摘要:
The invention concerns a tibial prosthetic component comprising a plate (100) for forming a tibial plateau of a tibia (16), wherein a peripheral region of the plate (100) has a thickness of less than 3mm. The invention also concerns a tibial prosthetic component having a keel of depth less than 9mm. The invention also concerns a method of selecting a tibial prosthetic component comprising receiving measurements of at least one physical attribute of an individual into whom the tibial prosthetic component is to be implanted, selecting a thickness of a plate (100) and depth of keel of the tibial prosthetic component based on the measurements and providing a tibial prosthetic component comprising a plate (100) having the selected thickness and a keel having the selected depth. The invention may also comprise implanting a tibial prosthetic component selected in accordance with this method into an individual and a kit comprising a plurality of prosthetic components comprising plates having different thicknesses with keels of different depths.
摘要:
A modular resurfacing implant for a radioscaphoid joint of a wrist includes a stem and an articular component coupled to the stem. The stem includes a threaded body for implantation into a distal radius and a connection member positioned at a second end of the stem. The articular component includes a body member configured to resurface a scaphoid fossa of the distal radius. The body member includes a concave top surface matching a curvature of the scaphoid fossa and a bottom surface having a post extending therefrom that is configured to mate with the connection member of the stem. The articular component is configured to resurface the scaphoid fossa while leaving a lunate fossa of the distal radius intact.
摘要:
A cemented acetabular prosthesis (10) includes a cup body (10A) having a relative thin wall (for example, 2 mm). The body (10A) has a concave surface (12B), a convex surface (12A), and an annular rim (13). A plastic liner (11) registers into a concavity (12B) of the cup body (10A), the liner (11) having a wall with a liner wall thickness much greater than the cup body wall thickness and a concave surface and a convex surface that registers and fits the concave surface (12B) of the cup body (10A). The cup body wall provides a plurality of openings (26, 27, 29, 30). Some of the openings are bone screw (B) receptive openings (27) that are reinforced with an annular reinforcement (28) that extends away from the convex surface (12A) of the cup body (10A). Other openings are unreinforced openings (30) that allow cement (C) to flow from the concave (12B) to the convex (12A) side of the cup body (10A) and into the patient's acetabulum during surgery. The cup body (10A) has a peripheral buttress portion (22) for supporting a volume of cement (C) of the cement mantle at a peripheral interface position between the liner (11) and the body (10A).
摘要:
One embodiment of the present invention provides a femoral component of a knee prosthesis, wherein the femoral component include a sharp radius at each end (e g, the anterior end and the posterior end) of the femoral component. The sharp radius at each end may form a 'claw' at each end.Each of these claws may 'dig' through the patient's cartilage into the bone (or may 'dig' directly into bone if there is no intervening cartilage). Enhanced fixation may be achieved with the claws 'digging' and fixing into the bone as well as the claws providing additional cement pressurization (e g, with the claws in the bone, cement is less likely to escape by the anterior and posterior ends). Further, one benefit provided by a claw may be facilitating a smooth transition of cartilage/poly bearing to femoral implant/poly bearing (e g, during knee extension).
摘要:
An intervertebral implant component of an intervertebral implant includes an outer surface for engaging an adjacent vertebra and an inner surface. A keel extends from the outer surface and is designed to be disposed in a slot provided in the adjacent vertebra. This keel extends in a plane which is non-perpendicular to the outer surface; and preferably there are two of the keels extending from the outer surface which are preferably offset laterally from one another. In another embodiment, an anterior shelf is provided at an anterior end of the outer surface, and this anterior shelf extends vertically away from the inner surface in order to help prevent bone growth from the adjacent vertebra towards the inner surface. Further in accordance with disclosed embodiments, various materials, shapes and forms of construction of the component and/or keel provide various benefits.
摘要:
The invention relates to a cartilage substitute structure (1) which uses anchor elements (2) that penetrate into the bone and are fixed therein by means of friction, clamping or a positive-fit, in order to ensure that said cartilage substitute structure (1) is fixed in a mechanically secure manner. This type of anchoring process allows the connection between the bone and the cartilage substitute structure (1) to optionally remain open, thus making it suitable for the transfer of cells from the bone marrow into the cartilage substitute structure (1).
摘要:
An orthopaedic prosthesis (4) comprising a prosthesis body (8) suitable for interfacing with at least one bone, at least one primary attachment element (12) for' the primary mechanical attachment of the orthopaedic prosthesis (4) inside the spongy tissue of said bone. Advantageously, the prosthesis body (8) comprises at least one bone grafting wall (16) suitable, in an implant configuration, to be placed in contact with a bone cortex, said bone grafting wall (16) being hydrophilic so as to improve the osteo-integration of the prosthesis (4) with the cortex of the associable bone. The primary attachment element (12) comprises at least one hydrophobic bone separation wall (36), so as to oppose osteo-integration with the spongy tissue inside the bone.
摘要:
This shoulder prosthesis glenoid component (2) has on one of its faces an articulation surface (S A ) adapted to cooperate with a humeral head and having, on an opposite face (S G ) adapted to be immobilized on the glenoid cavity (G) of a shoulder, a keel (4) for anchoring it in the glenoid cavity (G). This keel (4) comprises a body (5) that extends from the opposite face (S G ). The keel (4) comprises at least one fin (6) projecting from the body (5) which runs over at least a part of the perimeter of the body (5).
摘要:
Various embodiments of the present invention relate to an apparatus and method for reverse shoulder arthroplasty (e.g., reverse total shoulder arthroplasty). In one specific example, a glenoid component used to resurface the scapula may be provided. Of note, unlike traditional total shoulder arthroplasty the glenoid component in a reverse shoulder is convex rather than concave; it acts as a physical stop to prevent the superior migration of the humeral head - a typical occurrence in patients suffering from rotator cuff tear arthropathy (CTA).
摘要:
A revisable intervertebral implant may include two end plates designed to detachably receive a variety of intermediate components including articulating bearing inserts, elastic inserts, and fusion blocks. Each intermediate component may be secured to a snap insert that snaps into engagement with the corresponding end plate in response to pressure urging the intermediate component toward the end plate along a cephalad-caudal direction. The end plates may first be secured to the corresponding vertebral bodies, and then the intermediate component(s) may be snapped into locking engagement with the implanted end plates to complete in-situ assembly of the intervertebral implant. The implant may easily be revised. Alternative configurations include intermediate components that slide laterally or anteriorly into engagement with the end plates. Corresponding instrumentation facilitates preparation, adjustment, implantation, and revision of such implants.