Other

Howmedica Osteonics Corporation

University of Vermont and State Agricultural College

Orthopaedic Designs, LLC

Stephen J Incavo

Bruce D Beynnon

James G Howe

David L Churchhill

David Lawrence Churchill

Richard Earle Gildersleeve

Jeremy J Nathanson

Dylann Ceriani

Augusto Magagnoli

Scott Matthew Sporer

Robert Michael Meneghini

Bryan Donald Springer

Martin M Coyne, Iii

Daniel S Pflaster

Kathryn M Coughlin

Andrij J Nedilsky

John F Dirmaier

An arthroplasty system may include a first prosthesis to be fixed to a first bone of a joint, a second prosthesis to be fixed to a second bone of the joint for articulation with the first prosthesis, and one or more adapters to be fixed to the first prosthesis for articulation with the second prosthesis to modify the stability of the second prosthesis relative to the first prosthesis. The system may include one or more articular inserts to be coupled to the second prosthesis for articulation with the first prosthesis and/or the adapter(s). The articular inserts may be fixed or mobile bearing relative to the second prosthesis. Each adapter and corresponding articular insert may modify stability differently.

Knee arthroplasty with modular femoral adapters

A temporary spacer device for a joint of the human body such as a knee joint includes a first component or femoral component, adapted to be constrained to a bone or to the femoral bone of a patient, at the joint of the human body; a second component or tibial component, adapted to be constrained to a bone or tibial bone of a patient, at the joint of the human body, and at least one stem having a proximal end, wherein the first component or femoral component and/or the second component or tibial component include at least one housing seat for the proximal end of the at least one stem, adapted to allow the inclination and/or rotation of the at least a stem with respect to an insertion axis of the proximal end into the at least one housing seat.

Temporary spacer device for joints of the human body

A femoral component is provided for use in a knee joint prosthesis. The femoral component may be configured to provide one or more desirable kinematic relationships with a tibial component and/or patella so as to mimic the flexion and extension motion of a natural knee joint. The femoral component may be configured so that the patella follows a substantially circular pathway during knee flexion and extension. The femoral component may be configured so that the patella follows a curved patellar path during flexion and extension, and the curved patellar path has an origin located anterior and proximal to the geometrical center axis of the knee. The femoral component may be configured so that the patella follows a curved patellar path that lies in a plane which is parallel to and offset from a plane that extends through the center of the femoral head of a femur and is perpendicular to the geometric center axis of the knee. The femoral component may be configured so that at least a portion of the patella substantially follows a patellar path in a plane perpendicular to the geometrical center axis of a knee throughout knee flexion.

Knee joint prosthesis with a femoral component which links the tibiofemoral axis of rotation with the patellofemoral axis of rotation

An internal osteotomy fixation apparatus is provided. The device comprises a distal plate including a channel. A slide is slidably received within the channel such that the slide is translatable with respect to the distal plate along a first axis. A proximal plate is hingedly connected to the slide, such that the proximal plate has two degrees of freedom relative to the distal plate. A ledge protruding from a first portion of the proximal plate is configured to support a proximal bone segment when the device is implanted. The slide includes ratchet teeth. A ratchet arm including teeth is attached to the distal plate, and configured to engage the slide ratchet teeth. A cross-section of the ratchet arm is configured to maintain a constant stress level along a flexed portion of the arm. The distal plate includes a shelf upon which the ratchet arm rests. Compressive loads borne by the device are translated through the shelf to the distal plate. A minimum length of the device is related to the longer of the ratchet arm or the segment of teeth on the slide. The distal plate includes a hole through which a release mechanism is accessible.

Internal osteotomy fixation device

A prosthetic implant for replacing an element of a natural joint includes an elongate core for securing the implant within natural bone at an implant site adjacent the natural joint, the implant including a allograft affixed to the core for interposition between the core and the natural bone at the implant site. A kit of component parts enables a surgeon to select allograft component parts for assembly with the core, interoperatively, for accommodating conditions encountered at the implant site.

Allograft prosthetic joints and method

A fully implantable, incrementally adjustable osteotomy fixation apparatus is disclosed. The apparatus comprises a first plate member, and a second plate member being telescopically received within the first plate member. The osteotomy fixation apparatus may further comprise a ratchet assembly, operatively associated with the first and second plate member, which allows for advancement of the first plate member relative to the second plate member, but prevents retraction. Attachment means operatively associated with the first and second plate members are provided for attaching the apparatus to the bone. The apparatus may also include an external extension brace, operatively associated with the ratchet, for extending the second plate member relative to the first plate member so that post-operative angular correction of the bone may be achieved. A method of performing an osteotomy to the bone is also disclosed utilizing the fixation apparatus herein disclosed.

Incrementally adjustable tibial osteotomy fixation device and method

An apparatus and method for removing a previously implanted component is disclosed. Generally, the novel device will be used in artificial hip revision surgery. The device comprises a stem, a handle member adapted on the first end of the stem, and a hemispherical cutting blade mounted on the second end of the stem. The hemispherical cutting blade is adapted for cutting an acetabular component from the patient. In the preferred embodiment, the hemispherical cutting blade comprises a first-half hemispherical blade and a second-half hemispherical blade. The blades are interchangeable so that different size acetabular components may be removed via the procedure herein described. The device also includes a contact point member configured on the second end of the stem member, with the contact point member adapted to contact the concave surface of the acetabular component. The apparatus may further include an advancing member, operatively associated with the stem, for advancing the first-half hemispherical blade and said second-half hemispherical blade about said acetabular component. In one embodiment, the advancing member comprises a collar slidably received about the stem. The collar is movable relative to the stem so that as the collar is advanced, the hemispherical blades pivot about the acetabular component. A method of removing an acetabular component in a total hip replacement revision surgery with the hand tool is also disclosed.

Removal apparatus and method

A method for implanting a one-piece hybrid tibial tray component of a knee replacement prosthesis is disclosed. The method includes cutting an upper end of a tibia to accommodate the shape of the hybrid tibial tray and then punch fitting a tibial baseplate template having an imprint into the tibia. Next, cement is applied to the peripheral surface and the hybrid tibial tray is pressed down into the upper end of the tibia. Also, a temporary partition may be included, with the temporary barrier forming a barrier between the central area of the tibia and the peripheral area of the tibia.

Hybrid tibial tray knee prosthesis

A one-piece hybrid tibial tray component of a knee replacement prothesis includes a laterally extending plate having a proximal surface, a distal surface which includes a peripheral surface for receiving bone cement and a central surface which promotes bone ingrowth and a central stem extending from the distal surface and which is perpendicular thereto. The distal surface is adapted to fit against the upper end of a patient's tibia as part of a knee replacement surgical procedure and provides both initial fixation via the cement bonding as well as long term fixation due to bone ingrowth.

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South Burlington, VT, United States of America

Stephen J Incavo