Orthopaedic instrument system for surgically-preparing a patient's femur

Patent metadata

Field	Value
Publication number	US-10537439-B2
Application number	US-201715598619-A
Country	US
Kind code	B2
Filing date	May 18, 2017
Priority date	May 18, 2016
Publication date	Jan 21, 2020
Grant date	Jan 21, 2020

Abstract

An orthopedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

First claim

The invention claimed is:

1. An orthopedic surgical instrument system comprising:
a femoral cutting block including a plurality of cutting guide slots,
an offset guide comprising:
a mounting bracket configured to be coupled to the femoral cutting block, the mounting bracket having a distal surface and an opening defined in the distal surface,
an adaptor body positioned in the opening defined in the mounting bracket, the adaptor body extending along a first longitudinal axis and including a head plate that is pivotally coupled to the mounting bracket, and
an elongated shaft pivotally coupled to the adaptor body, the elongated shaft extending along a second longitudinal axis spaced apart from the first longitudinal axis,
an intramedullary orthopedic surgical instrument configured to be coupled to the elongated shaft and sized to be inserted into a medullary canal of a patient's femur, and
a surgical handle including a locking flange that is pivotable between a locked position and an unlocked position,
wherein the head plate of the offset guide includes an annular rim sized to receive the locking flange to secure the surgical handle to the offset guide.

2. The orthopedic surgical instrument system of claim 1 , wherein the elongated shaft has a triangular-shaped connector, and the intramedullary orthopedic surgical instrument has an opening sized to receive the triangular-shaped connector of the elongated shaft.

3. The orthopedic surgical instrument system of claim 2 , wherein:
the intramedullary orthopedic surgical instrument comprises a stem stabilizer configured to be coupled to the elongated shaft, and
a stem trial configured to be coupled to the stem stabilizer.

4. The orthopedic surgical instrument system of claim 1 , wherein:
the distal surface of the mounting bracket defines a first plane, and
the first longitudinal axis extends at an oblique angle relative to the first plane.

5. The orthopedic surgical instrument system of claim 4 , wherein the head plate has a distal surface that defines a second plane that extends at an oblique angle relative to the first plane and is orthogonal to the first longitudinal axis.

6. The orthopedic surgical instrument system of claim 1 , further comprising:
an alignment tool including a main body, a first arm extending outwardly from the main body, and a second arm extending outwardly from the main body parallel to, and spaced apart from, the first arm,
wherein the cutting block includes a mounting slot sized to receive a tip of the first arm to couple the alignment tool to the cutting block.

7. The orthopedic surgical instrument system of claim 1 , further comprising:
an offset indicator including a plug sized to be received in an aperture defined in the head plate of the adaptor body, the offset indicator including a plurality of visual indicia to indicate an offset orientation of a prosthetic femoral component assembly,
wherein the plug of the offset indicator is operable to pivot the head plate relative to the mounting bracket.

8. The orthopedic surgical instrument system of claim 7 , wherein the mounting bracket includes a visual indicator configured to be aligned with at least one of the plurality of visual indicia of the offset indicator to indicate a planned offset orientation of a prosthetic femoral component.

9. The orthopedic surgical instrument system of claim 7 , wherein:
the plug includes an alignment tab, and
the head plate includes an alignment groove sized to receive the alignment tab to position the offset indicator in a predetermined orientation relative to the offset guide.

10. An orthopedic surgical instrument system comprising:
a mounting bracket configured to be coupled to a femoral cutting block, the mounting bracket having a distal surface and an opening defined in the distal surface,
an adaptor body positioned in the opening defined in the mounting bracket, the adaptor body extending along a first longitudinal axis and including a head plate that is pivotally coupled to the mounting bracket,
an elongated shaft pivotally coupled to the adaptor body, the elongated shaft extending along a second longitudinal axis spaced apart from the first longitudinal axis and including a connector at its proximal end,
a sleeve positioned on the elongated shaft between the adaptor body and the connector, and
an intramedullary orthopedic surgical instrument coupled to the connector of the elongated shaft and sized to be inserted into a medullary canal of a patient's femur, the intramedullary orthopedic surgical instrument including a stem stabilizer coupled to the sleeve positioned on the elongated shaft,
wherein the sleeve is movable along the elongated shaft between (i) a first position in which the sleeve engages the intramedullary orthopedic surgical instrument to secure the intramedullary orthopedic surgical instrument to the elongated shaft, and (ii) a second position in which the sleeve is spaced apart from the intramedullary orthopedic surgical instrument.

11. The orthopedic surgical instrument system of claim 10 , wherein the connector is triangular-shaped, and the intramedullary orthopedic surgical instrument has an opening sized to receive the triangular-shaped connector.

12. The orthopedic surgical instrument system of claim 11 , wherein the sleeve includes a threaded outer surface and the intramedullary orthopedic surgical instrument includes a threaded inner surface that engages the threaded outer surface when the sleeve is in the first position.

13. The orthopedic surgical instrument system of claim 12 , wherein the opening of the intramedullary orthopedic surgical instrument includes a plurality of slots defined in the threaded inner surface of the intramedullary orthopedic surgical instrument.

14. The orthopedic surgical instrument system of claim 10 , further comprising:
an offset indicator configured to be coupled to the adaptor body, the offset indicator including a plurality of visual indicia to indicate an offset orientation of a prosthetic femoral component assembly,
wherein a plug of the offset indicator is operable to pivot the head plate and the adaptor body relative to the mounting bracket.

15. An orthopaedic surgical instrument system comprising:
an offset guide comprising:
a mounting bracket configured to be coupled to a femoral cutting block, the mounting bracket having a distal surface and an opening defined in the distal surface,
an adaptor body positioned in the opening defined in the mounting bracket, the adaptor body extending along a first longitudinal axis and including a head plate that is pivotally coupled to the mounting bracket, and
an elongated shaft pivotally coupled to the adaptor body, the elongated shaft extending along a second longitudinal axis spaced apart from the first longitudinal axis and including a connector sized to receive an intramedullary orthopedic surgical instrument, and
an offset indicator configured to be coupled to the head plate of the adaptor body, the offset indicator including a plurality of visual indicia to indicate an offset orientation of a prosthetic femoral component assembly,
wherein when the elongated shaft is prevented from rotating about the second longitudinal axis, the a plug of the offset indicator is operable to pivot the head plate relative to the mounting bracket about the first longitudinal axis and pivot the head plate relative to the elongated shaft about the second longitudinal axis, and
wherein:
the offset indicator includes an alignment tab, and
the head plate includes an alignment groove sized to receive the alignment tab to position the of

Assignees

• Depuy Ireland Ultd Co

Inventors

• Wolfson David R
• Barnett James E
• Penninger Charles L
• Reeve Michael R
• Meggett Philip R
• Chaney Rebecca L

Classifications

• A61B17/72

  Intramedullary devices, e.g. pins or nails · CPC title

• A61F2/3859

  Femoral components · CPC title

• A61B2090/036

  abutting on tissue or skin · CPC title

• A61F2002/3863

  Condyles fitted on an anchored base · CPC title

• A61F2002/4668

  for measuring angles · CPC title