Method and apparatus for simplifying prosthetic joint replacements

• US 5,423,828 A
• Filed: 06/28/1993
• Issued: 06/13/1995
• Est. Priority Date: 05/14/1992
• Status: Expired due to Fees

• Current Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Bentwood Place Incorporated
• Inventors: Benson, Gail M.
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): HANLON, BRIAN EMMETT
• Application Number:
  US08/083,669
• Time in Patent Office: 715 Days
• Field of Search: 33/512, 33/511, 33/732, 33/751, 606/53-59, 606/86, 606/87, 606/89, 606/91, 606/96, 606/102, 606/88
• US Class Current: 606/102
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/3609 Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts A61F2/3601 takes precedence
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2/76 Means for assembling, fitting or testing prostheses, e.g. for measuring or balancing, e.g. alignment means
• CPC Class Codes: A61F 2002/4658 for measuring dimensions, e.g. length

Abstract

A method and apparatus for providing accurate measurement, in the course of an A method andprocedure, of the length dimension of a bone joint movable between an extended and flexed position.

Claims

1. Apparatus for use in orthopedic and reconstructive surgery conducted on a patient, the apparatus being useful for making skeletal distance measurements between first and second reference points on first and second bones making up a joint, comprising:

a length of flexible cable having first and second ends;

first means for pivotally attaching said first end of said length of flexible cable to skeletal bone of said patient at said first reference point such that said length of flexible cable may be extended in a desired direction alongside said second reference point to effect a desired skeletal distance measurement therebetween and may be repositioned to other positions out of surgical field when not used for such measurement;

first distance indicating means for permanent attachment to said cable and moveable along the length of said cable for measuring a distance from said first reference point to said second reference point while said first and second bones are in the extended position afforded by said bone joint;

second distance indicating means for permanent attachment to said cable and moveable along said length of said cable for measuring a second distance from said first reference point to said second reference point when said first and second bones are positioned at a predetermined angle of flexure afforded by the joint

whereby said first and second distance indicating means can be attached to said cable at points along the length of said cable related to said second reference point and said length of flexible cable may be moved to said other positions during reconstructive surgery conducted on said patient.

2. The apparatus of claim 1 wherein said first and second distance indicating means each comprise a tubular, slidable member fitting over and around said length of flexible cable and slidable between the first and second ends thereof, the tubular members each having at least one calibration indicia on its surface and being fabricated of a material capable of being crimped against the flexible cable in order to mark the measured distance therealong.

3. The apparatus of claim 2 further comprising:

attaching clip means coupled to said second end of said length of flexible cable for allowing said second end of said flexible cable to be attached out of and away from the operating field.

4. The apparatus of claim 1 further comprising:

attaching clip means coupled to said second end of said length of flexible cable for allowing said second end of said flexible cable to be attached out of and away from the operating field.

5. Apparatus for aiding reconstructive knee surgery involving the replacement of a dysfunctional knee joint with an artificial orthopedic prosthesis comprising:

a length of flexible cable having first and second ends;

means for affixing said first end of said length of flexible cable to a patient'"'"'s femoral bone at a first reference point such that said length of flexible cable may be extended in a straight line alongside the knee joint and generally over the tibial bone;

means for marking a second reference point on the patient'"'"'s tibia;

first distance indicating means for permanent attachment to said cable and moveable along the length of said cable for measuring a distance from said first reference point to said second reference point while said first and second bones are in the extended position afforded by said bone joint;

second distance indicating means for permanent attachment to said cable and moveable along said length of said cable for measuring a second distance from said first reference point to said second reference point when said first and second bones are positioned at a predetermined angle of flexure afforded by the joint;

attaching clip means coupled to said second end of said length of flexible cable for allowing said second end of said flexible cable to be attached out of and away from the operating field.

6. The apparatus of claim 5 wherein said first and second indicating means each comprise a tubular, slidable member fitting over and around said length of flexible cable and slidable between the first and second ends thereof, the tubular members each having at least one calibration indicia on its surface and being fabricated of a material capable of being crimped against the flexible cable in order to mark the distance between said first and second reference points.