208 results about "Proximal femur" patented technology

Disclosed herein is a surgical guide tool for use in total hip replacement surgery. The surgical guide tool may include a customized mating region and a resection guide. The customized mating region and the resection guide are referenced to each other such that, when the customized mating region matingly engages a surface area of a proximal femur, the resection guide will be aligned to guide a resectioning of the proximal femur along a preoperatively planned resection plane.

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 is a bone fracture fixation device, such as for reducing and compressing fractures in the proximal femur. The fixation device includes an elongate body with a helical cancellous bone anchor on a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. The device is rotated into position across the fracture or separation between adjacent bones and into the adjacent bone or bone fragment, and the proximal anchor is distally advanced to apply secondary compression and lock the device into place. The device may also be used for soft tissue attachments.

An alignment guide for aligning instrumentation along a proximal femur includes a neck portion configured to wrap around a portion of the neck of the femur, a head underside portion configured to abut a disto-lateral portion of the femoral head and a medial head portion configured to overlie a medial portion of the head. Portions of the guide can have an inner surface generally a negative of the femoral bone of a specific patient that the guide overlies; such surfaces can be formed using data obtained from the specific patient. The neck portion can be configured to rotationally stabilize the guide by abutting and generating a first gripping force on the neck. The femoral head portions can be configured to grip the head portion of the femur and can support a bore guide that is configured to guide an instrument to the femur in a specified location and along a given axis.

There is described a method for determining a mechanical axis of a femur using a computer aided surgery system having an output device for displaying said mechanical axis, the method comprising: providing a position sensing system having a tracking device capable of registering instantaneous position readings and attaching the tracking device to the femur; locating a center of a femoral head of the femur by moving a proximal end of the femur to a first static position, acquiring a fixed reading of the first static position, repeating the moving and the acquiring for a plurality of static positions; and locating the centre by determining a central point of a pattern formed by the plurality of static positions; digitizing an entrance point of the mechanical axis at a substantially central position of the proximal end of the femur; and joining a line between the entrance point and the center of rotation to form the mechanical axis.

Disclosed is a bone fracture fixation system, such as for reducing and compressing fractures in the proximal femur. The fixation system includes a plurality of elongated bodies with a helical cancellous bone anchor on a distal end of each of the bodies. An axially moveable plate with a plurality of openings is carried by the proximal end of the elongated bodies. The elongated bodies are rotated into position across the fracture or separation between adjacent bones and into the adjacent bone or bone fragment, and the plate is distally advanced to apply secondary compression and lock the device into place. The device may also be used for soft tissue attachments.

Disclosed is a bone fracture fixation device, such as for reducing and compressing fractures in the proximal femur. The fixation device includes an elongate body with a helical cancellous bone anchor on a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. The device is rotated into position across the fracture or separation between adjacent bones and into the adjacent bone or bone fragment, and the proximal anchor is distally advanced to apply secondary compression and lock the device into place. The device may also be used for soft tissue attachments.

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).

Disclosed is a bone fracture fixation system, such as for reducing and compressing fractures in the proximal femur. The fixation system includes a plurality of elongated bodies with a helical cancellous bone anchor on a distal end of each of the bodies. An axially moveable plate with a plurality of openings is carried by the proximal end of the elongated bodies. The elongated bodies are rotated into position across the fracture or separation between adjacent bones and into the adjacent bone or bone fragment, and the plate is distally advanced to apply secondary compression and lock the device into place. The device may also be used for soft tissue attachments.

An implant assembly for proximal femur fracture comprises of a targeting device and intramedullary nail having plurality of proximal holes directed towards head and neck of femur wherein the axis of the holes makes an ante version angle of about 5° to 20° with the horizontal plane and at the same time axis of plurality of distal holes making 90° angle to longitudinal axis of said nail that holds the femur wherein said nail has reducing cross section area from thigh end to knee end with grooved knee end with anterior curvature even in short length version, plurality of proximal sliding hip pins with smooth shaft for collapsibility, triflanged end with mores taper to hold proximal femur, large head and washer to get impaction and plurality of distal locking screw to hold distal fragment of femur, optional buttress plate and barrels supporting lateral cortex to get controlled limited guided collapse.

An endomedullary nail for the treatment of proximal femur fractures, comprising an elongate body (12) having a proximal portion (14) and a distal portion (16). The proximal portion (14) has a first and a second hole (20, 21) for a respective cephalic screw (22, 23, 24, 25), each having a transversal axis to the axis of the proximal portion (14). The first hole (20) is split into two passages each having a respective axis (A, B) with a predetermined angle relationship with respect to the axis (C) of the second hole (21). The passages (30, 31) are arranged to be selectively engaged by a respective cephalic screw (22, 24).

A reverse obliquity fracture of the proximal femur is poorly secured with current generation hip screws, frequently necessitating the use of intramedullary fracture fixation devices or external fixation hardware. This compression hip screw comprises a femoral head lag screw, side plate, locking plug, and compressing screw, which can be assembled in a locked mode, preventing lateral translation of the lag screw within the side plate. In the locked mode, the proximal fracture fragment(s) are prevented from displacing laterally relative to the distal fragment, as occurs commonly when such a fracture is fixed with a conventional hip screw. No change in routine fracture reduction or insertion technique is required to use this compression hip screw. Additionally, this compression hip screw can be used in a dynamic or sliding mode, if so desired, when used to fix the more common femoral neck or intertrochanteric fracture patterns.

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.

The present disclosure relates to bone plates that are configured for use with bones having periprosthetic fractures. For example, in the event that a proximal femur is fractured in an area that is adjacent to a prosthetic component, such as a femoral stem used in a hip replacement, the periprosthetic bone plates of the present invention may be used. In one exemplary embodiment, the periprosthetic bone plates include a periprosthetic zone having a plurality of central apertures and a plurality of outer apertures that are offset from the central apertures. The periprosthetic zone may further include a plurality of indentations, each indentation extending longitudinally between adjacent outer apertures to narrow a width of the bone plate.

A targeting apparatus for the correction of the deformity in proximal femur of a child is disclosed and includes a retention assembly; a cylindrical nail retention member tapered toward its half-spherical bottom end and including an upper through hole, a lower through hole, and a top cavity having inner threads for releasably secured to the retention assembly; a first locking nail including a forward threaded portion, an enlarged head, and a retaining recess in the head thereof; and a second locking nail including a forward threaded portion, an enlarged head, and a retaining recess in the head thereof. The invention has the advantages of reducing the area of wound when implanting the locking nails in the femur and saving labor during surgery.

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.

The present disclosure provides a femoral prosthesis for use during a revision procedure. The femoral prosthesis includes a body, a neck, a stem, and a sleeve. The sleeve facilitates reattachment of an osteotomized proximal femur, specifically the greater trochanter, following a revision femoral prosthesis surgery involving an extended trochanteric osteotomy. Additionally, the sleeve promotes ingrowth of the osteotomized proximal femur with the sleeve.

The current invention is a bone plating system comprising a plate and screws. The plate resembles the average shape of the outer surface of the proximal femur (hip region). Cancellous screws through the plate are used to create compression between bone fragments and “locking” screws to create a stable connection between screw and plate. Each screw can accomplish either compression, stable connection with the plate or both. Screw holes in the plate can be slotted, thereby allowing for insertion of screws in relatively different positions to each other with regards to the screw entry points within the plate.

A femoral head and neck strengthening device includes a first strengthening element, a second strengthening element joined to the first strengthening element in a separable manner, and a bone plate joined to the second strengthening element in a separable manner; the first strengthening element can be used alone; the first strengthening element also can be used after it is joined to the second strengthening element, and a central connecting rod is passed through both the strengthening elements; the strengthening device also can be used with the first and the second strengthening elements and the bone plate being joined together, and with the bone plate being fixed to an outer side of a femur, thus increasing the supporting strength of the head of the femur as well as fixing peritrochanteric fracture or even proximal femur fracture.

A method uses a computer and software to measure bone density and structure of the proximal femur of the hip from a volumetric set of images containing pixels representing x-ray attenuation of the subject which are acquired with three-dimensional X-ray imaging devices. The method automatically locates anatomical markers of the hip without operator interaction, automatically positions regions of interest (ROIs) for measurement, automatically determines bone density measures of the ROIs, and automatically reports the results for individual subjects. Bone density measurements of ROIs include the integral bone of the total hip and neck as well as trabecular bone. The method automatically identifies a three-dimensional region-of-interest (ROI) volume which includes the hip, determines a three-dimensional coordinate system referenced to the anatomy of the subject, analyzes the ROI volume to identify voxels in the volume which satisfy defined criteria, and determines a measure of bone structure.

The invention discloses a proximal femur segmentation method and device, a computer device and a storage medium. The proximal femur segmentation method comprises the following steps: inputting a 3D MRI image of the femur into a segmentation model obtained by the pre-training of a 3D U-net; identifying the segmentation boundary of the proximal femur in the 3D MRI image through the segmentation model; segmenting the proximal femur in the 3D MRI image according to the segmentation boundary. According to the invention, the proximal femur is automatically separated from the 3D MRI image through thesegmentation model, and the proximal femur is separated from the original map, so that the diagnosis interference information can be reduced, and the diagnosis efficiency of a doctor can be greatly improved; a 3D MRI proximal femur segmentation technology based on the 3D U-net is provided, by means of the 3D U-net network with the depth monitoring and learning effects, the precise segmentation model is obtained through a small number of labeled samples, the accurate segmentation of the proximal femur of the 3D MRI proximal femur is achieved, and the technical problem that accurate segmentation is difficult due to the poor marked 3D MRI image data in the prior art is made up.

An external proximal femoral prosthesis for total hip arthroplasty (THA) is described, which fundamentally comprises a shell configured a hollow, thin-wall, asymmetric bell shape and a plurality of tension anchor means. An inner transverse cross contour of the shell forms a cavity, which could be affixable to a profile of outer surface of the area of neck, trochantic bed and calcar of the proximal femur. A neck portion of the shell is compatible with acetabular components (ball and cup). The prosthesis is mechanically fastened by tension anchor means during the operation and further biologically secured by in-growing bone through the side holes on the shell wall and into its interior coating surface of implant wall thereafter. The loading force on the femoral head would be well transferred and distributed on the shell and then directly conducted into the cortical bone of the femoral shaft therearound.

A proximal femoral head assembly having a variable offset that is selectively adjustable to conform to various anatomical conditions encountered during a femoral surgical procedure. The assembly includes a femoral head, a neck removeably connectable to the femoral head, and an adjustment mechanism. The adjustment mechanism provides the neck with a plurality of different femoral offsets with respect to a femoral hip stem.

The present invention relates to the preparation and use of novel bone templates that can be prepared using a comprehensive approach to observing microstructural features of bone, including trabecular thickness and trabecular density. These features are assessed in regions of interest in a bone (e.g., proximal femur, distal femur, wrist, spine, etc.) as observed using digital radiographic techniques or clinical imaging, such as Dual Energy X-ray Absorptiometry (DEXA) and computed tomography (CT) scanners. The microstructural features are presented in the form of data based on scanning results and are also assessed and / or organized in terms of age, gender, race, pathology, clinical history, and other patient population parameters. The template can be used to assess bone quality, predict the likelihood of bone fracture, and evaluate prosthesis design and placement, based on an image of a corresponding subject bone, e.g. the bone of a patient.

A method and apparatus configured to strengthen and support a portion of a bone, such as the femoral head of the proximal femur, for example. The apparatus may include a housing or base member and a movable support member connected to the housing and configured to move between a first, undeployed position in which the support member is disposed proximate the housing or base such that the apparatus may be inserted into bone, and a second, deployed position in which the support member extends away from the housing or base for supporting the femoral head. The support member may be a rod, one or more wires, a leaf spring, a bladder, or an expandable mesh material, for example.

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).

System, including methods and apparatus, for hip fixation with load-controlled dynamization. In exemplary embodiments, the system may comprise a fixation element, such as a screw, configured to be placed into a proximal femur of a subject, with a leading end of the fixation element anchored in a head of the proximal femur. The system also may comprise a stop member configured to be connected (e.g., via a nail or plate) to the proximal femur. The system further may comprise a deformable member configured to be irreversibly deformed by compressive force exerted on at least a portion of the deformable member by the fixation element and the stop member in response to a load applied to the proximal femur by the subject, such that the fixation element and the stop member move relative to one another parallel to a long axis of the fixation element.

Flooring challenge systems for culling poultry that induce lameness attributable to osteochondrosis and osteomyelitis of the proximal femur and tibia in poultry. The flooring challenge systems induce unstable or insecure footing for poultry reared in pens by adding torque, stress and strain on key leg joints in order to exacerbate and accelerate the development of bacterial chondronecrosis with osteomyelitis lesions and lameness. The flooring challenge systems utilize one or more portable panels or sections that can be constructed in a wide range of sizes and configurations for installation in commercial poultry pens. In addition, the flooring challenge systems may utilize a device suspended a predetermined distance above the apex of the flooring challenge panel to subject the poultry's legs to asymmetric twisting and enhanced instability by forcing the birds to straddle opposing slopes near the apex of the flooring challenge panel.

System, including methods, devices, and kits, for hip fixation. The system may comprise an intramedullary nail configured to be placed longitudinally into a proximal femur. The system also may comprise a fixation element configured to be placed transversely through the nail, such that the fixation element is slideable along its long axis in the nail and extends out of the nail to a head of the proximal femur and is anchored in the head. A compliant member may be located in the nail and configured to deform reversibly in response to a load applied to the head of the proximal femur after placement of the fixation element, to reversibly change an angular orientation of the fixation element with respect to the nail.

The invention provides a master-slave mode parallel robot system and method for femoral shaft fracture reduction. The system comprises a master manipulator control robot, a central control unit, a slave manipulator reduction robot, a mapping switch, an orthopedic operating bed, a traction frame, a G-arm dual-display X-ray machine and an operating trolley, wherein the central control unit conditionally maps and transmits a fracture reduction operation of the master manipulator control robot to the slave manipulator reduction robot; a conditional mapping operation of the central control unit is started or closed by the mapping switch; a proximal femur of a patient is fixed on the orthopedic operating bed; the traction frame and the orthopedic operating bed are connected with each other to form a rigid body; the slave manipulator reduction robot copies the fracture reduction operation of the master manipulator control robot for the patient under mapping control of the central control unit; the G-arm dual-display X-ray machine simultaneously collects an entopic X-ray image and a lateral X-ray image of a femoral shaft fracture position of the patient. The method comprises the steps of preoperative preparation and intro-operative operation. According to the system and the method provided by the invention, the injury of an X-ray to the patient is reduced, and a reduction state is stably maintained before fixation.