Method and apparatus for segmental bone replacement

• US 6,197,065 B1
• Filed: 01/05/1998
• Issued: 03/06/2001
• Est. Priority Date: 11/01/1993
• Status: Expired due to Term

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Martin, Daniel L., White, John Robert
• Primary Examiner(s): Snow, Bruce
• Application Number:
  US09/003,061
• Time in Patent Office: 1,156 Days
• Field of Search: 623/18-23
• US Class Current: 623/23.17
• CPC Class Codes: A61B 17/164 intramedullary
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 17/1717 for applying intramedullary nails or pins
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/72 Intramedullary pins, nails or other devices A61B17/744 takes precedence
• CPC Class Codes: A61B 17/7233 with special means of locking the nail to the bone
• CPC Class Codes: A61B 2017/1602 Mills
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/3601 for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices non-prosthetic internal fixation devices for the femoral head or neck A61B17/74
• CPC Class Codes: A61F 2/3607 including proximal or total replacement of the femur
• CPC Class Codes: A61F 2002/30535 Special structural features of bone or joint prostheses not otherwise provided for
• CPC Class Codes: A61F 2250/0058 Additional features; Implant or prostheses properties not otherwise provided for

Abstract

A bone attachment assembly for a remaining portion of a long bone diaphysis following resection is provided. The assembly includes a main body, an anchor for anchoring the device with respect to the remaining bone portion and an attachment portion for attaching the main body to the anchor. The assembly may be connected to an orthopedic appliance, an interposed orthopedic appliance connected to a second bone attachment assembly, or a transcutaneous bar for attaching an external appliance. A reaming device for creating an intramedullary cavity, a guide device for guiding an aperture-forming procedure in a remaining bone portion, and a milling device for shaping an interface surface of the bone in a preselected geometry are also provided. In the method of the present invention, a cavity is created within a remaining bone portion using the reaming device. At least one aperture is created using the guide device, and the bone surface is milled to a preselected geometry using the milling device. The above components are then assembled together within the cavity to form the device of the present invention. The device may then be connected to other devices as stated above. A bone attachment assembly may also be provided having a compliant section integrally disposed that is operable for being converted to a preselected condition of expansion prior to or following implantation.

Claims

1. A hip attachment assembly for attaching to a bone, said hip attachment assembly comprising:

a hip component defining a main body, said hip component having an extension for mating with a ball, said hip component further including an inferior surface operable to engage a surface of the bone and a sleeve extending from said inferior surface, said hip component being formed from a single member;

an anchor operable to anchor said bone attachment assembly to the bone, said anchor having a mating member; and

a compliant portion operable to be expanded and contracted slidably disposed and contained within said sleeve;

said sleeve being slidably engaged with said mating member to substantially inhibit non-axial deflection of said compliant member;

said compliant portion being operably associated with said anchor and with said hip component.

2. The bone attachment assembly as set forth in claim 1, wherein said sleeve is integrally formed with said main body.

3. The bone attachment assembly as set forth in claim 1, wherein said anchor is capable of being secured within a first remaining bone portion by being cross-secured within a cavity of said first remaining bone portion by at least one engagement device disposed between said anchor and said first remaining bone portion.

4. The bone attachment assembly as set forth in claim 1, wherein at least a portion of said bone attachment assembly is operable for insertion within a cavity of said first remaining bone portion selected from the group consisting of an enlarged intermedullary cavity, a reamed bone cavity and a drilled bone cavity.

5. The bone attachment assembly as set forth in claim 1, wherein said compliant portion is sufficiently elastic such that it is more compliant than a section of said first remaining bone portion located between said anchor and said surface of said first remaining bone portion that engages said interface surface of said main body.

6. The bone attachment assembly as set forth in claim 1, wherein said interface surface of said main body includes at least one surface feature operable for inhibiting rotation of said main body with respect to said first remaining bone portion.

7. The bone attachment assembly as set forth in claim 1, wherein said main body is non-coaxial relative to said sleeve.

8. The bone attachment assembly as defined in claim 1 wherein said sleeve has a substantially cylindrical body with a cylindrical recess operable to receive said compliant portion.

9. The bone attachment assembly as defined in claim 1 wherein a traction rod axially extends from said compliant portion, said traction rod operable to be slidably received by said hip component to adjust a force applied to said compliant member.

10. The bone attachment assembly as defined in claim 1 wherein said anchor is operable to anchor said bone attachment assembly to the bone by use of at least one laterally extending cross pin passing through said anchor.