4750 results about "Knee Joint" patented technology

A cartilage replacement or repair prosthesis comprises a layer of streamlined elastomer elements, preferably in the form of spheres, supported in a matrix material so that the radially opposed surfaces of the spheres are positioned on opposite surfaces of the layer and make contact with the opposed surfaces of the femur and tibia and the forces exerted between these bones extend through the streamlined elements. The matrix material has a substantially lower resistance to deformation than the spheres to control the position of the spheres relative to one another without significantly restraining their load-responsive deformation under forces exerted between the femur and tibia. The layer, with its elastomeric inserts, is sufficiently thin and flexible to allow it to be rolled for arthroscopic insertion into a knee joint.

A self-centering meniscal prosthesis device suitable for minimally invasive, surgical implantation into the cavity between a femoral condyle and the corresponding tibial plateau is composed of a hard, high modulus material shaped such that the contour of the device and the natural articulation of the knee exerts a restoring force on the free-floating device.

Disclosed herein are methods and devices for repairing articular surfaces in a knee joint. The articular surface repairs are customizable or highly selectable for each patient and geared toward providing optimal fit and function. Kits are also provided to enable customized repairs to be performed.

Disclosed herein is a method of generating a computerized bone model representative of at least a portion of a patient bone in a pre-degenerated state. The method includes: generating at least one image of the patient bone in a degenerated state; identifying a reference portion associated with a generally non-degenerated portion of the patient bone; identifying a degenerated portion associated with a generally degenerated portion of the patient bone; and using information from at least one image associated with the reference portion to modify at least one aspect associated with at least one image associated the generally degenerated portion. The method may further include employing the computerized bone model representative of the at least a portion of the patient bone in the pre-degenerated state in defining manufacturing instructions for the manufacture of a customized arthroplasty jig. Also disclosed herein is a customized arthroplasty jig manufactured according to the above-described method. The customized arthroplasty jig is configured to facilitate a prosthetic implant restoring a patient joint to a natural alignment. The prosthetic implant may be for a total joint replacement or partial joint replacement. The patient joint may be a variety of joints, including, but not limited to, a knee joint.

A method of preparing an interpositional implant suitable for a knee. The method includes determining a three-dimensional shape of a tibial surface of the knee. An implant is produced having a superior surface and an inferior surface, with the superior surface adapted to be positioned against a femoral condyle of the knee, and the inferior surface adapted to be positioned upon the tibial surface of the knee, The inferior surface conforms to the three-dimensional shape of the tibial surface. The implant may be inserted into the knee without making surgical cuts on the tibial surface. The tibial surface may include cartilage, or cartilage and bone.

A method of minimally invasive unicompartmental knee replacement includes accessing a knee through a minimal incision, forming a planar surface along a tibial plateau of the knee, forming a planar posterior surface along a posterior aspect of the corresponding femoral condyle, resurfacing a distal aspect of the femoral condyle to form a resurfaced area having a curved portion, implanting a prosthetic tibial component on the planar surface along the tibial plateau and implanting a prosthetic femoral component on the prepared surface of the femoral condyle formed by the planar posterior surface and the resurfaced area. The curved portion of the resurfaced area has an anterior-posterior curvature corresponding to a fixation surface of the prosthetic femoral component. Prior to implantation, the femur and tibia are prepared to receive fixation structure of the femoral and tibial components.

A knee prosthesis, methods of implanting the prosthesis, method of treating arthritis of the knee, and a kit therefore are provided. The prosthesis answers many of the limitations of current knee prosthetic devices by providing a two-component (or alternatively, an optional three-component) device, as either a single structure, or as separate pieces. One of the components is constructed of low friction material, while the second is composed of a weight-dissipating cushioning material; the optional third component is constructed of low friction material. The prosthesis is initially attached to surrounding soft tissue in the knee by biodegradable sutures; it is held permanently in place by fibrous ingrowth into a porous collagen rim in the cushioning component. Major improvements provided by the present invention over currently available prostheses include minimal incisions, minimal or no bone cuts, minimal overall dissection (these improvements lead to shorter hospital stays and rapid rehabilitation and fewer potential for side effects), less prosthetic wear, greater longevity, fewer activity restrictions, able to be used on young, large, active patients, ease of revision, ease of conversion into a total knee arthroplasty if needed.

Disclosed herein are devices, systems and methods for the automated design and manufacture of patient-specific / patient-matched orthopedic implants. While the embodiments described herein specifically pertain to unicompartmental resurfacing implants for the knee, the principles described are applicable to other types of knee implants (including, without limitation, other resurfacing implants and joint replacement implants) as well as implants for other joints and other patient-specific orthopedic applications.

Novel cutting guides and surgical methods for use in knee arthroplasty are described. Embodiments of the inventive cutting guide apparatus include fixed and adjustable cutting guide blocks having a series of slots designed to accommodate a cutting saw. The cutting guides and surgical method are designed to allow for the provision of all desired surgical cuts upon the distal end of the femur, for subsequent implantation of a prosthesis thereto, without having to remove the cutting guide block.

A modular prosthetic knee system used to replace the natural knee. The system includes a femoral knee prosthesis and a tibial knee prosthesis. Both prostheses are formed of modular components that are connectable in-vivo to form the prosthetic knee system. The femoral knee prosthesis includes two separate components, a lateral condyle and medial condyle; and the tibial knee prosthesis includes a multiple separate components, a medial baseplate, a lateral baseplate, a medial insert, and a lateral insert. The medial and lateral baseplate are connectable to form a complete baseplate with the medial and lateral inserts connectable to the complete baseplate.

A device for performing a surgical procedure on a knee comprises a femoral assembly comprising a stationary femoral member attachable to the distal femur, an adjustable femoral member movably coupled with the stationary member to adjust tension in at least one ligament of or adjacent the knee and an adjustment mechanism coupled to the assembly. The adjustable member includes at least one positioning feature that moves relative to the distal femur as the adjustable member is adjusted and identifies at least one position on the distal femur. The adjustable member is movably couplable with a tibial member engaged with a proximal tibia to allow the knee to be moved through a range of motion without removing the femoral and tibial members. The mechanism includes an actuator positioned proximate a medial or lateral portion of the adjustable member. The actuator is configured to adjust an opposite portion of the adjustable member.

A method is provided for performing a total knee arthroplasty. The method includes making a primary incision near a knee joint of a patient and resecting medial and lateral condyles of the femur of the leg to create at least one femoral cut surface. The resecting step is performed without dislocating the knee joint. The method also includes balancing various ligament tensions to obtain desired tension and moving a femoral component of a total knee implant through the primary incision. The method further includes positioning the femoral component with respect to the at least one femoral cut surface.

An apparatus and method for tibial alignment which allows the independent establishment of two separate geometric planes to be used as a reference for the cutting of the tibial plateau during total knee arthroplasty. Two separate frame assemblies with extending rods are coupled to the tibia with a fixed relative angle between them, thereby allowing alignment with the mechanical axis of the bone. A cutting block is mounted on one of the assembly frames and is positioned against the tibia. Stabilizing pins are then placed in the cutting block, allowing the proper tibial plateau resection plane to be created.

The invention relates to a knee joint prosthesis having a bearing and a biologic ligament for replacing the articulating knee portion of a femur and a tibia. The knee joint prosthesis includes a femoral component, a tibial component, a bearing member, and a biologic ligament. The femoral component includes a first femoral bearing surface and a second femoral bearing surface. The tibial component includes a tibial bearing surface. The bearing member includes a first bearing surface which is operable to articulate with the first femoral bearing surface, a second bearing surface which is operable to articulate with the second femoral bearing surface and a third bearing surface which is operable to articulate with the tibial bearing surface. The biologic ligament is coupled to both the tibia and the femur to prevent the knee joint from dislocating and guiding the femoral component along a desired path during extension and flexion.

An inertial sensor based surgical navigation system for knee replacement surgery is disclosed. Inertial sensors composed of six-degree-of-freedom inertial chips, whose measurements are processed through a series of integration, quaternion, and kalman filter algorithms, are used to track the position and orientation of bones and surgical instruments. The system registers anatomically significant geometry, calculates joint centers and the mechanical axis of the knee, develops a visualization of the lower extremity that moves in real time, assists in the intra-operative planning of surgical cuts, determines the optimal cutting planes for cut guides and the optimal prosthesis position and orientation, and finally navigates the cut guides and the prosthesis to their optimal positions and orientations using a graphical user interface.

A cutting device for being inserted into a knee joint between the tibia and the femur, wherein the cutting device is adapted for resecting bone from the femur to a desired depth in a path of travel of the tibia when located in the knee joint and operated as the tibia is moved through an arc of motion about the femur between backward and forward positions. A cutting device is also disclosed for being inserted into a knee joint between the tibia and the femur for resecting bone from the tibia to a desired depth to form a recess in a condyle of the tibia for reception of a tibial implant, comprising a body being located between the tibia and the femur, a cutter for resecting the bone from the tibia to form the recess and a drive mechanism for driving the cutter to resect the bone and being arranged in the body, wherein the cutter is mounted on the body and protrudes therefrom for resecting the bone from the tibia.

A modular prosthetic device is provided for replacement of the knee. The device is assembled from a plurality of components, each of which can be inserted through a small incision. After inserting the components through the incision, the device can be assembled within the knee cavity. The modularity of the device enables a surgeon to replace only those regions of the knee that are diseased or damaged, thereby avoiding a complete knee replacement. If, at a later time, additional regions of the knee become diseased or damaged, those additional regions of the knee can be replaced by additional device components and those additional components can be connected to the previously implanted components. By replacing only those regions of the knee that are diseased or damaged and by implanting each of the components through the small incision, the surgery is minimally invasive and, therefore, requires reduced time for healing and rehabilitation.

Instrumentation for surgically resurfacing a femoral condyle to receive a prosthetic femoral component in minimally invasive unicompartmental knee replacement surgery. The instrumentation includes a resurfacing guide for attachment to a femur and a rail member externally delineating an area of a femoral condyle of the femur that is to be surgically resurfaced to receive a prosthetic femoral component. The resurfacing guide has an abutment wall. The instrumentation includes a resurfacing instrument having a tissue removing surface for removing anatomical tissue from the delineated area of the femoral condyle, the tissue removing surface being movable along the delineated area to remove anatomical tissue therefrom. The resurfacing instrument has a engagement wall for contacting the abutment wall to limit the depth to which anatomical tissue is removed.

Methods of manufacturing a custom arthroplasty resection guide or jig are disclosed herein. For example, one method may include: generating MRI knee coil two dimensional images, wherein the knee coil images include a knee region of a patient; generating MRI body coil two dimensional images, wherein the body coil images include a hip region of the patient, the knee region of the patient and an ankle region of the patient; in the knee coil images, identifying first locations of knee landmarks; in the body coil images, identifying second locations of the knee landmarks; run a transformation with the first and second locations, causing the knee coil images and body coil images to generally correspond with each other with respect to location and orientation.

A modular sizing device for a bone. The sizing device includes a sizer base positionable relative to the bone, a stylus, and a coupler operable to magnetically couple the base to the stylus for measuring a size of the bone.

A knee joint prosthesis is provided for implanting on the tibial plateau and femoral condyle of the knee. The prosthesis includes a tibial prosthesis having a tibial fixation surface on the tibial prosthesis adapted to be positioned on the tibial plateau. The tibial fixation surface has at least one tibial attachment means for securing the tibial prosthesis to the tibial plateau. It further includes a femoral prosthesis having a femoral fixation surface adapted to be positioned on the femoral condyle. The femoral fixation surface has at least one femoral attachment means for securing the femoral prosthesis to the femoral condyle. The prosthesis further includes a bearing member supported by the tibial prosthesis for engaging the femoral prosthesis in weight bearing relationships.

The invention relates to a knee joint prosthesis for replacing the articulating knee portion of a femur and a tibia. The knee joint prosthesis includes a femoral component, a tibial component, a bearing member, a guide post and a mechanically reconstructed ligament. The femoral component includes a first femoral bearing surface and a second femoral bearing surface. The tibial component includes a tibial bearing surface. The bearing member includes a first bearing surface which is operable to articulate with the first femoral bearing surface, a second bearing surface which is operable to articulate with the second femoral bearing surface and a third bearing surface which is operable to articulate with the tibial bearing surface. The guide post extends from the tibial component. The mechanically reconstructed ligament is coupled to both the tibial component and the femoral component to prevent the knee joints from dislocating and guiding the femoral component along a desired path during extension and flexion.

Disclosed is a device and method of bicompartmental arthroplasty of the knee. The device permits arthroplasty of the medial or lateral and patellofemoral compartments of the knee while leaving the opposite compartments and the anterior and posterior cruciate ligaments intact. The device provides a femoral prosthesis component that includes a trochlear surface and a tibial prosthesis component which can be secured to the tibia. The femoral component is essentially “u” shaped having an anterior leg upon which the trochlear surface is positioned and a posterior leg which engages the posterior surface of the distal end of the femur. The femoral component also has a convex articulating surface which engages a concave articulating surface of the tibial prosthesis component to approximate the articulation of a healthy knee.

A modular knee implant system allows a surgeon to select between several different styles of distal femoral implant components and several different styles of stem extensions while also allowing for use of a metaphyseal component. The metaphyseal component can be a universal one that is usable with all of the styles of distal femoral implant components through use of an adapter. A second adapter allows for use of stem extensions with different types of connectors with the metaphyseal component. A separate metaphyseal component could also be provided with a distal Morse taper post to mate with a distal femoral component having a proximal Morse taper bore. The metaphyseal component may have an outer surface that is configured to maximize contact area with the patient's bone, and may have a surface finish over a substantial part of its overall length that is conducive to bone ingrowth.

A method of reconstructing a ruptured anterior cruciate ligament in a human knee. Femoral and tibial tunnels are drilled into the femur and tibia. A transverse tunnel is drilled into the femur to intersect the femoral tunnel. A filamentary loop is threaded through the femoral tunnel and tibial tunnel and partially through the transverse tunnel. A replacement graft is formed into a loop and moved into the tibial tunnels using a surgical needle and suture. A flexible filamentary member is simultaneously moved along with the loop into the femoral and transverse tunnels. The filamentary member is used as a guide wire in the transverse tunnel to insert a cannulated cross-pin to secure a top of the looped graft in the femoral tunnel.

A method, and related composition and apparatus for repairing a tissue site. The method involves the use of a curable polyurethane biomaterial composition having a plurality of parts adapted to be mixed at the time of use in order to provide a flowable composition and to initiate cure. The flowable composition can be delivered using minimally invasive means to a tissue site and there fully cured provide a permanent and biocompatible prosthesis for repair of the tissue site. Further provided are a mold apparatus, e.g., in the form of a balloon or tubular cavity, for receiving a biomaterial composition, and a method for delivering and filling the mold apparatus with a curable composition in situ to provide a prosthesis for tissue repair.

The invention relates generally to a method for implanting a uni-condylar knee prosthesis. The method includes steps for preparing the bone surfaces of both the femoral and tibial effected compartments. The femoral compartment is prepared by making a distal cut, a posterior cuts and a posterior chamfer cut. Holes that correspond to posts on the femoral component are also prepared. The tibial compartment is prepared using a cutting guide and following the sclerotic bone formation on the proximal tibia. At least one hole is prepared in the sloped cut tibial surface to use for alignment when cementing the tibial component that has an alignment peg.

A knee replacement system provides a knee implant that may be used to more accurately replicate the diameter of a natural knee. In one embodiment, a patellofemoral component is connected to the posterior portion of a condylar component by screws that pass through the femur allowing the patellofemoral component and the condylar component to be torqued against opposing sides of the femur. Two additional screws are used to connect the patellofemoral component to an anterior portion of the condylar component. A gap may be left between the patellofemoral component and the anterior portion of the condylar component if needed to provide precise replication of the diameter of the natural knee from the patellofemoral component to the condylar component.