74 results about "Ankle prosthesis" patented technology

The invention provides an ankle prosthesis for use in the field of orthopedic prostheses comprising a talus implant for implanting in or on the talus and a top element including a tibia implant for implanting in or on the base of the tibia. The top element and the talus implant being mounted to move relative to each other by friction on a contact interface so as to allow the ankle to move. The contact interface presents a friction surface that can be considered as being a fraction of a substantially frustoconical surface. When implanted, the substantially frustoconical surface is oriented so that its larger radius portion is directed substantially towards the outside of the ankle.

Ankle prosthesis apparatuses, systems and methods are provided as disclosed herein. Additionally, systems and methods for bone resection and implantation of prosthetics are provided, including surgical techniques and related instrumentation. An ankle prosthesis apparatus can include a talar component having a lower surface with a bone fixation portion for fixation to a talus bone and an upper surface designed for articulation with a bearing component. The bearing component can have a lower surface for articulation with the talar component and an upper surface for articulation with a tibial component. The tibial component can have a lower surface for articulation with the bearing component and an upper surface with a bone fixation portion for fixation to a tibia bone and/or a fibula bone. The bearing component can have a protrusion on its upper surface adapted for engagement with a recess on the tibial component to allow desired rotational and translational movement. Methods and systems can be used to prepare a bone surface for implantation of a prosthesis including determining a location for a curved cut line on the bone surface and drilling a series of holes tangent to the curved cut line to create a curved bone resection surface. Methods and systems can be used for the implantation of an ankle joint prosthesis including the use of an alignment guide, tibia and talus drill guides, tibia and talus saw guides, and tibia and talus broach guides, all components of which can be placed on and removed from a plurality of alignment anchor pins throughout the implantation procedure. A method for medially to laterally implanting an ankle joint prosthesis can include exposing tibia and talus bones from the medial side, resection of the tibia and talus bones, broaching the tibia and talus bones, and positioning and affixing the ankle joint prosthesis components.

A total ankle replacement system, novel surgical method for total ankle replacement, and novel surgical tools for performing the surgical method are described. The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount of bone available for fixation of the lower prosthesis body and allowing the lower prosthesis body to be anchored with screws. The total ankle replacement system further includes a long tibial stem which can also be anchored into the tibia with, for example, screws, nails, anchors, or some other means of attachment. The novel surgical arthroscopic method allows introduction of ankle prostheses into the ankle joint through an exposure in the tibial tubercle. Various novel surgical instruments, such as a telescoping articulating reamer and a talo-calcaneal jig, which facilitate the novel surgical method, are also described.

An implant for use in ankle arthroplasty is provided. The implant includes a first member for cooperation with the tibia and a second member for cooperation with the talus. The second member is operably associated with the first member. The implant also includes a third member rigidly removably connectable to the second member. The third member includes a portion of the third member for attachment to the calcaneous. The third member is adapted to provide for a first position in the calcaneous when said third member is in a first relative position with respect to the second member is adapted to provide for a second position in the calcaneous when the third member is in a second relative position with respect to the second member.

A subsidence protection device is provided. The subsidence protection device may be placed in either the tibia or the talus to support a portion of a total ankle prosthesis.

A surgical instrument including at least one tibial phantom generally corresponding to at least certain features of the tibial implant. The tibial phantom includes a top surface adapted to move freely against the prepared bottom end of the tibia. At least one talus phantom generally corresponding to at least certain features of the talus implant is engaged with the prepared top surface of the talus. At least one phantom skid is located between the tibial phantom and the talus phantom. The phantom skid is engaged with the tibial phantom such that dynamic engagement between the phantom skid and the talus phantom through at least extension and flexion of the ankle joint positions the tibial phantom on the prepared bottom end of the tibia. The phantom skid can either be a part of the tibial phantom or a separate component.

An ankle prosthesis includes a tibial device attachable to a tibia. The tibial device has a concave articulating surface. A talar assembly includes a dome portion having a convex articulating surface engaging the concave articulating surface of the tibial device such that the dome portion is pivotable relative to the tibial device. The talar assembly also includes a base portion attachable to a talus. The base portion is pivotable relative to the dome portion.

An orthopedic prosthesis, system and method has a dual bearing component that, along with first and second bone anchoring components, provides multi-axial movement separately with respect to both the first and second bone anchoring components. An ankle prosthesis, system and method may thus be fashioned utilizing these principles that includes a dual bearing component, a tibial component adapted for attachment to the tibia bone, and a talar component adapted for attachment to the talus or calceneus bone of the foot. The dual bearing component includes a superior bearing providing gliding articulation/translation between it and the tibial component, and an inferior bearing providing gliding articulation/translation between it and the talar component. A bearing component plate provides a base or foundation for the superior and inferior bearings. The superior bearing is bonded to the bearing component plate while the inferior bearing moves with respect to the bearing component plate.

One embodiment of the present invention relates to an ankle prosthesis. Another embodiment of the present invention relates to a total ankle replacement prosthesis. Another embodiment of the present invention relates to an ankle replacement (partial or total) which is adapted, for example: (a) to treat arthritis of the ankle (e.g., ankle arthritis of any cause: after precious trauma; primary; malalignment induced; after hindfoot fusion; from recurrent ankle instability; rheumatoid or inflammatory arthritis; gout; local growth; dysplasia; growth plate arrest; avascular necrosis; hemophilia; distant septic event); (b) to revise a fused ankle; and/or (c) to treat trauma. The ankle replacement may be carried out by replacing one or more joint surfaces of an ankle joint. Another embodiment of the present invention relates to a method for inserting an ankle prosthesis.

A prosthetic ankle assembly including an astragalar component with an upper articular surface that forms part of an ankle joint prosthesis and a lower surface with a shape adapted to engage an upper face of an astragalus. An astragalocalcanean rod is positioned in an astragalocalcanean channel extending from the lower face of the calcaneus to the upper surface of the astragalus. A first end of the astragalocalcanean rod is engage with the lower surface of the astragalar component and a second end of the astragalocalcanean rod is engaged with a lower region of the calcaneus. A distance between the second end of the astragalocalcanean rod is adjustable relative to the lower surface of the astragalar component to adjustably compress the calcaneus against the astragalus.

A method prepares an ankle joint of a patient for replacement. The patient includes a tibia (20) having a medial portion (22), a talus (40), and an ankle (10) having a medial portion. The method employs a cutting alignment apparatus (50) including a first portion external to the patient and a second portion, and surgically prepares and exposes the medial portion of the ankle for replacement. The second portion of the cutting alignment apparatus is coupled to the tibia, and a cutting guide (90) is disposed with respect to the cutting alignment apparatus. The medial portion of the tibia is detached, a portion of the tibia proximate the talus is cut, and a portion of the talus proximate the tibia is cut. An ankle prosthesis (100) is installed to the ankle, and the medial portion of the tibia is reattached.

A system for preparing an ankle bone to receive an ankle prosthesis is provided. The system includes a patient specific cutting guide that has an anterior surface, a posterior surface, and at least one cutting feature extending through the guide from the anterior surface. The posterior surface comprising a first protrusion or other member that extends from a first end fixed to the posterior surface to a second end disposed away from the first end of the first protrusion. The posterior surface has a second protrusion or other member that extends from a first end fixed to the posterior surface to a second end disposed away from the first end of the second protrusion. The first and second protrusions are spaced apart and have a length such that when the patient specific cutting guide is coupled with first and second bone references, which can include bushings implantable in bones, a clearance gap is provided between the posterior surface and the ankle bone.

The present invention relates to a stabilized ankle prosthesis configured for use in patients with compromised soft tissue in the ankle. The prosthesis of the present invention is a two-component design comprising a stabilizing lip configured to constrain movement in the general direction of compromised soft tissue.

A prosthesis suited for orthopedic implantation comprising a modular intramedullary rod that provides intramedullary guidance and that supports an artificial joint surface that can articulate with another artificial joint surface in various ways. Intramedullary guidance systems and methods introduce some and/or all surgical tools and ankle prostheses components through the tibia, using minimal invasive exposure. The systems and methods align the talus and tibia for the installation of one or more ankle prostheses components, and also maintain that alignment during the installation using intramedullary guidance.