# US 9,872,774 B2 · Systems and methods for providing a femoral component having a modular stem

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- Number: US 9,872,774 B2
- Document ID: US9872774B2
- Status: Granted
- Kind: B2
- Application number: 14/975,736
- Filed: 2015-12-19
- Published: 2016-12-22
- Granted: 2018-01-23
- Earliest claimed: 2007-08-27
- Applicants: Connor E. Samuelson; Marcus F. Samuelson; Alec C. Samuelson; Kent M. Samuelson
- Inventors: Connor E. Samuelson; Marcus F. Samuelson; Alec C. Samuelson; Kent M. Samuelson
- Web page: https://patentgrep.com/patent/US9872774B2

## CPC

- A61F 2/3886: {for stabilising knees against anterior or lateral dislocations}
- A61B 17/155: {Cutting femur}
- A61B 17/1675: {for the knee}
- A61F 2/30734: {Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect}
- A61F 2/30767: {Special external or bone-contacting surface, e.g. coating for improving bone ingrowth}
- A61F 2/38: for elbows or knees
- A61F 2/3859: {Femoral components}
- A61F 2/389: {Tibial components (A61F2/3868 takes precedence)}
- A61F 2/30965: {Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping}
- A61F 2/3877: {Patellae or trochleae}
- A61F 2002/30116: {partial circles, i.e. circular segments}
- A61F 2002/30245: {Partial spheres}
- A61F 2002/30604: {modular}
- A61F 2002/30934: {Special articulating surfaces}
- A61F 2002/3863: {Condyles fitted on an anchored base}
- A61F 2002/3895: {unicompartimental}
- A61F 2230/0006: circular
- A61F 2230/0071: spherical
- A61F 2310/00011: Metals or alloys
- A61F 2310/00179: Ceramics or ceramic-like structures
- A61F 2310/00329: Glasses, e.g. bioglass
- A61F 2310/00353: Bone cement, e.g. polymethylmethacrylate or PMMA
- 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)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A femoral component having a modular stem is discussed. While the femoral component can have any suitable characteristic, in some cases, it includes an external articular surface and an internal surface. While the stem can have any characteristic, in some cases, it includes a proximal end and a distal end. Although the femoral component and stem can attach to a femur in any suitable manner, in some cases, the stem is inserted into the femur's intramedullary canal. In some cases, the femoral component is then: slid onto a resectioned portion of the femur at an angle between 20 and 80 degrees with respect to a longitudinal axis of the femur's distal portion, by rolling the femoral component onto the resectioned portion, or in any other suitable manner. In some cases, the distal end of the stem is then permanently fixed to the femoral component's internal surface. Other implementations are described.

## Claims

### Claim 1

A femoral knee replacement component, comprising:
a modular femoral stem having a proximal end and a distal end;
a femoral component having an articular surface and an internal surface, wherein the internal surface comprises a first surface that is configured to be attached to a resectioned surface of a posterior condyle of a femur, wherein the resectioned surface runs proximally and anteriorly from its distal end towards a longitudinal axis of a distal one fourth to a distal one third of the femur, and wherein the internal surface of the femoral component comprises a mating surface that is configured to be permanently fixed to the distal end of the modular stem.

### Claim 2 (depends on 1)

The femoral component of claim 1, wherein the distal end of the modular stem comprises a flange that is fixed to the mating surface of the femoral component via bone cement.

### Claim 3 (depends on 2)

The femoral component of claim 2, wherein the flange comprises multiple flat surfaces that are angled with respect to each other such that the flange is configured to simultaneously contact and be coupled to multiple walls of the femoral component's internal surface.

### Claim 4 (depends on 2)

The femoral component of claim 2, wherein the internal surface further comprises a second surface that runs substantially parallel with the first surface.

### Claim 5 (depends on 1)

The femoral component of claim 1, wherein the femoral component is configured to be applied to the femur by sliding the femoral component onto the resectioned portion of the femur at an angle of between about 30 and about 55 degrees with respect to the longitudinal axis of the femur.

### Claim 6 (depends on 1)

The femoral component of claim 1, further comprising a flange that is configured to interface with the mating surface, wherein the flange comprises a first threaded engagement and wherein the distal end of the modular stem comprises a second threaded engagement that is configured to threadingly couple with the first threaded engagement.

### Claim 7 (depends on 1)

The femoral component of claim 1, wherein the distal end of the modular stem comprises a contact surface that is configured to receive turning tool that is configured to rotate the modular stem when it is disposed within an intramedullary canal of the femur.

### Claim 8 (depends on 1)

The femoral component of claim 1, wherein the distal end of the modular stem is coupled to a flange and wherein the flange includes at least one of (i) a recess, (ii) a hole, (iii) a process, and (iv) a protuberance that is disposed to a side of a coupling of the modular stem to the flange.

### Claim 9

A femoral knee replacement component, comprising:
a modular intramedullary stem having a proximal end and a distal end, wherein the distal end couples to a flange; and
a femoral component having an articular surface and an internal surface, wherein the internal surface comprises a resectioned surface that runs proximally and anteriorly from its distal end towards a longitudinal axis of a distal one fourth to a distal one third of the femur, and wherein the resectioned surface runs at an angle of between about 20 and about 80 degrees with respect to the longitudinal axis of the femur.

### Claim 10 (depends on 9)

The femoral component of claim 9, wherein the flange is configured to contact and be fixed against a distal anterior chamfer cut surface of the femoral component's internal surface.

### Claim 11 (depends on 9)

The femoral component of claim 9, wherein the distal end of the modular stem defines a receptacle for a turning tool.

### Claim 12 (depends on 9)

The femoral component of claim 9, wherein flange comprises a first threaded engagement and wherein the distal end of the stem comprises a second threaded engagement that is configured to threadingly engage with the first threaded engagement.

### Claim 13 (depends on 9)

The femoral component of claim 9, wherein the flange of the modular stem and the internal surface of the femoral component each comprise a rough surface configured to provide cement interdigitation when cement is placed between the distal end of the modular stem and the internal surface of the femoral component.

### Claim 14 (depends on 9)

The femoral component of claim 9, wherein the resectioned surface runs at an angle of between about 30 degrees and about 55 degrees with respect to the longitudinal axis of the femur.

### Claim 15

A method of applying a femoral component to a femur, the method comprising:
preparing the femur to receive the femoral component by removing bone from a distal portion of the femur;
providing a modular intramedullary stem having a proximal end and a distal end;
inserting the modular stem into an intramedullary canal of the femur;
providing the femoral component, wherein the femoral component and the modular stem each comprise a discrete component, wherein the femoral component comprises an articular surface and an internal surface, wherein the internal surface comprises a first surface that is configured to be attached to a resectioned surface of a posterior condyle of a femur, wherein the resectioned surface runs proximally and anteriorly from its distal end towards a longitudinal axis of a distal one fourth to a distal one third of the femur, and wherein the internal surface of the femoral component comprises a mating surface that is configured to be permanently fixed to the distal end of the modular stem; and
seating the femoral component on the distal portion of the femur, wherein the seating is accomplished by at least one of:
sliding the femoral component onto a resectioned surface of the femur at an angle of between about 20 and about 80 degrees with respect to a longitudinal axis of about a distal one fourth to about a distal one third of the femur, and
rolling the femoral component onto the resectioned surface of the femur; and
permanently fixing the distal end of the modular stem to the internal surface of the femoral component.

### Claim 16 (depends on 15)

The method of claim 15, wherein the permanently fixing the modular stem to the femoral component, comprises placing cement between the distal end of the modular component and the internal surface of the femoral component.

### Claim 17 (depends on 15)

The method of claim 15, wherein the femoral component is seated on the distal portion of the femur by sliding the femoral component onto the femur at an angle of between about 30 and about 55 degrees with respect to the longitudinal axis of the femur.

### Claim 18 (depends on 15)

The method of claim 15, wherein the distal end of the modular stem comprises a flange, and wherein the permanently fixing the modular stem to the femoral component comprises fixing the modular stem to the femoral component by fixing the flange to a first surface of the femoral component's internal surface.

### Claim 19 (depends on 18)

The method of claim 18, wherein the permanently fixing the modular stem to the femoral component further comprises fixing the flange to a second surface of the femoral component's internal surface.

### Claim 20 (depends on 18)

The method of claim 18, further comprising rotating the modular stem within the intramedullary canal before the modular stem is permanently fixed to the femoral component.