Prosthesis and method for using prosthesis to facilitate deep knee flexion

Patent metadata

Field	Value
Publication number	US-9820855-B2
Application number	US-201514790694-A
Country	US
Kind code	B2
Filing date	Jul 2, 2015
Priority date	May 3, 2012
Publication date	Nov 21, 2017
Grant date	Nov 21, 2017

Abstract

The present invention provides a femoral prosthesis for a femur which can enable or allow deep knee flexion without creating excessive tension in the ligamentous structure of the knee. The femoral prosthesis includes an internal non-articulating surface, an external articulating surface, a medial condyle and a lateral condyle. The height of the medial condyle is less than the height of the lateral condyle. A proximal-posterior tip of the medial condyle is rounded and is shifted inwards relative to the native level of the proximal-posterior region of the femur bone to facilitate knee flexion. A method of mounting a femoral prosthesis on a femur is also described.

First claim

The invention claimed is:

1. A femoral prosthesis comprising:
an internal non-articulating bone-engaging surface configured to be connected to a resected distal end of a femur;
an external articulating surface including a distal articulating surface, a medial posterior surface having a first medial end and a second medial end, and a lateral posterior surface having a first lateral end and a second lateral end, wherein the first medial end and the first lateral end are connected to the distal articulating surface;
a medial condyle extending from the first medial end to the second medial end and formed between the medial posterior surface and the internal non-articulating surface; and
a lateral condyle extending from the first lateral end to the second lateral end and formed between the lateral posterior surface and the internal non-articulating surface;
wherein a first height of the medial condyle measured from a line tangent to the distal articulating surface to the second medial end is less than a second height of the lateral condyle measured from the line tangent to the distal articulating surface to the second lateral end,
wherein the medial posterior surface transitions from a posterior portion in which the medial posterior surface is not shifted inwards relative to the lateral posterior surface to a proximal-posterior portion in which the medial posterior surface is shifted inwards relative to the lateral posterior surface, when viewed in a lateral view such that an internal non-articulating bone-engaging surface of each of the medial and lateral condyles lie on a plane perpendicular to the lateral view,
wherein a medial condyle posterior thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most posterior surface of the medial condyle is equal to a lateral condyle posterior thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most posterior surface of the lateral condyle, and
wherein a medial condyle distal thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most distal surface of the medial condyle is equal to a lateral condyle distal thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most distal surface of the lateral condyle, and
wherein a radius of the medial condyle is less than a radius of the lateral condyle, the radius of the medial condyle and the radius of the lateral condyle being measured between the most posterior surface and the second medial end.

2. The femoral prosthesis of claim 1 , wherein the medial condyle further includes a proximal-posterior tip or end, the proximal-posterior tip or end having a smooth rounded profile.

3. The femoral prosthesis of claim 1 , wherein a difference in height between the medial condyle and the lateral condyle is within the range of about 2 millimeters to about 5 millimeters.

4. The femoral prosthesis of claim 1 , wherein the medial posterior surface transitions from a posterior portion in which the medial posterior surface is not shifted inwards relative to the lateral posterior surface to a distal-posterior portion in which the medial posterior surface is shifted inwards relative to the lateral posterior surface.

5. A femoral prosthesis comprising:
an internal non-articulating bone-engaging surface configured to be connected to a resected distal end of a femur;
an external articulating surface including a distal articulating surface, a medial posterior surface having a first medial end and a second medial end, and a lateral posterior surface having a first lateral end and a second lateral end, wherein the first medial end and the first lateral end are connected to the distal articulating surface;
a medial condyle extending from the first medial end to the second medial end and formed between the medial posterior surface and the internal non-articulating surface; and
a lateral condyle extending from the first lateral end to the second lateral end and formed between the lateral posterior surface and the internal non-articulating surface;
wherein a first height of the medial condyle measured from a line tangent to the distal articulating surface to the second medial end is less than a second height of the lateral condyle measured from the line tangent to the distal articulating surface to the second lateral end,
wherein the medial posterior surface transitions from a posterior portion in which the medial posterior surface is not shifted inwards relative to the lateral posterior surface to a proximal-posterior portion in which the medial posterior surface is shifted inwards relative to the lateral posterior surface,
wherein a medial condyle posterior thickness measured in a lateral view from the internal non-articulating bone-engaging surface to a most posterior surface of the medial condyle is equal to a lateral condyle posterior thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most posterior surface of the lateral condyle, and
wherein a medial condyle distal thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most distal surface of the medial condyle is equal to a lateral condyle distal thickness measured in the lateral view from the internal non-articulating bone-engaging surface to a most distal surface of the lateral condyle, and
wherein a radius of the medial condyle is less than a radius of the lateral condyle, the radius of the medial condyle and the radius of the lateral condyle being measured between the most posterior surface and the second medial end.

6. The femoral prosthesis of claim 5 , wherein the medial condyle further includes a proximal-posterior tip or end, the proximal-posterior tip or end having a smooth rounded profile.

7. The femoral prosthesis of claim 5 , wherein a difference in height between the medial condyle and the lateral condyle is within the range of about 2 millimeters to about 5 millimeters.

8. The femoral prosthesis of claim 5 , wherein the medial posterior surface transitions from a posterior portion in which the medial posterior surface is not shifted inwards relative to the lateral posterior surface to a distal-posterior portion in which the medial posterior surface is shifted inwards relative to the lateral posterior surface.

Assignees

• Massachusetts Gen Hospital

Inventors

• Li Guoan
• Mangudi Varadarajan Kartik
• Rubash Harry E

Classifications

• A61F2/461

  of knees · CPC title

• A61F2/3859 Primary

  Femoral components · CPC title

• A61F2002/30326

  differing in height or in length · CPC title

• A61F2002/30934

  Special articulating surfaces · CPC title

• A61F2002/30327

  differing in diameter · CPC title