摘要:
A cotyloid implant including a screwable cup receiving an articular insert. The cup is provided with screwing elements (11) on the periphery thereof and more particularly in the equatorial area (2) thereof, the elements being used to penetrate the bone material of the acetabular cup during screwing. The cup includes an osteointegration-facilitating coating such as a selective calcium hydroxyapatite coating. The coating (16) is a thick coating on the convex parts of the outer surface of the cup, including areas or valleys or hollow thread elements which are left free in the screwing elements. The coating is not as thick (17) on raised areas or screw thread areas.
摘要:
A humerus implant for a reverse shoulder prosthesis has a cup shaped body and a thread at the outside of the body. The thread has a plurality of fins with cut-outs between the fins. At least one fin has an inclined leading surface which helps in incising into the bone by rotating the body in an inward direction. Furthermore, at least one fin has a forward oriented undercut trailing surface blocking rotation in the outward direction.
摘要:
Tapered root threaded hollow perforated interbody spinal fusion implants are disclosed for placement into a disc space in a human spine between adjacent vertebral bodies. The implants have opposite arcuate portions with lockable screws passing therethrough for engaging each of the adjacent vertebral bodies. The implants are adapted for use in side-by-side pairs such that a portion of the circumference of a first implant nests within the circumference of a second implant, so as to have a reduced combined width.
摘要:
An apparatus including an interbody spinal fusion implant having a leading end, a trailing end, and a length therebetween, and opposed upper and lower portions adapted to contact each of the adjacent vertebral bodies. Each of the upper and lower portions having at least one opening adapted to communicate with one each of the adjacent vertebral bodies and to communicate with one another to permit for the growth of bone from vertebral body to adjacent vertebral body through the implant. Each of the upper and lower portions has at least one screw hole passing therethrough proximate the trailing end. The apparatus further includes bone screws adapted for placement through the screw holes of the upper and lower portions and into each of the adjacent vertebral bodies adjacent the disc space to be fused and into which the implant is adapted to be positioned.
摘要:
Tapered root threaded hollow perforated interbody spinal fusion implants are disclosed for placement into a disc space in a human spine between adjacent vertebral bodies. The implants have opposite arcuate portions with lockable screws passing therethrough for engaging each of the adjacent vertebral bodies. The implants are adapted for use in side-by-side pairs such that a portion of the circumference of a first implant nests within the circumference of a second implant, so as to have a reduced combined width.
摘要:
Methods and instrumentation for spinal interbody fusion are disclosed. The instruments and methods are particularly adapted for interbody fusion in an unreamed disc space. One instrument is a distractor assembly including a first distractor and a second distractor configured to be inserted in side-by-side relation in the disc space. Fusion cages adapted for insertion into an unreamed disc space are provided to enhance load distribution between adjacent vertebral bodies and lateral stability of the spinal column. The fusion cages may be inserted after distracting the disc space with the distractor assembly. Instruments for preparing the disc space through the inserted fusion cages or for use with the distractor assembly are also provided.
摘要:
Methods and instrumentation for spinal interbody fusion are disclosed. The instruments and methods are particularly adapted for interbody fusion in an unreamed disc space. One instrument is a distractor assembly including a first distractor and a second distractor configured to be inserted in side-by-side relation in the disc space. Fusion cages adapted for insertion into an unreamed disc space are provided to enhance load distribution between adjacent vertebral bodies and lateral stability of the spinal column. The fusion cages may be inserted after distracting the disc space with the distractor assembly. Instruments for preparing the disc space through the inserted fusion cages or for use with the distractor assembly are also provided.
摘要:
Spinal fusion implants are laparoscopically placed in a disc space separating two vertebrae. Implant tools, including distraction spacers, boring tools and implants are passed through a hollow tube having exposed teeth and including a blunt sleeve slidably placed over the hollow tube.
摘要:
A bone joining implant has a rigid, implantable base body having an outer surface with at least one bone bed engaging portion configured for engaging between a pair of bone bodies to be joined. At least one spline is provided by the bone bed engaging portion, the spline being constructed and arranged to extend outwardly of the body and having an undercut portion. Upon implantation, the undercut portion of the implant is configured to engage with a bone bed provided in the bone bodies to be joined so as to provide instantaneous fixation there between. In one embodiment, the implant is a vertebral interbody fusing device. The base body is cylindrical and the spline is an undercut thread helically configured about the body. In another embodiment, the base body forms a bridging portion for encircling a vertebra to be removed, and splines in the form of strips of material extend outwardly of top-most and bottom-most portions of the body. Each spline has a undercut portion such that each spline mates in interlocking engagement with top-most and bottom-most neighboring vertebra having bone beds for receiving the splines there along. The mid-most vertebra is then removed (corpectomy), after which an enforcing brace is received therein.
摘要:
Acetrabular cup as part of a hip joint prosthesis is composed of an outer support ring and a plastic inner socket insertable into the support ring. The acetabular cup includes a covering cap provided with at least one metal surface which covers the part of the inner socket not surrounded by the support ring and whose metal outer contour supplements the socket to give it the spherical shape of an essentially closed hemisphere or spherical cap.