Telescopic guide for hip replacement method

• US 9,308,003 B2
• Filed: 09/19/2012
• Issued: 04/12/2016
• Est. Priority Date: 08/29/2011
• Status: Active Grant

• Current Assignee: Crescent H. Trust
• Original Assignee: Crescent H. Trust
• Inventors: Penenberg, Brad L.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): Nelson, Christine
• Application Number:
  US13/623,073
• Publication Number:
  US 20130053859A1
• Time in Patent Office: 1,301 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/164 intramedullary
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61B 2017/922 Devices for impaction, impact element
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/30471 : connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2002/3055 : for adjusting length
• CPC Class Codes: A61F 2002/30553 : for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/4668 : for measuring angles
• CPC Class Codes: A61F 2002/4681 : by applying mechanical shocks, e.g. by hammering
• CPC Class Codes: A61F 2002/4687 : Mechanical guides for implantation instruments

Abstract

A tool and method for locating a proper position for a portal incision for hip arthroplasty, the tool having at least one generally straight body defining an axis, the generally straight body having a slot at one end, the slot being angled at an approximately 45 degree angle relative to the axis of the generally straight body, the slot configured to receive a cutting member or guide tool. A second generally straight body may be connected to the first generally straight body to form a right angle. If the lengths of the two generally straight bodies are substantially equivalent, then when the second generally straight body is inserted into the acetabulum, the first generally straight body positions the slot in the proper location such that sliding a guide tool or cutting member through the slot allows a portal incision to be created in the proper location. In some embodiments, the generally straight bodies may have adjustable lengths.

Claims

1. A method for creating a portal incision during total hip arthroplasty, comprising:

a. creating a main incision on a hip lateral to an acetabulum;

b. inserting a measuring tool into the main incision and abutting the measuring tool against the acetabulum so as to define a first axis of measurement with the measuring tool, wherein the measuring tool, comprises;

i. a generally straight body having a first end and a second end opposite the first end defining a length,

ii. a plurality of markings evenly spaced apart on the first body along the length of the body;

iii. a slot positioned at the second end of the body, the slot defining a slot axis forming an approximately 45 degree angle with the length of the body to identify a path directed towards the acetabulum;

c. taking a first measurement of a first distance from the acetabulum to a first location outside the hip along the first axis of measurement;

d. removing the measuring tool from the main incision;

e. positioning the measuring tool within a coronal plane approximately perpendicular to the first axis of measurement at the first location so that the slot is positioned at a second location a second distance away from the first location, wherein the second distance and the first distance are equivalent in measure to locate the optimal position for the portal incision; and

f. creating the portal incision by sliding a guide tool through the slot towards the hip.

2. A method for creating a portal incision for total hip arthroplasty with a measuring tool in a patient in need thereof, the measuring tool, comprising a first generally straight body having a first end and a second end opposite the first end defining a first length, the first generally straight body, comprising a slot positioned at the second end of the first body, the slot defining a slot axis forming an approximately 45 degree angle with the length of the first body;

a second generally straight body having a first end and a second end opposite the first end, the second body having a second length, wherein the second end of the second body is connected to the first end of the first body so that the first and second bodies form a generally right angle, the method comprising;

a. creating a main incision on a hip lateral to an acetabulum;

b. inserting the second body of the measuring tool into the main incision and abutting the first end of the second body against the acetabulum so as to define a first axis of measurement with the second body and a second axis of measurement with the first body that is outside and generally parallel to the hip, wherein the first axis of measurement is generally perpendicular to the second axis of measurement; and

c. creating the portal incision by sliding a cutting member through the slot towards the hip.

3. The method of claim 2, wherein the first generally straight body comprises a first set of markings, each marking of the first set of markings evenly spaced apart from each other on the first generally straight body along the first length, and wherein the second generally straight body comprises a second set of markings, each marking of the second set evenly spaced apart from each other on the second generally straight body along the second length.

4. The method of claim 3, further comprising:

a. taking a first measurement of a first distance from the acetabulum to a first location outside the hip along the first axis of measurement of the second generally straight body;

b. measuring, within a coronal plane, along the first generally straight body a second distance equivalent in measure to the first distance to determine a second location; and

c. positioning the slot of the first body at the second location.

5. The method of claim 4, further comprising adjusting the second length of the second body so that the first body is clear from the patient.

6. The method of claim 5, further comprising adjusting the first length of the first body to match the second length of the second body.