摘要:
An antibiotic delivery system including an intramedullary stem that is adapted to be removably mounted into a medullary canal of a bone. The stem includes a body having an inlet adapted to be in fluid communication with a source of liquid-borne antibiotic and a plurality of outlets disposed along the stem. A channel extends between the inlet and the plurality of outlets for delivering a fluid-borne antibiotic from the inlet to the plurality of outlets so as to distribute the antibiotic along the medullary canal in a controlled fashion. A method of treating an infected joint during a two-stage re-implantation of an orthopedic implant is also disclosed.
摘要:
A hip prosthesis device including a femoral stem, the femoral stem including an elongate stem sleeve having a blind hole extending in a longitudinal direction and a hole opening at an upper frontal end of the stem sleeve; a stem core having an elongate stem shaft inserted in the blind hole and slidable in the longitudinal direction, a neck having a lower neck portion and an upper neck portion, a lower end of a lower neck portion attached to an upper end of the stem shaft, the upper neck portion attachable to a femoral head; a shock absorber mechanism operatively provided between the stem shaft and the stem sleeve to act against a downwardly directed longitudinal sliding motion of the stem shaft relative to the stem sleeve; and a closure cap positioned to close the hole opening with a through hole which the neck extends with its lower neck portion.
摘要:
An implant for use in spinal surgery comprises a resilient element having an inflatable cavity. It is formed of a biologically compatible material and is arranged for placement between end plates of adjacent vertebra. The implant may also include a wound disc replacement element. A method of performing spinal surgery on a patient comprises securely mounting a patient onto a patient support table; imaging a spinal region of the patient; building up a three-dimensional image file of the spinal region of the patient; storing the image file; and utilizing the image file for planning and carrying out computer controlled spinal surgery on the patient utilizing the implant. A computer-controlled surgical implant system comprises a steerable endosurgical implanting assembly operative to install the implant at a desired location in a patient; and a computerized controlled, which operates the steerable endosurgical implanting assembly.
摘要:
A method of performing a computer-assisted surgical procedure on the spine of a patient comprising the steps of: planning, on a computer, a surgical procedure based on at least one of two- and three-dimensional images of the patient's spine; affixing a robotic assembly over an operative region of the patient; determining, with a computer in communication with the robotic assembly, a desired trajectory of a surgical tool along at least one of an access path and an implant path towards the surgical target site; and placing at least a portion of the surgical tool through the aperture along said desired trajectory along at least one of said access path and said implant path towards the surgical target site.
摘要:
An improved body element for use in a modular prosthetic stem component of the sort comprising a body element and at least one other element, wherein the body element and the at least one other element are joined together by at least one modular connection, wherein the improved body element comprises an anterior wall and a posterior wall, at least one of the anterior wall and the posterior wall converging toward the other on the medial side of the body element and diverging away from the other on the lateral side of the body element, whereby the body element approximates a general wedge shape.
摘要:
A reduced pressure delivery system for applying a reduced pressure to a tissue site includes a manifold delivery tube having a passageway and a distal end, the distal end configured to be percutaneously inserted and placed adjacent the tissue site. A flowable material is provided and is percutaneously deliverable through the manifold delivery tube to the tissue site. The flowable material is capable of filling a void adjacent the tissue site to create a manifold having a plurality of flow channels in fluid communication with the tissue site. A reduced pressure delivery tube is provided that is capable of fluid communication with the flow channels of the manifold.
摘要:
A hip implant has a neck body that connects to a bone fixation body. The bone fixation body has a porous structure with an elongated shape. An internal cavity is formed in the bone fixation body and includes a substance to stimulate bone growth.
摘要:
A load bearing implant comprising a femoral implant stem made from a bio-compatible metal having an elastic modulus far greater than that of natural bone. When the implant heals within a bone cavity, the implant essentially carries substantially the entire load. Transfer of load to the surrounding bone tissue is lost due to lack of use after healing. Flexing a stiff implant applies a large load at the implant distal end. The bone cortex is thereby allowed to thicken, causing thigh pain long after implant healing. The femoral implant has a bone ingrowth coating on the proximal end, allowing firm attachment of the implant in the bone cavity. The distal end has a central aperture and a helical machined groove that permits flexing of the distal portion of the femoral implant stem. This flexing occurs in a manner similar to surrounding bone tissue, preventing thigh pain.
摘要:
A reduced pressure delivery system for applying a reduced pressure to a tissue site includes a manifold delivery tube having a passageway and a distal end, the distal end configured to be percutaneously inserted and placed adjacent the tissue site. A flowable material is provided and is percutaneously deliverable through the manifold delivery tube to the tissue site. The flowable material is capable of filling a void adjacent the tissue site to create a manifold having a plurality of flow channels in fluid communication with the tissue site. A reduced pressure delivery tube is provided that is capable of fluid communication with the flow channels of the manifold.
摘要:
A drug delivery and diagnostic system can include an orthopedic implant having an outer attachment surface. A conduit can be coupled to the outer attachment surface. The conduit can have an inlet and a plurality of perforations formed along a length thereof. The conduit can be adapted to pass fluid between the inlet and the perforations. A subcutaneous port can be fluidly coupled to the inlet and be adapted to communicate fluid through the inlet, along the conduit and out of the perforations around and along the outer attachment surface of the orthopedic implant.