Method for less invasive knee resection

• US 8,870,883 B2
• Filed: 01/28/2011
• Issued: 10/28/2014
• Est. Priority Date: 01/15/2003
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Metzger, Robert, Brown, Stephen, Sheffer, Garrett A.
• Primary Examiner(s): Philogene, Pedro
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US13/016,774
• Publication Number:
  US 20110130762A1
• Time in Patent Office: 1,369 Days
• Field of Search: 606/67, 606/79, 606/82, 606/86.R, 606/87, 606/88, 606/89, 606/96, 606/102, 623/19.14, 623/20.14, 623/20.21, 623/20.32, 623/20.35
• US Class Current: 606/88
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/14 Surgical saws A61B17/1637 takes precedence; tooth saws A61C3/12 ; Accessories therefor
• CPC Class Codes: A61B 17/142 with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia

Abstract

Various method and apparatuses may be used to perform a procedure, such as a resection of a portion of the anatomy for preparation of the implants of a prosthetic. Various resecting member, including saw blades having selected geometries and shapes, can be used to assist in the resection of an anatomy to provide for implantation of a prosthetic. In addition, a cutting block assembly may be used to guide the resecting member. The cutting block assembly may be moveably mounted relative to the portion to be resected.

Claims

1. A method of guiding a tool relative to a portion of an anatomy with a moving guide member, comprising:

positioning a track member relative to the anatomy;

positioning the guide member relative to the anatomy with the track member in a first position;

guiding the tool relative to the anatomy with the guide member in the first position;

moving the guide member to a second position; and

guiding the tool relative to the anatomy in the second position.

2. The method of claim 1, wherein moving the guide member to a second position includes:

moving the tool to move the guide member relative to the track member.

3. The method of claim 1, further comprising:

resecting a selected portion of the anatomy; and

completing the resection of the anatomy with said guide member.

4. The method of claim 1, further comprising:

resecting the anatomy with the tool by guiding the tool relative to the anatomy in the first position and the second position in substantially one plane.

5. The method of claim 1, wherein positioning a track member includes pinning the track member to the anatomy to hold the track member in a position relative to the anatomy.

6. The method of claim 1, wherein positioning the guide member relative to the anatomy includes engaging the guide member to the track member wherein the guide member is movable relative to the track member.

7. The method of claim 6, wherein the guide member is movable relative to the anatomy only with the track member.

8. The method of claim 1, further comprising:

forming an incision in a soft tissue relative to the anatomy; and

wherein positioning a track member includes passing the track member through the incision.

9. The method of claim 8, wherein said incision is about 1 cm to about 13 cm.

10. The method of claim 1, further comprising:

implanting a prosthesis relative to the anatomy.

11. The method of claim 10, wherein implanting the prosthesis relative to the anatomy includes positioning at least one of a distal femoral implant, a proximal femoral implant, a tibial implant, a humeral implant, or a combination thereof relative to the anatomy.

12. The method of claim 1, further comprising:

resecting a portion of the anatomy with the tool.

13. The method of claim 12, wherein resecting a portion of the anatomy with the tool includes resecting at least one of a proximal portion of a femur, a distal portion of a femur, an inferior portion of a femur, a posterior portion of a femur, a proximal portion of a tibia, a portion of a humerus, or combinations thereof.

14. A method of performing a surgical procedure relative to a boney portion through an incision in the soft tissue, comprising:

forming an incision in the soft tissue;

positioning a first member relative to the boney portion;

associating a second member with the first member;

guiding a tool relative to the boney portion with the second member; and

forming a complete cut by moving the second member relative to the boney portion to form a constructive guide surface.

15. The method of claim 14, wherein forming an incision in the soft tissue includes forming an incision of at least about 5 cm.

16. The method of claim 15, wherein forming an incision includes forming an incision of about 13 cm to about 25 cm.

17. The method of claim 14, wherein associating the second member with the first member includes movably interconnecting the second member with the first member.

18. The method of claim 14, further comprising:

moving the second member relative to the first member.

19. The method of claim 18, wherein guiding a tool relative to the boney portion includes moving the second member relative to the first member.

20. The method of claim 14, further comprising:

positioning a tool relative to the second member;

moving the tool relative to the bony portion to resect a selected portion of the bony portion; and

guiding the tool with the second member during the entire resection of the bony portion.

21. The method of claim 14, wherein the second member includes a dimension less than a selected dimension of the resection relative to the bony portion.

22. The method of claim 14, wherein forming the constructive guide surface includes at least one of sliding the second member, rotating the second member, distracting the second member, or combinations thereof relative to the first member.

23. The method of claim 14, further comprising:

resecting a femoral portion for implantation of a distal femoral implant.

24. The method of claim 14, further comprising:

resecting a proximal portion of a tibia for a tibial implant.

25. The method of claim 14, further comprising:

fixing the first member relative to the tibia;

guiding the tool relative to the tibia to resect a selected portion of the tibia; and

forming a constructive guide surface with the second member relative to the tibia.