Patient-specific knee alignment guide and associated method

• US 9,861,387 B2
• Filed: 03/13/2013
• Issued: 01/09/2018
• Est. Priority Date: 06/09/2006
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Metzger, Robert, Berend, Keith R., Berend, Michael E., Lombardi, Adolph V., Perry, Lance D., Schoenefeld, Ryan J.
• Primary Examiner(s): Truong, Kevin T
• Assistant Examiner(s): Kamikawa, Tracy
• Application Number:
  US13/800,334
• Publication Number:
  US 20130197529A1
• Time in Patent Office: 1,763 Days
• Field of Search: 606 86 R- 90, 606 96, 606102, 606104
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• 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 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• CPC Class Codes: A61B 17/58 for osteosynthesis, e.g. bone plates, screws , setting implements or the like A61B17/14, A61B17/16 take precedence
• CPC Class Codes: A61B 2017/568 produced with shape and dimensions specific for an individual patient
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations

Abstract

A method of preparing a knee joint for a prosthesis in a patient includes mating a patient-specific three-dimensional curved inner surface of a femoral alignment guide onto a corresponding three-dimensional femoral joint surface of the patient. The patient-specific three-dimensional curved inner surface is preoperatively configured from medical scans of the knee joint of the patient. First and second holes are drilled into an anterior portion of the femoral joint surface through corresponding first and second guiding apertures of the femoral alignment guide.

Claims

1. A method of preparing a knee joint for a prosthesis in a patient, the method comprising:

mating a patient-specific three-dimensional curved inner surface of a femoral alignment guide onto a corresponding three-dimensional femoral joint surface of a patient, the patient-specific three-dimensional curved inner surface preoperatively configured from medical scans of the knee joint of the patient;

drilling first and second guiding holes into an anterior portion of the femoral joint surface through corresponding first and second guiding apertures of the femoral alignment guide, the first and second guiding apertures being preoperatively configured for locating a femoral resection of the patient according to the medical scans of the patient and a preoperative surgical plan for the patient;

inserting first and second guiding pins through the corresponding first and second guiding apertures and the first and second guiding holes, wherein each of the first and second guiding apertures have an open perimeter only partially surrounded by the femoral alignment guide so as to form an open portion;

drilling third and fourth guiding holes into a distal portion of the femoral joint surface through corresponding third and fourth guiding apertures of the femoral alignment guide;

inserting fasteners through the third and fourth guiding apertures of the femoral alignment guide and into the third and fourth guiding holes to secure the femoral alignment guide to the femoral joint surface; and

removing the femoral alignment guide without removing the first and second guiding pins by allowing the first and second guiding pins to exit through the open portions of the first and second guiding apertures of the femoral alignment guide without removing the first and second guiding pins from the first and second guiding holes.

2. The method of claim 1, further comprising locating a cutting device relative to the distal portion of the femoral joint surface using the third and fourth guiding holes.

3. A method of preparing a knee joint for a prosthesis in a patient, the method comprising:

mating a patient-specific three-dimensional curved inner surface of a femoral alignment guide onto a corresponding three-dimensional femoral joint surface of the patient, the patient-specific three-dimensional curved inner surface preoperatively configured from medical scans of the knee joint of the patient to extend over at least one of a medial and a lateral condyle such that at least a side of the femoral alignment guide is positioned one of anterior-medial or anterior-lateral relative to both of the medial condyle and the lateral condyle;

drilling a first guiding hole into a first portion of the femoral joint surface through a corresponding first guiding aperture in the side of the femoral alignment guide that is positioned one of anterior-medial or anterior-lateral relative to both the medial condyle and the lateral condyle;

drilling a second guiding hole into a second portion of the femoral joint surface through a corresponding second guiding aperture in the side of the femoral alignment guide that is positioned one of anterior-medial or anterior-lateral relative to both the medial condyle and the lateral condyle;

wherein each of the first and second guiding apertures have an open perimeter only partially surrounded by the femoral alignment guide so as to form an open portion;

inserting first and second guiding pins through the corresponding first and second guiding apertures and the first and second guiding holes;

drilling third and fourth guiding holes into a distal portion of the femoral joint surface through corresponding third and fourth guiding apertures of the femoral alignment guide;

inserting fasteners through the third and fourth guiding apertures of the femoral alignment guide and into the third and fourth guiding holes to secure the femoral alignment guide to the femoral joint surface; and

removing the femoral alignment guide without removing the first and second guiding pins by allowing the first and second guiding pins to exit through the open portions of the first and second guiding apertures of the femoral alignment guide without removing the first and second guiding pins from the first and second guiding holes.

4. The method of claim 3, wherein the second guiding aperture has at least one of different orientation and a different shape relative to the first guiding aperture on the femoral alignment guide.

5. The method of claim 3, further comprising mating a portion of the inner surface of the femoral alignment guide to articular cartilage covering the femoral joint surface.

6. The method of claim 3, further comprising mating a portion of the inner surface of the femoral alignment guide to a bone portion underlying articular cartilage of the femoral joint surface.

7. The method of claim 3, further comprising supporting a cutting block on the first and second guiding pins.

8. The method of claim 7, further comprising guiding a patient-specific femoral resection through the cutting block, the patient-specific resection determined by preoperatively configuring the first and second guiding apertures on the femoral alignment guide to correspond to the patient-specific resection.

9. The method of claim 3, further comprising mating a portion of the inner surface of the femoral alignment guide to at least one of articular cartilage and underlying bone of the femoral joint surface.

10. The method of claim 3, further comprising locating a cutting device relative to the distal portion of the femoral joint surface using the third and fourth guiding holes.