Prosthetic femoral stem for use in high impact hip replacement
A total hip femoral prosthesis provides a shortened neck and more proximal coating level. Additionally, a means for strengthening the neck may be incorporated to increase stress transfer to the native bone. A method for reducing potential impingement that results from a high neck resection level includes instrumentation for cutting chamfered surfaces into the bone surrounding the proximal end of the implant. Instrumentation and methods of creating chamfered cuts are disclosed.
1. A method for preparing a natural femur to receive a femoral hip prosthesis, comprising:
cutting across a neck of a natural femur to form a neck resection surface on a subcapital portion of the neck, wherein the neck resection surface is bounded by an outer cortical edge;
forming a cavity in the natural femur at least partially from the neck resection surface such that the neck resection surface exhibits a u-shaped configuration defining the outer cortical edge and an inner cortical edge, the neck defining an exterior bone surface extending to the outer cortical edge and the neck defining an interior bone surface extending to the inner cortical edge of the neck;
inserting a broach into the cavity, wherein the outer cortical edge of the neck resection surface extends at least partially around the broach; and
chamfering the exterior bone surface and the outer cortical edge of the neck resection surface to form a bevel over the exterior bone surface of the neck so that a portion of the neck tapers toward the neck resection surface.
2. The method according to claim 1 , wherein the broach comprises a planar cutting instrument contacting surface.
3. The method according to claim 1 , wherein the broach comprises a proximal socket, wherein chamfering the outer cortical edge of the neck resection surface comprises cutting the outer cortical edge of the neck resection surface with a cutting instrument, wherein the cutting instrument comprises a post, wherein the post is received within the proximal socket.
4. The method according to claim 3 , wherein the cutting instrument comprises a planar bone cutting surface, wherein when the post is received within the proximal socket, the bone cutting surface is aligned to chamfer the outer cortical edge of the neck resection surface.
5. The method according to claim 4 , wherein when the post is received within the proximal socket, the cutting instrument is rotatable about the post, wherein when the instrument is rotated, the planar bone cutting surface removes a portion of the bone.
6. The method according to claim 3 , wherein the cutting instrument comprises a rounded bone cutting surface.
7. A method for preparing a natural femur to receive a femoral hip prosthesis, comprising:
cutting across a neck of a natural femur to form a neck resection surface, wherein the neck resection surface is bounded by an outer cortical edge;
forming a cavity in the natural femur at least partially from the neck resection surface such that the neck resection surface exhibits a u-shaped configuration defining the outer cortical edge and an inner cortical edge, the neck defining an exterior bone surface extending to the outer cortical edge of the neck resection surface and the neck defining an interior bone surface extending to the inner cortical edge of the neck resection surface;
inserting a broach into the cavity, wherein the outer cortical edge of the neck resection surface extends at least partially around the broach; and
chamfering the exterior bone surface and the outer cortical edge of the neck resection surface to form a bevel over the exterior bone surface of the neck so that a portion of the neck tapers toward the neck resection surface.
8. The method according to claim 7 , wherein the broach comprises a planar cutting instrument contacting surface.
9. The method according to claim 7 , wherein the broach comprises a proximal socket, wherein chamfering the outer cortical edge of the neck resection surface comprises cutting the outer cortical edge of the neck resection surface with a cutting instrument, wherein the cutting instrument comprises a post, wherein the post is received within the proximal socket.
10. The method according to claim 9 , wherein the cutting instrument comprises a planar bone cutting surface, wherein when the post is received within the proximal socket, the bone cutting surface is aligned to chamfer the outer cortical edge of the neck resection surface.
11. The method according to claim 10 , wherein when the post is received within the proximal socket, the cutting instrument is rotatable about the post, wherein when the instrument is rotated, the planar bone cutting surface removes a portion of the bone.
12. The method according to claim 9 , wherein the cutting instrument comprises a rounded bone cutting surface.