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C00032 option 1
1. C00032 - Dr. Haobo Zhong
Shexiang Zhong - 6/19/2018
Size 2 Right ADVANCE® Standard, Size 2 Base
10 mm Medial Pivot Insert
AP Pre-Op AP Post-Op
Varus-Valgus Angle
(measured from the femoral
anatomic axis)
Pre-op: 10.2° Valgus
Post-op: 2.9° Valgus
Mech. axis to Anatomic axis
angle (in coronal plane): 4.3°
Hip-Ankle Line
Pre-op: 725.3 mm
Post-op: 730.8 mm
Fem. Anat. Axis
Fem. Mech. Axis
TEA
Hip/Ankle Line
Lat. Pre-Op Lat. Post-Op
Sagittal Mech Axis Angle
(femoral anatomic axis to
tibial anatomic axis)
Pre-op: -9.1° Extension
Post-op:7.1° Flexion
Distal Cuts
Medial: 9.0 mm
Lateral: 5.1 mm
Posterior Cuts
Medial: 10.0 mm
Lateral: 7.7 mm
Mech. axis to Anatomic axis
angle (in sagittal plane): 1.1°
Fem. Anat. Axis
Fem. Mech. Axis
TEA
Hip/Ankle Line
Page 1 of 5Prophecy® Navigation C00032 Surgical Alignment Report
5/8/2018Confidential
2. Size 2R Standard
Distal femur - no cuts Distal femur - cuts Size 2 Standard
Lateral Medial
TEA is 2.8° External from the posterior
condyles
No stuffing of the patella
Similar trochlear groove profiles
TEA
Post. Cond. Line
Page 2 of 5Prophecy® Navigation C00032 Surgical Alignment Report
5/8/2018Confidential
3. Size 2, Medial Pivot
Lateral Medial
• Tibial Cut 3.0° posterior slope
• Resection side:
2 mm from lowest side
• Insert AP orientation:
Medial Tubercle
• Medial resection: 4.4 mm
• Lateral resection: 2.0 mm
Femoral Alignment Method
• Distal cut is referenced to Mechanical Axis - 0 degree
• Femoral rotation set by the 3 degree external to posterior condyles
• Distal resection level set to 9.0 mm
• AP component position set by Anterior flange placed to prevent notch/overhang
• Femoral component flexed 3.0° from the Mechanical axis in order to obtain optimal
posterior resections
• Size 2R ADVANCE® Standard Femur
Tibial Alignment Method
• Proximal cut 3.0° posterior slope to Mechanical Axis - 0 degree
• Component rotation set by Medial Tubercle
• Resection level 2 mm from lowest side
• ADVANCE® Tibia Base Size 2
• Size 2 Right 10 mm Medial Pivot Insert
PROPHECY
®
Engineer Comments
The patient's pre-operative alignment is 10.2° valgus, therefore special attention to ligament
balancing may be necessary. The tibial compartment points are inverted from normal anatomy -
the medial compartment point is higher than the lateral compartment point.
Recommended Implants
• Femoral component: KFTCNP2R
• Tibial base: KTCCNP20
• Insert: KIMP210R
• Part Number:
• Order Kit: K100KT80 and K100KT3R
Page 3 of 5Prophecy® Navigation C00032 Surgical Alignment Report
5/8/2018Confidential
4. PROPHECY Navigation C00032 Surgical Alignment Report
Confidential 05/08/2018
Appendix A
Tibial alignment
The next figure shows the surgeon preference alignment.
Green: Intramedullary axis
Red: Femur Mechanical axis
Cyan: Tibia Mechanical axis
Figure A. Knee Coronal View.
5. PROPHECY Navigation C00032 Surgical Alignment Report
Confidential 05/08/2018
Appendix B
Tibial alignment
Images below show the 1.3 degree varus adjustment to the tibia resection as requested
by the Surgeon. The adjustment to the Tibia is shown by the solid Cyan line; the dotted
Cyan line represents the Tibial Mechanical Axis according to Prophecy‘s ® protocol.
Figure A. Tibial Coronal View. Figure B. Tibial Sagittal View.