2-701 Tibial Resection Guide 0º slope 6541-2-704 3º slope 6541-2-705 Figure 39 Tibial Adjustment Housing 6541-4-806 Universal Alignment Handle Tibial Component Sizing Place the PS or CR Femoral Trial on the femur . Draw >...
  • Page 30 Tibial Preparation Step 2 Tibial Resection (continued) There are two options to secure the Universal Tibial Template to the tibia: Securing Tibial Template Option 1: Once satisfactory alignment and tibial component > orientation are achieved, place pins through the two anterior holes of the Universal Tibial Template to secure its position .

  • Page 31: Step 3 Tibial Keel Punch

    Tibial Preparation Instrument Bar Step 3 Tibial Keel Punch See Catalog Universal Tibial Template Lock See Catalog CR & PS Femoral Trials 6541-4-003 Headless Pins – 3˝ Figure 41 Size 1, 2, 3 – 6541-2-713 Securing Tibial Keel Punch Guide Size 4, 5, 6, 7, 8 –...
  • Page 32 Tibial Preparation Step 3 Tibial Keel Punch (continued) Tibial Keel Punching Place the appropriate Cementless Keel Punch into > the Keel Punch Guide . Use a mallet to impact the Keel Punch . > Tip: The presence of variably dense bone in the proximal tibia can influence the advancement of the Keel Punch .
  • Page 33 Instrument Bar See Catalog Universal Tibial Template 6541-4-003 Headless Pins – 3˝ Size 1, 2, 3 – 6541-2-713 Size 4, 5, 6, 7, 8 – 6541-2-748 Keel Punch Guide Figure 43 See Catalog Cementless Keel Punch Extracting Keel Punch To extract the Keel Punch, lift up on the Keel Punch >...

  • Page 34: Patella Preparation

    Patella Preparation Patella Resection Patella preparation is optional and is based on > surgeon preference and surgeon evaluation of the articulating surface . Remove all osteophytes and synovial insertions > around the patella, and measure thickness using a caliper . After determining the depth of the cut, affix the >...

  • Page 35: Trial Assessment

    Trial Assessment Instrument Bar 6633-7-744 Patella Clamp 6633-7-738 Patella Stylus 6633-7-736 Slotted Patella Resection Guide Figure 46 See Catalog Express Symmetric & Asymmetric Patella Drill Templates Remove any residual cartilage and wash away all > debris . Place correct size Patella Trial (Symmetric or >...

  • Page 36: Tibial Preparation (Continued)

    Tibial Preparation Step 4 Tibial Peg Preparation Tibial Peg Drill Template Note: Universal Tibial Template, Keel Punch Tower, Keel Punch and all pins need to be removed from tibia before tibial peg preparation . Select the Tibial Peg Drill Template that corresponds >...
  • Page 37 Instrument Bar 6541-4-801 Universal Driver 1/8˝ Tibial Peg Drill (6541-2-625) 6541-2-64X – See Catalog Figure 50 Tibial Peg Drill Template 6541-2-625 1/8˝ Tibial Peg Drill Figure 51 Drilling for Pegs Drill Selection: Drilling the tibial peg holes will facilitate seating the >...
  • Page 38 Tibial Preparation Step 4 Tibial Peg Preparation (continued) Image of the Tibia After Tibial Preparation Figure 52...
  • Page 39 Tibial Preparation Instrument Bar Step 4 Tibial Peg Preparation 6541-4-801 Universal Driver 7/32˝ Tibial Peg Drill (6541-2-626) 6541-2-626 7/32˝ Tibial Peg Drill Figure 53 Figure 54 Optional: Drilling with the 7/32˝ Peg Drill If the surgeon feels the bone is too dense at any of the peg >...

  • Page 40: Femoral Implantation

    Femoral Implantation Attach the Femoral Impactor Extractor to the > Impaction Handle and attach to the appropriate size and side Femoral Component . Place the Femoral Component on the femur and impact it until fully seated . Posterior Stabilized Knee: If Modular Femoral Distal >...

  • Page 41: Tibial Implantation

    Baseplate with or without cement . If Cementless: Connect the Tibial Baseplate Impactor/Extractor to the > Impaction Handle Connect the Tibial Baseplate Impactor/Extractor to the > Triathlon Tritanium Baseplate over the Impactor Pad and lock the lever...
  • Page 42 Tibial Implantation (continued) Baseplate Impaction Caution: Pegs on the Triathlon Tritanium Tibial Baseplate are sharp . Take care when handling the baseplate . Tip: At this stage, cysts or voids on the surface of the tibia may be bone grafted with local resected cancellous bone .

  • Page 43: Tibial Insert Implantation

    Tritanium Baseplate . The posterior lip of the Size 4-6 – 6541-2-046 Tibial Insert must fit beneath the lip on the Cemented Keel Punch posterior Triathlon Tritanium Baseplate wall . Attach the Tibial Insert Impactor to the > Impaction Handle and impact to snap the Insert in place anteriorly .

  • Page 44: Patella Implantation

    Patella Implantation Assembling the Patella Implant to the Patella Capture Select the Patella Capture that corresponds to the > size of the patella to be implanted and snap the polyethylene side of the patella implant to the Lateral Medial capture . Note: If an asymmetric patella and Capture are selected, place the medial side of the patella in first and then snap in the lateral side .
  • Page 45 Patella Implantation Instrument Bar (continued) 6541-3-530 Patella Inserter See Catalog Symmetric Tritanium Patella Capture Figure 63 Turn the T-handle of the Patella Inserter until the metal backing portion of the > See Catalog patella implant is fully seated onto the resected surface of the native patella . Asymmetric Tritanium Patella Capture Note: The metal backing portion of the patella implant protrudes slightly from the peripheral polyethylene surface .

  • Page 46: Product Dimensions

    (mm) (mm) (mm) (Proximal) (mm) (mm) 5536-B-100 5536-B-200 5536-B-300 5536-B-400 5536-B-500 5536-B-600 5536-B-700 5536-B-800 Triathlon Tritanium Metal-Backed Symmetric Patella Diameter Thickness Part No. Size (mm) (mm) 5556-L-319 5556-L-339 5556-L-360 5556-L-391 Triathlon Tritanium Metal-Backed Asymmetric Patella S/I* Diameter M/L Width Thickness Part No.

  • Page 47: Catalog

    Catalog Catalog # Description Quantity in Kit Miscellaneous Instruments Kit Contents 3170-0000 1/8˝ Drill 6541-4-003 Headless Pins – 3˝ 6541-4-300 Headed Nail Impactor Extractor (Optional) 6541-4-400 Bladerunner 6541-4-515 Headed Nails – 1½˝ (Optional) 6541-4-516 5/16˝ IM Rod* 6541-4-518 1/8˝ Peg Drill 6541-4-525 1/4˝...
  • Page 48 Catalog Catalog # Description Quantity in Kit Patella Preparation & Trialing Part Numbers 6633-7-736 Slotted Patella Resection Guide 6633-7-738 Patella Stylus 7650-1454 Patella Caliper 6541-3-524 All-Poly Patella Drill w/Stop 6541-3-617E Express Asymmetric Patella Drill Template – 29mm 6541-3-618E Express Asymmetric Patella Drill Template – 33mm 6541-3-619E Express Asymmetric Patella Drill Template –...
  • Page 49 Triathlon Cementless Keel Punch 1 Each Size 6541-6-078 Triathlon Cementless Keel Punch 1 Each Size For Tibial Peg Preparation, please use the Triathlon Tritanium Baseplate Instrumentation below: 6541-8-100 Triathlon Tritanium Prep Tray 6541-2-64X Tritanium Tibial Peg Drill Template X= 1,2,3,4,5,6,7 and 8...
  • Page 50 Catalog Catalog # Description Quantity in Kit Size 3-6 Femoral & Tibial Preparation Kit Contents 6541-1-600 Adjustment Block 6541-1-603 Femoral Sizer 6541-1-605 Femoral Stylus 6541-1-657 Femoral Alignment Guide 6541-1-703E #3 Express 4:1 Cutting Block 6541-1-704E #4 Express 4:1 Cutting Block 6541-1-705E #5 Express 4:1 Cutting Block 6541-1-706E...
  • Page 51 Catalog # Description Quantity in Kit Size 3-6 PS Femoral & Tibial Trialing Kit Contents 5511-T-301 PS Femoral Trial #3 Left 5511-T-302 PS Femoral Trial #3 Right 5511-T-401 PS Femoral Trial #4 Left 5511-T-402 PS Femoral Trial #4 Right 5511-T-501 PS Femoral Trial #5 Left 5511-T-502 PS Femoral Trial #5 Right...
  • Page 52 Catalog Catalog # Description Quantity in Kit Size 3-6 CR Femoral & Tibial Trialing Kit Contents 5510-T-301 CR Femoral Trial #3 Left 5510-T-302 CR Femoral Trial #3 Right 5510-T-401 CR Femoral Trial #4 Left 5510-T-402 CR Femoral Trial #4 Right 5510-T-501 CR Femoral Trial #5 Left 5510-T-502...
  • Page 53 Catalog # Description Quantity in Kit Size 1, 8 PS Preparation & Trialing Kit Contents 5511-T-101 PS Femoral Trial #1 Left 5511-T-102 PS Femoral Trial #1 Right 5511-T-801 PS Femoral Trial #8 Left 5511-T-802 PS Femoral Trial #8 Right 5532-T-109A PS Tibial Insert Trial #1 –...
  • Page 54 Catalog Catalog # Description Quantity in Kit Size 1, 8 CR Preparation & Trialing Kit Contents 5510-T-101 CR Femoral Trial #1 Left 5510-T-102 CR Femoral Trial #1 Right 5510-T-801 CR Femoral Trial #8 Left 5510-T-802 CR Femoral Trial #8 Right 5530-T-109A CR Tibial Insert Trial #1 –...
  • Page 55 Catalog # Description Quantity in Kit Size 2, 7 CR Preparation & Trialing Kit Contents 5510-T-201 CR Femoral Trial #2 Left 5510-T-202 CR Femoral Trial #2 Right 5510-T-701 CR Femoral Trial #7 Left 5510-T-702 CR Femoral Trial #7 Right 5530-T-209A CR Tibial Insert Trial #2 –...
  • Page 56 Catalog Catalog # Description Sizes Triathlon CR Modified Hollow Tibial Insert Trials Part Numbers 5530-T-X09A CR Modified Hollow Tibial Insert Trial 9mm X = 1,2,3,4,5,6,7 and 8 1 Each Size 5530-T-X11A CR Modified Hollow Tibial Insert Trial 11mm X = 1,2,3,4,5,6,7 and 8 1 Each Size 5530-T-X13A CR Modified Hollow Tibial Insert Trial 13mm...
  • Page 57 Triathlon Tritanium Baseplate 5536-B-X00 Triathlon Tritanium Baseplate X= 1,2,3,4,5,6,7,8 1 Each Size Please note: Each Triathlon Tritanium Baseplate will be provided packaged together with an Impactor Pad (6541-4-901) which is required during the tibial baseplate impaction step and discarded immediately after .
  • Page 58 Catalog Catalog # Description Sizes Triathlon CR Tibial Inserts – Conventional Polyethylene and X3 Part Numbers Conventional Polyethylene Inserts 5530-P-X09 Triathlon CR Tibial Insert – Conventional Polyethylene 9mm X = 1,2,3,4,5,6,7 and 8 1 Each Size 5530-P-X11 Triathlon CR Tibial Insert – Conventional Polyethylene 11mm X = 1,2,3,4,5,6,7 and 8 1 Each Size 5530-P-X13...
  • Page 59 Catalog # Description Sizes Triathlon CS Tibial Inserts – Conventional Polyethylene and X3 Part Numbers Conventional Polyethylene Inserts 5531-P-X09 Triathlon CS Tibial Insert – Conventional Polyethylene 9mm X = 1,2,3,4,5,6,7 and 8 1 Each Size 5531-P-X11 Triathlon CS Tibial Insert – Conventional Polyethylene 11mm X = 1,2,3,4,5,6,7 and 8 1 Each Size 5531-P-X13...
  • Page 60 Catalog Catalog # Description Sizes Symmetric Patella – Conventional Polyethylene and X3 Part Numbers Conventional Polyethylene Patellas 5550-L-278 Symmetric Patella – Conventional Polyethylene S27mm x 8mm 5550-L-298 Symmetric Patella – Conventional Polyethylene S29mm x 8mm 5550-L-319 Symmetric Patella – Conventional Polyethylene S31mm x 9mm 5550-L-339 Symmetric Patella –...
  • Page 61 Catalog # Description Sizes Asymmetric Patella – Metal-Backed Beaded w/ Peri-Apatite Conventional Polyethylene Patellas 5554-L-320 Asymmetric Patella – Metal-Backed Beaded with Peri-Apatite A32mm (S/I*) x 10mm 5554-L-350 Asymmetric Patella – Metal-Backed Beaded with Peri-Apatite A35mm (S/I*) x 10mm 5554-L-381 Asymmetric Patella – Metal-Backed Beaded with Peri-Apatite A38mm (S/I*) x 11mm 5554-L-401 Asymmetric Patella –...
  • Page 62 Triathlon Tritanium Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component Notes...
  • Page 63 Triathlon Tritanium Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component Notes...
  • Page 64 Triathlon Tritanium Surgical Protocol with Triathlon Cementless Beaded PA Femoral Component Notes...
  • Page 65 Femoral Component/ Insert Type Insert Compatibility Size Matching: One up, one down, e .g ., Femoral Components size 5 femur with size 4 or 6 insert/ baseplate . CR Cemented Note: Cementless implants are not to be PS Cemented used with cement . TS Cemented CR Beaded PS Beaded...
  • Page 66 The information presented is intended to demonstrate the breadth of Stryker product offerings . A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product . The products depicted are CE marked according to the Medical Device Directive 93/42/EEC . Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets .

Table of Contents

Save PDF