Femoral and tibial base components

• US 9,655,648 B2
• Filed: 04/30/2008
• Issued: 05/23/2017
• Est. Priority Date: 05/01/2007
• Status: Active Grant

• Current Assignee: Moximed
• Original Assignee: Moximed
• Inventors: Slone, Clinton N., Clifford, Anton G., Makower, Joshua, Landry, Michael E.
• Primary Examiner(s): Prone, Christopher D
• Application Number:
  US12/112,415
• Publication Number:
  US 20080275562A1
• Time in Patent Office: 3,310 Days
• Field of Search: 606 69, 606 71, 606287, 606293, 606294, 606 88, 606282, 606286, 623 2019, 623 2021, 623 2024- 2026
• CPC Class Codes: A61B 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• CPC Class Codes: A61B 17/6425 specially adapted to be fitted across a bone joint
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/8085 with pliable or malleable elements or having a mesh-like structure, e.g. small strips A61B17/8071, A61B17/8076 take precedence
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 2017/567 Joint mechanisms or joint supports in addition to the natural joints and outside the joint gaps
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0829 without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
• CPC Class Codes: A61F 2002/0864 Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

Various embodiments are directed to base components that are usable with implantable mechanical energy absorbing systems. According to one embodiment, the base component includes a low-profile body having a elongate, straight portion at a first end and a curved body portion at a second end. The second end is elevated as compared to the first end. An inner surface of the low-profile body has a raised portion extending along the elongate, straight portion of the low-profile body. The base component also includes a plurality of openings positioned along the low-profile body for alignment and purposes of affixation to body anatomy.

Claims

1. An implantable mechanical extra-articular system for a knee joint including a joint capsule, comprising:

an absorber, the absorber absorbs a predetermined compression load applied to the knee joint; and

a base having two ends, an upper surface, an inner surface opposite the upper surface and a mounting surface,

wherein the inner surface includes a bone contacting surface configured to engage and attach to exterior surfaces of bone, and a non-contacting surface displaced vertically from the bone contacting surface and closer towards a portion of the upper surface overlaying the non-contacting surface so as to be offset from exterior surfaces of the bone,

wherein the mounting surface alone is configured to operatively engage and connect to the absorber, and wherein the mounting surface is located at one of the two ends with all portions of the mounting surface elevated above the bone surface to position the absorber outside the joint capsule.

2. The system of claim 1, further comprising a plurality of openings positioned on the base, wherein the openings define bores having differing trajectories and are sized to receive fastening members.

3. The system of claim 1, wherein bone promoting treatment is applied to the bone contacting surface, the treatment being selected from the group consisting essentially of bone morphogenic protein 2, hydroxyapatite, titanium beads, or cobalt chrome beads.

4. The system of claim 1, wherein a bone promoting treatment is applied to surfaces of the base, the treatment altering the surface roughness, porosity or chemical composition at these surfaces.

5. The system of claim 1, further comprising a bore positioned at an end of the base, wherein the bore is oriented generally perpendicular to the end of the base.

6. The system of claim 5, wherein an opening of the bore is tapered inward.

7. The system of claim 5, further comprising a removable sleeve positioned within the bore.

8. The system of claim 7, further comprising a post connected to the absorber, wherein the post pressed into the sleeve within the bore forms a taper lock.

9. The system of claim 5, further comprising one or more alignment members protruding from the end of the base.

10. An implantable extra-articular mechanical energy absorbing system for a knee joint including a joint capsule, comprising:

an absorber, the absorber absorbs a predetermined compression load applied to the knee joint; and

a base including a low-profile body having a mounting portion configured to be operatively connected to the absorber, a bone contacting surface conforming to an exterior surface of a bone, an upper surface, an inner surface opposite the upper surface, a mounting surface and a non-contacting surface,

wherein the mounting portion is elevated above the bone surface to position the absorber outside the joint capsule and wherein the mounting surface alone is configured to operatively engage and connect to the absorber.

11. The system of claim 10, further comprising one or more projections extending from the bone contacting surface.

12. The system of claim 10, further comprising one or more through holes positioned along the low-profile body, the through holes configured to receive fastening members.

13. The system of claim 10, wherein osteointegration is promoted by a coating applied to the bone contacting surface.

14. The system of claim 10, wherein osteointegration is promoted by providing the base contacting surface with a roughened surface.

15. The system of claim 10, wherein the bone contacting surface is contoured for a medial portion of a femur or a tibia.

16. The system of claim 10, wherein the bone contacting surface is contoured for a femur or tibia.

17. The system of claim 10, wherein the selected surface area is about 39mm² or greater.

18. The system of claim 10, wherein the bone response is mechanical interlocking into the base.

19. The system of claim 10, wherein the bone response is chemical bonding onto the base.

20. The system of claim 10, wherein the system is configured to have a shear strength of about 3MPa or greater without support from fasteners after porous ingrowth of bone.

21. The system of claim 10, wherein the system is configured to have a shear strength greater than the shear stress applied by the forces of the absorber after porous ingrowth of bone.

22. An implantable extra articular system for a knee joint including a joint capsule, comprising:

a link which absorbs a compression load applied to the knee joint; and

a base having two ends and including an elongated periosteum contacting portion configured to conform and extend along an exterior surface of a femur, a curved portion extending transversely away from the elongated portion, and a mounting portion, the mounting portion alone being configured to operatively engage and connect to the link, wherein the mounting portion is located at one of the two ends with all portions of the mounting surface offset from and overlying exterior surfaces of the bone and wherein the mounting portion is elevated above the bone surface to position the link outside the joint capsule.

23. The system of claim 22, further comprising one or more through holes positioned along the base, the through holes configured to receive fastening members.

24. An implantable mechanical extra-articular system for a knee joint including a joint capsule, comprising:

a link which absorbs a compression load applied to the knee joint; and

a base having a mounting end, an upper surface and an inner surface opposite the upper surface, wherein the inner surface includes a bone contacting surface configured to engage and attach to exterior surfaces of bone, and a non-contacting surface configured to be displaced from the bone, wherein the non-contacting surface is adjacent the mounting end;

a mounting surface on the mounting end configured to operatively connect to the link, wherein the mounting surface is elevated above the bone surface to position the link outside the joint capsule;

a bore formed in the mounting surface of the base, wherein the bore is oriented generally perpendicular to the mounting surface of the base, wherein an opening of the bore is tapered inward; and

a post connected to the link, wherein the post and the bore form a lock.

25. The system of claim 24, wherein the post and bore form a taper lock connection.