Remove the Trial Components and irrigate the
wound thoroughly
Three horizontal mattress sutures of 2-0 polyester
are placed through small bone holes along the
dorsal rim of the distal radius for later capsule
closure. If the ulnar head was resected, place
sutures through its dorsal neck.
When indicated by the surgeon, bone cement is
prepared in the usual manner and injected into
the cavities for the carpal and radial component
stems just prior to final implantation
Mount the Carpal Plate onto the Impactor and
drive it into the capitate hole while maintaining
proper position
Insert the 4.5mm Bone Screws (radial and ulnar
sides) and tighten firmly
Remove any remaining K-Wires from the carpus
Using the Radial Impactor, the Radial Implant
Component is driven into the metaphysis with care
to maintain proper alignment
OPTIONAL: Apply the Trial Polyethylene Component
to confirm the proper size for joint motion and
stability
Using the Impactor, the Polyethylene Component
is snapped onto the plate with firm mallet taps.
Confirm the Polyethylene Component is completely
engaged onto the Carpal Plate
(Figure 13).
Reduce the prosthesis and make a final assessment
of wrist motion, balance and stability
