359 results about "Femoral neck" patented technology

Disclosed is a fracture fixation device, for reducing and compressing fractures in a bone. The fixation device includes an elongate body. An axially moveable proximal anchor is carried by the proximal end of the fixation device and comprises a tubular sleeve that includes a plurality of graduations positioned on an outer surface of the tubular sleeve. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. In certain embodiments, the elongated body includes a distal anchor with a distal cutting tip.

An intramedullary femoral broach aligns two instruments. A femoral neck resector guide slides over the broach and centers on the patient's femoral head to determine the height and angular rotation of resection. A circular ring of the head and cutting arms assure the system will fit any femur. A template is applied to the femoral broach and seats itself against the buttress of the broach locking it into place. The broach is then reinserted into the intramedullary canal. When the template reaches the greater trochanter the sizer is adjusted to the rotational anteversion of the canal. The handle of the femoral broach is struck with a mallet until the template is imbedded into the proximal femoral neck intramedullary bone. A retractor facilitates reaming of the acetabulum through a small anterior incision. A proximal portion digs into the bone of the superior acetabulum to allow for retraction of soft tissues.

Disclosed herein is a tool for guiding a drill hole along a central axis of a femur head and neck for preparation of a femur head that is the subject of a hip resurfacing surgery. In one embodiment, the tool includes a mating region and a guide hole. The mating region is configured to matingly receive a predetermined surface of the femur. The mating region and guide hole are positionally correlated or referenced with each other such that when the mating region matingly receives the predetermined surface of the femur, the guide hole will be generally coaxial with a central axis extending through the femur head and the femur neck.

Disclosed is a fracture fixation device, for reducing and compressing fractures in a bone. The fixation device includes an elongate body comprising a first portion and a second portion that are detachably coupled to each other. The first portion defines a helical cancellous bone anchor and the second portion defines a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device and is rotationally locked to the first portion. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. The second portion is then detached from the first portion.

Systems and methods for determining placement of prosthetic components in joint including defining patient-specific frame of reference for joint, determining patient-specific postoperative range of motion of joint, evaluating patient-specific range of motion of joint, automatically planning placement of components balancing need for range of motion with prosthesis stability through bony coverage, and applying manual adjustments to the automatically planned placement of component by giving greater or lesser weight to need for range of motion or prosthesis stability through bony coverage. Apparatuses for defining center of prosthetic femoral head and axis of prosthetic femoral neck including primary cylinder, first alignment receptacle and second alignment receptacle, and a divot on exterior of primary cylinder, divot having normal parallel to longitudinal axis of second alignment receptacle and position of the divot being translated toward an opening of the first alignment receptacle on the primary cylinder. Methods for using apparatuses. Apparatus for mounting spatially tracked device to impactor for impacting prosthetic cup into reamed socket.

A method and apparatus for performing a minimally invasive total hip arthroplasty. An approximately 3.75-5 centimeter (1.5-2 inch) anterior incision is made in line with the femoral neck. The femoral neck is severed from the femoral shaft and removed through the anterior incision. The acetabulum is prepared for receiving an acetabular cup through the anterior incision, and the acetabular cup is placed into the acetabulum through the anterior incision. A posterior incision of approximately 2.5-3.75 centimeters (1-1.5 inches) is generally aligned with the axis of the femoral shaft and provides access to the femoral shaft. Preparation of the femoral shaft including the reaming and rasping thereof is performed through the posterior incision, and the femoral stem is inserted through the posterior incision for implantation in the femur. A variety of novel instruments including an osteotomy guide; an awl for locating a posterior incision aligned with the axis of the femoral shaft; a tubular posterior retractor; a selectively lockable rasp handle with an engagement guide; and a selectively lockable provisional neck are utilized to perform the total hip arthroplasty of the current invention.

The present invention relates to an apparatus for fitting a protecting femoral neck device. The said apparatus includes a clamping base. A fixation element whose circumference size can be adjusted according to the size of the femoral neck in mounted on an end of the said clamping base and a locating element is mounted on the other end of the said clamping base. An element for shaping the bone can be fixed on the said locating element.

In an alignment guide for use in femoral head surgery, a cannulated rod is supported by, and is adjustable with respect to, a support member of the alignment guide. The guide also includes two jaws, an anterior jaw and a posterior jaw, with each jaw having a proximal end connected to the support arm, and a distal end for clamping, in use, to the neck of the femur. At least one of the jaws is movable from a first open position to a second clamping position.

A femoral head prosthesis assembly and operation instruments thereof. The operation instruments include a hollow femoral neck holder with a configuration adapted to the surface configuration of the femoral neck and a shaper blade for cutting a replacement end of the femur into a predetermined configuration. A guide tube is disposed on a top face of the femoral neck holder. A transverse slot is formed on the femoral neck holder for indicating a femoral head cutting line. The femoral head prosthesis assembly includes a cap body and an artificial femoral head. A root section of the cap body has an inner surface in conformity to the surface of the femoral neck. A top section of the cap body has a cross section adapted to that of the replacement end. The cap body can be precisely securely bonded with the replacement end of the femur.

A system for calculating a position and orientation of an acetabular cup in computer-assisted surgery comprises a first trackable reference secured to a pelvis, with a frame of reference being associated with the first trackable reference. A device is positionable between a femoral neck and the acetabulum of the pelvis in a known relation, the device having a second trackable reference. Sensors track the trackable references for position and orientation. A position / orientation calculator calculates a position and orientation of the frame of reference and of the device and for determining an orientation of the neck axis with respect to the frame of reference from the known relation at a desired position of the femur. An implant position / orientation calculator provides cup implanting information with respect to the orientation of said neck axis as a function of the tracking for position and orientation of at least the first trackable reference.

The invention concerns an intramedullary nail for the fixation of fractures of the proximal femur, with a femur neck screw (10a), installable with a proximal femur nail (1a), into the intramedullary area, by a diagonal bore (7a), running to the longitudinal axis of the femur nail (1a), from the side of the femur nail (1a), and a locking element (16a) with at least one prong (18a) parallel to the axis of the femur neck screw (10a). A positive connection between the locking element (16a) and a groove (8a) in the bore (7a) of the femur nail (1a) forms a twisting lock of the femur neck screw (10a) and, allows for the axial movement of the femur neck screw (10a) in the bore (7a) of the femur nail (1a).

A fracture fixation device is configured for reducing and compressing fractures in a bone and delivering bone treatment agents. The fixation device includes an elongate body comprising a first portion and a second portion that are detachably coupled to each other. The first portion defines a helical cancellous bone anchor and the second portion defines a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device and is rotationally locked to the first portion. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. The second portion is then detached from the first portion.

A method and apparatus for performing a minimally invasive total hip arthroplasty. An approximately 3.75-5 centimeter (1.5-2 inch) anterior incision is made in line with the femoral neck. The femoral neck is severed from the femoral shaft and removed through the anterior incision. The acetabulum is prepared for receiving an acetabular cup through the anterior incision and the acetabular cup is placed into the acetabulum through the anterior incision. A posterior incision of approximately 2-3 centimeters (0.8-1.2 inches) is generally aligned with the axis of the femoral shaft and provides access to the femoral shaft. Preparation of the femoral shaft including the reaming and rasping thereof is performed through the posterior incision, and the femoral stem is inserted through the posterior incision for implantation in the femur. A variety of novel instruments including an osteotomy guide an awl for locating a posterior incision aligned with the axis of the femoral shaft, a tubular posterior retracter, a selectively lockable rasp handle with an engagement guide; and a selectively lockabele provisional neck are utilized to perform the total hip arthroplasty of the current invention.

A femur fixture for a hip-joint prosthesis comprising an intraosseous anchoring structure of a generally circular cross-section for screwing laterally into a complementary bore drilled laterally into the neck of a femur after resection of the femur head to an anchored position. The intraosseous anchoring structure has a proximal end, a distal end, a relatively short frusto-conical proximal section at the proximal end, and a proximal cylindrical section having a screw thread profile thereon. The proximal cylindrical section extends from the frusto-conical proximal section towards the distal end of the anchoring structure. The frusto-conical proximal section and the proximal cylindrical section each being dimensioned so as to bear against the cortex of the femur neck when the intraosseous anchoring structure is in the anchored position. The invention also relates to a set of such femur fixtures, wherein the frusto-conical proximal section and the proximal cylindrical section of each fixture in the set have different dimensions, whereby the fixture in the set having the frusto-conical proximal section and the proximal cylindrical section of correct size for abutting the cortex of the femur neck of a particular patient can be selected for use in that patient.

A modification to the prototypical compression (dynamic or sliding) hip screw is described which expands the utility and surgical indications of this frequently used fracture fixation device to include the fracture pattern commonly referred to as a “reverse obliquity fracture” of the proximal femur. This fracture pattern is poorly secured with current generation hip screws, frequently necessitating the use of intramedulary fracture fixation devices or external fixation hardware. The described modification blocks telescopic sliding of the femoral head lag screw within the cylindrical barrel of the side plate and allows for secure locking of the lag screw within the side plate, preventing any relative motion between the screw and plate once fracture reduction has been achieved. In a locked mode, the proximal fracture fragment(s) is prevented from displacing laterally relative to the distal (diaphysial) fragment, as occurs commonly when a reverse obliquity fracture or a comminuted intertrochanteric femur fracture is fixed with a conventional hip screw. No change in routine fracture reduction or insertion technique is required to use the Locking Compression Hip Screw. Additionally, the described modification does not preclude use of the Locking Compression Hip Screw in a dynamic or sliding mode, if desired, when used to fix the more common femoral neck or intertrochanteric fracture patterns.

Methods and apparatus for orthopedic replacement of the hip through three incisions with a modular prosthetic system assembled in vivo while substantially preserving muscles and soft tissues around the hip joint resulting in reduced healing time and decreased risk of dislocation. A prosthetic femoral stem is inserted into the femur. A prosthetic femoral neck is inserted from a point along the side of the patient's body and into the side of the femur and through a lateral bore in the prosthetic femoral stem to join the prosthetic femoral head. The methods and apparatus include structures and techniques for fixing or enhancing interconnection of implant components, such as by increasing the interconnection in an interference fit with one or more tapers, threads, and / or cooling of components prior to assembly.

An implant for improved engagement between modular components is provided. The implant includes a body member for insertion, in use, in a natural femoral neck; and a rod for insertion, in use, in the intramedullary canal of a femur. The body member has a first engagement surface and the rod has a second engagement surface such that the first and second engagement surfaces are configured for complementary engagement with each other. One of the first or second engagement surfaces may be a protrusion while the other of the first or second engagement surfaces may be a recess for receiving the protrusion. The implant may further include a locking member, a stabilizing member and a guide means. A domed head portion is provided for attachment to a medial end of the body member and insertion, in use, in a natural or prosthetic acetabulum.

Systems and methods for determining placement of prosthetic components in joint including defining patient-specific frame of reference for joint, determining patient-specific postoperative range of motion of joint, evaluating patient-specific range of motion of joint, automatically planning placement of components balancing need for range of motion with prosthesis stability through bony coverage, and applying manual adjustments to the automatically planned placement of component by giving greater or lesser weight to need for range of motion or prosthesis stability through bony coverage. Apparatuses for defining center of prosthetic femoral head and axis of prosthetic femoral neck including primary cylinder, first alignment receptacle and second alignment receptacle, and a divot on exterior of primary cylinder, divot having normal parallel to longitudinal axis of second alignment receptacle and position of the divot being translated toward an opening of the first alignment receptacle on the primary cylinder. Methods for using apparatuses. Apparatus for mounting spatially tracked device to impactor for impacting prosthetic cup into reamed socket.

This patent describes a device to replace the proximal femoral head and neck. The uniqueness of the device is in its proximal design which incorporates a transverse tension bar which prevents failure of the femoral neck portion of the device in tension. This design characteristic permits the use of thinner materials which more closely resemble the elastic nature of bone itself while at the same time endowing the prosthesis with strength and resistance to failure. The device is designed to have a long intramedullary portion which would load the femur throughout its length as well as a modular attachment on its distal end for the insertion of a future knee replacement.

A method for locating a guide wire axis on a femoral neck comprises the steps of tracking a position and orientation of a femur; registering a frame of reference with respect to the position and orientation of the femur from a first registration probe mounted onto the femur in a predetermined configuration, the frame of reference having preoperative planned data pertaining to the femoral neck; digitizing femoral neck data with respect to the position and orientation of the femur from a second registration probe positioned onto the femoral neck at desired orientations; calculating a position and orientation of the guide wire axis with respect to the position and orientation of the femur as a function of the preoperative planned data and the femoral neck data.

A surgical procedure for replacing a destructed hip joint with an artificial joint is disclosed. The present invention provides a two-incision minimally invasive surgery for total hip arthroplasty. This method comprises positioning of the patient on a lateral decubitus position and a series of surgical techniques including a first skin incision over the anterior side of the trochanteric area of the femur (ranging from 3 cm to 10 cm), intermuscular dissection between the Gluteus muscle (Gluteus minimus and medius) and Tensor fascia lata muscle, incision of the anterior joint capsule, osteotomy of the femoral neck, removal of the femoral head and neck, acetabular reaming and socket insertion, secondary skin incision over the Gluteus maximus muscle (ranging from 1 cm to 6 cm), dissection through the muscle fiber of the Gluteus maximus, intermuscular dissection between the Gluteus medius and Piriformis, partial incision of the joint capsule, femoral reaming, femoral stem insertion, femoral head insertion, joint capsule closure and skin closure.

A surgical procedure for replacing a destructed hip joint with an artificial joint is disclosed. The present invention provides a two-incision minimally invasive surgery for total hip arthroplasty. This method comprises positioning of the patient on a lateral decubitus position and a series of surgical techniques including a first skin incision over the anterior side of the trochanteric area of the femur (ranging from 3 cm to 10 cm), intermuscular dissection between the Gluteus muscle (Gluteus minimus and medius) and Tensor fascia lata muscle, incision of the anterior joint capsule, osteotomy of the femoral neck, removal of the femoral head and neck, acetabular reaming and socket insertion, secondary skin incision over the Gluteus maximus muscle (ranging from 1 cm to 6 cm), dissection through the muscle fiber of the Gluteus maximus, intermuscular dissection between the Gluteus medius and Piriformis, partial incision of the joint capsule, femoral reaming, femoral stem insertion, femoral head insertion, joint capsule closure and skin closure.

A femoral component of a hip implant is disclosed. The femoral component may be used specifically in a neck sparing resection (i.e., any process or device that avoids removing the femoral neck) and may include a shortened stem (with respect to a conventional stem) having a terminal flare portion for internally contacting a medial calcar portion of the proximal femur, and a significant curvature on its medial side. Other features of the femoral component include, flat side portions on the anterior and posterior sides of the stem, a lateral fin or a wing or T-back to aid in resisting torsional forces. The femoral component may also include a sagittal slot for proper fitting and placement in the femoral canal. The femoral component may also include a neck component that is modular with respect to the stem component. A head component, whether monoblock or modular with respect to the neck component, may also be utilized as part of the femoral component.

There is described a jig for identifying a point on the femoral head which is in alignment with a central axis of the femoral neck. The jig comprises a first member which defines a plane and has means for at least partially receiving the femoral neck. The jig also comprises a guide member which is mounted apart from the first member and which defines an axis at right angles to the plane defined by the first member. The axis of the guide member intersects the plane at a point which is a predetermined distance away from the means receiving the femoral neck. In addition, the jig comprises an elongate alignment means which is mounted with respect to the first member and which is spaced apart from, but extends parallel to, the axis of the guide member. There is also described a kit for use in the resurfacing of the femoral head. The kit comprises at least one jig as previously described.

An instrument for guide pin placement in a femoral head and neck of a patient, the instrument having a reference pin guide member and a retrograde pin guide member adjustably attached to the reference pin guide member. The reference guide pin member has a bore configured for use in positioning and guiding an external reference pin. The retrograde pin guide member has a plurality of retrograde pin bores for use in positioning and guiding a retrograde reference pin into the femoral neck and head of the patient using a retrograde approach. If an initial retrograde reference pin is not positioned properly, one of the plurality of retrograde pin bores is used to insert another retrograde reference pin in a more desirable position using a retrograde approach.

The present invention relates to an apparatus for fitting the protecting femoral neck device. The said apparatus includes a clamping base. A fixation element whose circumference size can be adjusted according to the size of the femoral neck is mounted on an end of the said clamping base and a locating element is mounted on the other end of the said clamping base. An element for shaping the bone can be fixed on the said locating element.

A method for determining a resection volume of a pathologic femur having a femoral head and a femoral neck is provided. The method may determine a first point of a desired contour based on a pathologic alpha angle of the pathologic femur, determine a second point of the desired contour based on a desired alpha angle of the pathologic femur, determine a third point of the desired contour on the femoral neck of the pathologic femur, and generate a resection volume of the pathologic femur based on the first, second and third points of the desired contour.