80 results about "Revision Surgeries" patented technology

An anterior buttress staple and screw system is provided that can be used to hold an implant such as a disc prosthesis in place and thereby prevent its migration out of the spinal column. The buttress staple comprises a screw locking plate having a screw locking design that prevents the screw from backing up and away from the plate. The screw is configured to provide an interference fit with the screw locking plate, and can be used as a staple removal tool during revision surgery when the screw locking plate needs to be lifted from the bone surface on which it is attached.

Systems and methods for planning and performing image free implant revision surgery are discussed. For example, a method for generating a revision plan can include collecting pre-defined parameters characterizing a target bone, generating a 3D model, collecting a plurality of surface points, and generating a reshaped 3D model. Generating the 3D model of the target bone can be based on a first portion of the pre-defined parameters. Generating the reshaped 3D model can be done based on the plurality of surface points collected from a portion of the surface of the target bone.

The invention relates to an intervertebral disc prosthesis for the total replacement of a natural intervertebral disc within the lumbar and cervical spine, comprising articulating sliding partners, where the upper sliding partner has means for a firm assembly to an upper vertebral body and the lower sliding partner has means for a firm assembly to a lower vertebral body and at least one sliding surface that is between two sliding partners. According to the invention, functional two- and three part designs are planned and both prostheses have in common, that only a dorsoventral- and rotation movement is possible as a result of laterolaterally aimed, transversally arched, ventrally curved cylindrical convexity(ies) and corresponding concavity(ies), however without an inclination of the sliding partners in a lateral direction. In a further design, the cylindrical articulation surfaces are un-curved, enabling a motion of the sliding partners in only a ventrodorsal direction. According to the invention, the intervertebral disc prostheses are suited for an implantation from lateral and ventrolateral, particularly in revision surgeries.

An improved anterior cervical plating system and methods of cervical fusion using such a system are provided. The cervical plating system includes an interlocking mechanism that integrated into each of the plates such that any two plates may cooperatively engage through the interlocking mechanism such that a new cervical plate can be interconnected with a pre-existing plate during revision surgery without removal of the pre-existing plate.

The present invention is a MTP plate that has a first embodiment with a profile having bilateral mirror symmetry of the about a transverse plane with an angle of about 5° for dorsiflexion and an angle of about 10° for valgus. Both ends of the plate include a central arm having a slot for compression and two offset arms having offset ears with locking screw holes that provide for multiplanar compressive fixation. The bone contacting surface of the plate is radiused to allow the plate to be in snug contact with the bone. In a second embodiment of the plate for revision surgery, the proximal end of the plate includes a metatarsal extension and the plate has a central locking hole for securing bone graft.

Disclosed herein are methods, compositions and tools for repairing an articular joint having a failed implant. The articular repair systems are customizable or highly selectable by or adaptable to individual patients and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by or adaptable to individual patients to increase the speed, accuracy and simplicity of performing total or partial arthroplasty including revision surgeries.

The present invention is a MTP plate that has a first embodiment with a profile having bilateral mirror symmetry of the about a transverse plane with an angle of about 5° for dorsiflexion and an angle of about 10° for valgus. Both ends of the plate include a central arm having a slot for compression and two offset arms having offset ears with locking screw holes that provide for multiplanar compressive fixation. The bone contacting surface of the plate is radiused to allow the plate to be in snug contact with the bone. In a second embodiment of the plate for revision surgery, the proximal end of the plate includes a metatarsal extension and the plate has a central locking hole for securing bone graft.

A joint prosthesis includes a bone engaging portion, such as a stem, and articulating component, such as a humeral head, and an insert component that supports the articulating component and is removable from the stem. A mating component mates with the humeral head and is configured to engage the insert component at adjustable angles according to the anatomy of the patient's joint. In a revision surgery, the stem remains within the patient's bone while the insert component is removed with the mating component and humeral head fixed to the insert component. A new insert component may be prepared with the mating component and humeral head oriented to replicate the angular orientation of the previous prosthesis. The new insert component is then mounted within an insert cavity in the implanted stem and rigidly fastened to complete the revision.

A system and method for generating a patient specific instrumentation jig model for implant revision comprises an anchor surface identifier to identify anchor surface(s) from a patient specific bone model of a bone requiring implant revision and from data related to an implanted implant on the bone. The anchor surface is in close proximity to the implanted implant. A PSI revision jig model generator generates a jig model using at least the identified anchor surface and a model of a replacement implant, the PSI revision jig model generator outputting a jig model comprising patient specific contact surface(s) corresponding to the identified anchor surface, and at least one tool interface portion positioned and / or oriented relative to the at least one contact surface, the at least one tool interface portion adapted to be interfaced to a tool altering the bone for subsequently installing an implant on the bone.

An improve spinal surgical implant used primarily in the posterior aspect of the spinal column for spinal reconstruction; revision surgery; deformity correction; and / or tumor surgery and / or trauma surgery of the cervical, thoracic and / or and lumbo-sacral spine.

An improved anterior cervical plating system and methods of cervical fusion using such a system are provided. The cervical plating system includes an interlocking mechanism that integrated into each of the plates such that any two plates may cooperatively engage through the interlocking mechanism such that a new cervical plate can be interconnected with a pre-existing plate during revision surgery without removal of the pre-existing plate.

An improve spinal surgical implant used primarily in the posterior aspect of the spinal column for spinal reconstruction; revision surgery; deformity correction; and / or tumor surgery and / or trauma surgery of the cervical, thoracic and / or and lumbo-sacral spine.

An improved anterior cervical plating system and methods of cervical fusion using such a system are provided. The cervical plating system includes an interlocking mechanism that integrated into each of the plates such that any two plates may cooperatively engage through the interlocking mechanism such that a new cervical plate can be interconnected with a pre-existing plate during revision surgery without removal of the pre-existing plate.

An improved spinal surgical implant used primarily in the posterior aspect of the spinal column for spinal reconstruction; revision surgery; deformity correction; and / or tumor surgery and / or trauma surgery of the cervical, thoracic and / or lumbo-sacral spine.

A method for performing a revision surgery using a robotic-assisted surgery system includes determining information related to an interface area between an implant component and a bone, and generating a planned virtual boundary associated with a portion of the interface area to be removed in a representation of the implant and the bone, based at least in part on the information related to the interface area. The method further includes tracking movement in the physical space of a cutting tool such that movement of the cutting tool is correlated with movement of a virtual tool, and providing a constraint on the cutting tool while the cutting tool removes the portion of the interface area. The constraint is based on a relationship between the virtual tool and the planned virtual boundary. The portion of the interface area is removed to remove the implant component from the bone.

A kit for use in performing revision surgery on a cavity in a canal of extending from a resected plane a long bone is provided. The kit includes a canal component fitted to the cavity. The canal component includes a canal portion having first and second ends. The canal component further includes a sleeve portion having an external periphery and an internal periphery defining an internal cavity. The kit also includes a first joint component having a body portion and a connection portion. The connection portion is fitted into the sleeve portion. A connection portion of a second joint component also may be fitted into the sleeve portion so that the external periphery of the connection portion of the first joint component is spaced inwardly from the external periphery of the sleeve portion of the canal component when the first joint component is fixedly connected to the canal.

A system for generating a PSI jig model for implant revision comprises a reference anchor surface identifying module configured to identify at least one reference anchor surface from at least one patient specific image of a bone and of an implanted implant, the reference anchor surface configured to receive a guide reference(s). An implant abutment surface determining module determines an implant abutment surface from the patient specific bone image. A PSI reference jig model generator module generates and outputs a reference jig model using the identified reference anchor surface and the determined implant abutment surface, the reference jig model comprising contact surface(s) corresponding to the determined implant abutment surface for complementary connection with the determined implant abutment surface, guide interfacing portion(s) configured to guide a planting of the guide reference in the reference anchor surface, and a patient-specific geometry between contact surface(s) and the guide interfacing portion, so as to position and / or orient the guide interfacing portion relative to the reference anchor surface, for subsequently planting the guide reference(s) in the reference anchor surface as identified when the contact surface(s) is complementarily connected with the determined implant abutment surface. A method for creating patient-specific instrumentation jig for implant revision is also provided.

A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and / or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and / or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.

Surgical navigation for revision surgery includes temporality coupling a reference arc to a surgical object that was substantially permanently affixed to a bone of a patient during a preceding surgery. The reference arc includes a navigation tracker configured to communicate with a navigation system. A surgical instrument is coupled to a respective navigation tracker that is also configured to communicate with the navigation system. A known relationship between the navigation tracker of the reference arc and the navigation tracker of the surgical instrument is used to determine a spatial characteristic of the surgical instrument, such as an position or orientation of the surgical instrument. The spatial characteristic is rendered upon a display unit.

A tibial support structure includes a platform portion and a medullary portion that are monolithically formed as a single piece. The medullary and platform portions of the augment component are adapted to accommodate and mechanically attach to a tibial baseplate, and are individually shaped and sized to replace damaged bone stock both within the tibia, as well at the tibial proximal surface. The monolithic formation of the tibial support structure provides a strong and stable foundation for a tibial baseplate and facilitates restoration of the anatomic joint line, even where substantial resections of the proximal tibia have been made. The tibial support structure may be made of a bone-ingrowth material which facilitates preservation and rebuilding of the proximal tibia after implantation, while also preserving the restored joint line by allowing revision surgeries to be performed without removal of the tibial support structure.

Revision hip implants and prosthesis systems include femoral heads, cups, screws, bridges, and segmental prostheses for revision surgeries.

A kit for use in performing revision surgery on a cavity in a canal of extending from a resected plane a long bone is provided. The kit includes a canal component fitted to the cavity. The canal component includes a canal portion having first and second ends. The canal component further includes a sleeve portion having an external periphery and an internal periphery defining an internal cavity. The kit also includes a first joint component having a body portion and a connection portion. The connection portion is fitted into the sleeve portion. A connection portion of a second joint component also may be fitted into the sleeve portion so that the external periphery of the connection portion of the first joint component is spaced inwardly from the external periphery of the sleeve portion of the canal component when the first joint component is fixedly connected to the canal.

The invention discloses a bone trabecula hip joint system. The system comprises a series of bone trabecula assembled femoral components, caput femoris, bone trabecula oversleeves, bone trabecula assembled acetabular cups and bone trabecula acetabulum cushion blocks. The surface structures of the bone trabecula assembled femoral components, the caput femoris, the bone trabecula oversleeves, the bone trabecula assembled acetabular cups and the bone trabecula acetabulum cushion blocks are all metal bone trabecula structures and manufactured by means of the metal 3D printing technology, the structural form of holes and porosity can be accurately controlled, a plurality of specifications are available, and assembly can be conducted freely. The system has the advantages that fastness and effectiveness are realized, postoperation osseointegration is facilitated, service life is prolonged, postoperation revision rate is reduced, serious femur and acetabulum deformation is effectively solved, complicated joint primary replacement surgery and revision surgery under the condition of various forms of bone defects can be conducted, and the requirements of various patients for prosthesis customization are met.

An acetabular prosthesis and method for its use in an orthopedic surgery is disclosed. The acetabular prosthesis forms a metal bearing, which articulates with a femoral head. The acetabular prosthesis is also configured so as to accept a polymer constraining ring. Should a revision surgery be necessary, the acetabular prosthesis may accept a polymer bearing liner over the metal bearing. The polymer bearing liner then articulates with the femoral head.

A greater trochanter re-attachment device for use in transfemoral revision surgery which comprises a bracket adapted to be attached to a femoral prosthesis with which it is to be used. The bracket has adjustable clamping elements adapted to extend from the brackets and pass around the segment of bone containing the greater trochanter and which when secured in position holds the greater trochanter in position in relation to the femoral prosthesis.

A cervical plate and one or more locking assemblies that help prevent screw backout without impinging on therapeutically valuable settling of the screws. In some cases, the locking assembly is configured to be permanently attached to the plate, to be securely but efficiently locked, to be readily unlocked for revision surgery, and / or to reduce the possibility of operator error in installation by providing simplified visible and tactile indicia of the locked and unlocked positions.

The invention relates to the field of medical instruments and discloses a ligament reestablishing system. After a ligament is reestablished for the first time by using the ligament reestablishing system, the ligament can be quickly replaced through a small incision outside a joint without using an arthroscope if a revision surgery needs to be carried out on the ligament. Because the technology has the character of quick revision, a ligament substitute material is not needed to be firmly combined with a bone channel any longer, so the ligament reestablishing system provides possibilities for reliable use of artificial materials except autologous / allogenic tendons. Moreover, the difficulty and cost of the revision surgery are reduced, the hospital time is reduced, and the indication of ligament reestablishment is expanded. The ligament reestablishing system comprises a first endosteal hollow channel, a second endosteal hollow channel, a ligament substitute, a first fixing piece and a second fixing piece. A bone penetrating through the near end of the joint and a bone penetrating through the far end of the joint are implanted into the first endosteal hollow channel and the second endosteal hollow channel respectively. The ligament substitute is placed into the first endosteal hollow channel and the second endosteal hollow channel.

A joint prosthesis system (10) is suitable for cemented fixation. The system has two metal implant components (12, 14) and a bearing (16). One of the metal implant components has an articulation surface (18, 20) for articulation with the bearing. The other metal implant component has a mounting surface (26) for supporting the bearing. One of the metal implant components includes a solid metal portion (80, 80A) and a porous metal portion (82, 82A). The porous metal portion has surfaces with different characteristics, such as roughness, to improve bone fixation, ease removal of the implant component in a revision surgery, reduce soft tissue irritation, improve the strength of a sintered bond between the solid and porous metal portions, or reduce or eliminate the possibility of blood traveling through the porous metal portion into the joint space. A method of making the joint prosthesis is also disclosed. The invention may also be applied to discrete porous metal implant components, such as augment.

A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and / or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and / or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.