Surgical
Technique
AMPLITUDE
SCORE®
total knee prosthesis
cemented or cementless
Surgical Technique Abstract
Intramedullary tibial aiming
Femoral size selection
• Introduce the
• Assemble on the arm
intramedullary rod.
the aiming column with
the right or left tibial
resection guide.
• Insert the valgus barrel
into the measuring
gauge.
• Place the entire
assembly on the
intramedullary rod.
• Read the size according
to the graduation
marks.
• Tighten the lateral
screw using the
screwdriver.
1
4
Extramedullary tibial aiming
Anterior reference selection
The gauge fork should
contact the posterior
condyles, while the
femoral stylus should
contact the anterior
cortical bone.
• Assemble on the arm
the aiming column with
the right or left tibial
resection guide.
2
• Assemble the malleolus
Posterior reference selection
clamp, extramedullary
tube and the aiming
column.
• Remove the femoral
stylus. The posterior
condyles are resting on
the fork of the gauge.
• Place the malleolus
clamp around the ankle.
• Match the engraving
• Adjust the rotation.
2
• Impact the arm.
laser mark to the
selected size
graduation.
5
Tibial resection
Rotation selection
Rotation may be selected
according to the following
anatomic references:
• Drill 2 headless pins
using the quick release
adaptor (universal or
AO ) into the 0 holes on
the tibial resection
guide.
Medial
Holes +2 and +4 will be
used if a further tibial
resection is required.
Lateral
- The epicondylar line
- The posterior bi-condylar
line
- The Whiteside line.
Once rotation is
determined, tighten the
front screw using the
screwdriver.
Example of an external rotation at 3° - Left knee
3
6
Surgical Technique Abstract
Setting up threaded pins
Tibial plateau preparation
• Position the appropriate sized
trial baseplate. A smaller or
larger size as compared to the
femur may be selected.
Important: remove the
remaining two headless pins.
• Drill the 2 threaded
pins into the barrels on
the measuring gauge.
• Position the appropriate sized
routing guide onto the trial
baseplate.
• Ream using the tibial reamer
to the stop.
• Impact the appropriate sized
tibial stem punch.
10
7
Patella preparation
Femoral resections
Resurfacing option
• Position the patella
• Place the appropriate
guide with the lugs
facing the anterior side
of the patella.
sized 5-in-1 resection
guide over the pins.
• Perform the 5
• Using the adjustment
resections:
- Anterior
- Posterior
- Anterior chamfer
- Posterior chamfer
- Distal.
wheel, slide the 8 mm
sensor into the slot such
that it touches the joint
face. The jaws of the
forceps must be opened.
• Tighten and lock the
forceps.
8
11
Countersinking option
• Impact the femoral trial
• Position the patella
in the most suitable
mediolateral position.
guide, with the lugs
facing the anterior face
of the patella.
• Drill and plug the 2 pegs.
• Ream with the
• Prepare the trochlear
appropriate sized
reamer .
groove with the rasp
corresponding to the size
of the trial. The rasp is
guided on two planes.
• Measure thickness
using the sensor.
• Using the osteotome
9
through the slot.
Patella preparation
Trochlear groove preparation
provided, remove the
posterior osteophytes
leaving the femoral trial
in place.
• Perform the resection
• Select the drilling
thickness.
• Drill until you reach the
12
stop.
3
Notes
Pre-operative planning
Using x rays and templates, you can determine:
• Concerning bone:
On the tibia:
The choice between intramedullary and extramedullary aiming.
The entry point of the intramedullary rod (coronal and sagittal view).
The adaptation of the tibial stem to the metaphysis (in case of previous
tibial osteotomy).
The osteophytes.
The severity of the compartment wear.
The choice of an extension tibial stem, if required.
The assessment of the baseplate size and the insert thickness.
On the femur: The entry point of the intramedullary rod (front and sideways).
The anatomical femoral valgus angle.
The posterior osteophytes.
The size.
On the patella: Its state.
Its thickness.
Its size compared to the joint line.
• Concerning ligament:
The ligament balance analysis using single leg stance x rays.
Reminder: these instructions are meant for the optimal use of the knee instrumentation.
The surgeon is entirely responsible for the surgical approach and the procedure.
5
6
Intramedullary tibial aiming: marking
After having perfomed the approach, it is important to have an optimal exposure of the whole tibial
plateau.
• Remove the osteophytes and remains of the cruciate ligament.
• Hyperflex the knee and reflect the tibia forward. A blunt retractor and 2 sharp retractors are
provided.
• According to the planning, drill the medullary canal with the 2 levels 8 mm drill bit.
• Introduce the intramedullary rod mounted on the handle. The mark should remain visible.
7
Intramedullary tibial aiming
• Assemble on the arm the aiming column with the right or left tibial resection guide.
• Place the entire assembly on the intramedullary rod.
• Adjust rotation before impaction of the arm spikes on the tibia.
• Adjust the resection level with the stylus as follows:
- on the unaffected side (10 mm cut against this reference)
- on the affected side (exit level of the saw blade)
- for other resection levels, graduation marks are located every 2 mm on the aiming column.
• Check the level of bone resection using the resection gauge which can be used throughout the
operation for the different resections.
Option: you may check the axis using the alignment rod mounted on the universal handle in which
the alignment rod slides.
8
Extramedullary tibial aiming
• Assemble on the arm the aiming column with the right or left tibial resection guide.
• Assemble the malleolus clamp, extramedullary tube and the aiming column.
• Fix the malleolus clamp around the ankle and place the arm on the tibial plateau.
• Impact the longest spike to stabilize the structure.
• Adjust the aiming column both in rotation and in the sagittal plane before impacting the second
arm spike.
• Adjust the resection level with the stylus as follows:
- on the unaffected side (10 mm cut against this reference)
- on the affected side (exit level of the saw blade)
- for other resection levels, graduation marks are located at every 2 mm on the aiming column.
• Check the resection level using the resection gauge.
Option: you may check the axis using the alignment rod mounted on the universal handle in which
the alignment rod slides.
9
Combined tibial aiming
• According to the pre-op planning, drill the medullary canal with the 2 levels 8 mm drill bit.
• Introduce the intramedullary rod mounted on the handle. The mark should remain visible.
• Assemble on the arm the aiming column with the right or left tibial resection guide.
• Assemble the malleolus clamp, extramedullary tube and the aiming column.
• Fix the malleolus clamp around the ankle and place the arm on the intramedullary rod.
• Adjust the extramedullary aiming column both in rotation and in the sagittal plane before
impacting the arm spikes.
• Adjust the resection level with the stylus as follows:
- on the unaffected side (10 mm cut against this reference)
- on the affected side (exit level of the saw blade)
- for other resection levels, graduation marks are located at every 2 mm on the aiming column.
• Check the resection level using the resection gauge.
Option: you may check the axis using the alignment rod mounted on the universal handle in which
the alignment rod slides.
10
Tibial resection
• Drill 2 headless pins using the quick release adaptor (universal or AO ) into the O holes on the
tibial resection guide.
Holes +2 and +4 will be used if a further tibial resection is required.
These two parallel headless pins allow to position the resection block away from the bone.
• Using the slap hammer, remove the intra or extramedullary assembly.
Slide the resection block closer to the bone.
• Stabilize the resection block with the 3 headed pins in accordance with the convergent axes
marked on the guide.
• A disposable specific saw blade provided is used to perform the cut.
• Remove the headed pins using the pin extractor.
• Slide the cutting block on the headless pins taking care not to remove the pins.
They remain in place if a further resection is required.
11
Flexion and extension gaps
• It is then possible to check gaps using a 10 mm spacer mounted on the universal handle which
may accomodate extramedullary alignment rods.
2 mm and 4 mm spacers may also added to the 10 mm spacer to improve ligament tension.
12
Intramedullary femoral aiming
• Flex the knee to 90°.
• Remove peripheral osteophytes.
Important: since the femoral trochlear groove of the implant is deep, it is essential to remove the
osteophytes from the notch.
• The anterior cortical bone.
Option: mark a vertical line of the trochlea in the deepest point of trochlea.
• According to the pre-op planning, locate the entry point of the femoral medullary canal and drill
with the 2 levels 8 mm drill bit.
• Introduce the intramedullary rod mounted on the handle up to the reference mark. In case this is
not possible or if there is already a hip prosthesis, use the short rod.
13
Antero-posterior femoral measurement
• Insert the valgus barrel into the measuring gauge (angulation and right or left side) determined
on x-rays in the preoperative planning or with the simulator (see option page 29).
• Check the contact with at least one of the distal condyles.
• Check the contact of the fork with the 2 posterior condyles.
• Put in place the femoral stylus on the anterior cortex (may be translated).
• Lock antero-posterior space with the lateral screw using the screwdriver.
• Place the 7 mm spacer between the fork of the gauge (thickness: 3 mm) and the resected tibia
(reproduces a 10 mm tibial resection).
• 2 or 4 mm spacers may also be added to the 7 mm spacer to improve ligament tension.
• Check laxity.
Size measurement
Femoral valgus barrel
Antero-posterior
measurement locking
Rotation locking
Rotation reading
14
Example of measurement between
2 sizes
Femoral size selection
• Read the size according to the graduation marks.
There are two possibilities:
1: The measurement is exactly aligned with a size: in this case, the reference is
both anterior and posterior.
The bone resection thickness will be the same as that of the prosthesis,
i.e. 8 mm on the posterior face.
Tighten the lateral screw using the screwdriver.
15
2: The measurement lies between two sizes:
The smallest or largest size may be selected either with an anterior or posterior
reference.
This is due to the small increment between the sizes (3 mm) and the 6°
inclination of the anterior resection.
It is generally recommended to use the smallest size.
For an anterior reference:
The gauge fork should contact the posterior condyles, while the femoral stylus should touch the
anterior cortical bone.
The measured deviation (in millimeters) is pushed back to the resected posterior condyle.
In the example provided (reading: size 3 +1 mm or size 4 –2 mm):
- Smaller size selection =
- Greater size selection =
9 mm posterior resection (implant thickness: 8 mm)
flexion gap increased.
6 mm posterior resection (implant thickness: 8 mm)
flexion gap reduced.
Example of reading between
2 sizes
16
medial
lateral
Example of an external rotation at 3° on the left knee
For a posterior reference:
Remove the femoral stylus. The posterior condyles are resting on the fork of the gauge.
Match the engraving laser mark to the selected size graduation.
Tighten the lateral screw using the screwdriver.
The measured deviation (in millimeters) is pushed back to the anterior resection.
In the example provided (reading: size 3 +1 mm or size 4 –2 mm):
- Smaller size selection =
8 mm posterior resection (implant thickness: 8 mm)
Anterior cut 1 mm lower (possible because anterior resection at 6°).
Respects flexion gap and reduces patellar stress.
- Greater size selection =
8 mm posterior resection (implant thickness: 8 mm)
Anterior cut 2 mm higher.
Respects flexion gap but increases patellar stress.
17
Rotation selection
Rotation may be selected according to the following anatomical and/or ligament reference:
The 3 anatomical references are:
- The epicondylar line
- The posterior bi-condylar line
- The Whiteside line
The ligament reference:
- An optional set of alignment simulator is available on request (see page 29).
Once rotation is determined, tighten the front screw using the screwdriver.
18
Setting up threaded pins
• Drill the 2 threaded pins into the barrels on the measuring gauge, using the quick release
adaptor (universal or A.O.).
• If the power drill has no reverse motion, use smooth pins.
• Remove the 2 barrels, the intramedullary rod and the measuring gauge.
Note: universal and AO quick release adaptor may also be mounted on the T wrench screw.
19
Femoral resection
• Set up the 5-in-1 resection block of the selected size on the pins.
• Check contact with at least one distal condyle.
• Set up the resection block stabilizer and fix it with a headed pin (monocortical).
• Fix the 5-in-1 guide with 4 headed pins always starting with the side in contact with the distal
condyle.
• Remove the 2 threaded pins.
• Perform the 5 resections:
Anterior.
Posterior.
Anterior chamfer.
Posterior chamfer.
Distal.
• Remove the headed pins with the pin extractor, and then the resection block.
20
2
1
1
2
2
1
2
1
At this stage, all resections have been performed.
Extension and flexion gaps may be checked with the 18 mm spacer (10 mm from tibial resection and
8 mm of distal resection).
2 and 4 mm spacers may also be added to the 18 mm spacer.
There are different cases
Solution
Observation
Knee with satisfactory extension and
flexion gap
Determine the insert thickness
Tight knee in extension and in flexion
Perform additional tibial resection +2
or +4 mm with the pins left on site
(see page 11)
Tight knee in extension, satisfactory
flexion gap
Perform additional femoral distal
resection using 6 mm or 4 mm
spacers (see below)
Knee with satisfactory extension gap
but tight in flexion
Choose smaller sized 5-in-1 femoral
resection guide using 8 mm spacer and
perform new resections (see below)
Additional distal femoral resection
• Reposition the 2 threaded pins.
• Place the appropriate spacer on the 2 threaded pins.
6 mm spacer: 2 mm additional resection
4 mm spacer: 4 mm additional resection
• Position the same 5-in-1 resection guide initially chosen onto the spacer.
• Set up the resection guide stabilizer.
• Fix it using 2 threaded pins in the 2 most posterior holes of the guide and 2 headed pins in the
most anterior holes (see pattern).
• Remove the pins and the spacer.
• Perform the resections.
Changing size
• Reposition the 2 threaded pins.
• Place the 8 mm spacer on the 2 threaded pins.
• Position the 5-in-1 resection guide (lower size) onto the spacer.
• Set up the resection guide stabilizer.
• Fix it using 2 threaded pins in the 2 most posterior holes of the guide and 2 headed nails in the
most anterior holes (see pattern).
• Remove the pins and the spacer.
• Perform the resections.
21
22
Mediolateral femoral adjustment
• Impact the trial femoral using the femoral impactor (trial position),
by choosing a mediolateral position.
• Drill the first anchorage peg with the stop drill.
• Insert the trial peg.
• Drill the second peg.
• Insert the second trial peg.
23
Trochlear groove preparation
• Prepare the trochlear groove with the rasp corresponding to the size of the trial.
The rasp is guided on two planes.
• Using the osteotome provided, remove the posterior osteophytes leaving the femoral trial in
place.
24
Tibial plateau preparation
• Position the appropriate sized trial baseplate.
A smaller or larger size as compared to the femur may be selected.
• Fix the baseplate with two 30 mm headed pins
In case of a sclerotic bone, drill at 3.2 mm before fixing the nails.
Position the mobile trial insert of a size corresponding to the femur.
The insert size must always be identical to the femur size.
Important: remove the 2 headless pins left in the tibia.
• Position the appropriate sized routing guide onto the trial baseplate.
• Ream using the tibial reamer to the stop(same for all sizes).
• Impact the appropriate sized tibial stem punch.
(In case of a sclerotic bone or after osteotomy, prepare first with an osteotome).
25
Patella preparation
Resurfacing option
After clearing the area surrounding the patella,
• Position the patella guide with the lugs facing the anterior face of the patella.
• Using the adjustment wheel, put the 8 mm sensor in contact with the joint face. The jaws of the
guide must be opened.
• Tighten and lock the guide.
• Read the residual bone thickness.
• Perform the resection across the slot.
• Choose the patella size: Ø 30, 33 or 36 mm.
• Center and impact the drilling gauge.
• Drill the hole for the 3 pegs.
• Insert the trial patella.
• Test the patellar tracking.
26
Patella preparation
Countersinking option
• Mark the patella center with electrocautery.
• Position the patella guide, with the lugs facing the anterior face of the patella.
• Select the size of clamp suitable for the patella.
• Align the sensor with the center and tighten the guide.
• Measure patellar thickness using the sensor.
• Select the reamer corresponding to the clamp and position it such that it is supported by the
patella.
• Choose the reaming depth (in general, 12 mm is appropriate).
• Report this value on the slide rule located on the guide.
• Position the removable stop on the reamer and put in contact with the slide rule.
• Validate the stop tightening and push the rule back to the down position.
• Perform the reaming.
• Insert the trial patella.
• Test the patellar tracking.
Note: the instrumentation for patellar countersinking allows to do also resurfacing patella
(flat reamer).
27
Placing definitive implants
• On the selected tibial baseplate (with or without cement), tighten the stem or, if required, the
extension stem using the wrench.
• Position the baseplate with the tibial baseplate impactor.
• Remove the protection film.
• Place the polyethylene insert with the size corresponding to the femur and the thickness
validated during testing.
• Assemble the femoral implant (with or without cement) of the selected size on the femoral
holder(anterior position).
• Place the femoral implant, and complete the impaction using the femoral impactor.
• Place the resurfacing or countersinking patella.
Warning: if a cemented femoral implant is used, it is recommended to apply little cement on the
posterior condyles and no cement on the posterior area of the notch, due to the implant design.
28
medial
lateral
Option: ligament balance simulation
before femoral resections
• Locate the entry point of the femoral medullary canal and drill it using the 2 levels 8 mm drill bit.
• Using the slap hammer, insert the intramedullary rod (long or short) to hold the spacers,
following carefully the antero-posterior (A/P) positioning.
(2 spacers – 10 mm thickness – with 5° or 7° valgus are available).
Before the resections, in extension, it allows to:
- Simulate the ligament balance with a 5° or 7° valgus as if the femoral resections had been
performed.
- If desired ,do the balance in extension.
- Validate the valgus barrel.
Important:
This alignment simulation set is not provided with the standard instrumentation. It has to be booked
when reserving the instrumentation.
29
Option: ligament balance simulation
before femoral resections
• Align the femoral measurement gauge with the valgus barrel approved during the extension step,
on the femoral intramedullary aiming.
Then, same procedure as femoral step.
Before performing the resections, it allows in flexion:
- to simulate the ligament balance with an external rotation of 0°, 3° or 6°, using the
corresponding spacer.
• Once rotation is determined, tighten the front screw with the screwdriver.
Important:
This alignment simulation set is not provided with the standard instrumentation. It has to be booked
when reserving the instrumentation.
30
Distal femoral additional resection
• In case of a severe pre-operative flessum, it is possible to perform an additional distal femoral
resection of 2 or 4 mm.
• Fix the guide for additional distal resection on the measuring gauge and report the selected
value.
• Fix the 2 headed nails.
• Once the resection is performed, place the measuring gauge in contact with the distal condyles
again.
31
Option: Extension tibial stem
• Extension tibial stems to be added on to the tibial baseplate are available.
Trials extension tibial stems can be mounted on tibial routing guide.
Diameters of the stems are: 10, 12, 14 and 16 mm.
Lengths are: 75, 100, 150 mm.
Important:
The extension tibial stems and their corresponding instrumentation are delivered only upon request.
The SCORE® instrumentation is made up of 6 trays:
One common set
One tibial resection set
One tibial trial set
One femoral resection set
One femoral trial set
and a choice between:
One patella resurfacing set (only resurfacing patella)
One patella countersinking set (resurfacing and countersinking patella)
In addition the following equipment are available:
One ligament balance simulation set before femoral resections
Sterile saw blades
Non sterile saw blades
Common set
22
4
19
21
18
5
2
3
24
23
6
32
13
15
9
8
7
11 10
20
1
14
Rep Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Intra-medullary 2 level 8 mm drill bit.
Intra-medullary rod length 250 mm
Intra-medullary rod length 400 mm
T wrench
Universal handle
Extra-medullary alignment rod
Spacer thickness 7 mm
Spacer thickness 10 mm
Spacer thickness 18 mm
Spacer thickness 2 mm for spacer
Spacer thickness 4 mm for spacer
H5 screwdriver
Resection gauge
Ø 2 headless pin
Alignment gauge
Universal quick release adaptor for pin
AO quick release adaptor for pin
Pin extractor
Wrench for tibial stem
Ø 3.2 drill bit length145 mm
Slap hammer
Flat rasp
Hohmann retractor 240 mm 18 mm
Hohmann retractor 265 mm 24 mm
12
17 16
Reference
Quantity
2-0200100
2-0200200
2-0200300
2-0200400
2-0200500
2-0200600
2-0200707
2-0200710
2-0200718
2-0207002
2-0207004
2-0200800
2-0204500
2-0103000
2-0206300
2-0201100
2-0201200
2-0201500
2-0205500
2-0102400
2-0206900
2-0206800
2-0207100
2-0207200
1
1
1
1
1
2
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
2
1
Tibial resection set
16
10
15
11
14
17
3
12
2
4
6
18
13
22
21
7
1
22
20
19
22
5
Rep
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
9
8
Name
Reference
Quantity
Malleolus clamp
Extra-medullary aiming column
Wheel for extra-medullary aiming column
Tibial tube
Tibial arm
Wheel for Tibial arm
Headed pin length 30 mm
Headed pin length 70 mm
Headless pin
Right tibial resection guide
Left tibial resection guide
Wheel for resection guide
Tibial stylus
Routing guide for baseplate size 1/2
Routing guide for baseplate size 3/4/5
Routing guide for baseplate size 6/7
Removable handle for routing guide
Reamer for tibial stem
Tibial stem punch size 1/2
Tibial stem punch size 3/4/5
Tibial stem punch size 6/7
Standard trial stem
2-0201600
2-0201700
2-0201800
2-0201900
2-0202000
2-0202100
2-0201301
2-0201302
2-0201400
2-0202200
2-0202300
2-0203800
2-0202400
2-0202612
2-0202635
2-0202667
2-0206200
2-0202700
2-0202812
2-0202835
2-0202867
2-0208900
1
1
2
1
1
1
3
3
3
1
1
2
1
1
1
1
2
1
1
1
1
3
33
Tibial trial set
8
11
10
9
7
15
6
5
4
3
2
1
12
Rep Name
34
1
2
3
4
5
6
7
8
8
8
8
8
9
9
9
9
9
10
10
10
10
10
Tibial trial baseplate size 1
Tibial trial baseplate size 2
Tibial trial baseplate size 3
Tibial trial baseplate size 4
Tibial trial baseplate size 5
Tibial trial baseplate size 6
Tibial trial baseplate size 7
Trial insert size 1 thick. 10 mm
Trial insert size 1 thick. 12 mm
Trial insert size 1 thick. 14 mm
Trial insert size 1 thick. 16 mm
Trial insert size 1 thick. 20 mm
Trial insert size 2 thick. 10 mm
Trial insert size 2 thick. 12 mm
Trial insert size 2 thick. 14 mm
Trial insert size 2 thick. 16 mm
Trial insert size 2 thick. 20 mm
Trial insert size 3 thick. 10 mm
Trial insert size 3 thick. 12 mm
Trial insert size 3 thick. 14 mm
Trial insert size 3 thick. 16 mm
Trial insert size 3 thick. 20 mm
13
Reference
2-0202501
2-0202502
2-0202503
2-0202504
2-0202505
2-0202506
2-0202507
2-0202911
2-0202921
2-0202931
2-0202941
2-0202951
2-0202912
2-0202922
2-0202932
2-0202942
2-0202952
2-0202913
2-0202923
2-0202933
2-0202943
2-0202953
14
Rep Name
11
11
11
11
11
12
12
12
12
12
13
13
13
13
13
14
14
14
14
14
15
Trial insert size 4 thick. 10 mm
Trial insert size 4 thick. 12 mm
Trial insert size 4 thick. 14 mm
Trial insert size 4 thick. 16 mm
Trial insert size 4 thick. 20 mm
Trial insert size 5 thick. 10 mm
Trial insert size 5 thick. 12 mm
Trial insert size 5 thick. 14 mm
Trial insert size 5 thick. 16 mm
Trial insert size 5 thick. 20 mm
Trial insert size 6 thick. 10 mm
Trial insert size 6 thick. 12 mm
Trial insert size 6 thick. 14 mm
Trial insert size 6 thick. 16 mm
Trial insert size 6 thick. 20 mm
Trial insert size 7 thick. 10 mm
Trial insert size 7 thick. 12 mm
Trial insert size 7 thick. 14 mm
Trial insert size 7 thick. 16 mm
Trial insert size 7 thick. 20 mm
Tibial baseplate impactor
Reference
2-0202914
2-0202924
2-0202934
2-0202944
2-0202954
2-0202915
2-0202925
2-0202935
2-0202945
2-0202955
2-0202916
2-0202926
2-0202936
2-0202946
2-0202956
2-0202917
2-0202927
2-0202937
2-0202947
2-0202957
2-0203000
Femoral resection set
5
10
6
24
23 22 21
7
4
8
11
25
9
T1
18
17
16
15
14
13
12
19
T2
T3
T4
T5
T6
T7
20
3
2 1
Rep
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Name
Reference
Quantity
Threaded pin Ø 4 length 90 mm
Smooth pin Ø 4 length 90 mm
Headed pin length 70 mm
Posterior fork for measuring gauge
Measuring gauge
3° femoral valgus barrel
5° femoral valgus barrel
7° femoral valgus barrel
9° femoral valgus barrel
Femoral stylus
Guiding barrel for pin Ø 4
Femoral resection guide size 1
Femoral resection guide size 2
Femoral resection guide size 3
Femoral resection guide size 4
Femoral resection guide size 5
Femoral resection guide size 6
Femoral resection guide size 7
Additional distal resection guide
Wheel for resection guide
4 mm spacer for femoral resection
6 mm spacer for femoral resection
8 mm spacer for femoral resection
Femoral condyle holder
Femoral resection guide stabilizer
2-0200901
2-0201000
2-0201302
2-0203100
2-0203200
2-0203303
2-0203305
2-0203307
2-0203309
2-0203400
2-0203500
2-0203601
2-0203602
2-0203603
2-0203604
2-0203605
2-0203606
2-0203607
2-0203700
2-0203800
2-0206004
2-0206006
2-0206008
2-0204400
2-0209900
5
2
4
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
35
Femoral trial set
1
1D
2D
3D
4D
5D
6D
7D
5
4
8
3
7
1G
6
2G
3G
4G
5G
6G
7G
2
Rep
36
1
1
1
1
1
1
1
2
2
2
2
2
2
2
3
4
5
6
7
8
Name
Reference
Quantity
Femoral trial size 1 Right
Femoral trial size 2 Right
Femoral trial size 3 Right
Femoral trial size 4 Right
Femoral trial size 5 Right
Femoral trial size 6 Right
Femoral trial size 7 Right
Femoral trial size 1 Left
Femoral trial size 2 Left
Femoral trial size 3 Left
Femoral trial size 4 Left
Femoral trial size 5 Left
Femoral trial size 6 Left
Femoral trial size 7 Left
Trial peg for femoral trial
Drill for femoral peg
Femoral rasp size 1/2/3
Femoral rasp size 4/5/6/7
Osteotome
Femoral impactor
2-0206401
2-0206402
2-0206403
2-0206404
2-0206405
2-0206406
2-0206407
2-0206411
2-0206412
2-0206413
2-0206414
2-0206415
2-0206416
2-0206417
2-0206600
2-0204000
2-0204113
2-0204147
2-0206500
2-0204300
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
1
1
1
Patellar resurfacing set
10
1
2
5
6
3
7
9
4
8
Rep
1
2
3
4
5
6
7
8
9
10
Name
Reference
Quantity
Patellar resurfacing guide
8 mm sensor
Drilling gauge Ø 30
Drilling gauge Ø 33 and Ø 36
Drill bit for resurfacing patella
Trial resurfacing patella Ø 30
Trial resurfacing patella Ø 33
Trial resurfacing patella Ø 36
Forceps for trial patella
Patella tightening forceps
2-0206700
2-0208400
2-0204900
2-0205000
2-0205100
2-0205330
2-0205333
2-0205336
2-0104600
2-0206100
1
1
1
1
1
1
1
1
1
1
37
Patellar countersinking set
13
15
7
6
9
8
12
16
17
18
19
14
10
20
5
2
3
4
21
22
11
1
Rep
38
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Name
Reference
Quantity
Patellar countersinking guide
Reamer for countersinking patella Ø 23
Reamer for countersinking patella Ø 26
Reamer for countersinking patella Ø 29
Reamer for resurfacing patella
Clamp for patellar countersinking guide Ø 23
Clamp for patellar countersinking guide Ø 26
Clamp for patellar countersinking guide Ø 29
Clamp for patellar countersinking guide
Tightening clamp for countersinking guide
Removable stop for patellar reamer
Patellar sensor for countersinking guide
Drilling gauge Ø 30
Drilling gauge Ø 33 and Ø 36
Drill bit for resurfacing patella
Trial countersinking trial patella Ø 23
Trial countersinking trial patella Ø 26
Trial countersinking trial patella Ø 29
Trial resurfacing patella Ø 30
Trial resurfacing patella Ø 33
Trial resurfacing patella Ø 36
Forceps for trial patella
2-0204600
2-0204723
2-0204726
2-0204729
2-0204830
2-0205623
2-0205626
2-0205629
2-0205630
2-0205700
2-0205800
2-0205900
2-0204900
2-0205000
2-0205100
2-0205223
2-0205226
2-0205229
2-0205330
2-0205333
2-0205336
2-0104600
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
Ligament balance simulation set before femoral resections
1
3
2
4
8
Rep
1
2
3
4
5
6
7
8
9
10
11
6
5
9
7
10
11
Name
Reference
Quantity
Intra-medullary rod
Short intra-medullary rod
Tip for impactor extractor
Right flexion spacer angle 3° ht 7 mm
Right flexion spacer angle 6° ht 7 mm
Left flexion spacer angle 3° ht 7 mm
Left flexion spacer angle 6° ht 7 mm
Left extension spacer angle 5° ht 10 mm
Right extension spacer angle 5° ht 10 mm
Left extension spacer angle 7° ht 10 mm
Right extension spacer angle 7° ht 10 mm
2-0208000
2-0209400
2-0208100
2-0208201
2-0208202
2-0208203
2-0208204
2-0208301
2-0208302
2-0208303
2-0208304
1
1
1
1
1
1
1
1
1
1
1
SCORE® saw blades
SYNTHES AO SODEM
STERILE Ref: 2-0204201
NON STERILE Ref: 2-0205401
STRYKER 2000
STERILE Ref: 2-0204202
NON STERILE Ref: 2-0205402
3M Maxi driver
STERILE Ref: 2-0204203
NON STERILE Ref: 2-0205403
STRYKER B
STERILE Ref: 2-0204204
NON STERILE Ref: 2-0205404
AESCULAP
STERILE Ref: 2-0204205
NON STERILE Ref: 2-0205405
ZIMMER HALL
STERILE Ref: 2-0204206
NON STERILE Ref: 2-0205406
39
Reference: DC.GB.021/1.0
AMPLITUDE
Porte du Grand Lyon. 01700 Neyron. France.
Téléphone : + 33 (0)4 37 85 19 19. Télécopie : + 33 (0)4 37 85 19 18. e.mail : amplitude@amplitude-ortho.com
Internet : www.amplitude-ortho.com