Fixed-bearing knee prosthesis having interchangeable components

• US 8,128,703 B2
• Filed: 11/17/2009
• Issued: 03/06/2012
• Est. Priority Date: 09/28/2007
• Status: Active Grant

• Current Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Original Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Inventors: Hazebrouck, Stephen A., Deffenbaugh, Daren L., Heldreth, Mark A., Bryant, Jack T., Meier, Rusty T.
• Primary Examiner(s): Stewart, Alvin J
• Application Number:
  US12/620,034
• Publication Number:
  US 20100063594A1
• Time in Patent Office: 840 Days
• Field of Search: 623 2014- 2036
• US Class Current: 623/20.14
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2002/30172 T-shaped
• CPC Class Codes: A61F 2002/30181 Y-shaped
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0052 T-shaped
• CPC Class Codes: A61F 2230/006 Y-shaped

Abstract

A fixed-bearing prosthesis includes a femoral component having a medial condyle surface and a lateral condyle surface. The knee prosthesis also includes a bearing having a medial bearing surface configured to articulate with the medial condyle surface of the femoral component, and a lateral bearing surface configured to articulate with the lateral condyle surface of the femoral component. A tibial tray is secured to the bearing. The tibial tray has a platform with an elongated stem extending downwardly from a lower surface thereof. A posterior buttress extends along a posterior section of the perimeter of the tray'"'"'s platform, and an anterior buttress extends along an anterior section of the perimeter of the tray'"'"'s platform. Differently-sized tibial trays are interchangeable with differently-sized bearings.

Claims

1. A fixed-bearing knee prosthesis, comprising:

a femoral component having a medial condyle surface and a lateral condyle surface,

a bearing having (i) a medial bearing surface configured to articulate with the medial condyle surface of the femoral component, and (ii) a lateral bearing surface configured to articulate with the lateral condyle surface of the femoral component, and

a tibial tray secured to the bearing, the tibial tray having a platform with a fixation member extending downwardly from a lower surface thereof, the platform having (i) a posterior buttress extending along a posterior section of a perimeter of the platform and extending upwardly from an upper surface of the platform, and (ii) an anterior buttress extending along an anterior section of the perimeter of the platform and extending upwardly from the upper surface of the platform,

wherein the anterior buttress has (i) a first arm extending along an anterior edge of the platform, (ii) a second arm extending along the anterior edge of the platform in a direction away from the first arm of the anterior buttress, the second arm being contiguous with the first arm, and (iii) an undercut defined therein,

wherein the posterior buttress is generally Y-shaped and has (i) a first arm extending along a posterior edge of the platform and having a first undercut defined therein, (ii) a second arm extending along the posterior edge of the platform in a direction away from the first arm and having a second undercut defined therein, and (iii) a third arm extending anteriorly away from the first arm and the second arm, and

wherein (i) a first imaginary line extends along a lateral-most edge of the first arm of the posterior buttress, (ii) a second imaginary line extends along a medial-most edge of the second arm of the posterior buttress and intersects the first imaginary line to define an angle of intersection therebetween, and (iii) the angle of intersection is between 45-145°

.

2. The knee prosthesis of claim 1, wherein the angle of intersection is approximately 60-120°

.

3. The knee prosthesis of claim 1, wherein the angle of intersection is approximately 90°

.

4. The knee prosthesis of claim 1, wherein:

an imaginary line extends along a posterior-most edge of the first arm of the anterior buttress and a posterior-most edge of the second arm of the anterior buttress,

the undercut defined in the anterior buttress is centered on the midpoint of the imaginary line.

5. The knee prosthesis of claim 1, wherein:

an anterior end of the first arm of the anterior buttress is located on the anterior edge of the platform at an anterior-most point of the platform,

a medial end of the first arm of the anterior buttress is located at a location on the anterior edge of the platform between the anterior-most point of the platform and a medial-most point of the platform,

an anterior end of the second arm of the anterior buttress is secured to the anterior end of the first arm of the anterior buttress at the anterior-most point of the platform, and

a lateral end of the second arm of the anterior buttress is located at a location on the anterior edge of the platform between the anterior-most point of the platform and a lateral-most point of the platform.

6. The knee prosthesis of claim 1, wherein the bearing includes:

a first posterior tab positioned in the first undercut defined in the first arm of the posterior buttress,

a second posterior tab positioned in the second undercut defined in the second arm of the posterior buttress, and

an anterior tab positioned in the undercut defined in the anterior buttress.

7. The knee prosthesis of claim 1, wherein:

an imaginary line extends along a posterior-most edge of the first arm of the anterior buttress and a posterior-most edge of the second arm of the anterior buttress, and

the imaginary line defines a curve having a constant radius.

8. The knee prosthesis of claim 1, wherein:

the bearing has an upper surface and a lower surface,

both the medial bearing surface and the lateral bearing surface are defined in the upper surface of the bearing,

the lower surface of the bearing contacts the upper surface of the platform,

the lower surface of the platform has a posterior recess and an anterior recess formed therein, and

the posterior buttress is positioned in the posterior recess and the anterior buttress is positioned in the anterior recess.

9. The knee prosthesis of claim 8, wherein the posterior buttress is discontiguous with the anterior buttress.

10. A fixed-bearing knee prosthesis, comprising:

a femoral component having a medial condyle surface and a lateral condyle surface,

a bearing having (i) a medial bearing surface configured to articulate with the medial condyle surface of the femoral component, and (ii) a lateral bearing surface configured to articulate with the lateral condyle surface of the femoral component, and

a tibial tray secured to the bearing, the tibial tray having a platform with a fixation member extending downwardly from a lower surface thereof, the platform having (i) a posterior buttress extending along a posterior section of a perimeter of the platform and extending upwardly from an upper surface of the platform, and (ii) an anterior buttress extending along an anterior section of the perimeter of the platform and extending upwardly from the upper surface of the platform,

wherein the posterior buttress is generally Y-shaped and has (i) a first arm extending along a posterior edge of the platform and having a first undercut defined therein, (ii) a second arm extending along the posterior edge of the platform in a direction away from the first arm and having a second undercut defined therein, and (iii) a third arm extending anteriorly away from the first arm and the second arm,

wherein the anterior buttress has (i) a first arm extending along an anterior edge of the platform, (ii) a second arm extending along the anterior edge of the platform in a direction away from the first arm of the anterior buttress, and (iii) an undercut defined therein, and

wherein (i) an imaginary line extends along a posterior-most edge of the first arm of the anterior buttress and a posterior-most edge of the second arm of the anterior buttress, and (ii) the imaginary line defines a curve having a constant radius.

11. The knee prosthesis of claim 10, wherein the second arm of the anterior buttress is contiguous with the first arm of the anterior buttress.

12. The knee prosthesis of claim 11, wherein the undercut defined in the anterior buttress is centered on the midpoint of the imaginary line.

13. The knee prosthesis of claim 11, wherein:

an anterior end of the first arm of the anterior buttress is located on the anterior edge of the platform at an anterior-most point of the platform,

a medial end of the first arm of the anterior buttress is located at a location on the anterior edge of the platform between the anterior-most point of the platform and a medial-most point of the platform,

an anterior end of the second arm of the anterior buttress is secured to the anterior end of the first arm of the anterior buttress at the anterior-most point of the platform, and

a lateral end of the second arm of the anterior buttress is located at a location on the anterior edge of the platform between the anterior-most point of the platform and a lateral-most point of the platform.

14. The knee prosthesis of claim 10, wherein the bearing includes:

a first posterior tab positioned in the first undercut defined in the first arm of the posterior buttress,

a second posterior tab positioned in the second undercut defined in the second arm of the posterior buttress, and

an anterior tab positioned in the undercut defined in the anterior buttress.

15. The knee prosthesis of claim 10, wherein:

the bearing has an upper surface and a lower surface,

both the medial bearing surface and the lateral bearing surface are defined in the upper surface of the bearing,

the lower surface of the bearing contacts the upper surface of the platform,

the lower surface of the platform has a posterior recess and an anterior recess formed therein, and

the posterior buttress is positioned in the posterior recess and the anterior buttress is positioned in the anterior recess.

16. The knee prosthesis of claim 15, wherein the posterior buttress is discontiguous with the anterior buttress.

17. A fixed-bearing knee prosthesis, comprising:

a femoral component having a medial condyle surface and a lateral condyle surface,

a tibial tray having a platform with a fixation member extending downwardly from a lower surface thereof, the platform having (i) a generally Y-shaped posterior buttress extending upwardly from an upper surface of the platform and having a pair of arms extending along a posterior section of a perimeter of the platform, each of the pair of arms having an undercut defined therein, and (ii) an anterior buttress extending along an anterior section of the perimeter of the platform and extending upwardly from the upper surface of the platform, the anterior buttress being discontiguous with the posterior buttress and having an undercut defined therein, and

a plurality of bearings configured to be separately secured to the tibial tray, wherein each of the plurality of bearings has (i) a width that is different from at least some of the other of the plurality of bearings, (ii) an upper surface having a medial bearing surface configured to articulate with the medial condyle surface of the femoral component and a lateral bearing surface configured to articulate with the lateral condyle surface of the femoral component, (iii) a lower surface having a posterior recess defined therein to receive the posterior buttress and an anterior recess defined therein to receive the anterior buttress, (iv) a pair of posterior locking tabs arranged to be respectively received in the undercuts defined in each of the pair of arms of the posterior buttress, and (v) an anterior locking tab arranged to be received in the undercut defined in the anterior buttress.

18. The knee prosthesis of claim 17, wherein:

an imaginary line extends along a posterior-most edge of the anterior buttress, and

the undercut defined in the anterior buttress is centered on the midpoint of the imaginary line.

19. The knee prosthesis of claim 17, wherein:

an imaginary line extends along a posterior-most edge of the anterior buttress, and

the imaginary line defines a curve having a constant radius.