CA2126627A1 - Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment - Google Patents

Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment

Info

Publication number
CA2126627A1
CA2126627A1 CA002126627A CA2126627A CA2126627A1 CA 2126627 A1 CA2126627 A1 CA 2126627A1 CA 002126627 A CA002126627 A CA 002126627A CA 2126627 A CA2126627 A CA 2126627A CA 2126627 A1 CA2126627 A1 CA 2126627A1
Authority
CA
Canada
Prior art keywords
guide
milling
instrumentation
cutting guide
bases
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002126627A
Other languages
French (fr)
Other versions
CA2126627C (en
Inventor
Kim C. Bertin
Dennis W. Burke
Gregory C. Stalcup
Rodney L. Bays
Richard D. Vanlaningham
Terry L. Deitz
Daniel O'connor
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.)
Bristol Myers Squibb Co
Original Assignee
Bristol Myers Squibb Co
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 claimed from US08/169,459 external-priority patent/US5474559A/en
Application filed by Bristol Myers Squibb Co filed Critical Bristol Myers Squibb Co
Publication of CA2126627A1 publication Critical patent/CA2126627A1/en
Application granted granted Critical
Publication of CA2126627C publication Critical patent/CA2126627C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A61B17/154—Guides therefor for preparing bone for knee prosthesis
    • A61B17/155—Cutting femur
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B2017/1602—Mills

Abstract

The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.
CA002126627A 1993-07-06 1994-06-23 Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment Expired - Fee Related CA2126627C (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US8793393A 1993-07-06 1993-07-06
US08/087,933 1993-07-06
US08/169,459 US5474559A (en) 1993-07-06 1993-12-17 Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment
US08/169,459 1993-12-17

Publications (2)

Publication Number Publication Date
CA2126627A1 true CA2126627A1 (en) 1995-01-07
CA2126627C CA2126627C (en) 2005-01-25

Family

ID=26777535

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002126627A Expired - Fee Related CA2126627C (en) 1993-07-06 1994-06-23 Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment

Country Status (4)

Country Link
US (3) US5853415A (en)
JP (5) JP3626227B2 (en)
AU (2) AU673433B2 (en)
CA (1) CA2126627C (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0726063A1 (en) * 1995-02-13 1996-08-14 Bristol-Myers Squibb Company Orthopaedic milling guide with cutter lockout
FR2731897A1 (en) * 1995-03-22 1996-09-27 Cedior Tibia cutter for fitting total knee prosthesis

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