Method for locating the mechanical axis of a femur

• US 7,427,272 B2
• Filed: 07/15/2003
• Issued: 09/23/2008
• Est. Priority Date: 07/15/2003
• Status: Active Grant

• Current Assignee: ORTHOsoft ULC. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Orthosoft Inc. (Zimmer Biomet Holdings, Inc.)
• Inventors: Richard, Alain, Jansen, Herbert André, Brosseau, Eric
• Primary Examiner(s): Casler; Brian L.
• Assistant Examiner(s): RAMIREZ, JOHN FERNANDO
• Application Number:
  US10/618,846
• Publication Number:
  US 20050015022A1
• Time in Patent Office: 1,897 Days
• Field of Search: 606/89, 606/130, 600/595, 600/587
• US Class Current: 600/587
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/1127 using markers
• CPC Class Codes: A61B 5/4504 Bones A61B5/4547 takes precedence
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61F 2/46 Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06

Abstract

There is described a method for determining a mechanical axis of a femur using a computer aided surgery system having an output device for displaying said mechanical axis, the method comprising: providing a position sensing system having a tracking device capable of registering instantaneous position readings and attaching the tracking device to the femur; locating a center of a femoral head of the femur by moving a proximal end of the femur to a first static position, acquiring a fixed reading of the first static position, repeating the moving and the acquiring for a plurality of static positions; and locating the centre by determining a central point of a pattern formed by the plurality of static positions; digitizing an entrance point of the mechanical axis at a substantially central position of the proximal end of the femur; and joining a line between the entrance point and the center of rotation to form the mechanical axis.

Claims

1. A method for determining a mechanical axis of a femur using a computer aided surgery system having an output device for displaying said mechanical axis, the method comprising:

providing a position sensing system having a tracking device capable of registering instantaneous position readings and attaching said tracking device to said femur;

locating a center of rotation of a femoral head of said femur by moving a proximal end of said femur to a first static position, acquiring a fixed reading of said first static position, repeating said moving and said acquiring for a plurality of static positions; and

locating said centre by determining a central point of a pattern formed by said plurality of static positions;

digitizing an entrance point of said mechanical axis at a substantially central position of said proximal end of said femur;

joining a line between said entrance point and said center of rotation to form said mechanical axis; and

displaying said mechanical axis on an output device without reference to an image of said femur acquired pre-operatively or intra-operatively using a medical imaging device.

2. A method as claimed in claim 1, wherein said position sensing system automatically registers said instantaneous position readings periodically and said acquiring a fixed reading comprises taking an average value of a plurality of said instantaneous position readings to determine said static position.

3. A method as claimed in claim 1, wherein said position sensing system responds to user input to register said instantaneous position readings and said acquiring a fixed reading comprises enabling said position sensing system to register a single instantaneous position reading.

4. A method as claimed in claim 1, wherein said pattern formed by said plurality of static positions is a conical pattern.

5. A method as claimed in claim 1, wherein said acquiring a fixed reading comprises determining a position of said proximal end relative to a reference.

6. A method as claimed in claim 5, wherein said reference is a fixed reference placed on a pelvis bone adjacent to said femur.

7. A method as claimed in claim 1, wherein said repeating said moving comprises waiting for a signal from an acquisition system that said fixed reading has been acquired before moving to a next static position.

8. A method as claimed in claim 7, wherein said signal is an audio sound.

9. A method as claimed in claim 1, wherein said repeating said moving comprises moving said proximal end at least 20 mm to a next static position.

10. A method as claimed in claim 1, wherein said digitizing comprises applying an instrument to a surface of said bone such that a point and a normal axis to said point are determined.

11. A method as claimed in claim 1, wherein said substantially central position is determined visually.

12. A method as claimed in claim 1, wherein said bone is a femur, said first end is a femoral head of said femur, and said substantially central position is determined by locating an inter-condylar notch.

13. A method as claimed in claim 12, wherein said inter-condylar notch is located by digitizing a medial and a lateral epicondyle at said second end of said femur, forming an epicondylar axis, and determining a center of said epicondylar axis.

14. A system for determining a mechanical axis of a femur, the system comprising:

a position sensing system having a tracking device adapted to register instantaneous position readings of said femur;

an acquisition module adapted to acquire data from said position sensing system and store fixed readings of a plurality of static positions of a proximal end of said femur and a digitized reading of an entrance point of said mechanical axis;

a computing module adapted to locate a center of a femoral head of said femur by determining a central point of a pattern formed by said plurality of static positions and joining a line between said entrance point and said center of a femoral head, thereby representing said mechanical axis; and

an output device adapted to display said mechanical axis, wherein said mechanical axis is determined and displayed on said output device without reference to an image of said femur acquired pre-operatively or intra-operatively using a medical imaging device.

15. A system as claimed in claim 14, wherein said position sensing system automatically registers said instantaneous position readings periodically, and said acquisition module is adapted to take an average value of a plurality of said instantaneous position readings to determine said static positions.

16. A system as claimed in claim 14, wherein said position sensing system responds to user input to register said instantaneous position readings.

17. A system as claimed in claim 14, wherein said acquisition module determines a position of said proximal end relative to a reference.

18. A system as claimed in claim 17, wherein said reference is a fixed reference placed on a pelvis bone adjacent to said femur.

19. A system as claimed in claim 14, wherein said acquisition module provides a signal that said fixed readings have been acquired in between each acquisition.

20. A system as claimed in claim 19, wherein said signal is an audio sound.

21. A system as claimed in claim 14, wherein said digitized reading of an entrance point is a point and a normal axis to said point.