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Femoral guide for knee surgery

a femoral guide and knee technology, applied in the field of new and improved methods of performing surgery, can solve the problems of soft tissue in the knee, difficult access to posterior soft tissue to remove bone spurs (ostified), ligaments in the back of the joint, surgeons may be very reluctant, or at least very careful, of inserting instruments into the back of the knee joint, etc., to facilitate the balancing of ligaments and facilitate the effect of knee portion balancing

Inactive Publication Date: 2013-08-29
BONUTTI SKELETAL INNOVATIONS
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0018]It is believed that it may be advantageous to utilize an endoscope or a similar apparatus to examine portions of the patient's body which are spaced from the incision. It is also contemplated that images of the knee portion of the patient's leg may be obtained by using any one of many known image generating devices other than an endoscope. The images may be obtained while the patient's leg is stationary or in motion. The images may be obtained to assist a surgeon in conducting any desired type of surgery.
[0019]Balancing of the ligaments in the knee portion of a patient's leg may be facilitated by the positioning of one or more transducers between tendons, ligaments, and / or bones in the knee portion. One transducer may be positioned relative to a medial side of a knee joint. Another transducer may be positioned relative to a lateral side of the knee joint. During bending of the knee joint, the output from the transducers will vary as a function of variations in tension forces in the ligaments. This enables the tension forces in ligaments in opposite sides of the knee portion to be compared to facilitate balancing of the ligaments.

Problems solved by technology

This results in the soft tissue in the knee being compressed against the back of the knee joint.
This makes it very difficult to access posterior soft tissue to remove bone spurs (ostified), meniscus, posterior capsule, ligaments in the back of the joint, and / or any residual soft tissue or connective tissue that is blocking further flexion.
Therefore, a surgeon may be very reluctant, or at least very careful, of inserting instruments into the back of the knee joint to remove tissue.
This may result in osteophytes, bone spurs and similar types of posterior soft tissue being left in place.
Moving the everted patella to one side of end portions of the femur and tibia tends to increase the size of the incision which must be made in the knee portion of the patient's leg.
However, the checking of ligament balance by flexing and extending the leg of the patient, ignores rotational balancing of ligaments.

Method used

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  • Femoral guide for knee surgery
  • Femoral guide for knee surgery
  • Femoral guide for knee surgery

Examples

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Embodiment Construction

Known Method of Performing Surgery on a Patient's Knee

[0131]During the performance of surgery using known methods, a patient is supported on an operating table or other support surface 52 (FIG. 1). When a leg 50 of the patient is in the extended position illustrated in dashed lines in FIG. 1, a foot 54 connected with a lower portion 56 of the leg 50 is disposed above the support surface 52. During an operation on a knee portion 58 of the leg 50, the knee portion is raised and lowered relative to the support surface as the leg 50 is flexed and extended. However, the foot 54 is always disposed above the support surface 54 and may be supported by the support surface throughout the operation.

[0132]During this known operating procedure, an incision is made in the knee portion 58 of the leg 50 when the leg is in the extended position illustrated in dashed lines in FIG. 1. At this time, the foot 54 of the patient may rest on the support surface 52 or be disposed in a foot support located a...

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Abstract

A joint replacement kit for use in a joint replacement procedure replacing a portion of a body joint. The kit includes a cutting guide and a trial component wherein the cutting guide and trial component are packaged together. There is also provided a method for replacing a portion of a body joint. The method includes providing a joint replacement kit having a cutting guide and a trial component, positioning the cutting guide against an end portion of a bone, cutting the end portion of the bone with a cutting instrument, positioning the trial component to the cut end portion of the bone, and disposing of the cutting guide and trial component.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation of U.S. patent application Ser. No. 10 / 888,783 filed Jul. 9, 2004, which is a continuation of U.S. patent application Ser. No. 10 / 191,751 filed Jul. 8, 2002 (now U.S. Pat. No. 7,104,996); which is a continuation-in-part of each of the following: U.S. patent application Ser. No. 09 / 976,396 filed Oct. 11, 2001 (now U.S. Pat. No. 6,770,078); U.S. patent application Ser. No. 09 / 941,185 filed Aug. 28, 2001 (now U.S. Pat. No. 6,702,821); U.S. patent application Ser. No. 09 / 566,070 filed May 5, 2000 (now U.S. Pat. No. 6,575,982); U.S. patent application Ser. No. 09 / 737,380 filed Dec. 15, 2000 (now U.S. Pat. No. 6,503,267); U.S. patent application Ser. No. 09 / 569,020 filed May 11, 2000 (now U.S. Pat. No. 6,423,063); U.S. patent application Ser. No. 09 / 483,676 filed Jan. 14, 2000 (now U.S. Pat. No. 6,468,289); U.S. patent application Ser. No. 09 / 798,870 filed Mar. 1, 2001 (now U.S. Pat. No. 6,503,277); U.S. paten...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/15A61B17/04
CPCA61B17/025A61B17/0401A61B17/0487A61B17/155A61B17/157A61B17/158A61B17/1604A61B17/1666A61B17/1668A61B17/1675A61B17/1703A61B17/1717A61B17/1721A61B17/1739A61B17/1746A61B17/1764A61B17/809A61B19/2203A61B19/5212A61B19/5225A61B19/5244A61B2017/00004A61B2017/00557A61B2017/0268A61B2017/0409A61B2017/0414A61B2017/0496A61B2019/464A61B2019/502A61B2019/505A61B2217/005A61B2217/007A61F2/30721A61F2/30724A61F2/30767A61F2/30771A61F2/34A61F2/38A61F2/3859A61F2/3868A61F2/3872A61F2/3877A61F2/389A61F2/4609A61F2/461A61F2/4684A61F2002/2817A61F2002/2835A61F2002/30079A61F2002/30326A61F2002/30364A61F2002/30382A61F2002/30387A61F2002/30398A61F2002/30433A61F2002/30507A61F2002/30761A61F2002/30883A61F2002/30892A61F2002/3092A61F2002/30934A61F2002/30975A61F2002/3401A61F2002/3403A61F2002/3895A61F2002/4631A61F2002/4635A61F2002/4636A61F2002/4677A61F2210/009A61F2220/0025A61F2220/0033A61F2220/0041A61F2250/0037A61F2310/00011A61F2310/00017A61F2310/00023A61F2310/00029A61F2310/00131A61F2310/00365A61G13/1245A61G13/125A61G2013/0045A61G2013/0054A61G2013/0063A61G2013/0072A61G2013/0081A61M1/0058A61B17/1735A61B2034/102A61B34/20A61B2090/064A61B90/361A61B34/30A61B2034/105A61B90/37A61G13/0045A61G13/0054A61G13/0063A61G13/0072A61G13/0081A61F2002/30331A61M1/77
Inventor BONUTTI, PETER M.
Owner BONUTTI SKELETAL INNOVATIONS
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