Knee arthroplasty systems and methods
A knee arthroplasty system may have a femoral joint prosthesis with a femoral bone engagement surface with an anterior portion, a posterior portion, and a distal portion that connects the anterior portion to the posterior portion. A first femoral anchoring member may protrude from the distal portion, and may be connected to the anterior portion with a primary femoral web. A tibial resection guide may have a base member and a guide member with a slot that guides a cutting blade to resect the tibial plateau. The guide member may slide along an arcuate path relative to the base member.
1. A knee arthroplasty system for replacing at least a natural femoral articular surface on a femur, the knee arthroplasty system comprising:
a femoral joint prosthesis comprising:
a femoral joint-facing side comprising a femoral articular surface; and
a femoral bone-facing side comprising:
a femoral bone engagement surface securable to a resected femoral surface of the femur, the femoral bone engagement surface comprising an anterior portion, a posterior portion, and a distal portion that connects the anterior portion to the posterior portion;
a first femoral anchoring member protruding from the distal portion;
a second femoral anchoring member protruding from the femoral bone engagement surface; and
a first femoral web that connects the first femoral anchoring member to the second femoral anchoring member;
wherein:
the distal portion comprises a distal face, an anterior-distal face, and a posterior-distal face, each of which is generally planar;
the anterior-distal face extends between the distal face and the anterior portion;
the anterior-distal face is oriented, relative to each of the distal face and the anterior portion, at an obtuse angle greater than 90° and less than 180°;
the posterior-distal face extends between the distal face and the posterior portion;
the posterior-distal face is oriented, relative to each of the distal face and the posterior portion, at an obtuse angle greater than 90° and less than 180°;
the femoral bone-facing side further comprises:
a first anchoring post protruding from the distal face; and
a second anchoring post protruding from the distal face; and
the first femoral anchoring member and the second femoral anchoring member protrude from and are formed as a single piece with the anterior-distal face.
2. The knee arthroplasty system of claim 1 , wherein the first femoral anchoring member comprises a beveled tip.
3. The knee arthroplasty system of claim 1 , wherein:
the femoral bone-facing side further comprises:
a third femoral anchoring member protruding from the femoral bone engagement surface such that the first femoral anchoring member is directly between the third femoral anchoring member and the second femoral anchoring member; and
a second femoral web, coplanar with the first femoral web, that connects the first femoral anchoring member to the third femoral anchoring member;
the second femoral anchoring member and the first femoral web cooperate to define a first bevel extending from a tip of the first femoral anchoring member toward the distal portion; and
the third femoral anchoring member and the second femoral web cooperate to define a second bevel extending from the tip of the first femoral anchoring member toward the distal portion.
4. The knee arthroplasty system of claim 1 , further comprising:
a tibial joint prosthesis comprising:
a tibial joint-facing side comprising a tibial articular surface configured such that, with the femoral joint prosthesis secured to the femur and the tibial joint prosthesis secured to a tibia, the tibial articular surface articulates with the femoral articular surface; and
a tibial bone-facing side comprising a tibial bone engagement surface securable to a resected tibial surface of the tibia.
5. The knee arthroplasty system of claim 4 , wherein:
the tibial bone-facing side further comprises:
a post protruding from the tibial bone engagement surface;
a first tibial web that connects the post to the tibial bone engagement surface, the first tibial web comprising a crenellated surface; and
a second tibial web that connects the post to the tibial bone engagement surface, the second tibial web comprising a crenellated surface;
the post comprises a bore; and
the tibial joint prosthesis further comprises a keel comprising:
a proximal end receivable within the bore; and
a distal end configured to protrude beyond the bore when the proximal end is seated within the bore.
6. The knee arthroplasty system of claim 4 , wherein:
the femoral joint-facing side is a femoral articulating component joint-facing side;
the femoral bone-facing side is a femoral bone anchoring component bone-facing side;
the femoral joint prosthesis further comprises:
a femoral articulating component comprising the femoral articulating component joint-facing side and a femoral articulating component bone-facing side; and
a femoral bone anchoring component comprising the femoral bone anchoring component bone-facing side and a femoral bone anchoring component joint-facing side;
the femoral articulating component bone-facing side is secured to the femoral bone anchoring component joint-facing side;
the tibial joint-facing side is a tibial articulating component joint-facing side;
the tibial bone-facing side is a tibial bone anchoring component bone-facing side;
the tibial joint prosthesis further comprises:
a tibial articulating component comprising the tibial articulating component joint-facing side and a tibial articulating component bone-facing side; and
a tibial bone anchoring component comprising the tibial bone anchoring component bone-facing side and a tibial bone anchoring component joint-facing side; and
the tibial articulating component bone-facing side is secured to the tibial bone anchoring component joint-facing side.
7. A knee arthroplasty system for replacing a natural femoral articular surface on a femur and a natural tibial articular surface on a tibia, the knee arthroplasty system comprising:
a femoral joint prosthesis comprising:
a femoral joint-facing side comprising a femoral articular surface; and
a femoral bone-facing side comprising:
a femoral bone engagement surface securable to a resected femoral surface of the femur, the femoral bone engagement surface comprising an anterior portion, a posterior portion, and a distal portion that connects the anterior portion to the posterior portion;
a first femoral anchoring member protruding from the distal portion;
a second femoral anchoring member protruding from the femoral bone engagement surface; and
a first femoral web that connects the first femoral anchoring member to the second femoral anchoring member; and
a tibial joint prosthesis comprising:
a tibial joint-facing side comprising a tibial articular surface configured to articulate with the femoral articular surface when the femoral joint prosthesis is secured to the femur and the tibial joint prosthesis is secured to the tibia; and
a tibial bone-facing side comprising a tibial bone engagement surface securable to a resected tibial surface of the tibia;
wherein:
the tibial bone-facing side further comprises:
a post protruding from the tibial bone engagement surface;
a first tibial web that connects the post to the tibial bone engagement surface, the first tibial web comprising a crenellated surface; and
a second tibial web that connects the post to the tibial bone engagement surface, the second tibial web comprising a crenellated surface;
the post comprises a bore; and
the tibial joint prosthesis further comprises a keel comprising:
a proximal end receivable within the bore; and
a distal end configured to protrude beyond the bore when the proximal end is seated within the bore.
8. The knee arthroplasty system of claim 7 , wherein:
the femoral joint-facing side is a femoral articulating component joint-facing side;
the femoral bone-facing side is a femoral bone anchoring component bone-facing side;
the femoral joint prosthesis further comprises:
a femoral articulating component comprising the femoral articulating component joint-facing side and a femoral articulating component bone-facing side; and
a femoral bone anchoring component comprising the femoral bone anchoring component bone-facing side and a femoral bone anchoring component joint-facing side;
the femoral articulating component bone-facing side is secured to the femoral bone anchoring component joint-facing side;
the tibial joint-facing side is a tibial articulating component joint-facing side;
the tibial bone-facing side is a tibial bone anchoring component bone-facing side;
the tibial joint prosthesis further comprises:
a tibial articulating component comprising the tibial articulating component joint-facing side and a tibial articulating component bone-facing side; and
a tibial bone anchoring component comprising the tibial bone anchoring component bone-facing side and a tibial bone anchoring component joint-facing side; and
the tibial articulating component bone-facing side is secured to the tibial bone anchoring component joint-facing side.
9. The knee arthroplasty system of claim 8 , wherein the first femoral anchoring member, the second femoral anchoring member, and the first femoral web protrude from and are formed as a single piece with the femoral bone anchoring component bone-facing side.
10. The knee arthroplasty system of claim 8 , wherein the post, the first tibial web, and the second tibial web protrude from and are formed as a single piece with the tibial bone anchoring component bone-facing side.