摘要:
An apparatus for bracing a plurality of vertebrae of the human spine has at least two pedicle screws, each having an annular head with an opening therewithin and including a slot therewithin. Each slot extends into the corresponding opening and includes internal threaded portions. A securing screw to be screwed in each slot is provided. A relatively stiff threaded rod is also provided and is to be inserted into the opening in the head of each of the pedicle screws and to be secured by the securing screws. Adjusting nuts are screwed on the rod and at least one cooperates with each head.
摘要:
An apparatus and method is provided to maintain vertebrae in a desired relationship. The apparatus includes a rod, a plurality of clamps, and a plurality of fastener assemblies. The method involves inserting threaded members into openings in a displaced vertebra and at least one vertebra on each side of the displaced vertebra. A clamp is placed on each fastener. The rod is bent to correspond to a desired spinal curvature and inserted into the clamps. A nut is tightened on each threaded member to hold the clamp to each vertebra and to press the clamp against the rod to hold the rod against axial and rotational movement.
摘要:
An intervertebral stabilization implant is described including an elongated central portion and a pair of reverse wings disposed at an angle of between 75.degree. and 80.degree. with respect to the elongated central portion of the implant. The method of utilizing the implant is also disclosed including exposing the pre-vertebral space as would be done in a Cloward's procedure. The vertebral disks below the luxating vertebra is widely resected, avoiding if at all possible the use of the intervertebral spreader. The A-P diameter of the vertebral bodies are measured and the intervertebral stabilizing implant of proper length is elected taking into account a small correction of the luxation of up to 2 millimeters maximum, which would upset the compression effect of the retaining wings over soft tissue and bone. The implant is inserted sideways, utlizing no force. After the posterior wing is barely in the canal it is rotated 90.degree. so that the posterior wing rests behind the lower vertebra and the superior or anterior wing is in front of the reduced vertebra.
摘要:
An extractor for dislodging an implanted tibial prosthesis comprising substantially parallel upper and lower members joined by a yoke, with the lower member comprising a pair of forked blades to insert under the tibial component and the upper member being adapted to receive means for applying upward dislodging force.
摘要:
A power tool, such as a surgical drill, has a tool element retained in a collet coupled to the output spindle of the tool. Resilient member constantly maintains the collet in its closed position. Upon rotation of the spindle in a reverse direction, opposite to its normal driving direction, a cam is actuated to open the collet against the force of the resilient member, thereby facilitating removal of the tool element from the collet. Preferably, the tool is of the cordless type and has a reversible electric motor controlled by a pair of triggers mounted on the pistol-grip handle for the tool. The triggers are conveniently disposed adjacent to each other and are easily distinguishable from one another, thereby providing for a convenient one-hand operation of the tool.
摘要:
A spinal fixator is in the form of a turnbuckle the end sections of which terminate as circular flat plates formed with upwardly and downwardly protruding spikes for engaging in the bone of respective vertebrae above and below a broken vertebra. Following decompression of the spinal cord, the fixator is inserted and extended to engage the spikes in the respective vertebrae and thereafter holds the spinal cord decompressed.
摘要:
A tool for forming a stepped blind hole in bone for receipt of a fracture reducing and stabilizing surgical implant. The tool comprises a small diameter drill portion axially adjustable with respect to a larger diameter reamer portion. A conical portion includes cutting surfaces to chamfer the entrance of the hole and also includes non-cutting portions which serve to limit penetration of the tool into the bone. The tool is cannulated to allow its use in conjunction with a previously installed Kirschner guide wire.
摘要:
The invention relates to an elongate plate for osteosynthesis. The plate comprises at least two screw holes and a respective hole-free longitudinal section separating each neighboring pair of the screw holes. A spacing, perpendicular to the longitudinal direction of the plate, between two mutually opposite surfaces of at least two sections containing the screw holes is greater than that between two mutually opposite surfaces of the hole-free sections. The plate exhibits at least in the region of the screw holes a bending resistance amount W=I/e along a plane extending substantially centrally of the plate in the longitudinal direction of the plate and intersecting substantially perpendicularly that surface of the plate which is intended to rest on a bone. The bending resistance moment W=I/e lies between a lower and an upper limiting value, the lower limiting value being at most 30% smaller than the upper limiting value, wherein I is the polar moment of inertia, and e is the maximum value of the distance of the outline bounding the cross-sectional area from a neutral surface of the plate.
摘要翻译:本发明涉及一种用于骨接合术的细长板。 板包括至少两个螺钉孔和分开每个相邻的一对螺钉孔的相应的无孔纵向部分。 垂直于板的纵向方向的间隔在包含螺孔的至少两个部分的两个相互相对的表面之间大于无孔部分的两个彼此相对的表面之间的间隔。 至少在螺钉孔的区域中,沿着板的纵向基本上在板的中心延伸的平面的弯曲阻力量W = I / e,并且基本垂直于板的表面相交,该平面旨在 坐在骨头上 弯曲阻力矩W = I / e位于下限值和上限值之间,下限值比上限值小30%以下,其中I为极坐标惯性矩,e为最大值 从与板的中性表面划分横截面积的轮廓的距离。
摘要:
An artificial hinge pin having a self-cutting threaded portion is inserted into a prepared bone with reduced reaction moment by a hand-held power tool which imposes a rotary oscillating movement on the pin during the insertion process. The tool has an output shaft driven by an overriding ratchet type coupling providing repeated impacts to the output shaft. A plurality of elastic rods connected to the output shaft are arranged coaxially around the shaft and are anchored to a rotary brake disk. Braking force on the disk is controlled by an adjustable compression spring. The eigenfrequency of the elastic system comprising the rods and output shaft may be adjusted to the impact frequency of the ratchet coupling.
摘要:
An Osteosynthesis plate for application to a fractured bone across a fractured site thereof by screws applied to said bone through screw holes of said plate, wherein resilient means is provided between at least two screw holes spaced in a longitudinal dimension of said plate, to allow for a limited movement of the said holes in respect to each other under the action of externally generated forces, which may be magnetic, the freedom of movement being restricted essentially to a direction parallel to said longitudinal dimension.