System for preparing a patient's femur in an orthopaedic joint replacement procedure
An orthopedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.
1. An orthopaedic surgical system comprising:
a tibial base plate sized to be positioned on a proximal surface of a patient's tibia, and
an insert trial component configured to be attached to the tibial base plate, the insert trial component including a pair of proximal curved concave surfaces,
a femoral trial component configured to be coupled to a distal end of a patient's femur, the femoral trial component comprising an anterior flange, and a pair of curved arms extending away from the anterior flange, each arm including a curved condyle surface and a plurality of cutting guide slots, and
a femoral trial insert component including a central body sized to be positioned between the pair of curved arms and a pair of mounting flanges extending outwardly from the central body, each mounting flange including a distal surface and a fastener retained in each mounting flange to secure the mounting flange to the femoral trial component,
wherein the femoral trial component includes a pair of slots in the curved arms sized to receive the mounting flanges of the femoral trial insert component,
wherein the distal surfaces and the curved condyle surfaces are configured to engage and articulate on the proximal curved concave surfaces of the insert trial component when the femoral trial insert component is secured to the femoral trial component, and
wherein each fastener includes an elongated threaded shaft sized to engage a threaded bore defined in one of the mounting flanges of the femoral trial insert component, a head connected to the elongated threaded shaft, a socket defined in the head, and an annular flange extending radially outward from the head to engage the mounting flange of the femoral trial insert component.
2. The orthopaedic surgical system of claim 1 , wherein:
the femoral trial insert component includes a tab extending outwardly from a first flange of the pair of mounting flanges, and
the femoral trial component includes a groove defined in a first mounting curved arm of the pair of curved arms, the groove being connected to a first slot of the pair of slots and sized to receive the tab of the femoral trial insert component to orient the femoral trial insert component relative to the femoral trial component.
3. The orthopaedic surgical system of claim 2 , wherein the pair of curved arms includes a second curved arm devoid of any grooves opening into the other slot of the pair of slots.
4. The orthopaedic surgical system of claim 2 , wherein:
the femoral trial insert component includes a second tab extending outwardly from the first mounting flange, and
the femoral trial component includes a second groove defined in the first curved arm, the second groove being connected to the first slot and sized to receive the second tab of the femoral trial insert component to orient the femoral trial insert component relative to the femoral trial component.
5. The orthopaedic surgical system of claim 1 , wherein:
each mounting flange includes an opening defined in the distal surface of the mounting flange, and an inner wall extending inwardly from the opening to define a cavity in the mounting flange, the inner wall including a distal section defining a first diameter, and
the annular flange of the fastener has a second diameter greater than the first diameter.
6. The orthopaedic surgical system of claim 5 , wherein the annular flange of the fastener has a beveled proximal edge.
7. The orthopaedic surgical system of claim 1 , wherein the central body of the femoral trial insert component includes:
an anterior flange,
a pair of arms extending from the anterior flange, each arm includes one of the mounting flanges,
a proximal wall extending between the pair of arms, the proximal wall cooperating with the pair of arms and the anterior flange to define a notch sized to receive a spine of the insert trial component, and
a posterior cam extending from the proximal wall that is configured to articulate with the spine of the insert trial component over a range of flexion.
8. The orthopaedic surgical system of claim 7 , wherein:
the femoral trial insert component is a first femoral trial insert component, and
the orthopaedic surgical system comprises a second femoral trial insert component including:
an anterior flange,
a pair of arms extending from the anterior flange, each arm of the second femoral trial component including a mounting flange having a distal surface and a fastener retained in the mounting flange to secure the mounting flange to the femoral trial component, and
an open channel defined between the pair of arms.
9. The orthopaedic surgical system of claim 1 , wherein the femoral trial insert component includes a post sized to receive a stem trial including an elongated shaft.
10. The orthopaedic surgical system of claim 1 , wherein the femoral trial insert component includes an anterior surface shaped to match a patella surface of a corresponding femoral prosthetic component.
11. An orthopaedic surgical system comprising:
a femoral trial component configured to be coupled to a distal end of a patient's femur, the femoral trial component comprising an anterior flange, and a pair of curved arms extending away from the anterior flange, each arm including a curved condyle surface and a plurality of cutting guide slots, and
a femoral trial insert component including (i) a pair of mounting flanges extending outwardly from the central body, each mounting flange including a distal surface and a fastener retained therein to secure the mounting flange to the femoral trial component, and (ii) a tab extending outwardly from a first flange of the pair of mounting flanges,
wherein the femoral trial component includes (i) a pair of slots in the curved arms sized to receive the mounting flanges of the femoral trial insert component and (ii) a groove defined in a first mounting curved arm of the pair of curved arms, the groove being connected to a first slot of the pair of slots and sized to receive the tab of the femoral trial insert component to orient the femoral trial insert component relative to the femoral trial component,
wherein the pair of curved arms includes a second curved arm devoid of any grooves opening into the other slot of the pair of slots,
wherein the femoral trial insert component includes a second tab extending outwardly from the first mounting flange, and
wherein the femoral trial component includes a second groove defined in the first curved arm, the second groove being connected to the first slot and sized to receive the second tab of the femoral trial insert component to orient the femoral trial insert component relative to the femoral trial component.
12. The orthopaedic surgical system of claim 11 , wherein each fastener includes an elongated threaded shaft sized to engage a threaded bore defined in one of the mounting flanges of the femoral trial insert component, a head connected to the elongated threaded shaft, a socket defined in the head, and an annular flange extending radially outward from the head to engage the mounting flange of the femoral trial insert component.
13. The orthopaedic surgical system of claim 12 , wherein:
each mounting flange includes an opening defined in the distal surface of the mounting flange, and an inner wall extending inwardly from the opening to define a cavity in the mounting flange, the inner wall including a distal section defining a first diameter, and
the annular flange of the fastener has a second diameter greater than the first diameter.