WO1996013233A1 - Knee prosthesis with shims - Google Patents
Knee prosthesis with shims Download PDFInfo
- Publication number
- WO1996013233A1 WO1996013233A1 PCT/US1995/013810 US9513810W WO9613233A1 WO 1996013233 A1 WO1996013233 A1 WO 1996013233A1 US 9513810 W US9513810 W US 9513810W WO 9613233 A1 WO9613233 A1 WO 9613233A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- planar surface
- shim
- wall
- prosthesis
- corner
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3859—Femoral components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/389—Tibial components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30332—Conically- or frustoconically-shaped protrusion and recess
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
- A61F2002/30736—Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3082—Grooves
- A61F2002/30827—Plurality of grooves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
Definitions
- This invention relates to prosthetic joints generally and specifically to a knee prosthesis, particularly useful for revision surgery, having femoral shims or spacers to accommodate loss of bone.
- Orthopedic implants for the human knee generally have a femoral and a tibial component.
- the tibial component is usually placed on the resected proximal surface of the tibia and frequently has a metal baseplate with a shaft extending into the tibial medullar canal.
- the baseplate usually carries an ultra high molecular weight polyethylene (UHMWPE) articulating surface.
- UHMWPE ultra high molecular weight polyethylene
- the femoral component is implanted on a resected distal end of the femur and presents artificial condyles to articulate with the condyle compartments of the tibial component, and includes fixation means which may include an elongated stem which extends into the femoral medullar canal of the patient.
- fixation means which may include an elongated stem which extends into the femoral medullar canal of the patient.
- degeneration of the bone at either the tibia or femur or both may be occurring. Moreover, this degeneration may be proceeding unevenly with respect to the two condyles.
- revision knee prosthesis is generally more massive than a so-called “primary” knee prosthesis.
- the revision femoral knee condylar parts may be thicker and more robust and the medullar shaft may be substantially longer.
- degeneration of one condyle may be substantially more advanced than that of the other.
- the femoral component has an internal box geometry adjacent the femur that includes four intersecting planes. Shims of varying thickness can be added that have an internal geometry comprising three intersecting planes which retain the same internal box geometry as that of the femoral component. Medial and lateral shims are provided. The internal geometry of the shims is translated slightly anteriorly and proximally with increases in thickness. The shims may be added to either condyle independently, with shims of different thickness on each side.
- the invention provides a femoral knee prosthesis that maintains a common internal box geometry before and after installation of shims.
- FIG. 1 is a perspective view of a knee prothesis, including a femoral component with condyle shims, a polyethylene tibial insert, a tibial base plate, and a tibial shaft.
- FIG. 2 is a second perspective view of the femoral component and condyle shims of FIG. 1.
- FIG. 3 is a top view of the femoral component of FIG. 1 , without condyle shims.
- FIG. 4 is a sectional view of the femoral component of FIG. 3, taken along line 4-4 and viewed in the direction of the arrows.
- FIG. 5 is a sectional view of the femoral component of FIG. 3 taken along line 5-5 and viewed in the direction of the arrows.
- FIG. 6 is a top view of a lateral condyle shim of FIG. 1.
- FIG. 7 is a side view of the shim of FIG. 6, viewed in the direction of arrow 7.
- FIG. 8 is a side view of the shim of FIG. 6, viewed in the direction of arrow 8.
- FIG. 9 is a top view of a medial condyle shim of FIG. 1.
- FIG. 10 is a side view of the shim of FIG. 9, viewed in the direction of arrow 10.
- FIG. 11 is a side view of the shim of FIG. 9, viewed in the direction of arrow 11.
- FIG. 12 is a side view of a screw for use in fastening shims to the femoral component of the knee prosthesis.
- FIG. 13 is a side view of the femoral component of the knee prosthesis of FIG. 1 illustrating the geometrical relationship of shims of varying thickness.
- FIG. 14 illustrates a set of shims of varying thickness.
- a knee prosthesis 8 is illustrated in perspective view in FIG. 1.
- the femoral component is generally designated 10.
- the femoral component has a medial articulating surface 12 and a lateral articulating surface 14, which correspond to the anatomical condyles of a human femur.
- These articulating surfaces conventionally present polished surfaces which will slide against a low friction surface on a prosthetic tibial component 13.
- the articulating surfaces 12, 14 are separated by a gap 16 as can be seen in FIG. 1.
- the articulating surfaces 12, 14 are joined by a channel 18 wherein the patient's patella, or an artificial surface attached to the patella, will rest when the implant is complete.
- the femoral component 10 has an internal box geometry comprised of four intersecting planes which extend from a medial side 20 to a lateral side 22 of the component. These planes can be seen most clearly in FIG. 5.
- An anterior stabilizing plane 24 lies behind the channel 18 and will abut a resected surface on the anterior side of the patient's femur, when the component 10 is implanted.
- a base plane 26 will abut a distal end of the femur when the component is implanted and carries most of the load when a patient is walking or standing. Between the anterior plane and the base plane 26 there is a chamfer plane 28 which is provided so that the prosthetic component 10 does not become unduly thin at the junction of the anterior plane 24 and the base plane 26. Finally, a posterior plane 30 is opposed to the anterior plane 24. The posterior plane 30 will lie adjacent a resected surface on the posterior of the patient's femur when the component is implanted. The posterior plane 30 is divided into two parts by the gap 16, such that there is a lateral posterior surface 32 associated with the lateral condyle articulating surface 14 and a medial posterior surface 34 associated with the medial condyle articulating surface 12.
- the tibial component 13 comprises a base plate 216 with fixation means for attaching the base plate 216 to the resected upper surface of a tibia.
- the fixation means comprise pins 218 and a removable shaft 220 for insertion into the medullary canal of the tibia.
- the shaft 220 is releasably mounted on a post 222.
- Other features, known in the art, may be provided, such as porous surfaces, or fixation screws.
- the base plate 216 has a superior cavity 224 surrounded by a lip 226 for receiving an insert 228 of ultra high molecular weight polyethylene.
- the insert 228 has medial and lateral articulating surfaces 230, 232 respectively.
- the articulating surfaces 230, 232 are separated by a central stabilizing eminence 234. If it is desirable to use the prosthesis without a posterior stabilizing feature, an insert without the stabilizing eminence would be employed, as is known in the art. This is simply a matter of substituting one insert for another.
- the stabilizing eminence 234 has a posterior surface 236 for engaging a pin in the femoral component.
- a medial slot 36 on the medial side 20 of the component 10 and a lateral slot 38 on the lateral side 22 of the component 10 may be provided. Instruments may be inserted into these slots to provide a grip for a surgeon to remove or otherwise manipulate the component.
- a post 40 Centrally within the interior box geometry a post 40 is provided. The post 40 has a central bore 42 for receiving a medullar shaft (not shown).
- a modular design where the length of the shaft may be selected for its length and affixed to the component intraoperatively, is a preferred embodiment.
- the bore 42 can comprise different means for securing the shaft.
- a tapered segment 44 may provide a conical interlock, such as a morse taper.
- a slot 46 may be provided to inhibit rotation of the shaft.
- a distal chamber 48 could receive a nut on a threaded portion of the shaft. Additional securing means may be selected, as is known in the art.
- the post 40 and bore 42 define a medullar axis 50 which would extend along the medullar canal of the patient when the component is implanted.
- a medial-lateral plane 52 through the axis 50 defines a reference plane for further description of the internal box geometry of the component 10.
- the relationship of the planes 24, 26, 28 and 30 to the medial-lateral plane 52 and axis 50 can be seen most readily in FIG. 13.
- the anterior plane 24 of the component 10 forms an acute angle c with the plane 54. The same angle would, of course, be formed with the medial lateral plane 52.
- the posterior plane 30 also forms an acute angle with the plane 54.
- the anterior plane 24 and the posterior plane 30 converge distally.
- the base plane 26 is generally at right angles to the medial-lateral plane 52 and is orthogonal to the axis 50. The importance of this geometry will be explained hereafter in connection with the shims of the femoral component 10.
- the femoral component 10 may also be provided with an optional transverse bar (not shown) between the posterior surfaces 32, 34 and extending across the gap 16.
- an optional transverse bar is described in U.S. Patent 5,116,375 and further in U.S. Patent No. 5,405,398.
- Such a bar may optionally be placed in a femoral component to convert the component to a posterior stabilized configuration.
- Posterior stabilized femoral components and associated tibial components are known in the art and are particularly useful when the patient's posterior cruciate ligaments have been removed, as may frequently be the case in connection with revision surgery.
- a transverse through bore 56 and a transverse stopped bore 58 are provided in the medial posterior condyle and the lateral posterior condyle, respectively, of the femoral component 10. Further information on the transverse bar for posterior stabilization may be obtained from U.S. Patent No. 5,116,375 and U.S. Patent No. 5,405,398 which are incorporated herein by reference.
- a set of shims 107 are provided which may be selectively attached in the interior box of the femoral component 10.
- a medial shim 60 and a lateral shim 62 are preferably provided, although a single shim extending across the entire component 10 could also be used.
- the thickness of the medial and lateral shims 60, 62 can be selected independently of each other.
- a medial shim may be used without a lateral shim, or a lateral shim may be used without a medial shim. As shown in FIG. 6 and FIG.
- each shim has a front side 68, 68', a rear side 70, 70', an inner side 72, 72' adjacent the post 40, and an outer side 74, 74' spaced away from the post 40.
- the outer side 74 conforms to the lateral side 22 of the component 10.
- the outer side 74' conforms to the medial side 20 of the component 10.
- Each shim has a base portion 76, 76' which, when assembled, lies adjacent the base plane 26.
- the base portion 76, 76' is defined by a bottom wall 78, 78' and a top wall 80, 80' which are spaced apart from, but parallel to, each other.
- Each shim also has a posterior portion 82, 82' which, when assembled, lies adjacent the posterior plane 30.
- the posterior portion 82, 82' is defined by a rear wall 84, 84' and a front wall 86, 86'.
- the walls 84, 86 (and respectively 84', 86') are parallel to each other, but spaced apart from one another.
- each shim has a chamfer portion 88, 88'.
- the chamfer portion 88, 88' lies adjacent the chamfer plane 28 when assembled.
- the chamfer portion 88, 88' is defined by an upper wall 90, 90' and a lower wall 92, 92'.
- the lower wall 92, 92' faces the chamfer plane 28 in the assembled condition.
- the upper wall 90, 90' and the lower wall 92, 92' are spaced apart from, but parallel to, each other.
- the chamfer portion 88, 88' is also defined by an anterior wall 94, 94' which lies adjacent the anterior plane 24 when assembled.
- the junction of the rear wall 84, 84' and the bottom wall 78, 78' forms a first corner 96, 96'.
- the junction of the front wall 86, 86' and the top wall 80, 80' forms a second corner 98.
- the junction of the lower wall 92, 92' and the bottom wall 78, 78' forms a third corner 100, 100', and the junction of the upper wall 90, 90' and the top wall 80, 80' forms a fourth corner 102, 102'.
- a plane established through the first corner 96 and the second corner 98 (shown as line 104 in FIG. 13) would be parallel to the anterior plane 24 and would form an angle a with the plane 54 as shown in FIG. 13.
- a plane established between the third corner 100 and the fourth corner 102 would also be parallel to the anterior plane 24 and would form an angle b with the plane 54.
- the angles a, b and c are non-zero and equal. In the preferred embodiment, the angles a, b and c are between 5 and 15 degrees, preferably between 9 and 11 degrees, and most preferably 10 degrees. The geometrical relationship of the shims can be seen most readily in
- a first shim 62 is shown in solid outline.
- the first shim 62 has a thickness selected to correspond to the needs of the particular patient with whom the component 10 is being used.
- the internal geometry, comprised of the anterior plane 24, the upper wall 90, the top wall 80 and the front wall 86 is congruent with the internal geometry of the femoral component 10 comprised of the anterior plane 24, the chamfer plane 28, the bottom plane 26 and the posterior plane 30, but is translated anteriorly and proximally parallel to and along the anterior plane 24.
- a thinner, second shim 362 is shown in dotted outline and a thicker, third shim 462 is shown in dashed outline.
- the set 107 of three shims 62, 362 and 462 are also shown in perspective view in FIG. 14. By shifting the second and fourth corners, 98 and 102 respectively, parallel to the anterior plane 24, it is possible to maintain this constant internal geometry. At the same time, the posterior portion 82 of the shim stays relatively thick, so that its structural integrity may be maintained.
- the shims 60, 62 are attached to the femoral component 10, preferably by a screw 114.
- the screw 114 serves the dual function of attaching a shim and providing a stabilizing feature by being inserted into the distal portion of the patient's femur.
- the screw 114 comprises a shank 116 with a threaded end 118 and a head 120.
- the head 120 comprises a frusto-conical segment 122 and a hexagonal portion 124.
- Each of the shims is provided with a central threaded bore 126, as shown in FIG. 2.
- the threaded portion 118 of the screw 114 is threaded through the threaded bore 126 so that the screw 114 is essentially captured in the shim.
- the assembly of the shim and screw can then be attached to the component 10 by threading the screw into a threaded stopped bore, such as bore 128 shown in FIG. 5.
- a surgeon may chose to put bone cement between the femoral component 10 and shim 60, 62.
- porous areas such as areas 130 and 132 on the femoral component 10
- the shims may have areas of porous coating 134, 134', 334, 434 where ingrowth of bone may occur.
- porous and textured coatings to encourage affixation of a prothesis to bone is well known in the art and need not be further described here.
- the invention will maintain the same congruent internal box geometry for each condyle, while providing shims which are independently selectable, and do not have unduly thin portions. The use of this system permits the surgeon to retain as much of the patient's bone as possible while independently compensating for the degeneration of the bone on either the medial or lateral condyle, depending on circumstances.
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP95938903A EP0797417B1 (en) | 1994-10-28 | 1995-10-26 | Knee prosthesis with shims |
DE69514386T DE69514386T2 (en) | 1994-10-28 | 1995-10-26 | KNEE PROSTHESIS WITH INSERTS |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US33104994A | 1994-10-28 | 1994-10-28 | |
US08/331,049 | 1994-10-28 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1996013233A1 true WO1996013233A1 (en) | 1996-05-09 |
Family
ID=23292413
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1995/013810 WO1996013233A1 (en) | 1994-10-28 | 1995-10-26 | Knee prosthesis with shims |
Country Status (5)
Country | Link |
---|---|
US (1) | US5609645A (en) |
EP (1) | EP0797417B1 (en) |
DE (1) | DE69514386T2 (en) |
ES (1) | ES2141971T3 (en) |
WO (1) | WO1996013233A1 (en) |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0850608A3 (en) * | 1996-12-23 | 1998-12-16 | Johnson & Johnson Professional, Inc. | Modular joint prosthesis augmentation system |
EP0850606A3 (en) * | 1996-12-23 | 1998-12-16 | Johnson & Johnson Professional, Inc. | Modular joint prosthesis stabilization and augmentation system |
WO2002002021A3 (en) * | 2000-06-29 | 2002-07-18 | Richard V Williamson | Instruments and methods for use in performing knee surgery |
US8241367B2 (en) | 2002-04-25 | 2012-08-14 | Zimmer, Inc. | Modular bone implant, tool, and method |
US8382848B2 (en) | 2009-08-11 | 2013-02-26 | Imds Corporation | Position adjustable trial systems for prosthetic implants |
US8496666B2 (en) | 2009-08-11 | 2013-07-30 | Imds Corporation | Instrumentation for mobile bearing prosthetics |
US8568485B2 (en) | 2009-08-11 | 2013-10-29 | Imds Corporation | Articulating trials for prosthetic implants |
US8936648B2 (en) | 2007-01-10 | 2015-01-20 | Biomet Manufacturing, Llc | Knee joint prosthesis system and method for implantation |
US8961612B2 (en) | 2012-08-30 | 2015-02-24 | Biomet Manufacturing, Llc | Knee component having orbital interface boss |
US8974540B2 (en) | 2006-12-07 | 2015-03-10 | Ihip Surgical, Llc | Method and apparatus for attachment in a modular hip replacement or fracture fixation device |
US8998997B2 (en) | 2009-08-11 | 2015-04-07 | Michael D. Ries | Implantable mobile bearing prosthetics |
US9095453B2 (en) | 2009-08-11 | 2015-08-04 | Michael D. Ries | Position adjustable trial systems for prosthetic implants |
US9237949B2 (en) | 2006-12-07 | 2016-01-19 | Ihip Surgical, Llc | Method and apparatus for hip replacement |
US9375316B2 (en) | 2001-02-23 | 2016-06-28 | Biomet Manufacturing, Llc. | Method and apparatus for acetabular reconstruction |
US9763793B2 (en) | 2007-10-10 | 2017-09-19 | Biomet Manufacturing, Llc | Knee joint prosthesis system and method for implantation |
Families Citing this family (93)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8603095B2 (en) | 1994-09-02 | 2013-12-10 | Puget Bio Ventures LLC | Apparatuses for femoral and tibial resection |
US6695848B2 (en) * | 1994-09-02 | 2004-02-24 | Hudson Surgical Design, Inc. | Methods for femoral and tibial resection |
US6074424A (en) * | 1998-01-23 | 2000-06-13 | Sulzer Orthopedics Inc. | Implantable knee joint prosthesis convertible from primary to revision |
US6123729A (en) * | 1998-03-10 | 2000-09-26 | Bristol-Myers Squibb Company | Four compartment knee |
US6443991B1 (en) | 1998-09-21 | 2002-09-03 | Depuy Orthopaedics, Inc. | Posterior stabilized mobile bearing knee |
US6165223A (en) * | 1999-03-01 | 2000-12-26 | Biomet, Inc. | Floating bearing knee joint prosthesis with a fixed tibial post |
US6413279B1 (en) | 1999-03-01 | 2002-07-02 | Biomet, Inc. | Floating bearing knee joint prosthesis with a fixed tibial post |
US6379389B1 (en) | 1999-11-03 | 2002-04-30 | Stratec Medical Ag | Artificial hip joint socket |
US8535382B2 (en) | 2000-04-10 | 2013-09-17 | Biomet Manufacturing, Llc | Modular radial head prostheses |
US8920509B2 (en) * | 2000-04-10 | 2014-12-30 | Biomet Manufacturing, Llc | Modular radial head prosthesis |
US8114163B2 (en) * | 2000-04-10 | 2012-02-14 | Biomet Manufacturing Corp. | Method and apparatus for adjusting height and angle for a radial head |
DE10057675C2 (en) * | 2000-11-21 | 2003-02-13 | Andrej Nowakowski | Knee endoprosthesis |
US7597715B2 (en) | 2005-04-21 | 2009-10-06 | Biomet Manufacturing Corp. | Method and apparatus for use of porous implants |
US8062377B2 (en) | 2001-03-05 | 2011-11-22 | Hudson Surgical Design, Inc. | Methods and apparatus for knee arthroplasty |
US6589283B1 (en) * | 2001-05-15 | 2003-07-08 | Biomet, Inc. | Elongated femoral component |
US20080140212A1 (en) * | 2001-05-15 | 2008-06-12 | Robert Metzger | Elongated femoral component |
US7892288B2 (en) | 2001-08-27 | 2011-02-22 | Zimmer Technology, Inc. | Femoral augments for use with knee joint prosthesis |
US20040162619A1 (en) | 2001-08-27 | 2004-08-19 | Zimmer Technology, Inc. | Tibial augments for use with knee joint prostheses, method of implanting the tibial augment, and associated tools |
US20030065397A1 (en) | 2001-08-27 | 2003-04-03 | Hanssen Arlen D. | Prosthetic implant support structure |
EP1476097A4 (en) | 2002-02-20 | 2010-12-08 | Zimmer Inc | Knee arthroplasty prosthesis and method |
US7799086B2 (en) * | 2002-04-25 | 2010-09-21 | Zimmer Technology, Inc. | Modular bone implant, tools, and method |
US6875239B2 (en) | 2002-04-25 | 2005-04-05 | Medicinelodge, Inc. | Modular prosthesis for replacing bone and method |
US7105021B2 (en) * | 2002-04-25 | 2006-09-12 | Scimed Life Systems, Inc. | Implantable textile prostheses having PTFE cold drawn yarns |
US20030204268A1 (en) * | 2002-04-25 | 2003-10-30 | Medicinelodge, Inc. | Binary attachment mechanism and method for a modular prosthesis |
US6902583B2 (en) | 2002-04-25 | 2005-06-07 | Medicinelodge, Inc. | Tripartite attachment mechanism and method for a modular prosthesis |
USD684693S1 (en) | 2002-08-22 | 2013-06-18 | Zimmer, Inc. | Prosthetic implant support structure |
WO2004037119A2 (en) * | 2002-10-23 | 2004-05-06 | Mako Surgical Corp. | Modular femoral component for a total knee joint replacement for minimally invasive implantation |
US20040102852A1 (en) | 2002-11-22 | 2004-05-27 | Johnson Erin M. | Modular knee prosthesis |
US6866683B2 (en) | 2002-12-13 | 2005-03-15 | Medicine Lodge, Inc. | Modular implant for joint reconstruction and method of use |
US6887276B2 (en) * | 2002-12-13 | 2005-05-03 | Medicine Lodge, Inc | Modular implant for joint reconstruction and method of use |
ES2465090T3 (en) * | 2002-12-20 | 2014-06-05 | Smith & Nephew, Inc. | High performance knee prostheses |
US7547327B2 (en) * | 2003-10-03 | 2009-06-16 | Howmedica Osteonics Corp. | Expandable augment trial |
WO2005037147A1 (en) | 2003-10-17 | 2005-04-28 | Smith & Nephew, Inc. | High flexion articular insert |
US8021368B2 (en) * | 2004-01-14 | 2011-09-20 | Hudson Surgical Design, Inc. | Methods and apparatus for improved cutting tools for resection |
US8287545B2 (en) * | 2004-01-14 | 2012-10-16 | Hudson Surgical Design, Inc. | Methods and apparatus for enhanced retention of prosthetic implants |
US8114083B2 (en) * | 2004-01-14 | 2012-02-14 | Hudson Surgical Design, Inc. | Methods and apparatus for improved drilling and milling tools for resection |
US20060030854A1 (en) * | 2004-02-02 | 2006-02-09 | Haines Timothy G | Methods and apparatus for wireplasty bone resection |
US8292967B2 (en) * | 2005-04-21 | 2012-10-23 | Biomet Manufacturing Corp. | Method and apparatus for use of porous implants |
US8266780B2 (en) * | 2005-04-21 | 2012-09-18 | Biomet Manufacturing Corp. | Method and apparatus for use of porous implants |
US8066778B2 (en) * | 2005-04-21 | 2011-11-29 | Biomet Manufacturing Corp. | Porous metal cup with cobalt bearing surface |
US8021432B2 (en) | 2005-12-05 | 2011-09-20 | Biomet Manufacturing Corp. | Apparatus for use of porous implants |
EP1787603A1 (en) | 2005-11-18 | 2007-05-23 | Zimmer GmbH | Basis-platform for an artificial joint |
US7635447B2 (en) * | 2006-02-17 | 2009-12-22 | Biomet Manufacturing Corp. | Method and apparatus for forming porous metal implants |
CA2930222A1 (en) | 2006-06-30 | 2008-01-10 | Smith & Nephew, Inc. | Anatomical motion hinged prosthesis |
EP2081520B1 (en) * | 2006-11-07 | 2017-07-12 | Biomedflex, LLC | Medical implants |
US9005307B2 (en) | 2006-11-07 | 2015-04-14 | Biomedflex, Llc | Prosthetic ball-and-socket joint |
US8512413B2 (en) | 2006-11-07 | 2013-08-20 | Biomedflex, Llc | Prosthetic knee joint |
US8029574B2 (en) * | 2006-11-07 | 2011-10-04 | Biomedflex Llc | Prosthetic knee joint |
US8308812B2 (en) | 2006-11-07 | 2012-11-13 | Biomedflex, Llc | Prosthetic joint assembly and joint member therefor |
US20110166671A1 (en) | 2006-11-07 | 2011-07-07 | Kellar Franz W | Prosthetic joint |
US8070823B2 (en) * | 2006-11-07 | 2011-12-06 | Biomedflex Llc | Prosthetic ball-and-socket joint |
JP5448842B2 (en) | 2007-01-10 | 2014-03-19 | バイオメト マニファクチャリング コーポレイション | Knee joint prosthesis system and implantation method |
US8187280B2 (en) | 2007-10-10 | 2012-05-29 | Biomet Manufacturing Corp. | Knee joint prosthesis system and method for implantation |
US8163028B2 (en) | 2007-01-10 | 2012-04-24 | Biomet Manufacturing Corp. | Knee joint prosthesis system and method for implantation |
US20080255574A1 (en) * | 2007-04-13 | 2008-10-16 | Zimmer Technology, Inc. | Instrument for insertion of prosthetic components |
CN101842062B (en) * | 2007-09-25 | 2013-04-03 | 拜欧米特制造公司 | Cementless tibial tray |
US8114156B2 (en) * | 2008-05-30 | 2012-02-14 | Edwin Burton Hatch | Flexibly compliant ceramic prosthetic meniscus for the replacement of damaged cartilage in orthopedic surgical repair or reconstruction of hip, knee, ankle, shoulder, elbow, wrist and other anatomical joints |
JP5404342B2 (en) * | 2009-01-06 | 2014-01-29 | キヤノン株式会社 | Optical scanning device and image forming apparatus using the same |
CA2764002A1 (en) * | 2009-05-29 | 2010-12-02 | Smith & Nephew, Inc. | Methods and apparatus for performing knee arthroplasty |
US8266811B2 (en) * | 2009-11-03 | 2012-09-18 | GM Global Technology Operations LLC | Multiaxial unitary alignment apparatus |
US8308808B2 (en) | 2010-02-19 | 2012-11-13 | Biomet Manufacturing Corp. | Latent mobile bearing for prosthetic device |
CA2806326C (en) | 2010-07-24 | 2020-01-07 | Zimmer, Inc. | Asymmetric tibial components for a knee prosthesis |
US8764840B2 (en) | 2010-07-24 | 2014-07-01 | Zimmer, Inc. | Tibial prosthesis |
AU2011289383B2 (en) | 2010-08-12 | 2016-05-26 | Smith & Nephew, Inc. | Structures for use in orthopaedic implant fixation and methods of installation onto a bone |
EP2613739B1 (en) | 2010-09-10 | 2017-06-07 | Zimmer, Inc. | Motion facilitating tibial components for a knee prosthesis |
US9597090B2 (en) | 2010-12-17 | 2017-03-21 | Zimmer, Inc. | Cut guide attachment for use in tibial prosthesis systems |
US8603101B2 (en) | 2010-12-17 | 2013-12-10 | Zimmer, Inc. | Provisional tibial prosthesis system |
AU2012258998B2 (en) | 2011-05-20 | 2016-05-05 | Zimmer, Inc. | Stabilizing prosthesis support structure |
US8858643B2 (en) | 2011-11-18 | 2014-10-14 | Zimmer, Inc. | Tibial bearing component for a knee prosthesis with improved articular characteristics |
ES2585838T3 (en) | 2011-11-21 | 2016-10-10 | Zimmer, Inc. | Tibial base plate with asymmetric placement of fixing structures |
WO2013090622A1 (en) * | 2011-12-14 | 2013-06-20 | Smith & Nephew, Inc. | Implant augment |
CA2863375C (en) | 2012-01-30 | 2019-07-16 | Mary S.S. Wentorf | Asymmetric tibial components for a knee prosthesis |
US9492290B2 (en) | 2012-03-30 | 2016-11-15 | Zimmer, Inc. | Tibial prosthesis systems, kits, and methods |
CN104955421A (en) | 2012-10-18 | 2015-09-30 | 史密夫和内修有限公司 | Alignment devices and methods |
JP2016513551A (en) | 2013-03-15 | 2016-05-16 | マコ サージカル コーポレーション | Unicondylar tibial knee implant |
EP2996634B1 (en) | 2013-05-17 | 2017-11-01 | Brainlab AG | Adjustable endoprosthesis |
US9925052B2 (en) | 2013-08-30 | 2018-03-27 | Zimmer, Inc. | Method for optimizing implant designs |
US9592133B2 (en) | 2013-09-23 | 2017-03-14 | Zimmer, Inc. | Spacer block |
EP3056171B1 (en) * | 2015-02-13 | 2019-03-13 | InnoLux Corporation | Knee joint prosthesis and tibial component and femoral component thereof |
US20160256280A1 (en) * | 2015-03-05 | 2016-09-08 | Kenneth B. Trauner | Bone implant augment method and apparatus |
WO2017053196A1 (en) | 2015-09-21 | 2017-03-30 | Zimmer, Inc. | Prosthesis system including tibial bearing component |
USD809681S1 (en) * | 2016-01-26 | 2018-02-06 | Atas International, Inc. | Shim for roof and wall panels |
EP3570787B1 (en) | 2017-01-20 | 2022-05-04 | Biomet Manufacturing, LLC | Modular augment component |
US11039938B2 (en) | 2017-07-26 | 2021-06-22 | Optimotion Implants LLC | Modular knee prothesis |
US11406502B2 (en) | 2017-03-02 | 2022-08-09 | Optimotion Implants LLC | Orthopedic implants and methods |
CN110402123B (en) | 2017-03-10 | 2022-02-08 | 捷迈有限公司 | Tibial prosthesis with tibial bearing component fastening features |
CN110636818B (en) | 2017-05-12 | 2021-06-04 | 捷迈有限公司 | Femoral prosthesis with size augmentation and size reduction capabilities |
US10603180B2 (en) * | 2017-07-17 | 2020-03-31 | Aaron MARLOW | Tapered fixation device for a knee replacement |
US11426282B2 (en) | 2017-11-16 | 2022-08-30 | Zimmer, Inc. | Implants for adding joint inclination to a knee arthroplasty |
US10835380B2 (en) | 2018-04-30 | 2020-11-17 | Zimmer, Inc. | Posterior stabilized prosthesis system |
US11065124B2 (en) | 2018-05-25 | 2021-07-20 | Howmedica Osteonics Corp. | Variable thickness femoral augments |
US11083585B2 (en) | 2019-05-09 | 2021-08-10 | Howmedica Osteonics Corp. | Spring retained femoral augment |
US11491013B2 (en) * | 2019-07-11 | 2022-11-08 | Howmedica Osteonics Corp. | Augment and means for connecting the same to a joint prosthesis |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0336774A1 (en) * | 1988-04-08 | 1989-10-11 | SMITH & NEPHEW RICHARDS, INC. | Modular knee joint prosthesis |
EP0378928A1 (en) * | 1988-12-27 | 1990-07-25 | JOHNSON & JOHNSON ORTHOPAEDICS INC. | Revision knee prosthesis |
US5092900A (en) * | 1990-03-13 | 1992-03-03 | Sulzer Brothers Limited | Femur head prosthesis |
US5116375A (en) * | 1990-08-27 | 1992-05-26 | Hofmann Aaron A | Knee prosthesis |
US5226915A (en) * | 1992-04-03 | 1993-07-13 | Bertin Kim C | Femoral prosthesis component system for knee replacement surgery |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4963152A (en) * | 1986-10-27 | 1990-10-16 | Intermedics Orthopedics, Inc. | Asymmetric prosthetic tibial component |
US4731086A (en) * | 1987-04-20 | 1988-03-15 | Dow Corning Wright | Shim for femoral knee joint prosthesis and method of using |
GB2223174A (en) * | 1988-09-08 | 1990-04-04 | Bristol Myers Co | Prosthetic implant |
US5171244A (en) * | 1990-01-08 | 1992-12-15 | Caspari Richard B | Methods and apparatus for arthroscopic prosthetic knee replacement |
US5062852A (en) * | 1990-02-09 | 1991-11-05 | Intermedics Orthopedics, Inc. | Tibial prosthesis with independent medial and lateral baseplates |
US5071438A (en) * | 1990-11-07 | 1991-12-10 | Intermedics Orthopedics, Inc. | Tibial prothesis with pivoting articulating surface |
US5258032A (en) * | 1992-04-03 | 1993-11-02 | Bertin Kim C | Knee prosthesis provisional apparatus and resection guide and method of use in knee replacement surgery |
US5405398A (en) * | 1993-08-30 | 1995-04-11 | Intermedics Orthopedics, Inc. | Prosthetic knee with posterior stabilized femoral component |
US5411505A (en) * | 1994-06-02 | 1995-05-02 | Intermedics Orthopedics, Inc. | Sagittal saw jig for femoral knee revision prosthesis |
-
1995
- 1995-10-26 EP EP95938903A patent/EP0797417B1/en not_active Expired - Lifetime
- 1995-10-26 DE DE69514386T patent/DE69514386T2/en not_active Expired - Lifetime
- 1995-10-26 ES ES95938903T patent/ES2141971T3/en not_active Expired - Lifetime
- 1995-10-26 WO PCT/US1995/013810 patent/WO1996013233A1/en active IP Right Grant
-
1996
- 1996-01-22 US US08/589,570 patent/US5609645A/en not_active Expired - Lifetime
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0336774A1 (en) * | 1988-04-08 | 1989-10-11 | SMITH & NEPHEW RICHARDS, INC. | Modular knee joint prosthesis |
EP0378928A1 (en) * | 1988-12-27 | 1990-07-25 | JOHNSON & JOHNSON ORTHOPAEDICS INC. | Revision knee prosthesis |
US5092900A (en) * | 1990-03-13 | 1992-03-03 | Sulzer Brothers Limited | Femur head prosthesis |
US5116375A (en) * | 1990-08-27 | 1992-05-26 | Hofmann Aaron A | Knee prosthesis |
US5226915A (en) * | 1992-04-03 | 1993-07-13 | Bertin Kim C | Femoral prosthesis component system for knee replacement surgery |
Cited By (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0850606A3 (en) * | 1996-12-23 | 1998-12-16 | Johnson & Johnson Professional, Inc. | Modular joint prosthesis stabilization and augmentation system |
EP0850608A3 (en) * | 1996-12-23 | 1998-12-16 | Johnson & Johnson Professional, Inc. | Modular joint prosthesis augmentation system |
WO2002002021A3 (en) * | 2000-06-29 | 2002-07-18 | Richard V Williamson | Instruments and methods for use in performing knee surgery |
US6942700B2 (en) | 2000-06-29 | 2005-09-13 | Richard V. Williamson | Instruments and methods for use in performing knee surgery |
US7273500B2 (en) | 2000-06-29 | 2007-09-25 | Williamson Richard V | Instruments and methods for use in performing knee surgery |
US9375316B2 (en) | 2001-02-23 | 2016-06-28 | Biomet Manufacturing, Llc. | Method and apparatus for acetabular reconstruction |
US8241367B2 (en) | 2002-04-25 | 2012-08-14 | Zimmer, Inc. | Modular bone implant, tool, and method |
US9237949B2 (en) | 2006-12-07 | 2016-01-19 | Ihip Surgical, Llc | Method and apparatus for hip replacement |
US8974540B2 (en) | 2006-12-07 | 2015-03-10 | Ihip Surgical, Llc | Method and apparatus for attachment in a modular hip replacement or fracture fixation device |
US8936648B2 (en) | 2007-01-10 | 2015-01-20 | Biomet Manufacturing, Llc | Knee joint prosthesis system and method for implantation |
US10736747B2 (en) | 2007-10-10 | 2020-08-11 | Biomet Manufacturing, Llc | Knee joint prosthesis system and method for implantation |
US9763793B2 (en) | 2007-10-10 | 2017-09-19 | Biomet Manufacturing, Llc | Knee joint prosthesis system and method for implantation |
US8568485B2 (en) | 2009-08-11 | 2013-10-29 | Imds Corporation | Articulating trials for prosthetic implants |
US9095453B2 (en) | 2009-08-11 | 2015-08-04 | Michael D. Ries | Position adjustable trial systems for prosthetic implants |
US8998997B2 (en) | 2009-08-11 | 2015-04-07 | Michael D. Ries | Implantable mobile bearing prosthetics |
US8496666B2 (en) | 2009-08-11 | 2013-07-30 | Imds Corporation | Instrumentation for mobile bearing prosthetics |
US8382848B2 (en) | 2009-08-11 | 2013-02-26 | Imds Corporation | Position adjustable trial systems for prosthetic implants |
US8961612B2 (en) | 2012-08-30 | 2015-02-24 | Biomet Manufacturing, Llc | Knee component having orbital interface boss |
US10278825B2 (en) | 2012-08-30 | 2019-05-07 | Biomet Manufacturing, Llc | Knee component having orbital interface boss |
Also Published As
Publication number | Publication date |
---|---|
DE69514386D1 (en) | 2000-02-10 |
EP0797417B1 (en) | 2000-01-05 |
EP0797417A1 (en) | 1997-10-01 |
ES2141971T3 (en) | 2000-04-01 |
US5609645A (en) | 1997-03-11 |
DE69514386T2 (en) | 2000-07-27 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP0797417B1 (en) | Knee prosthesis with shims | |
US11648127B2 (en) | Method and system including sleeves and broaches for surgically preparing the patient's bone | |
US6139581A (en) | Posterior compensation tibial tray | |
US7297164B2 (en) | Modular knee prosthesis | |
EP1398007B1 (en) | Universal tibial augment | |
US5019103A (en) | Tibial wedge system | |
US6749638B1 (en) | Modular knee prosthesis | |
US5480445A (en) | Interlocking tibial prosthesis | |
EP1702590A2 (en) | Modular tibial implant with a mortise coupling | |
EP1398006A2 (en) | Duo-fixation prosthetic joints | |
US5411505A (en) | Sagittal saw jig for femoral knee revision prosthesis | |
US11324600B2 (en) | Tibial tray with fixation features | |
CA2924694C (en) | Reverse knee prosthesis | |
GB2534140A (en) | Joint prosthesis supporting assembly |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): CA JP |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE |
|
DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
WWE | Wipo information: entry into national phase |
Ref document number: 1995938903 Country of ref document: EP |
|
WWP | Wipo information: published in national office |
Ref document number: 1995938903 Country of ref document: EP |
|
NENP | Non-entry into the national phase |
Ref country code: CA |
|
WWG | Wipo information: grant in national office |
Ref document number: 1995938903 Country of ref document: EP |