摘要:
A spatial frame for positioning a first element or the like relative to a second element or the like. The spatial frame includes a first base for mounting to the first element; a second base for mounting to the second element; a plurality of adjustable effective length struts; connector structure for rotatably attaching the first ends of a first pair of struts relative to one another and relative to the first base; connector structure for rotatably attaching the first ends of a second pair of struts relative to one another and relative to the first base; connector structure for rotatably attaching the first ends of a third pair of struts relative to one another and relative to the first base; connector structure for rotatably attaching the second ends of the first pair of struts relative to one another and relative to the second base; connector structure for rotatably attaching the second ends of the second pair of struts relative to one another and relative to the second base member; and connector structure for rotatably attaching the second ends of the third pair of struts relative to one another and relative to the second base member.
摘要:
An improved connector for an external skeletal fixation system of the type including a first elongated bar having a longitudinal axis and a non-circular cross section and including a second elongated bar having a longitudinal axis. The connector includes a body having a first aperture therethrough for receiving the first elongated bar and having a second aperture therethrough for receiving the second elongated bar. The first aperture has a cross section that is at least partly congruent with the cross section of the first elongated bar for receiving the first elongated bar and for preventing rotation of the first elongated bar about the longitudinal axis of the first elongated bar.
摘要:
A surgical, orthopaedic cable attachment apparatus and method for the surgical repair or fusion of orthopaedic anatomical structures is constructed from a length of flexible cable formed of a braided polymeric material having a first and second end portion. A first loop is formed in the first end portion of the cable with a second loop is formed, being placed around or through the bone parts to be tied. After the second loop is place around the selected bone parts, the free cable end is passed through the first loop and pulled tight to define a tightened position. The free cable end can have a needle. The free end is then secured to the cable by splicing for example, to hold the cable in the tightened position.
摘要:
A knee prosthesis for surgical implantation to a patient's leg bone at the knee joint area includes a prothesis body portion that extends transversely relative to the patient's intramedullary canal for carrying a bearing surface that articulates with the patient's adjacent leg bone or with another prosthesis component. A conical connector extends from the prosthesis portion and along an axis that generally tracks the patient's intramedullary canal. A stem member includes first and second end portions and has a central longitudinal stem axis. The stem member includes a socket at each end portion for forming connections to the conical connector at the respective end portions as selected by the surgeon. One of the sockets has a central longitudinal axis that generally coincides with the central longitudinal axis of the stem. The other socket has a central longitudinal axis that forms an acute angle with the axis of the stem.
摘要:
Guide wires fabricated from a core or substrate of a low modulus metal coated with blue to black zirconium oxide or zirconium nitride. The coating provides enhanced thrombogenicity, biocompatibility, blood compatibility, corrosion-resistance, friction and microfretting resistance, durability, and electrical insulation, where applicable. The coatings may be applied to low modulus metallic substrates by physical or chemical vapor deposition as well as other ion-beam assisted methods. Preferably, however, for optimizing attachment strength, the guide wires are fabricated from zirconium or zirconium-containing alloys and the coatings are formed by oxidizing or nitriding through an in situ method that develops a coating from and on the metal surface of the implant or instrument, without need for depositing a coating on the metal surface.
摘要:
An apparatus for treating fractures of the femur including a screw and an intramedullary rod. The screw has a threaded portion and a smooth portion. The rod has a head and a stem. There is at least one opening through the head of the rod in an angled direction toward the femoral head relative to the longitudinal axis of the rod. The opening is adapted to slidingly receive the screw to permit the threaded portion of the screw, in use, to engage the femoral head and to allow sliding compression of a femoral neck or intertrochanteric fracture. An optional second opening and second screw which will also allow sliding compression may be provided to prevent rotation and to adapt the fracture device to a variety of applications.
摘要:
A method for percutaneous fixation of a pair of vertebrae of a patient, which comprises posterolaterally entering the back of a patient percutaneously with a plurality of offset bone bolts, screwing each bone bolt into the medullary canal of the pedicles of adjacent thoracic and/or lumbar vertebrae or the pedicles of the L5 and S1 vertebrae, to a position where the proximal end thereof lies adjacent the fascia of the patient; inserting bone bolt linkages under the skin of the back of the patient and detachably securing the linkage means to the proximal ends of the bolts on the same side of the spinous processes of the vertebrae to restrict relative movement between the vertebrae. A kit is provided for percutaneous fixation of vertebrae of a patient, comprising a plurality of offset bone bolts of different sizes, yet of a size to enable the distal end of each bolt to be screwed into the medullary canal of a pedicle of a vertebra with the proximal end thereof lying adjacent the fascia of a patient.
摘要:
This invention relates generally to high strength, low modulus, metallic medical implants and, in particular, a titanium alloy useful in their fabrication which has a relatively low modulus of elasticity (e.g. closer to that of bone than other typically-used metal alloys) and which does not include any elements which have been shown or suggested as having short term or long term potential adverse effect from a standpoint of biocompatibility. The titanium alloy includes niobium and zirconium in specified amounts with tantalum an optional substitute for niobium.
摘要:
A quick release handle apparatus for pulling an intramedullary nail includes a handle body with a sliding pushrod that moves an outer cylindrical member over an inner cylindrical member having locking elements. The locking elements engage an annular groove on a nail puller element that attaches to an intramedullary nail. The outer cylinder overlaps the inner cylinder at the locking balls to define the locking position.
摘要:
A spinal fastening apparatus for use in spinal fixation systems, comprising a bone screw, a collar and a locking pin. The bone screw has a threaded shaft portion with a generally longitudinal axis and a head portion having an eyelet with a central bore. The collar is generally U-shaped with a transverse axis and a slot adapted for placement over the eyelet portion of the screw. The elongated locking pin has an outer surface with gripping means on at least a portion of the outer surface and is sized and shaped to be slidably inserted through the eyelet. Surface portions of the collar and eyelet each include means for engaging the gripping means of the pin when the pin is inserted through the eyelet bore and the eyelet occupies the slot of the collar. The collar is capable of pivoting in relation to the eyelet to adjust for angulation between the longitudinal axis of the threaded shaft and the transverse axis of the collar and being locked into a selected angled position.