CA2475210A1 - Method and apparatus for minimally invasive distal femoral resection - Google Patents
Method and apparatus for minimally invasive distal femoral resection Download PDFInfo
- Publication number
- CA2475210A1 CA2475210A1 CA002475210A CA2475210A CA2475210A1 CA 2475210 A1 CA2475210 A1 CA 2475210A1 CA 002475210 A CA002475210 A CA 002475210A CA 2475210 A CA2475210 A CA 2475210A CA 2475210 A1 CA2475210 A1 CA 2475210A1
- Authority
- CA
- Canada
- Prior art keywords
- guide
- condyle
- relative
- positioning
- resecting
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000000034 method Methods 0.000 title claims abstract 25
- 238000002271 resection Methods 0.000 title claims abstract 4
- 210000000988 bone and bone Anatomy 0.000 claims abstract 28
- 210000000689 upper leg Anatomy 0.000 claims abstract 11
- 238000005553 drilling Methods 0.000 claims 1
- 210000004872 soft tissue Anatomy 0.000 claims 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/155—Cutting femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B2017/1602—Mills
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
Abstract
A tool assembly and a method for forming a less invasive resection of a selected bone portion. For example, a distal femur may be resected with substantially a single minor incision. Tools may be positioned through the single incision to resect a portion of the condyles of the femur. Generally, the medial condyle is resected followed by resecting a lateral condyles, but each condyle may be resected at a selected time through a single minor incision.
Claims (32)
1. An assembly for resecting of a selected bone section, comprising:
a drill guide to be disposed relative to the selected bone portion;
a bit guiding section defined by said drill guide, said bit guiding section defining a bit guiding bore;
a spigot including a bone engaging portion to engage the selected bone section and a reamer guiding portion;
a reamer guided by said reamer guiding portion to form a reamed portion of the selected bone section; and a saw guide positionable relative to the reamed portion;
wherein said spigot and said reamer cooperate to prepare the reamed portion for association with said saw guide for a selected procedure.
a drill guide to be disposed relative to the selected bone portion;
a bit guiding section defined by said drill guide, said bit guiding section defining a bit guiding bore;
a spigot including a bone engaging portion to engage the selected bone section and a reamer guiding portion;
a reamer guided by said reamer guiding portion to form a reamed portion of the selected bone section; and a saw guide positionable relative to the reamed portion;
wherein said spigot and said reamer cooperate to prepare the reamed portion for association with said saw guide for a selected procedure.
2. The assembly of claim 1, further comprising:
a drill bit; and a saw;
wherein said drib bit is guided by said bit guiding bore and said saw is guided by said saw guide.
a drill bit; and a saw;
wherein said drib bit is guided by said bit guiding bore and said saw is guided by said saw guide.
3. The assembly of claim 1, further comprising:
a positioning rod;
wherein said positioning rod is positionable relative to the selected bone section to position said drill guide.
a positioning rod;
wherein said positioning rod is positionable relative to the selected bone section to position said drill guide.
4. The assembly of claim 3, wherein said positioning rod is an intramedullary rod positionable in a medulla of the selected bone section during a procedure.
5. The assembly of claim 1, wherein said bit guiding section is positionable relative to a portion of the selected bone section such that a bit may be driven into a portion of the selected bone section through said bit guiding bore.
6. The assembly of claim 1, wherein said bit guiding bore of said bit guiding section includes a plurality of bit guiding bores arranged in a selected pattern;
wherein said selected pattern allows for guiding a drill bit in at least one of a plurality of selected portions relative to the selected bone section without moving said bit guiding section.
wherein said selected pattern allows for guiding a drill bit in at least one of a plurality of selected portions relative to the selected bone section without moving said bit guiding section.
7. The assembly of claim 1, wherein said reamer guiding portion of said spigot includes a depth guide and a position guide.
8. The assembly of claim 7, wherein said depth guide limits a depth that is reamable by said reamer relative to the selected bone section.
9. The assembly of claim 2, wherein said saw is guided by said saw guide to resect a portion of a selected bone section that is left unreamed by said reamer.
10. A method of performing a less invasive bone resection procedure of a selected bone portion with instruments including a positioning rod, a drill guide, a saw guide, and a reamer, the method comprising:~
forming an incision relative to the selected bone portion;
fixing the positioning rod relative to a portion of the selected bone portion;
disposing the drill guide relative with the positioning rod;
drilling a bore with a drill bit guided by said drill guide;
positioning a reamer guide relative to said bore; and reaming a selected portion of the selected bone portion to form a reamed section.
forming an incision relative to the selected bone portion;
fixing the positioning rod relative to a portion of the selected bone portion;
disposing the drill guide relative with the positioning rod;
drilling a bore with a drill bit guided by said drill guide;
positioning a reamer guide relative to said bore; and reaming a selected portion of the selected bone portion to form a reamed section.
11. The method of claim 10, wherein said forming an incision includes forming an incision about 1 cm to about 10 cm in length.
12. The method of claim 10, wherein positioning the positioning rod includes disposing the positioning rod into an intramedullary portion of the selected bone portion.
13. The method of claim 10, wherein disposing the drill guide includes:
positioning the drill guide with the positioning rod to hold the drill guide in a selected position; and disposing the drill guide relative to a selected portion of the selected bone portion relative to the incision.
positioning the drill guide with the positioning rod to hold the drill guide in a selected position; and disposing the drill guide relative to a selected portion of the selected bone portion relative to the incision.
14. The method of claim 13, wherein said selected bone portion is a condyle of a femur.
15. The method of claim 10, further comprising:
disposing a spigot in the bore formed in the selected bone portion;
wherein reaming a selected portion includes reaming the selected bone portion by guiding the reamer with the spigot.
disposing a spigot in the bore formed in the selected bone portion;
wherein reaming a selected portion includes reaming the selected bone portion by guiding the reamer with the spigot.
16. The method of claim 10, further comprising:
disposing a saw guide relative to the reamed section; and resecting a selected portion of the bone portion with a saw guided by said saw guide.
disposing a saw guide relative to the reamed section; and resecting a selected portion of the bone portion with a saw guided by said saw guide.
17. The method of claim 16, wherein said saw guide and said saw are positioned through said incision.
18. A method of resecting a distal portion of a femur, comprising:
forming an incision relative to a first condyle of the femur;
forming a pilot bore relative to the first condyle;
reaming the first condyle to form a reamed portion; and resecting a second condyle of the femur with a saw that is guided relative to the reamed portion;
wherein reaming the first condyle and the second condyle is performed substantially through the incision.
forming an incision relative to a first condyle of the femur;
forming a pilot bore relative to the first condyle;
reaming the first condyle to form a reamed portion; and resecting a second condyle of the femur with a saw that is guided relative to the reamed portion;
wherein reaming the first condyle and the second condyle is performed substantially through the incision.
19. The method of claim 18, further comprising:
disposing a positioning rod relative to the femur;
disposing a pilot bore forming guide with said positioning rod;
wherein forming a pilot bore includes forming a pilot bore with said pilot bore forming guide.
disposing a positioning rod relative to the femur;
disposing a pilot bore forming guide with said positioning rod;
wherein forming a pilot bore includes forming a pilot bore with said pilot bore forming guide.
20. The method of claim 19, wherein said pilot bore guide includes a selected pattern of pilot bore guide sections such that one of a plurality of pilot bores may be formed in the femur with a single positioning of said pilot bore guide.
21. The method of claim 18, further comprising:
positioning a reamer guide in said pilot bore;
wherein reaming the first condyle includes positioning a reamer relative to said reamer guide and reaming the first condyle.
positioning a reamer guide in said pilot bore;
wherein reaming the first condyle includes positioning a reamer relative to said reamer guide and reaming the first condyle.
22. The method of claim 18, further comprising positioning a tool guide relative to said reamed portion through said incision;
wherein resecting a second condyle includes guiding a tool with said tool guide to resect the second condyle.
wherein resecting a second condyle includes guiding a tool with said tool guide to resect the second condyle.
23. An assembly for providing a less invasive resection of a distal femoral femur portion by providing an incision, through a soft tissue portion, positioned substantially near only a first condyle, the assembly comprising:
a positioning member to pass through the incision to position a first guide member to allow for positioning of a second guide member relative to the first condyle;
a second guide member held relative to the first condyle;
a first resetting tool to resect the first condyle and guided by said first guide member;
a third guide member held on the first condyle to resect a second condyle of the distal femoral portion;
wherein resetting the first condyle and the second condyle occurs though the incision.
a positioning member to pass through the incision to position a first guide member to allow for positioning of a second guide member relative to the first condyle;
a second guide member held relative to the first condyle;
a first resetting tool to resect the first condyle and guided by said first guide member;
a third guide member held on the first condyle to resect a second condyle of the distal femoral portion;
wherein resetting the first condyle and the second condyle occurs though the incision.
24. The assembly of claim 23, wherein said positioning member is an intramedullary rod positioned in the distal femoral portion to allow for substantially accurate and fixed positioning of said first guide member.
25. The assembly of claim 23, wherein both said first guide member and said third guide member include a plurality of guide positions so that a plurality of selected positions may be reamed while said first and said third guide members are held in substantially a single position.
26. The assembly of claim 23, wherein said first guide member is a drill guide and said third guide member is a saw guide.
27. A method of reaming a selected bone portion comprising:
forming a first resected portion by resecting a first portion of the selected bone portion; and resecting a second portion of the selected bone portion using said first resected portion;
wherein said resecting a second portion includes resecting a generally equivalent portion to said first resected portion.
forming a first resected portion by resecting a first portion of the selected bone portion; and resecting a second portion of the selected bone portion using said first resected portion;
wherein said resecting a second portion includes resecting a generally equivalent portion to said first resected portion.
28. The method of claim 27, wherein forming said first resected portion includes resecting a selected condyle of a femur.
29. The method of claim 27, wherein forming said first resected portion includes resecting a selected condyle of a femur through a small incision such that access is minimized initially to the first condyle.
30. The method of claim 27, wherein resecting said second portion includes guiding an instrument generally with said first resected portion such that said second portion is substantially equivalent to said first resected portion.
31. The method of claim 27, wherein forming a first resected portion includes:
positioning a reaming guide relative to said first portion of the selected bone portion; and guiding a reamer with said reaming guide to form said first resected portion.
positioning a reaming guide relative to said first portion of the selected bone portion; and guiding a reamer with said reaming guide to form said first resected portion.
32. The method of claim 31, wherein resecting a second portion includes:
positioning a tool guide relative to said first resected portion to guide an instrument for resecting said second portion.
positioning a tool guide relative to said first resected portion to guide an instrument for resecting said second portion.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/628,793 US7306607B2 (en) | 2003-07-28 | 2003-07-28 | Method and apparatus for minimally invasive distal femoral resection |
| US10/628,793 | 2003-07-28 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2475210A1 true CA2475210A1 (en) | 2005-01-28 |
| CA2475210C CA2475210C (en) | 2012-09-18 |
Family
ID=33541465
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2475210A Expired - Fee Related CA2475210C (en) | 2003-07-28 | 2004-07-20 | Method and apparatus for minimally invasive distal femoral resection |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US7306607B2 (en) |
| EP (1) | EP1502550B1 (en) |
| JP (1) | JP2005046625A (en) |
| AT (1) | ATE489899T1 (en) |
| CA (1) | CA2475210C (en) |
| DE (1) | DE602004030305D1 (en) |
Families Citing this family (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8551100B2 (en) | 2003-01-15 | 2013-10-08 | Biomet Manufacturing, Llc | Instrumentation for knee resection |
| US7887542B2 (en) * | 2003-01-15 | 2011-02-15 | Biomet Manufacturing Corp. | Method and apparatus for less invasive knee resection |
| US7488324B1 (en) | 2003-12-08 | 2009-02-10 | Biomet Manufacturing Corporation | Femoral guide for implanting a femoral knee prosthesis |
| US8734453B2 (en) * | 2005-02-21 | 2014-05-27 | Wright Medical Technology, Inc. | Instruments for minimally invasive surgery total knee arthroplasty |
| US7695520B2 (en) * | 2006-05-31 | 2010-04-13 | Biomet Manufacturing Corp. | Prosthesis and implementation system |
| US20070299451A1 (en) * | 2006-06-08 | 2007-12-27 | Howmedica Osteonics Corp. | Offset tool guide for femoral head preparation |
| US8998990B2 (en) | 2006-07-24 | 2015-04-07 | DePuy Synthes Products, LLC | Intervertebral implant with keel |
| GB0703691D0 (en) * | 2007-02-26 | 2007-04-04 | Benoist Girard Sas | Apparatus for Preparing A Prosthetic Stem Cavity in A Femur |
| US8343157B2 (en) | 2007-05-25 | 2013-01-01 | Howmedica Osteonics Corp. | Bone-reaming system |
| US9826992B2 (en) | 2007-12-21 | 2017-11-28 | Smith & Nephew, Inc. | Multiple portal guide |
| AU2008341062B2 (en) | 2007-12-21 | 2014-12-18 | Smith & Nephew, Inc. | Multiple portal guide |
| GB2463522B (en) * | 2008-09-17 | 2013-03-27 | Martin Philcox | Controlled feed surgical reamer |
| WO2011038315A1 (en) * | 2009-09-28 | 2011-03-31 | Zimmer, Inc. | Expandable intramedullary rod |
| GB201006590D0 (en) | 2010-04-20 | 2010-06-02 | Goodfellow John | Unicondylar knee replacement |
| US9504482B2 (en) | 2010-04-30 | 2016-11-29 | Smith & Nephew, Inc. | Guide for drilling an irregular-shaped body |
| MX2013003496A (en) | 2010-09-27 | 2013-12-02 | Smith & Nephew Inc | Device and methods for use during arthroscopic surgery. |
| WO2012061642A1 (en) | 2010-11-03 | 2012-05-10 | Smith & Nephew, Inc | Drill guide |
| US20180078264A1 (en) | 2014-03-03 | 2018-03-22 | Biomet Uk Healthcare Limited | Rotary mill |
| GB2487562B (en) * | 2011-01-27 | 2017-04-26 | Biomet Uk Healthcare Ltd | Rotary mill |
| US9265551B2 (en) | 2013-07-19 | 2016-02-23 | Pro-Dex, Inc. | Torque-limiting screwdrivers |
| GB2518891B (en) | 2013-10-07 | 2020-03-18 | Biomet Uk Healthcare Ltd | Rotary mill |
| CN105520766A (en) * | 2016-01-29 | 2016-04-27 | 刘臣天 | Self-cleaning splash-proof bone saw device for department of orthopedics |
| US10383674B2 (en) | 2016-06-07 | 2019-08-20 | Pro-Dex, Inc. | Torque-limiting screwdriver devices, systems, and methods |
| JP7387654B2 (en) | 2018-08-20 | 2023-11-28 | プロ－デツクス・インコーポレイテツド | Torque limiting devices, systems, and methods |
| CN110368057B (en) * | 2019-06-10 | 2021-03-30 | 浙江医院 | Percutaneous artificial femoral head replacement device |
Family Cites Families (21)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4721104A (en) * | 1985-12-02 | 1988-01-26 | Dow Corning Wright Corporation | Femoral surface shaping apparatus for posterior-stabilized knee implants |
| US4736737A (en) * | 1986-03-31 | 1988-04-12 | William Fargie | Tibial cutting jig |
| US4718413A (en) * | 1986-12-24 | 1988-01-12 | Orthomet, Inc. | Bone cutting guide and methods for using same |
| US4892093A (en) * | 1988-10-28 | 1990-01-09 | Osteonics Corp. | Femoral cutting guide |
| US5122144A (en) * | 1989-09-26 | 1992-06-16 | Kirschner Medical Corporation | Method and instrumentation for unicompartmental total knee arthroplasty |
| US5171244A (en) * | 1990-01-08 | 1992-12-15 | Caspari Richard B | Methods and apparatus for arthroscopic prosthetic knee replacement |
| US5902272A (en) * | 1992-01-07 | 1999-05-11 | Arthrocare Corporation | Planar ablation probe and method for electrosurgical cutting and ablation |
| US5364402A (en) * | 1993-07-29 | 1994-11-15 | Intermedics Orthopedics, Inc. | Tibial spacer saw guide |
| US5411505A (en) * | 1994-06-02 | 1995-05-02 | Intermedics Orthopedics, Inc. | Sagittal saw jig for femoral knee revision prosthesis |
| US5709689A (en) * | 1995-09-25 | 1998-01-20 | Wright Medical Technology, Inc. | Distal femur multiple resection guide |
| US5716361A (en) * | 1995-11-02 | 1998-02-10 | Masini; Michael A. | Bone cutting guides for use in the implantation of prosthetic joint components |
| WO1997043985A1 (en) | 1996-05-23 | 1997-11-27 | Daniel Stein | Patello-femoral joint replacement device and method |
| US5913867A (en) * | 1996-12-23 | 1999-06-22 | Smith & Nephew, Inc. | Surgical instrument |
| US7104996B2 (en) * | 2000-01-14 | 2006-09-12 | Marctec. Llc | Method of performing surgery |
| GB2358822B (en) | 2000-02-01 | 2003-12-10 | Biomet Merck Ltd | Rotary mill |
| DE10010526C2 (en) * | 2000-03-07 | 2002-01-17 | Thomas Hausmann | Saw blade for medical applications |
| US6468280B1 (en) * | 2000-07-24 | 2002-10-22 | Sulzer Orthopedics Inc. | Unicompartmental replacement instrument and method |
| US6770077B2 (en) * | 2001-05-21 | 2004-08-03 | Nemco Medical, Ltd. | Femoral knee saw guide and method |
| US6482209B1 (en) * | 2001-06-14 | 2002-11-19 | Gerard A. Engh | Apparatus and method for sculpting the surface of a joint |
| US6632225B2 (en) * | 2001-06-20 | 2003-10-14 | Zimmer, Inc. | Method and apparatus for resecting a distal femur and a proximal tibia in preparation for implanting a partial knee prosthesis |
| US7060074B2 (en) | 2001-11-28 | 2006-06-13 | Wright Medical Technology, Inc. | Instrumentation for minimally invasive unicompartmental knee replacement |
-
2003
- 2003-07-28 US US10/628,793 patent/US7306607B2/en active Active
-
2004
- 2004-07-09 DE DE602004030305T patent/DE602004030305D1/en active Active
- 2004-07-09 AT AT04254123T patent/ATE489899T1/en not_active IP Right Cessation
- 2004-07-09 EP EP04254123A patent/EP1502550B1/en not_active Not-in-force
- 2004-07-20 CA CA2475210A patent/CA2475210C/en not_active Expired - Fee Related
- 2004-07-21 JP JP2004212951A patent/JP2005046625A/en active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| EP1502550A1 (en) | 2005-02-02 |
| US7306607B2 (en) | 2007-12-11 |
| JP2005046625A (en) | 2005-02-24 |
| EP1502550B1 (en) | 2010-12-01 |
| CA2475210C (en) | 2012-09-18 |
| US20050027299A1 (en) | 2005-02-03 |
| ATE489899T1 (en) | 2010-12-15 |
| DE602004030305D1 (en) | 2011-01-13 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CA2475210A1 (en) | Method and apparatus for minimally invasive distal femoral resection | |
| US11000297B2 (en) | Orthopaedic surgical instrumentation for performing a patellofemoral arthroplasty procedure | |
| EP2623045B1 (en) | Surgical instrumentation set | |
| US9693788B2 (en) | Instrumentation for knee resection | |
| US7789885B2 (en) | Instrumentation for knee resection | |
| US20080306485A1 (en) | Instruments for knee surgery and method uf use | |
| US9848888B2 (en) | Methods and apparatus for performing knee arthroplasty | |
| US6344043B1 (en) | Anterior-posterior femoral resection guide with set of detachable collets | |
| EP0384562B1 (en) | Tibial surface shaping guide for knee implants | |
| US8052692B2 (en) | Cutting guide apparatus and surgical method for use in knee arthroplasty | |
| US8702714B2 (en) | Instruments for total knee arthroplasty | |
| US5709689A (en) | Distal femur multiple resection guide | |
| US6056754A (en) | Method and apparatus for patella resection and guide handle | |
| US5944722A (en) | Bone cutting guides for use in the implantation of prosthetic joint components | |
| CN101466317A (en) | Systems, methods and devices for tibial resection | |
| JP2019098050A (en) | Patient suitable type guide installation appliance | |
| Charnley et al. | Femoral Neck-Length Jig |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKLA | Lapsed |
Effective date: 20210720 |