Method of using an orthopaedic instrument system in surgically-preparing a patient's femur

Patent metadata

Field	Value
Publication number	US-10537440-B2
Application number	US-201715598620-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 orthopaedic 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. A method of performing an orthopaedic surgical procedure, the method comprising:
aligning a distal end of an intramedullary orthopaedic surgical instrument with a proximal end of an offset guide,
positioning a connector at the proximal end of the offset guide in an opening defined in the distal end of the intramedullary orthopaedic surgical instrument to prevent relative rotational movement between the proximal end of the offset guide and the intramedullary orthopaedic surgical instrument thereby advancing the intramedullary orthopaedic surgical instrument over the connector,
engaging a sleeve with the intramedullary orthopaedic surgical instrument to secure the intramedullary orthopaedic surgical instrument to the offset guide,
inserting the intramedullary orthopaedic surgical instrument into an opening defined in a distal end of a patient's femur,
rotating a distal end of the offset guide about a longitudinal axis extending through the intramedullary orthopaedic surgical instrument to determine an offset orientation for a prosthetic femoral component,
securing the distal end of the offset guide to a femoral cutting block including a plurality of cutting slots, wherein rotating the distal end of the offset guide includes rotating the femoral cutting block relative to a distal surface of the patient's femur, and
attaching an offset indicator to the distal end of the offset guide, wherein rotating the distal end of the offset guide includes rotating the offset indicator about a second longitudinal axis extending parallel to, and spaced apart from, the longitudinal axis extending through the intramedullary orthopaedic surgical instrument.

2. The method of claim 1 , wherein engaging the sleeve with the intramedullary orthopaedic surgical instrument includes advancing the sleeve toward the proximal end of the offset guide and engaging a threaded outer surface of the sleeve with a threaded inner surface of the intramedullary orthopaedic surgical instrument.

3. The method of claim 2 , wherein positioning the connector at the proximal end of the offset guide in the opening defined in the distal end of the intramedullary orthopaedic surgical instrument includes positioning a triangular-shaped connector into a plurality of slots defined in the threaded inner surface of the intramedullary orthopaedic surgical instrument.

4. The method of claim 1 , further comprising securing a stem stabilizer to a stem trial to form the intramedullary orthopaedic surgical instrument.

5. The method of claim 1 , further comprising:
attaching a first arm of a femoral positioning block to the femoral cutting block, and
positioning a second arm of the femoral positioning block on a proximal end of the patient's tibia such that a predetermined gap is defined between the patient's tibia and the femoral cutting block,
wherein rotating the distal end of the offset guide includes adjusting a distance between the patient's tibia and the patient's femur while rotating the femoral cutting block relative to a distal surface of the patient's femur.

6. The method of claim 1 , further comprising resecting a portion of the distal end of the patient's femur.

7. The method of claim 6 , further comprising detaching the offset guide from the femoral cutting block and removing the intramedullary orthopaedic surgical instrument from the opening in the distal end of the patient's femur.

8. A method of performing an orthopaedic surgical procedure, the method comprising:
securing an offset guide to a femoral cutting block,
inserting an elongated shaft of the offset guide into an opening defined in a distal end of a patient's femur, the elongated shaft extending along a first longitudinal axis,
attaching an offset indicator to a distal end of the offset guide,
rotating the offset indicator about a second longitudinal axis extending parallel to, and spaced apart from, the first longitudinal axis to rotate the femoral cutting block about the first longitudinal axis and determine an offset orientation for a prosthetic femoral component, attaching a first arm of a femoral positioning block to the femoral cutting block, and positioning a second arm of the femoral positioning block on a proximal end of the patient's tibia such that a predetermined gap is defined between the patient's tibia and the femoral cutting block, wherein rotating the offset indicator about the second longitudinal axis includes adjusting a distance between the patient's tibia and the patient's femur while rotating the femoral cutting block relative to a distal surface of the patient's femur.

9. The method of claim 8 , further comprising securing an intramedullary orthopaedic surgical instrument to the offset guide such that the first longitudinal axis extends along the intramedullary orthopaedic surgical instrument.

10. The method of claim 9 , wherein rotating the offset indicator about the second longitudinal axis includes rotating a head plate of the offset guide with the offset indicator about the second longitudinal axis, and the offset guide is secured to the femoral cutting block such that the femoral cutting block is prevented from rotating relative to the second longitudinal axis.

11. The method of claim 8 , further comprising resecting a portion of the distal end of the patient's femur.

12. A method of performing an orthopaedic surgical procedure, the method comprising:
securing an intramedullary orthopaedic surgical instrument to an offset guide,
securing the offset guide to a femoral cutting block,
inserting the intramedullary orthopaedic surgical instrument into an opening defined in a distal end of a patient's femur,
attaching a first arm of a femoral positioning block to the femoral cutting block,
positioning a second arm of the femoral positioning block on a proximal end of the patient's tibia such that a predetermined gap is defined between the patient's tibia and the femoral cutting block,
rotating a distal end of the offset guide about a longitudinal axis extending through the intramedullary orthopaedic surgical instrument to determine an offset orientation for a prosthetic femoral component, wherein rotating the distal end of the offset guide includes adjusting a distance between the patient's tibia and the patient's femur, and attaching an offset indicator to the distal end of the offset guide, wherein rotating the distal end of the offset guide includes rotating the offset indicator about a second longitudinal axis extending parallel to, and spaced apart from, the longitudinal axis extending through the intramedullary orthopaedic surgical instrument.

13. The method of claim 12 , wherein securing the intramedullary orthopaedic surgical instrument to the offset guide includes:
positioning a triangular-shaped connector of the offset guide into a plurality of slots defined in an inner surface of the intramedullary orthopaedic surgical instrument, and
engaging a sleeve of the offset guide with the intramedullary orthopaedic surgical instrument to secure the intramedullary orthopaedic surgical instrument to offset guide.

14. The method of claim 13 , wherein the inner surface of the intramedullary orthopaedic surgical instrument is threaded and engaging the sleeve of the offset guide with the intramedullary orthopaedic surgical instrument includes engaging a threaded outer surface of the sleeve with the threaded inner surface of the intramedullary orthopaedic surgical instrument.

15. The method of claim 14 , further comprising securing a stem stabilizer to a stem trial to form the intramedullary orthopaedic surgical instrument.

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

• A61F2002/4687

  Mechanical guides for implantation instruments · CPC title

• A61F2002/30736

  Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect · CPC title

• A61B2090/034

  abutting on parts of the device itself · CPC title

• A61F2/389

  Tibial components (A61F2/3868 takes precedence) · CPC title

• A61F2/461 Primary

  of knees · CPC title