 After it was stemmed and broached, these were removed and the patella was then incised, a size 41 patella reamer blade was then used and was taken down, a size 38 patella button was then placed intact. 
After it was stemmed and broached , these were removed and the patella was then incised , a size 41 patella reamer blade was then used and was taken down , a size 38 patella button was then placed intact .