New York Society for the Relief of the Ruptured and Crippled,

Timothy M Wright

Albert H Burstein

Thomas P Sculco

Joseph M Lane

James C Otis

A bone prosthesis for the leg and thigh comprises a distal femoral component that includes a body portion adapted to replace a resected portion of the distal femur and a condylar portion having a spherical surface along its inferior and posterior aspects and an axle hole extending through it in the latero-medial direction at the geometric center of the sperical surface and a proximal tibial component that includes a metal head portion having a cavity opening superiorly and defined by spaced-apart lateral and medial flange portions, each of which has an axle hole. A plastic tibial plateau insert is received in the cavity of the tibial head portion and has a spherical seat matching, receiving and pivotably supporting the femoral condylar spherical surface. A plastic bushing is received in the axle hole of each tibial flange portion, and a metal axle is received in the femoral and tibial axle holes. Clearances between the bushings and the portions of the axle received in the bushings provide latero-medial flexural and axial rotational laxities in the prosthetic joint throughout the range of flexural motion. A shaft component is used interchangeably to replace portions of the tibial and femoral shafts. A diaphysis component is provided or total femoral replacement. A proximal femoral component, used in conjunction with the shaft component or diaphysis component, replaces the femoral part of the hip joint. Identical Morse-type taper couplings are used to connect shaft components to joint components.

Bone prosthesis for the leg and thigh

A prosthesis for replacement of the first metatarsal-phalangeal articulation comprises a metatarsal component and a phalangeal component. The metatarsal component has a convex articulating surface and concave distal aspect, the metatarsal articulating surface being curved so as to approximate the natural articular surface of the first metatarsal bone and furthermore to articulate smoothly with the phalangeal articulating surface of the phalangeal component. The phalangeal component comprises a base member and an insert, the base member having a distal aspect adapted to engage and be secured to a resected end of the phalanx bone and also having a proximal aspect adapted to receive and have permanently attached thereto the insert. The insert, which includes the phalangeal articulating surface, is made available in various distal-proximal thicknesses, and an appropriately sized insert is selected during implantation so as to cause the tension in the natural soft tissue surrounding the prosthesis after implantation to approximate the tension of the soft tissue of the natural metatarsal-phalangeal articulation.

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Stamford, CT, United States of America

Timothy M Wright