Systems and methods for joint replacement

• US 10,238,510 B2
• Filed: 09/27/2017
• Issued: 03/26/2019
• Est. Priority Date: 07/24/2009
• Status: Active Grant

• Current Assignee: Orthalign, Inc.
• Original Assignee: Orthalign, Inc.
• Inventors: van der Walt, Nicholas, Shapiro, Charles, Lane, Richard, Ryan, Matt
• Primary Examiner(s): Sevilla, Christian
• Application Number:
  US15/716,971
• Publication Number:
  US 20180168826A1
• Time in Patent Office: 545 Days
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06

Abstract

Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device, a reference sensor device, and at least one orthopedic fixture. The surgical orientation device, reference sensor device, and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, or otherwise to assist in an orthopedic procedure(s).

Claims

1. A method of orthopedic surgery, comprising:

coupling an orthopedic fixture to a bone of a patient, wherein the orthopedic fixture comprises a first interface and a second interface;

coupling a first orientation device to the first interface, wherein the first orientation device tracks a relative position of the bone;

coupling a second orientation device to the second interface, the second orientation device configured to be coupled to a resection guide, wherein the second orientation device comprises a display to provide information to a user regarding an orientation of the second orientation device; and

performing a resection based on information provided on the display.

2. The method of claim 1, further comprising acquiring at least one landmark to determine a location of a mechanical axis passing through the bone.

3. The method of claim 1, wherein the orientation of the second orientation device is determined in at least two reference positions.

4. The method of claim 1, wherein the second orientation device provides information indicating whether the second orientation device is aligned with a plane containing a mechanical axis of the bone.

5. The method of claim 1, wherein the resection is a tibial resection.

6. The method of claim 1, wherein the resection is a femoral resection.

7. The method of claim 1, further comprising moving the first interface and the second interface relative to each other.

8. The method of claim 1, further comprising adjusting a posterior/anterior slope of the second orientation device.

9. The method of claim 1, further comprising adjusting a varus/valgus slope of the second orientation device.

10. The method of claim 1, further comprising determining a location of a mechanical axis with the second orientation device.

11. A method of orthopedic surgery, comprising:

coupling an orthopedic fixture to a bone of a patient, wherein the orthopedic fixture comprises a reference interface and an orientation interface;

coupling a reference device to the reference interface, wherein the reference device tracks a relative position of the bone;

coupling an orientation device to the orientation interface, wherein the orientation device is configured to be coupled to a resection guide, wherein the orientation device comprises a display to provide information to a user regarding an orientation of the orientation device; and

performing a resection based on the information.

12. The method of claim 11, wherein the information is on-screen graphics or images.

13. The method of claim 11, wherein the display indicates to the user a varus/valgus or flexion/extension angle for resection based on a mechanical axis or plane.

14. The method of claim 11, wherein the orientation device comprises at least one user input device.

15. The method of claim 11, further comprising coupling the resection guide and the orientation device.

16. The method of claim 11, further comprising acquiring one or more landmarks to determine a mechanical axis passing through the bone.

17. The method of claim 11, wherein the orientation device provides a reading indicating whether the orientation device is aligned with a mechanical axis.

18. The method of claim 11, wherein performing the resection comprises cutting along a cutting plane that is perpendicular to a mechanical axis.

19. The method of claim 11, wherein the information comprises one or more visual cues or indicators.

20. The method of claim 11, further comprising moving the orientation device relative to the reference device to adjust a position of the resection guide.