Tibial prosthesis for tibia with varus resection

Abstract

Methods, systems and apparatuses are disclosed including apparatuses that can be used in a total knee replacement procedure. According to one example, a tibial implant is disclosed. The tibial implant can be configured for attachment to a tibia in a knee arthroplasty and can include a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis and a fixation member. Each of the lateral portion and the medial portion can have a distal surface configured to interface with a resected proximal surface of a tibia. The fixation member can be coupled to and extend both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion.

1 . A tibial implant configured for attachment to a tibia in a knee arthroplasty, the tibial implant comprising:
 a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis, each of the lateral portion and the medial portion having a distal surface configured to interface with a resected proximal surface of the tibia; and   a fixation member coupled to and extending both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion, wherein the acute angle is 86.9 degrees to 82 degrees of varus as measured between the distal surface of the baseplate and an axis of symmetry of the fixation member such that the fixation member is configured to generally align with a central axis of a tibial diaphysis of the tibia when the tibia is coupled to the distal surface of the baseplate.   
     
     
         2 . The tibial implant of  claim 1 , wherein the fixation member comprises one or both of a keel and a stem. 
     
     
         3 . The tibial implant of  claim 2 , wherein one or both of the keel and stem are configured to be removably attached to the baseplate. 
     
     
         4 . The tibial implant of  claim 3 , wherein one or both of the keel and stem are configured to be adjustable 180° relative to the baseplate such that the tibial implant is configured for use with both a left tibia and a right tibia. 
     
     
         5 . The tibial implant of  claim 2 , wherein the stem and keel are configured to couple together, and wherein the stem is configured to couple to the baseplate at the acute angle and coupling of the keel with the stem orients the keel at substantially a same acute angle relative to the distal surface of the medial portion as the acute angle. 
     
     
         6 . The tibial implant of  claim 2 , wherein the stem and keel are configured to couple together, and wherein the keel is configured to couple to the baseplate at the acute angle and coupling of the stem with the keel orients the stem at substantially a same acute angle relative to the distal surface of the medial portion as the acute angle. 
     
     
         7 . The tibial implant of  claim 1 , wherein the fixation member includes a symmetric feature having an axis of symmetry, and wherein the acute angle is measured between the axis of symmetry and the distal surface of the medial portion. 
     
     
         8 . The tibial implant of  claim 1 , wherein the fixation member includes a lateral portion and a medial portion, and wherein the medial portion has a greater surface area than the lateral portion. 
     
     
         9 . The tibial implant of  claim 1 , wherein the baseplate and fixation member are configured such that the fixation member is adjustable 180° relative to the baseplate such that the tibial implant is configured for use with both a left tibia and a right tibia. 
     
     
         10 - 17 . (canceled) 
     
     
         18 . The tibial implant of  claim 1 , wherein the fixation member comprises both of a keel and a stem, wherein the stem is one of a plurality of stems all of the plurality of stems are configured to universally couple with the keel. 
     
     
         19 . A tibial implant configured for attachment to a tibia in a knee arthroplasty, the tibial implant comprising:
 a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis, each of the lateral portion and the medial portion having a distal surface configured to interface with a resected proximal surface of the tibia; and   a fixation member coupled to and extending both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion, wherein the fixation member includes a lateral portion and a medial portion, and wherein the medial portion has a greater surface area than the lateral portion.   
     
     
         20 . The tibial implant of  claim 19 , wherein the acute angle is 86.9 degrees to 82 degrees of varus as measured between the distal surface of the baseplate and an axis of symmetry of the fixation member such that the fixation member is configured to generally align with a central axis of a tibial diaphysis of the tibia when the tibia is coupled to the distal surface of the baseplate. 
     
     
         21 . The tibial implant of  claim 19 , wherein the fixation member comprises one or both of a keel and a stem. 
     
     
         22 . The tibial implant of  claim 21 , wherein one or both of the keel and stem are configured to be removably attached to the baseplate. 
     
     
         23 . The tibial implant of  claim 22 , wherein one or both of the keel and stem are configured to be adjustable 180° relative to the baseplate such that the tibial implant is configured for use with both a left tibia and a right tibia. 
     
     
         24 . The tibial implant of  claim 19 , wherein the baseplate and fixation member are configured such that the fixation member is adjustable 180° relative to the baseplate such that the tibial implant is configured for use with both a left tibia and a right tibia. 
     
     
         25 . The tibial implant of  claim 1 , wherein the fixation member comprises both of a keel and a stem, wherein the stem is one of a plurality of stems all of the plurality of stems are configured to universally couple with the keel. 
     
     
         26 . A tibial implant configured for attachment to a tibia in a knee arthroplasty, the tibial implant comprising:
 a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis, each of the lateral portion and the medial portion having a distal surface configured to interface with a resected proximal surface of the tibia; and   a fixation member coupled to and extending both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion, wherein the fixation member comprises both of a keel and a stem, wherein the stem is one of a plurality of stems all of the plurality of stems are configured to universally couple with the keel.   
     
     
         27 . The tibial implant of  claim 26 , wherein the acute angle is 86.9 degrees to 82 degrees of varus as measured between the distal surface of the baseplate and an axis of symmetry of the fixation member such that the fixation member is configured to generally align with a central axis of a tibial diaphysis of the tibia when the tibia is coupled to the distal surface of the baseplate. 
     
     
         28 . The tibial implant of  claim 26 , wherein the fixation member includes a lateral portion and a medial portion, and wherein the medial portion has a greater surface area than the lateral portion.