REAMING GUIDE ALIGNMENT INSTRUMENT

• US 20090270865A1
• Filed: 04/28/2008
• Published: 10/29/2009
• Est. Priority Date: 04/28/2008
• Status: Active Grant

• Current Assignee: Depuy (Johnson & Johnson)
• Original Assignee: Depuy (Johnson & Johnson)
• Inventors: Maisonneuve, Robin, Poncet, Didier
• Granted Patent: US 8,197,487 B2
• Time in Patent Office: Days
• US Class Current: 606/87
• CPC Class Codes: A61B 17/164 intramedullary
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1684 for the shoulder
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/1778 for the shoulder
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length

Abstract

An alignment system for aligning a reaming guide during insertion into a cavity of a bone is provided. The bone has a resected surface and the cavity defines a cavity axis. The system includes a reaming guide that includes an elongate stem portion having a stem axis, a neck portion extending from the stem portion at an incline with respect to the stem axis, and an alignment instrument. The alignment instrument includes a handle defining a handle axis, the handle being releasably couplable to the reaming guide such that the handle axis is in a predetermined relationship with the stem axis. The alignment instrument further comprises a plane finder slidably coupled to the handle, the plane finder comprising a surface defined by a plane that intersects the axis of the handle at an angle having a predetermined relationship with the angle at which a resection surface of the bone intersects the cavity axis.

Claims

1. An alignment system for aligning a reaming guide during insertion into a cavity of a bone, the bone having a resected surface, the cavity defining a cavity axis, the system comprising:

a reaming guide comprising an elongate stem portion having a stem axis and a neck portion extending from the stem portion at an incline with respect to the stem axis; and

an alignment instrument comprising;

a handle defining a handle axis, the handle releasably couplable to the reaming guide such that the axis of the handle is in a predetermined relationship with the stem axis; and

a plane finder slidably coupled to the handle, the plane finder comprising a surface defined by a plane that intersects the axis of the handle at an angle having a predetermined relationship with the angle at which a resection surface of the bone intersects the cavity axis;

wherein the plane finder is slidable relative to the axis of the handle when the stem portion is partially inserted into the cavity from a first position to a second position whereat the plane finder engages the resection surface.

2. The alignment system of claim 1, wherein the alignment instrument and the reaming guide are configured to be rotatable about the stem axis such that when the surface of the plane finder is parallel to the resection surface, the neck portion of the reaming guide lies in a plane defined by the cavity axis and a line extending from the cavity axis perpendicular to the resection surface.

3. The alignment system of claim 2, wherein the handle axis is configured to be parallel to the stem axis such that the surface of the plane finder intersects the handle axis at the same angle as that at which the resection surface of the bone intersects the cavity axis.

4. The alignment system of claim 1, wherein the plane finder is configured to slide parallel to the handle axis.

5. The alignment system of claim 3, wherein the plane of the surface of the plane finder intersects the handle axis at an angle between 50°

and 80°

.

6. The alignment system of claim 2, wherein the plane finder comprises a plate configured to slide relative to the handle axis such that the plate maintains its angular relationship with the handle axis when the plane finder moves from the first position to the second position.

7. The alignment system of claim 1, wherein the plate has an opening configured to permit the plate to slide over the reaming guide when the reaming guide is coupled to the handle.

8. The alignment system of claim 7, wherein the plate is horse-shoe shaped.

9. The alignment system of claim 7, wherein the plane finder is coupled to the handle via at least one shaft extending from the plate passing through a mounting bracket attached to the handle.

10. The alignment system of claim 9, wherein the mounting bracket is configured such that when the reaming guide is fully inserted into the cavity the plane finder rests against the mounting bracket.

11. The alignment system of claim 1, wherein the handle further comprises an impaction surface configured such that an impaction force applied to the impaction surface is transmitted to a coupled reaming guide to drive the reaming guide into the cavity.

12. The alignment system of claim 1, wherein the neck portion of the reaming guide comprises a reference formation and the alignment instrument comprises a collar configured to engage the reference formation thereby coupling the handle to the reaming guide such that the handle axis is parallel to the stem axis and the axis of the neck portion of the reaming guide lies in a plane defined by the handle axis and a line extending from the handle axis perpendicular to the plane defined by the surface of the plane finder.

13. The alignment system of claim 1, wherein the reaming guide further comprises a flange configured to limit insertion of the reaming guide into the cavity.

14. The alignment system of claim 1, wherein the reaming guide further comprises at least one rib extending from the stem portion, the rib configured to engage the side wall of the cavity to prevent rotation of the reaming guide once the reaming guide is fully inserted into the cavity.

15. The alignment system of claim 1, wherein, when aligned and inserted into the cavity, the axis of the neck portion of the reaming guide lies in a plane defined by the cavity axis and a line extending from the cavity axis perpendicular to the resection surface.

17. The method of claim 15, wherein the coupling step comprises releasably coupling the reaming guide such that the handle axis is parallel to the stem axis such that the surface of the plane finder intersects the handle axis at the same angle as that at which the resection surface of the bone intersects the cavity axis.

16. A method of aligning a reaming guide during insertion into a cavity extending into a resected head of a bone, the cavity defining a cavity axis, the reaming guide comprising an elongate stem portion having a stem axis, and a neck portion extending from the stem portion at an incline to the stem axis, the method comprising the steps of:

releasably coupling the reaming guide to a handle of an alignment instrument having a handle axis such that the handle axis is in a predetermined relationship with the stem axis;

sliding a plane finder relative to the handle axis when the stem portion is partially inserted into the cavity from a first position to a second position whereat the plane finder engages a resection surface of the bone, the plane finder comprising a surface defined by a plane that intersects the handle axis at an angle having a predetermined relationship with the angle at which a resection surface of the bone intersects the cavity axis;

rotating the alignment instrument and the partially inserted reaming guide about the stem axis until the surface of the plane finder is parallel to the resection surface; and

fully inserting the reaming guide into the cavity such that the neck portion of the reaming guide lies in a plane defined by the cavity axis and a line extending from the cavity axis perpendicular to the resection surface.

18. The method of claim 16, wherein the plane finder comprises a plate and the sliding step comprises sliding the plane finder relative to the handle axis such that the plate maintains its angular relationship with the handle axis when the plate moves from the first position to the second position.

19. The method of claim 16, wherein the handle further comprises an impaction surface, the method further comprising the step of applying an impaction force to the impaction surface such that the impaction force is transmitted to the coupled reaming guide driving the reaming guide into the cavity.

20. The method of claim 16, wherein the neck portion of the reaming guide comprises a reference formation and the alignment instrument comprises a collar, and the coupling step comprises engaging the reference formation with the collar such that the handle axis is parallel to the stem axis and the axis of the neck portion of the reaming guide lies in a plane defined by the handle axis and a line extending from the handle axis perpendicular to the plane defined by the surface of the plane finder.