Mako pka right medial case: during trialing of the femoral component (size 5 rm) it was indicated by the surgeon that the femoral trial was not sitting as it should based on the virtual plan and the resected area in that it was approximately 6-8mm posterior from the anterior tip.The femoral trial size was confirmed and i then reconfirmed that the checkpoints, arrays, bone registration were still valid and that the burred area was as per the plan to which everything seemed accurate.Another size 5 rm trial from another kit was then used to compare, to which there was approx 3mm of difference between the two components, however, neither fitted the burred area as they should.A size 6 trial was then used which fitted the resected area better.The plan on the computer was then changed to a size 6 and re-burred the femur to accommodate and was executed adequately for that plan.As we had to go up a size based on the original plan it resulted in the joint being slightly tighter and as such not as what the surgeon wanted originally.
|