摘要:
A prosthetic joint is provided including a meniscal bearing platform (10), bearing components (26, 28), and a femoral component (50). The tibial platform (10) is formed to allow for sliding movement of the bearing components (26, 28) thereabout. The movement of the bearing components (26, 28) is constrained to a predetermined path of movement by the combination of a raised portion (16) extending from the tibial platform (10), as well as lateral constraint provided by the femoral component (50).
摘要:
A set of instruments (10) is provided for use in the preparation of a natural bone of a condylar joint for receiving prosthetic components both in primary and revision surgery. To illustrate the invention and use thereof, reference is made to the preparation of a natural femur (F) in a knee joint. The set of instruments (10) includes an anterior-posterior femoral resection guide (12) having a guide aperture (36) formed therethrough, and a set of collets (14; 16; 18A; 18B) formed to detachably mount to the guide aperture (36). The set of collets (14; 16; 18A; 18B) includes a drill guide (14), a reamer sleeve (16), and a plurality of different size reamer bushings (18A; 18B). Accordingly, the drill guide (14) can be mounted to the anterior-posterior femoral resection guide (12) to provide guidance in the drilling of a channel (87) into the distal end of a femur (F), and, alternatively, the combination of the reamer sleeve (16) and the reamer bushings (18A; 18B) can be used to provide guidance in reaming a channel into the distal end of a femur (F). As an additional feature, a tibial template (98) is also provided which can be cooperatively used with the reamer sleeve (16) and reamer bushings (18A; 18B) to prepare a channel into a natural tibia (T).
摘要:
The prosthetic knee joint is provided for resisting valgus-varus movements. The joint includes a femoral component having a superior bone engaging surface and an inferior bearing surface. A posterior notch extends anteriorly into the posterior end of the femoral component. The prosthetic knee joint further includes a tibial component having an inferior bone engaging surface and a superior bearing surface. A plastic bearing is disposed between the femoral and tibial components. An inferior surface of the plastic bearing is in bearing engagement with the superior surface of the tibial component. A superior bearing surface of the plastic bearing is in articular bearing engagement with the bearing surface of the femoral component. The bearing includes a post projecting proximally from the superior surface. The post is slidably received in the posterior notch of the femoral component and resists valgus-varus moments imposed upon the joint. The post may include medial and lateral cam projections spaced from the superior bearing surface of the bearing. The femoral component may include flanges at the posterior notch for engagement between the cam projections and the superior bearing surface to substantially prevent dislocation.
摘要:
The prosthetic knee joint is provided for resisting valgus-varus movements. The joint includes a femoral component having a superior bone engaging surface and an inferior bearing surface. A posterior notch extends anteriorly into the posterior end of the femoral component. The prosthetic knee joint further includes a tibial component having an inferior bone engaging surface and a superior bearing surface. A plastic bearing is disposed between the femoral and tibial components. An inferior surface of the plastic bearing is in bearing engagement with the superior surface of the tibial component. A superior bearing surface of the plastic bearing is in articular bearing engagement with the bearing surface of the femoral component. The bearing includes a post projecting proximally from the superior surface. The post is slidably received in the posterior notch of the femoral component and resists valgus-varus moments imposed upon the joint. The post may include medial and lateral cam projections spaced from the superior bearing surface of the bearing. The femoral component may include flanges at the posterior notch for engagement between the cam projections and the superior bearing surface to substantially prevent dislocation.
摘要:
A prosthesis is provided having at least a smooth non-articulating load bearing surface disposed adjacent a bone. The prosthesis includes a substrate formed from a metallic alloy. At least the regions of the substrate defining the load bearing surface are coated with a biologically inert abrasion resistant material harder than the substrate for preventing leaching of ions from the substrate into adjacent body tissue and for preventing wear. The coating may be titanium nitride or zirconium or other such material exhibiting biological inertness and acceptable hardness. The coating preferably defines a thickness of 8-10 microns.
摘要:
A femoral component of a knee prosthesis includes a bearing surface defined by a smooth, continuous surface which in one embodiment is entirely formed by a series of three segments of surfaces of revolution, the respective shapes of which are generated by rotating a common generating curve around three separate generating axes at respective pairs of major generating radii and through respective angles of rotation. The central segment of the surfaces of revolution constantly maintains the substantially same contact configuration with the superior bearing surface of a bearing insert over a range extending from full extension (0° of flexion) to at least 45° of flexion and up to 105° of flexion. The maintenance of the substantially same contact configuration ensures area, point or line contact between the articulating surfaces which reduces contact stress and wear in flexion. In a second embodiment, the bearing surface is defined by four segments of surfaces of revolution shaped for implantation in a knee where one or both cruciate ligaments are retained.
摘要:
A system of templates is provided for use during implantation of a prosthetic joint. The templates are of different surface areas and different thicknesses. The templates are first used to enable selection of a prosthetic component corresponding to the shape of a resected bone into which the prosthetic component will be implanted. The templates are then used to establish an appropriate prosthetic gap for the selected prosthetic component. The prosthetic gap will vary in accordance with the selected prosthetic component.