Surgical instrument
An object of the present disclosure is to provide a surgical instrument that can facilitate adjustment between a progressive position gap and a flexed position gap by additionally resecting a bone after resection of a femur distal portion. A surgical instrument ( 1 ) includes a body portion ( 2 ) including a first abutment surface ( 5 ) abuttable against a distal end resection surface ( 102 ) of a femur distal portion ( 101 ) and a posterior condyle abutment portion ( 3 ) including a second abutment surface ( 10 ) abuttable against a posterior condyle resection surface ( 104 ) of a posterior condyle portion ( 103 ) of a femur ( 100 ) and connected to the body portion ( 2 ). The body portion ( 2 ) includes a first slit ( 7 ) extending in a direction parallel to the second abutment surface ( 10 ) and a second slit ( 8 ) extending in a direction intersecting the first abutment surface ( 5 ) and the second abutment surface ( 10 ).
1. A surgical instrument for guiding a bone resection instrument for resecting a femur, the surgical instrument comprising:
a body including
a distal body portion comprising a first abutment surface configured to abut against a distal end resection surface of a femur distal portion, the distal body portion having a substantially plate shape; and
a posterior condyle abutment portion comprising a second abutment surface configured to abut against a posterior condyle resection surface of a posterior condyle portion of the femur and connected to the distal body portion such that the posterior condyle abutment portion extends from a lower end of the distal body portion along the posterior condyle resection surface; and
a spacer capable of displacing a holding position of the first abutment surface with respect to the distal end resection surface, the spacer being positioned between the distal end resection surface and the distal body portion, wherein
the body comprises
a first cutting slit extending in a direction parallel to the second abutment surface, and
a second cutting slit extending in a direction intersecting the first abutment surface and the second abutment surface,
wherein when the spacer is attached to the distal body portion, the second slit is disposed between the spacer and the first slit and the spacer protrudes anteriorly past the entire body, along the first abutment surface, in a direction away from the posterior condyle abutment portion.
2. The surgical instrument according to claim 1 , further comprising:
a fixing mechanism configured to hold the first abutment surface to the distal end resection surface.
3. The surgical instrument according to claim 2 , wherein the fixing mechanism comprises
a fixing pin configured to be inserted into the femur, and
a pin hole that is provided as a through hole passing through the distal body portion and into which the fixing pin is inserted,
wherein the first abutment surface of the surgical instrument is configured to be held to the distal end resection surface through insertion of the fixing pin into the pin hole and into the femur.
4. The surgical instrument according to claim 3 , wherein
the pin hole is a plurality of pin holes that pass through the distal body portion in directions different from each other.
5. The surgical instrument according to claim 1 , wherein
at least one of the distal body portion and the spacer comprises a magnetic body, and the spacer is detachably attached to the distal body portion with a magnetic force.
6. The surgical instrument according to claim 1 , wherein
the distal body portion comprises a magnet, and
the spacer comprises a ferromagnetic body, and is detachably attached to the distal body portion with a magnetic force.
7. The surgical instrument according to claim 1 , wherein
the spacer is a plurality of additional spacers having thicknesses different from each other.
8. An artificial knee joint replacement apparatus comprising the surgical instrument of claim 1 that is configured for bone re-resection for installing a femur side component.
9. The surgical instrument according to claim 1 , wherein when the spacer is in position and displacing the holding position of the first abutment surface with respect to the distal end resection surface, the spacer extends beyond the distal end resection surface.
10. The surgical instrument according to claim 1 , wherein the spacer is detachably attached to the distal body portion at the first abutment surface and configured to abut against the distal end resection surface, the spacer including a flat plate shape with a front surface and a rear surface formed parallel to the front surface.