Instrumentation for knee resection

• US 9,023,053 B2
• Filed: 10/07/2013
• Issued: 05/05/2015
• 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
• Primary Examiner(s): Truong, Kevin T
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US14/047,361
• Publication Number:
  US 20140039507A1
• Time in Patent Office: 575 Days
• Field of Search: 606/79, 606/82, 606/84, 606/85, 606/86.R, 606/87, 606/88, 606/89, 606/96, 606/102, 623/20.14, 623/20.32
• US Class Current: 606/87
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/142 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
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1764 for the knee

Abstract

A system for performing a resection of a selected portion of an anatomy with a resection instrument. The system includes a first member, a first movement defining portion defined by the first member, a second member, and a second movement defining portion of the second member. The first member is fixable to the selected portion of the anatomy. The second member is configured to cooperate with the first member. The first movement defining portion and the second movement defining portion are operable to allow the second member to be moveable relative to the first member from a first position to a second position. The resection instrument is positionable relative to the second member in the first position and in the second position to form a selected resection of the selected portion of the anatomy.

Claims

1. A system for performing a resection of a selected portion of an anatomy with a resection instrument, the system comprising:

a first member fixable to the selected portion of the anatomy;

a first movement defining portion defined by the first member;

a second member configured to cooperate with the first member; and

a second movement defining portion of the second member;

wherein the first movement defining portion and the second movement defining portion are operable to allow the second member to be moveable relative to the first member from a first position to a second position;

wherein the resection instrument is positionable relative to the second member in the first position and in the second position to form a selected resection of the selected portion of the anatomy; and

wherein the first movement defining portion and the second movement defining portion are operable to allow the second member to be slidably and rotatably moveable relative to the first member.

2. The system of claim 1, wherein the first member includes a support block and the first movement defining portion includes a groove configured to slidably and rotatably receive the second movement defining portion.

3. The system of claim 2, wherein the second movement defining portion is a peg.

4. The system of claim 2, wherein the groove is curved.

5. The system of claim 1, wherein the second member is a cutting guide defining a guide slot configured to receive the resection instrument therein.

6. The system of claim 1, further comprising a fixation member that extends from the first member and is operable to fix the first member relative to the selected portion of the anatomy.

7. The system of claim 1, further comprising a stylus including a tip at a distal end thereof, the first member includes a plurality of coupling members configured to cooperate with the stylus to secure the stylus to the first member and position the tip proximate to the selected portion of the anatomy.

8. A system for resecting a proximal tibial portion with a resection instrument, the system comprising:

a main guide portion;

a first dynamic connection portion included with the main guide portion, the first dynamic connection portion is a curved groove defined in the main guide portion;

a dynamic guide member;

a guide surface defined by the dynamic guide member and configured to guide the resection instrument during resection of the proximal tibial portion; and

a second dynamic connection portion included with the dynamic guide member, the first and the second dynamic connection portions are configured to cooperate with one another to guide movement of the dynamic guide member and the guide surface;

wherein the first and the second dynamic connection portions are configured such that cooperation therebetween slidably and rotatably guides movement of the dynamic member and the guide surface.

9. The system of claim 8, wherein the second dynamic connection portion is complementary to the first dynamic connection portion to allow movement of the dynamic guide member relative to the main guide portion.

10. The system of claim 8, wherein the guide surface defined by the dynamic guide member includes a fully contained passage.

11. The system of claim 8, wherein the second dynamic connection portion is a peg.

12. A method for resecting a proximal portion of a tibia comprising:

fixing a main guide portion including a first dynamic connection portion to the tibia;

coupling a dynamic guide member to the main guide portion through cooperation between the first dynamic connection portion and a second dynamic connection portion of the dynamic guide member;

guiding a resection instrument to the tibia with a guide surface of the dynamic guide member; and

sliding and rotating the dynamic guide member to guide the resection instrument to various portions of the tibia.

13. The method of claim 12, further comprising positioning the main guide portion at the tibia with an extramedullarly rod.

14. The method of claim 13, further comprising clamping the extramedullarly rod at a distal portion of the tibia.

15. The method of claim 12, further comprising positioning the main guide portion at the tibia with a stylus removably coupled to the main guide portion.

16. The method of claim 12, wherein sliding and rotating the dynamic guide member includes sliding and rotating the second dynamic connection portion relative to the first dynamic connection portion.

17. The method of claim 12, wherein sliding and rotating the dynamic guide member includes sliding and rotating a peg of the second dynamic connection portion relative to a curved slot defined in the first dynamic connection portion.