# US 10,500,054 B2 · Femoral prostheses with upsizing and downsizing capabilities

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- Number: US 10,500,054 B2
- Document ID: US10500054B2
- Status: Granted
- Kind: B2
- Application number: 15/971,743
- Filed: 2018-05-04
- Published: 2018-11-15
- Granted: 2019-12-10
- Earliest claimed: 2017-05-12
- Assignees: Zimmer, Inc.
- Applicants: Zimmer, Inc.
- Inventors: Vanessa Croll
- Web page: https://patentgrep.com/patent/US10500054B2

## CPC

- A61F 2/3859: {Femoral components}
- A61F 2/3886: {for stabilising knees against anterior or lateral dislocations}
- A61F 2/389: {Tibial components (A61F2/3868 takes precedence)}
- A61F 2002/30604: {modular}
- A61F 2002/30616: {Sets comprising a plurality of prosthetic parts of different sizes or orientations}
- A61F 2002/30878: {with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts}
- A61F 2002/30884: {Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity}
- A61F 2002/3863: {Condyles fitted on an anchored base}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

According to one example, a femoral prosthesis system is provided that has a plurality of sizing options using two families of femoral prostheses is disclosed. The second family of femoral prostheses can have a predetermined increase in femoral posterior condylar offset relative to the first family of femoral prosthesis. In one example, the second family of femoral prostheses can have the predetermined increase in the femoral posterior condylar offset while maintaining substantially a same femoral medial-lateral condylar extent relative to a comparably sized one of the first family of femoral prostheses.

## Claims

### Claim 1

A system for knee arthroplasty comprising:
a first family having a first plurality of femoral prostheses with different stock sizes from one another, each of the first plurality of femoral prostheses having:
a first stem housing extending along a first axis; and
a first medial condyle and a first lateral condyle coupled to the first stem housing;
wherein the first medial condyle and the first lateral condyle have a first posterior condylar offset as measured from the first axis to a first posterior-most point of the first medial condyle and the first lateral condyle; and
wherein the first medial condyle and the first lateral condyle have a first femoral medial-lateral condylar extent from a medial most edge of the first medial condyle to a lateral most edge of the first lateral condyle;
a second family having a second plurality of femoral prostheses with different stock sizes from one another, each of the second plurality of femoral prostheses having:
a second stem housing extending along a second axis; and
a second medial condyle and a second lateral condyle coupled to the second stem housing;
wherein the second medial condyle and the second lateral condyle have a second posterior condylar offset from the second axis to a second posterior-most point of the second medial condyle and the second lateral condyle; and
wherein the second medial condyle and the second lateral condyle have a second femoral medial-lateral condylar extent from a medial most edge of the second medial condyle to a lateral most edge of the second lateral condyle;
wherein the first femoral medial-lateral condylar extent of at least one of the first plurality of femoral prostheses and the second femoral medial-lateral condylar extent of at least one of the second plurality of femoral prostheses are substantially the same.

### Claim 2 (depends on 1)

The system of claim 1, wherein the at least one of the first plurality of femoral prostheses and the at least one of the second plurality of femoral prostheses are configured to articulate with a same tibial bearing component.

### Claim 3 (depends on 1)

The system of claim 1, wherein the first posterior condylar offset of the at least one of the first plurality of femoral prostheses and the second posterior condylar offset of the at least one of the second plurality of femoral prostheses differ by a predetermined amount.

### Claim 4 (depends on 1)

The system of claim 1, wherein the predetermined amount comprises substantially 3 mm, and wherein the second medial condyle and a second lateral condyle are thickened along a posterior portion comprising at least a region between a posterior bone-contacting surface and a posterior portion of the J-curve when viewed in a sagittal plane relative to a corresponding thickness of the first medial condyle and the first lateral condyle.

### Claim 5 (depends on 1)

The system of claim 1, wherein the first posterior condylar offset of at least four of the first plurality of the femoral prostheses is substantially the same as the second posterior condylar offset of at least four of the second plurality of femoral prostheses.

### Claim 6 (depends on 1)

The system of claim 1, wherein the first posterior condylar offset of at least six of the first plurality of the femoral prostheses is substantially the same as the second posterior condylar offset of at least six of the second plurality of femoral prostheses.

### Claim 7 (depends on 1)

The system of claim 1, wherein the first femoral medial-lateral condylar extent of at least four of the first plurality of the femoral prostheses is substantially the same as the second femoral medial-lateral condylar extent of at least four of the second plurality of femoral prostheses.

### Claim 8 (depends on 1)

The system of claim 1, wherein the first femoral medial-lateral condylar extent of at least six of the first plurality of the femoral prostheses is substantially the same as the second femoral medial-lateral condylar extent of at least six of the second plurality of femoral prostheses.

### Claim 9 (depends on 1)

The system of claim 1, wherein each of the different stock sizes of the first plurality of femoral prostheses differ with respect to the first femoral medial-lateral condylar extent by a first amount between a smaller size and a next larger size and each of the different stock sizes of the second plurality of femoral prostheses differ with respect to the second femoral medial-lateral condylar extent by a second amount between a corresponding smaller size and a corresponding next larger size, and wherein the first amount is substantially the same as the second amount.

### Claim 10 (depends on 1)

The system of claim 1, wherein each of the different stock sizes of the first plurality of femoral prostheses differ with respect to the first posterior condylar offset by a third amount between a smaller size and a next larger size and each of the different stock sizes of the second plurality of femoral prostheses differ with respect to the second posterior condylar offset by a fourth amount between a corresponding smaller size and a corresponding next larger size, and wherein the third amount is substantially the same as the fourth amount.

### Claim 11

A system for knee arthroplasty comprising:
a first family having a first plurality of femoral prostheses with different stock sizes from one another, each of the first plurality of femoral prostheses having:
a first stem housing extending along a first axis; and
a first medial condyle and a first lateral condyle coupled to the first stem housing;
wherein the first medial condyle and the first lateral condyle have a first posterior condylar offset as measured from the first axis to a first posterior-most point of the first medial condyle and the first lateral condyle; and
wherein the first medial condyle and the first lateral condyle have a first femoral medial-lateral condylar extent as measured from a medial most edge of the first medial condyle to a lateral most edge of the first lateral condyle;
a second family having a second plurality of femoral prostheses with different stock sizes from one another, each of the second plurality of femoral prostheses having:
a second stem housing extending along a second axis; and
a second medial condyle and a second lateral condyle coupled to the second stem housing;
wherein the second medial condyle and the second lateral condyle have a second posterior condylar offset as measured from the second axis to a second posterior-most point of the second medial condyle and the second lateral condyle; and
wherein the second medial condyle and the second lateral condyle have a second femoral medial-lateral condylar extent as measured from a medial most edge of the second medial condyle to a lateral most edge of the second lateral condyle;
wherein the first posterior condylar offset of at least one of the first plurality of femoral prostheses and the second posterior condylar offset of at least one of the second plurality of femoral prostheses are substantially the same; and
wherein the first femoral medial-lateral condylar extent of the at least one of the first plurality of femoral prostheses and the second femoral medial-lateral condylar extent of the at least one of the second plurality of femoral prostheses differ by a first predetermined amount.

### Claim 12 (depends on 11)

The system of claim 11, wherein at least one of the first medial condyle and the first lateral condyle have a first thickness at a posterior portion between a first posterior bone-contacting surface and the first posterior-most point and at least one of the second medial condyle and the second lateral condyle have a second thickness at a corresponding posterior portion between a second posterior bone-contacting surface and the second posterior-most point, and wherein the first thickness differs from the second thickness by a second predetermined amount.

### Claim 13 (depends on 12)

The system of claim 12, wherein a third thickness of the at least one of the first medial condyle and the first lateral condyle as measured between a first posterior chamfer and an articular surface differs by a third predetermined amount from a fourth thickness of at least one of the second medial condyle and the second lateral condyle as measured between a corresponding second posterior chamfer and a corresponding articular surface.

### Claim 14 (depends on 13)

The system of claim 13, wherein an anterior bone-contacting surface of the at least one of the second plurality of femoral prostheses is disposed relatively nearer the second axis by a fourth predetermined amount than a corresponding anterior bone-contacting surface of the at least one of the first plurality of femoral prostheses.

### Claim 15 (depends on 14)

The system of claim 14, wherein one or both of the first predetermined amount and the second predetermined amount comprises substantially 3 mm, the third predetermined amount comprises substantially 1 mm and the fourth predetermined amount comprises substantially 1 mm.

### Claim 16 (depends on 11)

The system of claim 11, wherein the at least one of the first plurality of femoral prostheses and the at least one of the second plurality of femoral prostheses are configured to articulate with a same tibial bearing component.

### Claim 17 (depends on 11)

The system of claim 11, wherein the first posterior condylar offset of at least four of the first plurality of the femoral prostheses is substantially the same as the second posterior condylar offset of at least four of the second plurality of femoral prostheses.

### Claim 18 (depends on 11)

The system of claim 11, wherein the first posterior condylar offset of at least six of the first plurality of the femoral prostheses is substantially the same as the second posterior condylar offset of at least six of the second plurality of femoral prostheses.

### Claim 19 (depends on 11)

The system of claim 11, wherein the first femoral medial-lateral condylar extent of at least four of the first plurality of the femoral prostheses is substantially the same as the second femoral medial-lateral condylar extent of at least four of the second plurality of femoral prostheses.

### Claim 20 (depends on 11)

The system of claim 11, wherein the first femoral medial-lateral condylar extent of at least six of the first plurality of the femoral prostheses is substantially the same as the second femoral medial-lateral condylar extent of at least six of the second plurality of femoral prostheses.

### Claim 21 (depends on 11)

The system of claim 11, wherein each of the different stock sizes of the first plurality of femoral prostheses differ with respect to the first femoral medial-lateral condylar extent by a first amount between a smaller size and a next larger size and each of the different stock sizes of the second plurality of femoral prostheses differ with respect to the second femoral medial-lateral condylar extent by a second amount between a corresponding smaller size and a corresponding next larger size, and wherein the first amount is substantially the same as the second amount.

### Claim 22 (depends on 11)

The system of claim 11, wherein each of the different stock sizes of the first plurality of femoral prostheses differ with respect to the first posterior condylar offset by a third amount between a smaller size and a next larger size and each of the different stock sizes of the second plurality of femoral prostheses differ with respect to the second posterior condylar offset by a fourth amount between a corresponding smaller size and a corresponding next larger size, and wherein the third amount is substantially the same as the fourth amount.
