Spacer block

• US 9,592,133 B2
• Filed: 09/23/2013
• Issued: 03/14/2017
• Est. Priority Date: 09/23/2013
• Status: Active Grant

• Current Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Toler, Jason S., Roberts, Shanon N.
• Primary Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US14/034,076
• Publication Number:
  US 20150088140A1
• Time in Patent Office: 1,268 Days
• Field of Search: 606 87- 89, 606/102, 623/20.15, 623/20.28, 623/20.32, 623/20.35
• US Class Current: 1/1
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/30617 Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/4658 for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2002/4668 for measuring angles

Abstract

A knee arthroplasty system for use in a patient'"'"'s knee joint comprises a spacer block instrument including a base portion, a tibial component extending from the base portion and configured for placement against a tibia, and a femoral component configured for placement against a femur. The femoral component is rotatably coupled to the tibial component. The system further includes one or more spacer block shims structured for removable attachment to the tibial component.

Claims

1. A knee arthroplasty system for use in a patient'"'"'s knee joint, the knee joint including a tibia and a femur, the system comprising:

a spacer block instrument including a base portion, a tibial component extending from the base portion and configured for placement against a tibia, and a femoral component configured for placement against a femur, the femoral component being rotatably coupled to the tibial component; and

one or more spacer block shims structured for removable attachment to the tibial component.

2. The system of claim 1, wherein each of the one or more spacer block shims comprises a spacer component and a handle portion, wherein the handle portion is structured to be positioned adjacent to the base portion of the spacer block instrument.

3. The system of claim 2, wherein the one or more spacer block shims comprises a plurality of spacer block shims, each of the spacer block shims defining a different shim height.

4. The system of claim 3, wherein the shim height of each of the plurality of spacer block shims is between about 10 mm and about 13 mm.

5. The system of claim 2, wherein each of the one or more spacer block shims includes a connector structured to removably engage, in the alternative, the tibial component of the spacer block instrument.

6. The system of claim 5, wherein the connector is a sliding joint.

7. The system of claim 6, wherein the sliding joint is a dovetail joint.

8. The system of claim 7, wherein the connector includes a ball detent mechanism.

9. The system of claim 2, wherein the base portion of the spacer block instrument includes one or more channels extending through the base portion and configured to receive one or more alignment rods.

10. The system of claim 9, wherein the handle portion of the one or more spacer block shims includes one or more channels configured to at least partially align with the one or more channels in the base portion of the spacer block instrument.

11. The system of claim 2, wherein the handle portion of the one or more spacer block shims includes a fin portion extending in a direction generally perpendicular to an axis of the spacer block instrument.

12. The system of claim 1, wherein the spacer block instrument further comprises a scale plate extending from the base portion and a pointer extending from the femoral component.

13. The system of claim 12, wherein the scale plate includes an arcuate slot configured to at least partially receive the pointer, wherein the pointer travels within the acruate slot as the femoral component rotates relative to the tibial component.

14. The system of claim 13, wherein the scale plate includes a numerical scale defining a range of joint angles.

20. The system of claim 1, wherein the tibial component is directly rotatably coupled to the femoral component about a post extending from the femoral component along an anterior-posterior axis such that a varus-valgus angle between the tibial component and the femoral component can be measured, wherein a superior-inferior distance between the tibial component and the femoral component is fixed at the post.

15. A method of using a knee arthroplasty instrument to evaluate a resected knee joint, the method comprising:

observing a resection gap between a distally resected femur and a proximally resected tibia;

selecting a first spacer block shim from a plurality of spacer block shims;

attaching the first spacer block shim to a tibial component of the knee arthroplasty instrument;

inserting the knee arthroplasty instrument into the resection gap, including positioning the tibial component and attached first spacer block shim adjacent to the proximally resected tibia and positioning a femoral component of the knee arthroplasty instrument adjacent to the distally resected femur, the femoral component being rotatably connected to the tibial component; and

evaluating tension in the resected knee joint, including determining a first joint angle formed between the tibial component and the femoral component.

16. The method of claim 15, further comprising:

removing the knee arthroplasty instrument from the resection gap;

detaching the first spacer block shim from the tibial component;

selecting a second spacer block shim from the plurality of spacer block shims;

attaching the second spacer block shim to the tibial component;

reinserting the knee arthroplasty instrument into the resection gap; and

evaluating tension in the resected knee joint, including determining a second joint angle formed between the tibial component and the femoral component, and comparing the first joint angle to the second joint angle.

17. The method of claim 16, wherein each of the plurality of spacer block shims defines a different shim height.

18. The method of claim 15, wherein determining a first joint angle comprises observing a scale plate extending from the knee arthroplasty instrument.

19. The method of claim 18, wherein the scale plate includes an arcuate slot configured to at least partially receive a pointer extending from the femoral component.