KNEE LIGAMENT BALANCER

• US 20090326544A1
• Filed: 06/27/2008
• Published: 12/31/2009
• Est. Priority Date: 06/27/2008
• Status: Active Grant

• Current Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Inventors: Drummond, James, Chessar, Ryan, Ruhling, Marc E.
• Granted Patent: US 8,197,489 B2
• Time in Patent Office: Days
• US Class Current: 606/102
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/4533 Ligaments
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/461 of knees
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30528 Means for limiting said movement
• CPC Class Codes: A61F 2002/30566 Helical springs
• CPC Class Codes: A61F 2002/4658 for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2002/4666 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/469 electrical
• CPC Class Codes: A61F 2002/4696 optical
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Abstract

An orthopaedic surgical device comprises a first sensor component and a second sensor component. Each sensor component includes a paddle set to contact a proximal tibia and a distal femur of a patient. The first sensor component and the second sensor component being movable with respect to one another to extend one paddle set beyond the other paddle set, and each paddle set includes cutouts for the clearance of the patellar tendon to avoid the need to avert the patella during use.

Claims

1. An orthopaedic surgical device, comprising

a first sensor component comprising a first paddle set having a first tibial paddle and a first femoral paddle that extend from the first sensor component in a general direction of extension to respectively contact a proximal tibia and a distal femur of a patient, the first femoral paddle moveable with respect to the first tibial paddle to determine a first displacement between the proximal tibia and the distal femur,

a second sensor component coupled to the first sensor component, the second sensor component comprising a second paddle set having a second tibial paddle and a second femoral paddle that extend from the second sensor component in the general direction of extension to respectively contact the proximal tibia and the distal femur of the patient, the second femoral paddle moveable with respect to the second tibial paddle to determine a second displacement between the proximal tibia and the distal femur,

wherein the first paddle set and second paddle set are moveable with respect to each other in the general direction of extension to permit selectively extending one of the paddle sets beyond the other paddle set in the general direction of extension.

2. The orthopaedic surgical device of claim 1, wherein the first sensor component is slideably coupled to the second sensor component to permit the first sensor component and the second sensor component to slide with respect to each other in the general direction of extension.

3. The orthopaedic surgical device of claim 1, wherein

the first sensor component comprises a first tensor to apply a first force between the proximal tibia and distal femur via the first paddle set, and

the second sensor component comprises a second tensor to apply a second force between the proximal tibia and the distal femur via the second paddle set.

4. The orthopaedic surgical device of claim 1, wherein

the first sensor component comprises a first tensor to apply a selected first force between the proximal tibia and distal femur via the first paddle set, and

the second sensor component comprises a second tensor to apply a selected second force between the proximal tibia and the distal femur via the second paddle set.

5. The orthopaedic surgical device of claim 1, wherein

the first sensor component further comprises a first displacement scale to indicate the first displacement between the proximal tibia and the distal femur determined by the first paddle set, and

the second sensor component further comprises a second displacement scale to indicate the second displacement between the proximal tibia and the distal femur determined by the second paddle set.

6. The orthopaedic surgical device of claim 1, wherein

the first sensor component comprises a first tensor to apply a selected first force between the proximal tibia and distal femur via the first paddle set, and a first displacement scale to indicate the first displacement between the proximal tibia and the distal femur determined by the first paddle set, and

the second sensor component comprises a second tensor to apply a selected second force between the proximal tibia and the distal femur via the second paddle set, and the second sensor component further comprises a second displacement scale to indicate the second displacement between the proximal tibia and the distal femur determined by the second paddle set.

7. The orthopaedic surgical device of claim 6, wherein the first sensor component comprises

a housing having an upper end to which the first tibial paddle is coupled,

a displacement cylinder having an upper end to which the first femoral paddle is coupled and a lower end telescopically coupled with the upper end of the housing,

a tensor cylinder having an upper end telescopically coupled with a lower end of the housing and the lower end the first displacement cylinder, and

a spring between the upper end of the displacement cylinder and the lower end of the tensor cylinder to apply a force to the first femoral paddle that is dependent upon a displacement between the upper end of the displacement cylinder and the lower end of the tensor cylinder.

8. The orthopaedic surgical device of claim 7, wherein

the first sensor component comprises a rail coupled to the housing,

the tensor cylinder is coupled to the rail via a locking mechanism, and

the locking mechanism permits the tensor cylinder to move with respect to the housing when unlocked and prevents the tensor cylinder from moving with respect to the housing when locked.

9. The orthopaedic surgical device of claim 7, wherein the first sensor component comprises

a displacement scale upon the housing,

a plurality of force ranges upon the tensor cylinder, and

an indicator upon the displacement cylinder, wherein the indicator upon the displacement cylinder indicates both the first displacement and a force range of the plurality of force ranges in which the first force lies.

10. The orthopaedic surgical device of claim 1, wherein the first paddle set and the second paddle set having patellar tendon cutouts to permit entry of the first paddle set and the second paddle set between the tibia and the femur without averting a patella of the patient.

11. An orthopaedic surgical device, comprising

a first sensor component comprising a first tibial paddle and a first femoral paddle that extend from the first sensor component to respectively contact a first portion of a proximal tibia and a first condyle of a distal femur, the first femoral paddle moveable with respect to the first tibial paddle to determine a first displacement between the first portion of the proximal tibia and the first condyle of the distal femur,

a second sensor component comprising a second tibial paddle and a second femoral paddle that extend from the second sensor component to respectively contact a second portion of the proximal tibia and a second condyle of the distal femur, the second femoral paddle moveable with respect to the second tibial paddle to determine a second displacement between the second portion of the proximal tibia and the second condyle of the distal femur, and

a sliding mechanism to slideably couple the first sensor component to the second sensor component to permit selectively extending the first tibial and femoral paddles beyond the second tibial and femoral paddles.

12. The orthopaedic surgical device of claim 11, wherein the sliding mechanism is to further permit selectively extending the second tibial and femoral paddles beyond the first tibial and femoral paddles.

13. The orthopaedic surgical device of claim 11, wherein

the first tibial paddle comprises a track of the sliding mechanism, and

the second tibial paddle comprises a runner slideably coupled to the track to permit the second component to slide in relation to the first component along the track of the first tibial paddle.

14. The orthopaedic surgical device of claim 11, wherein the sliding mechanism comprises a track coupled the first tibial paddle, and a runner coupled to the second tibial paddle and slideably coupled to the track.

15. The orthopaedic surgical device of claim 14, wherein

the track is coupled toward and extends beyond an anterior end of the first tibial paddle that is coupled to first sensor component, and

the runner is coupled toward an anterior end of the second tibial paddle that is coupled to the second sensor component.

16. The orthopaedic surgical device of claim 11, wherein

the first sensor component comprises a first tensor to apply a selected first force between the first portion of the proximal tibia and the first condyle of the distal femur via the first tibial and femoral paddles, and a first displacement scale to indicate the first displacement between the first portion of the proximal tibia and the first condyle of the distal femur determined by the first tibial and femoral paddles, and

the second sensor component comprises a second tensor to apply a selected second force between the second portion of the proximal tibia and the second condyle of the distal femur via the second tibial and femoral paddles, and the second sensor component further comprises a second displacement scale to indicate the second displacement between the second portion of proximal tibia and the second condyle of the distal femur determined by the second tibial and femoral paddles.

17. The orthopaedic surgical device of claim 16, wherein the first sensor component comprises

a housing having an upper end to which the first tibial paddle is coupled and a displacement scale thereon,

a displacement cylinder having an upper end to which the first femoral paddle is coupled and a lower end telescopically coupled with the upper end of the housing,

a tensor cylinder having an upper end telescopically coupled with a lower end of the housing and the lower end the first displacement cylinder, the tensor cylinder having a plurality of force ranges thereon, and

a spring between the upper end of the displacement cylinder and the lower end of the tensor cylinder to apply a force to the first femoral paddle that is dependent upon a displacement between the upper end of the displacement cylinder and the lower end of the tensor cylinder, wherein

the displacement cylinder has an indicator thereon to indicate both the first displacement and a force range of the plurality of force ranges in which the first force lies.

18. The orthopaedic surgical device of claim 17, wherein

the first sensor component comprises a rail coupled to the housing,

the rail extends beyond the lower end of the housing,

the tensor cylinder is coupled to the rail via a locking mechanism, and

the locking cylinder permits the tensor cylinder to move with respect to the rail and the housing when unlocked and prevents the tensor cylinder from moving with respect to the rail and the housing when locked.

19. The orthopaedic surgical device of claim 18, wherein the first tibial and femoral paddles having patellar tendon cutouts to permit entry of the first tibial and femoral paddles between the tibia and the femur without averting a patella of the patient.

20. A method for balancing a knee, comprising

extending posterior ends of a first paddle set beyond posterior ends of a second paddle set,

inserting the posterior ends of the first paddle set and the second paddle set into a side of the knee without averting a patella of the knee,

contacting, with the posterior ends of the first paddle set, portions of a tibia and a femur that lie away from the side of the knee into which the posterior ends of the first paddle set were inserted, and

contacting, with the posterior ends of the second paddle set, portions of the tibia and the femur that lie toward the side of the knee into which the posterior ends of the second paddle set were inserted.