Implants with transition surfaces and related processes
Implants, and processes for installing them, which replace the medial condyle and portions of the patellofemoral channel but preferably not portions of the lateral condyle that articulate relative to the tibia. Processes are provided which allow proper location and orientation of an anterior resection and a distal resection on the femur, which make use of a transition point which can be designated on the bone, for navigating proper positioning of such implants. Proper positioning of the implant relative to the femur for insuring a smooth transition between lateral portions of the implant and the lateral condyle is thus reduced to determining proper medial/lateral location of the implant on the anterior and distal resections. Such implants and processes can allow, among other things, for controlled location and orientation of an implant on the bone which saves lateral compartment bone, which eliminates the need to sacrifice the anterior and posterior cruciate ligaments, and which is adapted for minimally invasive surgery with its attendant benefits.
1. A method of preparing a distal femur for receipt of a femoral member, the femoral member including an anterior portion comprising an anterior medial articulating surface, an anterior lateral articulating surface, and an anterior patellofemoral portion, the anterior portion having a distal edge and a lateral margin; a posterior medial condylar portion comprising a posterior medial articulating surface; and a transition edge extending laterally from the distal edge of the anterior portion to the lateral margin of the anterior portion in an anterior direction,
the method comprising:
placing a guide on the distal femur, the guide including a transition guide surface corresponding to the transition edge of the femoral member;
using the transition guide surface to locate on the femur the position of the transition edge of the femoral member; and
cutting bone to receive the transition edge of the femoral member.
2. The method of claim 1 further comprising using the guide to form an anterior resection of the distal femur for receiving the anterior portion of the femoral member.
3. The method of claim 1 further comprising using the guide to form a posterior resection of the distal femur for receiving the posterior medial condylar portion of the femoral member.
4. The method of claim 1 further comprising using the guide to form a distal resection of the distal femur.
5. The method of claim 1 further comprising using the guide to form a bore in the femur.
6. The method of claim 1 wherein the guide comprises:
an inner surface for receipt by a distal femur;
a posterior resection guide surface to guide resection of a posterior region of the distal femur for receiving the posterior medial condylar portion of the femoral member; and
an anterior resection guide surface to guide resection of an anterior region of the distal femur for receiving the anterior portion of the femoral member.