Femoral head restoration
A surgical instrument and method for assessing restoration of the femoral head centre is provided. The instrument comprising: a body having a first connector for attaching the body to a femoral part, and wherein the body defines a plurality of apertures therein, wherein each aperture corresponds to a respective femoral head centre arising from a respective corresponding femoral neck; and a gauge, wherein the gauge includes a pin at a first end and an arm extending transversely from the pin and wherein the pin is receivable in each of the plurality of apertures and the arm bears a scale indicating a distance from the pin. The approach seeks to provide a simple and/or easy to use approach to restoring the native femoral head position during a hip replacement surgical procedure.
1 . A surgical instrument for assessing restoration of the femoral head centre, comprising:
a body having a first connector for attaching the body to a femoral part, and wherein (i) the body defines a plurality of apertures therein, wherein each aperture corresponds to a respective femoral head centre arising from a respective corresponding femoral neck, and (ii) the body has an anterior face and wherein the anterior face includes at least a first linear indicium extending parallel to a medial-lateral axis and passing through at least a first of the plurality of apertures and corresponding to a first position on a superior-inferior axis; and
a gauge, wherein the gauge includes a pin at a first end and an arm extending transversely from the pin and wherein the pin is receivable in each of the plurality of apertures and the arm bears a scale indicating a distance from the pin.
2 . The surgical instrument of claim 1 , wherein the plurality of apertures includes apertures corresponding to femoral necks having different medial-lateral offsets.
3 . The surgical instrument of claim 1 , wherein the plurality of apertures includes apertures corresponding to femoral necks having different stem-neck angles.
4 . The surgical instrument of claim 1 , wherein the plurality of apertures includes apertures corresponding to femoral necks having different leg-lengths.
5 . The surgical instrument of claim 1 , wherein the anterior face includes at least a second linear indicium extending parallel to the medial-lateral axis and passing through at least a second of the plurality of apertures and corresponding to a second position on the superior-inferior axis.
6 . The surgical instrument of claim 1 , wherein the body has a posterior face and wherein the posterior face includes the same indicia as the anterior face and configured so that the same body is useable for right hand hips and left hand hips.
7 . The surgical instrument of claim 1 , wherein each of the plurality of apertures comprises a channel passing through the entire thickness of the body.
8 . A surgical instrument system comprising:
the surgical instrument of claim 1 ; and
a centre finder, the centre finder including a plurality of indicia configured to indicate the centre of the centre finder, wherein the centre finder comprises a circular ring and wherein the plurality of indicia comprises a first pair of diametrically opposed indicia and a second pair of diametrically opposed indicia.
9 . A surgical instrument system of claim 8 and further comprising:
a broach, wherein the broach includes a second connector configured to engage the first connector to attach the body to the broach; and
a plurality of femoral necks, wherein each neck gives rise to a different femoral head centre position.
10 . The surgical instrument system of claim 9 , wherein the plurality of femoral necks includes femoral necks having different offsets along the medial-lateral axis.
11 . The surgical instrument system of claim 9 , wherein the plurality of femoral necks includes femoral necks having different stem-neck angles.
12 . The surgical instrument system of claim 9 , wherein the plurality of femoral necks includes femoral necks having different leg lengths along the superior-inferior axis.