摘要:
An osteotomy guide assembly for femoral neck osteotomy includes a saddle locator assembly and a saw guide attachment. The saddle locator assembly includes a barrel-shaped locating device that locates the saddle region of the proximal femur. The barrel further includes a transverse support bar extending from the barrel. The barrel is positioned over an intramedullary shaft which is temporarily positioned in and extends from the medullary canal of the femur. A saw guide is used in conjunction with the saddle locator assembly. The saw guide is attached to the support bar by a single locking means which provides for positional adjustment of the saw guide relative to the support bar in two directions, including adjustment in the anterior-posterior direction along the transverse support bar and axially along the femur via a post which extends from the saw guide.
摘要:
The system and instrumentation of this invention provides a torque wrench adapter for the femoral rasp and for the hip stem implant. Each adapter includes a shaft for connecting a motion indicator thereon. The motion indicator includes a port for accepting the shaft of either the rasp adapter or the implant adapter and an indicator needle which is linked through spring mechanisms to shiftable leg. In use, the leg is anchored at one end to the femur such that the leg moves with the femur and relative to the indicator housing which causes a deflection in the indicator needle to apprise the surgeon of small movement of either the rasp or the implant relative to the femur.
摘要:
A surgical tool, enabling extraction of a prosthesis from a bony implantation site of that prosthesis, defines a proximo-distal axis and includes a distal end head adapted both to cut at least partially the bonding interface between the prosthesis and the bony material of the implantation site and to fix itself to the prosthesis by rotation centered on the proximo-distal axis, according to embodiments of the present invention.
摘要:
An adjustable humeral cutting guide for defining a cutting plane for a saw in a bone using a positioning structure includes a clamp, a saw guide, and an orientable coupling. The clamp is configured to be secured to the positioning structure. The saw guide includes a slot formed therein and formed to cooperate with a saw and limit the saw to cutting in a specific plane. The orientable coupling is mounted to the clamp and the saw guide. The orientable coupling is configured to adjust the saw guide at a selectable anterior/posterior angle and a selectable medial/lateral angle.
摘要:
The humeral portion of a shoulder prosthesis includes a diaphyseal component configured for fixation within the humerus, a metaphyseal component, configured for removable implantation within the metaphysis of the humerus, and an engagement mechanism for removably engaging the two components. The metaphyseal component can initially include a convex articulating surface that can be replaced with a concave surface during the shoulder arthroplasty procedure or in a subsequent revision surgery. The metaphyseal component can also include a feature to facilitate removal of the component from the bone once it has been disengaged from the diaphyseal component.
摘要:
A medical procedure includes providing a prosthesis which includes (i) a body portion having a rear surface and a bearing surface, and (ii) an anchor peg including a shaft extending from the rear surface of the body portion, wherein the anchor peg includes a plurality of outwardly extending fins secured to the shaft, and further wherein the plurality of outwardly extending fins each possesses a first diameter. The medical procedure further includes creating an anchor hole in a natural bone, the anchor hole possessing a second diameter which is less than the first diameter. In addition, the method procedure includes positioning the anchor peg within the anchor hole so that each of the plurality of outwardly extending fins deforms so as to possess (i) a concave side which faces an open end of the anchor hole, and (ii) a convex side that faces a closed end of the anchor hole.
摘要:
A humeral component of a shoulder prosthesis includes a stem configured for implantation within the humerus. A reverse articulating component is mounted to the stem by a connection mechanism. The reverse component defines a substantially concave bearing surface. The bearing surface is part of a bearing member that is engaged to a support member that is associated with the connection mechanism. A kit is provided which includes differently configured bearing members and support members to allow intraoperative selection and assembly of an optimum articulating component.
摘要:
A shoulder prosthesis of the present invention includes a modular humeral prosthesis component employing a collarless design. A body portion of the prosthesis is provided without a collar, and it may be implanted into a prepared proximal end of a humerus such that the body sits recessed below the level of the cut proximal surface of the humerus. A head portion is provided in which a support surface of the head functions as collar by direct apposition of it to the cut proximal humerus. The modular connection is thus recessed below the proximal bone surface. By providing a modular connection which is recessed below the bone surface, the benefits of modularity may be retained, while joint overstuffing may be reduced or eliminated, and a substantially full range of motion may be achieved.
摘要:
A modular glenoid assembly is provided for attachment to a glenoid surface of a scapula. The modular glenoid assembly includes a base adapted to couple with the glenoid surface and a bearing insert. The base includes a lip that defines a channel. The bearing insert includes a bearing surface adapted to engage a head portion of a humeral component and a tab. The tab is formed to be received within the channel and engage the lip when the insert is moved in a superior direction into position against the base.