Systems and methods for joint replacement

• US 8,118,815 B2
• Filed: 05/24/2011
• Issued: 02/21/2012
• Est. Priority Date: 07/24/2009
• Status: Active Grant

• Current Assignee: Orthalign, Inc.
• Original Assignee: Orthalign, Inc.
• Inventors: van der Walt, Nicholas
• Primary Examiner(s): Barrett, Thomas C.
• Assistant Examiner(s): SEVILLA, CHRISTIAN ANTHONY
• Application Number:
  US13/115,065
• Publication Number:
  US 20110218543A1
• Time in Patent Office: 273 Days
• Field of Search: 606/87, 606/88, 606/89, 606/102, 606/130, 335/12, 600/424
• US Class Current: 606/102
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• 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 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06

Abstract

Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device, a reference sensor device, and at least one orthopedic fixture. The surgical orientation device, reference sensor device, and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, or otherwise to assist in an orthopedic procedure(s).

Claims

1. An implant alignment device comprising:

an orthopedic fixture having a base configured to couple with a distal portion of a femur, a moveable portion pivotable and configured to move relative to the base, and a guide member configured to couple with the moveable portion;

a reference device coupled to or integrally formed with the base or moveable portion of the orthopedic fixture, the reference device configured to sense changes in orientation of a long axis of the femur relative to a fixed reference frame; and

a surgical orientation device coupled to or integrally formed with the base or moveable portion of the orthopedic fixture to enable positioning of the guide member in a prescribed orientation relative to the distal femur;

wherein at least one of the surgical orientation device and the reference device is configured to send information about an orientation of the at least one of the surgical orientation device and reference device to the other of the surgical orientation device or reference device.

2. The alignment device of claim 1, wherein the orthopedic fixture is capable of movement in at least two degrees of freedom to vary the orientation of the guide member about at least two axes.

3. The alignment device of claim 1, wherein the orthopedic fixture comprises a femoral jig assembly, the femoral jig assembly comprising a microblock assembly and a cutting block assembly, the femoral jig assembly being releasably attachable to:

(i) the surgical orientation device via a coupling device,

(ii) the reference device via an interface support member, and

(iii) distal condyles of a femur via the microblock assembly,

wherein the microblock assembly further comprises a distal guide configured to engage a distal aspect of the femur in connection with positioning the femoral jig.

4. The alignment device of claim 3, wherein the microblock assembly comprises one or more movement devices and a member configured to support the movement device(s), the member further comprising an anterior portion configured receive a plurality of mounting pins and a posterior portion configured to extend posteriorly from the anterior portion to engage a distal portion of the femur in connection with positioning the femoral jig.

8. The implant alignment device of claim 1, wherein the long axis is the mechanical axis of the femur.

9. The implant alignment device of claim 8, wherein the alignment device is configured to locate one of the reference device and the surgical orientation device at an anterior-posterior location off-set from the mechanical axis.

10. The implant alignment device of claim 9, wherein the alignment device is configured to provide a defined distance between the mechanical axis and the anterior-posterior location of one of the reference device and the surgical orientation device.

11. The implant alignment device of claim 10, wherein the alignment device comprises a distal guide having a plurality of markings indicative of the anterior-posterior position.

12. The implant alignment device of claim 10, wherein the alignment device comprises a fixed anterior-posterior distance defined between a distal mounting structure adapted to be applied at the mechanical axis and the anterior-posterior location of one of the reference device and the surgical orientation device.

13. The implant alignment device of claim 1, wherein the orthopedic fixture comprises three spaced apart mounting structures for connection to a distal portion of the femur.

14. The implant alignment device of claim 13, wherein the spaced apart mounting structures are disposed distal of a cutting block mounting feature.

15. The implant alignment device of claim 13, wherein one of the spaced apart mounting structures is disposed proximal of a cutting block mounting feature.

16. The implant alignment device of claim 1, wherein the moveable portion comprises a translating member adapted to enable translation of a cutting block along an axis.

17. The implant alignment device of claim 16, wherein the translating member is adapted for movement along an anterior-posterior axis to enable translation of a cutting block anteriorly and posteriorly.

18. The implant alignment device of claim 16, wherein the translating member is adapted for movement along a distal proximal axis to enable translation of a cutting block distally and proximally.

19. The implant alignment device of claim 1, further comprising an arm coupled with the orthopedic fixture and having a plurality of markings and a cutting block coupled with the arm, the relative position of the cutting block and markings indicating resection depth.

5. A surgical orientation system comprising:

a surgical orientation device comprising;

a first portable housing configured to be coupled with a knee bone by way of one or more orthopedic fixtures;

a first sensor located within the first housing, the first sensor configured to monitor the orientation of the first sensor in a coordinate system and to generate a signal corresponding to the orientation of the surgical orientation device relative to the coordinate system; and

a display module configured to display an indication of a change in one or more angle measurements relative to the coordinate system based at least in part on the signal; and

a reference device comprising;

a second portable housing configured to connect to a knee bone by way of one or more orthopedic fixtures; and

a second sensor located within the second housing, the second sensor configured to monitor the orientation of the second sensor relative to the coordinate system, the second sensor configured to generate orientation data corresponding to the monitored orientation of the reference device;

an orthopedic fixture configured to be connected to a knee bone and with the surgical orientation device and reference device such that the surgical orientation device and reference device are separately moveable relative to each other;

wherein at least one of the surgical orientation device and reference device is further configured to determine the spatial location of the mechanical axis of the leg;

the orthopedic fixture comprising a base configured to couple with a distal portion of a femur, a moveable portion pivotable relative to the base, and a guide member configured to couple with the moveable portion;

wherein at least one of the surgical orientation device and reference device is configured to send information about the spatial location of the mechanical axis to the other of the surgical orientation device or reference device.

6. The surgical orientation system of claim 5, wherein the surgical orientation device comprises at least one structure for facilitating releasable attachment to an orthopedic fixture.

7. The surgical orientation system of claim 5, wherein the reference device comprises at least one structure for facilitating releasable attachment to an orthopedic fixture.

20. An implant alignment device comprising:

a femoral jig configured to be removably mounted on the distal portion of a femur, comprising;

a fixed portion configured to be removably but fixedly coupled with a distal portion of a femur,

a moveable portion pivotable relative to the fixed portion and having an adjustment member to adjust the location of the moveable portion about an axis to vary at least one of varus/valgus and flexion/extension, and

a guide member configured to be coupled with the moveable portion and movable in response to movements by the moveable portion, the guide member being adapted to identify a cutting plane relative to the femur with respect to at least one of varus/valgus and flexion/extension;

a reference device coupled to or integrally formed with one of the base or moveable portion of the alignment device, the reference device configured to sense changes in orientation of a long axis of the femur relative to a fixed reference frame; and

a surgical orientation device coupled to or integrally formed with the other of the base or moveable portion of the orthopedic fixture to enable positioning of the guide member in a prescribed orientation relative to the distal femur;

wherein at least one of the surgical orientation device and the reference device is configured to send information about an orientation of the at least one of the surgical orientation device and the reference device to the other of the surgical orientation device or reference device.