Systems and methods for compartmental replacement in a knee

• US 7,258,701 B2
• Filed: 01/12/2005
• Issued: 08/21/2007
• Est. Priority Date: 01/12/2004
• Status: Active Grant

• Current Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Inventors: Lee, Jordan S., Auger, Daniel D., Aram, Luke J., Hayden, Adam I.
• Primary Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US11/033,614
• Publication Number:
  US 20050154471A1
• Time in Patent Office: 951 Days
• Field of Search: 623/201.15, 623 2018- 202, 623/20.31, 623/20.35, 623/20.36
• US Class Current: 623/20.15
• CPC Class Codes: A61B 17/149 Chain, wire or band saws
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/1739 specially adapted for particular parts of the body
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/1778 for the shoulder
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30975 made of two halves
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: A61F 2002/4632 using computer-controlled surgery, e.g. robotic surgery
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws

Abstract

A knee replacement system provides a knee implant that may be used to more accurately replicate the diameter of a natural knee. In one embodiment, a patellofemoral component is connected to the posterior portion of a condylar component by screws that pass through the femur allowing the patellofemoral component and the condylar component to be torqued against opposing sides of the femur. Two additional screws are used to connect the patellofemoral component to an anterior portion of the condylar component. A gap may be left between the patellofemoral component and the anterior portion of the condylar component if needed to provide precise replication of the diameter of the natural knee from the patellofemoral component to the condylar component.

Claims

1. A femoral prosthesis system, comprising:

a patellofemoral joint component defining (i) a patellofemoral bearing surface, (ii) a first rear surface opposite said patellofemoral bearing surface, (iii) a first peripheral surface extending between said patellofemoral bearing surface and said first rear surface, (iv) a first passageway extending between said patellofemoral bearing surface and said first rear surface, and (v) a second passageway extending between said patellofemoral bearing surface and said first rear surface;

a medial condylar component defining (i) a medial condylar bearing surface, (ii) a second rear surface opposite said medial condylar bearing surface, (iii) a second peripheral surface extending between said medial condylar bearing surface and said second rear surface, and (iv) a first fastener recess;

a lateral condylar component defining (i) a lateral condylar bearing surface, (ii) a third rear surface opposite said lateral bearing surface, (iii) a third peripheral surface extending between said lateral condylar bearing surface and said third rear surface, and (iv) a second fastener recess;

a first fastener extending through said first passageway of said patellofemoral joint component and into said first fastener recess of said medial condylar component; and

a second fastener extending through said second passageway of said patellofemoral joint component and into said second fastener recess of said lateral condylar component.

2. The system of claim 1, wherein:

said medial condylar component includes a first post extending from said second rear surface of said medial condylar component, and

said first post defines said first fastener recess.

3. The system of claim 2, wherein:

said lateral condylar component includes a second post extending from said third rear surface of said lateral condylar component, and

said second post defines said second fastener recess.

4. The system of claim 1,

wherein said patellofemoral joint component further defines (i) a third passageway extending between said patellofemoral bearing surface and said first peripheral surface, and (ii) a fourth passageway extending between said patellofemoral bearing surface and said first peripheral surface,

wherein said medial condylar component further defines a third fastener recess,

wherein said lateral condylar component further defines a fourth fastener recess,

further comprising:

a third fastener extending through said third passageway of said patellofemoral joint component and into said third fastener recess of said medial condylar component; and

a fourth fastener extending through said fourth passageway of said patellofemoral joint component and into said fourth fastener recess of said lateral condylar component.

5. The system of claim 4, wherein:

said patellofemoral joint component includes a first post through which said first fastener extends, and

said first post extends from said first rear surface of said patellofemoral joint component.

6. The system of claim 5, wherein:

said patellofemoral joint component further includes a second post through which said second fastener extends, and

said second post extends from said first rear surface of said patellofemoral joint component.

7. A femoral prosthesis system, comprising:

a patellofemoral joint component defining (i) a patellofemoral bearing surface, (ii) a first rear surface opposite said patellofemoral bearing surface, (iii) a first peripheral surface extending between said patellofemoral bearing surface and said first rear surface, (iv) a first passageway extending between said patellofemoral bearing surface and said first rear surface, and (v) a second passageway extending between said patellofemoral bearing surface and said first peripheral surface;

a condylar component defining (i) a condylar bearing surface, (ii) a second rear surface opposite said condylar bearing surface, (iii) a second peripheral surface extending between said condylar bearing surface and said second rear surface, (iv) a first fastener recess, and (v) a second fastener recess;

a first fastener extending through said first passageway of said patellofemoral joint component and into said first fastener recess of said condylar component; and

a second fastener extending through said second passageway of said patellofemoral joint component and into said second fastener recess of said condylar component.

8. The system of claim 7, wherein said condylar component includes a first post configured to receive an end portion of said first fastener, and

said first post extends from said second rear surface of said condylar component.

9. The system of claim 8, wherein said patellofemoral joint component includes a second post through which said first fastener extends, and

said second post extends from said first rear surface of said patellofemoral joint component.

10. A femoral prosthesis system, comprising:

a patellofemoral joint component defining (i) a patellofemoral bearing surface, (ii) a first rear surface opposite said patellofemoral bearing surface, (iii) a first peripheral surface extending between said patellofemoral bearing surface and said first rear surface, (iv) a first passageway extending between said patellofemoral bearing surface and said first rear surface, and (iv) a second passageway extending between said patellofemoral bearing surface and said first rear surface, and (v) a third passageway extending between said patellofemoral bearing surface and said first peripheral surface, and (v) a fourth passageway extending between said patellofemoral bearing surface and said first peripheral surface;

a medial condylar component defining (i) a medial condylar bearing surface, (ii) a second rear surface opposite said medial condylar bearing surface, (iii) a second peripheral surface extending between said medial condylar bearing surface and said second rear surface, (iv) a first fastener recess, and (v) a second fastener recess;

a lateral condylar component defining (i) a lateral condylar bearing surface, (ii) a third rear surface opposite said lateral condylar bearing surface, (iii) a second peripheral surface extending between said lateral condylar bearing surface and said third rear surface, (iv) a third fastener recess, and (v) a fourth fastener recess;

a first fastener extending through said first passageway of said patellofemoral joint component and into said first fastener recess of said medial condylar component;

a second fastener extending through said second passageway of said patellofemoral joint component and into said second fastener recess of said medial condylar component,

a third fastener extending through said third passageway of said patellofemoral joint component and into said third fastener recess of said lateral condylar component; and

a fourth fastener extending through said fourth passageway of said patellofemoral joint component and into said fourth fastener recess of said lateral condylar component.

11. The system of claim 10, wherein:

said patellofemoral joint component includes a first post, and a second post each extending from said first rear surface of said patellofemoral joint component,

said medial condylar component includes a third post extending from said second rear surface of said medial condylar component,

said lateral condylar component includes a fourth post extending from said third rear surface of said lateral condylar component,

said first fastener extends through said first post of said patellofemoral joint component and into said third post of said medial condylar component, and

said second fastener extends through said second post of said patellofemoral joint component and into said fourth post of said lateral condylar component.

12. A femoral prosthesis system, comprising:

a patellofemoral joint component defining (i) a patellofemoral bearing surface, (ii) a first rear surface opposite said patellofemoral bearing surface, (iii) a first peripheral surface extending between said patellofemoral bearing surface and said first rear surface, (iv) a first passageway extending between said patellofemoral bearing surface and said first rear surface, and (v) a second passageway extending between said patellofemoral bearing surface and said first peripheral surface;

a condylar component defining (i) a condylar bearing surface, (ii) a second rear surface opposite said condylar bearing surface, (iii) a second peripheral surface extending between said condylar bearing surface and said second rear surface, (iv) a first fastener recess having a first fastener opening defined in said second rear surface, and (v) a second fastener recess having a second fastener opening defined in said second peripheral surface; and

a first fastener extending through said first passageway of said patellofemoral joint component and into said first fastener recess of said condylar component through said first opening; and

a second fastener extending through said second passageway of said patellofemoral joint component and into said second fastener recess of said condylar component through said second fastener opening.

13. The femoral prosthesis system of claim 12, wherein said first fastener recess and said second fastener recess are each internally threaded.

14. The femoral prosthesis system of claim 13, wherein said first passageway and said second passageway are each internally threaded.

15. The femoral prosthesis system of claim 14, wherein said second fastener includes a first externally threaded portion and a second externally threaded portion that are spaced apart from each other.

16. The femoral prosthesis system of claim 15, wherein:

said first externally threaded portion defines a first pitch,

said second externally threaded portion defines a second pitch, and

said first pitch and said second pitch are different in relation to each other.