Method and apparatus for hip femoral resurfacing tooling
Tools and methods for implanting hip resurfacing femoral prostheses along a path defined by the axis of a shaped femoral head surface are described. The prostheses are stemless partial ball components having an outer surface shaped to conform to an acetabular socket and may be a two part design having a mating sleeve component with an internal bore adapted to receive the shaped femoral head. The tools and methods are capable of accurately implanting both one and two piece ball components and sleeves without requiring the prosthesis to have a central stem or the preparation of a stem cavity in the femoral head and neck.
1. A method of installing a femoral sleeve prosthesis to a femoral head comprising:
preparing an outer surface of the femoral head about a datum to a predetermined configuration to create a prepared femoral head having a head axis defined by the datum;
selecting a sleeve prosthesis having a distal end with an opening into a cavity and a proximal end having an aperture, the cavity being sized and configured to engage the outer surface of the prepared femoral head;
inserting the sleeve prosthesis into a sleeve interface of a tool and retaining the sleeve prosthesis in the sleeve interface, the tool further comprising a guide and a handle, the guide capable of aligning the sleeve interface with the head axis when engaged with the datum and guiding the sleeve interface to slidingly translate along the head axis when engaged with the datum, the handle capable of applying force to the interface portion;
engaging the guide of the tool with the datum;
applying force to the tool handle to slidingly translate the tool and sleeve prosthesis along the head axis to seat the sleeve cavity on the prepared femoral head surface; and
releasing the sleeve prosthesis from the sleeve interface, disengaging the guide from the datum and removing the tool,
wherein the datum is a guide wire bore, and the guide comprises a pin extending from the sleeve interface, the pin being configured to slidingly fit in the guide wire bore when the pin is engaged with the guide wire bore by passing the pin through the aperture and cavity of the sleeve prosthesis when inserting the sleeve prosthesis into the sleeve interface and then positioning the tool to place the pin into the guide wire bore.
2. The method of claim 1 , wherein the sleeve prosthesis has at least one outer surface that is tapered.
3. The method of claim 2 , wherein the sleeve prosthesis is released from the sleeve interface by actuating an extractor assembly that applies force to the sleeve prosthesis to release the sleeve prosthesis from the tool.
4. The method of claim 3 , wherein the force applied by the extractor assembly is applied symmetrically about a central axis of the proximal end of the sleeve prosthesis.
5. The method of claim 2 , wherein the sleeve interface has at least one surface that is partially cone shaped.
6. The method of claim 1 , wherein bone cement is applied between an interior surface of the sleeve prosthesis and a surface of the prepared femoral head prior to seating the cavity of the sleeve prosthesis on the surface of the prepared femoral head.
7. The method of claim 1 , wherein an outside surface of the sleeve prosthesis is solid metal.
8. The method of claim 1 , wherein the sleeve prosthesis is substantially composed of one metal selected from the group consisting of titanium, titanium alloys, cobalt chrome alloys, niobium and tantalum.