117 results about "Knee surface" patented technology

A patellar 3-D guidance tool includes a template. The template includes at least one contact surface for engaging a surface of the patella. The at least one contact surface substantially conforms with the surface associated with the patellar. At least one guide aperture directs movement of a surgical instrument, wherein the shape and/or position of the guide aperture is based, at least in part, on three or more anatomic reference points associated with the patellar.

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.

The invention is a method for performing a minimally invasive knee arthroplasty and components for this procedure. The method involves creating an incision along the medial or lateral aspect of a patient's knee, exposing the knee joint, resecting the distal end of the femur, the proximal end of the tibia and the posterior patella through the medial or lateral incision, and connecting a femoral, tibial and patellar knee replacement component through the incision. Components include specialized femoral, tibial and patellar cutting guides for use in resecting the femur, tibia and patella through the medial or lateral incision. In one embodiment, the method is performed with the aid of an image guidance system. In another embodiment, the method is performed with instruments which align the components, such as the cutting guides, without the use of an image guidance system.

A method is provided for performing knee replacement surgery on a leg of a patient. The method includes making a cut on a posterior portion of a patella, making a cut on a proximal portion of a tibia, and making a cut on the distal portion of the femur. The cut on the patella is performed before making the cuts on the tibia and femur.

A patellar trial and drill guide for use during knee replacement surgery comprising an articular surface member and a fixation peg drill guide. The articular surface member is the exact geometry as the artificial patellar implant, and the drill guide aligns the holes for the fixation pegs of the artificial patellar implant. The patellar trial is placed on the resected patella in the desired position, a patellar clamp is used to temporary fix the patellar trial to the patella. The patella is then returned to its normal position and a trial reduction of the total knee replacement is completed. If the placement and/or size of the patellar trial is unacceptable, the patella is inverted, the patellar trial removed, and a different sized trial or new location is determined. The new patellar trial is secured to the resected patella, and another trial reduction of the total knee replacement is completed. This procedure can be repeated until the patellar trial is the correct size and in the proper location. If the placement of the patella is acceptable, the patella is inverted, the articular surface member removed, fixation peg holes are drilled using the fixation peg holes of the drill guide, and an artificial patellar implant is implanted on the patient's remaining patella.

A patellar alignment device for determining the position of a patella prosthesis. The device comprises two components-a baseplate and a mobile component which is preferably magnetically attached to the baseplate. During a surgical procedure to replace the knee, the baseplate is temporarily attached to the back of the patella. The baseplate may contain spikes or prongs to secure it to the patella. The baseplate further includes a series of slots for marking the patella. The mobile component resembles a patella and is placed on the baseplate. The patella with the alignment device in place is then placed in position on the knee and trialed. Because the mobile component is free to move on the baseplate, it finds the position that is most amenable to a natural knee movement. The alignment device is then exposed and the patella is marked at the position of the mobile component. Since the baseplate contains a series of slots, the patella can be easily marked at several locations around the mobile component. The entire patella alignment assembly is then removed and the final prosthetic device can be inserted at the marked location.

Embodiments of the present invention provide patellar component designs that are optimally shaped to help reduce shear force and accommodate slight implantation error. Further, they help lessen anterior knee pain, particularly during deep-flexion activities and help ease the transition during the range of knee movement in a controlled way.

A knee brace is provided having upper and lower arms and a hinge assembly positionable about the knee to one side of the patella. The hinge assembly has a hinge pivot and a tension strap lever. The upper and lower arms and tension strap lever are each rotatable about the hinge pivot. A compression member is positioned in engagement with the knee on the opposite side of the patella from the hinge assembly and a tension strap engages the compression member and is connected to the tension strap lever. The tension strap applies a tension force to the compression member which increases when the upper and lower arms and tension strap lever rotationally transition from a flexion position to an extension position and decreases when the upper and lower arms and tension strap lever rotationally transition from the extension position to the flexion position.

A patellofemoral brace including a buttress for supporting a wearer's patella is provided. The patellofemoral brace includes an elastic sleeve that is easy to apply to the wearer's leg and easy to remove from the wearer's leg. The sleeve includes distinct bands of material so that end bands are substantially rotationally independent of a central band. The end bands resist translation along and rotation about the wearer's leg. The brace further includes a tensioning strap that lies across the buttress to further support the buttress and the wearer's patella. A portion of the tensioning strap is constructed of a thermoplastic elastomer, so that the strap provides firmer support to the buttress than a fabric strap, but is more comfortable and more evenly supports the buttress than a hard, inelastic strap.

A knee orthosis is provided having upper and lower arms and a hinge assembly positionable about the knee to one side of the patella. The hinge assembly has a hinge pivot and a tension strap lever. The upper and lower arms and tension strap lever are each rotatable about the hinge pivot. A compression member is positioned in engagement with the knee on the opposite side of the patella from the hinge assembly and a tension strap is connected to the compression member and the tension strap lever. The tension strap applies a tension force to the compression member which increases when the upper and lower arms and tension strap lever rotationally transition from a flexion position to an extension position and decreases when the upper and lower arms and tension strap lever rotationally transition from the extension position to the flexion position.

Systems and methods for providing deeper knee flexion capabilities, more physiologic load bearing and improved patellar tracking for knee prosthesis patients. Such systems and methods include (i) adding more articular surface to the antero-proximal posterior condyles of a femoral component, including methods to achieve that result, (ii) modifications to the internal geometry of the femoral component and the associated femoral bone cuts with methods of implantation, (iii) asymmetrical tibial components that have an unique articular surface that allows for deeper knee flexion than has previously been available, (iv) asymmetrical femoral condyles that result in more physiologic loading of the joint and improved patellar tracking and (v) modifying an articulation surface of the tibial component to include an articulation feature whereby the articulation pathway of the femoral component is directed or guided by articulation feature.

A knee protector includes a plurality of pads positioned to cover a patella, a lower portion of the distal femur, the femoral condyles, the upper end of the fibula and an upper end of the proximal tibia with spacings between said pads to accommodate the flexion and extension of the knee when in use from a standing to a squatting position by a wearer.

A patella femoral brace having a support member configured to be worn about the knee of a user, the support member having an upper portion (10) extending above the knee and a lower portion (12) extending below the knee, and a pressure cuff (32) attachable to the support member in a position to exert force on at least a portion of the periphery of the user's patella. The pressure cuff can have a plurality of connection members (33) for securement to the sleeve (16) at selective ones of a plurality of connection points (25, 26, 27) provided on opposite sides of the knee and above and below the knee, such that the position of the pressure cuff is adjustable by varying connection of the connection members to selective ones of the connection points to apply force to the patella in a plurality of directions. A buttress (24) can be provided between the pressure cuff and the patella.