Abstract:
An intervertebral spacer and stabilization implant includes a plate having sockets configured for retaining a fastener passable through the socket and into an adjacent vertebral body. One or more connecting projections extend from a side of the plate, to mate with projections extending from a spacer body. A plurality of teeth project from at least one of the upper or lower surfaces of the spacer body, and a chamber is formed through the spacer body to enable bone fusion between the vertebrae. The combined plate and spacer may be inserted to lie completely within the intervertebral space, or a portion of the plate may overlie a vertebral body.
Abstract:
An interbody vertebral implant for facilitating fusion of adjacent vertebrae. The implant includes a first end plate, a second end plate, and an intermediate member disposed therebetween. The end plates are configured to allow bone in-growth. The intermediate member may include features to engage the end plates and to prevent over insertion of the intermediate member within the end plates. The implant may include a cavity extending through the composite implant configured to receive bone growth material to facilitate fusion between a first vertebra and a second vertebra.
Abstract:
A spinal prosthesis has a prosthetic vertebral body in the form of a hollow cylinder (1) with perforated wall and attached prosthetic intervertebral discs formed by springs (7,8) molded into silicone-rubber beads (9,10). Anchoring of the cylinder (1) to the damaged vertebra (II) is by means of entrapment of an elongate lug (12) of the cylinder 1 within a slot (16) of a plate (11) retained by screws (12) within a recess (13) of the damaged vertebra (II). The springs (7,8) of the resilient beads (9,10) are attached to the natural vertebrae (I,III) superior and inferior to the damaged vertebra (II) by fixing plates (3,4) which have flanges (20,21) that are held by screws (22) to those vertebrae (I,III). Where adjoining vertebrae are damaged, two or more prosthetic cylinders (1) for anchoring to the individual vertebra are used with interconnecting resilient beads (9;10).
Abstract:
A prosthetic disc for insertion between adjacent vertebrae includes a core having upper and lower curved surfaces and upper and lower plates. At least one of the curved surfaces of the core is metallic, and in some embodiments the entire core is metallic. Each plate has an outer surface which engages a vertebra and a metallic inner curved surface which is shaped to slide over one of the curved surfaces of the core. In some embodiments, the center of rotation of the core is free to move relative to the upper and lower metallic plates. In some embodiments, one or more channels extend across one or both of the curved surfaces of the core for allowing passage of bodily fluid to promote lubrication between the core and at least one of the plates.
Abstract:
A prosthetic joint kit, particularly well suited for an elbow, transmits load through the prosthetic joint through a pair of spherically shaped bearing surfaces so as to transmit load over a relatively large area rather than at a point or over a line of contact. The prosthetic joint kit may be configured in a modular manner wherein a plurality of interchangeable stem structures, bearing structures and/or bearing inserts of various types are available. Construction in this manner enables a surgeon to configure the prosthetic joint to best suit the needs of the patient. For example, the surgeon may employ a modular flange for compressing a bone graft, a tissue fastener for securing soft tissue to a portion of the prosthetic joint, a cam for limiting the amount by which the prosthetic joint articulates or a bearing insert for tailoring the degree of varus/valgus constraint.
Abstract:
A knee prosthesis is provided that allows for increased flexion. The knee prosthesis includes (a) a femoral component adapted to fit on a distal end of the femur which includes a lateral condylar structure and a medial condylar structure and (b) an intermediate structure configured to cooperate with a femoral component of a knee prosthesis. The intermediate structure includes at least one surface for contacting the femoral component and a transition of a sagittal curvature of the at least one contact surface from a concave surface into a convex surface at the contact interface of the femoral component and the intermediate structure when the knee is flexed at approximately 120° to 140°. The knee prosthesis minimizes impingement on the femoral posterior cortex in deep flexion, increases the dislocation safety factor and allows for easier reengagement of the articular surface should the femoral component externally rotate off of the tibial plateau.
Abstract:
This invention provides for a novel orthopedic prosthesis, specifically a prosthetic tibial component for a prosthetic total knee joint, that comprises two constructs, one being a metal base construct that engages the bone and the other being a polyethylene bearing construct that attaches to the metal base construct and articulates with a femoral prosthetic component on the opposing side of the joint. The metal base construct is composed of two different metals, one of which engages the bone surface and the other of which engages the polyethylene bearing construct. Each of these metals is selected so that its characteristics are well suited to its particular function. More particularly, the first metal (i.e., the one that engages the bone surface) is selected so as to provide a superior bone-engaging face, while the second metal (i.e., the one that engages the polyethylene bearing construct) is selected so as to provide a superior polyethylene-engaging face. By combining the different material characteristics of two different metals in the metal bone construct, it is possible to simultaneously form a superior bone-engaging face and a superior polyethylene-engaging face.
Abstract:
Implants including non-resorbable frameworks and resorbable components, as well as methods of use thereof are disclosed. The embodiments include different combinations of a non-resorbable framework (in some case structural and in other cases non-structural), and a resorbable component embedded within and/or around the framework (again, in some cases structural and in other cases non-structural). The disclosed implants provide an efficient means of providing structural support for the vertebral bodies post-implantation, as well as encouraging resorption of the implant and fusion of the associated vertebral bodies without negative side effects and/or failure, such as subsidence of the implant or cracking/fracturing of a portion of the implant when implanted.
Abstract:
A horizontal and vertical expandable tissue spacer implants, insertion tools, assembly methods and surgical methods are disclosed. The horizontal expandable tissue spacer implant includes a first lateral member with a first side, a second lateral member with a first side, and an intermediate spacer member. The intermediate spacer member is adapted to cooperatively engage and hold the first side of the first lateral member and the first side of the second lateral member. A vertical expandable tissue spacer implant includes a top member with a bottom surface, a bottom member with a top surface, and an intermediate spacer member with a coupling mechanism. The coupling mechanism cooperatively engages the bottom surface of the top member to the intermediate spacer member and the top surface of the bottom member to the intermediate spacer member.
Abstract:
An orthopaedic tibial prosthesis includes a tibial baseplate sized and shaped to cover substantially all of a resected proximal tibial surface, and a tibial bearing component sized to leave a posteromedial portion of the tibial baseplate exposed when the tibial bearing component is mounted to the baseplate. The exposed posteromedial portion of the tibial baseplate includes a chamfered profile which cooperates with a correspondingly chamfered profile at a posteromedial edge of the tibial bearing component to create a substantially continuous chamfer extending from the resected tibial surface to the medial articular surface of the tibial bearing component. Advantageously, this chamfer leaves an absence of material (i.e., a relief or void) at the posteromedial edge of the tibial prosthesis, thereby enabling deep flexion of the prosthesis without impingement between the tibial prosthesis and adjacent anatomic tissues or prosthetic structures.