Method for optimizing implant designs
Methods are disclosed for designing a tibial implant to minimize cortical impingement of a keel or other fixation structure when the tibial implant is implanted in the tibia bone. The design of the keel or other fixation structure on the tibial baseplate can be based on determining a common area between defined cancellous regions of at least two tibia bones. Methods are disclosed for designing a femoral component having a stem extension such that the stem can be sufficiently placed in the diaphysis of the femur when the femoral component is implanted. The method includes determining a canal axis in a femur that creates adequate engagement between a reamer and the diaphysis of the femur.
1. A method of designing a femoral component having a stem extension and configured for implantation on a distal end of a femur, the method comprising:
determining a canal axis of a plurality of femurs using at least one cylinder to create an optimal fit between a reamer and a diaphysis of each of the plurality of femurs, the plurality of femurs having a comparable size and configured to correspond to one implant size of an implant family; and
determining a position of the stem extension on the femoral component as a function of the determined canal axis of the plurality of femurs.
2. The method of claim 1 , wherein the position of the stem extension on the femoral component is determined by measuring a distance between the canal axis and an anterior cortex in a distal cut plane for each of the plurality of femurs.
3. The method of claim 1 , wherein the position of the stem extension on the femoral component can be determined for each of the plurality of femurs and averaged to determine the position of the stem extension on the femoral component for a particular size in the implant family.
4. The method of claim 1 , wherein determining the canal axis of the plurality of femurs includes adjusting a distal entry point for insertion of the at least one cylinder.
5. The method of claim 1 , wherein determining the canal axis of the plurality of femurs includes:
(a) providing two or more cylinders having various diameters and representing reamers configured for use in preparing a femur for a femoral implant;
(b) inserting a first cylinder, having a first diameter, into a canal of the femur to a predetermined reaming depth;
(c) if a reaming depth achievable with the first cylinder is less than the predetermined reaming depth, inserting the first cylinder into the canal to a maximum reaming depth that the first cylinder is able to fit in the canal; and
(d) if the reaming depth achievable is about equal to or greater than the predetermined reaming depth and the first cylinder is not seated against an inner cortex of the femur, inserting a second cylinder, having a second diameter, into the canal of the femur to the predetermined reaming depth, the second diameter being greater than the first diameter of the first cylinder;
(e) repeating step (d) using cylinders of increasingly greater diameters, until a particular cylinder is seated in the canal; and
(f) determining an optimal cylinder position based on step (c) or (e), wherein an optimal canal axis is based on a longitudinal axis of the optimal cylinder position.
6. The method of claim 5 , wherein step (f) of determining the optimal cylinder position includes adjusting an entry point for inserting the particular cylinder in the distal end of the femur in at least one of an anterior/posterior direction and a medial/lateral direction.
7. The method of claim 5 , further comprising repeating step (c) by reducing the reaming depth by increments of 5 mm.
8. The method of claim 5 , wherein repeating step (d) includes increasing a cylinder diameter by increments of 1 mm.
9. The method of claim 5 , wherein the diameter of the first cylinder is 10 mm.