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    Method for preparing radial and carpal bones for a wrist prosthesis
    2.
    发明申请
    Method for preparing radial and carpal bones for a wrist prosthesis 有权
    用于制备腕关节假体的径向和腕骨的方法

    公开(公告)号：US20040138756A1

    公开(公告)日：2004-07-15

    申请号：US10339213

    申请日：2003-01-09

    发明人： Nathan Reeder

    IPC分类号： A61F002/42

    CPC分类号： A61B17/1686 ,  A61B17/15 ,  A61B17/164 ,  A61B17/1659 ,  A61F2/4261 ,  A61F2002/30616 ,  A61F2002/30649 ,  A61F2002/30881 ,  A61F2002/4264 ,  A61F2310/00023 ,  A61F2310/00029

    摘要： A method for preparing and cutting the radial and carpal bones to receive a prosthetic wrist during a total wrist arthroplasty. Cuts on both the radius and carpal bones are made from a single broach. The broach is embedded in the intramedullary canal of the radius and a cutting tool is attached to an end of the broach to resect the radius. With the cutting tool removed, a cut block is attached to the broach and the carpal bones are resected. The cut block has a thickness that equal the thickness of the bearing component of the wrist prosthesis.

    摘要翻译： 一种用于在全腕关节置换术期间准备和切割径向和腕骨以接收假腕的方法。 半径和腕骨上的切割都是由单个拉刀制成。 拉刀被嵌入在半径的髓内管中，并且切割工具附着到拉刀的末端以切除半径。 切除刀具后，切割块连接到拉刀并切除腕骨。 切割块的厚度等于腕假体的轴承部件的厚度。

    Ankle joint prosthesis and its method of implantation
    3.
    发明申请
    Ankle joint prosthesis and its method of implantation 有权
    踝关节假体及其植入方法

    公开(公告)号：US20040002768A1

    公开(公告)日：2004-01-01

    申请号：US10185006

    申请日：2002-06-27

    发明人： Brent G. Parks ,  Christopher Chiodo ,  Lew C. Schon ,  Steven Herbst ,  Johnny Lau

    IPC分类号： A61F002/42 ,  A61B017/15

    CPC分类号： A61F2/4202 ,  A61B17/15 ,  A61F2/30767 ,  A61F2002/30301 ,  A61F2002/30518 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30879 ,  A61F2002/30892 ,  A61F2002/30968 ,  A61F2002/4205 ,  A61F2002/4207 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2230/0095 ,  A61F2310/00023 ,  A61F2310/00029

    摘要： The ankle joint prosthesis adapted to involve the patient's distal tibia and talus has, according to the present invention, tibial, talar and mobile or semi-constrained bearing components that are laterally to medially implanted in the patient. The tibial component's top surface has convex curvature in its anterior to posterior plane and is configured so as to approximate and match with the curvature of a prepared portion of the distal tibia; its bottom surface being approximately flat. The talar component's top surface has saddle-shaped, convex curvature in its anterior to posterior plane, it's bottom surface has concave curvature and is configured so as to approximate and match with the curvature of a prepared portion of the talus. The mobile or semi-constrained bearing components have embodiments that comprise a wide variety of geometric shapes. A method for implanting such a prosthesis is also disclosed.

    摘要翻译： 根据本发明，适于涉及患者的远端胫骨和距骨的踝关节假体具有侧向地向内侧植入患者体内的胫骨，距骨和移动或半受约束的轴承部件。 胫骨部件的顶表面在其前后平面具有凸曲率，并且构造成与远端胫骨的准备部分的曲率近似并匹配; 其底面大致平坦。 该顶骨部分的顶面在其前后平面上具有鞍形的凸曲率，其底面具有凹曲率，并且被构造成与距离的准备部分的曲率近似并匹配。 移动或半受约束的轴承部件具有包括多种几何形状的实施例。 还公开了一种用于植入这种假体的方法。

    Basal finger joint implant
    4.
    发明申请
    Basal finger joint implant 审中-公开
    基底指关节植入

    公开(公告)号：US20040102853A1

    公开(公告)日：2004-05-27

    申请号：US10705472

    申请日：2003-11-10

    发明人： Hans-Werner Boumann ,  Hans-Georg Pfatt ,  Gontran Sennwald ,  Markus Schwarz

    IPC分类号： A61F002/42

    CPC分类号： A61F2/4241 ,  A61F2/30767 ,  A61F2/30771 ,  A61F2002/30153 ,  A61F2002/30662 ,  A61F2002/30878 ,  A61F2002/4251 ,  A61F2230/0019 ,  A61F2310/00203 ,  A61F2310/00796

    摘要： According to the state of the art, the replacement of a basal finger joint is effected by, for example, interposition of soft part tissue or a distance piece, which does not, however, constitute a replacement joint. In joint prostheses with a metal-metal sliding combination, but in particular with a metal/polyethylene sliding combination, wear of the material can lead to osteolyses at the bone ends. Owing to the fact that the metal or plastic joint prostheses known from the state of the art are as a rule multipart, loosening of the individual components can occur, which shorten the service life of the implant. According to the invention, it is therefore proposed that the implant (1) is an uncoupled, two-part implant.

    摘要翻译： 根据现有技术，通过例如插入软组织或距离件来实现基础指关节的替换，然而，软组织或距离片不构成替换关节。 在具有金属 - 金属滑动组合的联合假体中，但特别是与金属/聚乙烯滑动组合相关的假体中，材料的磨损可导致在骨端部的骨质疏松。 由于从现有技术已知的金属或塑料接头假体作为规则的多部分，可能会发生各个部件的松动，从而缩短了植入物的使用寿命。 根据本发明，因此提出了植入物（1）是非耦合的两部分植入物。

    Wrist prosthesis
    6.
    发明申请
    Wrist prosthesis 审中-公开
    手腕假体

    公开(公告)号：US20030187511A1

    公开(公告)日：2003-10-02

    申请号：US10106628

    申请日：2002-03-26

    发明人： Robert J. Ball ,  Jeffrey M. Ondrla ,  John F. Walters

    IPC分类号： A61F002/42

    CPC分类号： A61F2/4261 ,  A61F2002/30225 ,  A61F2002/30253 ,  A61F2002/30326 ,  A61F2002/30332 ,  A61F2002/30354 ,  A61F2002/30364 ,  A61F2002/30574 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30841 ,  A61F2002/30878 ,  A61F2002/30892 ,  A61F2002/4264 ,  A61F2002/4287 ,  A61F2002/4631 ,  A61F2220/0033 ,  A61F2230/0069 ,  A61F2230/0076 ,  A61F2250/0037 ,  A61F2310/00023 ,  A61F2310/00029

    摘要： A wrist prosthesis has first, second, and third components that in one form are a radial component, a metacarpal component, and a bearing component. The bearing component is non-fixed or non-stationary relative to one of the radial component and the metacarpal component when the wrist prosthesis is assembled such as when implanted into a patient. As such, in one form a rotational joint or union is provided on the radial component and the bearing component. The bearing component is thus free to rotationally ride on the radial component, preferably 360null thereabout. Distal the radial component, the bearing component includes an articulation surface. The metacarpal component includes an articulation surface that is complementary to the articulation surface of the bearing component. In this manner, the metacarpal component correspondingly moves relative to the bearing component. The bearing component is preferably made of a polymer such as polyethylene.

    摘要翻译： 手腕假体具有第一，第二和第三部件，其一种形式为径向部件，掌骨部件和支承部件。 当假体装配时，例如当植入患者时，轴承部件相对于径向部件和掌骨部件之一是非固定的或非固定的。 因此，在一种形式中，在径向部件和轴承部件上设置有旋转接头或接头。 因此，轴承部件可以自由地旋转地骑在径向部件上，优选在其周围360度。 远离径向部件，轴承部件包括铰接表面。 掌骨部件包括与轴承部件的关节表面互补的关节表面。 以这种方式，掌骨部件相应地相对于轴承部件移动。 轴承部件优选由聚合物如聚乙烯制成。

    Method of positioning a malleolar implant for partial or total ankle prosthesis
    8.
    发明申请
    Method of positioning a malleolar implant for partial or total ankle prosthesis 有权
    定位用于部分或全部踝假体的踝骨植入物的方法

    公开(公告)号：US20030023315A1

    公开(公告)日：2003-01-30

    申请号：US10254985

    申请日：2002-09-26

    发明人： Alain Tornier ,  Michel Bonnin ,  Jean-Alain Colombier ,  Thierry Judet

    IPC分类号： A61F002/42 ,  A61F002/46 ,  A61B017/17

    CPC分类号： A61B17/1739 ,  A61F2/4202 ,  A61F2/4606 ,  A61F2002/30224 ,  A61F2002/30299 ,  A61F2002/30785 ,  A61F2002/30878 ,  A61F2002/30879 ,  A61F2002/3096 ,  A61F2002/421 ,  A61F2230/0069 ,  A61F2230/0093

    摘要： This invention relates to a malleolar implant for partial or total ankle prosthesis, comprising a head, intended to bear against the astragalus or astragalian prosthetic component and a shank provided to be introduced in a bore in the fibula, characterized in that said shank is provided with means for hooking a traction member adapted to be manoeuvred from the outer side of the fibula, in order to position said shank in said bore. The ancillary tool comprises a spacer block adapted to be inserted between the tibia and the astragalus of an ankle, and a lug fast with said block and extending up to the vicinity of the outer surface of the fibular malleolus when the spacer block is in position, said lug supporting a guide for boring the malleolus from its outer surface.

    摘要翻译： 本发明涉及一种用于部分或全部踝假体的踝骨植入体，包括头部，其旨在抵靠黄芪或肛门假体部件，以及设置成引入腓骨中的孔中的柄，其特征在于，所述柄部设置有 用于将适于从腓骨的外侧操纵的牵引构件钩住以便将所述柄定位在所述孔中的装置。 辅助工具包括适于插入在胫骨和踝关节黄芪之间的间隔块，以及当所述间隔块处于适当位置时，所述垫片与所述块快速延伸并延伸到所述腓骨的外表面附近， 所述凸耳支撑用于从其外表面镗孔的引导件。

    Metatarsophalangeal resurfacing joint
    9.
    发明申请
    Metatarsophalangeal resurfacing joint 有权
    跖趾关节重建

    公开(公告)号：US20040230313A1

    公开(公告)日：2004-11-18

    申请号：US10769957

    申请日：2004-02-02

    发明人： Gerald A.B. Saunders

    IPC分类号： A61F002/42

    CPC分类号： A61F2/4225 ,  A61F2002/30205 ,  A61F2002/30654 ,  A61F2002/30685 ,  A61F2002/30827 ,  A61F2002/30836 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/4235 ,  A61F2230/0067 ,  A61F2310/00029 ,  A61F2310/00796

    摘要： The present invention provides a prosthesis for implantation at the proximal articular surface of a proximal phalange, of a human great toe. The prosthesis comprises a base portion having a generally concave bearing surface shaped to articulate with the distal articular surface of a metatarsal bone, and a flat surface opposite the bearing surface for emplacement against a resected surface of the proximal phalange of the great toe of the human subject. A stem extends distally from the flat surface of the base portion, for implantation in the intramedulary canal of a proximal phalange of the great toe of the human subject. The stem has a generally frustoconical shape, with a substantially oval wide end at the flat surface of the base portion, tapering to a substantially circular end. The generally frustoconically shaped stem has a longitudinal axis that is inclined at an anatomical angle, of about 94null to the base portion, to align with the intramedulary canal of a proximal phalanx of the great toe of the human subject.

    摘要翻译： 本发明提供了一种用于植入人类大脚趾的近端趾骨的近端关节表面的假体。 假体包括基部，该基部具有形状为与跖骨的远端关节表面相关联的大致凹入的支承表面，以及与支承表面相对的平坦表面，用于抵靠人的大脚趾的近端趾骨的切除表面 学科。 杆从基部的平坦表面向远侧延伸，用于植入人类受试者的大脚趾的近侧趾骨的内侧管中。 茎具有大致截头圆锥形的形状，在基部的平坦表面具有基本上椭圆形的宽端部，其逐渐变细为大致圆形的端部。 大致截头圆锥形的茎具有纵向轴线，该纵向轴线以与解剖角度约94°相对于基部倾斜，以与人类受试者的大脚趾的近指骨的颊内管道对准。