Patellar clamping instrument
A patellar clamp and associated system and method for using the clamp are provided. A patellar clamp includes a pair of handles movably coupled together, a patella support portion connected to the pair of handles and configured to engage a first side of a patella, and a reamer guide configured to engage a second side of the patella. The patella support portion and the reamer guide each include a first pair of flanges configured to engage a first and second tendon associated with the patella. The reamer guide is configured to allow reaming and resurfacing the entire desired posterior articular surface of the patella in a single operation without readjusting the position of the reamer guide.
1. A method of clamping a patella, comprising:
selecting, from a plurality of reamer guides, a reamer guide configured to enable reaming a predetermined portion of a patellar surface, wherein said selected reamer guide is configured with a first pair of flanges extending from the reamer guide;
attaching the selected reamer guide to a patellar clamp comprising:
a pair of handles; and
a bottom clamping arm with a patellar support portion and a second pair of flanges;
placing the patellar clamp in an open position;
positioning an everted and rotated patella between the selected and attached reamer guide and the patellar support portion of the bottom clamping arm; and
squeezing the pair of handles together in a closing motion, causing the selected and attached reamer guide to lower toward the patella and said first pair of flanges and said second pair of flanges to operably engage the quadriceps tendon and patellar tendon.
2. The method of claim 1 , further comprising:
engaging a locking lever with a ratchet bar to lock the pair of handles and patellar clamp in the closed position to clamp the patella.
3. The method of claim 2 , further comprising:
mounting a reamer assembly on the patellar clamp; and resurfacing the patellar bone.
4. The method of claim 3 , further comprising:
disengaging the patellar clamp from the patella, quadriceps tendon, and patellar tendon.
5. The method of claim 1 , wherein the selected reamer guide is connected to the patellar clamp via a reamer guide mounting bracket, comprising:
a frontal opening communicating with an internal cavity configured to receive a portion of a reamer guide mounting stem; and
a spring-loaded plunger assembly having an elongated plunger with an operating button and spring.