Systems and methods for joint replacement

• US 9,192,392 B2
• Filed: 12/15/2014
• Issued: 11/24/2015
• Est. Priority Date: 07/24/2008
• Status: Active Grant

• Current Assignee: Orthalign, Inc.
• Original Assignee: Orthalign, Inc.
• Inventors: van der Walt, Nicholas, Borja, Santiago P.
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US14/570,889
• Publication Number:
  US 20150100058A1
• Time in Patent Office: 344 Days
• Field of Search: 606/88, 606/102
• US Class Current: 1/1
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1707 using electromagnetic effects, e.g. with magnet and external sensors
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/7017 pneumatic or hydraulic means
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2090/067 for measuring angles
• 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 34/25 User interfaces for surgical systems

Abstract

Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation 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, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures.

Claims

1. A method of performing a joint procedure, comprising:

securing a base member and an adjustment block to a tibia, the adjustment block having a surgical orientation device coupled therewith, the surgical orientation device having an associated reference system;

manipulating the adjustment block in at least one degree of freedom relative to the base member when the base member is in a fixed position and orientation relative to the tibia;

manipulating the adjustment block in at least another degree of freedom relative to the base member when the base member is in a fixed position and orientation relative to the tibia;

contacting a location on a proximal surface of the tibia on a mechanical axis with a first measuring device; and

positioning a second measuring device adjacent to a distal surface to identify a orientation of a plane extending through the tibia which contains the mechanical axis;

wherein the associated reference system is determined without the use of optical sensors disposed outside the surgical field.

2. The method of claim 1, further comprising monitoring the orientation of the surgical orientation device or an instrument coupled therewith with reference to the associated reference system.

3. The method of claim 1, further comprising generating orientation data corresponding to a monitored orientation of the surgical orientation device.

4. The method of claim 1, further comprising informing a user of an orientation relative to a reference plane or axis.

5. The method of claim 1, further comprising informing a user of orientation information pertinent to a procedure on the joint.

6. The method of claim 1, wherein the associated reference system is determined with inertial sensors disposed on or in the surgical orientation device.

7. The method of claim 6, wherein the inertial sensors are configured to continuously calculate the orientation of the surgical orientation device without the need for external references.

8. The method of claim 1, wherein the associated reference system is determined with the use of optical components coupled with the adjustment block and disposed within the surgical field.

9. The method of claim 1, wherein the associated reference system is determined with the use of optical sensors disposed within the surgical field.

10. A method of performing a joint procedure, comprising:

securing a base and an adjustment block adjacent to a proximal portion of a knee bone, the adjustment block coupled to the base by at least one hinge and to a surgical orientation device having an associated reference system that is determined without the use of optical sensors disposed outside the surgical field;

adjusting the adjustment block in two transverse degrees of freedom when the base is secured adjacent to the knee bone to adjust a medial-lateral angle and an anterior-posterior angle of the adjustment block;

coupling a landmark acquisition device to the adjustment block; and

contacting a distal portion of the knee bone with the landmark acquisition device.

11. The method of claim 10, further comprising monitoring the orientation of the surgical orientation device or an instrument coupled therewith with reference to the associated reference system.

12. The method of claim 10, further comprising generating orientation data corresponding to a monitored orientation of the surgical orientation device.

13. The method of claim 10, further comprising informing a user of an orientation relative to a reference plane or axis.

14. The method of claim 10, further comprising informing a user of orientation information pertinent to a procedure on the joint.

15. The method of claim 10, wherein the associated reference system is determined with inertial sensors disposed on or in the surgical orientation device.

16. The method of claim 15, wherein the inertial sensors are configured to continuously calculate the orientation of the surgical orientation device without the need for external references.

17. The method of claim 10, wherein the associated reference system is determined with the use of optical components coupled with the adjustment block and disposed within the surgical field.

18. The method of claim 10, wherein the associated reference system is determined with the use of optical sensors disposed within the surgical field.

19. A method of performing a joint procedure, comprising:

securing a base and an adjustment block adjacent to a proximal portion of a knee bone, the adjustment block having a surgical orientation device coupled thereto;

determining a reference system of the surgical orientation device by generating inertial or optical signals from within the surgical field;

adjusting a medial-lateral angle and an anterior-posterior angle of the adjustment block when the base is secured adjacent to the knee bone; and

contacting a distal portion of the knee bone with a landmark acquisition device that is coupled with the adjustment block.

20. The method of claim 19, further comprising monitoring the orientation of the surgical orientation device or an instrument coupled therewith with reference to the reference system.

21. The method of claim 19, further comprising generating orientation data corresponding to a monitored orientation of the surgical orientation device.

22. The method of claim 19, further comprising informing a user of an orientation relative to a reference plane or axis.

23. The method of claim 19, further comprising informing a user of orientation information pertinent to a procedure on the joint.

24. The method of claim 19, wherein the associated reference system is determined with inertial sensors disposed on or in the surgical orientation device.

25. The method of claim 19, wherein the associated reference system is determined with the use of optical components coupled with the adjustment block and disposed within the surgical field.

26. The method of claim 19, wherein the reference system is determined without the use of optical sensors disposed outside the surgical field.

27. The method of claim 19, wherein the inertial signals are configured to continuously calculate the orientation of the surgical orientation device without the need for external references.