摘要:
Prosthetic joints, components for prosthetic joints, superhard bearing and articulation surfaces, diamond bearing and articulation surfaces, substrate surface topographical features, materials for making joints, bearing and articulation surfaces, and methods for manufacturing and finishing the same, and related information are disclosed, including a diamond-surfaced femoral head for use in a prosthetic joint.
摘要:
A modular, prosthetic, implant assembly for replacing a shoulder or hip joint is implanted through a transosseous core approach. Typically, the main route for the transosseous core approach traverses through a more-accessible bone of the joint which can be aligned with a less-accessible bone of the joint in order to facilitate treatment of articular surfaces and/or other structures in the joint. A modular implant assembly is provided which can be passed through a relatively small bone hole and then assembled in situ partly in the bone hole and finished in the joint or wholly in the joint.
摘要:
A femoral neck fixation prosthesis and method of using same which reduces bone loss and the avoids the other shortcomings of the prior art by allowing the fixation of a stable femoral head replacement while reducing the amount of the femur which must be reamed for the insertion of the prosthesis. The preferred embodiment provides that the femoral head is attached to a fixation prosthesis which extends coaxially through the canal of the femoral neck, into the femur, and is then attached to the opposite lateral wall of the femur. In this manner, the prosthesis serves to imitate the original structure of the femoral neck. No other support members, either crosspins or arms extending into the length of the femur, are required.
摘要:
A mobile bearing knee prosthesis enables a surgeon to convert a mobile bearing insert having articular surfaces, supported by a tibial base plate or tray from a rotating and translating prosthesis to one that rotates only. This conversion is accomplished with a fastener or locking member that connects through an opening in the insert to the tibial base plate. This prosthesis can be used as part of a total knee surgery when the surgeon chooses to use a prosthesis that incorporates a movable articular surface. In one embodiment, a projecting portion extends proximally from the insert and cooperates with a cam on the femoral component. The projecting portion can be a post extending up from the proximal surface of the insert and the femoral component includes an intercondylar surface that may contact the post to constrain the relative motion between the femoral component and the insert. In another embodiment, the insert is a two part assembly that includes a larger member with a central opening and a smaller member that fits the opening.
摘要:
The present invention relates to a method and instrumentation for gaining access to areas in and around joints for treatment and to provide new implants and instrumentation adapted for the new method. In a transosseous core approach of the present invention, the joint is entered through a pathway provided in a portion of a joint bone. Such pathway is preferably made by taking out a bone core from the bone in or adjacent to the joint, wherever possible without substantially compromising physical integrity and physiological viability of the joint. Typically the main route for the transosseous core approach traverses through a more-accessible bone of the joint which can be aligned with a less-accessible bone of the joint in order to facilitate treatment of articular surfaces and/or other structures in the joint. The transosseous pathway into the joint is preferably provided by novel surgical instruments such as a core cutter, cartilage punch, hemostatic device, and retractable axial/transaxial cutting device. Implants modules are also provided which can be inserted into the joint through the transosseous pathway and assembled in situ inside the joint to form an implant assembly.
摘要:
Prosthetic joints, components for prosthetic joints, superhard bearing and articulation surfaces, diamond bearing and articulation surfaces, substrate surface topographical features, materials for making joints, bearing and articulation surfaces, and methods for manufacturing and finishing the same, and related information are disclosed, including a diamond articulation surface for use in a prosthetic joint
摘要:
A method for improving the wear resistance of an implant, made of polyethylene, by crosslinking its bearing surface layer, while leaving its non-bearing interior uncrosslinked. Such crosslinking may be achieved by electron-beam irradiation or by chemical crosslinking of the implant or the polyethylene from which the implant is made. The resulting implant or polyethylene may be further treated to remove the residual free radicals (generated by the electron beam crosslinking process); to remove residual chemicals (generated by the chemical crosslinking process); to remove its most oxidized layer; to stabilize its size and shape; to improve, by remelting, its oxidation resistance; and/or to reshape it into the final implant. Also presented are the resulting implant and polyethylene.
摘要:
A spacing device for supporting a joint adjacent to diseased bone or missing bone tissue, comprising a support piece and a semi-resilient pad. The pad is shaped to cradle and support the healthy bone joint. The reverse side of the pad is fixedly connected to one end of the support piece. The other end of the support piece is shaped to straddle healthy tissue adjacent the damaged area, such as the ilium when supporting a hip joint and is to be fixedly connected to the adjacent healthy tissue, using a suitable mechanism, such as biocompatible Steinman pins. Diseased, damaged, or necrotic tissue can be removed without requiring removal of the natural bone joint. Because the undamaged bone joint is not replaced, the problems commonly experienced during and following bone joint replacement are avoided. In particular, blood loss during surgery, surgical cost, surgical time, and rehabilitation of the patient after surgery is reduced. The method of implanting the spacer for supporting a bone joint includes the steps of exposing the joint; curetting damaged tissue from the bone; selecting an appropriately sized spacer for the joint; inserting the spacer into position adjacent healthy bone tissue and the joint; seating the spacer in an appropriate position; and fixedly securing the spacer in the position.
摘要:
A prosthetic implant system connected to the tissue of a living organism. The system contains a first device for measuring the mechanical strain in the implant in an area thereof which is not exposed to tissue regrowth, a second device for measuring the mechanical strain in the implant in an area thereof which is exposed to tissue regrowth, a device for continuously determining the stress/strain relationship of said implant, and a device for treating said tissue.
摘要:
A plug for stopping the flow of bone cement in a bone channel, such as the intramedullary bone canal, or a previously prepared channel, includes an actuator and a number of flexible beams extending around the bone plug. The actuator is removably attached to a rod within an insertion tool used to deploy the bone plug at a predetermined location within the channel. Within the tool, the rod is pulled to move the actuator into a position applying a compressive force to act between the ends of each of the flexible beams. This compressive force causes each beam to buckle outward, into contact with the channel. The rod is then released from the actuator, and the tool is withrawn from the channel so that bone cement can be applied to hold a prosthesis in place within the channel in a proximal direction from the bone plug.