Femoral cutting guide

• US 4,892,093 A
• Filed: 10/28/1988
• Issued: 01/09/1990
• Est. Priority Date: 10/28/1988
• Status: Expired due to Term

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Osteonics Corporation (Stryker Corporation)
• Inventors: Sidebotham, Christopher G., Zarnowski, Alfred J.
• Primary Examiner(s): DeMille, Danton D.
• Assistant Examiner(s): Brown, Michael
• Application Number:
  US07/263,687
• Time in Patent Office: 438 Days
• Field of Search: 128/92 VD, 128/92 YD, 128/92 V, 128/92 VZ, 128/92 YV, 128/92 VS, 128/91 A, 128/92 R, 128/92 VY, 269/368
• US Class Current: 606/82
• CPC Class Codes: A61B 17/155 Cutting femur

Abstract

A cutting guide for guiding a saw blade during the preparation of a femur for the implant of the femoral component of a knee prothesis includes guide surfaces for enabling the cutting of all four of the anterior femoral cut, the posterior femoral cut, the anterior chamfer and the posterior chamfer, fully and completely, with certitude and accuracy, while the cutting guide remains located and secured to the femur in a single position on a transverse surface located along the distal femur.

Claims

1. A cutting guide for guiding a saw blade during the preparation of a femur for the implant of a femoral knee prosthesis, said cutting guide enabling guiding of said saw blade for cutting an axially directed anterior femoral cut, an axially directed posterior femoral cut, an anterior chamfer and a posterior chamfer, while said cutting guide remains located and secured to the femur in a single position on a transverse surface located along the distal femur, said cutting guide comprising:

a base member;

locating and securing means on said base member for locating and securing said base member on the femur at said transverse surface;

opposite side members extending from said base member in an axial direction distally relative to said transverse surface;

a first set of guide members extending laterally between said side members and located to delineate transversely opposite boundaries of an axially directed anterior cutting path intercepting the anterior femur, said first set of guide members including opposite guide surfaces spaced apart axially along said anterior cutting path for guiding said saw blade along said anterior cutting path during the anterior femoral cut;

a second set of guide members spaced transversely from said first set of guide members, said second set of guide members extending laterally between said side members and located to delineate transversely opposite boundaries of an axially directed posterior cutting path intercepting the posterior femur, said second set of guide members including opposite guide surfaces spaced apart axially along said posterior cutting path for guiding said saw blade along said posterior cutting path during the posterior femoral cut; and

a further set of guide members located transversely between said first and second sets of guide members, said further guide members extending laterally between said side members and located for delineating transversely opposite boundaries of an oblique anterior chamfer cutting path and delineating transversely opposite boundaries of an oblique posterior chamfer cutting path, said further guide members including first opposite guide surfaces spaced apart along said oblique anterior chamfer cutting path for guiding said saw blade along said oblique anterior chamfer cutting path during the anterior chamfer cut and second apposite guide surfaces spaced apart along said oblique posterior chamfer cutting path for guiding said saw blade during the posterior chamfer cut;

said side members being spaced apart laterally a distance sufficient to provide each of said delineated anterior cutting path, posterior cutting path, anterior chamfer cutting path and posterior chamfer cutting path with a continuous, uninterrupted lateral extent corresponding to the full lateral extent of the respective anterior femoral cut, posterior femoral cut, anterior chamfer and posterior chamfer, whereby the full anterior femoral cut, the full posterior femoral cut, the full anterior chamfer and the full posterior chamfer are accomplished while said cutting guide is located and secured on the femur in the single position on said transverse surface of the distal femur.

2. The invention of claim 1 wherein said first set of guide members comprises a pair of guide members, and said opposite guide surfaces of said first set of guide members are located on said pair of guide members.

3. The invention of claim 1 wherein said second set of guide members comprises a pair of guide members, and said opposite guide surfaces of said first set of guide members are located on said pair of guide members.

4. The invention of claim 1 wherein said further set of guide members comprises a pair of guide members, and said first and second opposite guide surfaces are located on said pair of guide members.

5. The invention of claim 1 wherein guide members of at least one of said first set of guide members and said second set of guide members are cylindrical bars.

6. The invention of claim 1 wherein said guide members of said first set of guide members and said second set of guide members are cylindrical bars.

7. The invention of claim 1 wherein one of said first opposite guide surfaces of said further set of guide members is essentially flat and generally parallel to said anterior chamfer cutting path.

8. The invention of claim 1 wherein one of said second opposite guide surfaces of said further set of guide members is essentially flat and generally parallel to said posterior chamfer cutting path.

9. The invention of claim 1 wherein one of said first opposite guide surfaces of said further set of guide members is essentially flat and generally parallel to said anterior chamfer cutting path and one of said second opposite guide surfaces of said further set of guide members is essentially flat and generally parallel to said posterior chamfer cutting path.

10. The invention of claim 9 wherein said further set of guide members comprises a pair of guide members, and said first and second opposite guide surfaces are located on said pair of guide members.

11. The invention of claim 1 wherein at least some of said guide members are formed from discrete components and are joined with said side members such that said cutting guide is an integral assembly of said side members and said guide members.

12. In a cutting guide for guiding a saw blade during the preparation of a femur for the implant of a femoral knee prosthesis, said cutting guide enabling guiding of said saw blade for the execution of a cut such as any one of an axially directed anterior femoral cut, an axially directed posterior femoral cut, an anterior chamfer cut and a posterior chamfer cut, while said cutting guide is placed on a transverse surface located along the femur, said saw blade having teeth offset relative to the remainder of said saw blade and establishing offset tooth portions, said cutting guide including a base member at least a portion of which lies in a basal plane coincident with said transverse surface, locating and securing means on said base member for locating and securing said base member on the femur, with said portion of said base member against said transverse surface, and at least one guide member juxtaposed with said transverse surface, when said cutting guide is Placed on the transverse surface, said guide member including a guide surface for delineating a cutting path intercepting the femur, along which cutting path said saw blade is guided during the execution of the cut, the improvement comprising:

clearance means between said guide surface and said basal plane for accommodating said offset tooth portions of said saw blade when said offset tooth portions are juxtaposed with said transverse surface, with said saw blade guided along said cutting path, so as to enable location of said saw blade and said teeth thereof within said cutting path at the commencement of the corresponding cut.

13. The invention of claim 12 wherein clearance means includes a gap along said cutting path between said guide surface and said basal plane.

14. The invention of claim 12 wherein said base member includes a basal surface at least a portion of which is placed against said transverse surface when said base member is located and secured on the femur, and said clearance means is located on said base member and is juxtaposed with said basal surface of said base member.

15. The invention of claim 14 wherein said portion of said basal surface is planar.

16. The invention of claim 15 wherein said clearance means includes a gap along said cutting path between said guide surface and said basal plane.