摘要:
A clamp device, cutting guide, and clamp slider used together in preparation to cutting of the distal end of the femur bone during total knee replacement surgery. The clamp device includes an upper arm and a lower arm rotatably secured to one another in a scissor-like manner. A curved movable component is rotatably secured to the proximal end of the lower arm. The clamp device is positioned around a portion of the distal end of the femur bone so that the distal end of the upper arm grasps a posterior ridge of the femur bone and the movable component of the lower arm is positioned along the contour of the deepest part of the trochlear groove, thereby defining a plane through the deepest part of the trochlear groove of the femur bone. Next, a clamp slider is removably secured to a cutting guide so that channels defined in the clamp slider and cutting guide are substantially aligned with one another. The assembled clamp slider and cutting guide are then slid over the clamp and rotated until the clamp is received in the channels with the cutting guide in contact with an anterior portion of the femur bone. Then the cutting guide is positioned so that arms projecting from each side are substantially aligned with a center of the medial or lateral epicondyle of the femur bone. Lastly, the clamp slider and clamp are removed, whereby the cutting guide remains properly aligned on the femur bone in order to ensure the correct angle of the cuts in the femur bone.
摘要:
The present disclosure relates to the field of spine disc implants. Exemplary embodiments of the disclosed spinal disc implants advantageously and ultimately provide fusion with the body of the vertebra and stabilization of the spine in an anatomically correct position, e.g., in cervical, thoracic and/or lumbar regions. More particularly, the present disclosure is directed to a disc implant that addresses and overcomes the shortcomings of the prior implants by providing first and second inter-vertebral elements that are movably coupled relative to each other and are adapted to permit bone in-growth over time. Thus, the disclosed spinal disc implants permit relative movement between the first and second inter-vertebral elements upon implantation and after the patient is mobilized—thereby permitting the implant to assume a desired position based on the specific and unique spinal balance of the patient in an initial post-implantation period—but then the first and second inter-vertebral elements become fixed relative to each other (i.e., fused). The present disclosure also provides advantageous instrumentation and associated methods for positioning a spine disc implant in a desired anatomical location.
摘要:
The present disclosure relates to the field of spine disc implants. Exemplary embodiments of the disclosed spinal disc implants advantageously and ultimately provide fusion with the body of the vertebra and stabilization of the spine in an anatomically correct position, e.g., in cervical, thoracic and/or lumbar regions. More particularly, the present disclosure is directed to a disc implant that addresses and overcomes the shortcomings of the prior implants by providing first and second inter-vertebral elements that are movably coupled relative to each other and are adapted to permit bone in-growth over time. Thus, the disclosed spinal disc implants permit relative movement between the first and second inter-vertebral elements upon implantation and after the patient is mobilized—thereby permitting the implant to assume a desired position based on the specific and unique spinal balance of the patient in an initial post-implantation period—but then the first and second inter-vertebral elements become fixed relative to each other (i.e., fused). The present disclosure also provides advantageous instrumentation and associated methods for positioning a spine disc implant in a desired anatomical location.
摘要:
The present invention provides a tibial prosthetic knee component. The prosthesis includes a tibial tray having a posterior rail and an anterior rail, and a tibial insert. The tibial insert has a posterior dovetailed surface matching the posterior rail in the tibial tray, and an anterior surface matching the anterior rail in the tibial tray. The posterior rail of the tibial tray and the posterior dovetailed surface of the tibial insert are curved to provide clearance for the posterior cruciate ligament. A retaining clip is provided for retaining the tibial insert in the tibial tray. The clip includes a tab which extends through the tray into the insert and a resilient holding member remains unloaded when loads are applied to the knee, reducing the likelihood of dissociation of the tray and insert.
摘要:
A spinal motion device for implanting in the spine as a replacement for the natural disc, to permit motion between adjacent vertebral bodies or as a vertebral body replacement that permits motion at its ends. The spinal motion device comprises a composite structure formed by a body having at least one bearing member, made from a biocompatible material such as pyrolytic carbon, attached to a support surface thereof.
摘要:
The present invention relates to a brace including a support member that is configured to the actual or desired shape of a user's body part, a support structure for mounting the support member on a user, a variable force applicator for adjusting the amount of force to be applied by the support member and an indicator for displaying the force applied.
摘要:
A rotationally ratcheting bone screw including a body having a distal end formed with an engagement tip for engaging bone tissue, and a shaft formed with a unidirectional stop. The bone screw further includes a fastening element formed with an opening complementally configured to receive the shaft and responsive to relative rotation between the shaft and fastening element to axially advance along the shaft. The fastening element includes a rotationally sensitive ratchet element to cooperate with the stop and inhibit relative counter-rotation between the shaft and the fastening element.