Vanguard total Knee Replacement (Cruciate retaining, Zimmer-Biomet)
Learn the Vanguard total Knee Replacement (Cruciate retaining, Zimmer-Biomet) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Vanguard total Knee Replacement (Cruciate retaining, Zimmer-Biomet) surgical procedure.
The approach to management of knee osteoarthritis includes the assessment of the severity of pain and the effects on the individual’s function, quality of life, occupation, mood, relationships, and leisure activities. Conservative treatment involves formulating an individualised management plan in partnership with the patient. The core treatment to be offered includes:
Education, advice, and access to information, strengthening exercise,weight loss, Assistive devices (for example, walking sticks) for people who have specific problems with activities of daily living.
The decision to perform total knee arthroplasty surgery must include the failure of conservative treatments. Take account of comorbidities that compound the risks involved in surgery. Take into account the person’s expectations, needs, and anxieties.
The type from joint replacement used should take into account published outcome data ( NJR data), the surgeons experience but should also leave space for innovation.
The Vanguard knee system is produced by Zimmer Biomet and provides a comprehensive total knee replacement system with flexibility to change from cruciate retaining (CR) to posterior stabilized (PS) within a single system.
Author : Mr Faisal Hussain FRCS (Tr & Orth)
Institution; The Royal Orthopaedic Hospital , Birmingham ,UK.
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Question 1 of 15
Absolute contraindications to total knee arthroplasty includes which one of the following.CorrectIncorrect
Question 2 of 15
Which one of the following is not a relative contraindication for Total Knee arthroplasty surgeryCorrectIncorrect
Question 3 of 15
The Cruciate retaining prosthesis has which one of the following degrees of posterior slope built in?CorrectIncorrect
Question 4 of 15
The tibial cut should be done using an extra medullary jig with which one of the following cutting blocks?CorrectIncorrect
Question 5 of 15
The distal femoral cutting block should usually be set at which one of the following combinations of angle and depth.CorrectIncorrect
Question 6 of 15
The femoral cutting block rotation should be lined up parallel with which one of the following anatomical structures?CorrectIncorrect
Question 7 of 15
Which one of the following procedures provides the most consistent fixation of the tibial component?CorrectIncorrect
Question 8 of 15
During trailing the patella is tracking laterally, which one of the following actions will aid it’s tracking.CorrectIncorrect
Question 9 of 15
When balancing the knee it is found to be tight in extension but has an appropriately balanced flexion gap despite soft tissue release. Which one of the following actions should be taken?CorrectIncorrect
Question 10 of 15
On trialling the prosthesis there is a pop felt at the posterior lateral joint line when going from extension to 30 degrees flexion. Which one of the following is the most likely cause?CorrectIncorrect
Question 11 of 15
On trialing the prosthesis in a valgus knee it is found to be tight lateral in extension. Which one of the following is the next appropriate step?CorrectIncorrect
Question 12 of 15
Which one of the following should be avoided during total knee arthroplasty to avoid lateral patellar subluxation?CorrectIncorrect
Question 13 of 15
The components are trialled and the knee is coronally balanced, but tight in flexion and extension. The next step should be which one of the following ?CorrectIncorrect
Question 14 of 15
Which one of the following protocol is consistent with NICE guidelines for thromboprophylaxis.CorrectIncorrect
Question 15 of 15
Which one of the following has been shown to reduce blood loss during total knee arthroplasty surgery.CorrectIncorrect