摘要:
A sleeve component for engagement with a prosthetic component, such as a revision femoral component, compensates for bone loss and/or anatomical anomalies. In one embodiment, the sleeve includes a compensating region which provides an eccentric outer surface for offsetting proximal, posterior bone loss in the patient's femur. The sleeve has a bore through which the stem of a femoral component is insertable. The inner walls of the bore taper so as to complement a proximal outer surface of the stem when the sleeve abuts a shoulder portion of the femoral component. In one embodiment, the compensating region is defined by a radius which is offset from the longitudinal axis of the sleeve. In another embodiment, the compensating region is defined by a radius extending from the longitudinal axis and having an increased length.
摘要:
A prosthetic component is configured to have intentional interruptions in an articulating face thereof. The intentional interruptions are configured to yield an optimum contact area or bearing surface, particularly with regard to low wear and greater lubricity through the application of lubrication and contact mechanics theory for the particular prosthetic component. Such optimization is applied to a wide range of prosthetic component sizes of the particular prosthetic component. The optimum range of percentage area of relief or interruptions, defined as a percentage of a baseline uninterrupted bearing surface area to be removed by the features of the interrupted bearing surface configuration is from 0.3% to 73.7% for hard-on-hard bearing components and from 5.7% to 83.2% for polyethylene-on-hard bearing components. The range for both hard-on-hard and polyethylene-on-hard implants translates to a relieved area ranging from 0.3% to 31.9% of the area of the entire articulating surface, depending on the size of the implant. For both hard-on-hard and polyethylene-on-hard bearing combinations, optimally decreasing the contact area or bearing surface by interruptions in the articulating surfaces will allow for the benefits of larger diameter prosthetic components with an increased range of motion and decreased potential for dislocation, and the low frictional torques and lower wear of smaller diameter components.
摘要:
A bone fixation device such as a screw, pin, staple, cable or anchor has a microtextured contact surface to enhance installation or gripping characteristics, preferably by providing directional or anisotropic engagement. A surface texture comprised of patterned microfeatures imparts a roughness or actual mechanical engagement that prevents loosening. In different embodiments the features resemble an array of microbumps or pyramids, or anisotropic features such as rasp teeth, shingles, or slanted cantilevered fiber/rods. The use of microbumps present a smaller surface area when moving, while providing full area contact after the surfaces have relaxed or decompressed; installation may be effected with low force, while high static or resting friction prevents disengagement. Features with directional asymmetry or angled suspension allow the textured surface to slide or deflect when the fixation device moves in one direction, while presenting a high resistance to torque or linear motion when moved in the other direction. Manufacturing is achieved with ion beams or directional treatment with energetic radiation, and regular arrays of the microfeatures may be produced as stationary surface growth phenomena without the use of pattern masks or mechanical contact. One manufacturing apparatus rotates the fixation device about a longitudinal axis while it is irradiated along an oblique axis. A bone pin may have centrally-directed spurs that allow a multi-segment fracture to be securely pinned without threading. An elastic fastener body such as a screw or pin can be pre-tensioned to place the bone under a torsional or compressive load, or introduce strain at the healing site.
摘要:
An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要:
An orthopedic device is provided having a femoral stem with a proximal end, a distal end, and an intermediate portion extending between the proximal end and the distal end. The intermediate portion tapers from a first cross-sectional geometry near the proximal end to a second cross-sectional geometry near the distal end. A surface region of the femoral stem has a coefficient of friction less than 0.3 with respect to a bone cement. The surface region can include a treated metal region integral with the stem, or a friction reducing coating or sheath that coats or covers a portion of the stem. A collar can be provided near the proximal end of the stem that has a greater diameter than the first diameter of the stem.
摘要:
A knee joint prosthesis includes a femoral component, a tibial plateau and a tibial bearing member. The design and geometry of the articulation surfaces of the condylar elements of the femoral component and tibial bearing member is such that contact area between the articulation surfaces is maximized both in perfect alignment and in malalignment conditions. Moreover, contact stresses placed upon the articulation surfaces in perfect alignment and in malalignment are reduced. High contact area and low contact stress on the articulation surfaces can be maintained even while matching knee prosthesis components of different sizes.
摘要:
An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide.
摘要:
An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要:
An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要:
A prosthetic component is configured to have intentional interruptions in an articulating face thereof. The intentional interruptions are configured to yield an optimum contact area or bearing surface, particularly with regard to low wear and greater lubricity through the application of lubrication and contact mechanics theory for the particular prosthetic component. Such optimization is applied to a wide range of prosthetic component sizes of the particular prosthetic component. The optimum range of percentage area of relief or interruptions, defined as a percentage of a baseline uninterrupted bearing surface area to be removed by the features of the interrupted bearing surface configuration is from 0.3% to 73.7% for hard-on-hard bearing components and from 5.7% to 83.2% for polyethylene-on-hard bearing components. The range for both hard-on-hard and polyethylene-on-hard implants translates to a relieved area ranging from 0.3% to 31.9% of the area of the entire articulating surface, depending on the size of the implant. For both hard-on-hard and polyethylene-on-hard bearing combinations, optimally decreasing the contact area or bearing surface by interruptions in the articulating surfaces will allow for the benefits of larger diameter prosthetic components with an increased range of motion and decreased potential for dislocation, and the low frictional torques and lower wear of smaller diameter components.