Instrumentation for mobile bearing prosthetics
Knee prosthesis instrumentation including an insertion tool and a removal tool. The insertion tool may include an offset to provide clearance from a femoral component of the knee prosthesis. The removal tool may be wedge shaped to at least partially encircle a post of the knee prosthesis for removal. A mallet may be used with the instruments to provide additional force for prosthesis insertion or removal. A slide hammer may be incorporated into the instruments themselves.
1. A system for insertion of a knee prosthesis, the system comprising:
a modular post of a knee prosthesis, the modular post comprising an inferior portion and a superior portion;
a tibial baseplate implant of the knee prosthesis, the tibial baseplate implant comprising a tibial facing surface, a superior surface opposite the tibia facing surface, and a hole in the superior surface; the inferior portion of the modular post received in the hole;
a femoral implant of the knee prosthesis, the femoral implant configured to articulate with the tibial baseplate implant; and
an instrument for insertion of a knee prosthesis, the instrument comprising:
a proximal portion comprising a longitudinal axis;
an intermediate portion offset from the proximal portion, the intermediate portion comprising a longitudinal axis substantially parallel to the longitudinal axis of the proximal portion, wherein the intermediate portion further comprises a void, wherein the void is configured to allow at least a portion of the femoral portion of the knee prosthesis within the void without the femoral portion contacting the instrument; and
a distal portion comprising a distal tip and a longitudinal axis collinear with the longitudinal axis of the proximal portion, wherein the distal tip is configured to engage the post to force the inferior portion of the post further into the hole.
2. The system of claim 1 , wherein the intermediate portion further comprises:
a first arm non-parallel to the longitudinal axis of the proximal portion;
a second arm substantially parallel to the longitudinal axis of the proximal portion; and
a third arm non-parallel to the longitudinal axis of the proximal portion, wherein the first arm, the second arm and the third arm form a U-shape.
3. The system of claim 2 , wherein the void is between the first, second and third arms.
4. The system of claim 1 , wherein the distal tip comprises a cylinder and has a circular distal terminus, the distal terminus having a circular outer perimeter.
5. The system of claim 4 , wherein the distal tip is configured to be received in a pocket of the post of the knee prosthesis.
6. The system of claim 5 , wherein the superior portion of the post projects superiorly from the superior surface of the tibial baseplate, the superior portion having a superior end, wherein the pocket of the post is in the superior end of the post, the pocket extending toward the inferior portion of the post.
7. The system of claim 6 , wherein the inferior portion of the post comprises a taper.
8. The system of claim 7 , wherein the inferior portion of the post further comprises a notch, the notch providing a key fit with the tibial baseplate implant.
9. The system of claim 2 , wherein the instrument comprises grooves extending substantially parallel to the longitudinal axis of the proximal portion.
10. The system of claim 2 , wherein the instrument proximal portion comprises a proximal end which is substantially flat, the proximal end configured to be struck with a mallet.
11. The system of claim 2 , wherein the instrument comprises a handle portion and a neck, wherein the neck is smaller in diameter than the handle portion.
12. The system of claim 11 , wherein the neck adjoins the proximal portion with the intermediate portion.
13. The system of claim 3 , wherein the first and third arms are shorter in length than the second arm.
14. The system of claim 5 , wherein the distal portion comprises a first cylindrical portion having a diameter and a second cylindrical portion having a diameter, wherein the first cylindrical portion is distal to and coaxial with the second cylindrical portion, and wherein the diameter of the first cylindrical portion is smaller than the diameter of the second cylindrical portion.
15. The system of claim 14 , wherein the distal tip comprises the first cylindrical portion, and wherein distal tip provides a complimentary fit with the pocket.
16. A system for insertion of a knee prosthesis, the system comprising:
a knee prosthesis comprising a femoral implant, a tibial baseplate implant, wherein the femoral implant is configured to articulate with the tibial baseplate implant, and a modular post configured to join to the femoral implant, and partially received in the tibial baseplate implant; and
an instrument for insertion of the knee prosthesis, the instrument comprising:
a proximal portion comprising a longitudinal axis;
an intermediate portion offset from the proximal portion, the intermediate portion comprising a longitudinal axis substantially parallel to the longitudinal axis of the proximal portion, wherein the intermediate portion further comprises a void, wherein the void is configured to allow at least a portion of the femoral portion of the knee prosthesis within the void without the femoral portion contacting the instrument; and
a distal portion comprising a distal tip and a longitudinal axis collinear with the longitudinal axis of the proximal portion, wherein the distal tip comprises a cylinder and has a circular distal terminus, the distal terminus having a circular outer perimeter, wherein the distal tip is configured to engage the modular post, and wherein the distal tip is fixed with respect to the intermediate portion.