摘要:
The invention is directed to an orthopaedic apparatus 24, 80, 380, 480, 580 for positioning an implant 22, 322, 422 relative to an end of a bone. The implant has at least one extractor opening 30, 330, 430 and a shoulder 26, 326, 426 with a slot therein. The positioning apparatus includes a shaft 32, 82, 382, 482 having a fixed impactor tip at an end thereof. The impactor tip is configured to be received within the implant slot. At least one clamping jaw is connected to the shaft, and includes a projection which is configured to be received in the at least one extractor opening. The at least one clamping jaw is preferably detachably connected to the shaft.
摘要:
An implantation instrument and methods for reliably implanting a prosthetic acetabular cup in the acetabular area of the pelvic bone during a total prosthetic hip implant operation are disclosed. Such implantation device and methods also provide means for determining the adequacy or strength of the implant.The implantation device includes means for receiving an implantation force from, for example a mallet, and imparting this force to press fit the prosthetic acetabular cup into a recess formed in the acetabular area of the pelvic bone. The apparatus also includes means for testing the strength or adequacy of the acetabular cup implant by receiving and imparting a torquing moment. Finally, the apparatus includes an alignment arm which is laterally displaced from the longitudinal axis of the apparatus, and selectively fixed or rotatably connected, in order to implant the prosthetic acetabular cup in the desired orientation.The prosthetic acetabular cup contains a threaded recess therethrough, while the implantation instrument contains a threaded tip, for releasably connecting the acetabular cup and the implantation device. The cup is able to withstand forces associated with the steps of applying an implanting force and a torquing moment to test the stability of the implant.
摘要:
A femoral prosthesis component system particularly for knee revision surgery comprising a set of femoral implant components constructed around a set of geometrical constants which allows resection of the distal femur to be conducted using the intramedullary canal as a reference point and without the requirement of first measuring for a specific implant size. The construction of all the components in the set is based around a constant relationship between the intramedullary shaft and the anterior flange such that the anterior resection is the same regardless of the size of the component used and the distal and posterior resections are standard cuts made based on this relationship and the intramedullary canal reference point. Adjustment of the distal and posterior resections to fit is made with a set of augments having dimensions also based on the standard distal and posterior resection cuts.
摘要:
A patella clamp is provided for clamping a patella. The patella clamp includes a first clamp member engageable with the patella and a second clamp member mountable in opposing relative moving relationship to the first clamp member. The patella clamp may be used to perform a variety of procedures on a patella. In one embodiment, a third clamp member is alternatively mountable in place of the second clamp member to change the function of the patella clamp. The patella clamp optionally further includes a cut guide for guiding a cutter in a cut plane to resect a portion of the patella.
摘要:
A provisional knee implant assembly includes a femoral provisional having an articulating surface and a plurality of locating openings. A patella height gauge has at least two projections which each engage with a corresponding locating opening in the femoral provisional. The patella height gauge includes at least one visual locating reference for a patella. The femoral provisional is located relative to the patella by placing the femoral provisional on a distal end of the femur; attaching the patella height gauge to the femoral provisional; overlying the patella onto the gauge; and repositioning the femoral provisional relative to the one or more visual locating references on the patella height gauge.
摘要:
A method and apparatus for knee replacement surgery wherein a femoral provisional component is provided which corresponds to a permanent component to be implanted in a human and which includes means for establishing the correct fit and position of such a component, prior to its implantation, in relation to the soft tissues of the knee before final resection of the anterior femoral surface. The provisional component further includes cutting guide means for such anterior surface resection such that accurate cuts may be made with the provisional component in place. The method involves preparing the distal femoral surface using the femoral intramedullary canal as a constant reference point for posterior and distal cutting guides followed by locating the provisional component by means of a provisional intramedullary stem so that the relationship with the soft tissues of the knee may be accurately established.
摘要:
The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.
摘要:
The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.
摘要:
The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.
摘要:
A set of distal femoral knee prostheses which are designed to be more narrow in medial/lateral dimensions with increasing anterior/posterior size than existing prostheses to more closely correspond to the physical anatomy of female patients. The prostheses are designed to have a substantially trapezoidal shape or profile when viewed distally which features a more pronounced narrowing of the medial/lateral dimensions beginning at the posterior end of the prostheses and progressing anteriorly to the anterior end of the prostheses. Additionally, the prostheses each include a reduced profile patellar sulcus and reduced profile anterior condyles to more closely conform to the anatomy of a resected femur, and also include sulcus tracking optimized to conform to female anatomy.