Smith + Nephew

Smith & Nephew Richards Inc.

Leonard J Tokish, Jr

Jennifer J Lackey

Thomas Wade Fallin

Gregory C Marik

Brian Schumacher

Scott Elliott

Michael D Ries

Abraham Biglari Salehi

Jeff Schryver

Raymond H Roberson, Jr

Steve M Tammi

A posterior stabilized/constrained reamer guide is provided that enables a surgeon to prepare a patient s distal femur to receive either a posterior stabilized or a constrained type femoral component. The instrument guide has an opening the largest anterior to posterior housing size. For example, a constrained housing has a longer anterior to posterior dimension than a posterior stabilized housing. The apparatus of the present invention provides an improved reamer guide that addresses differences in housing sizes and necessary bone removal. The apparatus provides a housing guide that accepts either a posterior stabilized collet or a constrained collet. Each of the collets accepts a rotary reamer or a box chisel. During surgery, the reamer is first used to form a cylindrically-shaped or oval shaped cut. The box chisel then removes additional bone to create a rectangular or squared opening. This insures that only the necessary bone is removed for each housing depending upon the one selected by the surgeon.

Posterior stabilized/constrained reamer guide

A distal femoral sizing instrument includes an intramedullary rod for referencing the patient's intramedullary canal. A valgus module mounts to the intramedullary rod at a bore of the valgus. The bore of the module has a slant with respect to the flat reference surface of a valgus block. The module slidably connects to the block. The valgus block, referencing guide and a stylus (for connecting the valgus block and cutting together) are removed as a unit before shaping of the distal femur. An indexing system includes a gauge having a series of openings corresponding to 'anterior' referencing and to 'posterior' referencing. During anterior referencing, the gauge allows the surgeon to select the next smaller size prosthesis if the size falls in between available sizes. In posterior referencing, the gauge allows the surgeon to select the next larger size prosthesis if the gauge measures a size that falls in between available sizes.

Distal femoral cutting guide apparatus with anterior or posterior

A knee cutting instrument apparatus includes an elongated alignment rod that can enable a surgeon to define alignment with a patient's long bone. An instrument block body can slide upon the alignment rod between its end portions. A locking member forms a connection with the rod at a selected position along the rod. The locking member includes a cam locking arrangement that rotates about a pivot on the instrument body. The cam has a handle portion or arm that enables a user to rotate the cam and its locking tab about its pivot. Part of the locking cam includes a locking tab having a slot that extends circumferentially about ninety degrees (90.degree.) around the pivot of the cam. The slot is positioned radially in between the pivot and the periphery of the locking member at a locking member bearing surface. The slot provides a closed end portion and an open end portion that communicates with the locking member periphery at a positioned spaced away from the bearing surface. The slot is preferably sufficient long enough that it extends circumferentially the full length of the bearing surface.

Orthopaedic cutting instrumentation with cam locking arrangement

An orthopaedic prosthesis for implantation in a patient's intramedullary canal includes a prosthesis body and a removable prosthesis stem portion that is connectable to the prosthesis body at the lower end portion of the prosthesis body. The stem is formed of an elongated stem member that is preferably conically shaped, having an inner elongated conical core with proximal and distal end portions. A helical portion extends around the core beginning at a position adjacent to the proximal end and terminating at a position adjacent to the distal end. The stem and body can be connectable using a wedge lock or taper-like connection. The prosthesis stem can provide a socket with internal threads for attaching a removal tool thereto.

Flexible orthopaedic stem apparatus

An in-situ surgical orthopedic milling apparatus includes an instrument frame having upper and lower end portions. A plurality of templates are provided, each forming a respective virtual pattern. A cutting device supported upon the frame cuts bone tissue (e.g., within the intramedullary canal of a patient's bone), by tracking the virtual patterns. A system of vertically stacked templates can be placed in position with respect to the instrument frame to define an operative position. The templates provide a wall portion that constrains movement of the cutting tool beyond a desired surgical cutting area defining an 'actual pattern'. In this first embodiment, the templates are in the form of stacked templates, each template having its own pattern.

Growing community of inventors

Cordova, TN, United States of America

Leonard J Tokish, Jr