Abstract:
In some exemplary embodiments, an ankle replacement prosthesis (100; 800) includes a tibial component (120; 720) which provides a convex bearing surface (128), and a talar component (110) which provides a concave bearing surface (428) configured to interface with the convex bearing surface of the tibial component to provide a joint of the ankle replacement prosthesis. The tibial component is configured to be attached to a patient's tibia (220) and the talar component is configured to be attached to the patient's talus (210).
Abstract:
A glenoid assembly includes a glenoid plate (110) configured for fixation to a glenoid bone; a glenosphere (108) configured for connection to the glenoid plate (110); and an adjustment plate (140), wherein the adjustment plate (140) has a connection for directly engaging the glenosphere (108), and wherein the adjustment plate (140) has an articulation for directly engaging the glenoid plate (110) at a variable angular orientation. A method includes, fixating a glenoid plate (110) to a glenoid bone; locking an adjustment plate (140), configured for interfacing with both the glenoid plate (110) and a glenosphere (108), to the glenoid plate (110), wherein the adjustment plate (140) is configured for angular orientation or positional change relative to the glenoid plate (110); connecting a glenosphere (108) to the adjustment plate (140); and independently adjusting an angular orientation and position of the glenosphere (108) relative to the fixated glenoid plate (110).
Abstract:
A shoulder prosthesis (4) of a modular type adapted to changing from a direct configuration to an inverted configuration. The prosthesis (4) is particularly non- invasive and has a large modular capacity, permitting full recovery of the articular function following the implant thereof.
Abstract:
The present invention is directed to a modular shoulder prosthesis (22) having an adjustable radial offset and/or angular inclination provided by relative rotation of an adapter (24) interdisposed between the stem (28) and the head (26). Specifically, the interface (48 & 38) configuration between the stem (28) and the adapter (24), as well as between the adapter (24) and the head (26) are designed such that relative positioning of these components provides a continuous adjustment in the radial offset and/or angular inclination. Indicia (62) are provided at the interface between the adapter (24) and the head (26) to precisely determine the magnitude and direction of the adjustment being made.
Abstract:
An intramedullary fixation device (10) for use in securing a trial (52) in the medullary canal of a bone to determine the offset and orientation of a prosthetic implant for replacement of a joint articulating surface of the bone is disclosed. The fixation device comprises a body (14) for receiving a trial and a fixation portion (12) for engaging the trial. A system for use in surgical repair of a joint comprising a selection of prosthetic implants of various sizes, a selection of trials of various sizes corresponding to the sizes of the implants, a selection of fixation devices of various sizes corresponding to the sizes of the trials, a trial fixation device driver for inserting the fixation device and attached trial into the canal of a bone, and a trial device extractor for removing the fixation device from the resected bone is disclosed. Methods of using the fixation device and system of the invention are disclosed.
Abstract:
An intervertebral implant having a composite wedge/dowel configuration is provided. The intervertebral implant includes a central body portion and a pair of radially extending wings. The radially extending wings can be tapered from a first end of the implant to the second end of the implant along an axis parallel to the longitudinal axis of the central body portion. Alternately, the radially extending wings can be tapered along an axis transverse to the longitudinal axis of the cylindrical body portion or along any other axis between parallel and transverse to the longitudinal axis. A throughbore or plurality of throughbores extend from a top surface of the implant through the implant to a bottom surface of the implant. The implant may be formed from a cortical ring cut from the diaphysis of a long bone by milling the top and bottom surfaces of the cortical ring to form the substantially central body portion and the tapered radially extending wings. The cortical ring is milled such that the intramedullary canal of the cortical ring defines a throughbore in the central body portion of the implant. The sidewalls of the implant may be machined to form a substantially rectangular shape or the implant can be left to have a substantially circular configuration. Alternately, the implant may be formed of any biocompatible material having the requisite strength requirements via any known process, i.e., molding.
Abstract:
The invention concerns a surgical equipment provided with a total shoulder prosthesis comprising a hemispherical plate cap (20) and a prosthesis shank consisting of a humeral rod (1), a humeral plate (9) and a member (16) mutually locking said humeral rod and plate, with hemispherical contact surfaces (10a, 10b, 18) capable of allowing the humeral plate (9) of oscillating in all directions relatively to the humeral rod (1), when the locking member (16) is in an unlocked position, and in locking said humeral rod and plate in the desired relative position.
Abstract:
A glenoid prosthesis for implantation on a scapula bone. The glenoid prosthesis includes a base portion having an articular bearing surface configured to articulate against a humeral head or prosthetic implant, an elongated body portion extending axially from the base portion and configured for positioning within a cavity in the scapula bone, at least one cross bore or through hole extending across the elongated body portion, and a fastener configured for placement in the scapula bone and passing through the through hole in the elongated body portion to thereby attach the glenoid prosthesis to the scapula bone. A method of implanting the glenoid prosthesis on a scapula bone is also provided.
Abstract:
A subacromial spacer (10) is provided as a device for treating a shoulder with a severe or irreparable lesion of the rotator cuff, by keeping a predetermined distance between an acromion and a corresponding humeral head. The subacromial spacer (10) has an articulating surface (11) whose radius of curvature (R) is longer than the radius of curvature of the humeral head of any possible patient, in particular radius (R) is longer than 60 mm, such that articulating surface (11) of subacromial spacer (10) and humeral head (52) reciprocally engage in a substantially punctiform contact, and humeral head (52) and articulating surface (11) roll without sliding with respect to each other. This way, a low friction arrangement is obtained, which drastically reduces articulation wear, i.e. the patient's healthy humeral head wear. The subacromial spacer according to the invention is therefore particularly suitable for treating those patients whose humeral head is not substantially compromised. In a preferred embodiment, a toolkit for implanting subacromial spacer (10) into the subacromial location 1 through a front transdeltoid approach comprises a clamp, and a means for fixing subacromial spacer (10) to acromion (51) comprising a plurality of anchor blades (13). Subacromial spacer (10) is pressed against acromion (51) such that anchor blades (13) penetrates the lower surface (53) of the acromion (51), optionally by deepening respective incisions that are previously made upon the lower surface (53) of the acromion (51). The compression can be obtained by tightening a screw (15), which extends along through hole (55) previously made within the acromion and engages a screw threaded hole 14 of the subacromial spacer (10). The compression may also be obtained by means of a hand press that is constrained to the clamp and has a plate-like pressing element that in use is arranged above the shoulder. The anchor blades (13) may also have transversal through holes (17), which allow bone growth and subsequent joining of bone edges of incisions (54), to provide a secondary stabilization step of subacromial spacer (10).
Abstract:
The present invention discloses an improved shoulder joint implant assembly including a plastic ball secured to a first joint defining bone end face and a plastic receiver secured to a second joint defining bone end face. Each of the ball and receiver implants are constructed of a composite hardened plastic with a softened cartilage wear surface plastic. A fastener is secured to the first joint defining bone end face and over which is mounted the plastic ball. Anchoring of the receiver is established by a pair of integrally formed and inwardly extending mounting tabs, these further extending into further recess machined cavities in the first bone.