Abstract:
This invention is an instrumentation for implanting a spherical prosthesis (87) in a joint between a first bone and a second bone. The instrumentation includes a cutting instrument (35) including a cutting instrument head (43) having the shape of a segment of a sphere with at least one truncated end (47, 49) or side, and a shaft (45) attached to the cutting instrument head (43) for allowing the cutting instrument head (43) to be inserted between the proximal end of a first bone and the distal end of a second bone, and to be then at least partially rotated about a rotational axis (57) generally transverse to an axis or plane (59) extending through the center of the segment of the sphere substantially perpendicular to the plane of the surface of the truncated end (47, 49) or side thereof. The instrumentation also includes a trial instrument (65) with a trial instrument head (69) having the shape of a segment of a sphere for being inserted into the semi-spherical cavities (41) in the proximal end of the first bone and the distal end of the second bone.
Abstract:
A system for profiling an anatomic patella includes a grinding tool (12) having a handle portion (14) and a grinding surface (24) operatively connected thereto. The grinding surface (24) is a concave dome shape for forming a dome shaped surface on an anatomic patella. The guide member (30) is connectable to the patella. The guide member (30) guides the grinding surface (24) of the guide tool (12) to a predetermined medial portion of the patella to shape the patella to match an articulating surface of a femoral prosthesis.
Abstract:
A compression hip screw plate (11) for a hip screw system used to compress a proximal femur (13) having a shaft (15) with a lateral aspect (17) and a neck (19) extending from the shaft (15) at an antevert angle, both of which follow the anatomical contours of the proximal femur (13). The compression hip screw plate (11) may include a side plate (27) having a face side (29) attachable to the lateral aspect (17) of the shaft (15) of the proximal femur (13), a barrel (43) having a first end (45) extendable through the lateral aspect (17) of the shaft (15) of the proximal femur (13) and into the neck (19) of the proximal femur (13), and having a second end (47) attached to the side plate (27) with the first end (45) extending away from the face side (29) of the barrel (43) at an antevert angle. The compression hip screw plate (11) may include a side plate (27) with an anterior bow to match the natural femur.
Abstract:
The hand (20) includes first (22), second (24), third (26), fourth (28) and fifth (30) metacarpals and a carpus comprising eight bones, including the trapezium (32). Some physical conditions, e.g., arthritis, cancer, trauma, etc, necessitate arthroplastic surgery to prosthetically improve the articular surfaces between the first metacarpal (22) and the trapezium (32). A trapezium implant (38) is used as a resurfacing implant for the trapezium (32).
Abstract:
A magnetic positioning system (10) is provided for assisting in positioning a fastening element (56) at a desired concealed internal location such as in a preformed opening in an interlocking nail in a fractured long bone. The arrangement includes a first permanent magnet (TM) positioned at the internal location and a positioning device (14) for a second magnet (26). The positioning device (14) comprises a hand-held drill (52) and a magnetic aiming device mounted on the drill (52). The aiming device (14) including a pivot member (34) and having an axial bore. A mount for the pivot member enables the second magnet (26) to align with the first magnet (TM). The positioning device also includes a guide pin (18).
Abstract:
A ball (14) and cup (18) prosthesis is provided with articulating metal surfaces (25, 24), the surfaces (25, 24) having an area of intimate contact ( theta ) in which the surfaces (25, 24) are formed on radii (R3, R1) which differ by at most 50 micrometers. The area of intimate contact ( theta ) has a surface area that ranges from 0.12 pi R3 to 1.65 pi R3 , and the centerline average surface roughness of the metal articulating surfaces (25, 24) in the area of intimate contact ( theta ) preferably is not greater than 0.1 micrometers.
Abstract:
This invention is a locking mechanism (11) for locking a rod (13) to a bone member (15). The locking mechanism (11) includes a bone fixation member (17) for attachment to the bone member (15), the bone fixation member (17) having a spherical portion (23); an inner housing member (29) having a channel (41) for receiving the rod (13) and having a spherical portion (43) for engaging the spherical portion (23) of the bone fixation member (17); and an outer housing member (49) for locking the inner housing member (29) to the rod (13) and the spherical portion (23) of the bone fixation member (17).
Abstract:
This invention is a knee prosthesis (11) including a tibial component (47) for mounting to the proximal end of a tibia, and a femoral component (23) for mounting to the distal end of a femur. At least the face surface (31) of the medial condylar portion of the femoral component (23) may be preferably substantially congruent with the face surface (45) of a medial cavity in the upper surface of the tibial component so that substantially complete surface to surface contact between the face surface (45) of the medial cavity in the upper surface of the tibial component (47), and the face surface (31) of the medial condylar portion of the femoral component (23), is provided throughout a significant portion of the range of flexion of the knee joint. The tibial component (47) may include a base member (53), an articular bearing member (67) movably positioned on the upper surface of the base member (53), and structure (61) for restricting the movement of the lateral portion of the articular bearing (67) member relative to the base member, to allow a swinging motion thereof relative to the medial portion of the articular bearing member.
Abstract:
The present invention is a modular humeral prosthesis (11) for replacing at least a portion of the articulating surface of a proximal humerus (15) of a shoulder joint. The prosthesis (11) includes a stem module (27) for insertion into the proximal humerus (15), and an intermediate module (29) for adjustable attachment to the stem module (27). Modular instrumentation is provided for preparing the proximal humerus for the prosthesis. The instrumentation (111) includes a stem module (113) for extending into a medullary cavity in the proximal humerus (15), one or more rasp modules (115) for adjustable attachment to the stem module (113), and for preparing an enlarged mouth in the medullary cavity in the proximal humerus (15).
Abstract:
A prosthetic implant (22) for resurfacing a damaged base portion of the proximal phalanx (14) in a human great toe (12) comprises a base (24) fabricated from a titanium, ceramic or other durable and rigid biocompatible material. The base is generally elliptical and includes an anatomically-shaped proximal articular surface (26) having an enlarged build-up (52) on the lateral end (50) thereof. The base also includes a generally planar distal seating surface (28) disposed for engaging the sectioned portion (21) of the proximal phalanx. An elongated stem (30) extends distally from the seating surface of the base and includes an array of fins (32, 34, 36, 38) together having a cruciate-shaped cross section. The fins each include a plurality of serrations (46) along their sloping edges (42) for anchoring the stem within the cancellous portion of the proximal phalanx.