Triplanar knee resection system

• US 4,567,885 A
• Filed: 09/18/1984
• Issued: 02/04/1986
• Est. Priority Date: 11/03/1981
• Status: Expired due to Term

• Current Assignee: Gary W. Androphy
• Original Assignee: Gary W. Androphy
• Inventors: Androphy, Gary W.
• Primary Examiner(s): Mancene, Gene
• Assistant Examiner(s): SHEDD, CHARLES W
• Application Number:
  US06/651,681
• Time in Patent Office: 504 Days
• Field of Search: 128/92 H, 128/92 R, 128/303 R
• US Class Current: 606/88
• CPC Class Codes: A61B 17/14 Surgical saws A61B17/1637 takes precedence; tooth saws A61C3/12 ; Accessories therefor
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61F 2/46 Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor

Abstract

An improved triplanar knee resection system is provided for preparing a knee joint for a prosthesis. The apparatus of the triplanar knee system includes a single guide member for use in resecting the distal femoral condyles, the proximal tibia, and the distal femur. The guide member cooperates with a simplified set of instruments, including femur and tibia guide rods, a tibia adaptor, a tibia bar, and a femur bar, for establishing equal flexion and extension gaps and triplanar resections. The method of the triplanar knee system provides a simplified procedure for use by an orthopedic surgeon in properly preparing a knee joint for implantation of a prosthesis.

Claims

1. In a system for making triplanar bone resections for total knee replacement, the system including a set of instruments for resecting the anterior and posterior femoral condyles, the proximal tibia, and the distal femur, the resections being made to provide equal flexion and extension gaps, the improvement comprising a simplified set of instruments, including:

an L-shaped guide rod having a first elongated portion adapted to be inserted into the medullary canal of the femur and a second portion disposed at a right angle to the first portion;

an

a guide member having a planar slot therein, said member being adapted to be mounted on the second portion of said guide rod with said slot being parallel to the second portion and disposed relative to the first portion at a minor angle equal to 90°

minus the valgus angle.

2. The system of claim 1, further including:

a femur bar having a key lock and being adapted to be inserted into the guide member and being adapted to be mounted on the second portion of said guide rod, and wherein the second portion of said guide rod has a key seat, the key seat being adapted to cooperate with the key lock of the femur bar to compensate for the valgus angle, such that said planar slot in the guide member is disposed relative to the first portion of said guide rod at said minor angle.

3. The system of claims 1 or 2, wherein the guide member is adapted to be mounted on the second portion of the guide rod and is adapted to cooperate with said guide rod such that said planar slot is perpendicular to said second portion and perpendicular to the sagittal plane extending through the femoral medullary canal.

4. The system of claims 1 or 2, wherein the first portion of said guide rod is adapted to be inserted into the medullary canal of the tibia, and further including:

a tibia adapter adapted to be mounted on the first portion and adapted to stabilize said guide rod such that the second portion thereof is coplanar with the sagittal plane extending through the tibial medullary canal; and

a tibia bar adapted to be inserted into the guide member and adapted to be mounted on the second portion of said guide rod such that the planar slot of the guide member is disposed perpendicular to the first portion of said guide rod.

5. The system of claim 4, wherein the tibia bar has a key lock adapted to cooperate with the key seat of the second portion of said guide rod to position the tibia bar and the guide member inserted thereon such that said planar slot is disposed perpendicular to the first portion of said guide rod.