摘要:
A sagittal approximator for clamping engagement with an open back hook for urging a spinal rod into seating engagement with said hook. The sagittal approximator includes an integral fixed handle and jaw. A shiftable handle is pivotally connected to the fixed handle. A shiftable jaw is pivotally connected to the fixed handle adjacent the fixed jaw. The pivotal handle and jaw are pivotally interconnected such that as the pivotal handle is shifted, the pivotal jaw shifts accordingly. The fixed handle includes a threaded channel and longitudinal guide rib. A spinal rod engagement head is slidably carried by the fixed handle and jaw and includes a spinal rod seat which with contact with the spinal rod produces a balanced seating load on the rod. A threaded pusher rod is carried by the channel which when rotated longitudinally shifts the head relative to the fixed handle.
摘要:
The invention provides a temporary clamp for connection to the midline clamp which holds the midline clamp in engagement about the lamina and is small enough to be substantially out of the way of the surgeon in use. The temporary clamp is removably connected to the midline clamp by a pair of screws. The temporary clamp is releasably connected to a clamp inserter such that after the midline clamp and temporary clamp is connected to the vertebra, the clamp inserted may be removed and used to connect subsequent temporary clamps. Therefore, since the clamp inserter may be removed from the surgical site without releasing the midline clamp, the surgeon may connect a plurality of the midline clamps with temporary clamps attached without significantly obstructing the surgical site.
摘要:
Methods and apparatuses for attaching soft tissue and bone to orthopaedic implants. The orthopaedic implants are provided with a woven ingrowth material to facilitate attachment of soft tissue and bone thereto. In one embodiment, the woven ingrowth material is formed as a patch or region of woven material attached to the implant. In another embodiment, a sleeve formed of woven ingrowth material encompasses the majority of the implant.
摘要:
Joint space interpositional prosthetic devices for positioning between surfaces of a joint in a patient are disclosed. The prosthetic device may have exterior surfaces affixed to the joint surfaces and may have internal surfaces which provide bearing surfaces. In an exemplary embodiment, the bearing surfaces are encapsulated within the device. The exterior surfaces of the device may include bone securement features to facilitate attachment of the prosthetic device to the joint surfaces.
摘要:
A delivery device for an osteochondral graft comprising a tube, a plunger and a graft retention assembly is disclosed. The tube has a bore having an inside diameter and extends from a proximal end to a distal end. The inside diameter of the bore is sufficient to accept an osteochondral graft of a desired diameter. The tube has a set of apertures located adjacent the distal end of the tube. The plunger is slidably disposed within the bore of the tube. The graft retention assembly comprises a collar and a set of tabs. The graft retention assembly is attached to the tube such that the tabs are disposed within the apertures of the tube. The tabs are biased towards each other but are capable of being displaced away from each other to receive or release the osteochondral graft.
摘要:
A method and apparatus configured to strengthen and support a portion of a bone, such as the femoral head of the proximal femur, for example. The apparatus may include a housing or base member and a movable support member connected to the housing and configured to move between a first, undeployed position in which the support member is disposed proximate the housing or base such that the apparatus may be inserted into bone, and a second, deployed position in which the support member extends away from the housing or base for supporting the femoral head. The support member may be a rod, one or more wires, a leaf spring, a bladder, or an expandable mesh material, for example.
摘要:
An improved method and apparatus for reducing a hip fracture utilizing a minimally invasive procedure which does not require incision of the quadriceps. A femoral implant in accordance with the present invention achieves intramedullary fixation as well as fixation into the femoral head to allow for the compression needed for a femoral fracture to heal. To position the femoral implant of the present invention, an incision is made along the greater trochanter. Because the greater trochanter is not circumferentially covered with muscles, the incision can be made and the wound developed through the skin and fascia to expose the greater trochanter, without incising muscle, including, e.g., the quadriceps. After exposing the greater trochanter, novel instruments of the present invention are utilized to prepare a cavity in the femur extending from the greater trochanter into the femoral head and further extending from the greater trochanter into the intramedullary canal of the femur. After preparation of the femoral cavity, a femoral implant in accordance with the present invention is inserted into the aforementioned cavity in the femur. The femoral implant is thereafter secured in the femur, with portions of the implant extending into and being secured within the femoral head and portions of the implant extending into and being secured within the femoral shaft.
摘要:
An orthopaedic implant includes a flexible bag; a structural support at least partially within the bag; and a hardened polymer within the bag. The orthopaedic implant is implanted within the bone by forming a cavity in the bone; inserting a flexible bag into the cavity; filling the bag with a polymer; and hardening the polymer.
摘要:
A cartilage resurfacing implant is provided for replacing cartilage of an articulating portion of a bone at a skeletal joint having opposed joint surfaces. The cartilage resurfacing implant includes a body having a bearing surface and a bone interface. The bearing surface is able to support articulation with an opposing joint surface.
摘要:
A tool and a method are provided for driving a bone pin into a fractured bone to stabilize the fractured bone by maintaining the fractured bone in a reduced state. The tool may be a handheld device including a cartridge having at least one passageway that receives the bone pin. The tool may also include a pneumatically-powered piston having a needle that is sized for receipt within the passageway of the cartridge, the needle applying sufficient force to the bone pin to drive the bone pin out of the cartridge and into the fractured bone.