Method and apparatus for acetabular reconstruction

• US 9,375,316 B2
• Filed: 10/04/2013
• Issued: 06/28/2016
• Est. Priority Date: 02/23/2001
• Status: Expired due to Term

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Meridew, Jason D., Gibbs, Phillip M.
• Primary Examiner(s): Willse, David H
• Assistant Examiner(s): BLANCO, JAVIER G
• Application Number:
  US14/046,244
• Publication Number:
  US 20140039638A1
• Time in Patent Office: 998 Days
• Field of Search: 623/22.25, 623/22.28
• US Class Current: 1/1
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/30724 Spacers for centering an implant in a bone cavity, e.g. in a cement-receiving cavity
• CPC Class Codes: A61F 2/30734 Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30327 differing in diameter
• CPC Class Codes: A61F 2002/30383 made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/30535 Special structural features of bone or joint prostheses not otherwise provided for
• CPC Class Codes: A61F 2002/30553 for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30736 Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30787 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3082 : Grooves
• CPC Class Codes: A61F 2002/3401 : with radial apertures, e.g. radial bores for receiving fixation screws
• CPC Class Codes: A61F 2002/3403 : Polar aperture
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2250/0008 : for adjusting a position by translation along an axis or two perpendicular axes
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2250/0058 : Additional features; Implant or prostheses properties not otherwise provided for
• CPC Class Codes: A61F 2250/0064 : Sets comprising a plurality of prosthetic parts of different sizes
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium

Abstract

A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.

Claims

1. An acetabular prosthesis system to replace at least a portion of an acetabulum of an anatomy, the system comprising:

a trial cup configured to be removably positioned relative to a first portion of the anatomy;

a trial cement mantle member configured to be removably positioned in a selected first position relative to the positioned trial cup;

a trial liner configured to be removably positioned at variable positions relative to the trial cement mantle member, the trial liner having an exterior convex surface, an interior concave surface opposite the exterior convex surface, a bottom edge defining a planar surface, and an elongated slot extending from the exterior convex surface to the interior concave surface, wherein the planar surface extends along a first reference plane, and wherein the elongated slot extends along a second reference plane generally perpendicular to the first reference plane; and

a trial liner fixation member configured to removably secure the trial liner to the trial cement mantle member at each of the variable positions, the trial liner fixation member having a first portion extendable through the elongated slot of the trial liner,

wherein the trial cement mantle member is positionable between the trial liner and the trial cup to replicate a cement mantle portion positionable between an implantable cup and an implantable liner,

wherein the trial liner is configured to be positioned at variable positions relative to the trial cement mantle member, and

wherein the enlongated slot facilitates a range of motion of the trial liner relative to the trial cement mantle member.

2. The system of claim 1, wherein:

an implantable cup configured to be is implanted relative to the first portion of the anatomy after the positioned trial cement mantle member and the positioned trial cup are removed.

3. The system of claim 1, wherein the first portion of the trial liner fixation member is a shank, the trial liner fixation member having a head portion configured to bear against the trial liner to hold the trial liner at each of the variable positions.

4. An acetabular prosthesis system to replace at least a portion of an acetabulum of an anatomy, the system comprising:

a trial cup configured to be removably positioned relative to a first portion of the anatomy;

a trial liner configured to be removably positioned relative to the trial cup, the trial liner having an exterior convex surface, an interior concave surface opposite the exterior convex surface, a bottom edge defining a planar surface, a top-most portion defined at a position on the interior concave surface having a greatest distance from the planar surface, and an elongated slot extending from the exterior convex surface to the interior concave surface at the top-most

a trial cement mantle member configured to be removably positioned between the positioned trial cup and the trial liner to replicate a cement mantle portion between an implantable cup and an implantable liner; and

a holding member configured to be received through the elongated slot and hold the trial liner in a selected first position or a selected second position relative to the trial cement mantle member, the selected first position different than the selected second position,

wherein the trial liner is configured to be positioned at variable positions relative to the trial cement mantle member, and

wherein the enlongated slot facilitates a range of motion of the trial liner relative to the trial cement mantle member.

5. The system of claim 4, further comprising:

an implantable cup configured to be implanted in an acetabulum;

an implantable liner configured to be cemented in the implanted implantable cup in a position substantially similar to the first position of the trial liner after removing the positioned trial cement mantle and the positioned trial cup.

6. The system of claim 4, wherein the trial cement mantle member includes a cooperation system including a indent on the trial cup and a projection on the trial cement mantle member;

wherein the projection is configured to engage the indent.

7. The system of claim 4, further comprising:

a protrusio cage positionable relative to the first portion of the anatomy;

wherein the trial cup is configured to be positioned in the protrusio cage.

8. An acetabular prosthesis trialing system, the system comprising:

a trial cup configured to be removably implantable in an acetabulum of a patient;

a trial cement mantle member configured to be removably positioned relative to the implanted trial cup; and

a trial liner configured to be removably positioned at a plurality of positions relative to the trial cement mantle member, the trial liner having an exterior convex surface, an interior concave surface opposite the exterior convex surface, and an elongated slot extending from the exterior convex surface to the interior concave surface; and

a trial screw configured to be received through the elongated slot of the trial liner and fix the trial liner in a selected position relative to the implanted trial cup,

wherein the trial cement mantle member is positionable between the trial liner and the trial cup to replicate a cement mantle portion positionable between an implantable cup and an implantable liner, and

wherein the elongated slot defines an arc of at least 60 degrees to facilitate a range of motion of the trial liner relative to the trial cement mantle member.

9. The system of claim 8, wherein the arc of the elongated slot is between about 60 degrees and about 120 degrees.