117 results about "Ankle bone" patented technology

The ankle joint prosthesis adapted to involve the patient's distal tibia and talus has, according to the present invention, tibial, talar and mobile or semi-constrained bearing components that are laterally to medially implanted in the patient. The tibial component's top surface has convex curvature in its anterior to posterior plane and is configured so as to approximate and match with the curvature of a prepared portion of the distal tibia; its bottom surface being approximately flat. The talar component's top surface has saddle-shaped, convex curvature in its anterior to posterior plane, it's bottom surface has concave curvature and is configured so as to approximate and match with the curvature of a prepared portion of the talus. The mobile or semi-constrained bearing components have embodiments that comprise a wide variety of geometric shapes. A method for implanting such a prosthesis is also disclosed.

Ankle implant systems and methods are provided that can allow a surgeon to select the type of prosthesis desired during an ankle surgical operation. The surgeon can implant a set of standardized fixation components into the tibia and / or fibula bones and the talus bone. Once implanted, the surgeon can select a bearing component from a number of bearing components that allow for different size patients, but also modify the manner in which the prosthesis functions (either semiconstrained or unconstrained). In one embodiment, an ankle implant can include a talar component having a lower surface with a bone fixation portion for fixation to a talus bone. A tibial component has an upper surface with a bone fixation portion for fixation of the tibial component to a tibia bone and / or a fibula bone, and the tibial component also has a lower surface with at least one protrusion extending from the lower surface. A bearing component is included between the tibial and talar components and has a lower surface for cooperative engagement with an upper surface of the talar component. The protrusion of the tibial component is adapted to engage a recess of the bearing component to desirably limit rotational and translational movement of the tibial component relative to the bearing component.

A surgical instrument including at least one tibial phantom generally corresponding to at least certain features of the tibial implant. The tibial phantom includes a top surface adapted to move freely against the prepared bottom end of the tibia. At least one talus phantom generally corresponding to at least certain features of the talus implant is engaged with the prepared top surface of the talus. At least one phantom skid is located between the tibial phantom and the talus phantom. The phantom skid is engaged with the tibial phantom such that dynamic engagement between the phantom skid and the talus phantom through at least extension and flexion of the ankle joint positions the tibial phantom on the prepared bottom end of the tibia. The phantom skid can either be a part of the tibial phantom or a separate component.

Custom radiographically designed tibial and talar cutting guide system and instrumentalities including a tibial cutting guide position verification device is disclosed. A computer-based system and method for making the custom radiographically designed tibial and talar cutting guides is also disclosed. Further disclosed is an adjustable tibial reaming guide positioning system for allowing a position for reaming of a distal tibia to be adjusted during total ankle replacement surgery and, particularly, during total ankle arthroplasty for prostheses with an intramedullary stem.

A heel counter 4 includes: a support section 43 extending in a forward direction from a back side 1b of an upper 1; a rib 40 extending in the forward direction generally in parallel to the support section 43 at a position above the support section 43 from the back side 1b of the upper 1 along a medial side 11 and extending in the forward direction generally in parallel to the support section 43 at a position above the support section 43 from the back side 1b of the upper 1 along a lateral side 12; and first and second bridge means 41a, 41b and 42 connecting the support section 43 and the rib 40 to each other allowing the support section 43 to support the rib 40, wherein: a foremost one 46b of a plurality of connection portions 46b, 46c and 46e by which the rib 40 and the bridge means 41a, 41b and 42 are connected to each other is provided on the medial side of the upper 1; and the foremost connection portion 46b is located forward of a rear end of a talus bone B8.

A fixation device for reduction and fixation of fractures of the talus bone of the foot includes a thin titanium alloy plate having a lower wing configured for attachment to the lateral aspect of the talus and an upper wing configured for attachment to the dorsal aspect of the talus. The plate includes a substantially perpendicular or right angle bend between the lower and upper wings. In one embodiment, each wing includes three screw holes arranged in a generally triangular pattern. Two holes on each plate are situated in tabs and the center of the plate has a reduced width so that the plate presents a minimal profile. One of the tabs on the upper wing is bent away from the lower wing at a pre-determined angle so that the wing conforms to the shape of the talus. In an alternative embodiment, the upper wing includes a step portion between the lower wing and the bent tab and carrying one screw hole. In this embodiment, the bent tab is generally elongated with one or two screw holes disposed along its length.

A batter's lower leg protector product, including a lower leg protector for being custom-formed to the shape of a batter's lower leg while flexible and upon hardening providing a rigid, supporting custom fit. The lower leg protector product includes an outer container formed of moisture-impervious material. A flexible lower leg protector is positioned in the container in substantially moisture-free conditions and sealed therein against entry of moisture until use. The lower leg protector includes a leg portion shaped to provide, when in place on a batter's leg, protection to the front, lateral and medial aspects of the leg above the ankle and optionally-detachable ankle flap portions integrally formed with a bottom edge of the leg portion and shaped to provide protection to the lateral and medial ankle bones. The lower leg protector includes a substrate and a reactive system impregnated into or coated onto the substrate, the system remaining stable when maintained in substantially moisture-free conditions and hardening upon exposure to moisture to form a rigid, self supporting structure. A flexible protective pad is positioned on one side of the substrate to provide cushioning between the substrate and the batter when the lower leg protector is being worn. An outer cover covers the substrate on the side opposite the protective pad. The substrate, protective pad and outer cover are connected together into a unitary structure for being molded while flexible to the lower leg and ankle of the batter. Complementary fasteners are attached to opposing side edges of the lower leg protector for retaining the lower leg protector in place on the batter's leg while being worn. A foot protector having an construction optionally provides protection to the top of the foot.

Patient-specific instruments for preparing bones for receipt of orthopedic prostheses, such as the distal tibia and the talus in a total ankle arthroplasty (TAA) procedure. A tibial guide and a talar guide are manufactured based on patient-specific anatomical data obtained using imaging technology, and each guide includes a surface conforming to selected anatomical surfaces or regions of the tibia or talus, respectively. Each guide includes at least one cut referencing surface, such as a cut slot, to guide a resection, and may also include a guide aperture sized to guide a reaming tool for reaming the distal tibia or talus. The guides may also include pin holes positioned within a periphery defined by the cut referencing surfaces such that, when the resections are made and the resected tibial bone portion or talus bone portion is removed, the guide and its associated pins are removed along with the resected bone portion.