Stryker Technologies Corporation

Howmedica Osteonics Corporation

Howmedica Corp.

Other

Kenneth A Krackow

Stuart L Axelson, Jr

James V Bono

Alan Lombardo

Robert V Kenna

David S Hungerford

Jose Luis Moctezuma

Michael W Dudasik

Matthew P Poggie

Philip C Noble

Gearoid Walsh

Mattthew P Poggie

A system for resecting a tibia and femur during arthroplasty includes anchoring devices, a three-way alignnment guide attachable to an anchoring device. The alignment guide provides for locating a resection guide in three degrees of freedom, including one translation and two rotations. The resection guide is coupled to a computer navigation system.

Systems used in performing femoral and tibial resection in knee surgery

The present invention provides a container () for medical instruments, packaging system and method for use by a medical provider in connection with a medical procedure such as surgery. The container includes a first container portion () adapted to contain medical instruments and a second container portion () configured to attach to the first container portion, with fasteners () attached between the first and second container portions which are associated with reminder indicia (e.g.,A,B,A,B). Among other things, the container is designed to ensure the provision of an appropriate medical procedure on the proper patient at the proper site.

Container and method for ensuring the provision of proper medical procedures

IM revision tools include reamers with depth markings or stops, an impactor-extractor with a coupling for attaching to tools which are inserted into and removed from the IM canal, a resection guide tower to which a cutting block is attached and which includes a notch which serves as both a witness mark and a holder for a femoral collar, a reversible clean-up cutting block with a quick-connect clamp attachable to the guide tower for resecting the distal femur, a selection of spacer blocks for measuring the space between the femur to determine the size of the components to be installed, a multiple cut cutting guide for preparing the femur, a set of 5 and 10 mm trial wedges, a trial stem valgus adapter, femoral sizing indicators which include indications of anterior/posterior offset, a stabilizer box cutting template which is attachable to the multiple cut cutting guide, and anterior/posterior offset adapters for attaching the femoral component to the IM stem.

Methods and tools for femoral intermedullary revision surgery

IM tibia revision tools include a trial stem extender having multiple notches which serve both as depth witness marks and holders for a stop clip, a collection of different sized tibial templates, each template adapted to receive an angular offset positioning guide, a collection of offset bushings, each bushing each bushing having a different offset distance and each being adapted to cooperate with the trial stem extender and the angular offset positioning guide, a neutral bushing for locating the position of the implant boss relative to the tibia and for reaming the tibia to accept the boss of the implant, a fin punch guide and fin punch for preparing the tibia to receive the keel of the tibial component, and a tool for translating the angular offset measurement to the tibial component. Tibial components according to the invention have three parts: the baseplate portion, the offset portion, and the stem portion. Each portion is provided in a variety of sizes and the portions may be mixed and matched according to the measurements made with the tools described above. Methods for using the tools and the tibial components are also disclosed.

Methods and tools for tibial intermedullary revision surgery and associated tibial components

A method for aligning a resection guide relative to a patient's bone has applications during arthroplasty. An alignment guide is coupled to a patient's bone, to which there is coupled a resection guide. The resection guide is positioned along a transactional path and a plurality of rotational paths by manipulation of the alignment guide, thereby providing three degrees of freedom of manipulation over infinitely adjustable ranges.

Methods used in performing femoral and tibial resection in knee surgery

IM revision tools include reamers with depth markings or stops, an impactor-extractor with a coupling for attaching to tools which are inserted into and removed from the IM canal, a resection guide tower to which a cutting block is attached and which includes a notch which serves as both a witness mark and a holder for a femoral or tibial collar, a reversible clean-up cutting block with a quick-connect clamp attachable to the guide tower for resecting the distal femur and separate left and right clean-up cutting blocks for resecting the proximal tibia, a selection of spacer blocks for measuring the space between the tibia and femur to determine the size of the components to be installed, a multiple cut cutting guide for preparing the femur, a set of 5 and 10 mm trial wedges, a trial stem valgus adapter, femoral sizing indicators which include indications of anterior/posterior offset, a stabilizer box cutting template which is attachable to the multiple cut cutting guide, and anterior/posterior offset adapters for attaching the femoral component to the IM stem. The tools according to the invention are modular and can also be used in primary knee arthroplasty without IM fixation. The methods of the invention provide accurate location of bone cuts so that the revision prosthetic is correctly oriented relative the IM canal and the bone cuts.

Methods and tools for tibial intermedullary revision surgery and

A centralizer for the stem of a cementable prosthetic orthopedic implant that is implanted into the medullary canal of a bone has a hollow annular body with a tapered interior surface for receiving a tapered stem of the implant. The centralizer has four fins spaced around the exterior surface of its annular body with the fins extending radially outwardly in a direction generally perpendicular to the longitudinal axis extending along the stem in a proximal-distal direction. The annular body of the centralizer has a proximal and a distal end surface spaced a predetermined distance apart with the fins having a base adjacent the body extending over a substantial portion of the predetermined distance. Adjacent fins are offset from neighboring fins in a proximal-distal direction so that when the proximal-distal dimension of the annular body is maintained, it generates a wavelike structure for the centralizer body.

Intramedullary centralizer

A prosthetic knee is implanted after cutting the femor and tibia in the proper manner with the aid of instruments which include axial alignment guides and a series of cutting jigs.

Growing community of inventors

Williamsville, NY, United States of America

Kenneth A Krackow