Asymmetric tibial components for a knee prosthesis

• US 10,195,041 B2
• Filed: 09/13/2017
• Issued: 02/05/2019
• Est. Priority Date: 07/24/2010
• Status: Active Grant

• Current Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Wentorf, Mary S. S., Grey, Calie B., Cronin, Shaun R., Dykema, Scott
• Primary Examiner(s): Willse, David H
• Assistant Examiner(s): Blanco, Javier
• Application Number:
  US15/703,713
• Publication Number:
  US 20180000602A1
• Time in Patent Office: 510 Days
• Field of Search: 623 2014, 623 2031- 2034, 623 2344
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/30326 differing in height or in length
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30403 Longitudinally-oriented cooperating ribs and grooves on mating lateral surfaces of a mainly longitudinal connection
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30706 specially designed for children, e.g. having means for adjusting to their growth
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

Abstract

An orthopedic tibial prosthesis includes a tibial baseplate with features designed for use with small-stature knee-replacement patients. The tibial prosthesis may include a shortened tibial keel, tibial keel fins which define a large angle with respect to a longitudinal axis of the keel, and/or tibial keel fins which extend along less than the entire longitudinal extent of the keel.

Claims

1. A small-stature tibial baseplate, comprising:

a tibial plateau having an overall medial/lateral extent of between about 57 mm and about 61 mm and an overall anterior/posterior extent substantially perpendicular to the overall medial/lateral extent of between 40 mm and 43 mm, the tibial plateau including;

a distal surface sized and shaped to substantially cover a proximal resected surface of a tibia;

a proximal surface opposite the distal surface, the proximal surface having a lateral compartment and a medial compartment opposite the lateral compartment, the lateral compartment is asymmetric with respect to the medial compartment about a component anteroposterior axis to define a component asymmetry; and

a peripheral wall extending between the distal surface and the proximal surface;

a tibial keel extending distally from the distal surface of the tibial plateau to define a longitudinal tibial keel axis; and

a medial fin and a lateral fin spanning a junction between the tibial keel and the distal surface, the medial fin and the lateral fin cooperating to define a medial/lateral fin extent of about 40 mm.

2. The small-stature tibial baseplate of claim 1, wherein a total surface area bounded by the peripheral wall of the tibial plateau is between about 1390 mm2 and about 1580 mm2.

3. The small-stature tibial baseplate of claim 1, wherein each of the medial fin and the lateral fin have a fin edge with a planar portion defining an angle of about 45 degrees with respect to the longitudinal tibial keel axis.

4. The small-stature tibial baseplate of claim 1, wherein the tibial keel defines a longitudinal extent equal to about 27 mm as measured from the proximal surface.

5. The small-stature tibial baseplate of claim 1, wherein the medial fin and the lateral fin extend along less than an entire longitudinal extent of the tibial keel.

6. The small-stature tibial baseplate of claim 5, wherein the medial fin and the lateral fin extend along about 74% of the entire longitudinal extent of the tibial keel.

7. The small-stature tibial baseplate of claim 1, wherein the tibial keel is formed as a monolithic, one-piece keel.

8. The small-stature tibial baseplate of claim 7, wherein the tibial keel is monolithically formed with the tibial plateau.

9. The small-stature tibial baseplate of claim 1, wherein the tibial keel comprises:

a first diameter at the junction between the distal surface and the tibial keel; and

a second diameter at a distal tip of the tibial keel, the first diameter larger than the second diameter.

10. The small-stature tibial baseplate of claim 9, wherein the first diameter is about 17.1 mm and the second diameter is about 13.4 mm.

11. The small-stature tibial baseplate of claim 9, wherein the tibial keel comprises a tapered outer profile extending between the first diameter and the second diameter.

12. The small-stature tibial baseplate of claim 1, wherein the tibial keel defines a longitudinal extent, the tibial keel having a minimum diameter along the longitudinal extent of at least 13 mm.

13. The small-stature tibial baseplate of claim 1, wherein the tibial keel comprises a tapered bore extending proximally into the tibial keel from a distal tip of the tibial keel, the tapered bore sized to receive a correspondingly tapered proximal end of a tibial stem extension, such that the tapered proximal end of the tibial stem extension forms a locking taper connection with the tapered bore.

14. The small-stature tibial baseplate of claim 13, wherein:

the tibial keel comprises a set screw aperture extending from an outer surface of the tibial keel to an inner surface defined by the tapered bore; and

the tapered proximal end of the tibial stem extension comprises an annular groove positioned to align with the set screw aperture when the locking taper connection is formed between the tibial stem extension and the tapered bore.

15. The small-stature tibial baseplate of claim 14, in combination with a set screw receivable within the set screw aperture, the set screw extending into the annular groove to form a secondary locking mechanism preventing relative axial movement between the tibial stem extension and the tibial keel when the locking taper connection is formed between the tibial stem extension and the tapered bore.

16. A small-stature tibial baseplate, comprising:

a tibial plateau having an overall medial/lateral extent of between about 57 mm and about 61 mm and an overall anterior/posterior extent substantially perpendicular to the overall medial/lateral extent of between 40 mm and 43 mm, the tibial plateau including;

a distal surface sized and shaped to substantially cover a proximal resected surface of a tibia;

a proximal surface opposite the distal surface, the proximal surface having a lateral compartment and a medial compartment opposite the lateral compartment, the lateral compartment is asymmetric with respect to the medial compartment about a component anteroposterior axis to define a component asymmetry; and

a peripheral wall extending between the distal surface and the proximal surface;

a tibial keel extending distally from a junction with the distal surface to an opposing distal tip, the tibial keel positioned so as to substantially coincide with an intramedullary canal of the tibia when the distal surface is placed upon the tibia, the tibial keel comprising a first diameter at the junction between the distal surface and the tibial keel and a second diameter at the distal tip of the tibial keel, each of the first diameter and the second diameter equal to or greater than 13 mm, the first diameter greater than the second diameter; and

a medial fin and a lateral fin each spanning a portion of the junction between the tibial keel and the tibial plateau, the medial and lateral fins mating with the distal surface at the medial compartment and the lateral compartment, respectively, wherein the medial and lateral fins cooperate to define a medial/lateral fin extent of about 40 mm and the medial lateral/fin extent extends along at least about 70% but less than an entirety of an overall medial/lateral extent of the tibial plateau.

17. The small-stature tibial baseplate of claim 16, wherein the tibial keel comprises a tapered outer profile extending between the first diameter and the second diameter.

18. The small-stature tibial baseplate of claim 16, wherein each of the medial fin and the lateral fin have a fin edge with a planar portion defining an angle of about 45 degrees with respect to the longitudinal tibial keel axis.