US20080021299A1 - Method for selecting modular implant components - Google Patents

Method for selecting modular implant components Download PDF

Info

Publication number
US20080021299A1
US20080021299A1 US11/458,257 US45825706A US2008021299A1 US 20080021299 A1 US20080021299 A1 US 20080021299A1 US 45825706 A US45825706 A US 45825706A US 2008021299 A1 US2008021299 A1 US 2008021299A1
Authority
US
United States
Prior art keywords
surgeon
implants
subset
variables
offset
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.)
Abandoned
Application number
US11/458,257
Inventor
Steven L. Meulink
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Zimmer Inc
Original Assignee
Zimmer Technology Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority to US11/458,257 priority Critical patent/US20080021299A1/en
Application filed by Zimmer Technology Inc filed Critical Zimmer Technology Inc
Assigned to ZIMMER TECHNOLOGY, INC. reassignment ZIMMER TECHNOLOGY, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: MEULINK, STEVEN L.
Priority to US11/616,369 priority patent/US20080021567A1/en
Publication of US20080021299A1 publication Critical patent/US20080021299A1/en
Priority to US12/486,791 priority patent/US9980828B2/en
Priority to US12/723,134 priority patent/US20100185296A1/en
Priority to US12/758,423 priority patent/US8428693B2/en
Priority to US13/046,849 priority patent/US8202324B2/en
Priority to US13/465,454 priority patent/US8845749B2/en
Priority to US13/683,017 priority patent/US9987147B2/en
Assigned to ZIMMER, INC. reassignment ZIMMER, INC. MERGER (SEE DOCUMENT FOR DETAILS). Assignors: ZIMMER TECHNOLOGY, INC.
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/0095Packages or dispensers for prostheses or other implants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/3008Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments having multiple compartments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4528Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/33Trays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/40Joints for shoulders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616Sets comprising a plurality of prosthetic parts of different sizes or orientations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30708Means for distinguishing between left-sided and right-sided devices, Sets comprising both left-sided and right-sided prosthetic parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/3071Identification means; Administration of patients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30948Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30963Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using templates, e.g. grid charts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3611Heads or epiphyseal parts of femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3625Necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/365Connections of heads to necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3652Connections of necks to shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4632Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using computer-controlled surgery, e.g. robotic surgery
    • A61F2002/4633Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using computer-controlled surgery, e.g. robotic surgery for selection of endoprosthetic joints or for pre-operative planning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0084Means for distinguishing between left-sided and right-sided devices; Sets comprising both left-sided and right-sided prosthetic parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0085Identification means; Administration of patients
    • A61F2250/0089Identification means; Administration of patients coded with symbols, e.g. dots, numbers, letters, words

Definitions

  • the present invention relates to modular components for prosthetic joints. More particularly, the present invention relates to a method for selecting modular neck components for prosthetic hip joints.
  • Orthopedic prosthetic implants are commonly used to replace some or all of a patient's hip joint in order to restore the use of the hip joint, or to increase the use of the hip joint, following deterioration due to aging or illness, or injury due to trauma.
  • a femoral component is used to replace a portion of the patient's femur, including the femoral neck and head.
  • the femoral component is typically a hip stem, which includes a stem portion positioned within the prepared femoral canal of the patient's femur and secured via bone cement, or by a press-fit followed by bony ingrowth of the surrounding tissue into a porous coating of the stem portion.
  • the hip stem also includes a neck portion adapted to receive a prosthetic femoral head.
  • the femoral head may be received within a prosthetic acetabular component, such as an acetabular cup received within the prepared recess of the patient's acetabulum.
  • Orthopedic implants for hip replacement may include modular hip joint components.
  • the hip stem and the neck portion with femoral head are formed as separate components.
  • a surgeon chooses a hip stem and a neck portion based on patient anatomy, body image scans, and/or other patient-specific data.
  • the surgeon may discover that a different hip stem or a different neck portion is desired to provide more optimum results.
  • Modular hip joint components allow the surgeon to choose a different hip stem or neck portion depending on the specific application and needs of the patient and surgeon.
  • the surgeon will only change the neck portion because the hip stem is usually implanted first, and removal of the hip stem from the femoral intramedullary canal is generally undesirable.
  • the neck portion is usually the component that is most often changed intraoperatively.
  • the surgeon may be provided with a number of different neck portions to accommodate various patient anatomies.
  • FIG. 1 an image of a proximal femur 20 is shown and includes femoral head 22 , greater trochanter 24 , lesser trochanter 26 , femoral neck 28 , and a portion of femoral shaft 27 .
  • FIG. 1 illustrates a portion 30 of a template used in the known system.
  • the template may also include images of the femur, similar to those described below with reference to FIGS. 3 and 4 .
  • Portion 30 of the template may be placed over the image of proximal femur 20 acquired preoperatively to plan the optimum location of the center of the femoral head of the implant.
  • Portion 30 of the template may include a plurality of reference points 32 , 34 arranged in a generally fan-shaped arrangement. Each reference point represents the center of rotation for the femoral head component of the implant.
  • reference points 32 , 34 may be based on a spherical or cylindrical coordinate system.
  • the surgeon desires an intra-operative change which differs from the preoperatively chosen modular neck portion, the surgeon must simultaneously evaluate at least three variables based on the center of rotation of the femoral head of the implant, and may need to consult various tables to evaluate these variables based on physical characteristics of the patient in order to choose an optimal implant.
  • the present invention provides a method for selecting modular neck components for hip implants based on independent variables associated with physical characteristics of the implant, including leg length, offset, and anteversion.
  • the surgeon may be confronted with a need to change a preoperatively-chosen modular neck.
  • the surgeon may desire a change in at least one of the variables, e.g., leg length, offset, and/or anteversion.
  • the present method allows the surgeon to quickly and easily select a different modular neck based on an evaluation of one of the variables without requiring reevaluation of the other variables.
  • the method may include preoperative planning in which a template including a grid coordinate system is used, which advantageously provides an intuitive system for the surgeon both preoperatively and during surgery.
  • the present invention provides a method for selecting an orthopedic implant from a system of orthopedic implants for implantation in an anatomical structure of a patient, the method including the steps of acquiring an image of the anatomical structure; using a template with a grid coordinate system to assess at least one of a first, second, and third variable associated with respective physical characteristics of the implants, the grid coordinate system having a plurality of reference points corresponding to at least two of the first, second, and third variables; and selecting a first orthopedic implant from the system of implants based on coordinates determined using the template.
  • the present invention provides a method for intraoperatively selecting an orthopedic implant for implantation in an anatomical structure of a patient, the method including the steps of assessing, intraoperatively, at least one of a first, a second, and a third variable associated with respective physical characteristics of the implant; and selecting an orthopedic implant based on a change in the at least one variable from a system in which the implants are arranged in subsets in which one of the others of the first, second, and third variables is constant.
  • FIG. 1 is an image of a proximal femur, further showing a portion of a template of a known system overlaid on the image;
  • FIG. 2 is a flow chart illustrating steps of a method according to one embodiment of the present invention.
  • FIG. 3 is an image of a template according to one embodiment of the present invention.
  • FIG. 4 is a perspective view of the template of FIG. 3 overlaid over the image of a proximal femur;
  • FIG. 5A is a plan view of a subset of a system of modular necks used in the method illustrated in FIG. 2 ;
  • FIG. 5B is a plan view of another subset of the system of modular necks used in the method illustrated in FIG. 2 ;
  • FIG. 5C is a plan view of yet another subset of the system of modular necks used in the method illustrated in FIG. 2 ;
  • FIG. 6 is an exploded view of a modular implant.
  • the present invention generally provides a method for selecting modular neck components for hip implants based on independent variables associated with physical characteristics of the implant, including leg length, offset, and anteversion.
  • the surgeon may be confronted with a need to change a preoperatively-chosen modular neck.
  • the surgeon may desire a change in at least one of the variables, e.g., leg length, offset, and/or anteversion.
  • the present method allows the surgeon to quickly and easily select a different modular neck based on an evaluation of one of the variables without requiring reevaluation of the other variables.
  • the method may include preoperative planning in which a template including a grid coordinate system is used, which advantageously provides an intuitive system for the surgeon both preoperatively and during surgery.
  • Step 102 includes preparing a patient (not shown) for the surgical procedure, e.g., collecting information and past medical history.
  • the surgeon or a surgeon's assistant will acquire at least one image of the appropriate portion of the hip region of the patient, e.g., at least a portion of the femur and the hip joint.
  • the image may be a radiographic image such as an X-ray image or fluoroscopic image, for example, or, alternatively, a computed tomography (CT) image, a magnetic resonance image (MRI), or any other suitable image.
  • CT computed tomography
  • MRI magnetic resonance image
  • Typical images for a hip replacement procedure may be taken along two different directions. For example, anterior/posterior (A/P) and lateral pelvic images may be taken of the hip joint.
  • Template 50 may be used in conjunction with the images to preoperatively plan a surgical procedure in order to perform the joint replacement/restoration.
  • Template 50 may be constructed of a piece of transparent plastic or other suitable material which may be overlaid on the image of the hip portion of the patient.
  • Template 50 may include a plurality of reference points 51 forming a grid coordinate system, for example, a Cartesian coordinate system, including a pattern of intersecting horizontal and vertical indicators or lines that provide coordinates for locating points.
  • Reference points 51 may be formed of ink deposits on the transparent plastic, or, alternatively or in combination with the ink deposits, reference points 51 may be formed as cutouts in the transparent plastic to allow the surgeon to mark directly on the acquired image where the ideal center of rotation of the femoral head of the hip implant should be located.
  • the grid 52 of template 50 may include leg length being measured along the “y-axis” and offset being measured along the “x-axis.” Alternatively, leg length may be measured along the “x-axis” and offset may be measured along the “y-axis.”
  • Template 50 may also include graphic representations of a femoral stem component of hip implant 40 ( FIG. 6 ), i.e., stem 46 ( FIG. 6 ), including recess 48 shown in dashed lines in FIGS. 3 and 6 .
  • the representation of stem 46 may be formed of conventional ink on the transparent plastic.
  • a plurality or system of templates 50 may be provided corresponding to each available size or type of femoral stem component of the hip implant system.
  • template 50 may also include reference points 54 corresponding to the lateral pelvic view of the hip portion of the patient and which represent a third axial or cylindrical component corresponding to the anteversion component of the hip implant.
  • Reference points 54 which are arranged in three planes, may represent an anteverted neck, a straight neck, or a retroverted neck.
  • the planes of reference points 54 may represent the “z-axis” of grid 52 in the Cartesian coordinate system, or, alternatively, the third component may be represented in a cylindrical or polar coordinate system in which, when viewed from an end view of the proximal end of the femur, the planes in which reference points 54 are situated are arranged in a fan-shaped arrangement. More or less planes of reference points 54 may be included to accommodate a greater number of anteversion components, if needed.
  • step 106 the surgeon selects the template 50 corresponding to the femoral stem component of the hip implant to be used in the surgical procedure.
  • Template 50 may be chosen in a conventional manner such that the representation of stem 46 on template 50 substantially fills the intramedullary canal of femoral shaft 27 of the image, such that the actual femoral stem component of the hip implant will correctly fit the intramedullary canal of the actual femur.
  • template 50 may be used by the surgeon to determine the desired leg length and offset when using portion 50 a of template 50 corresponding to the A/P pelvic view and to determine the desired anteversion and/or leg length when using portion 50 b of template 50 corresponding to the lateral pelvic view.
  • offset is measured along a line drawn substantially perpendicular to longitudinal axis 41 of femoral stem 46 . The surgeon orients the representation of stem 46 on template 50 to align with the intramedullary canal of the image of femoral shaft 27 .
  • the surgeon When the surgeon is using portion 50 a of template 50 corresponding to the A/P pelvic view, the surgeon orients origin 53 of grid 52 at the location at which the surgeon desires center 49 of head 42 of modular neck 44 ( FIG. 6 ) to be located.
  • This location of center 49 may not necessarily coincide with the original center of femoral head 22 prior to surgery because the condition of femoral head 22 may dictate a different center for the head of the modular implant component. For example, if the original femoral head 22 is severely deteriorated or is badly misshapen, the surgeon may desire a different center for the head of the modular implant than the current center for the original femoral head 22 .
  • the surgeon may wish to correct some problem, e.g., laxity correction or bone alignment correction, which may cause the center for the head of the modular implant to be different than the center of femoral head 22 .
  • origin 53 coincides with center 49 , as shown in FIG. 4 .
  • the surgeon assesses or evaluates where center 49 should be located on grid 52 of template 50 . This evaluation permits the surgeon to obtain the preoperatively-planned values for the offset and the leg length for the modular neck component of the hip implant.
  • step 110 and FIG. 4 when the surgeon is using portion 50 b of template 50 corresponding to the lateral pelvic view, the surgeon chooses a desired anteversion component from the planes of reference points 54 .
  • the surgeon again orients the representation of stem 46 on template 50 to align with the intramedullary canal of the image of femoral shaft 27 , in the manner described above.
  • the surgeon may use the planes of reference points 54 to determine the desired anteversion component for the modular neck of the hip implant.
  • the surgeon will determine the anteversion component first, and then determine the necessary leg length and offset values for the preoperative plan of the procedure.
  • step 110 the surgeon may mark directly on the image where center 49 of head 42 of modular neck 44 ( FIG. 6 ) will be located and/or what anteversion component is necessary.
  • step 112 the surgeon then selects a modular neck 44 from system 60 ( FIGS. 5A-5C ) corresponding to the assessed variables of leg length, offset, and anteversion in the manner described below.
  • template 50 may be a template on a computer screen in a computer assisted surgery (CAS) system.
  • the surgeon may superimpose the computer generated template 50 in the CAS system on the image of the proximal femur to determine the optimal position of center 49 of head 42 of a modular neck 44 ( FIG. 6 ).
  • both views i.e., A/P and lateral, may be simultaneously viewed in the CAS system and template 50 may be superimposed thereon to allow the surgeon to simultaneously assess all three variables, i.e., anteversion, leg length, and offset.
  • a preoperatively-chosen femoral stem 46 of hip implant 40 ( FIG. 6 ) is implanted into a patient's prepared intramedullary canal by a conventional surgical technique.
  • the surgeon may then provisionally implant the preoperatively-chosen modular neck 44 ( FIG. 6 ) which has been chosen by the surgeon to provide the optimum result for the particular patient, in the manner described above.
  • Modular neck 44 ( FIG. 6 ) may include head 42 , neck portion 43 , and tapered portion 47 shaped to mate with recess 48 in femoral stem 46 .
  • Head 42 may be integrally formed with neck 44 or head 42 may be a modular component attached to neck portion 43 of neck 44 .
  • the femoral stem 46 ( FIG. 6 ) of hip implant 40 ( FIG. 6 ) is equipped to accept a number of different modular neck components.
  • the leg length, anteversion, and offset of the hip implant can be changed without requiring removal of femoral stem 46 .
  • step 116 the surgeon may trial the provisionally implanted modular neck 44 ( FIG. 6 ) to verify or confirm the preoperative plan and associated results.
  • the surgeon will assess several variables, for example, leg length, offset, and anteversion, associated with the hip implant and the physical anatomy of the patient. This assessment may be completed via a conventional surgical technique, for example, moving the joint through a range of motion. The surgeon may observe that more leg length is necessary, but that the offset and anteversion are satisfactory.
  • the present method advantageously allows the surgeon to select a new modular neck based only on the change in leg length without affecting the offset and anteversion. Similarly, the surgeon may observe that more offset is necessary, but that the leg length and anteversion are satisfactory.
  • the present method advantageously allows the surgeon to select a new modular neck based only on the change in offset without affecting the leg length and anteversion. Because the leg length and offset changes are based on a grid coordinate system, the surgeon can easily and intuitively select a new modular neck component based on a leg length change and/or an offset change without requiring an extensive lookup table or complicated mathematical conversion calculations to ensure that no other variables are being changed undesirably.
  • the surgeon may observe that a different anteversion component is necessary, but that the leg length and offset are satisfactory.
  • the present method advantageously allows the surgeon to select a new modular neck based only on the change in anteversion without affecting the leg length and offset. Because the anteversion component is based on a grid coordinate system, similar to leg length and offset, described above, or, alternatively, on a polar coordinate system, the surgeon can easily and intuitively select a new modular neck component based on a change in anteversion without requiring an extensive lookup table or complicated mathematical conversion calculations to ensure that no other variables are being changed undesirably.
  • surgeon may employ system 60 ( FIGS. 5A-5C ), described below, to choose a different modular neck 44 to provide more optimum results.
  • system 60 is arranged to include a plurality of modular necks 44 with varying dimensions suitable for different leg length, offset, and anteversion dimensions.
  • system 60 may include container 61 with a plurality of compartments 63 for physically housing each modular neck 44 in system 60 , wherein each modular neck 44 is held in respective compartments 63 and the surgeon or an assistant selects a modular neck 44 from a compartment 63 in container 61 .
  • Each neck 44 may include reference identifier 69 .
  • system 60 may be a graphical representation of the plurality of modular necks 44 arranged in an organized arrangement, e.g., a Cartesian coordinate system.
  • the surgeon may select a modular neck 44 and corresponding reference identifier 69 , for example, from the graphical representation, and reference identifier 69 may then be used by a surgical assistant, for example, to retrieve the desired modular neck 44 which corresponds to the surgeon's desired choice and reference identifier 69 from a central location at which the modular necks 44 are stored.
  • a subset of system 60 may be provided and arranged in container 61 .
  • a plurality of subsets of system 60 may be provided and arranged in at least one container 61 .
  • System 60 is arranged such that all necks 44 within a given subset of necks correspond to a particular anteversion component.
  • Each subset may have a different anteversion component, thereby permitting a surgeon to independently assess the desired anteversion component and have an identical subset of necks 44 for each anteversion component.
  • the anteversion component may be, for example, anteverted, straight, or retroverted.
  • subset 60 a of necks 44 in system 60 may correspond to straight necks. Referring to FIG.
  • subset 60 b of necks 44 in system 60 may correspond to anteverted necks.
  • subset 60 c of necks 44 in system 60 may correspond to retroverted necks.
  • System 60 may include as many subsets of necks 44 that correspond to the desired number of choices of the anteversion component, for example, system 60 may include additional subsets corresponding to greater extremes of anteverted and retroverted necks.
  • system 60 includes a pair of identifying coordinates corresponding to leg length and offset.
  • the number represented by offset component 62 corresponds to offset and the number represented by leg length component 64 corresponds to leg length.
  • the Cartesian coordinates represented by offset component 62 and leg length component 64 may be represented by the following coordinates: ( ⁇ offset, ⁇ leg length). If origin 53 does coincide with center 49 during the preoperative planning, then the surgeon may likely choose a modular neck 44 with the following coordinates in step 112 : (+0, +0). If origin 53 does not coincide with center 49 during the preoperative planning due to, for example, a defect in femoral head 22 , then the surgeon may choose a modular neck with coordinates different from (+0, +0) in step 112 .
  • Each subset 60 a , 60 b , 60 c may include two sets of pairs of identifying coordinates corresponding to leg length and offset. Each set corresponds to either a right hip or a left hip.
  • the surgeon need only rotate container 61 ninety degrees to switch between a system used for the left hip and the right hip.
  • the left hip pair of coordinates is identified by the letter L
  • the right hip pair of coordinates is identified by the letter R.
  • the anteversion component includes a designation “right” or “left” depending on which hip those necks 44 are to be used for.
  • the surgeon rotates container 61 including subset 60 a until “LEFT STRAIGHT” appears at the top of container 61 , as shown in FIG. 5A , at which point the offset and leg length coordinates are positioned below each respective neck 44 .
  • the offset and leg length coordinates may be positioned above each respective neck 44 .
  • arranging the plurality of modular necks 44 in each subset 60 a , 60 b , 60 c of system 60 in a Cartesian coordinate grid allows the surgeon to easily and intuitively intraoperatively choose a modular neck 44 which corresponds to an independent change in leg length, offset, or anteversion.
  • the surgeon may use a fluoroscopic or other image-guided system (not shown) to facilitate the assessment of the change in leg length, offset, and/or anteversion, as described above, or, alternatively, the surgeon may simply manually/visually determine the desired change in leg length, offset, and/or anteversion, and subsequently choose a neck 44 from a subset of system 60 corresponding to the desired change.
  • the surgeon may select a different modular neck 44 from a subset of system 60 which corresponds to the desired change. For example, if the surgeon needs no change in offset and 4 millimeters (mm) more of leg length, the surgeon chooses the neck with the following coordinates from a subset of system 60 corresponding to the satisfactory anteversion component: (preoperatively-planned offset value, preoperatively-planned leg length value plus 4). Subsequently, the surgeon implants neck 44 into the femoral stem component of the hip implant. The surgeon may similarly choose a different neck 44 depending on how much change in leg length was desired.
  • the surgeon may select a different modular neck 44 from a subset of system 60 which corresponds to the desired change. For example, if the surgeon needs 4 mm more of offset and 4 mm less of leg length, the surgeon chooses the neck with the following coordinates from a subset of system 60 corresponding to the satisfactory anteversion component: (preoperatively-planned offset value plus 4, preoperatively-planned leg length value minus 4). Subsequently, the surgeon implants neck 44 into the femoral stem component of the hip implant. The surgeon may similarly choose a different neck 44 depending on how much change in leg length and/or offset was desired.
  • the surgeon may select a different modular neck 44 from a subset of system 60 which corresponds to the desired change. For example, if the surgeon needs to change from a retroverted neck to a straight neck, the surgeon will select neck 44 from subset 60 a of system 60 corresponding to a straight neck and having the desired leg length and offset.
  • step 118 the different neck 44 chosen by the assessment of leg length, offset, and anteversion in step 116 is implanted into the stem component of the hip implant.
  • system 60 could be arranged to have intervals of any dimension to accommodate the needs of a particular patient or the desires of a particular surgeon.
  • the interval could be 1, 2, 3, 4, or 5 mm, or any fraction thereof, for both offset and leg length.
  • leg length is the constant variable and the implants of each subset of system 60 are arranged to have identical leg lengths and varying offset and anteversion components.
  • system may be constructed such that offset is the constant variable and the implants of each subset of system 60 are arranged to have identical offsets and varying leg lengths and anteversion components.
  • the method could be utilized in any procedure which uses modular components, for example, but not limited to, shoulder implant procedures, knee implant procedures, etc.

Abstract

A method for selecting modular neck components for hip implants based on independent variables associated with physical characteristics of the implant, including leg length, offset, and anteversion. During surgery, the surgeon may be confronted with a need to change a preoperatively-chosen modular neck. For example, the surgeon may desire a change in at least one of the variables, e.g., leg length, offset, and/or anteversion. The present method allows the surgeon to quickly and easily select a different modular neck based on an evaluation of one of the variables without requiring reevaluation of the other variables. The method may include preoperative planning in which a template including a grid coordinate system is used.

Description

    BACKGROUND
  • 1. Field of the Invention
  • The present invention relates to modular components for prosthetic joints. More particularly, the present invention relates to a method for selecting modular neck components for prosthetic hip joints.
  • 2. Description of the Related Art
  • Orthopedic prosthetic implants are commonly used to replace some or all of a patient's hip joint in order to restore the use of the hip joint, or to increase the use of the hip joint, following deterioration due to aging or illness, or injury due to trauma. In a hip replacement, or hip arthroplasty procedure, a femoral component is used to replace a portion of the patient's femur, including the femoral neck and head. The femoral component is typically a hip stem, which includes a stem portion positioned within the prepared femoral canal of the patient's femur and secured via bone cement, or by a press-fit followed by bony ingrowth of the surrounding tissue into a porous coating of the stem portion. The hip stem also includes a neck portion adapted to receive a prosthetic femoral head. The femoral head may be received within a prosthetic acetabular component, such as an acetabular cup received within the prepared recess of the patient's acetabulum.
  • Orthopedic implants for hip replacement may include modular hip joint components. For example, the hip stem and the neck portion with femoral head are formed as separate components. Prior to an operation, a surgeon chooses a hip stem and a neck portion based on patient anatomy, body image scans, and/or other patient-specific data. However, during surgery, the surgeon may discover that a different hip stem or a different neck portion is desired to provide more optimum results. Modular hip joint components allow the surgeon to choose a different hip stem or neck portion depending on the specific application and needs of the patient and surgeon. Typically, the surgeon will only change the neck portion because the hip stem is usually implanted first, and removal of the hip stem from the femoral intramedullary canal is generally undesirable. Thus, the neck portion is usually the component that is most often changed intraoperatively. The surgeon may be provided with a number of different neck portions to accommodate various patient anatomies.
  • In one known system, for example, the surgeon chooses from a plurality of options to replace an existing neck portion with an alternative neck portion to provide the best outcome for the patient. The surgeon's choices rely on the location of the center of rotation of the femoral head component of the implant. Referring to FIG. 1, an image of a proximal femur 20 is shown and includes femoral head 22, greater trochanter 24, lesser trochanter 26, femoral neck 28, and a portion of femoral shaft 27. FIG. 1 illustrates a portion 30 of a template used in the known system. The template may also include images of the femur, similar to those described below with reference to FIGS. 3 and 4. Portion 30 of the template may be placed over the image of proximal femur 20 acquired preoperatively to plan the optimum location of the center of the femoral head of the implant. Portion 30 of the template may include a plurality of reference points 32, 34 arranged in a generally fan-shaped arrangement. Each reference point represents the center of rotation for the femoral head component of the implant. Typically, reference points 32, 34 may be based on a spherical or cylindrical coordinate system. If the surgeon desires an intra-operative change which differs from the preoperatively chosen modular neck portion, the surgeon must simultaneously evaluate at least three variables based on the center of rotation of the femoral head of the implant, and may need to consult various tables to evaluate these variables based on physical characteristics of the patient in order to choose an optimal implant.
  • SUMMARY
  • The present invention provides a method for selecting modular neck components for hip implants based on independent variables associated with physical characteristics of the implant, including leg length, offset, and anteversion. During surgery, the surgeon may be confronted with a need to change a preoperatively-chosen modular neck. For example, the surgeon may desire a change in at least one of the variables, e.g., leg length, offset, and/or anteversion. The present method allows the surgeon to quickly and easily select a different modular neck based on an evaluation of one of the variables without requiring reevaluation of the other variables. The method may include preoperative planning in which a template including a grid coordinate system is used, which advantageously provides an intuitive system for the surgeon both preoperatively and during surgery.
  • In one form thereof, the present invention provides a method for selecting an orthopedic implant from a system of orthopedic implants for implantation in an anatomical structure of a patient, the method including the steps of acquiring an image of the anatomical structure; using a template with a grid coordinate system to assess at least one of a first, second, and third variable associated with respective physical characteristics of the implants, the grid coordinate system having a plurality of reference points corresponding to at least two of the first, second, and third variables; and selecting a first orthopedic implant from the system of implants based on coordinates determined using the template.
  • In another form thereof, the present invention provides a method for intraoperatively selecting an orthopedic implant for implantation in an anatomical structure of a patient, the method including the steps of assessing, intraoperatively, at least one of a first, a second, and a third variable associated with respective physical characteristics of the implant; and selecting an orthopedic implant based on a change in the at least one variable from a system in which the implants are arranged in subsets in which one of the others of the first, second, and third variables is constant.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • The above-mentioned and other features and advantages of this invention, and the manner of attaining them, will become more apparent and the invention itself will be better understood by reference to the following description of embodiments of the invention taken in conjunction with the accompanying drawings, wherein:
  • FIG. 1 is an image of a proximal femur, further showing a portion of a template of a known system overlaid on the image;
  • FIG. 2 is a flow chart illustrating steps of a method according to one embodiment of the present invention;
  • FIG. 3 is an image of a template according to one embodiment of the present invention;
  • FIG. 4 is a perspective view of the template of FIG. 3 overlaid over the image of a proximal femur;
  • FIG. 5A is a plan view of a subset of a system of modular necks used in the method illustrated in FIG. 2;
  • FIG. 5B is a plan view of another subset of the system of modular necks used in the method illustrated in FIG. 2;
  • FIG. 5C is a plan view of yet another subset of the system of modular necks used in the method illustrated in FIG. 2; and
  • FIG. 6 is an exploded view of a modular implant.
  • Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate embodiments of the invention and such exemplifications are not to be construed as limiting the scope of the invention in any manner.
  • DETAILED DESCRIPTION
  • The present invention generally provides a method for selecting modular neck components for hip implants based on independent variables associated with physical characteristics of the implant, including leg length, offset, and anteversion. During surgery, the surgeon may be confronted with a need to change a preoperatively-chosen modular neck. For example, the surgeon may desire a change in at least one of the variables, e.g., leg length, offset, and/or anteversion. The present method allows the surgeon to quickly and easily select a different modular neck based on an evaluation of one of the variables without requiring reevaluation of the other variables. The method may include preoperative planning in which a template including a grid coordinate system is used, which advantageously provides an intuitive system for the surgeon both preoperatively and during surgery.
  • Referring to FIG. 2, a flow chart illustrating steps of method 100 is shown and includes several steps beginning with step 102. Step 102 includes preparing a patient (not shown) for the surgical procedure, e.g., collecting information and past medical history. In step 104, the surgeon or a surgeon's assistant will acquire at least one image of the appropriate portion of the hip region of the patient, e.g., at least a portion of the femur and the hip joint. The image may be a radiographic image such as an X-ray image or fluoroscopic image, for example, or, alternatively, a computed tomography (CT) image, a magnetic resonance image (MRI), or any other suitable image. Typical images for a hip replacement procedure may be taken along two different directions. For example, anterior/posterior (A/P) and lateral pelvic images may be taken of the hip joint.
  • Referring now to FIG. 3, a template 50 is shown which may be used in conjunction with the images to preoperatively plan a surgical procedure in order to perform the joint replacement/restoration. Template 50 may be constructed of a piece of transparent plastic or other suitable material which may be overlaid on the image of the hip portion of the patient. Template 50 may include a plurality of reference points 51 forming a grid coordinate system, for example, a Cartesian coordinate system, including a pattern of intersecting horizontal and vertical indicators or lines that provide coordinates for locating points. Reference points 51 may be formed of ink deposits on the transparent plastic, or, alternatively or in combination with the ink deposits, reference points 51 may be formed as cutouts in the transparent plastic to allow the surgeon to mark directly on the acquired image where the ideal center of rotation of the femoral head of the hip implant should be located. The grid 52 of template 50 may include leg length being measured along the “y-axis” and offset being measured along the “x-axis.” Alternatively, leg length may be measured along the “x-axis” and offset may be measured along the “y-axis.” Template 50 may also include graphic representations of a femoral stem component of hip implant 40 (FIG. 6), i.e., stem 46 (FIG. 6), including recess 48 shown in dashed lines in FIGS. 3 and 6. The representation of stem 46 may be formed of conventional ink on the transparent plastic. A plurality or system of templates 50 may be provided corresponding to each available size or type of femoral stem component of the hip implant system.
  • As shown in FIG. 3, template 50 may also include reference points 54 corresponding to the lateral pelvic view of the hip portion of the patient and which represent a third axial or cylindrical component corresponding to the anteversion component of the hip implant. Reference points 54, which are arranged in three planes, may represent an anteverted neck, a straight neck, or a retroverted neck. The planes of reference points 54 may represent the “z-axis” of grid 52 in the Cartesian coordinate system, or, alternatively, the third component may be represented in a cylindrical or polar coordinate system in which, when viewed from an end view of the proximal end of the femur, the planes in which reference points 54 are situated are arranged in a fan-shaped arrangement. More or less planes of reference points 54 may be included to accommodate a greater number of anteversion components, if needed.
  • In step 106, the surgeon selects the template 50 corresponding to the femoral stem component of the hip implant to be used in the surgical procedure. Template 50 may be chosen in a conventional manner such that the representation of stem 46 on template 50 substantially fills the intramedullary canal of femoral shaft 27 of the image, such that the actual femoral stem component of the hip implant will correctly fit the intramedullary canal of the actual femur.
  • In step 108 and as shown in FIG. 4, the surgeon superimposes the correct template 50 on the acquired image. In step 110, template 50 may be used by the surgeon to determine the desired leg length and offset when using portion 50 a of template 50 corresponding to the A/P pelvic view and to determine the desired anteversion and/or leg length when using portion 50 b of template 50 corresponding to the lateral pelvic view. For the purposes of this document, offset is measured along a line drawn substantially perpendicular to longitudinal axis 41 of femoral stem 46. The surgeon orients the representation of stem 46 on template 50 to align with the intramedullary canal of the image of femoral shaft 27. When the surgeon is using portion 50 a of template 50 corresponding to the A/P pelvic view, the surgeon orients origin 53 of grid 52 at the location at which the surgeon desires center 49 of head 42 of modular neck 44 (FIG. 6) to be located. This location of center 49 may not necessarily coincide with the original center of femoral head 22 prior to surgery because the condition of femoral head 22 may dictate a different center for the head of the modular implant component. For example, if the original femoral head 22 is severely deteriorated or is badly misshapen, the surgeon may desire a different center for the head of the modular implant than the current center for the original femoral head 22. Also, the surgeon may wish to correct some problem, e.g., laxity correction or bone alignment correction, which may cause the center for the head of the modular implant to be different than the center of femoral head 22. In an exemplary procedure, origin 53 coincides with center 49, as shown in FIG. 4. The surgeon then assesses or evaluates where center 49 should be located on grid 52 of template 50. This evaluation permits the surgeon to obtain the preoperatively-planned values for the offset and the leg length for the modular neck component of the hip implant.
  • Still referring to step 110 and FIG. 4, when the surgeon is using portion 50 b of template 50 corresponding to the lateral pelvic view, the surgeon chooses a desired anteversion component from the planes of reference points 54. The surgeon again orients the representation of stem 46 on template 50 to align with the intramedullary canal of the image of femoral shaft 27, in the manner described above. The surgeon may use the planes of reference points 54 to determine the desired anteversion component for the modular neck of the hip implant. In an exemplary procedure, the surgeon will determine the anteversion component first, and then determine the necessary leg length and offset values for the preoperative plan of the procedure.
  • In step 110, the surgeon may mark directly on the image where center 49 of head 42 of modular neck 44 (FIG. 6) will be located and/or what anteversion component is necessary. In step 112, the surgeon then selects a modular neck 44 from system 60 (FIGS. 5A-5C) corresponding to the assessed variables of leg length, offset, and anteversion in the manner described below.
  • Alternatively, template 50 may be a template on a computer screen in a computer assisted surgery (CAS) system. The surgeon may superimpose the computer generated template 50 in the CAS system on the image of the proximal femur to determine the optimal position of center 49 of head 42 of a modular neck 44 (FIG. 6). In one such embodiment, advantageously, both views, i.e., A/P and lateral, may be simultaneously viewed in the CAS system and template 50 may be superimposed thereon to allow the surgeon to simultaneously assess all three variables, i.e., anteversion, leg length, and offset.
  • During surgery and as shown in step 114, a preoperatively-chosen femoral stem 46 of hip implant 40 (FIG. 6) is implanted into a patient's prepared intramedullary canal by a conventional surgical technique. The surgeon may then provisionally implant the preoperatively-chosen modular neck 44 (FIG. 6) which has been chosen by the surgeon to provide the optimum result for the particular patient, in the manner described above. Modular neck 44 (FIG. 6) may include head 42, neck portion 43, and tapered portion 47 shaped to mate with recess 48 in femoral stem 46. Head 42 may be integrally formed with neck 44 or head 42 may be a modular component attached to neck portion 43 of neck 44. Advantageously, the femoral stem 46 (FIG. 6) of hip implant 40 (FIG. 6) is equipped to accept a number of different modular neck components. Thus, the leg length, anteversion, and offset of the hip implant can be changed without requiring removal of femoral stem 46.
  • In step 116, the surgeon may trial the provisionally implanted modular neck 44 (FIG. 6) to verify or confirm the preoperative plan and associated results. At this point, the surgeon will assess several variables, for example, leg length, offset, and anteversion, associated with the hip implant and the physical anatomy of the patient. This assessment may be completed via a conventional surgical technique, for example, moving the joint through a range of motion. The surgeon may observe that more leg length is necessary, but that the offset and anteversion are satisfactory. The present method advantageously allows the surgeon to select a new modular neck based only on the change in leg length without affecting the offset and anteversion. Similarly, the surgeon may observe that more offset is necessary, but that the leg length and anteversion are satisfactory. The present method advantageously allows the surgeon to select a new modular neck based only on the change in offset without affecting the leg length and anteversion. Because the leg length and offset changes are based on a grid coordinate system, the surgeon can easily and intuitively select a new modular neck component based on a leg length change and/or an offset change without requiring an extensive lookup table or complicated mathematical conversion calculations to ensure that no other variables are being changed undesirably.
  • Similarly, the surgeon may observe that a different anteversion component is necessary, but that the leg length and offset are satisfactory. The present method advantageously allows the surgeon to select a new modular neck based only on the change in anteversion without affecting the leg length and offset. Because the anteversion component is based on a grid coordinate system, similar to leg length and offset, described above, or, alternatively, on a polar coordinate system, the surgeon can easily and intuitively select a new modular neck component based on a change in anteversion without requiring an extensive lookup table or complicated mathematical conversion calculations to ensure that no other variables are being changed undesirably.
  • After the surgeon determines the desired change, the surgeon may employ system 60 (FIGS. 5A-5C), described below, to choose a different modular neck 44 to provide more optimum results.
  • Referring now to FIGS. 5A-5C, system 60 is arranged to include a plurality of modular necks 44 with varying dimensions suitable for different leg length, offset, and anteversion dimensions. In one embodiment, system 60 may include container 61 with a plurality of compartments 63 for physically housing each modular neck 44 in system 60, wherein each modular neck 44 is held in respective compartments 63 and the surgeon or an assistant selects a modular neck 44 from a compartment 63 in container 61. Each neck 44 may include reference identifier 69. In an alternative embodiment, system 60 may be a graphical representation of the plurality of modular necks 44 arranged in an organized arrangement, e.g., a Cartesian coordinate system. In this embodiment, the surgeon may select a modular neck 44 and corresponding reference identifier 69, for example, from the graphical representation, and reference identifier 69 may then be used by a surgical assistant, for example, to retrieve the desired modular neck 44 which corresponds to the surgeon's desired choice and reference identifier 69 from a central location at which the modular necks 44 are stored.
  • A subset of system 60 may be provided and arranged in container 61. Alternatively, a plurality of subsets of system 60 may be provided and arranged in at least one container 61. System 60 is arranged such that all necks 44 within a given subset of necks correspond to a particular anteversion component. Each subset may have a different anteversion component, thereby permitting a surgeon to independently assess the desired anteversion component and have an identical subset of necks 44 for each anteversion component. For example, the anteversion component may be, for example, anteverted, straight, or retroverted. Thus, for example, referring to FIG. 5A, subset 60 a of necks 44 in system 60 may correspond to straight necks. Referring to FIG. 5B, subset 60 b of necks 44 in system 60 may correspond to anteverted necks. Similarly, referring to FIG. 5C, subset 60 c of necks 44 in system 60 may correspond to retroverted necks. System 60 may include as many subsets of necks 44 that correspond to the desired number of choices of the anteversion component, for example, system 60 may include additional subsets corresponding to greater extremes of anteverted and retroverted necks.
  • Still referring to FIGS. 5A-5C, for each neck 44 in each subset 60 a, 60 b, 60 c of system 60, system 60 includes a pair of identifying coordinates corresponding to leg length and offset. For example, the number represented by offset component 62 corresponds to offset and the number represented by leg length component 64 corresponds to leg length. The Cartesian coordinates represented by offset component 62 and leg length component 64 may be represented by the following coordinates: (±offset, ±leg length). If origin 53 does coincide with center 49 during the preoperative planning, then the surgeon may likely choose a modular neck 44 with the following coordinates in step 112: (+0, +0). If origin 53 does not coincide with center 49 during the preoperative planning due to, for example, a defect in femoral head 22, then the surgeon may choose a modular neck with coordinates different from (+0, +0) in step 112.
  • Each subset 60 a, 60 b, 60 c may include two sets of pairs of identifying coordinates corresponding to leg length and offset. Each set corresponds to either a right hip or a left hip. Advantageously, as shown in FIGS. 5A-5C, the surgeon need only rotate container 61 ninety degrees to switch between a system used for the left hip and the right hip. For example, as shown in FIG. 5A, the left hip pair of coordinates is identified by the letter L and the right hip pair of coordinates is identified by the letter R. Furthermore, as identified at the top of container 61, the anteversion component includes a designation “right” or “left” depending on which hip those necks 44 are to be used for. For example, if the surgeon needs a straight neck for a left hip, then the surgeon rotates container 61 including subset 60 a until “LEFT STRAIGHT” appears at the top of container 61, as shown in FIG. 5A, at which point the offset and leg length coordinates are positioned below each respective neck 44. Alternatively, the offset and leg length coordinates may be positioned above each respective neck 44.
  • Intraoperatively, if the surgeon does not want any change in offset but needs a change in leg length, the surgeon will choose a new neck 44 having the following coordinates: (preoperatively-planned offset value, preoperatively-planned leg length value±change in leg length) from a particular subset according to the chosen anteversion component. Similarly, if the surgeon does not want any change in leg length but needs a change in offset, the surgeon will choose a neck 44 having the following coordinates: (preoperatively-planned offset value±change in offset, preoperatively-planned leg length value) from a particular subset according to the chosen anteversion component.
  • Advantageously, arranging the plurality of modular necks 44 in each subset 60 a, 60 b, 60 c of system 60 in a Cartesian coordinate grid allows the surgeon to easily and intuitively intraoperatively choose a modular neck 44 which corresponds to an independent change in leg length, offset, or anteversion. The surgeon may use a fluoroscopic or other image-guided system (not shown) to facilitate the assessment of the change in leg length, offset, and/or anteversion, as described above, or, alternatively, the surgeon may simply manually/visually determine the desired change in leg length, offset, and/or anteversion, and subsequently choose a neck 44 from a subset of system 60 corresponding to the desired change.
  • In one example, if the surgeon determines in step 116 that more or less leg length is desired but that the offset and anteversion are satisfactory, the surgeon may select a different modular neck 44 from a subset of system 60 which corresponds to the desired change. For example, if the surgeon needs no change in offset and 4 millimeters (mm) more of leg length, the surgeon chooses the neck with the following coordinates from a subset of system 60 corresponding to the satisfactory anteversion component: (preoperatively-planned offset value, preoperatively-planned leg length value plus 4). Subsequently, the surgeon implants neck 44 into the femoral stem component of the hip implant. The surgeon may similarly choose a different neck 44 depending on how much change in leg length was desired.
  • In another example, if the surgeon determines in step 116 that less leg length and more offset are desired but the anteversion is satisfactory, the surgeon may select a different modular neck 44 from a subset of system 60 which corresponds to the desired change. For example, if the surgeon needs 4 mm more of offset and 4 mm less of leg length, the surgeon chooses the neck with the following coordinates from a subset of system 60 corresponding to the satisfactory anteversion component: (preoperatively-planned offset value plus 4, preoperatively-planned leg length value minus 4). Subsequently, the surgeon implants neck 44 into the femoral stem component of the hip implant. The surgeon may similarly choose a different neck 44 depending on how much change in leg length and/or offset was desired.
  • In yet another example, if the surgeon determines in step 116 that leg length and offset are satisfactory but the anteversion needs changed, the surgeon may select a different modular neck 44 from a subset of system 60 which corresponds to the desired change. For example, if the surgeon needs to change from a retroverted neck to a straight neck, the surgeon will select neck 44 from subset 60 a of system 60 corresponding to a straight neck and having the desired leg length and offset.
  • In step 118, the different neck 44 chosen by the assessment of leg length, offset, and anteversion in step 116 is implanted into the stem component of the hip implant.
  • Although illustrated throughout as having intervals of 4 mm for both offset and leg length, system 60 could be arranged to have intervals of any dimension to accommodate the needs of a particular patient or the desires of a particular surgeon. For example, the interval could be 1, 2, 3, 4, or 5 mm, or any fraction thereof, for both offset and leg length.
  • The above-described concept has generally been described as a system having three variables, i.e., leg length, offset, and anteversion. The system has been described in which one of these three variables, i.e., the anteversion component, is constant for any given subset of implants having various offsets and leg lengths. For example, the surgeon may pre-operatively choose a desired anteversion component, which may not change intraoperatively, and then need only choose various modular necks 44 from the subset corresponding to the desired anteversion component of system 60 based only on offset and leg length. Alternatively, the system may be constructed such that leg length is the constant variable and the implants of each subset of system 60 are arranged to have identical leg lengths and varying offset and anteversion components. In another alternative embodiment, the system may be constructed such that offset is the constant variable and the implants of each subset of system 60 are arranged to have identical offsets and varying leg lengths and anteversion components.
  • Although described throughout with respect to a hip implant, the method could be utilized in any procedure which uses modular components, for example, but not limited to, shoulder implant procedures, knee implant procedures, etc.
  • While this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this invention pertains and which fall within the limits of the appended claims.

Claims (16)

1. A method for selecting an orthopedic implant from a system of orthopedic implants for implantation in an anatomical structure of a patient, the method comprising the steps of:
acquiring an image of the anatomical structure;
using a template with a grid coordinate system to assess at least one of a first, second, and third variable associated with respective physical characteristics of the implants, the grid coordinate system having a plurality of reference points corresponding to at least two of the first, second, and third variables; and
selecting a first orthopedic implant from the system of implants based on coordinates determined using the template.
2. The method of claim 1, wherein the implants are modular components of a hip implant system and the first variable corresponds to leg length, the second variable corresponds to offset, and the third variable corresponds to anteversion.
3. The method of claim 1, wherein said using step is completed preoperatively.
4. The method of claim 1, wherein one of the variables is arranged along a first axis of the grid coordinate system and another of the variables is arranged along a second axis of the grid coordinate system orthogonal to the first axis.
5. The method of claim 1, wherein the system of implants comprises an arrangement of implants including at least one subset in which at least one of the first, second, and third variables associated with a respective different physical characteristic of the implants is constant and the others of the first, second, and third variables vary within each subset.
6. The method of claim 5, wherein the arrangement comprises at least one container including a plurality of implants arranged according to each subset.
7. The method of claim 6, wherein the arrangement includes one container per subset.
8. The method of claim 6, wherein the arrangement includes one container with multiple subsets.
9. The method of claim 5, wherein the arrangement comprises a graphical representation arranged according to the at least one subset.
10. A method for intraoperatively selecting an orthopedic implant for implantation in an anatomical structure of a patient, the method comprising the steps of:
assessing, intraoperatively, at least one of a first, a second, and a third variable associated with respective physical characteristics of the implant; and
selecting an orthopedic implant based on a change in the at least one variable from a system in which the implants are arranged in subsets in which one of the others of the first, second, and third variables is constant.
11. The method of claim 10, wherein the implant is a modular component of a hip implant system and the first variable corresponds to leg length, the second variable corresponds to offset, and the third variable corresponds to anteversion.
12. The method of claim 10, wherein the system of implants comprises an arrangement of implants including at least one subset in which at least one of the first, second, and third variables associated with a respective different physical characteristic of the implants is constant and the others of the first, second, and third variables vary within each subset.
13. The method of claim 12, wherein the arrangement comprises at least one container including a plurality of implants arranged according to each subset.
14. The method of claim 13, wherein the arrangement includes one container per subset.
15. The method of claim 13, wherein the arrangement includes one container with multiple subsets.
16. The method of claim 12, wherein the arrangement comprises a graphical representation arranged according to the at least one subset.
US11/458,257 2006-07-18 2006-07-18 Method for selecting modular implant components Abandoned US20080021299A1 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
US11/458,257 US20080021299A1 (en) 2006-07-18 2006-07-18 Method for selecting modular implant components
US11/616,369 US20080021567A1 (en) 2006-07-18 2006-12-27 Modular orthopaedic component case
US12/486,791 US9980828B2 (en) 2006-07-18 2009-06-18 Modular orthopaedic components
US12/723,134 US20100185296A1 (en) 2006-07-18 2010-03-12 Modular orthopaedic component case
US12/758,423 US8428693B2 (en) 2006-07-18 2010-04-12 System for selecting modular implant components
US13/046,849 US8202324B2 (en) 2006-07-18 2011-03-14 Modular orthopaedic component case
US13/465,454 US8845749B2 (en) 2006-07-18 2012-05-07 Modular orthopaedic component case
US13/683,017 US9987147B2 (en) 2006-07-18 2012-11-21 System for selecting modular implant components

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/458,257 US20080021299A1 (en) 2006-07-18 2006-07-18 Method for selecting modular implant components

Related Child Applications (3)

Application Number Title Priority Date Filing Date
US11/616,369 Continuation-In-Part US20080021567A1 (en) 2006-07-18 2006-12-27 Modular orthopaedic component case
US12/486,791 Continuation US9980828B2 (en) 2006-07-18 2009-06-18 Modular orthopaedic components
US12/758,423 Continuation US8428693B2 (en) 2006-07-18 2010-04-12 System for selecting modular implant components

Publications (1)

Publication Number Publication Date
US20080021299A1 true US20080021299A1 (en) 2008-01-24

Family

ID=38972326

Family Applications (4)

Application Number Title Priority Date Filing Date
US11/458,257 Abandoned US20080021299A1 (en) 2006-07-18 2006-07-18 Method for selecting modular implant components
US12/486,791 Active 2027-07-13 US9980828B2 (en) 2006-07-18 2009-06-18 Modular orthopaedic components
US12/758,423 Active 2026-12-25 US8428693B2 (en) 2006-07-18 2010-04-12 System for selecting modular implant components
US13/683,017 Active 2029-05-12 US9987147B2 (en) 2006-07-18 2012-11-21 System for selecting modular implant components

Family Applications After (3)

Application Number Title Priority Date Filing Date
US12/486,791 Active 2027-07-13 US9980828B2 (en) 2006-07-18 2009-06-18 Modular orthopaedic components
US12/758,423 Active 2026-12-25 US8428693B2 (en) 2006-07-18 2010-04-12 System for selecting modular implant components
US13/683,017 Active 2029-05-12 US9987147B2 (en) 2006-07-18 2012-11-21 System for selecting modular implant components

Country Status (1)

Country Link
US (4) US20080021299A1 (en)

Cited By (109)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070288030A1 (en) * 2006-06-09 2007-12-13 Biomet Manufacturing Corp. Patient Specific Knee Alignment Guide And Associated Method
US20080114370A1 (en) * 2006-06-09 2008-05-15 Biomet Manufacturing Corp. Patient-Specific Alignment Guide For Multiple Incisions
US20080147072A1 (en) * 2006-12-18 2008-06-19 Ilwhan Park Arthroplasty devices and related methods
US20080161815A1 (en) * 2006-02-27 2008-07-03 Biomet Manufacturing Corp. Patient Specific Knee Alignment Guide And Associated Method
US20080312659A1 (en) * 2006-02-27 2008-12-18 Biomet Manufacturing Corp. Patient specific alignment guide and inter-operative adjustment
US20090024131A1 (en) * 2006-02-27 2009-01-22 Biomet Manufacturing Corp. Patient specific guides
US20090110498A1 (en) * 2007-10-25 2009-04-30 Ilwhan Park Arthroplasty systems and devices, and related methods
US20090138020A1 (en) * 2007-11-27 2009-05-28 Otismed Corporation Generating mri images usable for the creation of 3d bone models employed to make customized arthroplasty jigs
US20090163922A1 (en) * 2006-02-27 2009-06-25 Biomet Manufacturing Corp. Patient Specific Acetabular Guide And Method
US20090222015A1 (en) * 2008-02-29 2009-09-03 Otismed Corporation Hip resurfacing surgical guide tool
US20090254367A1 (en) * 2007-04-17 2009-10-08 Biomet Manufacturing Corp. Method and Apparatus for Manufacturing an Implant
US20090254093A1 (en) * 2006-06-09 2009-10-08 Biomet Manufacturing Corp. Patient-Specific Alignment Guide
US20100023015A1 (en) * 2008-07-23 2010-01-28 Otismed Corporation System and method for manufacturing arthroplasty jigs having improved mating accuracy
US20100042105A1 (en) * 2007-12-18 2010-02-18 Otismed Corporation Arthroplasty system and related methods
US20100087829A1 (en) * 2006-02-27 2010-04-08 Biomet Manufacturing Corp. Patient Specific Alignment Guide With Cutting Surface and Laser Indicator
US20100100193A1 (en) * 2008-10-22 2010-04-22 Biomet Manufacturing Corp. Patient matched hip system
US20100152782A1 (en) * 2006-02-27 2010-06-17 Biomet Manufactring Corp. Patient Specific High Tibia Osteotomy
US20100152741A1 (en) * 2008-12-16 2010-06-17 Otismed Corporation Unicompartmental customized arthroplasty cutting jigs and methods of making the same
US20100217109A1 (en) * 2009-02-20 2010-08-26 Biomet Manufacturing Corp. Mechanical Axis Alignment Using MRI Imaging
US20110015636A1 (en) * 2006-02-27 2011-01-20 Biomet Manufacturing Corp. Patient-Specific Elbow Guides and Associated Methods
US20110093086A1 (en) * 2006-02-27 2011-04-21 Witt Tyler D Patient-Specific Hip Joint Devices
US20110092804A1 (en) * 2006-02-27 2011-04-21 Biomet Manufacturing Corp. Patient-Specific Pre-Operative Planning
US7967868B2 (en) 2007-04-17 2011-06-28 Biomet Manufacturing Corp. Patient-modified implant and associated method
US20110160736A1 (en) * 2006-02-27 2011-06-30 Biomet Manufacturing Corp. Patient-specific femoral guide
US20110166578A1 (en) * 2006-02-27 2011-07-07 Biomet Manufacturing Corp. Alignment guides with patient-specific anchoring elements
US20110172672A1 (en) * 2006-02-27 2011-07-14 Biomet Manufacturing Corp. Instrument with transparent portion for use with patient-specific alignment guide
US20110190899A1 (en) * 2006-02-27 2011-08-04 Biomet Manufacturing Corp. Patient-specific augments
US20110213376A1 (en) * 2010-02-26 2011-09-01 Biomet Sports Medicine, Llc Patient-Specific Osteotomy Devices and Methods
US20110218545A1 (en) * 2010-03-04 2011-09-08 Biomet Manufacturing Corp. Patient-specific computed tomography guides
US20110214279A1 (en) * 2007-12-18 2011-09-08 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
JP2011194229A (en) * 2010-03-22 2011-10-06 Ceram Concept Llc Module type cervix-shaped prosthesis element, and prosthesis assembly
US8265949B2 (en) 2007-09-27 2012-09-11 Depuy Products, Inc. Customized patient surgical plan
US8343159B2 (en) 2007-09-30 2013-01-01 Depuy Products, Inc. Orthopaedic bone saw and method of use thereof
US8357111B2 (en) 2007-09-30 2013-01-22 Depuy Products, Inc. Method and system for designing patient-specific orthopaedic surgical instruments
US8407067B2 (en) 2007-04-17 2013-03-26 Biomet Manufacturing Corp. Method and apparatus for manufacturing an implant
US8483469B2 (en) 2008-04-30 2013-07-09 Otismed Corporation System and method for image segmentation in generating computer models of a joint to undergo arthroplasty
US8480679B2 (en) 2008-04-29 2013-07-09 Otismed Corporation Generation of a computerized bone model representative of a pre-degenerated state and useable in the design and manufacture of arthroplasty devices
US8532807B2 (en) 2011-06-06 2013-09-10 Biomet Manufacturing, Llc Pre-operative planning and manufacturing method for orthopedic procedure
US8532361B2 (en) 2008-04-30 2013-09-10 Otismed Corporation System and method for image segmentation in generating computer models of a joint to undergo arthroplasty
US8535387B2 (en) 2006-02-27 2013-09-17 Biomet Manufacturing, Llc Patient-specific tools and implants
USD691719S1 (en) 2007-10-25 2013-10-15 Otismed Corporation Arthroplasty jig blank
US8591516B2 (en) 2006-02-27 2013-11-26 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US8597365B2 (en) 2011-08-04 2013-12-03 Biomet Manufacturing, Llc Patient-specific pelvic implants for acetabular reconstruction
US8603180B2 (en) 2006-02-27 2013-12-10 Biomet Manufacturing, Llc Patient-specific acetabular alignment guides
US8608749B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US8668700B2 (en) 2011-04-29 2014-03-11 Biomet Manufacturing, Llc Patient-specific convertible guides
US8715289B2 (en) 2011-04-15 2014-05-06 Biomet Manufacturing, Llc Patient-specific numerically controlled instrument
FR2997840A1 (en) * 2012-11-09 2014-05-16 X Nov Ip Femoral part kit for total prosthesis of hip, has collar forming parts that are able to cooperate with common femoral rod in two relative positions that are able to be turned with regard to each other at specific angle
US8737700B2 (en) 2007-12-18 2014-05-27 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
US8764760B2 (en) 2011-07-01 2014-07-01 Biomet Manufacturing, Llc Patient-specific bone-cutting guidance instruments and methods
US20140373375A1 (en) * 2007-04-28 2014-12-25 Depuy International Limited Determining the offset of the head part of an orthopaedic joint prosthesis stem component
US8956364B2 (en) 2011-04-29 2015-02-17 Biomet Manufacturing, Llc Patient-specific partial knee guides and other instruments
US8968320B2 (en) 2007-12-18 2015-03-03 Otismed Corporation System and method for manufacturing arthroplasty jigs
US9017336B2 (en) 2006-02-15 2015-04-28 Otismed Corporation Arthroplasty devices and related methods
US9060788B2 (en) 2012-12-11 2015-06-23 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US9066734B2 (en) 2011-08-31 2015-06-30 Biomet Manufacturing, Llc Patient-specific sacroiliac guides and associated methods
US9084618B2 (en) 2011-06-13 2015-07-21 Biomet Manufacturing, Llc Drill guides for confirming alignment of patient-specific alignment guides
US9113971B2 (en) 2006-02-27 2015-08-25 Biomet Manufacturing, Llc Femoral acetabular impingement guide
US9204977B2 (en) 2012-12-11 2015-12-08 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US9237950B2 (en) 2012-02-02 2016-01-19 Biomet Manufacturing, Llc Implant with patient-specific porous structure
US9241745B2 (en) 2011-03-07 2016-01-26 Biomet Manufacturing, Llc Patient-specific femoral version guide
US9271744B2 (en) 2010-09-29 2016-03-01 Biomet Manufacturing, Llc Patient-specific guide for partial acetabular socket replacement
US9289253B2 (en) 2006-02-27 2016-03-22 Biomet Manufacturing, Llc Patient-specific shoulder guide
US9295497B2 (en) 2011-08-31 2016-03-29 Biomet Manufacturing, Llc Patient-specific sacroiliac and pedicle guides
US9301812B2 (en) 2011-10-27 2016-04-05 Biomet Manufacturing, Llc Methods for patient-specific shoulder arthroplasty
US20160100909A1 (en) * 2014-02-25 2016-04-14 JointPoint, Inc. Systems and Methods for Intra-Operative Image Analysis
US9339278B2 (en) 2006-02-27 2016-05-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US9351743B2 (en) 2011-10-27 2016-05-31 Biomet Manufacturing, Llc Patient-specific glenoid guides
US9386993B2 (en) 2011-09-29 2016-07-12 Biomet Manufacturing, Llc Patient-specific femoroacetabular impingement instruments and methods
US9393028B2 (en) 2009-08-13 2016-07-19 Biomet Manufacturing, Llc Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis
FR3031895A1 (en) * 2015-01-28 2016-07-29 Orthonova FEMORAL IMPLANT FOR THE RESTORATION OF A HIP JOINT OF A PATIENT, SET OF IMPLANTS AND METHOD FOR MANUFACTURING SUCH AN IMPLANT.
US9402637B2 (en) 2012-10-11 2016-08-02 Howmedica Osteonics Corporation Customized arthroplasty cutting guides and surgical methods using the same
US9408616B2 (en) 2014-05-12 2016-08-09 Biomet Manufacturing, Llc Humeral cut guide
US9451973B2 (en) 2011-10-27 2016-09-27 Biomet Manufacturing, Llc Patient specific glenoid guide
US9498233B2 (en) 2013-03-13 2016-11-22 Biomet Manufacturing, Llc. Universal acetabular guide and associated hardware
US9517145B2 (en) 2013-03-15 2016-12-13 Biomet Manufacturing, Llc Guide alignment system and method
US9554910B2 (en) 2011-10-27 2017-01-31 Biomet Manufacturing, Llc Patient-specific glenoid guide and implants
US9561040B2 (en) 2014-06-03 2017-02-07 Biomet Manufacturing, Llc Patient-specific glenoid depth control
US9579107B2 (en) 2013-03-12 2017-02-28 Biomet Manufacturing, Llc Multi-point fit for patient specific guide
US9649170B2 (en) 2007-12-18 2017-05-16 Howmedica Osteonics Corporation Arthroplasty system and related methods
US9675400B2 (en) 2011-04-19 2017-06-13 Biomet Manufacturing, Llc Patient-specific fracture fixation instrumentation and method
US9795399B2 (en) 2006-06-09 2017-10-24 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US9808262B2 (en) 2006-02-15 2017-11-07 Howmedica Osteonics Corporation Arthroplasty devices and related methods
US9820868B2 (en) 2015-03-30 2017-11-21 Biomet Manufacturing, Llc Method and apparatus for a pin apparatus
US9826994B2 (en) 2014-09-29 2017-11-28 Biomet Manufacturing, Llc Adjustable glenoid pin insertion guide
US9826981B2 (en) 2013-03-13 2017-11-28 Biomet Manufacturing, Llc Tangential fit of patient-specific guides
US9833245B2 (en) 2014-09-29 2017-12-05 Biomet Sports Medicine, Llc Tibial tubercule osteotomy
US9839438B2 (en) 2013-03-11 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
US9839436B2 (en) 2014-06-03 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid depth control
US9907659B2 (en) 2007-04-17 2018-03-06 Biomet Manufacturing, Llc Method and apparatus for manufacturing an implant
US9918740B2 (en) 2006-02-27 2018-03-20 Biomet Manufacturing, Llc Backup surgical instrument system and method
US9968376B2 (en) 2010-11-29 2018-05-15 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
GB2556086A (en) * 2016-11-18 2018-05-23 Peninsula Orthopaedics Pty Ltd Leg length correction in hip replacement surgery
EP3113710B1 (en) 2014-02-25 2018-10-10 Jointpoint, Inc. Systems and methods for intra-operative image analysis
US10226262B2 (en) 2015-06-25 2019-03-12 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US10282488B2 (en) 2014-04-25 2019-05-07 Biomet Manufacturing, Llc HTO guide with optional guided ACL/PCL tunnels
US10492798B2 (en) 2011-07-01 2019-12-03 Biomet Manufacturing, Llc Backup kit for a patient-specific arthroplasty kit assembly
US10568647B2 (en) 2015-06-25 2020-02-25 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US10603179B2 (en) 2006-02-27 2020-03-31 Biomet Manufacturing, Llc Patient-specific augments
US10610305B2 (en) 2016-05-22 2020-04-07 DePuy Synthes Products, Inc. Systems and methods for intra-operative image acquisition and calibration
US10722310B2 (en) 2017-03-13 2020-07-28 Zimmer Biomet CMF and Thoracic, LLC Virtual surgery planning system and method
US11051829B2 (en) 2018-06-26 2021-07-06 DePuy Synthes Products, Inc. Customized patient-specific orthopaedic surgical instrument
US11179165B2 (en) 2013-10-21 2021-11-23 Biomet Manufacturing, Llc Ligament guide registration
CN114431957A (en) * 2022-04-12 2022-05-06 北京长木谷医疗科技有限公司 Deep learning-based preoperative planning method for revision after total knee joint replacement
US11344436B2 (en) * 2017-04-12 2022-05-31 Depuy Ireland Unlimited Company Apparatus for hip surgery
US11386556B2 (en) * 2015-12-18 2022-07-12 Orthogrid Systems Holdings, Llc Deformed grid based intra-operative system and method of use
US11419618B2 (en) 2011-10-27 2022-08-23 Biomet Manufacturing, Llc Patient-specific glenoid guides
EP4170591A1 (en) * 2015-12-18 2023-04-26 DePuy Synthes Products, Inc. Systems and methods for intra-operative image analysis
US11887306B2 (en) 2021-08-11 2024-01-30 DePuy Synthes Products, Inc. System and method for intraoperatively determining image alignment

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080021299A1 (en) * 2006-07-18 2008-01-24 Meulink Steven L Method for selecting modular implant components
US20080021567A1 (en) 2006-07-18 2008-01-24 Zimmer Technology, Inc. Modular orthopaedic component case
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
AU2006351469B2 (en) 2006-12-07 2012-10-18 Ihip Surgical, Llc Method and apparatus for total hip replacement
US8579985B2 (en) 2006-12-07 2013-11-12 Ihip Surgical, Llc Method and apparatus for hip replacement
US8562690B1 (en) 2010-04-22 2013-10-22 Zimmer, Inc. Modular revision femoral prosthesis
US8623093B2 (en) 2010-07-07 2014-01-07 Zimmer, Inc. Sleeve for modular revision hip stem
US9216086B2 (en) * 2012-02-01 2015-12-22 Zimmer, Inc. Adjustable provisional component of a medical device
US10575968B2 (en) 2014-05-16 2020-03-03 Howmedica Osteonics Corp. Guides for fracture system
US9681960B2 (en) 2014-05-16 2017-06-20 Howmedica Osteonics Corp. Guides for fracture system
US10940022B2 (en) * 2017-09-19 2021-03-09 Depuy Ireland Unlimited Company Side-specific orthopaedic surgical instrument systems and associated methods of use
CN108542555A (en) * 2018-05-18 2018-09-18 何伟义 A kind of artificial hip joint with pooling feature
US20230277331A1 (en) * 2022-03-02 2023-09-07 DePuy Synthes Products, Inc. Method and Apparatus for Implant Size Determination

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5597384A (en) * 1994-09-13 1997-01-28 Zimmer, Inc. Color coding for implant selection
US20040138754A1 (en) * 2002-10-07 2004-07-15 Imaging Therapeutics, Inc. Minimally invasive joint implant with 3-Dimensional geometry matching the articular surfaces
US20040147926A1 (en) * 2001-04-06 2004-07-29 Iversen Bjorn Franc Computer assisted insertion of an artificial hip joint
US20040171924A1 (en) * 2003-01-30 2004-09-02 Mire David A. Method and apparatus for preplanning a surgical procedure
US20040243481A1 (en) * 2000-04-05 2004-12-02 Therics, Inc. System and method for rapidly customizing design, manufacture and/or selection of biomedical devices
US20050085714A1 (en) * 2003-10-16 2005-04-21 Foley Kevin T. Method and apparatus for surgical navigation of a multiple piece construct for implantation
US20050203384A1 (en) * 2002-06-21 2005-09-15 Marwan Sati Computer assisted system and method for minimal invasive hip, uni knee and total knee replacement
US20070066917A1 (en) * 2005-09-20 2007-03-22 Hodorek Robert A Method for simulating prosthetic implant selection and placement
US20070118243A1 (en) * 2005-10-14 2007-05-24 Vantus Technology Corporation Personal fit medical implants and orthopedic surgical instruments and methods for making
US20070179626A1 (en) * 2005-11-30 2007-08-02 De La Barrera Jose L M Functional joint arthroplasty method
US20070233269A1 (en) * 2001-05-25 2007-10-04 Conformis, Inc. Interpositional Joint Implant
US20080021567A1 (en) * 2006-07-18 2008-01-24 Zimmer Technology, Inc. Modular orthopaedic component case
US20080058945A1 (en) * 2006-03-13 2008-03-06 Mako Surgical Corp. Prosthetic device and system and method for implanting prosthetic device
US20080077003A1 (en) * 2006-09-26 2008-03-27 Karl Barth Method for virtual adaptation of an implant to a body part of a patient

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT1213873B (en) * 1987-08-03 1990-01-05 Cremascoli Spa G STRUCTURE OF HIP PROSTHESIS LIKELY TO BE EASILY ADAPTED TO THE PARTICULAR CONFORMATION OF THE COXO-FEMORAL ARTICULATION OF INDIVIDUAL PATIENTS
US5480439A (en) 1991-02-13 1996-01-02 Lunar Corporation Method for periprosthetic bone mineral density measurement
US5876447A (en) * 1996-02-14 1999-03-02 Implantech Associates Silicone implant for facial plastic surgery
US5800556A (en) * 1996-05-23 1998-09-01 Johnson & Johnson Professional, Inc. Adjustable bipolar-unipolar adaptor for a head trial
US6464728B1 (en) * 1998-04-14 2002-10-15 Ian P. Murray Modular neck for femur replacement surgery
US20050065533A1 (en) 2001-05-31 2005-03-24 Magen Hugh E. Apparatus for assembling anterior cruciate ligament reconstruction system
GB2393625C (en) 2002-09-26 2004-08-18 Meridian Tech Ltd Orthopaedic surgery planning
US7641698B1 (en) 2004-06-04 2010-01-05 Biomet Manufacturing Corp. Modular hip joint implant
US7396448B2 (en) 2004-09-29 2008-07-08 Think Laboratory Co., Ltd. Method for roll to be processed before forming cell and method for grinding roll
GB0500510D0 (en) * 2005-01-11 2005-02-16 Benoist Girard Sas Retentive and removable trial beaaring inser
US20060224244A1 (en) * 2005-03-31 2006-10-05 Zimmer Technology, Inc. Hydrogel implant
US20080021299A1 (en) 2006-07-18 2008-01-24 Meulink Steven L Method for selecting modular implant components
US9114013B2 (en) * 2014-01-24 2015-08-25 J. Randall Jordan Malar implant with dual-plane adhesion

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5597384A (en) * 1994-09-13 1997-01-28 Zimmer, Inc. Color coding for implant selection
US20040243481A1 (en) * 2000-04-05 2004-12-02 Therics, Inc. System and method for rapidly customizing design, manufacture and/or selection of biomedical devices
US20040147926A1 (en) * 2001-04-06 2004-07-29 Iversen Bjorn Franc Computer assisted insertion of an artificial hip joint
US20070233269A1 (en) * 2001-05-25 2007-10-04 Conformis, Inc. Interpositional Joint Implant
US20050203384A1 (en) * 2002-06-21 2005-09-15 Marwan Sati Computer assisted system and method for minimal invasive hip, uni knee and total knee replacement
US20040138754A1 (en) * 2002-10-07 2004-07-15 Imaging Therapeutics, Inc. Minimally invasive joint implant with 3-Dimensional geometry matching the articular surfaces
US20040171924A1 (en) * 2003-01-30 2004-09-02 Mire David A. Method and apparatus for preplanning a surgical procedure
US20050085714A1 (en) * 2003-10-16 2005-04-21 Foley Kevin T. Method and apparatus for surgical navigation of a multiple piece construct for implantation
US20070066917A1 (en) * 2005-09-20 2007-03-22 Hodorek Robert A Method for simulating prosthetic implant selection and placement
US20070118243A1 (en) * 2005-10-14 2007-05-24 Vantus Technology Corporation Personal fit medical implants and orthopedic surgical instruments and methods for making
US20070179626A1 (en) * 2005-11-30 2007-08-02 De La Barrera Jose L M Functional joint arthroplasty method
US20080058945A1 (en) * 2006-03-13 2008-03-06 Mako Surgical Corp. Prosthetic device and system and method for implanting prosthetic device
US20080021567A1 (en) * 2006-07-18 2008-01-24 Zimmer Technology, Inc. Modular orthopaedic component case
US20080077003A1 (en) * 2006-09-26 2008-03-27 Karl Barth Method for virtual adaptation of an implant to a body part of a patient

Cited By (222)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9017336B2 (en) 2006-02-15 2015-04-28 Otismed Corporation Arthroplasty devices and related methods
US9808262B2 (en) 2006-02-15 2017-11-07 Howmedica Osteonics Corporation Arthroplasty devices and related methods
US8900244B2 (en) 2006-02-27 2014-12-02 Biomet Manufacturing, Llc Patient-specific acetabular guide and method
US9289253B2 (en) 2006-02-27 2016-03-22 Biomet Manufacturing, Llc Patient-specific shoulder guide
US20080312659A1 (en) * 2006-02-27 2008-12-18 Biomet Manufacturing Corp. Patient specific alignment guide and inter-operative adjustment
US20090024131A1 (en) * 2006-02-27 2009-01-22 Biomet Manufacturing Corp. Patient specific guides
US9345548B2 (en) 2006-02-27 2016-05-24 Biomet Manufacturing, Llc Patient-specific pre-operative planning
US9339278B2 (en) 2006-02-27 2016-05-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US20090163922A1 (en) * 2006-02-27 2009-06-25 Biomet Manufacturing Corp. Patient Specific Acetabular Guide And Method
US9480490B2 (en) 2006-02-27 2016-11-01 Biomet Manufacturing, Llc Patient-specific guides
US9480580B2 (en) 2006-02-27 2016-11-01 Biomet Manufacturing, Llc Patient-specific acetabular alignment guides
US9522010B2 (en) 2006-02-27 2016-12-20 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US9539013B2 (en) 2006-02-27 2017-01-10 Biomet Manufacturing, Llc Patient-specific elbow guides and associated methods
US9662127B2 (en) 2006-02-27 2017-05-30 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US20100087829A1 (en) * 2006-02-27 2010-04-08 Biomet Manufacturing Corp. Patient Specific Alignment Guide With Cutting Surface and Laser Indicator
US9662216B2 (en) 2006-02-27 2017-05-30 Biomet Manufacturing, Llc Patient-specific hip joint devices
US20100152782A1 (en) * 2006-02-27 2010-06-17 Biomet Manufactring Corp. Patient Specific High Tibia Osteotomy
US9700329B2 (en) 2006-02-27 2017-07-11 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US11534313B2 (en) 2006-02-27 2022-12-27 Biomet Manufacturing, Llc Patient-specific pre-operative planning
US20110015636A1 (en) * 2006-02-27 2011-01-20 Biomet Manufacturing Corp. Patient-Specific Elbow Guides and Associated Methods
US20110093086A1 (en) * 2006-02-27 2011-04-21 Witt Tyler D Patient-Specific Hip Joint Devices
US20110092804A1 (en) * 2006-02-27 2011-04-21 Biomet Manufacturing Corp. Patient-Specific Pre-Operative Planning
US9173661B2 (en) 2006-02-27 2015-11-03 Biomet Manufacturing, Llc Patient specific alignment guide with cutting surface and laser indicator
US20110160736A1 (en) * 2006-02-27 2011-06-30 Biomet Manufacturing Corp. Patient-specific femoral guide
US20110166578A1 (en) * 2006-02-27 2011-07-07 Biomet Manufacturing Corp. Alignment guides with patient-specific anchoring elements
US20110172672A1 (en) * 2006-02-27 2011-07-14 Biomet Manufacturing Corp. Instrument with transparent portion for use with patient-specific alignment guide
US9113971B2 (en) 2006-02-27 2015-08-25 Biomet Manufacturing, Llc Femoral acetabular impingement guide
US20110190899A1 (en) * 2006-02-27 2011-08-04 Biomet Manufacturing Corp. Patient-specific augments
US9005297B2 (en) 2006-02-27 2015-04-14 Biomet Manufacturing, Llc Patient-specific elbow guides and associated methods
US9913734B2 (en) 2006-02-27 2018-03-13 Biomet Manufacturing, Llc Patient-specific acetabular alignment guides
US9918740B2 (en) 2006-02-27 2018-03-20 Biomet Manufacturing, Llc Backup surgical instrument system and method
US10743937B2 (en) 2006-02-27 2020-08-18 Biomet Manufacturing, Llc Backup surgical instrument system and method
US8070752B2 (en) 2006-02-27 2011-12-06 Biomet Manufacturing Corp. Patient specific alignment guide and inter-operative adjustment
US8864769B2 (en) 2006-02-27 2014-10-21 Biomet Manufacturing, Llc Alignment guides with patient-specific anchoring elements
US8133234B2 (en) 2006-02-27 2012-03-13 Biomet Manufacturing Corp. Patient specific acetabular guide and method
US10603179B2 (en) 2006-02-27 2020-03-31 Biomet Manufacturing, Llc Patient-specific augments
US8241293B2 (en) 2006-02-27 2012-08-14 Biomet Manufacturing Corp. Patient specific high tibia osteotomy
US20080161815A1 (en) * 2006-02-27 2008-07-03 Biomet Manufacturing Corp. Patient Specific Knee Alignment Guide And Associated Method
US8282646B2 (en) 2006-02-27 2012-10-09 Biomet Manufacturing Corp. Patient specific knee alignment guide and associated method
US8828087B2 (en) 2006-02-27 2014-09-09 Biomet Manufacturing, Llc Patient-specific high tibia osteotomy
US10206695B2 (en) 2006-02-27 2019-02-19 Biomet Manufacturing, Llc Femoral acetabular impingement guide
US10278711B2 (en) 2006-02-27 2019-05-07 Biomet Manufacturing, Llc Patient-specific femoral guide
US10390845B2 (en) 2006-02-27 2019-08-27 Biomet Manufacturing, Llc Patient-specific shoulder guide
US8608749B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US8377066B2 (en) * 2006-02-27 2013-02-19 Biomet Manufacturing Corp. Patient-specific elbow guides and associated methods
US8608748B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient specific guides
US8603180B2 (en) 2006-02-27 2013-12-10 Biomet Manufacturing, Llc Patient-specific acetabular alignment guides
US10426492B2 (en) 2006-02-27 2019-10-01 Biomet Manufacturing, Llc Patient specific alignment guide with cutting surface and laser indicator
US8591516B2 (en) 2006-02-27 2013-11-26 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US8568487B2 (en) 2006-02-27 2013-10-29 Biomet Manufacturing, Llc Patient-specific hip joint devices
US8535387B2 (en) 2006-02-27 2013-09-17 Biomet Manufacturing, Llc Patient-specific tools and implants
US10507029B2 (en) 2006-02-27 2019-12-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US8858561B2 (en) 2006-06-09 2014-10-14 Blomet Manufacturing, LLC Patient-specific alignment guide
US10893879B2 (en) 2006-06-09 2021-01-19 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US8298237B2 (en) 2006-06-09 2012-10-30 Biomet Manufacturing Corp. Patient-specific alignment guide for multiple incisions
US9993344B2 (en) 2006-06-09 2018-06-12 Biomet Manufacturing, Llc Patient-modified implant
US20070288030A1 (en) * 2006-06-09 2007-12-13 Biomet Manufacturing Corp. Patient Specific Knee Alignment Guide And Associated Method
US8979936B2 (en) 2006-06-09 2015-03-17 Biomet Manufacturing, Llc Patient-modified implant
US20090254093A1 (en) * 2006-06-09 2009-10-08 Biomet Manufacturing Corp. Patient-Specific Alignment Guide
US9795399B2 (en) 2006-06-09 2017-10-24 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US8092465B2 (en) 2006-06-09 2012-01-10 Biomet Manufacturing Corp. Patient specific knee alignment guide and associated method
US8398646B2 (en) 2006-06-09 2013-03-19 Biomet Manufacturing Corp. Patient-specific knee alignment guide and associated method
US11576689B2 (en) 2006-06-09 2023-02-14 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US10206697B2 (en) 2006-06-09 2019-02-19 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US9861387B2 (en) 2006-06-09 2018-01-09 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US20080114370A1 (en) * 2006-06-09 2008-05-15 Biomet Manufacturing Corp. Patient-Specific Alignment Guide For Multiple Incisions
US20080147072A1 (en) * 2006-12-18 2008-06-19 Ilwhan Park Arthroplasty devices and related methods
US8460302B2 (en) 2006-12-18 2013-06-11 Otismed Corporation Arthroplasty devices and related methods
US20110184526A1 (en) * 2007-04-17 2011-07-28 Biomet Manufacturing Corp. Patient-modified implant
US7967868B2 (en) 2007-04-17 2011-06-28 Biomet Manufacturing Corp. Patient-modified implant and associated method
US9907659B2 (en) 2007-04-17 2018-03-06 Biomet Manufacturing, Llc Method and apparatus for manufacturing an implant
US11554019B2 (en) 2007-04-17 2023-01-17 Biomet Manufacturing, Llc Method and apparatus for manufacturing an implant
US8407067B2 (en) 2007-04-17 2013-03-26 Biomet Manufacturing Corp. Method and apparatus for manufacturing an implant
US20090254367A1 (en) * 2007-04-17 2009-10-08 Biomet Manufacturing Corp. Method and Apparatus for Manufacturing an Implant
US8473305B2 (en) 2007-04-17 2013-06-25 Biomet Manufacturing Corp. Method and apparatus for manufacturing an implant
US8486150B2 (en) 2007-04-17 2013-07-16 Biomet Manufacturing Corp. Patient-modified implant
US20140373375A1 (en) * 2007-04-28 2014-12-25 Depuy International Limited Determining the offset of the head part of an orthopaedic joint prosthesis stem component
US8265949B2 (en) 2007-09-27 2012-09-11 Depuy Products, Inc. Customized patient surgical plan
US8357166B2 (en) 2007-09-30 2013-01-22 Depuy Products, Inc. Customized patient-specific instrumentation and method for performing a bone re-cut
US8343159B2 (en) 2007-09-30 2013-01-01 Depuy Products, Inc. Orthopaedic bone saw and method of use thereof
US11696768B2 (en) 2007-09-30 2023-07-11 DePuy Synthes Products, Inc. Apparatus and method for fabricating a customized patient-specific orthopaedic instrument
US10028750B2 (en) 2007-09-30 2018-07-24 DePuy Synthes Products, Inc. Apparatus and method for fabricating a customized patient-specific orthopaedic instrument
US10828046B2 (en) 2007-09-30 2020-11-10 DePuy Synthes Products, Inc. Apparatus and method for fabricating a customized patient-specific orthopaedic instrument
US8398645B2 (en) 2007-09-30 2013-03-19 DePuy Synthes Products, LLC Femoral tibial customized patient-specific orthopaedic surgical instrumentation
US8377068B2 (en) 2007-09-30 2013-02-19 DePuy Synthes Products, LLC. Customized patient-specific instrumentation for use in orthopaedic surgical procedures
US8361076B2 (en) 2007-09-30 2013-01-29 Depuy Products, Inc. Patient-customizable device and system for performing an orthopaedic surgical procedure
US8357111B2 (en) 2007-09-30 2013-01-22 Depuy Products, Inc. Method and system for designing patient-specific orthopaedic surgical instruments
US8460303B2 (en) 2007-10-25 2013-06-11 Otismed Corporation Arthroplasty systems and devices, and related methods
US20090110498A1 (en) * 2007-10-25 2009-04-30 Ilwhan Park Arthroplasty systems and devices, and related methods
USD691719S1 (en) 2007-10-25 2013-10-15 Otismed Corporation Arthroplasty jig blank
US10582934B2 (en) 2007-11-27 2020-03-10 Howmedica Osteonics Corporation Generating MRI images usable for the creation of 3D bone models employed to make customized arthroplasty jigs
US20090138020A1 (en) * 2007-11-27 2009-05-28 Otismed Corporation Generating mri images usable for the creation of 3d bone models employed to make customized arthroplasty jigs
US8715291B2 (en) 2007-12-18 2014-05-06 Otismed Corporation Arthroplasty system and related methods
US8617171B2 (en) 2007-12-18 2013-12-31 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
US8737700B2 (en) 2007-12-18 2014-05-27 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
US8968320B2 (en) 2007-12-18 2015-03-03 Otismed Corporation System and method for manufacturing arthroplasty jigs
US20100042105A1 (en) * 2007-12-18 2010-02-18 Otismed Corporation Arthroplasty system and related methods
US9649170B2 (en) 2007-12-18 2017-05-16 Howmedica Osteonics Corporation Arthroplasty system and related methods
US20110214279A1 (en) * 2007-12-18 2011-09-08 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
US8734455B2 (en) 2008-02-29 2014-05-27 Otismed Corporation Hip resurfacing surgical guide tool
US20090222015A1 (en) * 2008-02-29 2009-09-03 Otismed Corporation Hip resurfacing surgical guide tool
US9408618B2 (en) 2008-02-29 2016-08-09 Howmedica Osteonics Corporation Total hip replacement surgical guide tool
US10159498B2 (en) 2008-04-16 2018-12-25 Biomet Manufacturing, Llc Method and apparatus for manufacturing an implant
US9646113B2 (en) 2008-04-29 2017-05-09 Howmedica Osteonics Corporation Generation of a computerized bone model representative of a pre-degenerated state and useable in the design and manufacture of arthroplasty devices
US8480679B2 (en) 2008-04-29 2013-07-09 Otismed Corporation Generation of a computerized bone model representative of a pre-degenerated state and useable in the design and manufacture of arthroplasty devices
US8532361B2 (en) 2008-04-30 2013-09-10 Otismed Corporation System and method for image segmentation in generating computer models of a joint to undergo arthroplasty
US8483469B2 (en) 2008-04-30 2013-07-09 Otismed Corporation System and method for image segmentation in generating computer models of a joint to undergo arthroplasty
US9208263B2 (en) 2008-04-30 2015-12-08 Howmedica Osteonics Corporation System and method for image segmentation in generating computer models of a joint to undergo arthroplasty
US8777875B2 (en) 2008-07-23 2014-07-15 Otismed Corporation System and method for manufacturing arthroplasty jigs having improved mating accuracy
US20100023015A1 (en) * 2008-07-23 2010-01-28 Otismed Corporation System and method for manufacturing arthroplasty jigs having improved mating accuracy
US20100100193A1 (en) * 2008-10-22 2010-04-22 Biomet Manufacturing Corp. Patient matched hip system
US20100152741A1 (en) * 2008-12-16 2010-06-17 Otismed Corporation Unicompartmental customized arthroplasty cutting jigs and methods of making the same
US8617175B2 (en) 2008-12-16 2013-12-31 Otismed Corporation Unicompartmental customized arthroplasty cutting jigs and methods of making the same
US8170641B2 (en) 2009-02-20 2012-05-01 Biomet Manufacturing Corp. Method of imaging an extremity of a patient
US20100217109A1 (en) * 2009-02-20 2010-08-26 Biomet Manufacturing Corp. Mechanical Axis Alignment Using MRI Imaging
US9839433B2 (en) 2009-08-13 2017-12-12 Biomet Manufacturing, Llc Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis
US10052110B2 (en) 2009-08-13 2018-08-21 Biomet Manufacturing, Llc Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis
US9393028B2 (en) 2009-08-13 2016-07-19 Biomet Manufacturing, Llc Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis
US11324522B2 (en) 2009-10-01 2022-05-10 Biomet Manufacturing, Llc Patient specific alignment guide with cutting surface and laser indicator
US9456833B2 (en) 2010-02-26 2016-10-04 Biomet Sports Medicine, Llc Patient-specific osteotomy devices and methods
US20110213376A1 (en) * 2010-02-26 2011-09-01 Biomet Sports Medicine, Llc Patient-Specific Osteotomy Devices and Methods
US8632547B2 (en) 2010-02-26 2014-01-21 Biomet Sports Medicine, Llc Patient-specific osteotomy devices and methods
US20110218545A1 (en) * 2010-03-04 2011-09-08 Biomet Manufacturing Corp. Patient-specific computed tomography guides
US9066727B2 (en) 2010-03-04 2015-06-30 Materialise Nv Patient-specific computed tomography guides
US9579112B2 (en) 2010-03-04 2017-02-28 Materialise N.V. Patient-specific computed tomography guides
US10893876B2 (en) 2010-03-05 2021-01-19 Biomet Manufacturing, Llc Method and apparatus for manufacturing an implant
JP2011194229A (en) * 2010-03-22 2011-10-06 Ceram Concept Llc Module type cervix-shaped prosthesis element, and prosthesis assembly
US9271744B2 (en) 2010-09-29 2016-03-01 Biomet Manufacturing, Llc Patient-specific guide for partial acetabular socket replacement
US10098648B2 (en) 2010-09-29 2018-10-16 Biomet Manufacturing, Llc Patient-specific guide for partial acetabular socket replacement
US11234719B2 (en) 2010-11-03 2022-02-01 Biomet Manufacturing, Llc Patient-specific shoulder guide
US9968376B2 (en) 2010-11-29 2018-05-15 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US9241745B2 (en) 2011-03-07 2016-01-26 Biomet Manufacturing, Llc Patient-specific femoral version guide
US9743935B2 (en) 2011-03-07 2017-08-29 Biomet Manufacturing, Llc Patient-specific femoral version guide
US9445907B2 (en) 2011-03-07 2016-09-20 Biomet Manufacturing, Llc Patient-specific tools and implants
US9717510B2 (en) 2011-04-15 2017-08-01 Biomet Manufacturing, Llc Patient-specific numerically controlled instrument
US8715289B2 (en) 2011-04-15 2014-05-06 Biomet Manufacturing, Llc Patient-specific numerically controlled instrument
US10251690B2 (en) 2011-04-19 2019-04-09 Biomet Manufacturing, Llc Patient-specific fracture fixation instrumentation and method
US9675400B2 (en) 2011-04-19 2017-06-13 Biomet Manufacturing, Llc Patient-specific fracture fixation instrumentation and method
US9474539B2 (en) 2011-04-29 2016-10-25 Biomet Manufacturing, Llc Patient-specific convertible guides
US9743940B2 (en) 2011-04-29 2017-08-29 Biomet Manufacturing, Llc Patient-specific partial knee guides and other instruments
US8956364B2 (en) 2011-04-29 2015-02-17 Biomet Manufacturing, Llc Patient-specific partial knee guides and other instruments
US8668700B2 (en) 2011-04-29 2014-03-11 Biomet Manufacturing, Llc Patient-specific convertible guides
US8903530B2 (en) 2011-06-06 2014-12-02 Biomet Manufacturing, Llc Pre-operative planning and manufacturing method for orthopedic procedure
US8532807B2 (en) 2011-06-06 2013-09-10 Biomet Manufacturing, Llc Pre-operative planning and manufacturing method for orthopedic procedure
US9757238B2 (en) 2011-06-06 2017-09-12 Biomet Manufacturing, Llc Pre-operative planning and manufacturing method for orthopedic procedure
US9687261B2 (en) 2011-06-13 2017-06-27 Biomet Manufacturing, Llc Drill guides for confirming alignment of patient-specific alignment guides
US9084618B2 (en) 2011-06-13 2015-07-21 Biomet Manufacturing, Llc Drill guides for confirming alignment of patient-specific alignment guides
US11253269B2 (en) 2011-07-01 2022-02-22 Biomet Manufacturing, Llc Backup kit for a patient-specific arthroplasty kit assembly
US8764760B2 (en) 2011-07-01 2014-07-01 Biomet Manufacturing, Llc Patient-specific bone-cutting guidance instruments and methods
US9668747B2 (en) 2011-07-01 2017-06-06 Biomet Manufacturing, Llc Patient-specific-bone-cutting guidance instruments and methods
US9173666B2 (en) 2011-07-01 2015-11-03 Biomet Manufacturing, Llc Patient-specific-bone-cutting guidance instruments and methods
US10492798B2 (en) 2011-07-01 2019-12-03 Biomet Manufacturing, Llc Backup kit for a patient-specific arthroplasty kit assembly
US8597365B2 (en) 2011-08-04 2013-12-03 Biomet Manufacturing, Llc Patient-specific pelvic implants for acetabular reconstruction
US9427320B2 (en) 2011-08-04 2016-08-30 Biomet Manufacturing, Llc Patient-specific pelvic implants for acetabular reconstruction
US9603613B2 (en) 2011-08-31 2017-03-28 Biomet Manufacturing, Llc Patient-specific sacroiliac guides and associated methods
US9066734B2 (en) 2011-08-31 2015-06-30 Biomet Manufacturing, Llc Patient-specific sacroiliac guides and associated methods
US9295497B2 (en) 2011-08-31 2016-03-29 Biomet Manufacturing, Llc Patient-specific sacroiliac and pedicle guides
US9439659B2 (en) 2011-08-31 2016-09-13 Biomet Manufacturing, Llc Patient-specific sacroiliac guides and associated methods
US11406398B2 (en) 2011-09-29 2022-08-09 Biomet Manufacturing, Llc Patient-specific femoroacetabular impingement instruments and methods
US10456205B2 (en) 2011-09-29 2019-10-29 Biomet Manufacturing, Llc Patient-specific femoroacetabular impingement instruments and methods
US9386993B2 (en) 2011-09-29 2016-07-12 Biomet Manufacturing, Llc Patient-specific femoroacetabular impingement instruments and methods
US9554910B2 (en) 2011-10-27 2017-01-31 Biomet Manufacturing, Llc Patient-specific glenoid guide and implants
US10842510B2 (en) 2011-10-27 2020-11-24 Biomet Manufacturing, Llc Patient specific glenoid guide
US11602360B2 (en) 2011-10-27 2023-03-14 Biomet Manufacturing, Llc Patient specific glenoid guide
US9351743B2 (en) 2011-10-27 2016-05-31 Biomet Manufacturing, Llc Patient-specific glenoid guides
US11419618B2 (en) 2011-10-27 2022-08-23 Biomet Manufacturing, Llc Patient-specific glenoid guides
US11298188B2 (en) 2011-10-27 2022-04-12 Biomet Manufacturing, Llc Methods for patient-specific shoulder arthroplasty
US9936962B2 (en) 2011-10-27 2018-04-10 Biomet Manufacturing, Llc Patient specific glenoid guide
US9451973B2 (en) 2011-10-27 2016-09-27 Biomet Manufacturing, Llc Patient specific glenoid guide
US9301812B2 (en) 2011-10-27 2016-04-05 Biomet Manufacturing, Llc Methods for patient-specific shoulder arthroplasty
US10426493B2 (en) 2011-10-27 2019-10-01 Biomet Manufacturing, Llc Patient-specific glenoid guides
US10426549B2 (en) 2011-10-27 2019-10-01 Biomet Manufacturing, Llc Methods for patient-specific shoulder arthroplasty
US9827106B2 (en) 2012-02-02 2017-11-28 Biomet Manufacturing, Llc Implant with patient-specific porous structure
US9237950B2 (en) 2012-02-02 2016-01-19 Biomet Manufacturing, Llc Implant with patient-specific porous structure
US9402637B2 (en) 2012-10-11 2016-08-02 Howmedica Osteonics Corporation Customized arthroplasty cutting guides and surgical methods using the same
FR2997840A1 (en) * 2012-11-09 2014-05-16 X Nov Ip Femoral part kit for total prosthesis of hip, has collar forming parts that are able to cooperate with common femoral rod in two relative positions that are able to be turned with regard to each other at specific angle
US9597201B2 (en) 2012-12-11 2017-03-21 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US9204977B2 (en) 2012-12-11 2015-12-08 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US9060788B2 (en) 2012-12-11 2015-06-23 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US9839438B2 (en) 2013-03-11 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
US11617591B2 (en) 2013-03-11 2023-04-04 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
US10441298B2 (en) 2013-03-11 2019-10-15 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
US9579107B2 (en) 2013-03-12 2017-02-28 Biomet Manufacturing, Llc Multi-point fit for patient specific guide
US9700325B2 (en) 2013-03-12 2017-07-11 Biomet Manufacturing, Llc Multi-point fit for patient specific guide
US9826981B2 (en) 2013-03-13 2017-11-28 Biomet Manufacturing, Llc Tangential fit of patient-specific guides
US11191549B2 (en) 2013-03-13 2021-12-07 Biomet Manufacturing, Llc Tangential fit of patient-specific guides
US10426491B2 (en) 2013-03-13 2019-10-01 Biomet Manufacturing, Llc Tangential fit of patient-specific guides
US9498233B2 (en) 2013-03-13 2016-11-22 Biomet Manufacturing, Llc. Universal acetabular guide and associated hardware
US10376270B2 (en) 2013-03-13 2019-08-13 Biomet Manufacturing, Llc Universal acetabular guide and associated hardware
US9517145B2 (en) 2013-03-15 2016-12-13 Biomet Manufacturing, Llc Guide alignment system and method
US11179165B2 (en) 2013-10-21 2021-11-23 Biomet Manufacturing, Llc Ligament guide registration
US10758198B2 (en) 2014-02-25 2020-09-01 DePuy Synthes Products, Inc. Systems and methods for intra-operative image analysis
EP3113710B1 (en) 2014-02-25 2018-10-10 Jointpoint, Inc. Systems and methods for intra-operative image analysis
US20160100909A1 (en) * 2014-02-25 2016-04-14 JointPoint, Inc. Systems and Methods for Intra-Operative Image Analysis
US10765384B2 (en) 2014-02-25 2020-09-08 DePuy Synthes Products, Inc. Systems and methods for intra-operative image analysis
US11642174B2 (en) 2014-02-25 2023-05-09 DePuy Synthes Products, Inc. Systems and methods for intra-operative image analysis
US11534127B2 (en) 2014-02-25 2022-12-27 DePuy Synthes Products, Inc. Systems and methods for intra-operative image analysis
US10433914B2 (en) * 2014-02-25 2019-10-08 JointPoint, Inc. Systems and methods for intra-operative image analysis
US10282488B2 (en) 2014-04-25 2019-05-07 Biomet Manufacturing, Llc HTO guide with optional guided ACL/PCL tunnels
US9408616B2 (en) 2014-05-12 2016-08-09 Biomet Manufacturing, Llc Humeral cut guide
US9839436B2 (en) 2014-06-03 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid depth control
US9561040B2 (en) 2014-06-03 2017-02-07 Biomet Manufacturing, Llc Patient-specific glenoid depth control
US10335162B2 (en) 2014-09-29 2019-07-02 Biomet Sports Medicine, Llc Tibial tubercle osteotomy
US9833245B2 (en) 2014-09-29 2017-12-05 Biomet Sports Medicine, Llc Tibial tubercule osteotomy
US11026699B2 (en) 2014-09-29 2021-06-08 Biomet Manufacturing, Llc Tibial tubercule osteotomy
US9826994B2 (en) 2014-09-29 2017-11-28 Biomet Manufacturing, Llc Adjustable glenoid pin insertion guide
FR3031895A1 (en) * 2015-01-28 2016-07-29 Orthonova FEMORAL IMPLANT FOR THE RESTORATION OF A HIP JOINT OF A PATIENT, SET OF IMPLANTS AND METHOD FOR MANUFACTURING SUCH AN IMPLANT.
US9820868B2 (en) 2015-03-30 2017-11-21 Biomet Manufacturing, Llc Method and apparatus for a pin apparatus
US10925622B2 (en) 2015-06-25 2021-02-23 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US11801064B2 (en) 2015-06-25 2023-10-31 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US10568647B2 (en) 2015-06-25 2020-02-25 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US10226262B2 (en) 2015-06-25 2019-03-12 Biomet Manufacturing, Llc Patient-specific humeral guide designs
EP4170591A1 (en) * 2015-12-18 2023-04-26 DePuy Synthes Products, Inc. Systems and methods for intra-operative image analysis
US11386556B2 (en) * 2015-12-18 2022-07-12 Orthogrid Systems Holdings, Llc Deformed grid based intra-operative system and method of use
US10610305B2 (en) 2016-05-22 2020-04-07 DePuy Synthes Products, Inc. Systems and methods for intra-operative image acquisition and calibration
US10959782B2 (en) 2016-05-22 2021-03-30 DePuy Synthes Products, Inc. Systems and methods for intra-operative image acquisition and calibration
GB2556086A (en) * 2016-11-18 2018-05-23 Peninsula Orthopaedics Pty Ltd Leg length correction in hip replacement surgery
US10722310B2 (en) 2017-03-13 2020-07-28 Zimmer Biomet CMF and Thoracic, LLC Virtual surgery planning system and method
US11344436B2 (en) * 2017-04-12 2022-05-31 Depuy Ireland Unlimited Company Apparatus for hip surgery
US11051829B2 (en) 2018-06-26 2021-07-06 DePuy Synthes Products, Inc. Customized patient-specific orthopaedic surgical instrument
US11887306B2 (en) 2021-08-11 2024-01-30 DePuy Synthes Products, Inc. System and method for intraoperatively determining image alignment
CN114431957A (en) * 2022-04-12 2022-05-06 北京长木谷医疗科技有限公司 Deep learning-based preoperative planning method for revision after total knee joint replacement

Also Published As

Publication number Publication date
US8428693B2 (en) 2013-04-23
US9980828B2 (en) 2018-05-29
US20100198351A1 (en) 2010-08-05
US20130079888A1 (en) 2013-03-28
US9987147B2 (en) 2018-06-05
US20090270996A1 (en) 2009-10-29

Similar Documents

Publication Publication Date Title
US9987147B2 (en) System for selecting modular implant components
US8202324B2 (en) Modular orthopaedic component case
US20220079605A1 (en) Surgical technique and instrumentation for minimal incision hip arthroplasty surgery
US10624655B2 (en) System and method for association of a guiding aid with a patient tissue
Tarwala et al. Robotic assisted total hip arthroplasty using the MAKO platform
US20150342616A1 (en) Patient-specific instruments for total hip arthroplasty
US5007936A (en) Surgical method for hip joint replacement
US9522008B2 (en) System and method of bone preparation
Grützner et al. C-arm based navigation in total hip arthroplasty-background and clinical experience
US20210145517A1 (en) Implant alignment system
Wentzensen et al. Image-based hip navigation
Barrett et al. Preoperative planning and intraoperative guidance for accurate computer-assisted minimally invasive hip resurfacing surgery
Kunz et al. Patient-specific surgical guidance system for intelligent orthopaedics
US20220346968A1 (en) Method for Planning an Orthopedic Procedure
Babisch et al. Computer-assisted biomechanically based two-dimensional planning of hip surgery
Marchand et al. Mako® Robotic-Arm Assisted Total Hip Arthroplasty: Avoiding Impingement with Updated THA Software
Dalrymple et al. Overview of Robotics in Total Hip Arthroplasty
Moralidou The use of 3D-CT Planning and Patient Specific Instrumentation in Total Hip Arthroplasty: Pre-, Intra-and Post-Operative Evaluation
Moralidou et al. Guiding prosthetic femoral version using 3D-printed patient-specific instrumentation (PSI): a pilot study
Honl et al. Comparison of robotic versus manual implantation of cementless primary total hip replacement—a prospective clinical study
Dorr CURRENT ROBOTIC SYSTEMS APPLIED TO SURGERY

Legal Events

Date Code Title Description
AS Assignment

Owner name: ZIMMER TECHNOLOGY, INC., INDIANA

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:MEULINK, STEVEN L.;REEL/FRAME:017999/0527

Effective date: 20060720

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION

AS Assignment

Owner name: ZIMMER, INC., INDIANA

Free format text: MERGER;ASSIGNOR:ZIMMER TECHNOLOGY, INC.;REEL/FRAME:029698/0017

Effective date: 20121127