Apparatus and method for evaluating knee geometry
A method of evaluating a human knee joint which includes a femur bone, a tibia bone, a patella bone, a patellar tendon, and ligaments, wherein the ligaments and patellar tendon are under anatomical tension to connect the femur and tibia together, creating a load-bearing articulating joint, the method including: inserting into the knee joint a gap balancer that includes a tibial interface surface, an opposed femoral interface surface, and at least one force sensor, the method including: providing an electronic receiving device; moving the knee joint through at least a portion of its range of motion; while moving the knee joint, using the electronic receiving device to collect data from the at least one force sensor; processing the collected data to produce a digital geometric model of at least a portion of the knee joint; and storing the digital geometric model for further use.
1. A method of evaluating a human knee joint which includes a femur bone, a tibia bone, a patella bone, and ligaments, wherein the ligaments are under anatomical tension to connect the femur and tibia together, creating a load-bearing articulating joint, the method comprising:
without making a tibial plateau cut, inserting into the knee joint a gap balancer that includes a tibial interface surface, an opposed femoral interface surface, and at least one force sensor, wherein the force sensor has at least a two-axis array resolution, with the gap balancer in a retracted position;
moving the gap balancer towards an extended position, so as to urge the tibia and the femur apart and apply tension to ligaments of the knee joint;
providing an electronic receiving device;
moving the knee joint through at least a portion of its range of motion;
while moving the knee joint, using the electronic receiving device to collect data from the at least one force sensor;
processing the collected data to produce a digital geometric model of at least a portion of the knee joint; and
storing the digital geometric model for further use.
2. The method of claim 1 wherein the data includes information from an array of tibial force sensors and an array of femoral force sensors.
3. The method of claim 1 wherein the gap balancer includes one or more individual devices, each one of the one or more individual devices placed in a single compartment of the knee joint.
4. The method of claim 1 further comprising:
computing one or more tool paths passing through the knee joint;
coupling at least one tracking marker to the knee joint;
receiving data representing an actual position and orientation of a tool relative to the at least one tracking marker;
moving a tool along the one or more tool paths, with reference to the data, so as to remove bone from the knee joint, thereby forming a machined feature in the knee joint.
5. The method of claim 1 wherein the two-axis array lies on a non-planar surface.
6. The method of claim 1 wherein the force sensor also produces position or displacement data.
7. The method of claim 6 further comprising force and displacement data being shown graphically to a user.
8. The method of claim 1 further comprising:
connecting at least one position tracking sensor directly or indirectly to the knee joint;
collecting position data from the position tracking sensor while moving the knee joint; and,
using the position data and the force data to produce the geometric model.
9. The method of claim 1 wherein the patella remains in its native anatomical position during all steps of the method.
10. The method of claim 1 wherein the data is compiled in a database and learning system.