US20160324646A1 - Marking template for installing a custom replacement device for resurfacing a femur and associated installation method - Google Patents

Abstract

A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

Description

RELATED APPLICATIONS
• This application is a Continuation of U.S. utility application Ser. No. 14/629,374, filed Feb. 23, 2015, still pending, which is a Continuation of U.S. utility application Ser. No. 14/205,840, filed Mar. 12, 2014, now issued as U.S. Pat. No. 8,961,529, which is a Continuation of U.S. utility application Ser. No. 13/096,868, filed Apr. 28, 2011, now issued as U.S. Pat. No. 8,771,281, which is a Continuation of U.S. utility application Ser. No. 12/120,581, filed May 14, 2008, now issued as U.S. Pat. No. 7,935,150, which is a Continuation of U.S. utility application Ser. No. 11/030,868, filed Jan. 7, 2005, now issued as U.S. Pat. No. 7,517,365, which is a Divisional of U.S. utility application Ser. No. 10/712,436, filed Nov. 12, 2003, now issued as U.S. Pat. No. 6,905,514, which is a Divisional of U.S. utility application Ser. No. 09/528,128, filed Mar. 17, 2000, now issued as U.S. Pat. No. 6,712,856, the contents of all of which are herein incorporated by reference in their entirety.
BACKGROUND OF THE INVENTION
• 1. Field of Invention
• The invention relates generally to a replacement device for a knee joint, and more particularly, to a device for resurfacing the trochlear groove of a femur that is customized to an individual and to methods for installing and making the same.
• 2. Description of the Related Art
• The human knee joint primarily includes three parts, anatomically referred to as the femur (thighbone), the tibia (shinbone) and the patella (kneecap). The knee joint is then further subdivided into two joints: the patella-femoral joint (space between the kneecap and distal anterior surface of the thighbone) and the tibia-femoral (space between the thighbone and shinbone).
• During normal bending and straightening of the leg, the patella (kneecap) slides over the femur (thighbone) within a groove that is located on the front distal surface of the femur. This groove is referred to as the trochlear groove. Several types of abnormalities can occur with the movement of the patella over the femur. For example, the patella may dislocate or slip out of place, it may fracture, or develop a tracking problem. Normally, the patella tracks, or glides within the central region of the trochlear groove. A tracking problem occurs when the patella no longer remains centered within the groove as it glides over the femur. The resulting abnormal biomechanics can cause chronic pain in the joint and if left untreated, it can lead to degenerative arthritis.
• The distal end of the femur (within which resides the trochlear groove) is covered with articular cartilage. This cartilage functions as a cushion between the femur and the tibia. In arthritis of the knee joint, the articular cartilage breaks down, either from abnormal wear as mentioned above, or from injury, age, congenital predisposition, inflammatory arthritis, or obesity, etc. When this cartilage breaks down, the cushion is lost, resulting in pain, swelling, bone spur formation and/or decreased range of motion of the knee joint.
• Due to the inability of damaged cartilage to repair itself after injury, the range of treatment for patients with unicompartmental disease involving the patella is limited. The most commonly prescribed treatments included soft tissue releases and/or realignment of the patellar tendon, patellectomy, where the patella is completely removed, or a total knee replacement with a standardized patello-femoral-tibial prosthesis. In certain instances none of these procedures may be desirable or effective. For example, the soft tissue procedures may not work. A patient having undergone a patellectomy is left partially crippled due to the loss of the kneecap, which served to hold the joint together. Additionally, these patients often still suffer from pain due to contact of the remaining tendon moving directly over the groove. A total knee replacement with a standardized prosthesis is also far from ideal because much of the femur bone must be carved away in order to “fit” the distal surface of the femur to the standardized prosthesis. Additionally, the patients are often young and are likely to require replacement of the prosthesis. Each revision operation is more difficult. Therefore, there still is a need for a better treatment of patients with degenerative arthritis of their patella-femoral joint.
• The present invention provides a replacement device that is customized to each individual knee joint. Due to the “fitting” of the replacement device to the patient's femur, instead of the reverse as is the case with standard prosthetic devices, the patient's original range and force of motion (kinematics) through the knee joint is preserved and the patient does not suffer from device-related pain. Also included is a method for making a customized replacement device and a marking template for such a device. Bone stock removal is limited and functionally is maximized
BRIEF SUMMARY OF THE INVENTION
• The present invention is directed toward a custom replacement device for resurfacing an articulating or joint surface of the femur and methods of making and installing such a device. This custom replacement device overcomes the problems associated with prior knee joint replacement devices or prostheses in that it is made specifically to fit the trochlear groove surface (surface over which the patella slides) of a femur from an individual patient. Thereby creating a “customized” replacement device for that individual femur.
• The replacement device is substantially defined by four outer points and first and second surface areas. The first of four points is defined approximately as being 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is defined approximately at or near the superior edge of the end of the natural cartilage. The third point is defined approximately at the top ridge of the right condyle. The fourth point is defined approximately at the top ridge of the left condyle. The first surface area is customized to substantially match the bone surface area of the trochlear groove of the femur. The second surface area has a tracking path that is approximately perpendicular to the end of the condyles of the femur. The thickness between the first and second surface areas may be approximately between 2 mm and 6 mm. To couple the replacement device to the femur, a pin protruding from the first surface area may be used to penetrate an opening in the femur prepared by a surgeon. Boney ingrowth may secure the prosthesis or bone cement may be used.
• The replacement device can also include a customized drill guide that is substantially defined by first and second surface areas. The first surface area is customized to the surface area of the trochlear groove of the femur. The second surface area includes a hole that is aligned substantially to the pin to assist in drilling the opening into the femur for the pin.
• In accordance with one aspect of the present invention, these and other objectives are accomplished by providing a replacement device having a top surface; a bottom surface; the bottom surface substantially formed to match the trochlear groove surface of a femur; and the top surface substantially tracking the trochlear groove of the femur.
• In accordance with another aspect of the present invention, these objectives are accomplished by providing a system for installing a replacement device to a distal end of a femur having a trochlear groove surface, comprising: a marking template, wherein: the marking template has a back side substantially matching the distal end of a femur; and an opening through the marking template; a drilling apparatus to form a hole on the distal end of the femur assisted by the opening in the marking template; and a replacement device, wherein: the replacement device has a bottom side substantially matching the distal end of the femur; and a pin protruding from the bottom side of the replacement device adapted to insert into the hole on the distal end of the femur.
• In accordance with yet another aspect of the present invention, these objectives are accomplished by providing a method of making a replacement device, comprising the steps of: forming a model of a distal end of a patient's femur; forming a first mold from the model, wherein the first mold has a bottom side that substantially matches the trochlear groove of the patient's femur, wherein the first mold has a top side opposite of the bottom side; coupling a peg on a predetermined location on the bottom side of the first mold; shaping the top side of the mold to substantially track the trochlear groove of the patient's femur; forming a second mold from the first mold; and pouring viscous material into the second mold to make a replacement device.
• In accordance with still another aspect of the present invention, these objectives are accomplished by providing a replacement device having a bottom side that substantially matches the trochlear groove of a patient's femur, wherein the bottom side of the replacement device has a pin at a predetermined location; providing a marking template having a back side that substantially matches the trochlear groove of the patient's femur, wherein the marking template has an opening corresponding to the predetermined location of the pin; removing the cartilage from the distal end of the femur; positioning the marking template about the femur substantially similar to the desired installed position of the replacement device; drilling a hole on the distal end of the femur though the opening of the marking template; removing the marking template from the femur; and inserting the pin of the replacement device into the hole of the femur to install the replacement device on the desired location of the femur.
• Alternatively, a method of forming a customized replacement device for a femur will include the steps of duplicating the surface of the distal anterior femur from an individual; and using the duplicate to form a back surface of the customized replacement device and/or a customized marking template.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 is a perspective view of a femur showing the patellar side with its trochlear model groove, and the replacement device adapted to couple to the femur;
• FIG. 2 is a perspective view of an embodiment of the present invention illustrating an exemplary replacement device coupled to the distal end of a femur;
• FIG. 3 is an another perspective view of the femur with the replacement device coupled to the femur;
• FIG. 4 is yet another perspective view of the femur associating with a custom marking template having guide holes that correspond to the pin on a replacement device, residing on the trochlear groove surface of the femur;
• FIG. 5 is a cross-sectional view of the replacement device residing on the femur, along the line5-5 inFIG. 2;
• FIG. 6 is the perspective view ofFIG. 4 with a patella residing on the trochlear groove surface of the replacement device;
• FIG. 7 is an exemplary illustration of a human femur attached to a tibia by the anterior and the posterior cruciate ligaments;
• FIG. 8 is an expanded view of a human knee joint in a bent position;
• FIG. 9 is a perspective view showing a patellar face side of a human femur and a back side view of a replacement device prior to placement of the replacement device onto the femur;
• FIG. 10 is a diagrammatic chart of a method of making a mold for constructing a replacement device; and
• FIG. 11 is a diagrammatic chart of a method of making a replacement device and a marking template from a femoral mold.
DETAILED DESCRIPTION OF THE INVENTION
• This description is not to be taken in a limiting sense, but is made merely for the purpose of illustrating the general principles of the invention. The section titles and overall organization of the present detailed description are for the purpose of convenience only and are not intended to limit the present invention.
• One of the features of the present invention is to provide a replacement device for a patient's knee joint that replicates as closely as possible the original kinematics of the patient's knee. More particularly, the replacement device substantially replicates patient's actual trochlear tracking pattern of the femur to maintain the original articulating movement of the knee. To do so, unhealthy articular cartilage is removed and replaced with the replacement device, which is custom fitted for a patient's femur to maintain as closely as possible the original articulating movement of the patella about the trochlear groove. That is, the replacement device is custom fitted so that the underside of the patella articulates about the femur approximately two (2) to six (6) mm away, which mimics what a patella on a healthy articular cartilage would articulate from. The above feature may be accomplished by providing a trochlear groove that is formed along the replacement device that tracts the trochlear groove on the femur. Moreover, as further discussed below, the underside of the replacement device substantially matches the face of the femur, to minimize any error in positioning the replacement device about the femur. With this introductory in mind, more detailed description of the invention is discussed below.
• As illustrated by way of example inFIGS. 2 and 9, one embodiment of the present invention includes a custom replacement device4 adapted to associate with the distal end of a patient'sfemur2.FIG. 2 shows a model made of the patient's femur inFIG. 9. Themodel200 is substantially similar to the patient'sfemur2 and is used to make the custom replacement device4 (as discussed below). The surface near the distal end of thefemur2 defines apatellar face5, and along the patellar face is atrochlear groove3 of the femur.FIGS. 7 and 8 show exemplary views of a normal, intact knee joint. Referring toFIG. 8, on a healthy knee, the trochlear groove would be covered with about 5 mm ofarticular cartilage100. However, if the articular cartilage wears down for any reason, the cushion and sliding surface that the cartilage provides is lost, resulting in pain, and therefore may need to be replaced with the custom replacement device4.
• One of the advantages with the replacement device4 is that it is custom fitted for a patient's femur so that the replacement device4 replacing the articular cartilage will maintain as closely as possible the original kinematics of the patient's knee. That is, the replacement device4 is customized specifically to fit thepatellar face5 surface andtrochlear groove3 region of thefemur2. In this regard, as illustrated inFIGS. 1 and 9, theback surface6 of the replacement device4 substantially matches the surface area of thepatellar face5 of thefemur2. Moreover, the back (bottom)surface6 also matches and fits to the contours of thetrochlear groove region3 of thepatellar surface5. The custom replacement device is coupled to the femur through one or more hole(s)202 in the distal end of a human femur. The hole(s)202 can be made by a surgeon and may be located so as to reside along thetrochlear groove region3 of thehuman femur2. As shown inFIG. 5, the replacement device can be implanted into the femur via apin19 inserted into the one or morecorresponding hole202, thus resurfacing the patellar face surface of the human femur. The front (top)surface7 of the replacement device is contoured to maintain the tracking of the patella centrally within the front surface during articulation of the patella about the trochlear groove (FIG. 2).
• As illustrated by way of example inFIGS. 1 and 2, the replacement device4 may be substantially defined by fourboundary conditions8,10,12,14, along with theback surface6 and thefront surface7. By way of background, a human knee joint includes two cruciate ligaments which are located in the center of the knee joint. As shown inFIG. 8, these two ligaments, referred to in the art as the anterior cruciate ligament (ACL)22 and the posterior cruciate ligament (PCL)24, are the primary stabilizing ligaments of the knee. TheACL22 attaches, at its bottom26, to thetibia30, and, passes obliquely upward to insert20 into the inner and backpart32 of the outer condyle15 of thefemur2. Attachment of the ACL to the femur stabilizes the knee joint along the rotational axis and prevents the femur from sliding backwards on the tibia (or the tibia from sliding forward on the femur).
• In one embodiment of the present invention, the distal portion of the patellar tongue or first boundary condition of the replacement device may be designed to not extend far back to impinge upon the tibial surface or cartilage of the tibia. Therefore, the first boundary condition of a replacement device may be defined to be approximately 3 to 5 mm from the point of attachment of the ACL to the patient's femur. Specifically, as illustrated inFIGS. 3 and 8, thefirst boundary condition8 may be approximately 3 to 5 mm from the point ofattachment20 of the anteriorcruciate ligament22 to thefemur2. In other words, there is approximately 3 to 5 mm distance between the patellar tongue region (first boundary condition)8 and theattachment20 of the anteriorcruciate ligament22. Alternatively, the first boundary condition of areplacement device8 is of a sufficient distance above thegroove21 where the ACL exits so as not to result in impingement upon thetibial surface33 during functioning.
• Referring toFIGS. 1 and 8, thesecond boundary condition10 may be defined approximately at or near thesuperior edge100 of the end of thenatural cartilage102. As shown inFIGS. 3 and 8, thethird boundary condition12 may be approximately at the top ridge of theright condyle104. Thefourth boundary condition14 may be approximately at the top ridge of theleft condyle106. The fourboundary conditions8,10,12,14 andfront6 and back7 surface, as described above, may substantially define the perimeter or outer edges of the replacement device in approximately an oval shape. However, the replacement device need not be defined by any one of the four boundary conditions. Alternatively, the replacement device may be defined by any one of or any combination of the four boundary conditions. Of course, the perimeter or outer edges of individual replacement devices may differ depending on the unique anatomic characteristics of an individual patient's femur. Besides the four boundary conditions, theback surface6 is customized to match thepatellar face5 of the femur2 (FIG. 1). Moreover, edges of the replacement device may be streamlined to have smooth or rounded edges so that the replacement device may come in direct contact with the bony surface of the femur without etching away at the femur. Still further, the streamlined edges prevents tearing or damaging the soft tissue around the knee.
• As further illustrated inFIGS. 2 and 3, thefront surface7 is generally concave, which is formed by the inner and outer lateral (side) lip regions being raised to contour around the third andfourth boundary conditions12 and14, respectively. Accordingly, as illustrated by way of example inFIG. 3, the longitudinal path of the resulting front surface substantially replicates the actual trochlear groove-tracking pattern for a healthy knee generally in two ways. The first way is to create a mold that substantially replicates the distal end of a patient's femur (as discussed below); and based on the geometry of the replicated mold, the patient's trochlear groove tracking pattern can be determined off of the mold. As illustrated by way of example inFIG. 3, the second way is to align the tracking pattern (axis t-t) along thefront surface area7 so that it is approximately perpendicular to the ends of thecondyles104 &106 of thefemur2, i.e., and aligned with the center of the femoral head (axis f-f); as most patients have a tracking pattern that is generally perpendicular to the ends of the condyles. Thus, the first method can be used to check the alignment of tracking pattern calculated by the second method, and vice versa. Alternatively, the tracking pattern produced by both methods can be combined to produce an average tracking pattern of both methods. Either way, the tracking pattern produced by both methods will substantially replicate the correct trochlear groove-tracking pattern. Without such customization of the replacement device, there are too many variations amongst patients' knees such that the original kinematics for a patient could not be reproduced. In addition, standard devices require the removal of large amounts of bone in order to make them fit onto the femur. Still further, other known or new methods of tracking the patient's trochlear groove of the femur may be used.
• As illustrated by way of example inFIG. 6, the tracking pattern is generally formed along the base ofconcave surface313 of the replacement device4, thereby maintaining thepatella30 centrally within thedevice312. Therefore, regardless of the direction or angle of movement of the patella and tibia (shin bone) along the replacement device, the trajectory of the patella will be maintained centrally within the intercondyle space and the patella will glide smoothly within the central line due to the increased curvature of the device along its lateral and medial or side lip regions. This allows the present invention to use a standarddome patellar prosthesis30 such as the Kinamed, Inc. GEM Knee System patella, which has alarge contact area34 with the device, to distribute the stress applied to the patella and the device. So that even if there is a slight misalignment with replicating the trochlear groove of the femur, if at all, there is room for error and still full contact across the surface of the patella to distribute the load in an optimal manner Accordingly, the patella will repeatedly glide over the front surface of the replacement device, reliably, and there is little chance, if at all, that the patella will dislocate from the tracking surface of the replacement device. In addition, the large contact area distributes the load and minimizes peak contact stress in the polyethylene thus reducing wear debris generation.
• In the past, replacement of a diseased knee joint required surgical modification of the surface of the femur so as to allow a close “fit” of the prosthetic device within the new joint. This required extensive removal or carving of the cartilage and bone surfaces of the head of the femur in order to “match” with the back surface of a standardized prosthetic device. With the present invention, there is almost no removal of original bone and therefore, no loss of requisite anatomical structures. Insertion of the replacement device requires minimal removal of existing anatomic structures, if at all. Therefore, the intent is to remove only the diseased portion (the natural cartilage) of the patient's knee joint prior to installing the replacement device.
• In a healthy knee joint, the average thickness of thearticular cartilage102 at the knee joint is about 4 to 5 min (FIG. 8). In other words, there is about 4 to 5 mm of articular cartilage covering the femur, so that the patella articulates about 4 to 5 mm from the trochlear grove of the femur. In the case of unhealthy cartilage, where the replacement device is needed, the unhealthy cartilage is removed and replaced with the replacement device, which has been custom made for the patient's femur. To replicate as closely as possible the original kinematics of the patient's patello-femoral joint, as illustrated by way of example inFIG. 2 (and further detailed inFIG. 5), the thickness between the back6 andfront7 surface areas of the replacement device may vary approximately between 2 mm and 6 mm. In other words, the thickness of the custom replacement device may be approximately that of the patient's original articular cartilage. To further enhance the interaction between the custom replacement device4 and thefemur2, apin19 may be located at a predetermined position along theback surface6 of the replacement device. One or more pin(s)19 can protrude from the back surface area to enhance the association of the replacement device with the femur. As illustrated inFIG. 9, the replacement device may have three pins that insert into the corresponding holes in the femur, so that there will be very little play, if any, once the pins are inserted into the holes. Alternatively, other apparatus and methods may be used to couple the replacement device to the femur, for example, a bone ingrowth surface or adhesives, including cement, may be applied between the replacement device and the femur. Still another alternative may be a screw or bolt, where the screw penetrates through the opening in the replacement device and into the femur. In other words, any known or new apparatus or methods may be used to couple the replacement device to the femur.
• By way of background, a bone ingrowth surface is a surface treatment applied to an implant which is designed to allow the patient's bone to attach or ingrow into the prosthesis, and thereby securing the prosthesis to the bone. The surface coating can assume a number of different forms. For example, commonly used is a process where a layer is physically attached to the prosthesis through titanium plasma spraying. Other techniques involve sintering small beads or mesh to the surface or applying a layer of hydroxyapatite may also be used.
• With regard to surgically implanting the replacement device, as illustrated inFIG. 4, a customized markingtemplate300 may be provided that is substantially defined by first (back or bottom) and second (front or top)surface areas302 and304, respectively. Like theback surface6 of the replacement device4, thefirst surface area302 of the markingtemplate300 is customized to match the surface area of thetrochlear groove5 of the femur so that the marking template will be positioned properly with the femur. Thesecond surface area304 includes ahole306 or holes (depending upon the number of pins protruding from the replacement device) that is in a predetermined position to align substantially to the pin on the customized replacement device. Furthermore, the holes orslots306 of thesecond surface area304 of the custom marking template, extend through to thefirst surface302 of the custom marking template. Therefore, each hole or holes306 in the predetermined positions of the marking template serve as guides for formation ofopenings202 in thefemur2 of the patient into which the pin(s)19 will be inserted. Moreover, thecustom marking template300 may be substantially defined by four boundary conditions as in the replacement device4. Accordingly, thecustom marking template300 as shown inFIG. 4, assists the surgeon in identifying the perimeter of the custom replacement device4 as well as the location of opening202 (depending upon the number of pins protruding from theback surface area6 of the custom replacement device4) that will be drilled into the patellar face surface of thefemur2.
• To surgically implant the replacement device to thepatellar face5 of thefemur2, a surgeon may first need to remove some or all remaining diseased or damagedarticular cartilage102 on thepatellar surface5 of the femur (FIG. 8). The surgeon may then scrape away the articulate cartilage until a substantialbony surface37 of the patellar face shows.FIG. 8 shows a view of a patient's femur prior to preparation by the surgeon for insertion of a replacement device. Thereafter, the markingtemplate300 is aligned and positioned onto the patellar face to drill the necessary openings for the pins (FIG. 4). Since thefirst surface area302 of the marking template matches the contours of thepatellar face5 along with the four theboundary condition8,10,12 and14, the surgeon is assured that the marking template is aligned and positioned properly. In other words, the custom marking template can be used to guide the surgeon in marking the location of the openings and thereby aid in the formation of the openings at their appropriate location or predetermined positions. Once the marking template is in position, the surgeon can precisely drill the openings, aided by the holes or slots on the marking template, using any drilling method known to one of ordinary skill in the art.FIG. 9 shows arepresentative femur2 where the diseased natural cartilage has been removed, thus exposing the bony surface of thepatellar face5 of the femur and theopenings202 into which the pin(s)19 of the replacement device4 will insert.
• With thenecessary openings202 precisely drilled into thepatellar face5 of the femur, the marking template is removed and replaced with the replacement device4. As illustrated inFIG. 9, the custom replacement device is placed onto the femur by insertion of thepin19 or pins protruding from the back surface of the custom replacement device, into the corresponding openings in the predetermined location formed in the patellar face surface of the femur. The custom replacement device can be affixed to thebone20 by a surgical cement, such as Howmedica Simplex P Cement, or any other method known to one ordinarily skilled in the art. Once in place, the replacement device provides the patient substantially full motion originally provided by the native anatomical knee joint. In other words, in most, if not all, positions of the leg, and throughout the normal range of movement of the leg, the custom replacement device permits normal rotation and lateral movement substantially similar to the original kinematics of the healthy knee joint. Therefore, the replacement device4 gives the patient the “most natural” replacement of the knee possible. Note that with the present invention, there is no need to carve away at the femur, since the backside of the replacement device matches the surface of the femur.
• FIGS. 10-11, illustrate by way of example an exemplary method of producing the replacement device4 and the marking template. Initially, a three-dimensional model of the distal end of the femur is formed. This may be accomplished instep62, where the distal end of the femur is CT scanned to form a number of slices that are predetermined distances apart along the longitudinal axis of the femur, such that when the slices are assembled they form a three-dimensional contour of the femur. Furthermore, to ensure that the slices are aligned properly when they are assembled, a reference point, such as X and Y coordinate may be marked on each of the slices as a reference point. For example, the scanning may be done through a X-ray or CT scan protocol that defines a number of slices to be taken, and the starting and stopping marks to determine where to start and stop scanning Moreover, in critical areas as in the trochlear groove of the femur where accuracy is particularly important, the distance between the slices may be reduced to more accurately define the contour of the femur in that area. In this regard, the slices may generally be about 3 mm apart, but for more accuracy the slices may be about 1.5 mm apart. Of course, the distance between the slices may further vary depending on the accuracy desired. In other words, in such areas where more detail regarding contour is desired, like the fourboundary regions8,10,12 and14, and thetrochlear groove5 region, the distance between the slices may be reduced to about 1.5 mm or less.
• To further improve the accuracy of the sliced images of the femur, an X-ray motion detection rod may also be used to detect movement by the patient while the CT scan is taken. That is, while the CT scan is taken, any movement by the patient can distort the accuracy of sliced images. To correct for this distortion, a detection rod may be used to detect the movement of the patient, by moving with the patient, so that when the sliced images are later analyzed, the movement by the patient can be detected and the sliced images can be adjusted for the movement. Still further, a scaling rod may also be used to ensure that the sliced images are at a proper scale so that when the sliced images are assembled, the size of the femur model is correct.
• As illustrated instep64, once the sliced images are taken of the femur, each sliced image is transferred onto a film, and reviewed for a number of features, such as clarity, scaling, and whether the images were taken according to the protocol. If the images were properly taken, then instep66, each of the film is cut around the perimeter of the sliced image of the femur. Each cut film may also be marked so that relative position of each of the cut film can later be determined. Instep68, from all of the cut films, a respective small plate may be made from each of the cut films having the image of the cut film and the marked information: Instep70, these plates are then used to digitize the image into a computer.
• Instep72, with digitized information of each individual slices, and the spacing between the sliced images, a computer aided design (CAD) system with a macro may be used to lay all of the sliced images on to a planar format. In the planar format, knowing the relative position of each sliced images relative to one an another, reference holes are drawn to each of the images, so that when the slices are assembled about the reference holes, an accurate model of the femur may be reproduced. The digitized sliced images are assembled about the reference holes to view the computer generated image of the femur.
• Instep78, to replicate a femur from the digitized information, a Computer Aided Manufacturing (CAM) file may be used to cut plastic plates of the digitized information. For example, a laser or any other method known to one of ordinary skill in the art may be used to cut the plastic plates representing the perimeter of the sliced images of the femur, along with the reference holes. Accordingly, individual plastic plates representing a respective sliced image of the femur is produced.Instep80, these plates may be checked for accuracy and quality against the films produced earlier. Of course, if the cut plate does not correspond with the respective film then another plate may be cut to match the image and scale of the film.
• Instep82, with the accurate plates, they are assembled in their respective positions and spaced apart according to the distance in which the sliced images were taken. That is, plates are orderly inserted into a rod through the reference holes so that the plates align properly. Furthermore, as stated above, in areas where accuracy is important, the slices may be about 1.5 mm apart, while other slices may be about 3 mm apart. The distance between the plates is maintained by a spacer between the plates, where the thickness of the spacer will also vary depending upon the desired accuracy. The thickness of the plates, themselves, may also vary depending on the desired accuracy. In other words, in the trochlear groove area the plates themselves may be thinner and spaced closer together to other plates. With regard to the spacers, they may be formed from the reference hole pieces cut from the plates.
• Instep84, with the plates assembled, using the edges of the plates as the outer boundary, the spaces between the plates and the incremental differences in the outer boundary of the plates are covered with filler, such as clay, to form an outer surface of the femur (also shown inFIG. 1). In other words, just enough filler is used to cover the edges of the plates to smooth out the edges between the plates to define the outer face of the femur. This forms a model of the distal end of the femur. Although one method of forming a model is discussed here, other known or new methods of forming a model of the femur may also be used. For example, the CT image data may be compiled in a computer, a surface created, and the model machined directly using the surface data to drive a computer assisted machining system.
• Instep86, from the model, a mold is made. This can be done for example by placing the model into a standardized box and pouring liquid rubber into it to make a mold. Referring toFIG. 11, instep92, with the mold, a second model of the femur may be made by pouring, such liquid as urethane into the mold. This step may be repeated to make three models of the femur. Two of the models may be sent to the physician to review and check for accuracy and affirm the exact location of the boundary points.
• Instep94, with the second model of the femur, the boundaries are marked where the replacement device is to be placed on the femur. Then the edges of the second model are squared off such that it is outside the marked boundaries where the replacement device is to be located. Additionally, the four boundary conditions that may substantially define the replacement device, along with the outer perimeter of the device may be marked using transfer ink on the second model. Thereafter, in step96, a third mold may be made using machinable material such as plastic glass, from the squared off second model so that the underside of the third mold contours the trochlear groove of the femur and marked with the transfer ink indicating the perimeter of the replacement device. Instep97, on the underside of this third mold is marked for pegs.
• The third mold is then machined or sanded along the top surface to generally give it a uniform surface throughout. For example, the top surface of the third mold may be sanded until a uniform thickness of 5 mm is relatively formed or to a desired thickness between the top and bottom surfaces of the replacement device. Additionally, the edges of the third mold are also machined to give it desired finish. Accordingly, a mold for the replacement device may be made of plastic glass, for example, generally having an oval shaped defined by the four boundary conditions and the concave upper surface. To improve the accuracy of the mold, the third mold may be made slightly larger than the actual size of the replacement device, as cast mold has tendency to shrink. As an example, the mold may be made about2% larger than the actual size of the replacement
• Instep101, to form a pin that protrudes from the underside of the replacement device, a hole for each of the pin is drilled through the third mold, and inserted with a peg representing the pin. As an example, underside of the replacement device may have three pins placed in equilateral triangle format to distribute the load evenly. Furthermore, the pins may be distributed in predetermined distance apart to standardize the drill pattern for all of the replacement device. Additionally, the equilateral triangular pins may have its center point about halfway between the right and left condyle extents, where the pins generally protrude perpendicularly from the underside of the replacement device.
• Instep103, the metal replacement device and the marking template are made from the third mold having the pegs protruding from it. Instep105, to produce a replacement device, a fourth female mold is made from the third mold, using such material as rubber. From the female mold, liquid metal can be poured into it, to produce a metal replacement device. Instep107, to produce a marking template, the pegs on the third mold is removed and a fifth female mold is made, using such material as rubber. Then from the fifth female mold without the pegs, liquid metal is poured into it, to produce the marking template. Alternatively, any other method known to one of ordinarily skilled in the art of producing the replacement device and the marking template from the third mold is within the scope of the present invention. It is also possible to machine the replacement device directly by creating a computer model of the device and using said model to drive a machine tool to cut the model directly from a piece of material.
• With regard to material, the replacement device4 is made of a substantially firm, non-bioreactive material. Examples of such material include, surgical grade Co Cr alloy or other substantially rigid, bio-compatible material such as titanium, stainless steel, zirconia, or alumina ceramic. All surfaces of the device, which are external to the femoral bone (once the device is implanted), are highly polished and smoothed.
• In closing, it is noted that specific illustrative embodiments of the invention have been disclosed hereinabove. Accordingly, the invention is not limited to the precise embodiments described in detail hereinabove. With respect to the claims, it is applicant's intention that the claims not be interpreted in accordance with the sixth paragraph of 35 U.S.C. .sctn.112 unless the term “means” is used followed by a functional statement.

Claims (30)

We claim:

1. A knee prosthesis kit comprising:

a knee prosthesis custom formed based on preoperative data obtained from a patient, the knee prosthesis configured to substantially allow the original kinematics of the patient's knee; and

an instrument comprising:

a knee contacting surface with a three-dimensional shape custom formed based on the preoperative data to align with at least a portion of the patient's trochlear groove and to fit at least a portion of the patient's femur; and

a surgical tool guide customized for the patient.

2. The kit according toclaim 1, wherein the three-dimensional shape of the knee contacting surface of the instrument is configured to fit at least a portion of a distal-anterior region of the patient's femur.

3. The kit according toclaim 1, wherein the knee prosthesis is configured to maintain the original articulating movement of the patient's knee.

4. The kit according toclaim 1, wherein the knee contacting surface of the instrument is sized based on a location of a ridge of the patient's lateral condyle and a location of a ridge of the patient's medial condyle.

5. The kit according toclaim 4, wherein the knee contacting surface of the instrument is further sized based on a point of attachment of the patient's anterior cruciate ligament and a superior edge of an end of the patient's natural cartilage in the trochlea.

6. The kit according toclaim 1, wherein the knee prosthesis is configured to substantially maintain the original kinematics of the patient's knee after removal of at least some bone from the patient's knee.

7. The kit according toclaim 1, wherein the preoperative data comprises CT scan data.

8. The kit according toclaim 1, wherein the knee prosthesis is a femoral prosthesis.

9. The kit according toclaim 1, wherein the surgical tool guide is custom formed based on the preoperative data.

10. The kit according toclaim 9, wherein the surgical tool guide is in a predetermined position with respect to the three-dimensional shape of the knee contacting surface of the instrument.

11. The kit according toclaim 1, wherein the surgical tool guide comprises at least one opening for drilling a hole for attaching the knee prosthesis to the patient's knee.

12. A knee prosthesis kit comprising:

a knee prosthesis custom formed based on preoperative data obtained from a patient, the knee prosthesis configured to substantially preserve the original kinematics of the patient's knee after removal of at least some bone from the patient's knee; and

an instrument comprising a knee contacting surface with a three-dimensional shape custom formed based on the preoperative data to fit at least a portion of the patient's femur.

13. The kit according toclaim 12, wherein the knee contacting surface of the instrument is configured to align with at least a portion of the patient's trochlear groove.

14. The kit according toclaim 12, wherein the three-dimensional shape of the knee contacting surface of the instrument is configured to fit at least a portion of a distal-anterior region of the patient's femur.

15. The kit according toclaim 12, wherein the knee prosthesis is configured to maintain the original articulating movement of the patient's knee.

16. The kit according toclaim 12, wherein the knee contacting surface of the instrument is sized based on a distance between a ridge of the patient's lateral condyle and a ridge of the patient's medial condyle.

17. The kit according toclaim 16, wherein the knee contacting surface of the instrument is further sized based on a distance between a point of attachment of the patient's anterior cruciate ligament and a superior edge of an end of the patient's natural cartilage in the trochlea.

18. The kit according toclaim 12, wherein the preoperative data comprises CT scan data.

19. The kit according toclaim 12, wherein the knee prosthesis is a femoral prosthesis.

20. The kit according toclaim 12, wherein the instrument further comprises a surgical tool guide custom formed based on the preoperative data to be in a predetermined position with respect to the three-dimensional shape of the knee contacting surface of the instrument.

21. The kit according toclaim 16, wherein the surgical tool guide comprises at least one opening for drilling a hole for attaching the knee prosthesis to the patient's knee.

22. A knee prosthesis kit comprising:

a knee prosthesis custom formed based on preoperative data obtained from a patient, the knee prosthesis configured to maintain the original articulating movement of the patient's knee after removal of at least some bone from the patient's knee; and

an instrument comprising a knee contacting surface with a three-dimensional shape custom formed based on the preoperative data to fit at least a portion of the patient's femur.

23. The kit according toclaim 22, wherein the knee contacting surface of the instrument is configured to align with at least a portion of the patient's trochlear groove.

24. The kit according toclaim 22, wherein the three-dimensional shape of the knee contacting surface of the instrument is configured to fit at least a portion of a distal-anterior region of the patient's femur.

25. The kit according toclaim 22, wherein the knee contacting surface of the instrument is sized based on a distance between a ridge of the patient's lateral condyle and a ridge of the patient's medial condyle.

26. The kit according toclaim 25, wherein the knee contacting surface of the instrument is further sized based on a distance between a point of attachment of the patient's anterior cruciate ligament and a superior edge of an end of the patient's natural cartilage in the trochlea.

27. The kit according toclaim 22, wherein the preoperative data comprises CT scan data.

28. The kit according toclaim 22, wherein the knee prosthesis is a femoral prosthesis.

29. The kit according toclaim 22, wherein the instrument further comprises a surgical tool guide custom formed based on the preoperative data to be in a predetermined position with respect to the three-dimensional shape of the knee contacting surface of the instrument.

30. The kit according toclaim 29, wherein the surgical tool guide comprises at least one opening for drilling a hole for attaching the knee prosthesis to the patient's knee.

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