Tool and method for separating a femoral cup from an acetabular ball in an implanted hip prosthesis
Surgical tools which are used to separate from one another a femoral cup and an acetabular ball in an implanted hip replacement prosthesis. At its distal end, elements of the surgical tool engage the femoral cup and the acetabular cup. When proximal handles of the tool are squeezed toward one another, the engagement elements move away from one another. Thus, a surgeon is able to separate the femoral cup and the acetabular ball from one another without pulling the acetabular cup away from the acetabulum or the femoral cup and/or femoral implant away from the femur, thereby accomplishing the separation without disrupting any bone ingrowth.
1. A surgical tool configured to separate a femoral cup upon a femoral stem from an acetabular ball engaging the femoral cup, the acetabular ball mounted upon a stem affixed to a concave surface of an acetabular cup having a circumferential edge, the stem extending outwardly from an interior of said acetabular cup of a hip prothesis, the surgical tool comprising:
a first handle and a second handle connected by a single fulcrum pin in a hinged rotational relationship about the single fulcrum pin in a rotational plane perpendicular to an axis of the single fulcrum pin, the first and second handles being urged apart by a spring, each handle having a proximal end and a distal end;
the first handle having a femoral engagement component at its distal end thereof, the femoral engagement component having a generally flat, U-shaped plate configuration having a pair of side legs joined at a base connecting the femoral engagement component to the distal end of the first handle, and wherein the U-shaped plate is within a first plane; and
the second handle having an acetabular engagement element at its distal end thereof, the acetabular engagement element is an acetabular engagement component having a generally flat, U-shaped plate configuration having a pair of side legs joined at a base connecting the acetabular engagement component to the distal end of the second handle, and wherein the U-shaped plate of the acetabular engagement component is within a second plane,
the femoral engagement component being sized to engage a neck of a femoral cup, engage an outer hemispherical surface of the femoral cup, engage both the neck and the outer hemispherical surface of the femoral cup, or engage a proximal end of a femoral stem, and
the acetabular engagement element being sized to engage at least a part of the circumferential edge of the acetabular cup,
wherein the second plane of the acetabular engagement element forms a first angle with the first plane of the femoral engagement component when the surgical tool is in a first configuration when the proximal ends of the first and second handles are spaced apart at a maximum distance, and when the surgical tool is in a second configuration and the proximal ends of the first and second handles are at a lesser spaced apart distance than in the first configuration, the second plane of the acetabular engagement element forms a second angle with the first plane of the femoral engagement component, wherein the second angle is greater than the first angle.
2. The surgical tool of claim 1 further comprising a hinge disposed between the fulcrum pin and the acetabular engagement element, the hinge being arranged to allow lateral pivoting of the acetabular engagement element.
3. The surgical tool of claim 1 wherein the acetabular engagement element is an acetabular engagement ring which is pivotally attached between two parts at the distal end of the second handle which two parts are within the second plane.
4. A method of using the surgical tool of claim 3 in separating a femoral cup upon a femoral stem from an acetabular ball engaging the femoral cup, the acetabular ball mounted upon a stem affixed to a concave surface of an acetabular cup having a circumferential edge, the stem extending outwardly from an interior of the acetabular cup of a hip prosthesis comprising the steps of: engaging the femoral engagement component with a femoral implant component while simultaneously engaging the acetabular engagement ring with an acetabular implant component and then squeezing the first and second handles towards one another thereby causing the femoral implant component and the acetabular implant component to be separated from one another, wherein the femoral implant component comprises a neck of a femoral cup, an outer hemispherical surface of the femoral cup, both the neck and the outer hemispherical surface of the femoral cup or a proximal end of a femoral implant.
5. A kit containing the surgical tool of claim 1 and at least one further surgical instrument or at least one further implant element.
6. A method of using the surgical tool of claim 1 in separating a femoral cup upon a femoral stem from an acetabular ball engaging the femoral cup, the acetabular ball mounted upon a stem affixed to a concave surface of an acetabular cup having a circumferential edge, the stem extending outwardly from an interior of the acetabular cup of a hip prosthesis comprising the steps of:
engaging the femoral engagement component with a femoral implant component while simultaneously engaging the acetabular engagement element with an acetabular implant component, and squeezing the first and second handles towards one another and thereby causing the femoral implant component and the acetabular implant component to be separated from one another, wherein the femoral implant component comprises a neck of a femoral cup, an outer hemispherical surface of the femoral cup, both the neck and the outer hemispherical surface of the femoral cup or a proximal end of a femoral implant.
7. The surgical tool of claim 1 , wherein the femoral engagement component is rotatably connected to the distal end of the first handle, the femoral engagement component having an axis of rotation substantially perpendicular to the axis of the single fulcrum pin.
8. The surgical tool of claim 1 , wherein the disposition of the fulcrum pin between the distal and proximal ends of each handle provides only for rotational movement of the distal ends when the proximal ends of each of the handles are moved towards one another.