Example - Surgical Plan Rev01

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1.

SURGICAL OVERVIEW

PATIENT: WILLIAMS, JAMES


DOB: 12/22/60
Step 1: Pre-Operative Step 2: Implant Sizing & Step 3: Implant Alignment &
Imaging & Assessment: Resection Final Implant Placement
Right Varus

Note: This preoperatively templating shows one potential implant placement, which may differ from the final placement. The physician is
responsible for deciding final implant placement.

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Step 5: Posterior Tibial
Step 4: Reference
Slope
Anterior/Posterior View

Note: This preoperatively templating shows one potential implant placement, which may differ from the final placement. The physician is
responsible for deciding final implant placement.

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2. SURGICAL DETAILS 3. IMPLANT SIZING

RESECTION IMPLANT SELECTION


Distal Femoral Resection: 9.0 mm Femoral Component Size 5 Modal, Cruciate
Distal Femoral Resection: 9.0 mm Selection: Retaining Femoral Implant
Medial Posterior Surface Resection: 7.0 mm (UOC 6)
Lateral Posterior Surface Resection: 9.0 mm Tibial Tray Size 4 Modal Tibial Tray
Medial Plateau Resection: 5.0 mm Component Selection: Implant with a Size 4
Lateral Plateau Resection: 5.0 mm Modal, 9mm UHMWPE
Bearing Surface (UOC 5)
*Saw Kerf: (- 1.27 mm)

MODEL ALIGNMENT
Femoral Varus/Valgus: 5.0 o valgus
Tibial Varus/Valgus: 1.0 o varus
Posterior Tibial Slope: 5.0o
HKA Varus 1.0o

Note: This preoperatively templating shows one potential implant placement, which may differ from the final placement. The physician is
responsible for deciding final implant placement.

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Pre-Operative Imaging Post-Operative
and Assessment Imaging
Right Varus

Note: This preoperatively templating shows one potential implant placement, which may differ from the final placement. The physician is
responsible for deciding final implant placement.

DRAFT 01 Page 4 of 5
Femoral Cuts

Tibial Cuts

Note: This preoperatively templating shows one potential implant placement, which may differ from the final placement. The physician is
responsible for deciding final implant placement.

DRAFT 01 Page 5 of 5

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