Abstract:
An intramedullary rod and system for introducing it into a longitudinally extending bore in the bone of a patient is disclosed. The system includes a guide tube, a cutter assembly and the intramedullary rod. The guide tube has a central passageway and a plurality of longitudinally extending slots and is arranged to be located within the bore in the bone. The cutter assembly includes a body member having a plurality of blades extending outward therefrom and is arranged to be moved along the central passageway of the guide tube so that the blades extend outward through the slots to produce a respective grooves in the bore of the bone of the patient. The intramedullary rod is an elongated linear member having a plurality of longitudinally extending ribs projecting outward therefrom and is arranged to be disposed within the central passageway in the guide tube whereupon its ribs extend through respective ones of the slots in the guide tube for disposition within respective ones of the longitudinal grooves in the bore of the bone of the patient to thereby fix the intramedullary rod therein.
Abstract:
A method for applying compression to a joint includes providing an intramedullary fixation assembly having a proximal screw member positioned at a proximal end of the intramedullary fixation assembly and a lag screw member positioned at a distal end of the intramedullary fixation assembly. Medullary canals are drilled in a first and second bone and the medullary canals are reamed. The proximal screw member is inserted into the first bone and a drill is used create a dorsal hole in the first bone. The lag screw member is slideably coupled to the dorsal hole and to the proximal screw member and into the second medullary canal. A torque is applied to the lag screw member to apply compression to the joint.
Abstract:
Tools for resecting the femur include an anchoring device, a three-way alignment guide and a six way alignment guide attachable to the anchoring device, a resection guide attachable to the three-way alignment guide and equipped with couplings for trackers, an A-P sizer, a femoral sizing block bushing attachable to the six-way alignment guide, a 4-in-i femoral cutting block, a 5-in-i positional alignment guide attachable to the six-way alignment guide, a pair of diodes, and a 5-in-one cutting block. Methods of utilizing the apparatus are also disclosed.
Abstract:
An intramedullary nail and a targeting and/or nailing instrument includes a connector end which has an axially parallel projection which cooperates with an axially parallel recess on the hollow connection end of the nail. The engagement of the projection and recess fastens the nail under axial engagement on the connection end of the instrument in predefined rotational position on the instrument. A quick-fastener element engages in the connection end of the nail and has a first coupling element and the connection end of the nail has a second coupling element. The coupling elements are configured so that in a first rotational position relative to the axially parallel projection the instrument can be introduced into the connection end of the nail and in a second rotational position the coupling elements cooperate so that the nail is held axially fixedly on the instrument.
Abstract:
A humeral fracture fixation system is provided and includes a nail-plate fixation device having a plate-like head portion, an intramedullary nail portion, and a bent neck portion therebetween which creates an angle between the plate and nail portions. The upper surface of the nail portion is substantially straight for contact with the endosteum and the nail portion includes threaded holes for machine screws. The head portion includes locking holes for receiving fixed-angle bone support elements, and K-wire alignment holes. The front of the head portion includes suture holes while presenting a smooth profile. A specific implantation jig and screw guide cannula are also provided.
Abstract:
System, including methods, apparatus, and kits, for fixation of a bone, such as the clavicle, using an intramedullary pin. The pin may be threaded in a leading region of the pin and may define one or more transverse apertures in the trailing region of the pin to receive one or more fasteners. In some embodiments, the system may include the pin and a jig for installation of the pin. The jig may include a sleeve that connects to the pin and is configured to be advanced toward the pin and against bone to compress the bone, to permit at least one fastener to be placed into a transverse aperture of the pin while the bone is compressed.
Abstract:
A method is provided for performing a total knee arthroplasty. The method includes making a primary incision near a knee joint of a patient and resecting medial and lateral condyles of the femur of the leg to create at least one femoral cut surface. The resecting step is performed without dislocating the knee joint. The method also includes balancing various ligament tensions to obtain desired tension and moving a femoral component of a total knee implant through the primary incision. The method further includes positioning the femoral component with respect to the at least one femoral cut surface.
Abstract:
A hybrid intramedullary fixation assembly for joint stabilization is provided and includes a plate member having a plurality of apertures. The plate member includes a first elongated portion and a second curved portion. The assembly includes a plurality of metatarsal screws for coupling the plate member to the first elongated portion and to the metatarsal bone, an intramedullary screw member coupled to the first elongated portion applies compression to the tarsometarsal joint, and a plurality of medial screws coupled to the second curved portion and to the bones in the mid-foot region stabilizes the joint.
Abstract:
A system and method for repairing fractured long bones. A guide wire is inserted through an opening drilled in a proximal bone segment and pushed through the intramedullary cavity of the proximal bone segment, across the fracture site and into the intramedullary cavity of a distal bone segment. A dilator is inserted over the guide wire and pushed through the intramedullary cavity into the distal bone segment to a stop at the distal end of the guide wire. A flexible tube having a radially expandable distal portion is then pushed over the guide wire into the distal bone segment and against the dilator. A compression nut is threaded over the proximal end of the guide wire to engage the proximal bone segment and compress the flexible tube. Compression of the flexible tube deploys the radially expandable distal portion to anchor the device in the distal bone segment.
Abstract:
An instrument kit for reaming a cavity within a resected head of a bone is provided. The kit includes a reaming guide, at least two adaptor sleeves and a reamer. The reaming guide includes an elongate stem portion insertable into a cavity extending into the bone from a resection surface at the head of the bone and a neck portion. The at least two adapter sleeves are mountable upon the reaming guide. Each adapter sleeve has a longitudinal axis, being generally cylindrical and a bore configured to receive part of the neck portion of the reaming guide. When the adapter sleeve is mounted upon the neck portion of a reaming guide inserted into a cavity in a bone the reamer is arranged to ream a cavity into the resection surface of the bone around the neck portion.