摘要:
The invention is directed to an orthopaedic instrumentation assembly 10 for at least partially preparing an end of a bone with a drill for receiving a prosthesis. The instrumentation assembly includes a drill guide 14 having a drill guide opening for guiding a drill into the bone; and an orthopaedic sizing plate 12 attachable to the end of the bone. The sizing plate 12 is configured for interconnecting with the drill guide 14. The drill guide 14 includes a first drill stop 47 and the sizing plate includes a second drill stop 33, with the first drill stop and the second drill stop coacting with each other for limiting projection and for maintaining axial alignment of the drill into the bone.
摘要:
A method for attaching a porous metal layer to a dense metal substrate, wherein the method is particularly useful in forming orthopedic implants such as femoral knee components, femoral hip components, and/or acetabular cups. The method, in one embodiment thereof, comprises providing a solid metal substrate; providing a porous metal structure; contouring a surface of the porous metal structure; placing the porous structure against the substrate such that the contoured surface of the porous metal structure is disposed against the substrate, thereby forming an assembly; applying heat and pressure to the assembly in conjunction with thermal expansion of the substrate in order to metallurgically bond the porous structure and the substrate; and removing mass from the substrate after the porous structure is bonded to the substrate, thereby finish processing the assembly.
摘要:
A hip prosthesis is provided for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the longitudinal axis.
摘要:
A method for attaching a porous metal layer to a dense metal substrate, wherein the method is particularly useful in forming orthopedic implants such as femoral knee components, femoral hip components, and/or acetabular cups. The method, in one embodiment thereof, comprises providing a solid metal substrate; providing a porous metal structure; contouring a surface of the porous metal structure; placing the porous structure against the substrate such that the contoured surface of the porous metal structure is disposed against the substrate, thereby forming an assembly; applying heat and pressure to the assembly in conjunction with thermal expansion of the substrate in order to metallurgically bond the porous structure and the substrate; and removing mass from the substrate after the porous structure is bonded to the substrate, thereby finish processing the assembly.
摘要:
An orthopaedic knee component for implanting within a proximal tibia includes a tibial tray having a distally extending stem, a proximal tibial plateau and an annular shaped recess extending into the tibial plateau. The recess has a substantially constant radius of curvature about an axis of rotation. A bearing carried by the tibial tray has an articular bearing surface for engagement with a femoral component. The bearing has an annular shaped projection extending into the recess. The projection and the recess allow pivotal movement of the bearing relative to the tibial plateau about the axis of rotation.
摘要:
A composite interbody vertebral implant for facilitating fusion of adjacent vertebrae. The implant includes a first endplate of a porous metal material and a second endplate of a porous metal material which are configured to allow bone ingrowth. The implant also includes a polymeric body positioned between and bonded to the first and second endplates such that polymeric material of the polymeric body is impregnated into pores of the first and second endplates to bond the components together. The implant may include a cavity extending through the composite implant configured to receive bone growth material to facilitate fusion between a first vertebra and a second vertebra.
摘要:
The invention is directed to an orthopaedic instrumentation assembly 10 located relative to an intramedullary member 12, wherein the intramedullary member is disposed at least partially within a bone. The instrumentation assembly 10 includes an offset bushing 16 having a longitudinal axis and a bore therethrough for receiving the intramedullary member. The bore is disposed non-coaxially relative to the longitudinal axis. A sizing plate 14 has an opening 22 therein, and further includes a portion associated with the opening for receiving the bushing, wherein the bushing is rotatably supported. Upon movement of the bushing 16 or sizing plate 14, the bushing and sizing plate coact to position the sizing plate relative to each of the intramedullary member and the bone.
摘要:
The invention provides means for evaluating the fit of a knee replacement prosthesis on a resected tibial surface. A provisional instrument for this purpose includes a positioning tray having a peripheral profile corresponding to that of the tibial platform of the prosthesis, the tray having an upper surface and an under surface which is substantially flat and free from projections and the tray having a plurality of holes for receiving pins for temporarily attaching the positioning tray in a desired position on the resected tibial surface. Also disclosed is a jig for guiding, drilling and broaching operations, the jig having an aperture which is shaped to guide the broach. In addition, the invention includes a tibial broach which includes a hollow body having an upper end and a lower end and having an anvil at its upper end, an interior face and a posterior face which slopes downwardly towards a lower end, the posterior face having a series of teeth which are formed in the hollow body, such that bone cut by the teeth as the broach is driven into an intramedullary canal of a tibia passes into the hollow body.
摘要:
A composite interbody vertebral implant for facilitating fusion of adjacent vertebrae. The implant includes a first endplate of a porous metal material and a second endplate of a porous metal material which are configured to allow bone in-growth. The implant also includes a polymeric body positioned between and bonded to the first and second endplates such that polymeric material of the polymeric body is impregnated into pores of the first and second endplates to bond the components together. The implant may include a cavity extending through the composite implant configured to receive bone growth material to facilitate fusion between a first vertebra and a second vertebra.
摘要:
A hip prosthesis is provided for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the longitudinal axis.