Abstract:
A prosthesis replaces all or a portion of a natural facet joint on a vertebral body. The prosthesis has a prosthesis body accommodating fixation to the vertebral body at or near a pedicle and without support by a lamina. The prosthesis body has a fastening element installed within the vertebral body at or near a pedicle. The prosthesis further has an artificial facet joint structure carried by the prosthesis body at a location spaced from the fastening element. The artificial facet joint structure is adapted and configured to replace all or a portion of a natural facet joint.
Abstract:
A system for treating a vertebral body comprises a cannula leading into a vertebral body and a cavity creating device. The cavity creating device comprises a shaft having a distal end portion sized to extend through the cannula, an expandable body that undergoes expansion between a collapsed condition and an expanded condition to form a cavity in the vertebral body, and a tubular fluid transport member to convey fluid through the distal region of the expandable body and into the cavity. The system further comprises a device coupled to the shaft to change the expandable body between the collapsed condition to the expanded condition. The system further comprises a source of fluid coupled to the tubular fluid transport member to convey fluid through the distal region of the expandable body and into the cavity. The system further includes a device to convey a filling material into the cavity.
Abstract:
A cavity creation device is introduced into a cancellous bone volume of a vertebral body through a percutaneous access path. The cavity creating device is manipulated to form a cavity in the cancellous bone volume. A volume of filling material is placed in the cavity by introducing a tube through the percutaneous access path and by conveying the filling material through a side dispensing port of the tube.
Abstract:
Systems and methods treat at least two vertebral bodies in a spinal column. The systems and methods make use of first and second tool assemblies operable to treat an interior region of, respectively, a first vertebral body and a second vertebral body in the spinal column. The systems and methods provide directions for operating the first and second tool assemblies to treat the first and second vertebral bodies, at least for a portion of time, concurrently.
Abstract:
A total ankle replacement system, novel surgical method for total ankle replacement, and novel surgical tools for performing the surgical method are described. The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount of bone available for fixation of the lower prosthesis body and allowing the lower prosthesis body to be anchored with screws. The total ankle replacement system further includes a long tibial stem which can also be anchored into the tibia with, for example, screws, nails, anchors, or some other means of attachment. The novel surgical arthroscopic method allows introduction of ankle prostheses into the ankle joint through an exposure in the tibial tubercle. Various novel surgical instruments, such as a telescoping articulating reamer and a talo-calcaneal jig, which facilitate the novel surgical method, are also described.
Abstract:
An expandable structure made from an elastomer material is preformed to a desired geometry by exposure to heat and pressure. The structure undergoes controlled expansion and further distention in cancellous bone, with controlled deformation and without failure.
Abstract:
At least one bone fixation device comprising a stem having a maximum outer diameter is inserted into the sacroiliac joint through a minimally invasive incision path sized approximately at or about the maximum outer diameter of the stem in soft tissue, into the iliac bone, across the sacroiliac joint and into the sacrum. The stem is inserted through the incision path to a position within the sacroiliac joint between the iliac bone and the sacrum, to fuse the sacroiliac joint, without invasive joint preparation, removal of cartilage, or scraping at or near the sacroiliac joint. Desirably, at least a portion of the stem includes a surface permitting bony in-growth.
Abstract:
A prosthesis replaces all or a portion of a natural facet joint on a vertebral body. The prosthesis has a prosthesis body accommodating fixation to the vertebral body at or near a pedicle and without support by a lamina. The prosthesis body has a fastening element installed within the vertebral body at or near a pedicle. The prosthesis further has an artificial facet joint structure carried by the prosthesis body at a location spaced from the fastening element. The artificial facet joint structure is adapted and configured to replace all or a portion of a natural facet joint.
Abstract:
A method of installing an ankle prosthesis system provides an artificial talar joint surface and a family of talar stem components having different physical characteristics. Each talar stem component in the family is sized and configured to be attached to the artificial talar joint surface. The method selects an ankle region to be treated and analyzes the morphology of the ankle region. The method selects among the family one of the talar stem components having a desired physical characteristic based upon the analysis. The method forms a prosthesis-receiving cavity that traverses the joint between the talus and a calcaneus and installs the selected one of the talar stem components in the prosthesis-receiving cavity to prevent movement of the joint. The method attaches the artificial talar joint surface to the selected one of the talar stem components.