Method and apparatus for reducing femoral fractures
    1.
    发明授权
    Method and apparatus for reducing femoral fractures 有权
    减少股骨骨折的方法和装置

    公开(公告)号:US07258692B2

    公开(公告)日:2007-08-21

    申请号:US10155683

    申请日:2002-05-23

    IPC分类号: A61B17/56 A61F2/30

    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.

    摘要翻译: 一种用于减少髋部骨折的改进方法和装置,其利用不需要切开四头肌的微创手术。 根据本发明的股骨植入物实现髓内固定以及固定到股骨头中以允许股骨骨折所需的压缩愈合。 为了定位本发明的股骨植入物,沿大转子进行切口。 由于大转子没有周向地被肌肉覆盖,所以可以进行切口并且通过皮肤和筋膜发生伤口以暴露大转子,而不会切开肌肉,包括例如四头肌。 在暴露大转子后,利用本发明的新型器械来制备从大转子延伸到股骨头的股骨中的空腔,并且从大转子进一步延伸到股骨的髓内管中。 在制备股骨腔之后,将根据本发明的股骨植入物插入股骨中的上述空腔中。 随后将股骨植入物固定在股骨中,其中植入物的一部分延伸到股骨头内并固定在股骨头内,并且植入物的部分延伸到并固定在股骨轴内。

    Instrumentation for use in orthopaedic surgery
    2.
    发明授权
    Instrumentation for use in orthopaedic surgery 失效
    用于整形外科手术的仪器

    公开(公告)号:US5688280A

    公开(公告)日:1997-11-18

    申请号:US686894

    申请日:1996-07-26

    摘要: The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone. The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur. The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured mount of tension force can be applied to the joint. The tensor is configured to slidably carry a sizing rod which contacts the femur and includes a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rod also indicates to the surgeon any variation required in the amount of bone to be resected.

    摘要翻译: 本发明的仪器组协助外科医生选择适当的植入部件,确定要切除的远端骨的量,以及对准被设计用于切除骨骼的仪器。 仪器组提供了许多系统,用于向外科医生验证他在去除任何骨骼之前已正确对准仪器。 该组包括旋转对准引导件,其帮助外科医生建立用于膝部的适当的旋转对准,如通过参考标准股骨标记(例如后髁和上髁)所确定的。 旋转对准引导件包括用于引导锯片以移除股骨的后髁的狭槽。 该组还包括设计成在弯曲和伸展时拉紧膝关节的张量。 张力由扭矩扳手激活,使得测量到的拉力可以施加到接头上。 张量构造成可滑动地携带与股骨接触的尺寸杆,并且包括多个标记,其与股骨的尺寸以及股骨和胫骨之间的间隔相关。 该信息由外科医生用于选择股骨和胫骨关节表面部件的适当尺寸。 定型杆还向外科医生指示要切除的骨量所需的任何变化。

    Intramedullary rod with guide member locator
    5.
    发明授权
    Intramedullary rod with guide member locator 失效
    髓内杆与导向件定位器

    公开(公告)号:US5562674A

    公开(公告)日:1996-10-08

    申请号:US395234

    申请日:1995-02-27

    IPC分类号: A61B17/15 A61B17/16 A61B17/17

    摘要: The invention is directed to an intramedullary guide rod assembly for use in orthopaedic surgery for aligning one or more milling or cutting guides. A guide member is pivotally connected to an intramedullary guide rod intermediate and proximal and distal ends thereof. An alignment mechanism selectively locks the guide member to the intramedullary guide rod between discrete predetermined positions relative the guide rod.

    摘要翻译: 本发明涉及一种用于矫形外科手术中用于对准一个或多个研磨或切割引导件的髓内导杆组件。 引导构件枢转地连接到髓内导杆的中间及其近端和远端。 对准机构将引导构件选择性地将引导构件锁定在相对于导杆的离散的预定位置之间的髓内导杆上。