Anthroplasty component

• US 5,549,683 A
• Filed: 04/28/1994
• Issued: 08/27/1996
• Est. Priority Date: 08/06/1992
• Status: Expired due to Term

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Peter M. Bonutti
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): ISABELLA, DAVID J
• Application Number:
  US08/234,974
• Time in Patent Office: 852 Days
• Field of Search: 606/73, 606/74, 623/20, 623/16, 623/18, 623/22, 623/23
• US Class Current: 623/20.33
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: A61F 2/30 Joints
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4081 Glenoid components, e.g. cups
• CPC Class Codes: A61F 2002/30112 Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30576 with extending fixation tabs
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30782 inclined obliquely
• CPC Class Codes: A61F 2002/3079 Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30808 parallel
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/30902 laterally or radially
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/0004 : Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61L 27/443 : with carbon fillers
• CPC Class Codes: A61L 27/48 : with macromolecular fillers
• CPC Class Codes: C08L 71/12 : Polyphenylene oxides

Abstract

An arthroplasty component is positioned relative to a bone by engaging a first side of the bone with a first tab on the arthroplasty component. Thereafter, the arthroplasty component is pivoted about a location where the first tab engages the first side of the bone. A second tab on the arthroplasty component is moved along a second side of the bone while the arthroplasty component is pivoted about the location where the first tab engages the first side of the bone. A tray portion of the arthroplasty component is positioned over a portion of the bone disposed between the first and second sides of the bone while the arthroplasty component is pivoted about the location where the first tab engages the first side of the bone. In one embodiment of the invention, a keel is moved into the bone at a location between the sides of the bone while the arthroplasty component is pivoted about the location where the first tab engages the first side of the bone. A fastener may be moved through the second tab, a portion of the bone and into the keel portion of the arthroplasty component to retain the arthroplasty component against movement relative to the bone.

Claims

1. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion and a second tab extending from another side of the tray portion, engaging a first side of the bone with the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the first tab engages the first side of the bone, moving the second tab on the arthroplasty component along a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, and positioning the tray portion of the arthroplasty component over a portion of the bone disposed between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone.

2. A method as set forth in claim 1 further including the step of moving a fastener through the second tab on the arthroplasty component and into the bone with a longitudinal central axis of the fastener extending at an acute angle to a side of the tray portion of the arthroplasty component.

3. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion, a second tab extending from another side of the tray portion and a keel which extends from the arthroplasty component at a location between the first and second tabs, engaging a first side of the bone with the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the first tab engages the first side of the bone, moving the second tab on the arthroplasty component along a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, moving the keel into the bone at location between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, positioning the tray portion of the arthroplasty component over a portion of the bone disposed between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, and moving a fastener through the second tab, through a portion of the bone, and into the keel to retain the arthroplasty component against movement relative to the bone.

6. A method as set forth in claim 3 wherein said step of moving the fastener into the keel includes transmitting force from the fastener to the keel to urge the tray portion of the arthroplasty component toward the portion of the bone disposed between the first and second sides of the bone.

7. A method as set forth in claim 3 wherein said steps of moving the fastener through the second tab, through a portion of the bone, and into the keel includes moving the fastener along a path which is skewed at an acute angle to a side of the arthroplasty component.

8. A method as set forth in claim 3 wherein said step of engaging a first side of the bone includes engaging the first side of the bone with a hook portion of the first tab at a location offset from the portion of the bone which is disposed between the first and second sides of the bone.

9. A method as set forth in claim 3 wherein said step of moving the second tab on the arthroplasty component along the second side of the bone includes increasing area of engagement of the second tab with the second side of the bone during at least a portion of said step of pivoting the arthroplasty component about a location where the first tab engages the first side of the bone.

10. A method as set forth in claim 3 further including interconnecting the portion of the bone disposed between the first and second sides of the bone and the tray portion of the arthroplasty component with bone cement.

11. A method as set forth in claim 7 wherein said step of interconnecting the portion of the bone disposed between the first and second sides of the bone and the tray portion of the arthroplasty component with bone cement includes filling a plurality of recesses in a side of the tray portion with bone cement to retard subsequent propagation of cracks through the bone cement.

4. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion and a keel which extends from the tray portion of the arthroplasty component, positioning the arthroplasty component relative to the bone with the tray portion extending across an end surface on the bone and the first tab extending along a first outer side of the bone which extends transverse to the end surface on the bone, said step of positioning the arthroplasty component relative to the bone includes moving the keel through the end surface on the bone into the bone, and applying force to the arthroplasty component urging the tray portion of the arthroplasty component toward the end surface on the bone and urging the first tab toward the first outer side of the bone, said step of applying force to the arthroplasty component including moving a fastener through the first tab and then into the bone along a path which is skewed at an acute angle to the end surface on the bone, said step of moving the fastener through the first tab and into the bone along a path which is skewed at an acute angle to the end surface on the bone includes moving the fastener into the keel.

12. A method as set forth in claim 4 wherein the arthroplasty component has a second tab which extends from the tray portion, said step of positioning the arthroplasty component relative to the bone including engaging a second side of the bone with the second tab and pivoting the arthroplasty component about a location where the second tab engages the second side of the bone.

13. A method as set forth in claim 4 wherein said step of applying force to the arthroplasty component includes applying force against the keel with the fastener to transmit force from the fastener through the keel to the tray portion of the arthroplasty component urging the tray portion of the arthroplasty component toward the end surface on the bone.

14. A method as set forth in claim 13 wherein said step of applying force to the arthroplasty component includes applying force against the first tab with the fastener to transmit force from the fastener through the first tab to the tray portion of the arthroplasty component urging the tray portion of the arthroplasty component toward the end surface on the bone.

15. A method as set forth in claim 4 wherein said step of moving the fastener through the first tab and into the bone along a path which is skewed at an acute angle to the end surface on the bone includes moving the fastener through a cortical portion of the bone on the first side of the bone and moving the fastener through the keel on the arthroplasty component and a cancellous portion of the bone into a cortical portion of the bone on a second side of the bone.

16. A method as set forth in claim 15 wherein said step of applying force to the arthroplasty component includes engaging the cortical portion of the bone on the first side of the bone with a thread convolution and engaging the cortical portion of the bone on the second side of the bone with a thread convolution.

17. A method as set forth in claim 4 further including interconnecting the end surface on the bone and the tray portion of the arthroplasty component with bone cement, said step of interconnecting the end surface on the bone and the tray portion of the arthroplasty component with bone cement includes filling a plurality of recesses in a side of the tray portion with bone cement to retard subsequent propagation of cracks through the bone cement.

5. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion and a projecting portion extending from the tray portion, positioning the arthroplasty component relative to the bone with the tray portion extending across an end surface on the bone and the projecting portion disposed in engagement with the bone and extending transversely to the end surface on the bone, and interconnecting the arthroplasty component and the bone with a fastener, said step of interconnecting the arthroplasty component and the bone including moving the fastener through the projecting portion of the arthroplasty component, moving the fastener through a cortical portion of the bone on a first side of the bone, moving the fastener through a cancellous portion of the bone, moving the fastener into a cortical portion of the bone on a second side of the bone, engaging the cortical portion of the bone on the first side of the bone with a first thread convolution on the fastener, engaging the cortical portion of the bone on the second side of the bone with a second thread convolution on the fastener, and applying force to the arthroplasty component with the fastener during performance of said steps of engaging the cortical portion of the bone on the first side of the bone with a first thread convolution and engaging the cortical portion of the bone on the second side of the bone with a second thread convolution to urge the tray portion of the arthroplasty component toward the end surface on the bone, said step of applying force to the arthroplasty component including moving the fastener along a path which is skewed at an acute angle to the end surface on the bone.

18. A method as set forth in claim 5 wherein said step of positioning the arthroplasty component relative the bone includes pivoting the arthroplasty component about a location where the portion of the arthroplasty component engages the second side of the bone and positioning the tray portion of the arthroplasty component relative to the end surface of the bone while performing said step of pivoting the arthroplasty component about a location where a portion of the arthroplasty component engages the second side of the bone.

19. A method as set forth in claim 5 wherein the projecting portion of the arthroplasty component is a tab which projects from side of the tray portion of the arthroplasty component, said step of positioning the arthroplasty component relative to the bone includes engaging the cortical portion of the bone on the first side of the bone with the projecting portion of the arthroplasty component, said steps of moving the fastener through the cortical portion of the bone on the first side of the bone, moving the fastener through the cancellous portion of the bone, and moving the fastener into a cortical portion of the bone on the second side of the bone being performed after moving the fastener through the projecting portion of the arthroplasty component.

20. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from a first side of the tray portion, a second tab extending from a second side of the tray portion and a keel extending from a central portion of the tray portion, said keel extending from the tray portion for a distance which is greater than a distance which the second tab extends from the tray portion, engaging a first side of the bone with the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the first tab engages the first side of the bone, moving the keel into a cancellous portion of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, moving the second tab along a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, and, thereafter, moving a fastener through the first tab, through a cortical portion of the bone on the first side of the bone and into the keel portion of the arthroplasty component along a path which is skewed at an acute angle to the tray portion of the bone.

21. A method as set forth in claim 20 further including the steps of engaging the cortical portion of the bone on the first side of the bone with a first thread convolution on the fastener and engaging the cortical portion of the bone on the second side of the bone with a second thread convolution on the fastener.

22. A method as set forth in claim 20 wherein said step of moving the fastener into the keel portion of the arthroplasty component includes engaging the keel portion of the arthroplasty component with the fastener and transmitting force from the fastener to the keel portion of the arthroplasty component urging the tray portion of the arthroplasty component against the bone.

23. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion and a projecting portion extending from the tray portion, the projecting portion of the arthroplasty component is a keel which extends from a central portion of the tray portion of the arthroplasty component, positioning the arthroplasty component relative to the bone with the tray portion extending across an end surface on the bone and the projecting portion disposed in engagement with the bone and extending transversely to the end surface on the bone, said step of positioning the arthroplasty component relative to the bone includes positioning the arthroplasty component with the projecting portion extending into a cancellous portion of the bone, and interconnecting the arthroplasty component and the bone with a fastener, said step of interconnecting the arthroplasty component and the bone including moving the fastener through the projecting portion of the arthroplasty component, moving the fastener through a cortical portion of the bone on a first side of the bone, moving the fastener through a cancellous portion of the bone, moving the fastener into a cortical portion of the bone on a second side of the bone, engaging the cortical portion of the bone on the first side of the bone with a first thread convolution on the fastener, and engaging the cortical portion of the bone on the second side of the bone with a second thread convolution on the fastener, said step of moving the fastener through the projecting portion of the arthroplasty component being performed after moving the fastener through the cortical portion of the bone on the first side of the bone and prior to initiation of said step of moving the fastener into the cortical portion of the bone on the second side of the bone.

24. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion a second tab extending from another side of the tray portion and a projection extending from the tray portion at a location between the first and second tabs, engaging a first side of the bone with the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the first tab engages the first side of the bone, moving the projection from the tray portion into the bone at a location between the first side of the bone and a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, moving the second tab on the arthroplasty component along the second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, and positioning the tray portion of the arthroplasty component over a portion of the bone disposed between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone.

25. A method as set forth in claim 24 further including the step of moving a fastener through at least one of the tabs on the arthroplasty component and into the projecting portion of arthroplasty component with a longitudinal central axis of the fastener extending at an acute angle to a side of the tray portion of the arthroplasty component.

26. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion and a second tab extending from another side of the tray portion, engaging a first side of the bone with the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the first tab engages the first side of the bone, moving the second tab on the arthroplasty component along a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, positioning the tray portion of the arthroplasty component over a portion of the bone disposed between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, and moving a fastener through the second tab on the arthroplasty component, through a cortical portion of the bone on the second side of the bone, through a cancellous portion of the bone located between the first and second sides of the bone and into engagement with a cortical portion of the bone on the first side of the bone.

27. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion, a second tab extending from another side of the tray portion, and a keel which extends from the tray portion at a location between the first and second tabs, engaging a first side of the bone with the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the first tab engages the first side of the bone, moving the keel into the bone at a location between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, moving the second tab on the arthroplasty component along a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone, and positioning the tray portion of the arthroplasty component over a portion of the bone disposed between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone.

28. A method of positioning an arthroplasty component relative to a bone, said method comprising the steps of providing an arthroplasty component having a tray portion with a first tab extending from one side of the tray portion and a second tab extending from another side of the tray portion, the first tab having a first portion which is connected with the tray portion and extends transverse to the tray portion in a direction which is generally parallel to a central axis of the tray portion and a second portion which extends transverse to the first portion in a direction toward the central axis of the tray portion, engaging a first side of the bone with an end of the second portion of the first tab on the arthroplasty component, thereafter, pivoting the arthroplasty component about a location where the end of the second portion of the first tab engages the first side of the bone, said step of pivoting the arthroplasty component being at least partially performed with a portion of the bone disposed between the tray portion and the second portion of the first tab, moving the second tab on the arthroplasty component along a second side of the bone while performing said step of pivoting the arthroplasty component about the location where the second portion of the first tab engages the first side of the bone, and positioning the tray portion of the arthroplasty component over a portion of the bone disposed between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the second portion of the first tab engages the first side of the bone, said step of positioning the tray portion of the arthroplasty component over a portion of the bone includes positioning the tray portion of the arthroplasty component over the portion of the bone disposed between the tray portion and the second portion of the first tab.

29. A method as set forth in claim 28 further including the step of moving a fastener through the second tab on the arthroplasty component and into the bone with a longitudinal central axis of the fastener extending at an acute angle to a side of the tray portion of the arthroplasty component.

30. A method as set forth in claim 28 further including the steps of moving a fastener through the second tab on the arthroplasty component, through a cortical portion of the bone on the second side of the bone, through a cancellous portion of the bone located between the first and second sides of the bone and into engagement with a cortical portion of the bone on the second side of the bone.

31. A method as set forth in claim 28 wherein the arthroplasty component has a keel which extends from the tray portion of the arthroplasty component at a location between the first and second tabs, said method further including the step of moving the keel into the bone at location between the first and second sides of the bone while performing said step of pivoting the arthroplasty component about the location where the first tab engages the first side of the bone.

32. A method as set forth in claim 31 further including the steps of moving a fastener through the second tab, through a portion of the bone, and into the keel to retain the arthroplasty component against movement relative to the bone.

33. A method as set forth in claim 31 further including the step of transmitting force from a fastener to the keel to urge the tray portion of the arthroplasty component toward the portion of the bone disposed between the first and second sides of the bone.

34. A method as set forth in claim 31 further including the step of moving a fastener into the keel along a path which is skewed at an acute angle to a side of the arthroplasty component.

35. A method as set forth in claim 28 wherein said step of moving the second tab on the arthroplasty component along the second side of the bone includes increasing area of engagement of the second tab with the second side of the bone during at least a portion of said step of pivoting the arthroplasty component about a location where the second portion of the first tab engages the first side of the bone.

36. A method as set forth in claim 28 further including interconnecting the portion of the bone disposed between the first and second sides of the bone and the tray portion of the arthroplasty component with bone cement.

37. A method as set forth in claim 36 wherein said step of interconnecting the portion of the bone disposed between the first and second sides of the bone and the tray portion of the arthroplasty component with bone cement includes filling a plurality of recesses in a side of the tray portion with bone cement to retard subsequent propagation of cracks through the bone cement.