Zimmer Gmbh

Bristol-myers Squibb Compnay

Billy N Sisk

Gregory C Stalcup

Rodney L Bays

Steven E Dietzel

Robert E Booth, Jr

Timothy R Miller

Antony J Lozier

Randall N Allard

Gregory G Price

Richard A Lane

Gary T Hamman

Sarah L Thelen

Stephen G Gilbert

Rick Miller

An improved method and apparatus for reducing a hip fracture utilizing a minimally invasive procedure which does not require incision of the quadriceps. A femoral implant in accordance with the present invention achieves intramedullary fixation as well as fixation into the femoral head to allow for the compression needed for a femoral fracture to heal. To position the femoral implant of the present invention, an incision is made along the greater trochanter. Because the greater trochanter is not circumferentially covered with muscles, the incision can be made and the wound developed through the skin and fascia to expose the greater trochanter, without incising muscle, including, e.g., the quadriceps. After exposing the greater trochanter, novel instruments of the present invention are utilized to prepare a cavity in the femur extending from the greater trochanter into the femoral head and further extending from the greater trochanter into the intramedullary canal of the femur. After preparation of the femoral cavity, a femoral implant in accordance with the present invention is inserted into the aforementioned cavity in the femur. The femoral implant is thereafter secured in the femur, with portions of the implant extending into and being secured within the femoral head and portions of the implant extending into and being secured within the femoral shaft.

Method and apparatus for reducing femoral fractures

An orthopaedic assembly includes a first portion or an acetabular cup and a second connecting portion or a cup inserter. The acetabular cup includes a cavity for receiving a femoral head and a pole defining a longitudinal axis through the cavity. The acetabular cup further includes an annular face which bounds the cavity and has a plurality of notches extending therein. Each notch includes an undercut wall. The annular face further includes a projection receiving device. A cup inserter includes a body with an end face and a plurality of fingers extending from the end face. Each finger is insertable into a corresponding one of the notches in a direction parallel to the longitudinal axis and is rotatable around the longitudinal axis to a locking position. Each finger includes a transverse surface which matingly engages with a corresponding one of the undercut walls when the finger is in the locking position. The cup inserter further includes a projection and a biasing device. The projection is slidably carried within the body and is movable between a retracted position and an extended position. The biasing device biases the projection toward the extended position. The projection is biased to the extended position and received within the projection receiving device of the cup when each finger is in the locking position.

Orthopaedic assembly including an acetabular cup and cup inserter

The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone. The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur. The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured mount of tension force can be applied to the joint. The tensor is configured to slidably carry a sizing rod which contacts the femur and includes a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rod also indicates to the surgeon any variation required in the amount of bone to be resected.

Instrumentation for use in orthopaedic surgery

The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone. The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur. The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured amount of tension force can be applied to the joint. The tensor is configured to slidably carry sizing rods, which contact the femur and include a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rods are connected to the tensor when the tibial is in flexion and in extension, which will indicate to the surgeon any variation required in the amount of bone to be resected.

An external fixation apparatus 2 that allows the transfixation wire 10 to be secured at a plurality of discrete positions to provide adjustability of the angular orientation of the wire with respect to the plane of a frame ring 6. The fixation apparatus 2 includes a transfixation wire or pin 10 that is connected between a transmitting clamp 20 and a receiving clamp 40 that are shiftably carried atop of a partial frame ring 6. A wire retainer 50 is secured to the distal end 14 of the transfixation wire. The receiving clamp 40 includes a raised member 46 adapted for receiving distal end 14 of wire 10 and mating with retainer 50 at a variety of discrete positions along the length of raised member 46. Retainer 50 uses two screws 54, 56 to secure distal end 14 of wire 10 within a longitudinal through bore 51. Screw 54 extends into longitudinal bore 51 to engage wire 10 near the proximal end of retainer 50. Screw 56 extends into longitudinal bore 51 and bends the distal end 14 of wire 10 downward within a slot 53 defined along longitudinal bore 51 at the distal end of retainer 50. Bending the distal end 14 of wire 10 within retainer 50 improves the connection between wire 10 and retainer 50.

External fixation apparatus

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Claypool, IN, United States of America

Billy N Sisk