Method and apparatus for resecting bone

• US 5,611,802 A
• Filed: 02/14/1995
• Issued: 03/18/1997
• Est. Priority Date: 02/14/1995
• Status: Expired due to Term

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Samuelson, Kent M., Vandewalle, Mark V.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): LEONARDO, MARK
• Application Number:
  US08/389,136
• Time in Patent Office: 763 Days
• Field of Search: 606/79, 606/82, 606/86, 606/87, 606/88, 606/89, 606/96, 606/97, 606/98
• US Class Current: 606/86.00R
• 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

A method and apparatus for resecting bone includes an anterior femur resection guide assembly for performing an anterior femur osteotomy, a distal femur resecting guide assembly for performing a distal femur osteotomy, a compound posterior femur-chamfer resection guide assembly for performing an anterior femur osteotomy, and a tibia resection guide assembly for performing a proximal tibia osteotomy. The anterior femur resection guide assembly, the distal femur resecting guide assembly, the tibia resecting guide assembly, and the compound posterior femur-chamfer resection guide assembly each includes a capture plate subassembly which restricts lateral movement of a saw during resection. The distal femur resecting guide assembly and the tibia resecting guide assembly also include subassemblies for verifying the correct positioning of a distal femur and proximal tibia osteotomies.

Claims

1. A surgical instrument for resecting a bone with a saw, the saw including a blade, said surgical instrument comprising:

a guide body operable to be used during resection of the bone; and

a laterally extending member defined by a first component operably attached to said guide body at a first attachment area and a second component operably attached to said guide body at a second attachment area, said attachment areas defining two opposing walls, said components being spaced apart such that a constrained opening is defined therebetween for capturing the blade, said constrained opening extending substantially between said attachment areas.

2. The surgical instrument of claim 1, wherein said first component defines a saw blade-positioning swing arm, said swing arm being removably attachable to said guide body and being pivotable with respect thereto.

3. The surgical instrument of claim 2, wherein said second component defines a saw blade capture plate, said capture plate substantially overlapping said saw blade-positioning swing arm.

4. The surgical instrument of claim 2, wherein said swing arm comprises a first swing arm having a first length and wherein said surgical instrument includes a second swing arm having a second length, said first length and said second length being different, said first swing arm being interchangeable with said second swing arm.

5. The surgical instrument of claim 4, wherein said first swing arm includes a first capture plate substantially overlapping said first swing arm in spaced apart relation therefrom such that a first constrained opening is defined therebetween for capturing the blade.

6. The surgical instrument of claim 5, wherein said second swing arm includes a second capture plate substantially overlapping said first swing arm in spaced apart relation therefrom such that a second constrained opening is defined therebetween for capturing the blade.

7. The surgical instrument of claim 1, wherein the bone to be resected has a long axis, said guide body further including an alignment member attached thereto for aligning said surgical instrument with respect to the long axis of the bone.

8. The surgical instrument of claim 1, said guide body further including means for releasably attaching said surgical instrument to the bone.

9. The surgical instrument of claim 2, wherein the bone to be resected is a femur and said guide body further includes a distal femur contacting surface for positioning said instrument against the distal end of the femur, whereby said swing arm is positionable partially around the anterior portion of the distal femur.

10. A method for resecting a bone with a saw, the saw including a blade and the bone having a long axis, said method comprising the steps of:

providing a surgical instrument for resecting the bone, said surgical instrument having a guide body and a laterally extending member operably attached to said guide body, said laterally extending member defined by a first component operably attached to said guide body at a first attachment area and a second component operably attached to said guide body at a second attachment area, said attachment areas defining two opposing walls, said components being spaced apart such that a constrained opening is defined therebetween for capturing the blade, said constrained opening extending substantially between said attachment areas, said surgical instrument further including an alignment member attached to said guide body for aligning said surgical instrument with respect to the long axis of the bone, said laterally extending member including a constrained opening through which the blade is able to pass;

positioning said guide body into axial alignment with the long axis of the bone by observing the relative position of said alignment member;

moving said laterally extending member from a first position in which said laterally extending member is spaced apart from the bone to a second position in which at least a portion of said laterally extending member is located adjacent to the bone;

inserting the blade through said constrained opening formed between said attachment areas; and

resecting the bone by movement of the blade of the saw.

11. The method for resecting a bone of claim 10, wherein said surgical instrument defines an anterior femur resection guide assembly and said constrained opening defines an anterior femur resection guide assembly constrained opening, said step of positioning said guide body including the step of positioning said anterior femur resection guide assembly against the distal end of a femur, said step of moving said laterally extending member including the step of moving said laterally extending member to a position adjacent the femur, said step of inserting the saw blade through the constrained opening including the step of inserting the saw blade through said anterior femur resection guide assembly constrained opening, and said step of resecting the bone including the step of shaping the anterior side of the distal end of the femur to form a resected anterior surface.