The Zimmer NexGen Precoat Pegged Tibial Plate supports Zimmer’s vision in MIS products and surgical techniques. With its proven clinical history in the Zimmer M/G ® and MG II ® Total Knee Systems, the NexGen Precoat Pegged Tibial Plate is MIS procedure friendly and addresses many issues relating to surgical procedure, implantation, and future revision TKA.
The Zimmer NexGen Precoat Pegged Tibial Plate is proven to have excellent long-term clinical results.1 The clinical performance of the NexGen Knee has been followed for 7 years in a prospective, open, multi-center outcomes study consisting of 11,257 patients and 13,250 cases collected by 243 surgeons throughout the United States. Annual radiographic follow-up to 5 years shows the incidence of radiolucency to be very infrequent for pegged tibial plates.
The Zimmer NexGen Precoat Pegged Tibial Plate does not invade/pressurize the tibial IM canal, minimizing the potential for fat emboli. Its tibial preparation approach conserves more bone versus traditional stemmed tibial plates, preserving bone stock if/when revision TKA is needed.
The Zimmer NexGen Precoat Pegged Tibial Plate requires no drilling and broaching of the tibial IM canal. Also, no insertion of a separate provisional tibial plate is necessary (the tibial sizing plate serves double-duty as a provisional).
The low-profile design of the NexGen Precoat Pegged Tibial Plate helps minimize the potential for A/P cortical impingement inside the tibial IM canal and allows surgeons to cut the proximal tibia at the angle of their choice. Keeled plates offer less flexibility on posterior slope cut angles because the keel can more easily impinge/perforate the tibial cortex in the IM canal.
There are no holes in the NexGen Precoat Pegged Tibial Plate, eliminating the possibility of polyethylene cold flow into screw holes.
This device is indicated for patients with severe knee pain and disability due to:
The salvage of previously failed surgical attempts or for a knee in which satisfactory stability in flexion cannot be obtained at the time of surgery.
NexGen Trabecular Metal Tibial Trays may be used with or without bone cement (biological fixation). NexGen MIS Tibial Components and MIS Modular Tibial Plates and Keels are intended for cemented use only.
Check the appropriate knee implant size matching chart for component matching instructions. Mismatching may result in poor surface contact and could produce pain, decrease wear resistance, produce instability of the implant, or otherwise reduce implant life.
Use only instruments and provisionals specifically designed for use with these devices to help ensure accurate surgical implantation, soft-tissue balancing, and evaluation of knee function.
Total knee arthroplasty is contraindicated in patients who have rheumatoid arthritis (RA) and an ulcer of the skin or a history of recurrent breakdown of the skin because their risk of postoperative infection is greater. RA patients using steroids may also have increased risk of infection. Late infections in RA patients have been reported 24+ months postoperative.