Total stabilized knee prosthesis with constraint

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Implantable prosthesis – Bone

Reexamination Certificate

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C623S020270

Reexamination Certificate

active

07413577

ABSTRACT:
An improvement in a total stabilized knee prosthesis wherein stabilization against uncontrolled relative rotation between a femoral component and a tibial component about a longitudinal axis, during articulation of the knee prosthesis, is attained by the engagement of a femoral stabilizing compartment with a tibial stabilizing post, the improvement including profile contour configurations on inner surface portions of condylar surfaces and on corresponding outer surface portions of tibial articular surfaces, the profile contour configurations being flared outwardly, in directions away from an intermediate sagittal plane, along posterior aspects of the condylar surfaces and the tibial articular surfaces engaged through deep flexion for providing an engagement between the profile contour configurations sufficient to establish a desired level of constraint against relative rotational movement between the femoral component and the tibial component about the longitudinal axis enabling a decrease in the level of constraint provided by the engagement between the post and the compartment during articulation through deep flexion.

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Pinskerova, V. et al, “The shapes and relative movements of the femur and tibia in the unloaded cadaveric knee: A study using MRI as an anatomic tool.”
Howmedica Inc., “Duracon, the Femoral System,” 1994, p. 5.
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Enclosed are two Forms PTO/SB/08A and two Froms PTO/SB/08B which contains a separate list of the references. Only copies of the publications are enclosed. The U.S. patents are not submitted herewith, in accordance with the notice in the United States Patent and Trademark OfficeOG Notices:Aug. 5, 2003.
Iwaki, H. et al, “Tibiofemoral movement 1: The shapes and relative movements of the femur and tibia in the unloaded cadaver knee,” J Bone Joint Surg (Br), 2000:82-B, 1189-95.
Hill, P.F. et al, “Tibiofemoral movements 2: The loaded and unloaded living knee studied by MRI,” J Bone Joint Surg (Br), 2000:82-B, 1196-8.
Nakagawa, S. et al, “Tibiofemoral movement 3: Full flexion in the living knee studied by MRI,” J Bone Joint Surg (Br), 2000:82-B, 1199-2000.
Karrholm, J. et al, “Tibiofemoral movement 4: Changes of axial tibial rotation caused by forced rotation . . . ” J Bone Joint Surg (Br), 2000:82-B, 1199-2000.
Wright Medical Technology, Inc., “Advanced Knee System, Medial—Pivot Knee,” 1-5.
Wright Medical Technology, Inc., “Advance Knee System, Traditional, Medial—Pivot, Posterior Stabilized,” 1-8.
Pinskerova, V. et al, “The shapes and relative movements of the femur and tibia in the unloaded cadaveric knee: A study using MRI as an anatomic tool.”
Howmedica Inc., “Duracon, the Femoral System,” 1994, p. 5.
Howmedica Inc., “Duracon, the Tibial System,” 1994, p. 7.
Stryker Howmedica Osteonics, “Duracon PS, Posteriorly Stabilized Total Knee System.”
Stryker Howmedica Osteonics, “Duracon CR, Cruciate Retaining Total Knee System.”

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