Femoral component for a knee prosthesis with improved articular characteristics
An orthopaedic knee prosthesis includes a femoral component which exhibits enhanced articular features, minimizes removal of healthy bone stock from the distal femur, and minimizes the impact of the prosthesis on adjacent soft tissues of the knee.
1. A posterior-stabilized femoral component adapted to articulate with a tibial bearing component in a knee prosthesis, the tibial bearing component including a proximally extending spine, the femoral component comprising:
medial and lateral condyles shaped to articulate with the tibial bearing component through a range of motion, in which full extension corresponds to zero degrees flexion of the knee prosthesis and positive flexion corresponds to greater than zero degrees flexion of the knee prosthesis,
said medial and lateral condyles comprising inwardly facing condylar walls forming an intercondylar space therebetween, said intercondylar space having a medial/lateral width; and
a femoral cam spanning said intercondylar space to join said medial and lateral condyles to one another, said femoral cam sized and positioned to engage the spine of the tibial bearing component in positive flexion through at least a portion of the range of motion,
said femoral cam having an articular surface comprising:
a central articular surface that is one of cylindrical and convex across a medial/lateral extent of said central articular surface;
a convex medial transition surface flanking said central articular surface and disposed between said central articular surface and said medial condyle, the convex medial transition surface ending at a concave medial transition surface that is adjacent to the medial condyle; and
a convex lateral transition surface flanking said central articular surface and disposed between said central articular surface and said lateral condyle, the convex lateral transition surface ending at a concave lateral transition surface that is adjacent to the lateral condyle,
said central articular surface, said convex medial transition surface and said convex lateral transition surface cooperating to occupy between 80% and 91% of said medial/lateral width of said intercondylar space.
2. The posterior-stabilized femoral component of claim 1 , wherein said articular surface of said femoral cam defines a minimum radius of 2.5 mm.
3. The posterior-stabilized femoral component of claim 1 , wherein the femoral component defines a femoral component coordinate system comprising:
a component sagittal plane extending along a proximal/distal direction and an anterior/posterior direction, the component sagittal plane equidistant from said medial and lateral condylar walls; and
a component coronal plane extending along the proximal/distal direction and a medial/lateral direction, the component coronal plane perpendicular to the component sagittal plane, wherein:
at least one of said convex medial transition surface and said convex lateral transition surface comprises a coronal cross-sectional profile defining a curve having a radius of at least 6.5 mm.
4. The posterior-stabilized femoral component of claim 3 , wherein said curve of said coronal cross-sectional profile has a radius up to 12 mm.
5. The posterior-stabilized femoral component of claim 1 , wherein
said convex medial and lateral transition surfaces, said concave medial and lateral transition surfaces, and said central articular surface cooperate to occupy the entire medial/lateral width of said intercondylar space.
6. The posterior-stabilized femoral component of claim 5 , wherein said concave medial and lateral transition surfaces each define a minimum of radius of 1 mm.
7. The posterior-stabilized femoral component of claim 1 ,
wherein the femoral component defines a femoral component coordinate system comprising:
a component sagittal plane extending along a proximal/distal direction and an anterior/posterior direction, the component sagittal plane equidistant from said medial and lateral condylar walls; and
a component coronal plane extending along the proximal/distal direction and a medial/lateral direction, the component coronal plane perpendicular to the component sagittal plane;
said femoral cam comprising:
an initial-flexion cam surface positioned to initially engage the spine of the tibial bearing component during articulation from full extension to positive flexion; and
a deep-flexion cam surface positioned to engage the spine of the tibial bearing component after the initial-flexion cam surface as the articulation progresses,
said initial-flexion cam surface comprising a first cylindrical surface having a first axial extent along the medial/lateral direction, such that said first cylindrical surface comprises a convex cross-sectional profile in the component sagittal plane and a flat cross-sectional profile in the component coronal plane, said first axial extent occupying at least 80% of said medial/lateral width of said intercondylar space, and
said deep-flexion cam surface comprising a second cylindrical surface having a second axial extent along the medial/lateral direction, such that said second cylindrical surface comprises a convex cross-sectional profile in the component sagittal plane and a flat cross-sectional profile in the component coronal plane, said second axial extent occupying up to 25% of said medial/lateral width of said intercondylar space.
8. The posterior-stabilized femoral component of claim 7 , wherein said convex medial transition surface and said convex lateral transition surface extend from said second cylindrical surface toward said inwardly facing condylar walls of said medial and lateral condyles, respectively.
9. The posterior-stabilized femoral component of claim 7 , wherein said convex cross-sectional profile of said second cylindrical surface of said deep-flexion cam surface defines a sagittal radius of at least 10 mm as viewed in the component sagittal plane.
10. The posterior-stabilized femoral component of claim 9 , wherein said sagittal radius of said convex cross-sectional profile of said second cylindrical surface is up to 11.5 mm.
11. The posterior-stabilized femoral component of claim 7 , wherein said convex cross-sectional profile of said first cylindrical surface of said initial-flexion cam surface defines a sagittal radius of at least 2.5 mm.
12. A posterior-stabilized femoral component adapted to articulate with a tibial bearing component in a knee prosthesis, the tibial bearing component including a proximally extending spine, the femoral component comprising:
medial and lateral condyles shaped to articulate with the tibial bearing component through a range of motion, in which full extension corresponds to zero degrees flexion of the knee prosthesis and positive flexion corresponds to greater than zero degrees flexion of the knee prosthesis,
said medial and lateral condyles comprising inwardly facing condylar walls forming an intercondylar space therebetween, said intercondylar space having a medial/lateral width; and
a femoral cam spanning said intercondylar space to join said medial and lateral condyles to one another, said femoral cam sized and positioned to engage the spine of the tibial bearing component in positive flexion through at least a portion of the range of motion,
said femoral cam having an articular surface comprising:
a central articular surface that is one of cylindrical and convex across a medial/lateral extent of said central articular surface;
a convex medial transition surface flanking said central articular surface and disposed between said central articular surface and said medial condyle; and
a convex lateral transition surface flanking said central articular surface and disposed between said central articular surface and said lateral condyle,
said central articular surface, said convex medial transition surface and said convex lateral transition surface cooperating to occupy at least 80% of said medial/lateral width of said intercondylar space;
wherein the femoral component defines a femoral component coordinate system comprising:
a component sagittal plane extending along a proximal/distal direction and an anterior/posterior direction, the component sagittal plane equidistant from said medial and lateral condylar walls; and
a component coronal plane extending along the proximal/distal direction and a medial/lateral direction, the component coronal plane perpendicular to the component sagittal plane;
said femoral cam comprising:
an initial-flexion cam surface positioned to initially engage the spine of the tibial bearing component during articulation from full extension to positive flexion; and
a deep-flexion cam surface positioned to engage the spine of the tibial bearing component after the initial-flexion cam surface as the articulation progresses,
said initial-flexion cam surface comprising a first cylindrical surface having a first axial extent along the medial/lateral direction, such that said first cylindrical surface comprises a convex cross-sectional profile in the component sagittal plane and a flat cross-sectional profile in the component coronal plane, said first axial extent occupying at least 80% of said medial/lateral width of said intercondylar space, and
said deep-flexion cam surface comprising a second cylindrical surface having a second axial extent along the medial/lateral direction, such that said second cylindrical surface comprises a convex cross-sectional profile in the component sagittal plane and a flat cross-sectional profile in the component coronal plane, said second axial extent occupying up to 25% of said medial/lateral width of said intercondylar space.
13. The posterior-stabilized femoral component of claim 12 , wherein said convex medial transition surface and said convex lateral transition surface extend from said second cylindrical surface toward said inwardly facing condylar walls of said medial and lateral condyles, respectively.
14. The posterior-stabilized femoral component of claim 12 , wherein said convex cross-sectional profile of said second cylindrical surface of said deep-flexion cam surface defines a sagittal radius of at least 10 mm as viewed in the component sagittal plane.
15. The posterior-stabilized femoral component of claim 14 , wherein said sagittal radius of said convex cross-sectional profile of said second cylindrical surface is up to 11.5 mm.
16. The posterior-stabilized femoral component of claim 12 , wherein said convex cross-sectional profile of said first cylindrical surface of said initial-flexion cam surface defines a sagittal radius of at least 2.5 mm.