Stryker rep reported that during a revision triathlon case where we encountered difficulties removing the trial components from the tibia.Ultimately a triathlon ps femur, a universal triathlon baseplate, 11mm ts insert and 150mm x 10 mm stem were used but due to the difficulties of the case the baseplate was implanted without cement and secured with dall miles, considerable bone graft and dbx putty.(b)(6) 2021 update per sales rep: it was not a revision, it was a complex primary procedure using stryker ts instruments and implants for the tibia., to repeat no stryker products were removed.The trial stem, offset and baseplate were difficult to remove.There was a pre existing tibial fracture and the surgeon was using the ts stem, offset and universal base plate system to by pass the fracture site whilst implanting a primary triathlon ps femoral component.Update (b)(6) 2021 (b)(6): original event reported by sales agent: yesterday i attended a very difficult revision triathlon case where we encountered tremendous difficulties removing the trial components from the tibia.It added over 60 mins to the procedure and the trial stem would not come out without use of various punches, slap hammers and osteotomes.Ultimately a triathlon ps femur, a universal triathlon baseplate, 11mm ts insert and 150mm x 10 mm stem were used but due to the difficulties of the case the baseplate was implanted without cement and secured with dall miles, considerable bone graft and dbx putty.
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