Knee prosthesis system

• US 9,011,547 B2
• Filed: 01/21/2010
• Issued: 04/21/2015
• Est. Priority Date: 01/21/2010
• Status: Active Grant

• Current Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Original Assignee: Depuy (Johnson & Johnson)
• Inventors: Auger, Daniel D., Fitzpatrick, David P., Wyss, Joseph G., Wright, Abraham P., Wagner, Christel M., Hazebrouck, Stephen A., Deffenbaugh, Daren L.
• Primary Examiner(s): Prone, Christopher D
• Application Number:
  US12/691,232
• Publication Number:
  US 20110178605A1
• Time in Patent Office: 1,916 Days
• Field of Search: 623/20.15, 623/18.11, 623/20.14, 623/20.19, 623/20.21, 623/20.23, 623/20.24, 623 2026- 2028, 623/20.31, 623/20.32, 623/20.35
• US Class Current: 623/20.19
• CPC Class Codes: A61F 2/3868 with sliding tibial bearing
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2/3886 for stabilising knees against anterior or lateral dislocations
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2002/30217 hollow cones, e.g. tubular-like cones
• CPC Class Codes: A61F 2002/30604 modular
• 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 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2230/0067 conical

Abstract

A knee prosthesis system for total knee replacement procedures includes a plurality of distinctly-sized femoral components, a plurality of distinctly-sized fixed tibial components, a plurality of distinctly-sized mobile tibial components, a plurality of fixed inserts, and a plurality of mobile inserts. Each of the mobile inserts is sized and shaped such that each may be optimally matched to one of the femoral components and may be used with any one of the mobile tibial components. Each of the fixed inserts is sized and shaped such that each may be optimally matched to one of the femoral components and may be used with any one of the fixed tibial components.

Claims

1. A knee prosthesis system for cruciate-retaining (CR) and posterior-stabilized (PS), total knee replacement procedures comprising:

a. a plurality of differently-sized CR femoral components, each CR femoral component having a medial condyle surface and a lateral condyle;

b. a plurality of differently-sized PS femoral components, each PS femoral component having a medial condyle surface and a lateral condyle surface;

c. a plurality of differently-sized metal fixed tibial components;

d. a plurality of differently-sized mobile tibial components;

e. a plurality of differently-sized CR mobile inserts, each CR mobile insert having a medial bearing surface configured to articulate with the medial condyle surface of one size of CR femoral components and a lateral bearing surface configured to articulate with the lateral condyle surface of the same size of CR femoral components, wherein each size of CR mobile inserts may be mounted on at least two different sizes of the mobile tibial components;

f. a plurality of differently-sized polymeric CR fixed inserts, each CR fixed insert having a medial bearing surface configured to articulate with the medial condyle surface of one size of CR femoral components and a lateral bearing surface configured to articulate with the lateral condyle surface of the same size of CR femoral components, wherein each size of CR fixed inserts has a different width and may be mounted in a secure fixed relationship with at least two different sizes of the fixed tibial components;

g. a plurality of differently-sized polymeric PS fixed inserts, each PS fixed insert having a medial bearing surface configured to articulate with the medial condyle surface of one size of PS femoral components and a lateral bearing surface configured to articulate with the lateral condyle surface of the same size of PS femoral components, wherein each size of PS fixed inserts has a different width and may be mounted in a secure fixed relationship with at least two different sizes of the fixed tibial components; and

h. a plurality of PS mobile inserts, each PS mobile insert having a medial bearing surface configured to articulate with the medial condyle surface of one size of PS femoral components and a lateral bearing surface configured to articulate with the lateral condyle surface of the same size of PS femoral components, wherein each size of PS mobile inserts may be mounted on at least two different sizes of the mobile tibial components;

i. wherein each tibial component has a platform and a stem extending distally from the platform, each stem having a distal portion and a proximal portion, the distal portion and the proximal portion having different shapes, the distal portion of the stem of each size of tibial component having the same length and the same generally conical shape and the proximal portion of the stem of each size of tibial component having a different length.

2. The knee prosthesis system of claim 1, wherein:

each of the plurality of differently-sized fixed tibial components has a platform from which extends an anterior buttress and a posterior buttress for retaining any one of the plurality of PS fixed inserts and any one of the plurality of CR fixed inserts;

the anterior buttresses and posterior buttresses of at least two sizes of fixed tibial components are commonly-sized and commonly-located; and

each PS fixed insert has a lower surface with recesses defined therein to receive the anterior buttress and posterior buttress of at least two sizes of fixed tibial components and each CR fixed insert has a lower surface with recesses defined therein to receive the anterior buttress and posterior buttress of at least two sizes of fixed tibial components.

3. The knee prosthesis system of claim 1, wherein each of the plurality of PS fixed inserts and each of the plurality of PS mobile inserts have a surface and a spine extending superiorly therefrom, the spine having a posterior side including a concave cam surface and a convex cam surface, and the posterior cam of each PS femoral component includes a concave cam surface and a convex cam surface, wherein the concave cam surface of the posterior cam contacts the convex cam surface of the spine during a first range of flexion and the convex cam surface of the posterior cam contacts the concave cam surface of the spine during a second range of flexion.

4. The knee prosthesis system of claim 3, wherein each of the plurality of differently-sized PS femoral components includes an intracondylar notch and wherein the intracondylar notch of each of the differently-sized PS femoral components is proportionately sized and shaped to fit a particular anatomical size and shape of a patient'"'"'s femur.

5. The knee prosthesis system of claim 1, further including a plurality of patella components, any one of which may be used in combination with any one of the plurality of differently-sized CR femoral components and in combination with any one of the plurality of differently-sized PS femoral components.

6. The knee prosthesis system of claim 1, wherein each of the plurality of CR fixed inserts, each of the plurality of CR mobile inserts, each of the plurality of PS fixed inserts and each of the plurality of PS mobile inserts, have a thickness different from the others within that plurality.

7. The knee prosthesis system of claim 1, wherein the stems for a particular anatomical size of the fixed and mobile tibial components have approximately the same external size and configuration, such that approximately the same surgical preparation of the proximal tibia is required for each of the fixed and the mobile tibial components for the particular anatomical size.

8. A knee prosthesis system for cruciate-retaining (CR) and posterior-stabilized (PS), total knee replacement procedures comprising:

a. a plurality of differently-sized CR femoral components;

b. a plurality of differently-sized PS femoral components;

c. a plurality of differently-sized fixed tibial components;

d. a plurality of differently-sized mobile tibial components;

e. a plurality of CR mobile inserts, each of which is sized and shaped such that each may be optimally matched to one of the CR femoral components;

f. a plurality of differently-sized polymeric CR fixed inserts, each of which has an articulation surface that is sized and shaped such that each may be optimally matched to one of the CR femoral components and each of which has an opposite surface with a different width;

g. a plurality of differently-sized polymeric PS fixed inserts, each of which has an articulation surface that is sized and shaped such that each may be optimally matched to one of the PS femoral components and each of which has an opposite surface with a different width;

h. a plurality of PS mobile inserts, each of which is sized and shaped such that each may be optimally matched to one of the PS femoral components;

wherein;

the fixed tibial components have mounting structures for securing a selected PS fixed insert or CR fixed insert and a selected one of the fixed tibial components together;

the mounting structures of at least two sizes of fixed tibial components are commonly-sized and commonly-located so that at least one size of CR fixed insert and at least one size of PS fixed insert may be selectively secured to at least two sizes of fixed tibial components; and

each tibial component has a platform and a stem extending distally from the platform, each stem having a distal portion and a proximal portion, the distal portion and the proximal portion having different shapes, the distal portion of the stem of each size of tibial component having the same length and the same generally conical shape and the proximal portion of the stem of each size of tibial component having a different length.

9. The knee prosthesis system of claim 8, further including a plurality of patella components, any one of which may be used in combination with any one of the plurality of differently-sized CR femoral components and in combination with any one of the plurality of differently-sized PS femoral components.

10. The knee prosthesis system of claim 8, wherein each of the differently-sized PS femoral components includes an intracondylar notch that is proportionately sized and shaped to fit a particular anatomical size and shape of a patient'"'"'s femur.

11. The knee prosthesis system of claim 8, wherein the stems for a particular anatomical size of fixed and mobile tibial components have approximately the same external size and configuration, such that approximately the same surgical preparation of the proximal tibia is required for each of the fixed and the mobile tibial components for the particular anatomical size.

12. A knee prosthesis system for cruciate-retaining (CR) and posterior-stabilized (PS), total knee replacement procedures comprising:

a. a plurality of fixed CR knee prostheses;

b. a plurality of mobile CR knee prostheses;

c. a plurality of fixed PS knee prostheses; and

d. a plurality of mobile PS knee prostheses;

wherein each fixed prosthesis represents a size combination and includes one of a plurality of differently-sized femoral components, one of a plurality of differently-sized tibial components, and one of a plurality of differently-sized inserts, and each prosthesis is optimally matched for performance with the size of the insert matching the size of the femoral component and the size of the tibial component being independent of the size of the femoral component, whereby the knee prosthesis system may be used for a variety of anatomies within a patient population; and

wherein;

the tibial components of the fixed CR knee prostheses and the fixed PS knee prostheses include platforms with buttresses;

the buttresses of at least two sizes of tibial components of the fixed CR knee prostheses and the fixed PS knee prostheses are commonly sized and commonly located;

each size of tibial component has a different width;

the inserts of the fixed CR knee prostheses and the fixed PS knee prostheses comprise a polymeric material and include lower surfaces with recesses defined therein to receive the buttresses of the tibial components of the fixed CR knee prostheses and the fixed PS knee prostheses;

each size of insert of the fixed CR knee prostheses and fixed PS knee prostheses has a different width;

each insert of the fixed CR knee prostheses and the fixed PS knee prostheses may be mounted in a secure fixed relationship with at least two different sizes of the tibial components of the fixed CR knee prostheses and the fixed PS knee prostheses; and

each tibial component has a platform and a stem extending distally from the platform, each stem having a distal portion and a proximal portion, the distal portion and the proximal portion having different shapes, the distal portion of the stem of each size of tibial component having the same length and the same generally conical shape and the proximal portion of the stem of each size of tibial component having a different length.

13. A knee prosthesis system for cruciate-retaining (CR) and posterior-stabilized (PS), total knee replacement procedures comprising:

a. a plurality of differently-sized CR femoral components;

b. a plurality of differently-sized PS femoral components;

c. a plurality of differently-sized fixed tibial components and a plurality of differently-sized mobile tibial components;

d. a plurality of differently-sized polymeric CR fixed inserts;

e. a plurality of differently-sized polymeric PS fixed inserts;

f. a plurality of differently-sized CR mobile inserts; and

g. a plurality of differently-sized PS mobile inserts;

wherein;

each size CR femoral component is compatible with a single size of CR fixed insert;

each size CR femoral component is compatible with a single size of CR mobile insert;

each size of PS femoral component is compatible with a single size of PS fixed insert;

each size of PS femoral component is compatible with a single size of PS mobile insert;

each size of fixed tibial component has a different width;

each size of CR fixed insert has a different width;

each size of PS fixed insert has a different width;

the tibial components and inserts have complementary mounting structures so that each size of CR fixed insert can be mounted in a secure fixed relationship on a plurality of sizes of fixed tibial components, each size of CR mobile insert is compatible with a plurality of sizes of mobile tibial components, each size of PS fixed insert can be mounted in a secure fixed relationship on a plurality of sizes of fixed tibial components and each size of PS mobile insert is compatible with a plurality of sizes of mobile tibial components; and

each tibial component has a platform and a stem extending distally from the platform, each stem having a distal portion and a proximal portion, the distal portion and the proximal portion having different shapes, the distal portion of the stem of each size of tibial component having the same length and the same generally conical shape and the proximal portion of the stem of each size of tibial component having a different length.

14. The knee prosthesis system of claim 13, wherein the stems for a particular anatomical size of fixed and mobile tibial components have approximately the same external size and configuration, such that approximately the same surgical preparation of the proximal tibia is required for each of the fixed and the mobile tibial components for the particular anatomical size.

15. The knee prosthesis system of claim 13, wherein each of the plurality of differently-sized fixed tibial components has a platform from which extends an anterior buttress and a posterior buttress for retaining any one of the plurality of PS fixed inserts and any one of the plurality of CR fixed inserts.

16. The knee prosthesis system of claim 13, wherein each of the plurality of PS fixed inserts and each of the plurality of PS mobile inserts has a surface and a spine extending superiorly therefrom, the spine having a posterior side including a concave cam surface and a convex cam, and wherein each of the plurality of differently-sized PS femoral components includes a pair of spaced-apart condyles defining an intracondylar notch therebetween and a posterior cam positioned in the intracondylar notch, the posterior cam including a concave cam surface and a convex cam surface, wherein the concave cam surface of the posterior cam contacts the convex cam surface of the spine during a first range of flexion and the convex cam surface of the posterior cam contacts the concave cam surface of the spine during a second range of flexion.

17. The knee prosthesis system of claim 16, wherein the intracondylar notch of each of the differently-sized PS femoral components is proportionately sized and shaped to fit a particular anatomical size and shape of a patient'"'"'s femur.

18. The knee prosthesis system of claim 13, wherein each of the plurality of CR fixed inserts, each of the plurality of CR mobile inserts, each of the plurality of PS fixed inserts and each of the plurality of PS mobile inserts, have a thickness different from the others within that plurality.

19. The knee prosthesis system of claim 13, further including a plurality of patella components, any one of which may be used in combination with any one of the plurality of differently-sized CR femoral components and in combination with any one of the plurality of differently-sized PS femoral components.