FEMORAL TRIAL HEAD
20240238103 ยท 2024-07-18
Inventors
Cpc classification
A61F2/3609
HUMAN NECESSITIES
A61F2002/30616
HUMAN NECESSITIES
A61F2002/30607
HUMAN NECESSITIES
A61F2002/30332
HUMAN NECESSITIES
A61F2002/30345
HUMAN NECESSITIES
International classification
Abstract
A trial head may include a proximal, a distal side, a plurality of tabs positioned at the distal side and a recess. The plurality of tabs collectively form an opening. The recess can communicate with the opening. The recess can be formed by at least a first wall portion having a taper and a second wall portion having a geometry that differs from the first wall portion. The second wall portion can be proximal to the first wall portion.
Claims
1. A trial head for a hip arthroplasty comprising: a proximal side; a distal side; a plurality of tabs positioned at the distal side, wherein the plurality of tabs collectively form an opening; and a recess communicating with the opening, wherein the recess is formed by at least a first wall portion having a taper and a second wall portion having a geometry that differs from the first wall portion, and wherein the second wall portion is proximal to the first wall portion.
2. The trial head of claim 1, the second wall portion has one of a radius of curvature or a chamfer.
3. The trial head of claim 1, wherein the first wall portion is at least partially formed by the plurality of tabs.
4. The trial head of claim 1, wherein the recess is further formed by a third wall portion that is proximal to the second wall portion, wherein the third wall portion is cylindrically shaped.
5. The trial head of claim 1, further comprising an intermediate section between the proximal side and the distal side, wherein an exterior surface of the intermediate section has a groove therein.
6. The trial head of claim 1, wherein each of the plurality of tabs includes an inner wall comprising: a first chamfer extending distally and inwardly from the first wall portion of the recess to form a restriction; a second chamfer extending distally from the first chamfer; and a chamfer or radius of curvature extending distally from the second chamfer to a distal most end.
7. The trial head of claim 6, further comprising a femoral prosthesis or trial femoral component having a neck with a taper configured to be received by the plurality of tabs and the recess, wherein the first chamfer is configured to extend distal of a base of the taper.
8. The trial head of claim 7, wherein the plurality of tabs flex outward to receive the taper and create an interference fit with at least a portion of the taper.
9. The trial head of claim 7, wherein the trial femoral component incudes a C-ring at the taper, and wherein the second wall portion is configured to create an interference fit with the C-ring when the taper is received by the plurality of tabs and the recess.
10. The trial head of claim 1, wherein at least the plurality of tabs are formed of a polymeric material.
11. The trial head of claim 1, wherein the distal side adjacent the plurality of tabs includes a lip to facilitate removal of the trial head.
12. An orthopedic system for a hip arthroplasty comprising: a trial femoral component that includes a neck having a taper, wherein the trial femoral component represents a geometry of a femoral implant; a plurality of trial heads of different external configurations, wherein each of the plurality of trial heads is configured to couple with the trial femoral component, and wherein each of the plurality of trial heads includes: a proximal side; a distal side; a plurality of tabs positioned at the distal side, wherein the plurality of tabs collectively form an opening, wherein an inner chamfered surface of each of the plurality of tabs is configured to extend distal of a base of the taper when the trial femoral component is coupled with a respective one of the plurality of trial heads; and a recess communicating with the opening and configured to receive the taper upon insertion of the taper past the inner chamfered surface of each of the plurality of tabs.
13. The orthopedic system of claim 12, wherein at least the recess and the plurality of tabs have a same configuration for all of the plurality of trial heads.
14. The orthopedic system of claim 12, wherein the recess is formed by at least a first wall portion having a taper and a second wall portion having one of a chamfer or a radius of curvature, and wherein the second wall portion is proximal to the first wall portion.
15. The orthopedic system of claim 14, wherein the first wall portion is at least partially formed by the plurality of tabs, and wherein the recess is further formed by a third wall portion that is proximal to the second wall portion, wherein the third wall portion is cylindrically shaped.
16. The orthopedic system of claim 12, wherein the plurality of tabs are configured to flex outward to receive the taper and create an interference fit with at least a portion of the taper.
17. The orthopedic system of claim 12, wherein the trial femoral component incudes a C-ring at the taper, and wherein a wall that defines a part of the recess with a radius of curvature that is configured to create an interference fit with the C-ring when the taper is received by the plurality of tabs and the recess.
18. The orthopedic system of claim 12, wherein the distal side adjacent the plurality of tabs includes a lip.
19. A method of trialing for a hip arthroplasty comprising: providing a trial femoral component or femoral prosthesis with a neck having a taper; preparing a femur to receive the trial femoral component or femoral prosthesis; inserting the trial femoral component or femoral prosthesis in the femur; coupling a first of a plurality of trial heads with different external configurations to the trial femoral component or femoral prosthesis by receiving the taper within a recess and capturing the taper with a plurality of tabs of the first of the plurality of trial heads, wherein the plurality of tabs are configured to flex to form an interference fit with the taper; and performing a trial reduction with the first of the plurality of trial heads coupled to the trial femoral component or femoral prosthesis.
20. The method of claim 19, further comprising: forming an interference fit within the recess between a C-ring coupled to the taper and a wall of the recess, wherein the wall has one of a chamfer or a radius of curvature; and removing the first of the plurality of trial heads from the trial femoral component or femoral prosthesis by grasping a lip located adjacent the plurality of tabs; wherein coupling the first of the plurality of trial heads to the trial femoral component or femoral prosthesis includes positioning an inner chamfered surface of each of the plurality of tabs to extend distal of a base of the taper.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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[0019] Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate embodiments of the invention and such exemplifications are not to be construed as limiting the scope of the invention in any manner.
DETAILED DESCRIPTION
[0020] The present application discloses a trial head having a coupling geometry that can be utilized with any of the femoral prostheses 100 or trial femoral components 107 of
[0021]
[0022] As shown in
[0023] The groove 208 along the intermediate section 206 can be visible during imaging and can be used as a reference or indicia when imaged upon insertion of the trial head 200 into the hip joint. The groove 208 can be used to indicate if the trial head 200 is properly positioned, sized and/or can be utilized for other purposes. The imaging may be a radiographic image such as an X-ray image or fluoroscopic image, for example, or, alternatively, a computed tomography (CT) image, a magnetic resonance image (MRI), or any other suitable image.
[0024] The trial head 200 of
[0025] The trial head 200 or portions thereof can be formed of a polymeric material, for example. The polymeric material can be silicone, polyphenylsulfone (PPSU), polyetheretherketone (PEEK) or other suitable biocompatible polymeric material, for example. However, other materials including composites are also contemplated for the trial head 200 or portions thereof according to further examples.
[0026] The distal side 204 can include a plurality of tabs 216. The plurality of tabs 216 can extend distally from the skirt 212 if the skirt 212 is utilized or can be recessed within the distal side 204. The plurality of tabs 216 can collectively form an opening 218 to an interior of the trial head 200. The opening 218 can be a distal-most feature of the trial head 200 and can have a distal facing orientation when coupled to the taper 104 of the femoral implant 100 or trial femoral component 107 and utilized during surgery, for example.
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[0029] The recess 220 can be defined by two or more wall portions including a first wall portion 226, a second wall portion 228, a third wall portion 230 and a fourth wall portion 232. The first wall portion 226 can form a distal-most part of the recess 220. Thus, the first wall portion 226 can be at least partially formed by the plurality of tabs 216. The first wall portion 226 can have a depth of between 7.5 mm and 9.5 mm in the proximal-distal direction, for example. The first wall portion 226 can be tapered in a manner to correspond with the 12/14 taper. Thus, a cross-sectional area of the recess 220 can be reduced traveling from a distal end of the first wall portion 226 to a proximal end of the first wall portion 226.
[0030] The second wall portion 228 can have a geometry that differs from the first wall portion 226. The second wall portion 228 can be positioned proximal of the first wall portion 226 and can be connected thereto. The second wall portion 228 can include a radius of curvature rather than simply being a bore, a taper or chamfer, for example. The radius of curvature can be slight, e.g., 80 mm, for example. However, according to further examples the second wall portion 228 can be chamfered rather than having the radius of curvature. The angle of the chamfer can differ from the angle of the taper of the first wall portion 226. The radius of curvature or chamfer can result in the recess 220 reducing in cross-sectional area traveling from the distal end of the second wall portion 228 to the proximal end of the second wall portion.
[0031] The third wall portion 230 can be proximal to the second wall portion 228 and can be connected thereto. The third wall portion 230 can be cylindrically shaped (e.g., be an aperture with no radius of curvature or taper). The third wall portion 230 can be 1 mm to 2 mm in proximal-distal extent. The fourth wall portion 232 can include a radius for machining to form the recess 220 and can include the proximal end wall of the recess 220.
[0032] As shown in
[0033] The first chamfer 236 can extend distally and inwardly from the first wall portion 226 of the recess 220 to form a restriction (a reduced diameter region of the recess 220) as compared with a distal end of the first wall portion 226. The length of the first chamfer 236 can be between 0.60 mm and 1.00 mm.
[0034] The second chamfer 238 can be connected to the first chamfer 236 and can extend distally from the first chamfer 236. The length of the second chamfer 238 can be between 0.50 mm and 0.75 mm. In some examples, the second chamfer 238 may not be chamfered in the manner shown but can be substantially flat (e.g., can be cylindrically shaped) or can be chamfered in an different direction from the direction illustrated.
[0035] The third chamfer or radius of curvature 240 can connect to the second chamfer 238 and can extend distally from the second chamfer 238 to a distal most end of the inner wall 234 (corresponding to an end of the recess 220). Indeed, the third chamfer or radius of curvature 240 can extend past the opening 218 so as to provide each of the plurality of tabs 216 with a blunt or angled distal tip and can provide a ramp for entry of the taper 104 into the recess 220. The longitudinal proximal-distal extent of the third chamfer or radius of curvature 240 can be between 0.25 mm and 0.75 mm, for example.
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[0043] During the surgical operation, a trial femoral component is assembled to the trial head in order to evaluate the range of motion, leg length, soft tissue balance, etc. Alternate trial constructs may be evaluated until satisfactory performance is achieved. The corresponding femoral implant is then implanted by a conventional surgical technique. The trial head may then be assembled to the femoral prosthesis in order to perform a secondary evaluation of range of motion, leg length, soft tissue balance, etc.
[0044] The surgeon can trial the trial femoral component by coupling the taper of the stem 100 or trial femoral component 107 with the trial head as illustrated previously (see
[0045] Thus, the present application contemplates a method of trialing for a hip arthroplasty. The method can include providing a trial femoral component construct with a neck having a taper, preparing a femur to receive the femoral prosthesis, inserting the trial femoral component in the femur, coupling a first of a plurality of trial heads of different configurations to the trial femoral component by receiving the taper within a recess and capturing the taper with a plurality of tabs of the first of the plurality of trial heads, wherein the plurality of tabs are configured to flex to form an interference fit with the taper and performing a trial reduction with the first of the plurality of trial heads coupled to the trial femoral component. Optionally, the method can include implanting a femoral prosthesis with a neck having a taper simulated by the trial femoral component into the prepared femur (e.g., into the femoral canal). Optionally, rather than using the trial femoral component, the method can include coupling a trial head to a femoral prosthesis by receiving the taper in a manner similar to that described above.
[0046] Optionally, the method can include forming an interference fit within the recess between a C-ring coupled to the taper and a wall of the recess, wherein the wall has a chamfer or a radius of curvature. The method can include imaging the first of the plurality of trial heads coupled to the femoral prosthesis and referencing a groove along an outer surface of the first of the plurality of trial heads. The method can include removing the first of the plurality of trial heads from the femoral prosthesis by grasping a lip located adjacent the plurality of tabs. The coupling the first of the plurality of trial heads to the femoral prosthesis includes positioning an inner chamfered surface of each of the plurality of tabs to extend distal of a base of the taper.
[0047] Although described throughout with respect to a hip implant, the techniques could be utilized in another joint that utilizes trials such as, for example, but not limited to, shoulder arthroplasty procedures or another procedure that utilizes mating tapers for coupling of components.
[0048] Each of the following non-limiting examples (referred to as aspects and techniques below) may stand on its own, or may be combined in various permutations or combinations with one or more of the other examples. Furthermore, any element recited in the examples is optional and not a requirement of the apparatus, system or method.
Examples
[0049] In some aspects, the techniques described herein relate to a trial head for a hip arthroplasty including: a proximal side; a distal side; a plurality of tabs positioned at the distal side, wherein the plurality of tabs collectively form an opening; and a recess communicating with the opening, wherein the recess is formed by at least a first wall portion having a taper and a second wall portion having a geometry that differs from the first wall portion, and wherein the second wall portion is proximal to the first wall portion.
[0050] In some aspects, the techniques described herein relate to a trial head, the second wall portion has one of a radius of curvature or a chamfer.
[0051] In some aspects, the techniques described herein relate to a trial head, wherein the first wall portion is at least partially formed by the plurality of tabs.
[0052] In some aspects, the techniques described herein relate to a trial head, wherein the recess is further formed by a third wall portion that is proximal to the second wall portion, wherein the third wall portion is cylindrically shaped.
[0053] In some aspects, the techniques described herein relate to a trial head, further including an intermediate section between the proximal side and the distal side, wherein an exterior surface of the intermediate section has a groove therein.
[0054] In some aspects, the techniques described herein relate to a trial head, wherein each of the plurality of tabs includes an inner wall including: a first chamfer extending distally and inwardly from the first wall portion of the recess to form a restriction; a second chamfer extending distally from the first chamfer; and a chamfer or radius of curvature extending distally from the second chamfer to a distal most end.
[0055] In some aspects, the techniques described herein relate to a trial head, further including a femoral prosthesis or trial femoral component having a neck with a taper configured to be received by the plurality of tabs and the recess, wherein the first chamfer is configured to extend distal of a base of the taper.
[0056] In some aspects, the techniques described herein relate to a trial head, wherein the plurality of tabs flex outward to receive the taper and create an interference fit with at least a portion of the taper.
[0057] In some aspects, the techniques described herein relate to a trial head, wherein the trial femoral component incudes a C-ring at the taper, and wherein the second wall portion is configured to create an interference fit with the C-ring when the taper is received by the plurality of tabs and the recess.
[0058] In some aspects, the techniques described herein relate to a trial head, wherein at least the plurality of tabs are formed of a polymeric material.
[0059] In some aspects, the techniques described herein relate to a trial head, wherein the distal side adjacent the plurality of tabs includes a lip to facilitate removal of the trial head.
[0060] In some aspects, the techniques described herein relate to an orthopedic system for a hip arthroplasty including: a trial femoral component that includes a neck having a taper, wherein the trial femoral component represents a geometry of a femoral implant; a plurality of trial heads of different external configurations, wherein each of the plurality of trial heads is configured to couple with the trial femoral component, and wherein each of the plurality of trial heads includes: a proximal side; a distal side; a plurality of tabs positioned at the distal side, wherein the plurality of tabs collectively form an opening, wherein an inner chamfered surface of each of the plurality of tabs is configured to extend distal of a base of the taper when the trial femoral component is coupled with a respective one of the plurality of trial heads; and a recess communicating with the opening and configured to receive the taper upon insertion of the taper past the inner chamfered surface of each of the plurality of tabs.
[0061] In some aspects, the techniques described herein relate to an orthopedic system, wherein at least the recess and the plurality of tabs have a same configuration for all of the plurality of trial heads.
[0062] In some aspects, the techniques described herein relate to an orthopedic system, wherein the recess is formed by at least a first wall portion having a taper and a second wall portion having one of a chamfer or a radius of curvature, and wherein the second wall portion is proximal to the first wall portion.
[0063] In some aspects, the techniques described herein relate to an orthopedic system, wherein the first wall portion is at least partially formed by the plurality of tabs, and wherein the recess is further formed by a third wall portion that is proximal to the second wall portion, wherein the third wall portion is cylindrically shaped.
[0064] In some aspects, the techniques described herein relate to an orthopedic system, wherein the plurality of tabs are configured to flex outward to receive the taper and create an interference fit with at least a portion of the taper.
[0065] In some aspects, the techniques described herein relate to an orthopedic system, wherein the trial femoral component incudes a C-ring at the taper, and wherein a wall that defines a part of the recess with a radius of curvature that is configured to create an interference fit with the C-ring when the taper is received by the plurality of tabs and the recess.
[0066] In some aspects, the techniques described herein relate to an orthopedic system, wherein the distal side adjacent the plurality of tabs includes a lip.
[0067] In some aspects, the techniques described herein relate to a method of trialing for a hip arthroplasty including: providing a trial femoral component or femoral prosthesis with a neck having a taper; preparing a femur to receive the trial femoral component or femoral prosthesis; inserting the trial femoral component or femoral prosthesis in the femur; coupling a first of a plurality of trial heads with different external configurations to the trial femoral component or femoral prosthesis by receiving the taper within a recess and capturing the taper with a plurality of tabs of the first of the plurality of trial heads, wherein the plurality of tabs are configured to flex to form an interference fit with the taper; and performing a trial reduction with the first of the plurality of trial heads coupled to the trial femoral component or femoral prosthesis.
[0068] In some aspects, the techniques described herein relate to a method, further including forming an interference fit within the recess between a C-ring coupled to the taper and a wall of the recess, wherein the wall has one of a chamfer or a radius of curvature.
[0069] In some aspects, the techniques described herein relate to a method, further including removing the first of the plurality of trial heads from the trial femoral component or femoral prosthesis by grasping a lip located adjacent the plurality of tabs.
[0070] In some aspects, the techniques described herein relate to a method, wherein coupling the first of the plurality of trial heads to the trial femoral component or femoral prosthesis includes positioning an inner chamfered surface of each of the plurality of tabs to extend distal of a base of the taper.
ADDITIONAL NOTES
[0071] The above detailed description includes references to the accompanying drawings, which form a part of the detailed description. The drawings show, by way of illustration, specific embodiments in which the invention can be practiced. These embodiments are also referred to herein as examples. Such examples can include elements in addition to those shown or described. However, the present inventors also contemplate examples in which only those elements shown or described are provided. Moreover, the present inventors also contemplate examples using any combination or permutation of those elements shown or described (or one or more aspects thereof), either with respect to a particular example (or one or more aspects thereof), or with respect to other examples (or one or more aspects thereof) shown or described herein.
[0072] In this document, the terms generally substantially about mean within 15 percent of the value provided (+). The terms a or an are used, as is common in patent documents, to include one or more than one, independent of any other instances or usages of at least one or one or more. In this document, the term or is used to refer to a nonexclusive or, such that A or B includes A but not B, B but not A, and A and B, unless otherwise indicated. In this document, the terms including and in which are used as the plain-English equivalents of the respective terms comprising and wherein. Also, in the following claims, the terms including and comprising are open-ended, that is, a system, device, article, composition, formulation, or process that includes elements in addition to those listed after such a term in a claim are still deemed to fall within the scope of that claim. Moreover, in the following claims, the terms first, second, and third, etc. are used merely as labels, and are not intended to impose numerical requirements on their objects.
[0073] The above description is intended to be illustrative, and not restrictive. For example, the above-described examples (or one or more aspects thereof) can be used in combination with each other. Other examples can be used, such as by one of ordinary skill in the art upon reviewing the above description. The Abstract is provided to comply with 37 C.F.R. ? 1.72(b), to allow the reader to quickly ascertain the nature of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims. Also, in the above detailed description, various features can be grouped together to streamline the disclosure. This should not be interpreted as intending that an unclaimed disclosed feature is essential to any claim. Rather, inventive subject matter can lie in less than all features of a particular disclosed example. Thus, the following claims are hereby incorporated into the detailed description as examples or embodiments, with each claim standing on its own as a separate example, and it is contemplated that such examples can be combined with each other in various combinations or permutations. The scope of the invention should be determined with reference to the appended claims, along with the full scope of equivalents to which such claims are entitled.