PATIENT-SPECIFIC ORTHOPEDIC INSTRUMENTS

• US 20170056030A1
• Filed: 11/16/2016
• Published: 03/02/2017
• Est. Priority Date: 02/27/2006
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Metzger, Robert, Catanzarite, Joshua B., May, Brian M.
• Granted Patent: US 9,700,329 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/58 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 2034/105 Modelling of the patient, e.g. for ligaments or bones
• 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 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30561 breakable or frangible
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30617 Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/30952 using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/4662 for measuring penetration depth
• CPC Class Codes: A61F 2002/4668 for measuring angles
• CPC Class Codes: A61F 2002/4677 using a guide wire

Abstract

A method of preparing a distal femur for a knee joint implant includes mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient. A plurality of alignment pins is inserted through a corresponding plurality of guiding bores of the femoral alignment guide into the distal femur. A cutting guide is mounted on first and second alignment pins of the plurality of alignment pins, and a first resection of the distal femur is made using the cutting guide while cutting through the femoral alignment guide.

Claims

1. A method of preparing a distal femur for a knee joint implant, the method comprising:

mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient;

inserting first and second anterior alignment pins into an anterior surface of the distal femur through corresponding first and second anterior guiding bores of the femoral alignment guide, wherein the first and second anterior alignment pins are resorbable;

inserting first and second distal alignment pins into a distal surface of the distal femur through corresponding first and second distal guiding bores of the femoral alignment guide, wherein the first and second distal alignment pins are resorbable;

supporting a distal cutting guide on the first and second anterior alignment pins;

passing a cutting blade through a cutting slot of the cutting guide; and

resecting the distal femur with the cutting blade by cutting through the alignment guide and the first and second distal alignment pins to form a resected distal surface.

2. The method of claim 1, further comprising:

removing the distal cutting guide and the femoral alignment guide;

inserting first and second pins of a cutting block through cannulated bores of the cut-off first and second distal alignment pins;

mounting the cutting block on the resected distal surface; and

resecting the anterior surface of the distal femur while cutting through the first and second anterior alignment pins.

3. The method of claim 1, further comprising leaving portions of the first and second distal alignment pins into the distal femur to be resorbed.

4. A method of preparing a distal femur for a knee joint implant, the method comprising:

mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient;

inserting a plurality of alignment pins through a corresponding plurality of guiding bores of the femoral alignment guide into the distal femur;

mounting a cutting guide on first and second alignment pins of the plurality of alignment pins; and

making a first resection of the distal femur using the cutting guide while cutting through the femoral alignment guide.

5. The method of claim 4, further comprising cutting through third and fourth alignment pins of the plurality of alignment pins during the first resection.

6. The method of claim 4, further comprising passing a cutting blade through a cutting slot of the cutting guide for the first resection.

7. The method of claim 5, further comprising:

removing the alignment guide and the cutting guide from the femoral surface; and

leaving cut-off portions of the third and fourth alignment pins into the distal femur to be resorbed.

8. The method of claim 7, further comprising:

mounting a cutting block on the cut-off portions of the third and fourth alignment pins; and

making a second resection of the distal femur using the cutting block.

9. The method of claim 8, further comprising cutting through the first and second alignment pins while making the second resection.

10. The method of claim 8, wherein the first resection is a distal resection.

11. The method of claim 10, wherein the second resection is an anterior resection.

12. The method of claim 8, wherein the third and fourth alignment pins are cannulated and wherein mounting a cutting block on the cut-off portions of the third and fourth alignment pins comprises inserting first and second pins of the cutting block into corresponding bores of the cut-off portions of the third and fourth alignment pins.

13. The method of claim 4, wherein the alignment pins are resorbable.

14. The method of claim 4, wherein the alignment pins are configured to be cut-off while resecting the distal femur.

15. The method of claim 4, wherein the plurality of guiding bores includes a pair of oblique guiding bores oriented at an oblique angle relative to a surface of the distal femur.

16. The method of claim 15, further comprising making the first resection without cutting through a pair of alignment pins from the plurality of alignment pins passing through the oblique cutting bores.

17. A method of preparing a distal femur for a knee joint implant, the method comprising:

mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient;

inserting first and second anterior alignment pins into an anterior surface of the distal femur through corresponding first and second anterior guiding bores of the femoral alignment guide;

inserting first and second distal alignment pins into a distal surface of the distal femur through corresponding first and second distal guiding bores of the femoral alignment guide;

supporting a distal cutting guide on the first and second anterior alignment pins; and

resecting the distal femur using the distal cutting guide while cutting the first and second distal alignment pins to form a resected distal surface.

18. The method of claim 17, wherein resecting the distal femur using the distal cutting guide includes cutting through the femoral alignment guide.

19. The method of claim 18, wherein the first and second anterior alignment pins and the first and second distal alignment pins are resorbable.

20. The method of claim 18, further comprising:

removing the distal cutting guide and the femoral alignment guide;

mounting a cutting block on the resected distal surface; and

resecting the anterior surface of the distal femur while cutting through the first and second anterior alignment pins.