111 results about "Anterior cruciate ligament" patented technology

A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur. Thereby creating a "customized" replacement device for that individual femur and maintaining the original kinematics of the joint. The replacement device may be defined by four boundary points, and a first and a second surface. The first of four points is 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is near the bottom edge of the end of the natural articulatar cartilage. The third point is at the top ridge of the right condyle and the fourth point at the top ridge of the left condyle of the femur. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

A soft tissue fixation system, most typically applicable to orthopedic joint repairs, such as anterior cruciate ligament (ACL) knee repair procedures, comprises an implant which is placeable in a tunnel disposed in a portion of bone, wherein the tunnel is defined by walls comprised of bone. A first member is deployable outwardly to engage the tunnel walls for anchoring the implant in place in the tunnel, and a second member is deployable outwardly to engage tissue material to be fixed within the tunnel. The second member also functions to move the tissue material outwardly into contact with the tunnel walls to promote tendon-bone fixation. Extra graft length is eliminated by compression of the tendon against the bone at the aperture of the femoral tunnel, which more closely replicates the native ACL and increases graft stiffness. The inventive device provides high fixation of tendon to bone and active tendon-bone compression. Graft strength has been found to be greater than 1,000 N (Newtons), which is desirable for ACL reconstruction systems.

A prosthetic knee implant for implantation into a mammal, which accommodates an anterior cruciate ligament substitute to provide stability to the knee implant. The prosthetic knee implant includes a femoral component having a pair of condylar surfaces and a tibial component having a surface portion adapted to slidably engage the femoral component upon rotation of the same. The femoral component further includes a recess between the condyles defining an aperture through the femoral component. The tibial component further includes a center portion defining an aperture through the tibial component substantially at its center. The femoral aperture and the tibial aperture are adapted to receive an anterior cruciate ligament substitute for biasing the mammalian femur and tibia together. Also disclosed is a method used to replace the total knee joint in a mammal with the improved prosthetic knee implant of the present invention.

The present invention provides a novel silk-fiber-based matrix having a wire-rope geometry for use in producing a ligament or tendon, particularly an anterior cruciate ligament, ex vivo for implantation into a recipient in need thereof. The invention further provides the novel silk-fiber-based matrix which is seeded with pluripotent cells that proliferate and differentiate on the matrix to form a ligament or tendon ex vivo. Also disclosed is a bioengineered ligament comprising the silk-fiber-based matrix seeded with pluripotent cells that proliferate and differentiate on the matrix to form the ligament or tendon. A method for producing a ligament or tendon ex vivo comprising the novel silk-fiber-based matrix is also disclosed.

A method and apparatus for anterior cruciate ligament (ACL) reconstruction using holes in bone created by retrograde cutting. A rotary cutter, mounted onto an insertion post of a tibial guide, is inserted through an anteromedial portal and the rotary cutter placed on the anatomical origin of an ACL tibial insertion. A drill pin is drilled through the tibia and advanced until it contacts and engages a cannulation in the rotary cutter on the guide. Further rotation of the drill pin disengages the rotary cutter from the guide. The retrograde drill pin is then retracted and simultaneously rotated for retrograde cutting of a socket or tunnel of desired depth in the tibia. A strand is passed through the cannulation of the drill pin into the joint. The end of the strand is retrieved from the anteromedial portal and a loop formed for subsequent graft installation. A similar technique is used to form a socket or tunnel in the femur except that a femur guide is used in place of the tibial guide. A graft of appropriate length is pulled through the anteromedial portal by the loops formed in the strands and the ends of the graft are drawn into the femoral and tibial sockets. The reconstruction is completed by securing the graft ends.

Surgical methods and tibial implants (46) for accommodating the anterior cruciate ligament (ACL) during unicompartmental or bi-unicompartmental knee arthroplasty procedures.

The invention provides composition and methods for repairing a ruptured anterior cruciate ligament.

This invention relates generally to orthopedic implants for reconstruction of severed, ruptured, or damaged ligaments. More particularly, this invention relates to an improved elastic replacement ligament made from metallic wires in a braided construction for replacement of a natural ligament of the body such as the anterior cruciate ligament of the knee.

The present invention provides a novel silk-fiber-based matrix having a wire-rope geometry for use in producing a ligament or tendon, particularly an anterior cruciate ligament, ex vivo for implantation into a recipient in need thereof. The invention further provides the novel silk-fiber-based matrix which is seeded with pluripotent cells that proliferate and differentiate on the matrix to form a ligament or tendon ex vivo. Also disclosed is a bioengineered ligament comprising the silk-fiber-based matrix seeded with pluripotent cells that proliferate and differentiate on the matrix to form the ligament or tendon. A method for producing a ligament or tendon ex vivo comprising the novel silk-fiber-based matrix is also disclosed.

A system for anterior cruciate ligament (ACL) reconstruction using holes in bone created by retrograde cutting. A rotary cutter, mounted onto an insertion post of a tibial guide, is inserted through an anteromedial portal and the rotary cutter placed on the anatomical origin of an ACL tibial insertion. A drill pin is drilled through the tibia and advanced until it contacts and engages a cannulation in the rotary cutter on the guide. Further rotation of the drill pin disengages the rotary cutter from the guide. The retrograde drill pin is then retracted and simultaneously rotated for retrograde cutting of a socket or tunnel of desired depth in the tibia. A similar system is provided to form a socket or tunnel in the femur except that a femur guide is used in place of the tibial guide.

The present disclosure provides knee prostheses that replicate at least a portion of the function of an individual patient's anterior cruciate ligament (ACL). An exemplary knee prosthesis includes a femoral component configured to be implanted on the distal end of the patient's femur and a tibial component configured to be implanted on the proximal end of the patient's tibia. In extension, the femoral component and the tibial component may cooperate to limit anterior movement of the tibial component relative to the femoral component. In flexion, the femoral component may be free to rotate relative to the tibial component.

Apparatus for locating an attachment position for a reconstructed anterior cruciate ligament on an attachment surface of a bone comprises locating means (51, 61) arranged to locate at least one reference surface (4) of the bone and guide means (53, 54) arranged to define the attachment position in two dimensions on the attachment surface relative to the reference surface.

A method and apparatus for anterior cruciate ligament (ACL) reconstruction using sockets in bone created by retrograde cutting. A retrograde rotary cutter, inserted onto an insertion post of a tibial guide, is inserted through an anteromedial portal and the rotary cutter placed on the anatomical origin of an ACL tibial insertion. A retrograde drill pin, guided by a drill guide, is drilled through the tibia until it contacts the rotary cutter. Once the cutter is disengaged from the guide and securely engaged in the retrograde drill pin, the retrograde drill pin is retracted for retrograde cutting of a socket of desired depth in the tibia.

A prosthetic knee implant for implantation into a mammal, which accommodates an anterior cruciate ligament substitute to provide stability to the knee implant. The prosthetic knee implant includes a femoral component having a pair of condylar surfaces and a tibial component having a surface portion adapted to slidably engage the femoral component upon rotation of the same. The femoral component further includes a recess between the condyles defining an aperture through the femoral component. The tibial component further includes a center portion defining an aperture through the tibial component substantially at its center. The femoral aperture and the tibial aperture are adapted to receive an anterior cruciate ligament substitute for biasing the mammalian femur and tibia together. Also disclosed is a method used to replace the total knee joint in a mammal with the improved prosthetic knee implant of the present invention.

An apparatus and method for performing a surgery, especially an Anterior Cruciate Ligament replacement surgery, where a flexible strand insertion rod cooperates with a U-Guide apparatus to insert a flexible strand into a tunnel formed in a bone portion and to guide a drill point to form a tunnel transversely to the tunnel of the insertion rod. The drill point is guided through the insertion rod and the flexible strand is held over the drill point as the transverse tunnel is formed. The insertion rod is then removed from the tunnels formed in the bone and the flexible strand is held looped over the drill point. Subsequently, a soft tissue replacement is affixed to one end of the flexible strand and pulled over the drill point with the other end of the flexible strand. The drill point is then used to pull a cross pin through the transverse tunnel to hold the looped end of the soft tissue replacement in place. Finally, the two free ends of the soft tissue replacement are affixed to the bone completing the implantation of a soft tissue replacement.

Described herein are methods and apparatuses for use in repair of a patient's tissue by connecting the tissue to the bone using a transosteal tunnel and anchor configured to pass through the transosteal tunnel. In particular, described herein are methods of repairing an anterior cruciate ligament (ACL) and torn meniscal root. These anchoring apparatuses and method of using them are particularly well suited for use with the low-profile suture passers described herein, since these suture passers may allow access to previously inaccessible regions of the knee (or other body regions).

A soft tissue fixation system, most typically applicable to orthopedic joint repairs, such as anterior cruciate ligament (ACL) knee repair procedures, comprises an implant which is placeable in a tunnel disposed in a portion of bone, wherein the tunnel is defined by walls comprised of bone. A first member is deployable outwardly to engage the tunnel walls for anchoring the implant in place in the tunnel, and a second member is deployable outwardly to engage tissue material to be fixed within the tunnel. The second member also functions to move the tissue material outwardly into contact with the tunnel walls to promote tendon-bone fixation. Extra graft length is eliminated by compression of the tendon against the bone at the aperture of the femoral tunnel, which more closely replicates the native ACL and increases graft stiffness. The inventive device provides high fixation of tendon to bone and active tendon-bone compression. Graft strength has been found to be greater than 1,000 N (Newtons), which is desirable for ACL reconstruction systems.

Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue anchoring device is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and inside surfaces of a bone tunnel to secure the tissue within the tunnel. An anchoring device is described that comprises an anchor body having compressible tabs with teeth, and a spreader that forces the compressible tabs into an expanded state when inserted into anchor body, facilitating engagement between bone and the teeth of the compressible tabs. Also described is an inserter tool that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that enable use of the bone anchoring device to secure a tissue graft into the tibial and femoral bones during anterior cruciate ligament (“ACL”) reconstruction.

A method of providing a replacement anterior cruciate ligament (ACL) provides a tibial tunnel and at least one femoral tunnel for receiving the replacement ligament, the femoral and tibial tunnels not being colinear but rather in an orientation that more closely mimics the natural ACL. The femoral tunnel is formed through the anterior medial portal. A cross pinning guide having a femoral rod for insertion into the femoral tunnel, a spaced apart arc shaped track and a guide block having one or more bores aligned with the femoral rod whereby an instrument inserted through one of the bores creates a pilot hole for the cross pin which intersects the femoral tunnel and an appropriate angle thereof which avoids ligaments and other sensitive tissue can be selected by adjusting the guide block along the track.

Described herein are methods and devices for use in repair of a patient's anterior cruciate ligament (ACL). These methods (and devices for performing them) allow the repair, rather than merely replacement, of the ACL. For example, described herein are anchoring devices that may be inserted into a bone and may anchor a scaffolding / support (e.g., graft) material within the bone so that the torn or damaged end of the ACL may be secured to the scaffolding / support material within the femoral notch. These anchoring devices and method of using them are particularly well suited for use with the continuous suture passers described herein, since these suture passers may allow access to previously inaccessible regions of the knee (or other body regions).

Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue anchoring device is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and inside surfaces of a bone tunnel to secure the tissue within the tunnel. An anchoring device is described that comprises an anchor body having compressible tabs with teeth, and a spreader that forces the compressible tabs into an expanded state when inserted into anchor body, facilitating engagement between bone and the teeth of the compressible tabs. Also described is an inserter tool that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that enable use of the bone anchoring device to secure a tissue graft into the tibial and femoral bones during anterior cruciate ligament (“ACL”) reconstruction.

The present disclosure relates to a method and system for automated biomechanical analysis for bodily joints generally and in one use to anterior cruciate ligament (ACL) injury prevention and recovery. The disclosure includes processing an automated biometric analysis algorithm on a computer processor and recording measurements relating to a plurality of physical therapy tests. The disclosure tracks the movement of joints on the subject's body from the subject's trunk downward to the subject's toes and calculates the results of the physical therapy tests for analyzing angles, movement quality, and related interrelationships amongst said joints. The method and system further derive and provide reports of comparisons of results with normative values and associate indicators for the comparisons to the potential of the subject to experience biomechanical conditions of injury or development.

The invention relates to an artificial total knee replacing prosthesis which can reconstruct anterior cruciate ligament and comprises a tibia platform supporting part and a liner. The tibia platform supporting part consists of a horizontal platform and a rod part which are fixedly connected; the surface of the liner is provided with a pair of spherical concaves horizontally intervened so as to respectively receive a femur scleromere. The pad and the tibia platform supporting part are provided with a pore canal which respectively penetrates the pad and the horizontal platform of the tibia platform supporting part and are communicated with each other, so as to lead the anterior cruciate ligament to pass through the pore canals, the two ends of the ligament to be fixed on the tibias of a femur ectocondyle, and the horizontal platform of the tibia platform supporting part; thus realizing the reconstruction of the anterior cruciate ligament in a replacing surgery of the artificial total knee.

The invention provides a silk ligament and a preparation method thereof, and relates to the field of prosthetic materials. The silk ligament is prepared from natural silk serving as raw materials by stranding, twisting, degumming and bone morphogenetic protein (BMP) filling, and consists of lead wires (1), an inner core (2) and a core shell (3), wherein the lead wires (1), the inner core (2) and the core shell (3) are formed by weaving integrally; the core shell (3) is fixed on the middle part of the inner core (2); and the lead wires (1) are fixed at both ends of the inner core (2). Compared with the conventional artificial ligament, the mechanical property of the silk ligament are in stricter accordance with the properties of anterior cruciate ligaments (ACL) of human bodies, and after being filled with the BMP, the silk ligament rebuilding is more convenient.

A novel cross-pin for use in ACL reconstructive surgical procedures. The cross-pin has an elongated body having a distal tapered end. A guide wire opening in the distal end is in communication with a tunnel contained in the distal end. There is a trough extending into the outer surface of the trough for receiving a guide wire. The trough is in communication with the tunnel.

The invention discloses a gait analysis method for auxiliary screening of injury of anterior cruciate ligament. The method comprises the following steps: based on the gait characteristics of the extracted knee joint angle and displacement, carrying out neural network modeling and identification on gait system dynamics of healthy normal persons and patients with injury of anterior cruciate ligament; establishing a constant neural network; constructing a dynamic estimator by utilizing the constant neural network; and based on the difference between gait modes of the healthy normal persons and the patients with injury of anterior cruciate ligament in gait system dynamics, distinguishing the abnormal gait caused by the injury of anterior cruciate ligament from the normal gait of the healthy persons according to the minimum error principle, thereby realizing auxiliary screening detection of the injury of anterior cruciate ligament. According to the invention, the gait characteristic data of the knee joint angle and displacement is acquired through an optical sensor, so that the abnormal gait caused by the injury of anterior cruciate ligament and the normal gait of the healthy persons can be conveniently, simply and non-intrusively distinguished; and compared with the screening means, such as magnetic resonance imaging and arthroscopic surgery, the method disclosed by the invention can realize non-invasive screening and can save time and cost.

The invention discloses an artificial knee joint replacing prosthesis capable of reserving and rebuilding anterior cruciate ligament, in order to solve the problems that the existing artificial knee joint prosthesis technology can not reserve the healthy anterior cruciate ligament of the patient, or that even if reserving the anterior cruciate ligament, the anchoring area of the prosthesis and the tibiae part is reduced and the operation is difficult. The artificial knee joint replacing prosthesis comprises a tibiae platform holding part and a liner, the tibiae platform holding part comprises a horizontal stand and a fixed connection structure fixedly connecting the horizontal stand and the tibiae, the liner also has a channel for anterior cruciate ligament to pass through, the tibiae platform holding part is provided with a pore passage for penetrating upper and lower surfaces of the horizontal stand of the tibiae platform holding part, the size of the pore passage can be suitable for the imbedded anterior cruciate ligament and adhesive bone block thereof to pass through; the artificial knee joint replacing prosthesis also comprises an anti-disengage structure preventing the imbedded bone block from disengaging. The artificial knee joint replacing prosthesis of the invention not only can reserve or rebuild the anterior cruciate ligament, but also can reserve the large anchoring area, simultaneously the surgery operations is convenient.

The invention discloses a knee joint prosthesis, a knee joint prosthesis pad and a shinbone base element. The knee joint shinbone base element is combined with a shinbone, and comprises a base, wherein a boss is arranged on the base; and a guide channel through which an anterior cruciate ligament passes is formed on the boss and the base. The knee joint prosthesis pad is provided with a pad opening or a pad through hole for accommodating the boss of the shinbone base element. The knee joint prosthesis comprises the shinbone base element, the knee joint prosthesis pad and a shinbone element combined with the shinbone. The attaching position of the anterior cruciate ligament relative to the shinbone base element can be kept consistent with the attaching position of a human body anterior cruciate ligament in anatomy on the shinbone, so that the knee joint prosthesis can be used for rebuilding an anterior cruciate ligament, and a patient recovers body feel and moves well after replacement of the knee joint prosthesis.

Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue anchoring device is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and inside surfaces of a bone tunnel to secure the tissue within the tunnel. Methods are described that enable use of the bone anchoring device to secure a tissue graft into the tibial and femoral bones during anterior cruciate ligament (“ACL”) reconstruction.