摘要:
An apparatus and method is disclosed for performing a surgery, such as an orthopedic surgery. The apparatus can include a guide portion and an alignment portion. The guide portion can assist in positioning the alignment portion to assist in aligning an implant. The implant can be aligned and positioned to hold a graft relative to a bone portion.
摘要:
A method for inserting an acetabular cup into an acetabulum of a patient includes inspecting a preoperative plan including a three-dimensional image of a patient's acetabulum, selecting at least one of a patient-specific anteversion angle and a patient-specific abduction angle, and approving the preoperative plan. The method also includes preparing the patient's acetabulum for implantation, positioning a patient-specific first surface of an acetabular guide around a matched acetabular rim surface of the patient, and inserting an acetabular cup through an opening of the acetabular guide, the opening having a cylindrical inner surface oriented at the selected at least one of the patient-specific anteversion angle and patient-specific abduction angle.
摘要:
A system for repairing cartilage includes a trephine having a passage extending along a longitudinal axis of the trephine. The trephine has a distal end and a proximal end. The distal end includes a cutting member operable to cut a cartilage plug from a donor site. The passage is operable to receive the cartilage plug. Also, the trephine is flexible to selectively move between a first position in which the longitudinal axis is substantially linear and a second position in which the longitudinal axis is nonlinear. Moreover, the system includes a guide tool that is removably coupled to the trephine. The guide tool is operable to selectively move the trephine between the first and second positions. In addition, the system includes an ejector tool that ejects the cartilage plug from the passage toward a defect site.
摘要:
A medical device for preparing an elongated bone, such as a proximal femoral bone, for receiving an implant includes a patient-specific femoral guide and an elongated alignment element. The femoral guide has a patient-specific three-dimensional bone-engaging surface configured according to a preoperative plan based on a three-dimensional image model of the femoral bone to mate complementarily with the surface of the proximal femoral bone extending between the greater trochanter, the femoral neck and the femoral shaft of the proximal femur. The femoral guide includes a first guide end forming a planar guide configured for guiding a neck resection. The alignment member can be removably attached to the femoral guide and defines a reference axis for guiding a cutting tool into the femoral bone through a resected surface of the femoral neck.
摘要:
A system for replacing a hip joint can include a first acetabular cup formed of a first material and having a first inner diameter and a first thickness. A second acetabular cup can be formed of a second material and having a second inner diameter and a second thickness. A first femoral hip prosthesis can include a first femoral head that is alternately accommodated by either of the first or second acetabular cups. A bearing can be adapted to be interposed between the first femoral head and one of the first or second acetabular cups. The first and second inner diameters can be the same. The first thickness can be less than the second thickness. The first material can be distinct from the second material.
摘要:
A prosthesis to replace a portion of the anatomy, such as the acetabulum, can include a first portion. A second prosthesis portion can be positioned relative to the shell to provide the bearing surface to articulate with a femoral head prosthesis or femoral head. The second prosthesis portion can include a connection portion to engage a connection portion in the shell.
摘要:
A system and method for attaching soft tissue to a prosthetic implant can include a prosthetic component that defines a soft tissue attachment region having an attachment surface thereon. A first construct can be formed of porous metal and be removably coupled to the attachment surface. A second construct can be positioned outboard of the soft tissue. A fastener can be engaged to the second construct capturing the soft tissue against the first construct. The fastener can be coupled on a distal end to the first prosthetic component.
摘要:
A medical device for preparing an elongated bone, such as a proximal femoral bone, for receiving an implant includes a patient-specific femoral guide and an elongated alignment element. The femoral guide has a patient-specific three-dimensional bone-engaging surface configured according to a preoperative plan based on a three-dimensional image model of the femoral bone to mate complementarily with the surface of the proximal femoral bone extending between the greater trochanter, the femoral neck and the femoral shaft of the proximal femur. The femoral guide includes a first guide end forming a planar guide configured for guiding a neck resection. The alignment member can be removably attached to the femoral guide and defines a reference axis for guiding a cutting tool into the femoral bone through a resected surface of the femoral neck.
摘要:
A method for treating a cartilage defect can include identifying an area of excessive boney growth on at least one of a femoral head and a femoral neck of a patient where the excessive boney growth area is covered with articular cartilage. A portion of the articular cartilage can be harvested from the identified area of excessive boney growth and an area of cartilage damage in an acetabulum of the patient can be identified. The harvested portion of the articular cartilage can be implanted into the identified area of cartilage damage in the acetabulum.
摘要:
A method for preparing a femoral neck for receiving a neck implant includes obtaining image data of a proximal femoral bone and femoral neck of a patient by a medical imaging method and constructing a three-dimensional image model of the proximal femoral bone and neck of the patient using the image data. The method further includes identifying a three-dimensional cortical boundary surface at an interface between cortical and cancellous bone of the patient using the image model. A patient-specific broach having a three-dimensional cutting surface closely matching and complementary to the cortical boundary surface of the patient using the image model is designed and manufactured.