US2024000575A1PendingUtilityA1

Posterior stabilized prosthesis system

Assignee: ZIMMER INCPriority: Apr 30, 2018Filed: Jul 31, 2023Published: Jan 4, 2024
Est. expiryApr 30, 2038(~11.7 yrs left)· nominal 20-yr term from priority
A61F 2/3836A61F 2002/30518A61F 2/389A61F 2/3859A61F 2/3886A61F 2002/30327A61F 2002/30878A61F 2/38A61F 2002/3863
73
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Claims

Abstract

According to one example, a posterior-stabilized femoral prosthesis for a knee arthroplasty. The femoral prosthesis can include medial and lateral condyles, a femoral cam and a recess. The medial and lateral condyles can be shaped to articulate with a tibial articular surface of a tibial bearing component through a range of motion, in which full extension corresponds to zero degrees flexion of a knee joint and positive flexion corresponds to greater than zero degrees flexion of the knee joint. In a sagittal plane, the medial and lateral condyles can define medial and lateral multi-radius curves, respectively. The medial multi-radius curve can have a single common radius swept through a first angular extent to define a single arc length that extends from between substantially −20 degrees flexion to substantially 90 degrees flexion, inclusive.

Claims

exact text as granted — not AI-modified
1 .- 20 . (canceled) 
     
     
         21 . A posterior-stabilized femoral prosthesis for a knee arthroplasty comprising:
 a medial condyle and a lateral condyle shaped to articulate with a tibial articular surface of a tibial bearing component through a range of motion, in which full extension corresponds to zero degrees flexion of a knee joint and positive flexion corresponds to greater than zero degrees flexion of the knee joint, wherein an anterior-posterior distance for the range of motion of the medial condyle with the tibial articular surface between substantially zero degrees flexion to substantially 90 degrees flexion is less than 5 mm; and   femoral cam and a recess positioned between the medial condyle and the lateral condyle, wherein the femoral cam is positioned posterior of the recess.   
     
     
         22 . The prosthesis of  claim 21 , wherein in a sagittal plane the medial condyle and lateral condyle define medial and lateral multi-radius curves, respectively, and wherein the medial multi-radius curve includes a single common radius swept through a first angular extent to define a single arc. 
     
     
         23 . The prosthesis of  claim 22 , wherein the single arc extends from between substantially −20 degrees flexion to substantially 90 degrees flexion, inclusive. 
     
     
         24 . The prosthesis of  claim 23 , wherein an area of contact between the medial condyle and the tibial articular surface does not shift position during the range of motion between substantially 0 degrees flexion and substantially 100 degrees flexion. 
     
     
         25 . The prosthesis of  claim 24 , wherein the area of contact between the medial condyle and the tibial articular surface includes a medial dwell point of the tibial articular surface when the femoral prosthesis is in full extension, wherein the area of contact between the medial condyle and the tibial articular surface does not shift position during the range of motion encompassing at least a majority of the single arc. 
     
     
         26 . The prosthesis of  claim 21 , wherein a posterior portion of the medial condyle and the lateral condyle have a thickness of 9 mm. 
     
     
         27 . The prosthesis of  claim 21 , further comprising the tibial bearing component defining the tibial articular surface, the tibial articular surface including:
 a medial compartment and a lateral compartment configured for articulation with the medial condyle and the lateral condyle of the femoral prosthesis, respectively; and   a spine extending proximally from the articular surface and configured to be received in the recess at 0 degrees flexion, the spine spaced posteriorly from an anterior edge of a periphery of the tibial bearing component, the spine disposed between the medial compartment and the lateral compartment;   wherein the spine and cam make initial contact when the range of motion reaches 100 degrees flexion.   
     
     
         28 . The prosthesis of  claim 21 , wherein a medial compartment of the tibial bearing component is configured to have a medial dwell point a distance between about 52% and about 60% of a total anterior-posterior extent of the tibial bearing component as measured from an anterior most point to a posterior most point of the tibial bearing component. 
     
     
         29 . The prosthesis of  claim 21 , wherein a lateral compartment of the tibial bearing component is configured to have a lateral dwell point a distance between about 59% and about 62% of a total anterior-posterior extent of the tibial bearing component as measured from an anterior most point to a posterior most point of the tibial bearing component. 
     
     
         30 . The prosthesis of  claim 21 , wherein a medial compartment of the tibial bearing component is configured to have between about a congruence ratio of between about 1.05:1 and about 1.5:1 with the medial condyle through a first angular extent, the congruence ratio comprising a ratio of a similarity between a sagittal radius of the medial compartment and a sagittal radius of the medial condyle. 
     
     
         31 . A system of posterior-stabilized knee prostheses for a knee arthroplasty, the system comprising:
 a tibial bearing component having a tibial articular surface with a medial compartment and a lateral compartment, wherein the tibial bearing component has a spine extending proximally from the tibial articular surface and positioned between the medial compartment and lateral compartment;   a femoral prosthesis having a cam, a medial condyle and lateral condyle spaced to either side of the cam, wherein the medial condyle is configured for articulation with the medial compartment and the lateral condyle is configured for articulation with the lateral compartment, wherein femoral prosthesis is configured to articulate through a range of motion relative to the tibial bearing component, such range of motion includes a full extension that corresponds to zero degrees flexion of a knee joint and positive flexion that corresponds to greater than zero degrees flexion of the knee joint, and wherein an anterior-posterior distance for the range of motion of the medial condyle with the tibial articular surface between substantially zero degrees flexion to substantially 90 degrees flexion is less than 5 mm.   
     
     
         32 . The system of  claim 31 , wherein the medial compartment has a medial dwell point, and wherein an area of contact between the medial condyle and the medial compartment does not shift position during the range of motion between zero degrees flexion and substantially 100 degrees flexion and the area of contact includes the medial dwell point during the range of motion between zero degrees flexion and substantially 100 degrees flexion 
     
     
         33 . The system of  claim 31 , wherein in a sagittal plane the medial condyle and the lateral condyle define medial and lateral multi-radius curves, respectively, and wherein the medial multi-radius curve includes a single common radius swept through a first angular extent to define a single arc length that extends from between substantially −20 degrees flexion to substantially 90 degrees flexion, inclusive. 
     
     
         34 . The system of  claim 31 , wherein a posterior portion of the medial condyle and the lateral condyle have a thickness of 9 mm. 
     
     
         35 . The system of  claim 31 , wherein the spine and the cam are both configured to make initial contact when the range of motion reaches 100 degrees flexion. 
     
     
         36 . The system of  claim 31 , wherein the medial compartment is configured to have a medial dwell point a distance between about 52% and about 60% of a total anterior-posterior extent of the tibial bearing component as measured from an anterior most point to a posterior most point of the tibial bearing component, and wherein the lateral compartment is configured to have a lateral dwell point a distance between about 59% and about 62% of a total anterior-posterior extent of the tibial bearing component as measured from an anterior most point to a posterior most point of the tibial bearing component. 
     
     
         37 . The system of  claim 31 , wherein the medial compartment is configured to have a congruence ratio of between about 1.05:1 and about a 1.5:1 with the medial condyle through a first angular extent, the congruence ratio comprising a ratio of a similarity between a sagittal radius of the medial compartment and a sagittal radius of the medial condyle.

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