Intramedullary rod instrument
View Patent ↗A femoral instrument for use in the intramedullary canal is described and includes an intramedullary rod having a tip at a free end. A body is attached to the intramedullary rod and has a face with a bone abutting portion. A centraliser mechanism is located within the rod and is operable to deploy and retract a plurality of members to engage and disengage an inner surface of the intramedullary canal.
1. A femoral instrument, comprising:
an intramedullary rod having a longitudinal axis;
a body to which the intramedullary rod is pivotably attached, the body having a proximal portion;
a first collar and a second collar disposed about the intramedullary rod, the second collar disposed between the first collar and the body, the second collar having a proximal and a distal end and a plurality of formations formed on the distal end of the second collar, the second collar being rotatable about the longitudinal axis to present at least one of the plurality of formations to abut the proximal portion of the body and thereby define a relative angle between the body and the intramedullary rod, wherein the first collar and the second collar are translatable along the longitudinal axis; and
a spring disposed between the body and the first collar to urge at least the second collar toward the body.
2. The femoral instrument of claim 1 , wherein the intramedullary rod comprises a plurality of members deployable from within the intramedullary rod to engage and disengage an inner surface of an intramedullary canal.
3. The instrument of claim 1 , further comprising a handle, and wherein the handle comprises a button operable to deploy the plurality of members.
4. The instrument of claim 3 , wherein the handle further comprises a second button operable to retract the plurality of members.
5. The instrument of claim 1 , wherein a tip of the rod includes a cam surface and each member has a sloping free end which can be driven against the cam surface to at least partially cause the member to be deployed.
6. The instrument of claim 1 , wherein the length of the rod is between approximately 15 cm and 18 cm.
7. The instrument of claim 1 , wherein each member includes a hinge part by which the member can be pivoted during deployment.
8. The instrument of claim 7 , wherein each member is made from a first material and the material is shaped to provide the hinge part.
9. The instrument of claim 8 , wherein each member includes an outer bone engaging part which is made from a second material, and wherein the second material is harder than the first material.
10. The instrument of claim 1 , wherein the plurality of formations and the proximal portion of the body provide between them a rib and a plurality of slots, the plurality of slots being sized to accept the rib.
11. The instrument of claim 10 , wherein the body comprises the rib and the distal end of the second collar has the plurality of slots.
12. The instrument of claim 1 , wherein the second collar has an outer surface that has a plurality of indicia indicating the angular adjustment of the intramedullary rod.
13. The instrument of claim 1 , further comprising a handle mounted to the first collar.
14. The instrument of claim 1 , wherein the spring is disposed at least partially within the second collar.
15. The instrument of claim 1 , wherein the spring urges the first collar and the second collar toward the body.
16. A method of stabilizing a surgical device relative to a bone comprising the steps of:
providing an instrument comprising an intramedullary rod extending from a body having a bone engaging surface, a first collar and a second collar disposed about the intramedullary rod, the second collar disposed between the first collar and the body, the second collar having a proximal and a distal end and a plurality of formations formed on the distal end of the second collar, the second collar being rotatable about the longitudinal axis to present at least one of the plurality of formations to abut the proximal portion of the body and thereby define a relative angle between the body and the intramedullary rod, and a spring disposed between the body and the first collar to urge at least the second collar toward the body;
introducing the intramedullary rod into the intramedullary canal of a patient; and
translating the first collar and the second collar along the longitudinal axis in a direction away from the body;
rotating at least the second collar about the longitudinal axis to select a formation to provide an angle of orientation; and
releasing the first and second collar, whereupon the biasing spring urges the second collar to abut against the body.