Abstract:
A device and technique for the performance of distraction osteogenesis of bone with controlled drug delivery using a bead chain consisting of two bands and a series of drug delivery capsules placed in a precise manner such that the relative motion of the bone segments brings the wires, pins, or screws into contact with the capsules and divides them. This action sequentially delivers the drug to the distraction zone throughout the distraction osteogenesis process.
Abstract:
A synovial joint implantable apparatus for the reconstruction of skeletal defects with a flexible member, which is preferably resorbable, attached to a rigid structural prosthesis such as a total hip or total knee replacement implant. The cavitary space defined and surrounded by the flexible member is filled with osteoconductive and/or inductive materials which eventually matures into new column of bone. The prosthesis is supported by the bed of graft material surrounding it and is gradually unloaded as the bed matures into solid bone. The fixation of the prosthesis into native bone depends on the specific implant and the anatomic area of its use. The flexible member is secured to the margins of the prosthesis using rails, runners, sutures, or other attachment devices that prevent the escape of the bone graft and maintain an initial column of support for the implant. Should the metal implant even need removal, the reconstituted bone can be separated from the implant in such a way as to restore bone stock and facilitate future revision surgical procedures.
Abstract:
A bone cutting guide for preparing both donor and recipient bone, including one or more articular referencing platforms contoured to a bony surface to be prepared, fixation structure to secure the articular referencing platforms on an articular surface, cutting slots spaced apart from the articular referencing platforms at predetermined distances configured to allow the passage of a saw blade in such a way to remove a bone segment either from an allograft donor or from a graft recipient in such a way that both the removed donor and recipient grafts are of the same exact dimensions, whereby when the allograft is placed in the recipient site of the patient's joint, it completely restores the articular surface to the desired level with healthy articular cartilage from the donor.
Abstract:
A bone cutting guide for preparing a femoral head allograft for transplantation. The guide includes a base and a head holder disposed atop the base and having a hemispherical body with a hemispherical interior cavity for containing a femoral head. The head holder includes fenestrations through which to view a femoral head disposed within the head holder. Coupling elements disposed about its upper rim enable it to be coupled to a dome-shaped top having similar coupling elements. The top includes an upwardly extending cylindrical portion with a cylindrical central passage provides a passage to pass a tool to machine a femoral head contained in the connected head holder and top. A disc-shaped guidewire guide rests securely atop the upwardly extending cylindrical portion and has a center hole through which to pass a guidewire.
Abstract:
A bone cutting guide for preparing both donor and recipient bone, including one or more articular referencing platforms contoured to a bony surface to be prepared, fixation structure to secure the articular referencing platforms on an articular surface, cutting slots spaced apart from the articular referencing platforms at predetermined distances configured to allow the passage of a saw blade in such a way to remove a bone segment either from an allograft donor or from a graft recipient in such a way that both the removed donor and recipient grafts are of the same exact dimensions, whereby when the allograft is placed in the recipient site of the patient's joint, it completely restores the articular surface to the desired level with healthy articular cartilage from the donor.
Abstract:
A single shaft double port cannula having a shaft with discrete and separated channels to provide a method and apparatus that allows entry and passage of any two elongate surgical instruments through a single cannula.
Abstract:
A synovial joint implantable apparatus for the reconstruction of skeletal defects with a flexible member, which is preferably resorbable, attached to a rigid structural prosthesis such as a total hip or total knee replacement implant. The cavitary space defined and surrounded by the flexible member is filled with osteoconductive and/or inductive materials which eventually matures into new column of bone. The prosthesis is supported by the bed of graft material surrounding it and is gradually unloaded as the bed matures into solid bone. The fixation of the prosthesis into native bone depends on the specific implant and the anatomic area of its use. The flexible member is secured to the margins of the prosthesis using rails, runners, sutures, or other attachment devices that prevent the escape of the bone graft and maintain an initial column of support for the implant. Should the metal implant even need removal, the reconstituted bone can be separated from the implant in such a way as to restore bone stock and facilitate future revision surgical procedures.
Abstract:
A method and apparatus for the preparation and implantation of an osteochondral allograft of the intervertebral disc with the adjacent bone segments prepared in a matched fashion to allow for press-fit of the grafts into the recipient vertebral bodies to increase the mechanical fixation of the grafts to the host.
Abstract:
A device and technique for the performance of distraction osteogenesis of bone with controlled drug delivery using a bead chain consisting of two bands and a series of drug delivery capsules placed in a precise manner such that the relative motion of the bone segments brings the wires, pins, or screws into contact with the capsules and divides them. This action sequentially delivers the drug to the distraction zone throughout the distraction osteogenesis process.
Abstract:
A device for stabilizing a soft tissue graft to a fixation device for ligament reconstruction, including a generally planar and rectangular elongate pad of woven suture material having a proximal portion with an upper edge and upper corners and a distal portion having a bottom edge, wherein said proximal portion transitions into two integral, generally cylindrical suture limbs extending from the upper corners, each of which transition into and terminate in a distal end configured to fit through the eye of a surgical needle. A method of attaching the device to a tissue graft is also described. The device facilitates rapid fixation of the soft tissue graft in such a way as to avoid creep and laxity of the final construct.