Instruments for use in knee replacement surgery

• US 5,520,695 A
• Filed: 05/16/1994
• Issued: 05/28/1996
• Est. Priority Date: 02/14/1992
• Status: Expired due to Term

• Current Assignee: DePuy Orthopaedics Incorporated (Johnson & Johnson)
• Original Assignee: Johnson & Johnson Professional Company Incorporated (Johnson & Johnson)
• Inventors: Luckman, Thomas
• Primary Examiner(s): Yu, Mickey
• Assistant Examiner(s): HANLON, BRIAN EMMETT
• Application Number:
  US08/242,945
• Time in Patent Office: 743 Days
• Field of Search: 606/79, 606/82, 606/86-90, 606/96, 128/898
• US Class Current: 606/88
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia

Abstract

The present invention relates to an instrument and method for performing a partial knee replacement and, in particular, a single condyle replacement method. The instrument includes a tibial mounted platform which has formed thereon a keyed slot for receiving a spacer which spacer is positioned between the femur and tibia of the knee joint being replaced. The spacer receives thereon a positioning element which positioning element includes guides for guiding a drill to drill mounting holes for mounting further instruments used in the knee operation. In particular, the mounting holes are drilled when the femur and tibia are in a predetermined angular relationship with the spacer providing a predetermined spacial relationship. In this way, the mounting holes are properly determined and positioned with respect to the relationship between the femur and tibia. A saw guide is mounted to the mounting holes and used to guide a saw when cutting the anterior chamfer, the posterior chamfer and the posterior femoral cut. A further drill guide is then mounted to the mounting holes after removal of the saw guide for drilling holes for receiving the lugs of the condyle prosthesis.

Claims

1. A method of replacing a portion of a knee joint in an animal with an implanted prosthesis comprising:

a. positioning a first guide relative the distal end of a femur and making a distal femoral cut using said guide;

b. positioning a second guide adjacent a proximal end of a tibia and making a proximal tibial cut using said guide;

c. attaching a spacer element to said second guide and positioning said spacer between said proximal tibia end and distal femur end to provide a spacing between said distal femur end and proximal tibial end when said femur and tibia are in flexion which correlates to the operative thickness of the implanted prosthesis;

d. attaching a guide block having at least two guide bores to said spacer to form a predetermined angle between a guide face of said guide block and the proximal tibial cut;

e. positioning said femur with said distal femoral cut adjacent to said guide face and matching said guide face with said spacer in place;

f. boring at least two mounting bores in the distal femur using said guide bores in said guide block to position said mounting bores;

g. mounting a chamfer cut guide to the distal end of the femur using said mounting bores to position the chamfer cut guide on the femur;

h. cutting at least one femur chamfer cut using said chamfer cut guide to position said cut;

i. attaching a femoral prostheses component along said at least one femur chamfer cut; and

j. attaching a tibial prostheses component along said proximal tibia cut.

2. The method according to claim 1 further comprising mounting a lug bore guide to the distal end of the femur using said mounting bores to position the lug bore guide and boring at least one lug bore in the distal end of the femur using the lug bore guide to position the lug bore and positioning the said femoral prosthesis component on said femur at least in part by positioning a lug depending from said femoral prosthesis component within said lug bore.

3. The method according to claim 2 wherein three cuts are made to the distal end of the femur using said chamfer cut guide to guide each of the three cuts without removal or repositioning of the chamfer cut guide between cuts.