Distal femoral cutting block assembly

• US 5,683,398 A
• Filed: 02/20/1996
• Issued: 11/04/1997
• Est. Priority Date: 02/20/1996
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Richards Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Tammi, Steven M., Carls, Thomas A.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/603,982
• Time in Patent Office: 623 Days
• Field of Search: 606/82, 606/87, 606/88, 606/89
• US Class Current: 606/89
• CPC Class Codes: A61B 17/155 Cutting femur

Abstract

A composite cutting block for preparing a patient'"'"'s distal femur to receive a knee prosthesis includes a first block body having a triangular cross section that engages the patient'"'"'s distal femur using bone tissue connectors such as bone spikes. A pair of inclined surfaces form acute angles with a flat surface, the inclined surfaces defining anterior and posterior chamfer cutting guide surfaces. A second block body has an undersurface with an elongated inverted "T" shaped slot. The first block body fits the slot so that the flat distal surfaces of the first block body and the flat distal surface of the second block body are in planes that are closely positioned upon assembly. A connector in the form of a threaded shaft holds the first block body in the slot of the second block body to define an assembled position. The second block body has opposed parallel cutting guide surfaces that are perpendicular to the undersurface of the second block body for enabling the surgeon to make anterior and posterior cuts on the a patient'"'"'s distal femur. During use, the second block forms a guard over the first block body when a surgeon is making the anterior and posterior cuts. The surgeon then removes the second block body to expose the first block body so that the anterior and posterior chamfer cuts can be made.

Claims

1. A composite femoral cutting block for preparing a patient'"'"'s distal femur to receive a knee prosthesis comprising:

a) a first block body having a triangular cross section defined by a flat surface that is adapted to engage the patient'"'"'s distal femur and a pair of included surfaces that each form an acute angle with the flat surface, wherein the inclined surfaces define anterior and posterior chamfer cutting guide surfaces for making anterior chamfer and posterior chamfer cuts on the patient'"'"'s distal femur;

b) a second block body having an undersurface with an elongated slot, the first block fitting the slot so that the flat surface of the first block body is generally parallel to the distal surface of the second block body;

c) the first and second block bodies being separate members that can be removed one at a time from the patient'"'"'s distal femur;

d) a connector for holding the first block body in the slot of the second block body to define an assembled position;

e) the assembly of the first block body and second block body having an attachment for anchoring the assembly of the first block body and the second block body to the patient'"'"'s distal femur;

f) the second block body having opposed, cutting guide surfaces that are each angled with respect to the undersurface of the second block; and

g) the second block forming a guard over the first block upon assembly.

2. The composite femoral cutting block of claim 1 wherein the attachment comprises one or more openings on the assembly through which bone pins or bone screws can be inserted into underlying bone tissue.

3. The composite femoral cutting block of claim 1 wherein the attachment comprises one or more bone spikes mounted on the assembly.

4. The composite femoral cutting block of claim 1 wherein the first block body and second block body have undersurface portions that are in planes the are closely positioned upon assembly.

5. The composite femoral cutting block of claim 1 wherein the second cutting block has an undersurface within an elongated slot that is "T" shaped in transverse cross section.

6. The composite femoral cutting block of claim 1 wherein the second block has parallel anterior and posterior surfaces.

7. The composite femoral cutting block of claim 1 wherein the second block body has parallel proximal and distal surfaces.

8. The composite femoral cutting block of claim 1 wherein the connector comprises a threaded member on one of the block bodies and an internally threaded opening on the other of the block bodies.

9. The composite femoral cutting block body of claim 8 wherein the first and second block bodies are connected at three positions including first and second positions at the two inclined surfaces of the first block body and a third position at an apex portion of the first block body.

10. The composite femoral cutting block of claim 1 wherein the anchor comprises at least one bone spike.

11. The composite femoral cutting block of claim 1 wherein the second block has an elongated slot that includes two elongated portions that engage that inclined surfaces of the first block body upon assembly.

12. The composite femoral cutting block of claim 1 wherein the connector includes a threaded connector that extends between the first and second block bodies at the apex portion of the first block body.

13. A composite femoral cutting block for preparing a patient'"'"'s distal femur to receive a knee prosthesis comprising:

a) a first block body having a triangular cross section defined by a flat surface that is adapted to engage the patient'"'"'s distal femur and a pair of included surfaces that each form an acute angle with the flat surface, wherein the inclined surfaces define anterior and posterior chamfer cutting guide surfaces for making anterior chamfer and posterior chamfer cuts on the patient'"'"'s distal femur and wherein the surgeon can view substantially the entire surface of each inclined surface;

b) a second block body having an undersurface with an elongated slot, the first block fitting the slot so that the flat surface of the first block body is generally parallel to the distal surface of the second block body;

c) the first and second block bodies being separate members that can be removed one at a time from the patient'"'"'s distal femur;

d) a connector for holding the first block body in the slot of the second block body to define an assembled position;

e) the assembly of the first block body and second block body having an attachment for anchoring the assembly of the first block body and the second block body to the patient'"'"'s distal femur;

f) the second block body having opposed, cutting guide surfaces that are each angled with respect to the undersurface of the second block; and

g) the second block forming a guard over the first block upon assembly.

14. A composite femoral cutting block for preparing a patient'"'"'s distal femur to receive a knee prosthesis comprising:

a) a first block body having a triangular cross section defined by a flat surface that is adapted to engage the patient'"'"'s distal femur and a pair of included surfaces that each form an acute angle with the flat surface, wherein the inclined surfaces define anterior and posterior chamfer cutting guide surfaces for making anterior chamfer and posterior chamfer cuts on the patient'"'"'s distal femur and wherein the surgeon can view substantially the entire surface of each inclined surface;

b) a second block body having an undersurface with an elongated slot, the first block fitting the slot so that the flat surface of the first block body is generally parallel to the distal surface of the second block body;

c) the first and second block bodies being separate members that can be removed one at a time from the patient'"'"'s distal femur;

d) a connector for holding the first block body in the slot of the second block body to define an assembled position and for disassembling one block from the other, even when the blocks are positioned on the patient'"'"'s distal femur;

e) the assembly of the first block body and second block body having an attachment for anchoring the assembly of the first block body and the second block body to the patient'"'"'s distal femur;

f) the second block body having opposed, cutting guide surfaces that are each angled with respect to the undersurface of the second block; and

g) the second block forming a guard over the first block upon assembly.