Abstract:
A surgical instrument (100) for clamping to a ball end of a femur. The instrument includes a body (102) and first (108), second (110) and third (112) clamping arms. The body (102) has a central longitudinal axis (CLA). The first clamping arm (108) is connected to the body (102) and has a proximal end (122) and a distal end (124). The second clamping arm (110) is connected to the body (102) and has a proximal end (130) and a distal end (134). The third clamping arm (112) is connected to the body (102) and has a proximal end (140) and a distal end (144). The distal ends of at least two of the first (108), second (110) and third (112) clamping arms are moveable toward the central longitudinal axis (CLA) of the body (102) to permit the surgical instrument (100) to clamp around at least a portion of the ball end of the femur. The at least two clamping arms are independently moveable relative to one another.
Abstract:
A guide for hip resurfacing and similar surgery comprising a body (43) carrying a plurality of arms (41, 42), at least a first one (41) of which is pivoted to the body and a second of which is either fixed to the body, or is adjustably mounted on the body as is adapted to be fixed relative thereto in a selected relative position, at least said first arm having an engagement member at its free end adapted to engage a femoral neck, at least said second arm having a curved portion terminating at an engagement pad (54) adapted to engage an opposite side of the femoral neck, a threaded nut rotatably mounted on the body, a threaded guide engaged with the threaded nut such that rotation of the nut moves the guide axially relative to the body, an actuator arm (53) fixed to an inner end of the guide, the actuator arm extending generally radially outwardly towards the at least said first arm to engage therewith whereby axial movement of the threaded guide and actuator arm causes the said first arm to move about its pivotal mounting to thereby move the engagement member towards or away from the engagement pad (54) on at least said second arm.
Abstract:
A surgical alignment guide for hip replacement or revision surgery includes a support (12) for a prosthetic acetabular cup, the support being connected to one end of a carrier shaft (10). The support (12) has a bore (14) angled relative to the shaft so that a prosthetic acetabular cup secured to the support (12) has the correct orientation. An arm (26) extends from the shaft (10) at a position spaced from the support (12), and an adjustment arrangement (17, 21) is associated with the shaft (10) to enable adjustment of the angular position of the bore (14) with respect to the arm (26). In one form, an outer end of the arm (26) is connected to a gauge (28) which provides an alignment orientation indication of the cup support (12) and a prosthetic acetabular cup attached thereto. The adjustment arrangement may have two radial fingers (17) extending from the shaft (10) and engagable with teeth (24) associated with the arm (26).
Abstract:
The surgical orientation system is used to assist a surgeon to orient a prosthetic component relative to a patient's anatomy during surgery. An embodiment is particularly suited for assisting surgeons to locate an acetabular cup into a reamed acetabulum. The system includes: an implement (1) for releasable attachment of a prosthetic component; an electronic orientation monitor (2) attached to the implement (1); and a brace (3). The brace (3) is releasably attachable to the patient so as to define a reference point (4) relative to the patient's anatomy. This reference point (4) is external of the patient and includes at least one surface (5) defining a reference plane that is used to orient the monitor (2) into a reference orientation to calibrate the monitor (2). The surgeon then manipulates the implement (1) so that the prosthetic component is in the desired position relative to the patient and the monitor (2) provides an indication to the surgeon when a subsequent orientation of the monitor (2) has a predefined relationship relative to the reference orientation; for example the predefined relationship may be parallel to within predefined tolerances. Upon receiving the indication the surgeon inserts the prosthetic component into the patient.
Abstract:
The implant (100) comprises a body (102) having at least one end (104). The body (102) is elongate as it is arranged to substantially mimic a portion of a skeletal bone. The embodiment of the implant (100) is designed to be implanted in the leg of a patient, as a partial replacement for the femur bone of a patient. The at least one end (104) which includes a stepped portion (106) is arranged to, in use, prevent migration of the implant into the bone of a patient. At least part of the stepped portion (106) is covered by a physiologically inert substance, such as niobium for example, to reduce the possibility of infection or an immune reaction at the site at which the implant (100) contacts the flesh of the patient's leg.