Method of implanting a uni-condylar knee prosthesis

• US 6,059,831 A
• Filed: 03/31/1999
• Issued: 05/09/2000
• Est. Priority Date: 03/31/1999
• Status: Expired due to Term

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: King, Jeffrey, Braslow, Jonathon S.
• Primary Examiner(s): Hirsch, Paul J.
• Assistant Examiner(s): Priddy, Michael B.
• Application Number:
  US09/281,867
• Time in Patent Office: 405 Days
• Field of Search: 606/79, 128/898, 623/18, 623/20
• US Class Current: 128/898
• 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
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: Y10S 623/908 Bone

Abstract

The invention relates generally to a method for implanting a uni-condylar knee prosthesis. The method includes steps for preparing the bone surfaces of both the femoral and tibial effected compartments. The femoral compartment is prepared by making a distal cut, a posterior cuts and a posterior chamfer cut. Holes that correspond to posts on the femoral component are also prepared. The tibial compartment is prepared using a cutting guide and following the sclerotic bone formation on the proximal tibia. At least one hole is prepared in the sloped cut tibial surface to use for alignment when cementing the tibial component that has an alignment peg.

Claims

1. A method of implanting a uni-condylar knee prosthesis in a patient having a femur and a tibia with a medial compartment and a lateral compartment, the tibia having a midline and an outer edge with a defect on the tibia that results in a sclerotic bone formation that slopes down from the midline to the outer edge of the tibia, said method comprising:

providing a femoral component and a tibial component, said tibial component having a proximal surface operable to engage said femoral component and a distal surface operable to engage the tibia, said distal surface declining from the midline to the outer edge, wherein said tibial component is thinner at the midline than at the outer edge and includes at least one peg extending from said distal surface;

making a set of bone cuts on the femur that correspond to said femoral component;

making a minimal cut on the tibia that slopes from the midline down toward the outer edge following the defect on the tibia to preserve the sclerotic bone formation;

forming at least one hole in the tibia that corresponds to said peg on said tibial component to allow for alignment;

implanting said femoral component; and

aligning and implanting said tibial component on top of the remaining sclerotic bone formation to avoid migration of said tibial component.

2. The method of implanting a uni-condylar knee prosthesis of claim 1, further comprising the step of cementing said femoral and tibial components to the bone.

3. The method of implanting a uni-condylar knee prosthesis of claim 1, wherein said step of making a set of bone cuts on the femur includes the step of making a distal femoral cut.

4. The method of implanting a uni-condylar knee prosthesis of claim 3, wherein said step of making a set of bone cuts on the femur further includes the step of making a posterior cut and a posterior chamfer cut that intersects said posterior cut and said distal femoral cut.

5. The method of implanting a uni-condylar knee prosthesis of claim 3, wherein the femur is measured for size after making said distal cut.

6. The method of implanting a uni-condylar knee prosthesis of claim 1, wherein said step of providing a femoral component and a tibial component includes the step of providing components of different sizes to better fit the femur and tibia.

7. A method of implanting a uni-condylar knee prosthesis in a patient having a femur and a tibia with a medial compartment and a lateral compartment, the tibia having a midline and an outer edge and a defect on the tibia that slopes down from the midline to the outer edge having sclerotic bone formation, said method comprising:

providing a femoral component having a first articulating surface and a first bone mating surface;

providing a tibial component having a second articulating surface operable to engage said first articulating surface and a second bone mating surface opposite said second articulating surface, a first edge and a second edge, said second bone mating surface sloping from said first edge to said second edge and having a post extending from said second bone mating surface;

making at least one cut on the femur to accommodate said first bone mating surface on said femoral component;

making a cut on the tibia that slopes down along a line drawn from the midline to the outer edge of the tibia following the sclerotic bone formation;

forming at least one hole on said cut of the tibia that said post may extend into to align said tibial component on the tibia; and

implanting said femoral component and said tibial component onto the cut femur and the cut tibia.

8. The method of implanting a uni-condylar knee prosthesis of claim 7, wherein said step of making at least one cut on the femur is a distal femoral cut.

9. The method of implanting a uni-condylar knee prosthesis of claim 8, further comprising a step of measuring the femur to determine the size of the femur.

10. The method of implanting a uni-condylar knee prosthesis of claim 7, wherein said step of providing a femoral component further comprises providing multiple sizes to accommodate different sized femurs.

11. The method of implanting a uni-condylar knee prosthesis of claim 7, wherein said step of providing a tibial component further comprises providing multiple sizes to accommodate different sized tibias.

12. The method of implanting a uni-condylar knee prosthesis of claim 7, wherein said step of providing a tibial component further comprises providing different slopes on said second bone mating surface of said tibial component to allow for substantially following an existing slope of the tibia.

13. The method of implanting a uni-condylar knee prosthesis of claim 7, further comprising a step of cementing said femoral component and said tibial component to the femur and tibia.

14. The method of implanting a uni-condylar knee prosthesis of claim 13, further comprising providing a roughened bone engaging surface to allow cement interdigitation.