Low profile patient specific cutting blocks for a knee joint

• US 9,408,619 B2
• Filed: 03/09/2015
• Issued: 08/09/2016
• Est. Priority Date: 03/03/2008
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Salehi, Abraham Biglari, Mehl, David Timothy, Nadzadi, Mark Ellsworth, Agnihotri, Aashiish, Jordan, Jason Sean
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US14/642,116
• Publication Number:
  US 20150182238A1
• Time in Patent Office: 519 Days
• Field of Search: 606/86.R, 606 87- 89, 606/96
• US Class Current: 1/1
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides

Abstract

A low profile patient specific cutting block for a knee comprises a plurality of bone interfacing portions and a cutting slot. The plurality of bone interfacing portions are configured to overlie portions of an end of a bone. The bone interfacing portions each have a surface generally a negative of the portion of the bone the bone interfacing portion overlies. The bone interfacing portions are angularly offset from each other such that a first of the bone interfacing portions overlies an anterior portion of the bone and a second of the bone interfacing portions overlies a portion of bone generally perpendicular to the anterior portion of bone. The cutting slot is oriented in a fixed position relative to the bone interfacing portions such that the cutting slot directs a cutting tool at a fixed angle and at a fixed depth from the bone interfacing portions.

Claims

1. A low profile patient specific cutting block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, the bone interfacing portions angularly offset from each other, a cutting slot oriented in a fixed position relative to the bone interfacing portions to direct a cutting tool at a fixed angle relative to the bone interfacing portions; and

an anteriorly-facing exterior surface defining an index marking extending in a superior-inferior direction transverse to a longitudinal axis of the cutting slot to provide an indication of the orientation of the patient specific cutting block relative to the bone.

2. The low profile patient specific cutting block of claim 1, wherein the index marking comprises an M-L index axis positioned between a medial portion and a lateral portion of the patient specific cutting block.

3. The low profile patient specific cutting block of claim 1, wherein the index marking comprises a mechanical index axis positioned between a medial portion and a lateral portion of the patient specific cutting block, the mechanical index axis being generally aligned with a mechanical axis of the bone to provide the indication of the orientation of the patient specific cutting block relative to the bone.

4. The low profile patient specific cutting block of claim 1, wherein the index marking comprises a groove or score extending into the anteriorly-facing exterior surface of the patient specific cutting block.

5. The low profile patient specific cutting block of claim 1, wherein the index marking is positioned along a mid-portion of the patient specific cutting block between a medial portion and a lateral portion of the patient specific cutting block.

6. The low profile patient specific cutting block of claim 1, wherein a first of the bone interfacing portions extends in a first direction and a second of the bone interfacing portions extends in a second direction generally perpendicular to the first direction.

7. The low profile patient specific cutting block of claim 1, wherein the bone interfacing portions each have a surface that is generally a negative of the portion of the bone that the bone interfacing portion is configured to overlie, wherein a first of the bone interfacing portions is configured to overlie an anterior portion of the bone extending in a first direction, and wherein a second of the bone interfacing portions is configured to overlie another portion of the bone extending in a second direction generally perpendicular to the first direction.

8. The low profile patient specific cutting block of claim 7, wherein the first of the bone interfacing portions is configured to overlie an anterior face of the bone, and wherein the second of the bone interfacing portions includes a first portion configured to overlie a medial portion of the bone and a second portion configured to overlie a lateral portion of the bone.

9. The low profile patient specific cutting block of claim 1, wherein the patient specific cutting block further comprises a plurality of bosses each having a thickness and an aperture extending therethrough, the aperture having a diameter sized and configured to direct a pin therethrough, the thickness of the boss being greater than the diameter of the aperture.

10. The low profile patient specific cutting block of claim 1, wherein the bone interfacing portions further include medial and lateral paddles positioned medially and laterally at a posterior portion of the patient specific cutting block, and wherein the medial and lateral paddles each have a raised portion anteriorly oriented on the patient specific cutting block such that the paddles do not touch the tibia on an anterior proximal surface and do touch the tibia on a posterior proximal surface.

11. The low profile patient specific cutting block of claim 1, wherein the bone interfacing portions include an anterior portion generally positioned along the mid-portion of the patient specific cutting block, and wherein the bone interfacing portions further include medial and lateral paddles positioned medially and laterally at a posterior portion of the patient specific cutting block, and wherein the index marking extends along the anterior portion of the patient specific cutting block.

12. The low profile patient specific cutting block of claim 1, wherein the patient specific cutting block is a tibial cutting block and the cutting slot is medially offset relative to an anterior portion of the bone and is oriented entirely along a medial portion of the tibial cutting block and does not extend along a lateral portion of the tibial cutting block;

and

wherein the cutting slot opens in a direction facing the lateral portion of the tibial cutting block.

13. The low profile patient specific cutting block of claim 1, further comprising an epicondylar index marking extending in a medial-lateral direction to provide an indication of a rotational position of the patient specific cutting block relative to the bone.

14. The low profile patient specific cutting block of claim 13, wherein the patient specific cutting block is a femoral cutting block, and wherein the epicondylar index marking comprises a groove or score extending into the anteriorly-facing exterior surface of the femoral cutting block.

15. A low profile patient specific cutting block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, the bone interfacing portions angularly offset from each other, wherein a first of the bone interfacing portions extends in an anterior-posterior direction and is adapted to overlie a proximal end portion of the bone, and wherein a second of the interfacing portions extends in a superior-inferior direction and is adapted to overlie an anterior portion of the bone;

a cutting slot oriented in a fixed position relative to the bone interfacing portions to direct a cutting tool at a fixed angle relative to the bone interfacing portions; and

wherein the patient specific cutting block comprises a tibial cutting block, and wherein the cutting slot is medially offset relative to an anterior portion of the bone and is oriented entirely along a medial portion of the tibial cutting block and does not extend along a lateral portion of the tibial cutting block.

16. The low profile patient specific cutting block of claim 15, wherein the cutting slot opens in a direction facing the lateral portion of the tibial cutting block.

17. The low profile patient specific cutting block of claim 15, wherein the first of the bone interfacing portions comprises a medial femoral paddle and a lateral femoral paddle, the medial femoral paddle configured to overlie a medial plateau of the bone, the lateral femoral paddle configured to overlie a lateral plateau of the bone;

and

wherein the second of the bone interfacing portions comprises an anterior portion configured to overlie an anterior face of the bone.

18. A low profile patient specific cutting block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, the bone interfacing portions angularly offset from each other;

a cutting slot oriented in a fixed position relative to the bone interfacing portions to direct a cutting tool at a fixed angle relative to the bone interfacing portions; and

wherein the patient specific cutting block comprises a tibial cutting block, and wherein the cutting slot is medially offset relative to an anterior portion of the bone and is oriented entirely along a medial portion of the tibial cutting block and does not extend along a lateral portion of the tibial cutting block; and

wherein the bone interfacing portions each have a surface that is generally a negative of the portion of the bone that the bone interfacing portion is configured to overlie, and wherein a first of the bone interfacing portions extends in a first direction and a second of the bone interfacing portions extends in a second direction generally perpendicular to the first direction.

19. A low profile patient specific cutting block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, the bone interfacing portions angularly offset from each other;

a cutting slot oriented in a fixed position relative to the bone interfacing portions to direct a cutting tool at a fixed angle relative to the bone interfacing portions; and

wherein the patient specific cutting block comprises a tibial cutting block, and wherein the cutting slot is medially offset relative to an anterior portion of the bone and is oriented entirely along a medial portion of the tibial cutting block and does not extend along a lateral portion of the tibial cutting block; and

wherein the patient specific cutting block includes an anteriorly-facing exterior surface defining an index marking extending in a superior-inferior direction transverse to a longitudinal axis of the cutting slot to provide an indication of the orientation of the patient specific cutting block relative to the bone.

20. The low profile patient specific cutting block of claim 19, wherein the index marking comprises a mechanical index axis positioned along a mid-portion of the patient specific cutting block between a medial portion and a lateral portion of the patient specific cutting block, the mechanical index axis being generally aligned with a mechanical axis of the bone to provide the indication of the orientation of the patient specific cutting block relative to the bone.