摘要:
A tool assembly has a shaft with a sleeve slidable along it. A hexagonal drive post at the lower end of tile shaft is received in a hex socket at the upper end of a bone bolt secured in a patient's spine. A nut to secure a connector on the bolt, is temporarily stored on a short thread on the shaft near the lower end. The sleeve is slid down the shaft and a hex socket at tile lower end of tile sleeve is received on the nut. The sleeve is manually turned while a handle on a drive post at the top of the shaft prevents the shaft, and thereby the bolt, from turning. As the sleeve turns, the nut is turned off the short thread and down onto the bolt thread. A torque wrench coupled to a tool receiving surface at the top of the sleeve tightens the nut on the bolt to the specified torque while the handle on the top of the shaft prevents the bolt from turning.
摘要:
A surgical spinal fixation system includes a bone bolt having first end portions that are adapted to be surgically implanted into a patient's spine at first and second spaced apart positions and a central portion of the bone bolt defining a load transfer surface, the bone bolt having a second upper threaded sections for threadably receiving a nut at a shaped, countersunk interface. As an alternate embodiment, a bone screw provides an upper enlarged head with a lower coarsely threaded shank. A plate having upper and lower surfaces and outer opposed edges is provided with an elongated slot for accommodating a selected bone bolt or bone screw. The plate edges carry fine adjustments extending between the upper and lower surfaces of the plate and a load transfer washer interfaces the plate and the selected bone bolt or bone screw for distributing load (and reducing stress) from the bone bolt (or screw) to the plate.
摘要:
Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.
摘要:
An orthopedic stabilization system of implants that includes a bone attachment means that provides poly-axial fixation of the system to the vertebrae, and a connector means that connects the bone attachment means to the spinal rod in a fashion that allows variable height adjustment of the spinal rod (dorsal in the case of posterior spinal pedicle fixation). The orthopedic stabilization system includes a locking means with a tightenable ball-joint arrangement that locks a post means to the bone attachment means in a desired relative spatial orientation. Several embodiments are disclosed, some using traditional mechanical locking means such as screw fasteners, taper-locking interfaces and collets. Embodiments are described that use the austenitic transformation of shape memory alloy (SMA) material to effect a locking of both the ball-joint arrangement and the connector means.
摘要:
A fracture fixation system 10, 20, 30, 40, 50, 58, 70 for a fractured bone having at least two bone fragments is disclosed. The fracture fixation system 10, 20, 30, 40, 50, 58, 70 includes an orthopaedic implant 11, 21, 31, 41, 51, 60, 71, an engaging member 12, 22, 32, 43, 45, 52, 62, 72 adapted to gain purchase in at least one bone fragment, and means for applying a force to the engaging member such that the at least two bone fragments are placed in compression and prevented from rotating relative to the orthopaedic implant. The engaging member 12, 22, 32, 43, 45, 52, 62, 72 is disposed relative to the orthopaedic implant 11, 21, 31, 41, 51, 60, 71. The orthopaedic implant 11, 21, 31, 41, 51, 60, 71 may take the form of an intramedullary device, a compression plate, or a deployable material.
摘要:
Connector assemblies are provided to couple an elongate member extending along the spinal column to a bone engaging implant engaged to the spinal column. The connector assembly includes a coupler and a clamping member in the coupler that is movable to secure the implant between the clamping member and the coupler when the elongate member is secured in the coupler with an engaging member engaged to the coupler.
摘要:
Connecting devices and elongated members for orthopedic medical use are disclosed. In certain embodiments, a connecting device may include a central portion that can accommodate part of an elongated member and wings for connecting to anchor members. Such central portions can be open or closed, and such wings can be solid, e.g. rod-type structures, or can be slotted. A T-shaped elongated member is also disclosed.
摘要:
One embodiment of a spinal fixation system 10 including a pair of longitudinal members 11, 12 positionable adjacent the spine, means for engaging longitudinal members to the spine 13, 14, a pair of wedge members 16 each having a bearing surface 38 configured to bear on a longitudinal member 11, 12, and a connector 20 configured to span a distance between the longitudinal members 11, 12. The connector 20 includes a pair of engaging members 25, 26 each having a fixation surface 33 and a connecting surface 30, and a bridge member 21 attached to the connecting surfaces 30. The engaging members 25, 26 each define a thru-hole 35 for receiving one of the wedge members 16. The thru-holes 35 are aligned so that wherein one of the wedge members 16 is advanced through the thru-hole 35, the bearing surface 38 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 33 and engage the longitudinal member 11, 12 to the connector 20.
摘要:
A modular bone fastener system for use with a longitudinal member, such as a plate, having a fastener with a threaded lower potion for engaging a spinal element and an upper portion adapted to receive a headpiece. The headpiece is adapted to mate with the upper portion of the fastener and to engage a longitudinal member. A plurality of headpieces having angulated projections, lateral sections, and angulated lateral sections, all of which are adapted to engage a longitudinal member and overcome angular and translational misalignment of the fastener, may also be provided. The headpieces of some connectors are configured to permit angulation of a bore fastener relative to the connector.
摘要:
A cable operated bone anchor compressor and a method for thoracoscopically compressing bone anchors are disclosed. In procedures in which bone anchors, such as bone screws, are fixed to bone tissue and such bone tissue is to be readjusted or realigned, the device of the present invention is thoracoscopically inserted. The device includes a cable to be placed in contact with one bone anchor, and an elongated member with a mating head to be placed against another bone anchor. When the cable is retracted, the bone anchors are compressed or pulled toward each other to realign, in a desired fashion, the bone tissue to which they are attached.