Patient-specific knee alignment guide and associated method

• US 10,206,697 B2
• Filed: 09/22/2017
• Issued: 02/19/2019
• 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, Jr., Adolph V., Perry, Lance Dean, Schoenefeld, Ryan John
• Primary Examiner(s): Boles, Sameh
• Application Number:
  US15/712,679
• Publication Number:
  US 20180008292A1
• Time in Patent Office: 515 Days
• Field of Search: None
• 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 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 femoral alignment guide for preparing a knee joint for a prosthesis in a patient comprising:

a patient-specific three-dimensional curved inner surface preoperatively configured from medical image scans of the knee joint of the patient to nestingly conform and match with a corresponding three-dimensional femoral surface of a femur of the patient in only one position;

an exterior surface opposing the inner surface; and

at least one guide aperture passing through the inner surface and the exterior surface, wherein the at least one guide aperture is configured to form an opening in a perimeter of the femoral alignment guide so as to be only partially surrounded by the femoral alignment guide.

2. The femoral alignment guide of claim 1, further comprising one or more pins configured to be received by the at least one guide aperture and penetrate the femur, wherein the at least one guide aperture is configured to allow for removal of the femoral alignment guide from the femur without removing the one or more pins from the femur.

3. The femoral alignment guide of claim 1, further comprising a distal guide aperture, wherein the femoral alignment guide is configured to position the distal guide aperture at a distal portion of the femoral surface when the femoral alignment guide is positioned on femur.

4. The femoral alignment guide of claim 3, wherein the femoral alignment guide is configured to position the distal guide aperture at one of a distal-lateral portion of a medial condyle and a distal-medial portion of a lateral condyle of the femur.

5. The femoral alignment guide of claim 3, wherein the femoral alignment guide has a thickened area around each of the at least one guide aperture and the distal guide aperture.

6. The femoral alignment guide of claim 1, wherein the femoral alignment guide is configured to position the at least one guide aperture at one of an anterior or anterior-medial portion of the femoral surface when the femoral alignment guide is positioned on the femur.

7. The femoral alignment guide of claim 1, wherein the femoral alignment guide is configured to position the at least one guide aperture at one of a medial portion of a medial condyle and a lateral portion of a lateral condyle of the femur.

8. The femoral alignment guide of claim 1, wherein the three-dimensional curved inner surface of the femoral alignment guide is configured to nestingly conform and match with one or more of articular cartilage covering the femoral surface and a bone portion underlying the femoral surface.

9. A femoral alignment guide for preparing a knee joint for a prosthesis in a patient comprising:

a patient-specific three-dimensional curved inner surface preoperatively configured from medical image scans of the knee joint of the patient to nestingly conform and match with a corresponding three-dimensional femoral surface of a femur of the patient in only one position;

an exterior surface opposing the inner surface;

a first guide aperture passing through the inner surface and the exterior surface, wherein the femoral alignment guide is configured to position the first guide aperture at a distal portion of the femoral surface when the femoral alignment guide is positioned on femur; and

a second guide aperture passing through the inner surface and the exterior surface, wherein the second guide aperture is configured to form an opening in a perimeter of the femoral alignment guide so as to be only partially surrounded by the femoral alignment guide, and wherein the femoral alignment guide is configured to position the second guide aperture at one of an anterior or anterior-medial portion of the femoral surface when the femoral alignment guide is positioned on the femur.

10. The femoral alignment guide of claim 9, further comprising one or more pins configured to be received by the second guide aperture and penetrate the femur, wherein the second guide aperture is configured to allow for removal of the femoral alignment guide from the femur without removing the one or more pins from the femur.

11. The femoral alignment guide of claim 9, wherein the femoral alignment guide is configured to position the first guide aperture at one of a distal-lateral portion of a medial condyle and a distal-medial portion of a lateral condyle of the femur.

12. The femoral alignment guide of claim 9, wherein the femoral alignment guide is configured to position the second guide aperture at one of a medial portion of a medial condyle and a lateral portion of a lateral condyle of the femur.

13. An orthopedic system for preparing a knee joint for a prosthesis in a patient comprising:

a femoral alignment guide, comprising;

a patient-specific three-dimensional curved inner surface preoperatively configured from medical image scans of the knee joint of the patient to nestingly conform and match with a corresponding three-dimensional femoral surface of a femur of the patient in only one position;

an exterior surface opposing the inner surface; and

at least one guide aperture passing through the inner surface and the exterior surface, wherein the at least one guide aperture is configured to form an opening in a perimeter of the femoral alignment guide so as to be only partially surrounded by the femoral alignment guide; and

one or more pins configured to be received by the at least one guide aperture and penetrate the femur, wherein the at least one guide aperture is configured to allow for removal of the femoral alignment guide from the femur without removing the one or more pins from the femur.

14. The orthopedic system of claim 13, further comprising a tibial alignment guide that includes:

a patient-specific three-dimensional inner curved surface preoperatively configured from medical image scans of the knee joint of the patient to nestingly conform and match with a corresponding three-dimensional tibial surface of a tibia of the patient;

first and second tibial guide apertures that are configured to form an opening in a perimeter of the femoral alignment guide so as to be only partially surrounded by the tibial alignment guide.

15. The orthopedic system of claim 14, wherein the tibial alignment guide is configured to wrap around an anterior-medial edge of the tibial surface when positioned on the tibia.

16. The orthopedic system of claim 13, further comprising a distal cutting block mountable to the one or more pins.

17. The orthopedic system of claim 13, wherein the femoral alignment guide has a distal guide aperture, and wherein the femoral alignment guide is configured to position the distal guide aperture at a distal portion of the femoral surface at one of a distal-lateral portion of a medial condyle and a distal-medial portion of a lateral condyle of the femur when the femoral alignment guide is positioned on femur.

18. The orthopedic system of claim 13, wherein the femoral alignment guide is configured to position the at least one guide aperture at one of an anterior or anterior-medial portion of the femoral surface when the femoral alignment guide is positioned on the femur.

19. The orthopedic system of claim 13, wherein the femoral alignment guide is configured to position the at least one guide aperture at one of a medial portion of a medial condyle and a lateral portion of a lateral condyle of the femur.

20. The orthopedic system of claim 13, wherein the three-dimensional curved inner surface of the femoral alignment guide is configured to nestingly conform and match with one or more of articular cartilage covering the femoral surface and a bone portion underlying the femoral surface.