Low profile patient specific cutting blocks for a knee joint

• US 9,918,725 B2
• Filed: 02/14/2017
• Issued: 03/20/2018
• 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:
  US15/432,397
• Publication Number:
  US 20170156742A1
• Time in Patent Office: 399 Days
• Field of Search: 606 86 R, 606 87- 89, 606 96
• 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 includes 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 that is generally a negative of the portion of the bone that the respective 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 relative to 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, 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 guide extending in a medial-lateral direction and oriented in a fixed position relative to the bone interfacing portions to guide a cutting tool at a fixed angle relative to the bone interfacing portions; and

an anteriorly-facing exterior surface defining an index marking positioned along a mid-portion of the cutting block and extending in the superior-inferior direction, the index marking based on patient specific data.

2. The low profile patient specific cutting block of claim 1, wherein the patient specific data is derived from imaging data.

3. The low profile patient specific cutting block of claim 2, wherein the imaging data comprises magnetic resonance data or X-ray data.

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

5. 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 cutting block relative to the bone.

6. 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 cutting block.

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

8. The low profile patient specific cutting block of claim 1, wherein the index marking comprises an M-L index axis.

9. The low profile patient specific cutting block of claim 1, wherein the index marking comprises a mechanical axis index.

10. The low profile patient specific cutting block of claim 1, wherein the index marking provides an indication of the orientation and position of the cutting block relative to the bone.

11. The low profile patient specific cutting block of claim 1, wherein an orientation and position of the index marking on the cutting block is based on the patient specific data.

12. The low profile patient specific cutting block of claim 1, wherein the cutting guide comprises a cutting guide slot extending along the axis and configured to guide the cutting tool at the fixed angle relative to the bone interfacing portions.

13. The low profile patient specific cutting block of claim 1, wherein the bone interfacing portions are angularly offset from each other.

14. 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 the first of the bone interfacing portions is configured to overlie an anterior portion of the bone extending in a first direction, and wherein the 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.

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, 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;

cutting guide surfaces extending in a medial-lateral direction and oriented in a fixed position relative to the bone interfacing portions for guiding a cutting tool at a fixed angle relative to the bone interfacing portions; and

an anteriorly-facing exterior surface defining an index marking positioned along a mid-portion of the cutting block and extending in the superior-inferior direction, the index marking based on patient specific data.

16. The low profile patient specific cutting block of claim 15, wherein the patient specific data is derived from imaging data.

17. The low profile patient specific cutting block of claim 15, wherein an orientation and position of the index marking on the cutting block is based on the patient specific data.

18. The low profile patient specific cutting block of claim 15, wherein the index marking is positioned between a medial portion and a lateral portion of the cutting block.

19. The low profile patient specific cutting block of claim 15, further comprising an epicondylar index marking extending in a medial-lateral direction to provide an indication of a rotational position of the cutting block relative to the bone.

20. The low profile patient specific cutting block of claim 15, wherein the cutting guide surfaces are medially offset relative to an anterior portion of the bone and is oriented entirely along a medial portion of the patient specific cutting block and do not extend along a lateral portion of the patient specific cutting block.

21. The low profile patient specific cutting block of claim 15, wherein the index marking comprises a mechanical axis index.

22. 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 guide extending in a medial-lateral direction and oriented in a fixed position relative to the bone interfacing portions to guide a cutting tool at a fixed angle relative to the bone interfacing portions; and

an anteriorly-facing exterior surface defining an index marking positioned along a mid-portion of the cutting block and extending in the superior-inferior direction, the index marking comprising a groove or score extending into the anteriorly-facing exterior surface and orientated and positioned on the cutting block based on patient specific data derived from imaging data; 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.

23. The low profile patient specific cutting block of claim 22, wherein the index marking is positioned between a medial portion and a lateral portion of the cutting block.

24. The low profile patient specific cutting block of claim 22, wherein the cutting guide is medially offset relative to an anterior portion of the bone and is oriented entirely along a medial portion of the patient specific cutting block and does not extend along a lateral portion of the patient specific cutting block.

25. The low profile patient specific cutting block of claim 22, wherein the index marking comprises a mechanical axis index.