Tibial implant and systems with variable slope

• US 9,877,790 B2
• Filed: 11/11/2011
• Issued: 01/30/2018
• Est. Priority Date: 05/25/2001
• Status: Expired due to Fees

• Current Assignee: Conformis Incorporated
• Original Assignee: Conformis Incorporated
• Inventors: Bojarski, Raymond A., Chao, Nam T., Slamin, John, Lang, Philipp, Fitz, Wolfgang, Steines, Daniel
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US13/294,617
• Publication Number:
  US 20120191205A1
• Time in Patent Office: 2,272 Days
• Field of Search: 623 2032, 623 2034, 623 2035, 623 2036, 623 2029, 623 1412, 623 2346, 29592, 600410, 600595, 606 86 R, 606 88
• 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 2034/107 Visualisation of planned trajectories or target regions
• 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
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2/384 hinged, i.e. with transverse axle restricting the movement
• CPC Class Codes: A61F 2/3859 Femoral components
• CPC Class Codes: A61F 2/3886 for stabilising knees against anterior or lateral dislocations
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/5046 for designing or making customized prostheses, e.g. using templates, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2002/30324 differing in thickness
• CPC Class Codes: A61F 2002/30327 differing in diameter
• CPC Class Codes: A61F 2002/30952 using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient'"'"'s joint. The data can be used to create a model for analyzing a patient'"'"'s joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Claims

1. A knee replacement system for implantation in a knee joint of a patient, comprising:

a knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a curved condylar shape in a sagittal plane and having a lateral weight bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a femur when the femoral implant is implanted in the knee joint of the patient, wherein the lateral condyle portion has a narrowed posterior portion, such that a width of the lateral condyle portion measured in substantially a mediolateral direction narrows in the lateral posterior portion relative to a distal part of the lateral condylar portion, and

the tibial implant including a lateral weight bearing surface configured to articulate with the lateral weight bearing surface of the femoral implant along an articulating region in a generally sagittal direction when the tibial and femoral implants are implanted in the knee joint of the patient, and a bone-facing surface configured to abut a surface of a tibia of the patient when the tibial implant is implanted in the knee joint of the patient,

wherein the tibial lateral weight bearing surface includes a variable slope having a at least one portion forming a negative slope relative to the bone facing surface in an anteroposterior direction and at least one portion forming a positive slope relative to the bone facing surface anteroposterior direction.

2. The knee implant system of claim 1 wherein the variable slope of the tibial lateral weight bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction.

3. The knee implant system of claim 1, wherein the variable slope of the tibial lateral weight bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction and a concave weight bearing surface portion substantially in an anteroposterior direction.

4. The knee implant system of claim 1, wherein the variable slope of the tibial lateral weight bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction and a concave weight bearing surface portion substantially in an anteroposterior direction that is positioned posteriorly relative to the convex weight bearing surface portion.

5. The knee implant system of claim 1, wherein the variable slope of the tibial lateral weight bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction and a concave weight bearing surface portion substantially in an anteroposterior direction that is positioned anteriorly relative to the convex weight bearing surface portion.

6. The knee implant system of claim 1, wherein the variable slope of the tibial lateral weight bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction, a first concave weight bearing surface portion substantially in an anteroposterior direction that is positioned anteriorly relative to the convex weight bearing surface portion, and a second concave weight bearing surface portion substantially in an anteroposterior direction that is positioned posteriorly relative to the convex weight bearing surface portion.

7. The knee implant system of claim 1, wherein the narrowed posterior portion is configured to avoid soft tissue impingement.

8. The knee implant system of claim 7, wherein the tibial implant and femoral implant are configured to avoid impingement of the femoral implant on the popliteus tendon of the patient by the femoral implant when the tibial implant is implanted in the patient and the femoral implant is in a flexed position relative to the tibial implant.

9. The knee implant system of claim 1, wherein the tibial lateral weight bearing surface is curved in a mediolateral direction.

10. The knee implant system of claim 1, wherein the tibial lateral weight bearing surface is concave substantially in a coronal plane.

11. The knee implant system of claim 1, wherein the tibial lateral weight bearing surface is convex substantially in a coronal plane.

12. A knee replacement system for implantation in a knee joint of a patient, comprising:

a knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a generally curved lateral condylar shape, and having a lateral weight bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a lateral condyle of a femur when the femoral implant is implanted in the knee joint of the patient, wherein the lateral condyle portion includes a lateral distal portion and a lateral posterior portion; and

the femoral implant further including a medial condyle portion having a generally curved medial condylar shape and having a medial bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and a second inner surface configured to abut one or more bone cut surfaces of a medial condyle of the femur when the femoral implant is implanted in the knee joint of the patient, wherein the medial condyle portion includes a medial distal portion and a medial posterior portion, wherein the medial distal portion of the medial condyle portion and the lateral distal portion of the lateral condyle portion each having substantially the same width measured in substantially the mediolateral direction and the medial posterior portion of the medial condyle portion being wider than the lateral posterior portion of the lateral condyle portion measured in substantially the mediolateral direction; and

further comprising a tibial implant including a lateral plateau portion with a lateral plateau bearing surface configured to articulate with the lateral weight bearing surface of the femoral implant when the tibial and femoral implants are implanted in the knee joint of the patient, a medial plateau portion with a medial plateau bearing surface configured to articulate with the medial bearing surface of the femoral implant when the tibial and femoral implants are implanted in the knee joint of the patient, and a bone-facing surface configured to abut a cut proximal end of a tibia of the patient when the tibial implant is implanted in the knee joint of the patient, wherein the lateral plateau bearing surface includes a variable slope having a at least one portion forming a negative slope relative to the bone facing surface and at least one portion forming a positive slope relative to the bone facing surface.

13. The knee replacement system of claim 12, wherein the medial plateau bearing surface is configured to be offset in a distal direction relative to the lateral plateau bearing surface when the tibial implant is implanted in the patient.

14. The knee replacement system of claim 12, wherein the lateral distal portion of the lateral condyle portion is wider than the lateral posterior portion of the lateral condyle portion measured in substantially the mediolateral direction.

15. The knee replacement system of claim 12, wherein the variable slope of the lateral plateau bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction.

16. The knee replacement system of claim 12, wherein the variable slope of the lateral plateau bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction and a concave weight bearing surface portion substantially in an anteroposterior direction.

17. The knee replacement system of claim 12, wherein the variable slope of the lateral plateau bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction and a concave weight bearing surface portion substantially in an anteroposterior direction that is positioned posteriorly relative to the convex weight bearing surface portion.

18. The knee replacement system of claim 12, wherein the variable slope of the lateral plateau bearing surface forms a convex weight bearing surface portion substantially in an anteroposterior direction, a first concave weight bearing surface portion substantially in an anteroposterior direction that is positioned anteriorly relative to the convex weight bearing surface portion, and a second concave weight bearing surface portion substantially in an anteroposterior direction that is positioned posteriorly relative to the convex weight bearing surface portion.

19. The knee replacement system of claim 12, wherein the lateral condyle portion has a narrowed posterior portion, such that the width of the lateral condyle portion measured in substantially the mediolateral direction narrows in a posterior part of the lateral condylar portion.

20. The knee replacement system of claim 19, wherein the tibial implant and femoral implant are configured to avoid impingement of the femoral implant on the popliteus tendon of the patient by the femoral implant when the tibial implant is implanted in the patient and the femoral implant is in a flexed position relative to the tibial implant.

21. The knee replacement system of claim 12, wherein the medial posterior portion is wider than the lateral posterior portion when measured in substantially the mediolateral direction and the posterior medial portion is thicker than the lateral posterior portion.

22. The knee replacement system of claim 12, wherein the lateral posterior portion includes a bone cut facet on the inner surface, and the medial posterior portion includes a bone cut facet on the second inner surface, and wherein the bone facet cuts are not coplanar.

23. The knee replacement system of claim 12, wherein the inner surface of the lateral posterior portion includes a lateral facet surface and the second inner surface of the medial posterior portion includes a corresponding medial facet surface, each of the lateral facet surface and the medial facet surface being substantially planar, and wherein the lateral facet surface is oriented in a different plane from the medial facet surface.

24. The knee replacement system of claim 12, wherein the lateral plateau bearing surface is curved in a mediolateral direction.

25. The knee replacement system of claim 12, wherein the lateral plateau bearing surface is concave substantially in a coronal plane.

26. The knee replacement system of claim 12, wherein the lateral plateau bearing surface is convex substantially in a coronal plane.

27. A knee implant system for implantation in a knee joint of a patient, comprising:

a femoral implant having a medial condyle portion and a lateral condyle portion, wherein the lateral condyle portion includes a lateral periphery configured to accommodate a popliteus tendon of the knee joint of the patient;

a tibial implant configured for implantation in a lateral compartment of a knee and having a weight bearing surface configured to articulate with an opposing articular surface in a generally sagittal direction when the tibial and femoral implants are implanted in the knee joint of the patient, and a bone-facing surface configured to abut a surface of a tibia of the patient when the tibial implant is implanted in the knee joint of the patient,

wherein the weight bearing surface includes a variable slope having at least one portion forming a negative slope relative to the bone facing surface in an anteroposterior direction and at least one portion forming a positive slope relative to the bone facing surface anteroposterior direction, and

wherein the weight bearing surface includes a convex portion in a mediolateral direction.

28. A knee replacement system for implantation in a knee joint of a patient, comprising:

a knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a generally curved lateral condylar shape, and having a lateral weight bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a lateral condyle of a femur when the femoral implant is implanted in the knee joint of the patient, wherein the lateral condyle portion includes a lateral distal portion and a lateral posterior portion; and

the femoral implant further including a medial condyle portion having a generally curved medial condylar shape and having a medial bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and a second inner surface configured to abut one or more bone cut surfaces of a medial condyle of the femur when the femoral implant is implanted in the knee joint of the patient, wherein the medial condyle portion includes a medial distal portion and a medial posterior portion;

wherein the medial distal portion of the medial condyle portion and the lateral distal portion of the lateral condyle portion each have substantially the same width measured in substantially the mediolateral direction and the medial posterior portion of the medial condyle portion is wider than the lateral posterior portion of the lateral condyle portion measured in substantially the mediolateral direction; and

further comprising a tibial implant including a lateral plateau portion with a lateral plateau bearing surface configured to articulate with the lateral weight bearing surface of the femoral implant when the tibial and femoral implants are implanted in the knee joint of the patient, a medial plateau portion with a medial plateau bearing surface configured to articulate with the medial bearing surface of the femoral implant when the tibial and femoral implants are implanted in the knee joint of the patient, and a bone-facing surface configured to abut a cut proximal end of a tibia of the patient when the tibial implant is implanted in the knee joint of the patient, wherein the lateral plateau bearing surface includes a variable slope having at least one portion forming a negative slope in a sagittal direction and relative to the bone facing surface and at least one portion forming a positive slope in a sagittal direction and relative to the bone facing surface.

29. The knee replacement system of claim 28, wherein the positive slope and the negative slope form a generally convex curve in a sagittal direction.

30. The knee replacement system of claim 28, wherein the positive slope and the negative slope form a generally convex curve in a coronal direction.