Knee Prosthesis Rotation Guide Asymmetry

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Solution Overview

Problem

Current knee joint endoprostheses require separate components for the left and right knees, leading to increased stock-keeping costs, potential implantation mix-ups, and difficulty in mimicking natural kinematics due to asymmetrical joint surfaces.

Innovation Solution

A knee joint endoprosthesis design featuring a femur and tibia component with cooperating joint surfaces and a rotation guide arrangement that allows for rotational movement about a medial center of rotation, utilizing mirror-symmetrical guide elements with identical radii of curvature, enabling a single tibia component to be used for both left and right knees.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If separate femur and tibia components are provided for left and right knees, then the prosthesis can be customized for each side, but stock-keeping costs increase and implantation mix-ups may occur

Engineering Contradiction:
Improveprevention of implantation mix-upsVSAvoidnumber of different components
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent applies asymmetry by designing the tibia component with a medial guide element that has a different radius of curvature than the lateral guide element. This asymmetric configuration creates inherent side-specific geometry that prevents incorrect implantation while allowing a single component design to be used for both left and right knees. The asymmetric radii ensure that the prosthesis only functions correctly when implanted on the appropriate side.

Inventive Principle:
Principle #4Asymmetry

2Adaptability or versatility

If asymmetrical joint surfaces are used to mimic natural knee kinematics, then natural movement is better reproduced, but the number of different components increases

Engineering Contradiction:
Improvemimicking natural kinematicsVSAvoidnumber of different components
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The patent applies local quality by differentiating only the guide elements at the medial and lateral sides with different radii of curvature, while keeping the rest of the tibia component symmetric. This localized asymmetry allows the prosthesis to mimic natural knee kinematics through the differentiated guide surfaces while maintaining overall component symmetry, thereby reducing the total number of different components required.

Inventive Principle:
Principle #3Local quality

3Device complexity

If mirror-symmetrical guide elements with identical radii of curvature are used, then component inventory is reduced, but the ability to mimic natural knee rotation may be compromised

Engineering Contradiction:
Improvenumber of different componentsVSAvoidrotational movement guidance
Core Design Contradiction:
Device complexityVSAdaptability or versatility

Solution Approach 1:

The patent resolves this contradiction by implementing asymmetry specifically in the guide elements of the tibia component, where the medial guide element has a different radius of curvature than the lateral guide element. This asymmetric design enables the single tibia component to guide natural rotational movement patterns while still allowing universal use across left and right knees, thus maintaining low component inventory while preserving kinematic functionality.

Inventive Principle:
Principle #4Asymmetry

Data Source

PatentUS9155627B2Knee joint prosthesis
Publication Date: 2015.10.13 AESCULAP AG
  • US9155627B2 patent drawing
  • US9155627B2 patent drawing
  • US9155627B2 patent drawing

AI summary

A knee joint endoprosthesis is provided which consists of a femur component and a tibia component having cooperating joint surfaces in contact with one another. A rotation guide arrangement is provided for forcing the femur component and the tibia component to rotate relative to each other about a medial center of rotation as a result of a flexure of the knee joint endoprosthesis. The rotation guide arrangement having a first guide element with a first guidance surface and a second guide element with a second guidance surface which cooperates with the first guidance surface. A projection of the tibia component comprises the first guide element and a transverse extension connecting condyles of the femur component comprises the second guide element. The first guidance surface defines a first radius of curvature and the second guidance surface defines a second radius of curvature. The first and second radii of curvature are identical.