System specification guide and product catalog RT-PLUS™ - … · 2020. 2. 19. · Tibial augment dimensions. All dimensions are in (mm) RT-PLUS™ knee system offer a tibial 10

Efficiency in Motion

Celebrating

System specification guide and product catalog

Rotating Hinged KneeRT-PLUS™

Supporting healthcare professionals*Product availability may vary by country or territory

1996RT-PLUS™ “Monobloc” HKRotating Hinge

1997TC-PLUS™ Primary CR/CS/PSFixed Bearing

1999RT-PLUSModular HKRotating Hinge

2001TC-PLUSPrimary SB Mobile Bearing

2005TC-PLUS Revision CS/PS Fixed Bearing

2009TC-PLUSPrimary CR/CS/SBSlim Line and Size 0

History of PLUS Total Knee Systems

3

4

Overview of PLUS Total Knee System

PLUSTotal Knee System

TC-PLUS™Primary CR, CS, SB

TC-PLUSRevision CS, PS

RT-PLUS™“Monobloc” HK, Modular HK

Identical trochlear groove geometry for all PLUS knee systems

Consistent femoral A/P box for all PLUS knee systems

Seamless system offering, multiple options

TC-PLUS Primary knee system – indicated for tri-compartmental cruciate retaining or sacrificing primary knees TC-PLUS Revision knee system – indicated for complex primary and moderate revision kneesRT-PLUS “Monobloc” – lean rotating hinge knee system for primary revision cases with severe joint instabilityRT-PLUS Modular – modular and lean rotating hinge knee system for moderate to severe revision cases with severe bone loss and joint instability

PLUS - Total Knee System

Primary Complex Primary Revision

TC-PLUS Revision

Patella (same for all knee systems)

TC-PLUS™ Primary RT-PLUS™

«Monobloc» HK

« Monobloc »Hinge Knee

(Rotating Hinge)

CXP CS

Complex PrimaryCruciate Substituting

(Fixed Bearing)

CR

Cruciate Retaining

(Fixed Bearing)

• cemented• non-cemented

(porous)

CS

Cruciate Substituting

(Fixed Bearing)


(porous)

SB

Sliding Bearing

(Mobile Bearing) or Deep Dish


(porous)

• cemented• cemented • cemented• cemented

Modular HK

ModularHinge Knee

(Rotating Hinge)

CXP PS

Complex PrimaryPosterior Stabilized

(Fixed Bearing)

5

Table of contentsSystem specification guide

Patellar component dimensions .......................................................8

Femoral component dimensions .......................................................9

Tibial insert dimensions .................................................................. 10

Tibial component dimensions .......................................................... 11

Femoral stem dimensions ................................................................12

Tibial stem dimensions ....................................................................13

Tibial augment dimensions ..............................................................14

Implant compatibility ........................................................................15

Implant materials ............................................................................. 16

Collaterals .........................................................................................17

Degree of freedom .......................................................................... 18

Joint line reconstruction .................................................................. 19

Parallel femoral PS box resections ..................................................20

Femoral IM canal opening ............................................................... 21

Resection level for primary or revision ............................................22

Sawblades .......................................................................................23

Cement ....................................................................................24 - 25

Speed pins ......................................................................................26

RENOVATION™ knee extraction set ..................................................27

Product catalogue

Femoral and patella implants ..........................................................30

Tibial and insert implants ................................................................ 31

Tibial augmentation blocks .............................................................32

Patella instrumentationSet no. 7521-0206 (1 mm) [and 7521-0234 (1.27 mm)]

7520-0207 Patellar instruments (1 mm) .................................. 46 - 47

7520-0313 Patellar instruments (1.27 mm)

7520-0212 Patellar trials 8 mm (option)

7520-0251 Mill/drill AO w. coupling (option)

RENOVATION knee extraction instrumentation

7521-0243 RENOVATION knee basic set ................................48 - 49

- Extraction Clamp Spare Parts (option)

- Chisel-Blade Portfolio (option)

Instrumentation reference guide Set no. 7521-0206 (1 mm) [and 7521-0208 (1.27 mm)]

Instrumentation overview and layout ...................................... 36 - 37

7521-0231 Femoral Instruments ..............................................38 - 39

7521-0232 Drill w. AO coupling (option)

7521-0233 Femoral Trials .........................................................40 - 41

7521-0234 1.27 mm Cutting blocks set (option)

7521-0235 Tibial Instruments .................................................42 - 43

7521-0236 Tibial trials .............................................................44 - 45

7521-0237 Tibial block trials (option)

6

System specification guideThe product availability may vary by country/region.Please contact your sales representative or local product manager for further information.

7

Size D Thickness T Ø A Rim B Total H

Ø 268* Ø 21.8 2.5 12.6

10 Ø 21.8 3.9 14.6

Ø 298* Ø 21.8 2.0 12.6

10 Ø 21.8 3.6 14.6

Ø 328* Ø 21.8 1.6 12.6

10 Ø 21.8 3.6 14.6

Ø 35 10 Ø 25.8 3.5 14.6

TC-PLUS™ and RT-PLUS™ knee system use the same patellar components

• Patella design The all-poly patellar component is a symmetrical, sombrero design, for optimal tracking throughout range of motion. The reverse side presents a cement pocket and three pegs for anchorage.

• Application The same patella implant can be applied as either “onlay” or “inlay”.

• Patellar groove The femur features an anatomical inclined anterior shield to avoid notching and a 6° patellar groove tracking.

Patellar component dimensionsAll dimensions are in (mm)

* 8mm patellar components option on request.

8

Size M–L A–P a–p Box C Dist C Post D E e F G H h i j k L M Ø N

2 55 54.0 37.9 10.0 8.3 11.5 22.3 15.7 48.2 31.3 33.8 23.8 8.6 7.0 7.4 30.2 47.2 Ø 10

4 59 57.7 40.8 9.8 8.9 13.7 23.7 17.1 52.7 33.8 37.3 27.5 9.4 8.5 8.0 32.1 50.4 Ø 12

6 64 62.4 45.2 9.9 8.8 13.2 23.7 17.1 57.5 36.0 38.9 29.0 11.0 10.0 8.0 30.5 50.4 Ø 12

8 69 66.8 48.5 9.9 9.1 12.8 23.7 17.1 61.4 38.3 40.2 30.3 12.0 11.3 8.0 29.2 50.4 Ø 12

10 75 71.5 53.9 10.1 9.0 16.6 23.7 17.1 63.6 40.5 41.8 31.7 13.5 12.7 8.0 27.6 50.4 Ø 12

Femoral component dimensionsAll dimensions are in (mm)

RT-PLUS knee system is part of the seamless TC-PLUS Primary knee system

• Compatible Bone resections (femoral a/p Box) are compatible with the primary prosthesis TC-PLUS Primary knee system.

• Combination The femoral implants are available in five sizes. Each size can be combined with the next larger or smaller size (except for the smallest size 2).

• Stability The rotation peg provides security against luxation and enables a stable distraction up to 20 mm.

• Kinematic The special joint mechanism design enables a physiological roll-back of 9 mm, which improves the flexion capacity of the joint. Furthermore, the rotation peg enables physiological internal and external rotation of 10° from 15° flexion.

• Bone-saving The joint mechanism is contained in a narrow box that keeps an anterior bone bridge and requires minimum bone resection, intended to reduce the risk of femoral condyle fracture.

9

Size M–L A–P B Ø D H Thickness T

Thickness 8 11 14 8 11 14

2 60 38.5 22.0 Ø 10.1 37.6 40.6 43.6 8 11 14

4 64 41.5 23.2 Ø 12.1 38.6 41.6 44.6 8 11 14

6 68 44.5 23.2 Ø 12.1 38.7 41.7 44.7 8 11 14

8 73 48.0 23.2 Ø 12.1 38.9 41.9 44.9 8 11 14

10 78 51.5 23.2 Ø 12.1 39.4 42.4 45.4 8 11 14

RT-PLUS™ knee system offer individual intraoperative joint adaptation

• Flexible The modular tibial inserts, with three different heights (8, 11 and 14mm), enable individual intra-operative joint adjustment. The tibial components thickness of 3mm need to be added to the tibial insert height of 8mm resulting in a total tibial height of 11mm, 14mm for a tibial insert of 11mm and 17mm for a tibial insert of 14mm, respectively.

• Stability The special design anchorage of the tibial insert into the tibial component ensures high varus / valgus and hyperextension stability. Combined with the femoral peg, full freedom in rotation and distraction enable minimal joint stresses, without decreasing joint stability.

• Assembling The patented method of the securely fixed tibial insert into the tibial component enables easy and stable coupling and requires only minimal distraction of the knee joint for assembling.

• Modularity As the joint mechanisms are identical, the RT-PLUS Monobloc & RT-PLUS Modular knee system are fully compatible (example; femur RT-PLUS “Monobloc” can be combined with a tibia RT-PLUS Modular).

Tibial insert dimensionsAll dimensions are in (mm)

Important

All total tibial thicknesses are in reality 3.5mm more than the size of the insert (eg. insert 8mm + tibia 3.5mm = 11.5mm)

Minimum joint distractionlike in primary cases

Minimum tibial anchoragewith 14 mm tibial insert

10

Size M–L A–P m–l a–p B

2 65 42.0 60 37.0 19.4

4 69 45.0 64 40.0 20.4

6 73 48.0 68 43.0 21.4

8 78 51.5 73 46.5 22.6

10 83 55.0 78 50.0 23.9

RT-PLUS knee system cover a large range of revision indications

• Combination The tibial implants are available in five sizes. Each size can be combined with the next larger or smaller size (except for the smallest size 2).

• Posterior slope To improve flexion, the tibial component is designed with 3° posterior slope and need therefore to be aligned in rotation.

Tibial component dimensionsAll dimensions are in (mm)

11

Size A B C Dist D

2 105.6 95.6 10.0 106.9

4 120.0 110.2 9.8 121.4

6 121.0 111.2 9.8 122.6

8 122.2 112.3 9.9 123.7

10 123.5 113.4 10.1 125.0

Femoral stem dimensionsAll dimensions are in (mm)

RT-PLUS™ knee system offer a monobloc simple revision solution

• Anchorage The femoral anchorage is the same from size 4 to size 10 and use therefore the same reamer to perform the stem anchorage in the IM canal. Only size 2 is smaller and needed to be adapted to the anatomy (same for the femoral PS box rasp).

• Cement Between stems and reamed IM canal, the stem is surrounded by a mantel of ~1 mm bone cement. This allows the component a good stabilization and anchorage.

12

Tibial stem dimensions

Size C H D E e 1 e 2 F f 1 f 2 G Thickness T

Thickness 8 11 14 8 11 14

2 85,1 96.6 99.6 102.6 21.3 24 17.3 16.9 36 13.3 12.7 23.2 11.5 14.5 17.5

4 95,2 106.7 109.7 112.7 24.1 25 17.9 19.1 37 13.9 13.6 26.6 11.5 14.5 17.5

6 95,2 106.7 109.7 112.7 24.1 25 17.9 19.1 37 13.9 13.6 27.0 11.5 14.5 17.5

8 95,2 106.7 109.7 112.7 24.1 25 17.9 19.1 37 13.9 13.6 29.0 11.5 14.5 17.5

10 95,2 106.7 109.7 112.7 24.1 25 17.9 19.1 37 13.9 13.6 32.0 11.5 14.5 17.5

All dimensions are in (mm)

RT-PLUS knee system offer a monobloc simple revision solution

• Anchorage The tibial anchorage is the same from size 4 to size 10 and use therefore the same reamer and tibial rasp to perform the stem anchorage in the IM canal (only size 2 is smaller and adapted to the anatomy).

• Cement Between stems and reamed IM canal, the stem is surrounded by a mantel of ~1 mm bone cement. This allows the component a good stabilization and anchorage.

13

Tibial augment dimensionsAll dimensions are in (mm)

RT-PLUS™ knee system offer a tibial 10 mm augmentation block option

• Bone compensation The use of 10 mm tibial full augments, give the system the additional option to compensate larger bone defects. In total ~37 mm (10 + 27 mm) joint gap can be fulfilled.

• Fixation The augments are cemented both sides (to the components and the bone). Pay attention during cementing process, that the PE block is always clean of any material (as blood, liquid, fat, bone, etc.).

Size Thickness T M-L A-P A B C

2 10 65 42.0 23.0 23.8 7.6

4 10 69 45.0 24.4 26.0 7.7

6 10 73 48.0 24.4 26.0 8.7

8 10 78 51.5 24.4 26.0 9.9

10 10 83 55.0 24.4 26.0 11.2

14

14 (17 mm)

Thickness

11 (14 mm)8 (11 mm)

Thickness

10 mm8 mm

Ø 26 Ø 29 Ø 35Ø 32

Thickness

10 mm

Size 2 Size 6 Size 8Size 4 Size 10

LeftRight

Implant compatibilityPatellar Components SombreroCemented

Femoral Components Asymmetric - Right & Left Cemented

Tibial Inserts Symmetric

Tibial Components SymmetricCemented

Tibial Augments FullCemented 15

Implant materials

Implant Material

Composition / Abbreviation ISO Norm

Femoral Component CoCrMo ISO 5832-4

Femoral Hinge Peg X4CrMnMoMbN 20-9-5 (Rex 734) ISO 5832-9

Femoral Box Lining UHMWPE ISO 5834-2

Femoral Transversal Axe CoCrMo ISO 5832-12

Femoral Bushing UHMWPE ISO 5834-2

Tibial Component CoCrMo ISO 5832-4

Tibial Inserts UHMWPE ISO 5834-2

Tibial Insert Clamp Ti6Al4V ISO 5832-3

Tibial Augmentation Block UHMWPE ISO 5834-2

For RT-PLUS™ knee system, standard orthopedics materials are usedUHMWPE

UHMWPE

CoCrMo

Ti6Al4V

X4CrMnMoMbN 20-9-5 (Stainless steel)

CoCrMo

16

Collaterals

Collaterals Description Document No.

RT-PLUS Surgical Technique Intramedullary Application (ST) 15901 (1740)

RT-PLUS Product Information (PI) 15900 (1070)

RT-PLUS Product Overview (PO) 1345

RT-PLUS X-Ray Templates – magnification 1.15:1 1069-A-B

RT-PLUS X-Ray Templates – magnification 1:1 1585-A-B

S&N Sawblade Portfolio Product Overview (PO) 01218

RENOVATION™ Knee Extraction Surgical Technique (ST) 04044 (2025)

RENOVATION Knee Extraction Flyer (PI) 15943 (2026)

RENOVATION Knee Extraction Animated Surgical Technique (AST) 04079

The following documents are available for your assistance

All collaterals are available and can be ordered on global print on demand (POD).

ST No. 15901 (1740)

PO No. 01218

PI No. 15900 (1070)

ST No. 04044 (2025)

Surgical Technique

Revision Procedure

Knee Implant ExtractionInstrument System

The following product information is for informational and educational purposes only. It is not intended to serve as medical advice. It is the responsibility of treating physicians to determine and utilize the appropriate products and techniques according to their own clinical judgment for each of their patients. For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s applicable Instructions for Use (IFU) prior to use.

Surgical TechniqueIntramedullary Procedure

Rotating Hinge Knee System

Sawblade Thickness: 1.00mmOptional Thickness: 1.27mm

Product Identifiers – Knees II

Page 2 of 2 As of 06/02/2008

*smith&nephewRT-PLUS™ Rotating Hinged Knee

*smith&nephewRT-PLUS™

ein ksnoitatoR setrhüfegshcA

*smith&nephewTC-PLUS™ REVISION Revision Knee System

*smith&nephewTC-PLUS™ REVISIONRevisions-Kniesystem

*smith&nephewRT-PLUS™ Rotating Hinged

*smith&nephewRT-PLUS™ Modular achsgeführtes Rotations nie -K

*smith&nephewRT-PLUS™ Modular Rotating Hinged

*smith&nephewRT-PLUS™

MODULAR Modulaire rotatoire à charnière

*smith&nephew

17

Degree of freedom

Degree of Freedom / Constraint Features

Hyperextension* 7.5°

Flexion** up to 130°

Internal / external rotation from 15° flexion 10°

Varus / valgus constraint (hinge) ~ 1.5°

Stable distraction 20 mm

Physiological roll-back (extension vs. flexion) 9 mm

Liberty of hyperextension, range of motion (ROM), rotation, constraint, distraction and roll-back

* Consider the tibial component posterior slope of 3°.** Degree of flexion is finally conditioned by the patient.


18

Joint line reconstruction

Extension

Flexion Tight OK Loose

Tight 1 2 3

OK 4 5 6

Loose 7 8 9

Re-establishing the joint line

Extensor apparatus needs to be stable in place. If not, a rigid hinge or an arthrodesis needs to be considered.

The figure below shows three anatomical landmarks that can be used during revision surgery to re-establish the joint line. While there are others, these three landmarks can be used as a quick reference to ensure that the new implants reconstruct the joint line at the appropriate level.

The three measurements are:• Epicondyle centre ▷ ~25–30 mm• Inferior patellar pole ▷ ~10–30 mm• Fibula head ▷ ~15–20 mm

Flexion / Extension matrix

1. Resect more tibia.2. Downsize the femoral component.3. Lower joint line by augmenting distal femur.4. Resect more distal femur.5. Assess, finalise and proceed.6. Lower joint line by augmenting distal femur.7. Move femoral component proximally and use thicker insert.8. Upsize femoral component.9. Use a thicker tibial insert.

Important

Pay attention to the resulting patella position (baja or alta).

Epicondyle center

25-30mm

15-20mm10-30mm

Patella

Fibula headJoint line

19

Parallel femoral PS box resectionsWith cemented tapered femoral stem, the PS box preparation can be performed flush to the box (parallel resections)

During inserting the femoral component, as the component is not firmly driven by the stem (tapered with cement mantel), the femoral component is placed carefully entering lateral in the femoral PS box! Be aware

• by using cemented conical stem, the PS box can be performed parallel, as the femoral component is not firmly driven by the stem.• by using non-cemented cylindrical stem, especially with long stem, the PS box has to be performed tapered, parallel to stem axis (6° valgus), to exclude medial

condyle impingement with the medial edge of the PS box and eventually risk of femoral medial fracture during femoral reposition.

Cemented Conical Stems Non-Cemented Cylindrical Stems

6°

20

Femoral and tibial IM canal openingFemoral opening for primary or revision procedure

To avoid notching, for the femur canal opening, we recommend usingthe adjustable IM femoral drill guide. The anterior gauge, which isinserted under the quadriceps, lies flat against the anterior femoralcortical bone in the direction of the femoral anatomical axis. The distalstop of the gauge should lie flush on the condyles. The distal resectionneeds to point in the direction of the femoral mechanical axis andneeds to be positioned medial to “Whiteside’s line” (3 to 4 mm).

Tibial opening for primary or revision procedure

To enable ideal tibial opening, the tibial sizer can be used and placed onto the proximal bone resection for revision procedure. For primary procedures, the intercondylar eminence has to be resected first, in order to enable stable positioning of the tibial sizer. Free hand, the drill is positioned centrally M/L and A/P ⅓ of the distance from anterior.

Place laterally, flush onto the anterior femoral edge

Too medial, notching OK, no notching

3 to 4 mm medial

Primary procedure Primary procedure

Revision procedure Revision procedure

21

Resection level for primary or revisionFemoral resection level for primary or revision procedure Distal resection is performed with 6° valgus to the femoral anatomical axe.

Tibial resection level for primary or revision procedure Note that the 3° posterior slope is integrated in the suspension devise.

9 mm resection, without distal spacer, for Primary case

11 mm stylus / resection for Primary case

2 mm resection, with distal spacer, for Revision case (resurfacing cut)

1 mm stylus / resection for Revision case (resurfacing cut)

6°

3°

22

Sawblades for precise bone resections

Coupler Type Thickness T = 1.00 Thickness T = 1.27

Width W 13 22 13 19 22

SAP No. / Art. No. SAP No. / Art. No. SAP No. / Art. No. SAP No. / Art. No. SAP No. / Art. No.

Synthes / Zimmer 5478-0017 7509-9701 7510-0950 7510-1992 7509-9606

Aesculap 5478-0018 5478-0019 7510-0952 7510-2009 5478-0028

Aesculap 3Ti 5478-0020 5478-0021 7510-2010 7510-2011 5478-0029

Linvatec Hall 5478-0022 5478-0023 5478-0030 5478-0031 5478-0032

Stryker 5478-0049 5478-0050 5478-0051 5478-0052 5478-0053

DeSoutter 7510-2433 7510-2434 7510-2435 7510-2438 7510-2436

MicroAire 7510-2442 7510-2443 7510-2444 7510-2445 -

Recommended sawblade portfolio* used in combination with RT-PLUS™ knee system

* Please refer to the complete sawblade portfolio overview (document no. 01218) for further sawblade dimensions.


23

CementBone cement Better outcomes through better predictability

Description Dose Viscosity AntibioticsReferences (For Europe)

References (For USA)

References (For IRAMEA)

SAP No. / Art. No. SAP No. / Art. No. SAP No. / Art. No.

RALLY™ HV 40 g High - 7127-1560 7127-1560 5560-0009

RALLY HV AB 40 g High Gentamicin 5560-0013 7127-1570 5560-0010

RALLY MV 40 g Medium - 7127-1580 7127-1580 5560-0011

RALLY MV AB 40 g Medium Gentamicin 5560-0014 7127-1590 5560-0012

RALLY HV ABAll-in-One System

70 g High Gentamicin 5560-0015 7127-1600 -

RALLY MV ABAll-in-One System

70 g Medium Gentamicin 5560-0016 7127-1680 -

Please refer to product specifications and the catalogue overview (document no. 04891, 04139 and 05456) for further specific products and product information.

Smith & Nephew offers a comprehensive range of products to meet all cementing needs.

RALLY bone cement means options for each surgeon’s needs through reliability, visibility and consistency.

RALLY HV

RALLY All-in-One System

RALLY MV

HV: high viscosityMV: medium viscosityAB: antibiotics

24

Cement

Description References

SAP No. / Art. No.

RALLY™ All-in-One Cement Gun 7127-1610

VORTEX™ Cement Gun 7127-2001

VORTEX Standard Breakaway Nozzle 7127-0080

VORTEX Long Tapered Nozzle 7127-0081

VORTEX Angled Nozzle 7127-0082

VORTEX Revision Nozzle 7127-0084

VORTEX Umbrella Nozzle 7127-0085

VORTEX Nozzle Adaptor 7127-0072

VORTEX Vacuum Mixing System 7127-0070

VORTEX Re-Use Kit 7127-0071

VORTEX Vacuum Mixing Bowl 7127-0068

MIXOR Vacuum Mixing System with Syringe 7127-0020

Mixing Bowl with Spatula 210098

Mixer and dispensing accessories Best practices in cementing for better outcomes

Please refer for further specific products to the complete bone cement catalogue overview (document no. 04139).

RALLY All-in-One Cement Gun

VORTEX Vacuum Mixing Bowl

VORTEX Nozzle

VORTEX Vacuum Mixing System

25

Speed pins for optimal cutting block fixation

Various speed pin types and lengths are available

Description Length L Ø References

SAP No. Art. No.

Speed pin with Rim 30* 30 Ø 3.2 7500-6487 42000089

Speed pin with Rim 45* 45 Ø 3.2 7501-8973 42000176

Speed pin 65* 65 Ø 3.2 7500-9338 SYS251354

Speed pin 80* 80 Ø 3.2 7500-9339 SYS251355

Speed pin 110* 110 Ø 3.2 7500-9340 SYS251356

Description Coupler Type References

SAP No. Art. No.

Speed pin adapter AO 7500-9310 SYS251316

* offered in package of 6 pins

Adapter with AO connection required for use of speed pins


Speed Pin Rimmed

Speed Pin

Speed Pin Driver

26

RENOVATION™ knee extraction setFor optimal knee components extraction

RENOVATION knee extraction set offers specific instruments to release various knee components

• The set consists of - A basic set, where large option of specific extraction instruments are offered to remove various knee implants from the bone - Specific knee sterile chisel blades, to dissociate even difficult to access implants from the bone in any zone - Thin sterile sawblades, in addition to the chisel blades, to dislocate the implants in the easy to access zones

• Collaterals For more details and references, please check within surgical technique (document no. 04044)

27

Notes28

Product catalogueThe product availability is country/region specific.Please contact your sales representative or local product manager for further information.

29

Size Right Left

SAP No. Art. No. SAP No. Art. No.

2 7500-5494 24102 7500-5499 24122

4 7500-5495 24104 7500-5500 24124

6 7500-5496 24106 7500-5501 24126

8 7500-5497 24108 7500-5502 24128

10 7500-5498 24110 7500-5503 24130

Size Thickness 8 mm* Thickness 10 mm

SAP No. Art. No. SAP No. Art. No.

Ø26 7500-4784 21182 7500-4787 21192

Ø29 7500-4785 21183 7500-4788 21193

Ø32 7500-4786 21184 7500-4789 21194

Ø35 - - 7500-4790 21195

RT-PLUS™ Femoral ComponentsFull cemented (CoCrMo)

TC-PLUS™ / RT-PLUS Patellar Components Cemented (UHMWPE)

* 8 mm patellar components on request.

Femoral and patella implants30

Size Symmetrical

SAP No. Art. No.

2 7500-5504 24142

4 7500-5505 24144

6 7500-5506 24146

8 7500-5507 24148

10 7500-5508 24150

RT-PLUS™ Tibial Components Full cemented (CoCrMo)

RT-PLUS / RT-PLUS Modular Tibial Inserts (UHMWPE)

Size Thickness 8 mm Thickness 11 mm Thickness 14 mm

SAP No. Art. No. SAP No. Art. No. SAP No. Art. No.

2 7500-5461 24046 7500-5470 24047 7500-5481 24048

4 7500-5482 24056 7500-5483 24057 7500-5484 24058

6 7500-5485 24066 7500-5486 24067 7500-5487 24068

8 7500-5488 24076 7500-5489 24077 7500-5490 24078

10 7500-5491 24086 7500-5492 24087 7500-5493 24088

Tibial and insert implants

31

Size Thickness 10 mm

SAP No. Art. No.

2 7500-5509 24151

4 7500-5510 24153

6 7500-5511 24155

8 7500-5512 24157

10 7500-5513 24159

RT-PLUS™ Tibial Blocks Proximal (Full Blocks) Cemented both side (UHMWPE)

Cemented both side, the PE surfaces need to be clean of blood or any other material or liquid.

Tibial augments32

Notes

33

Notes34

Instrumentation reference guideThe product availability is country/region specific.Please contact your sales representative or local product manager for further information.

35

4 cases + 1 case (Patella) + 1 case (RENOVATION™ knee extraction) Simple instrument set for hinge segment

Femoral instruments case Pages 38 - 39

Femoral trials casePages 40 - 41

Tibial instruments casePages 42 - 43

Tibial trials casePages 44 - 45

TibiaFemur

RT-PLUS™ instrumentation overview and layoutSet no. 7521-0206 (use 1 mm sawblades) & set no. 7521-0208 (use 1.27 mm sawblades)

36

Knee extraction casePages 48 - 49

Patella (optional)

RENOVATION Knee(optional)

Patellar instruments casePages 46 - 47

37

Case #7521-0231 (0944270) Femoral Instruments

RT-PLUS™ instrumentation Part of set no. 7521-0206 (1 mm) [& 7521-0208 (1.27 mm)]

weight*: 8.20 kg

L

M

N

O

1

2

3

5

6

7

8

9

J

K

4

* weight of instrument case with content

38

SAP No. Art. No. Description Size Qty

7500-5069 22000403 Case Femoral Instruments, Empty - 17500-7661 990019 Case Lid - 17500-5077 22000416 IM Femoral Drill Guide, Adjustable Ø 14 mm 17500-5902 252746 Resection Stylus (1 mm)* - 17500-7148 600187 Femoral Suspension Device Revision - 17500-7144 600183 Femoral Distal Spacer Revision 7 mm 17500-7145 600184 Femoral Bushing 6° 17500-5057 22000380 Femoral Sizer 2 17500-5058 22000381 Femoral Sizer 4 17500-5059 22000382 Femoral Sizer 6 17500-5060 22000383 Femoral Sizer 8 17500-5061 22000384 Femoral Sizer 10 17510-5052 22000373 Femoral Cutting Block (1 mm)* 2 17510-5053 22000374 Femoral Cutting Block (1 mm)* 4 17510-5054 22000375 Femoral Cutting Block (1 mm)* 6 17510-5055 22000376 Femoral Cutting Block (1 mm)* 8 17510-5056 22000377 Femoral Cutting Block (1 mm)* 10 17510-0222 22000548 Centering Template (1 mm)* - 17500-5857 252068 Quick Lock Handle - 27500-5663 251073 IM Drill with Starter Tip** Ø 8 mm 17500-5079 22000418 Stepped Drill with Stop** Ø 8 / 14 mm 17500-5659 251065 Pin Drill** Ø 3.2 mm 27500-7140 600179 Bone Pin 75 mm 4

Case #7521-0231 (0944270) Femoral Instruments

Optional Drills with AO Coupling (on request) Set no. 7521-0232 (0944271)


7500-7141 600180 Bone Pin 100 mm 47500-7138 600177 Bone Pin with Head 25 mm 47500-7139 600178 Bone Pin with Head 38 mm 47501-8329 7501-8329 Allen Wrench SW 3.5 17500-5420 240391 Pin Extractor - 17509-9152 22000539 Box Saw Guide EM (1 mm)* 2 17509-9153 22000540 Box Saw Guide EM (1 mm)* 4-10 17500-5455 240451 Box Rasp 2 17500-5456 240452 Box Rasp 4-10 1


7500-5673 251097 IM Drill with Starter Tip (AO)** Ø 8 mm 17500-5078 22000417 Stepped Drill with Stop (AO)** Ø 8 / 14 mm 17500-5672 251096 Pin Drill (AO)** Ø 3.2 mm 1

** This optional drills, with AO coupler, can be exchanged into the femoral instruments case.

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* These items need to be exchanged to use 1.27 mm sawblade. See all items needed on page 41.

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RT-PLUS™ instrumentationPart of set no. 7521-0206 (1 mm) [& 7521-0208 (1.27 mm)]

Case #7521-0233 (0944272) Femoral Trials

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weight*: 9.25 kg

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7500-5070 22000404 Case Femoral Trials, Empty - 17500-7661 990019 Case Lid - 17500-5327 240051 Femoral Trial Left 2 17500-5314 240023 Femoral Trial Left 4 17500-5315 240024 Femoral Trial Left 6 17500-5316 240025 Femoral Trial Left 8 17500-5328 240052 Femoral Trial Left 10 17500-5329 240053 Femoral Trial Right 2 17500-5320 240040 Femoral Trial Right 4 17500-5321 240041 Femoral Trial Right 6 17500-5322 240042 Femoral Trial Right 8 17500-5330 240054 Femoral Trial Right 10 17500-7169 600238 Curved Osteotome - 17500-5359 240135 Knock In / Out Instrument - 17500-5063 22000395 Adapter to Modular Handle SW 6 1

Case #7521-0233 (0944272) Femoral Trials

Optional 1.27 mm Cutting Blocks (on request) Set no. 7521-0234 (0944273)


7501-7385 22000442 Resection Stylus (1.27 mm)* - 17501-0750 22000387 Femoral Cutting Block (1.27 mm)* 2 17501-0751 22000388 Femoral Cutting Block (1.27 mm)* 4 17501-0752 22000389 Femoral Cutting Block (1.27 mm)* 6 17501-0753 22000390 Femoral Cutting Block (1.27 mm)* 8 17501-0754 22000391 Femoral Cutting Block (1.27 mm)* 10 17510-0223 22000549 Centering Template (1.27 mm)* - 17502-3715 22000511 Box Saw Guide EM (1.27 mm)* 2 17502-3716 22000512 Box Saw Guide EM (1.27 mm)* 4-10 17509-5269 22000524 Femoral / Tibial Cutting Block (1.27mm)* - 1

* This optional instruments enables use of the set with 1.27 mm sawblade (instead of 1 mm). Find 1 mm instruments at page 39 and 43.

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RT-PLUS Instruments Set (1.27 mm) Set no. 7521-0208 (0944262)

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Case #7521-0235 (0944274) Tibial Instruments

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7500-5071 22000405 Case Tibial Instruments, Empty - 17500-7661 990019 Case Lid - 17502-3718 22000514 Holder Tibial Resection Guide IM - 17502-3719 22000515 Support Tibial Resection Guide IM - 17509-9151 22000538 Femoral / Tibial Cutting Block (1mm)* - 17501-0947 600173 Tibial Stylus 1 mm / 11 mm 17500-7168 600232 IM Rod Ø 8 mm 17500-5067 22000401 Reamer Ø 14 mm Long 17500-5068 22000402 Reamer Ø 14 mm Short 17500-7098 600112 Reamer Handle - 17500-7202 600300 Modular Handle - 27500-5076 22000415 Adapter to Modular Handle SW 6 17500-7190 600288 Impactor Small 17500-7191 600289 Impactor Large 17500-5457 240455 Spacer 8 mm 17500-5458 240456 Spacer 11 mm 17500-5459 240457 Spacer 14 mm 17500-5382 240230 Spacer Attachment 10 mm 27501-8080 22000443 Chisel Handle - 17510-0517 7510-0517 Chisel Blade 10 mm / 40 mm 1

* This item need to be exchanged to use 1.27 mm sawblade. See all items needed on page 41.

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Case #7521-0235 (0944274) Tibial Instruments

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Case #7521-0236 (0944275) Tibial Trials


weight*: 6.50 kg

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Case #7521-0236 (0944275) Tibial Trials Optional Tibial Block Trials (on request) Set no. 7521-0237 (0944276)


7510-0392 22000569 Case Tibial Trials, Empty - 17500-7661 990019 Case Lid - 17500-5331 240055 Tibial Trial 2 17500-5317 240026 Tibial Trial 4 17500-5318 240027 Tibial Trial 6 17500-5319 240028 Tibial Trial 8 17500-5332 240056 Tibial Trial 10 17500-5064 22000398 Tibial Insert Trial 2 / 8 mm 17500-5065 22000399 Tibial Insert Trial 2 / 11 mm 17500-5066 22000400 Tibial Insert Trial 2 / 14 mm 17500-5333 240075 Tibial Insert Trial 4-10 / 8 mm 17500-5334 240076 Tibial Insert Trial 4-10 / 11 mm 17500-5335 240077 Tibial Insert Trial 4-10 / 14 mm 17500-5026 22000318 Tibial Sizer 2 17500-5027 22000319 Tibial Sizer 4 17500-5028 22000320 Tibial Sizer 6 17500-5029 22000321 Tibial Sizer 8 17500-5030 22000322 Tibial Sizer 10 17500-7137 600175 Tibial Sizer Handle - 17500-7135 600172 Axial Alignment Rod (I/II) - 17500-5074 22000412 Tibial Rasp 2 17500-5075 22000413 Tibial Rasp 4-10 17500-5371 240176 Plug Inserter (I/II) - 17500-5372 240177 Impacting Connection - 1


7500-5375 240200 Tibial Block Trial* 2 / 10 mm 17500-5376 240201 Tibial Block Trial* 4 / 10 mm 17500-5377 240202 Tibial Block Trial* 6 / 10 mm 17500-5378 240203 Tibial Block Trial* 8 / 10 mm 17500-5379 240204 Tibial Block Trial* 10 / 10 mm 17500-5382 240230 Spacer Attachment* 10 mm 2**

* This optional instrument set, enable the use of 10 mm tibial block.

** This item is already available in tibial instruments list on page 43

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RT-PLUS™ instrumentation

Case #7520-0207 (0944003) Patellar Instruments

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weight*: 6.20 kg

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7501-8088 22000451 Case Patellar Instruments, Empty - 17500-7661 990019 Case Lid - 17500-5702 251204 Patellar Clamp - 17500-5881 252203 Patellar Clamp Cutting Guide (1 mm)* - 17500-5723 251292 Patellar Trial Ø 26 / 10 mm 17500-5724 251293 Patellar Trial Ø 29 / 10 mm 17500-5725 251294 Patellar Trial Ø 32 / 10 mm 17500-5726 251295 Patellar Trial Ø 35 / 10 mm 17500-5717 251278 Patellar Drill with Stop** Ø 5.5 mm 17500-5719 251282 Patellar Sizer - 17500-5716 251277 Patellar Inserter - 17500-5707 251230 Patellar Clamp Bushing Ø 26 mm 17500-5708 251231 Patellar Clamp Bushing Ø 29 mm 17500-5709 251232 Patellar Clamp Bushing Ø 32 mm 17500-5710 251233 Patellar Clamp Bushing Ø 35 mm 17500-5711 251240 Patellar Drill Guide Ø 26 mm 17500-5712 251241 Patellar Drill Guide Ø 29 mm 17500-5713 251242 Patellar Drill Guide Ø 32 mm 17500-5714 251243 Patellar Drill Guide Ø 35 mm 17500-5706 251216 Patellar Mill with Stop** Ø 26 mm 17500-5720 251283 Patellar Mill with Stop** Ø 29 mm 17500-5721 251284 Patellar Mill with Stop** Ø 32 mm 17500-5722 251285 Patellar Mill with Stop** Ø 35 mm 17500-5034 22000327 Bone Thickness Sizer - 1

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Case #7520-0207 (0944003) Patellar Instruments


7501-6490 42000093 Patellar Clamp Cutting Guide (1.27 mm)* - 1


7500-5703 251209 Patellar Trial Ø 26 / 8 mm 17500-5704 251210 Patellar Trial Ø 29 / 8 mm 17500-5705 251211 Patellar Trial Ø 32 / 8 mm 1


7500-4871 22000038 Patellar Drill with Stop (AO)** Ø 5.5 mm 17500-4989 22000280 Patellar Mill with Stop (AO)** Ø 26 mm 17500-4990 22000281 Patellar Mill with Stop (AO)** Ø 29 mm 17500-4991 22000282 Patellar Mill with Stop (AO)** Ø 32 mm 17500-4992 22000283 Patellar Mill with Stop (AO)** Ø 35 mm 1

Patellar Instruments Set (1.27 mm) Set no. 7520-0313 (0944183)

Optional Patellar Trials 8 mm (on request) Set no. 7520-0212 (0944008)

Optional Mill / Drill with AO Coupling (on request) Set no. 7520-0251 (0944049)

* This optional instrument enables use of the set with 1.27 mm sawblade (instead of 1 mm).

** This optional mill / drill, with AO coupling, can be exchanged into the patellar instruments case.* This item need to be exchanged to use 1.27 mm sawblade.47

RENOVATION™ knee extraction instruments set

Case #7521-0243 (0944290) RENOVATION Knee Basic Set

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weight*: 5.95 kg

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Case #7521-0243 (0944290) RENOVATION Knee Basic Set

SAP No. / Art. No. Description Size Qty

7510-0391 Case Knee Extraction Instr., Empty - 17510-0389 Case Lid Extraction Instruments - 17510-0394 Slap Hammer - 17510-0382 Extraction Clamp - 17510-0388 Offset Puncher - 17510-0387 Hook Adapter for Slap Hammer - 17510-0390 Chisel Handle - 27501-8329 Allen Key SW3.5 1

SAP No. / Art. No. Description Size Qty

7510-0684 Extraction Clamp Jaw (for 1 Side / Sym.) - 17510-2091 Extraction Clamp Screw (for 1 Side / Sym.) - 1

SAP No./Art. No. Description Size Qty

7510-0516* Chisel Blade 8 × 40 × 1 mm S 17510-0517 Chisel Blade 10 × 40 × 1 mm S 17510-0518 Chisel Blade 12 × 40 × 1 mm S 17510-0519 Chisel Blade 10 × 60 × 1 mm S 17510-0520 Chisel Blade 12 × 60 × 1 mm S 17510-0521 Long Chisel Blade 8 × 120 × 1 mm S 17510-0522 Long Chisel Blade 10 × 120 × 1 mm S 17510-0523 Offset Chisel Blade 8 × 27 × 1 mm – O15 S 17510-0524 Offset Chisel Blade 10 × 27 × 1 mm – O15 S 17510-0525 Lateral Chisel Blade 8 × 38 × 1 mm – R10 C 17510-0526 Lateral Chisel Blade 10 × 35 × 1 mm – R25 C 17510-0527 Lateral Chisel Blade 10 × 68 × 1 mm – R100 C 17510-0528 Radial Chisel Blade 9 × 120 × 1 mm – Ø12 S 17510-0529 Radial Chisel Blade 13 × 120 × 1 mm – Ø18 S 17510-0530 Radial Chisel Blade 17 × 120 × 1 mm – Ø24 S 1

Extraction Clamp Spare Parts (option on request) As the sharp edge of the extraction clamp jaw get worn after a certain time, spare parts are available on request.

Chisel-Blades Portfolio (Sterile – Single Use) 1 mm thick (option on request) To release first the femoral, tibial or patellar components from the bone, thin sterile specific knee chisel blades are available.

Thin sterile sawblades (0.4 - 0.5 mm), to release the components from the bone, short & long, with different power-tool connections, are also available. For detail see ST no. 04044 (2025).

* Not available in the US as a stand alone item.

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Efficiency in Motion

Smith & Nephew Orthopaedics AGOberneuhofstrasse 10d6340 BaarSwitzerland

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Smith & Nephew, Inc.1450 Brooks RoadMemphis, TN 38116USA

Celebrating

System specification guide and product catalog RT-PLUS™ - … · 2020. 2. 19. · Tibial augment dimensions. All dimensions are in (mm) RT-PLUS™ knee system offer a tibial 10

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