688 results about "Osteotomy" patented technology

A cutting guide for performing a bone osteotomy procedure is disclosed. The cutting guide includes a first arm having a first cutting guide surface formed therein, a second arm having a second cutting guide surface formed therein pivotably connected to the first arm and a distractor operatively connected to the first arm. The cutting guide is adapted to be affixed to the bone such that the first cutting guide surface is open to the second cutting guide surface. The first arm and second arm are rotatable with respect to each other such that manipulation of the distractor creates a force between the first arm and the second arm causing rotation of the first arm and second arm relative to each other. A method for using the cutting guide in a bone osteotomy procedure is also disclosed.

The present invention expands a spinal canal by drilling a cylindrical passage in each pedicle of a vertebra, making a circumferential pedicle cut (osteotomy) through each pedicle from within the passage, separating each pedicle cut by inserting an implant into the passage which distracts the pedicle cut to expand the spinal canal, and securing each pedicle cut, allowing the vertebra to heal with the spinal canal expanded. The implant includes an outer sleeve, an inner bolt, and expandable flanges. The outer sleeve includes an upper portion and a lower portion, with the expandable flanges connected to the lower portion and housed within the upper portion. Rotation of the inner bolt causes the upper and lower portions of the outer sleeve to separate, causing the pedicle cut to widen and the expandable flanges to radially extend into and stabilize the widened pedicle cut to effectuate expansion of the spinal canal.

A method for performing a high tibial, dome osteotomy to adjust the lateral and / or angular disposition of the tibial plateau relative to the lower portion of the tibia, the method comprising: forming an arcuate osteotomy cut in the tibia to subdivide it into upper and lower portions; manipulating the upper and lower portions to adjust their lateral and / or angular dispositions relative to one another; forming a pair of keyholes along the osteotomy cut; forming a keyhole slot to connect the two keyholes; forming a fixation hole in the tibia for each keyhole; providing an implant comprising a pair of keys connected by a bridge, each key comprising a bore for receiving a fixation screw therein; inserting the implant so that the keys are disposed in the keyholes, and so that the bores of the keys are aligned with the fixation holes; and inserting fixation screws through the bores of the keys and into the fixation holes of the keyholes so as to stabilize the upper and lower portions of the tibia.

An osteotomy of a portion of a vertebral endplate and / or vertebral body allows for easier insertion of a device that fits tightly into a disc space. A different aspect of the invention resides in a mechanical device to hold the osteotomized portion of the vertebra against the vertebral body after the intradiscal device is placed. The device may be removed after the pieces of vertebra heal and fuse together.

A cutting block for use in a bone osteotomy procedure is disclosed, and includes a first cutting guide surface, a second cutting guide surface, and a third cutting guide surface. The first, second, and third cutting guide surfaces are adapted to be temporarily affixed to a bone having a first side and a second side such that the first cutting guide surface is disposed on the first side of the bone, and such that the second cutting guide surface and third cutting guide surface are disposed on the second side of the bone forming an angle therebetween.

A cutting block for use in a bone osteotomy procedure is disclosed, and includes a first cutting guide surface, a second cutting guide surface, and a third cutting guide surface. The first, second, and third cutting guide surfaces are adapted to be temporarily affixed to a bone having a first side and a second side such that the first cutting guide surface is disposed on the first side of the bone, and such that the second cutting guide surface and third cutting guide surface are disposed on the second side of the bone forming an angle therebetween.

A method for reconstructing a knee ligament and for performing a tibial osteotomy on the knee in a single procedure, the method comprising:forming a bone tunnel through the tibia at a location appropriate for the ligament reconstruction, disposing a graft ligament in the bone tunnel, and securing the graft ligament in the bone tunnel, and forming a wedge-like opening in the bone at a location appropriate for the tibial osteotomy, positioning an osteotomy implant in the wedge-like opening in the bone, and securing the osteotomy implant in the wedge-like opening in the bone;wherein the osteotomy implant is secured in the wedge-like opening in the bone with a fastener which extends through the implant and into the bone tunnel.

A method for performing an open wedge osteotomy, the method comprising:forming a cut in a bone;manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening;providing an osteotomy implant, wherein the osteotomy implant comprises:an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon;positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; andthreadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.

An implant for the purpose of osteosynthesis, for the immobilization and stabilization of tubular bones, especially of tubular bones that have a fracture or an osteotomy, especially of rib bones, comprises at least a first implant component that has an attachment section with means of attachment for the purpose of attaching the first implant component to a tubular bone, especially in a region of the tubular bone close to a fracture or osteotomy. The first implant component further has a connection section, with the connection section being formed for insertion of a second implant component and immobilization of the second implant component in a position adjustable relative to the first implant component. The connection section comprises a guide device for the purpose of guiding the second implant component as the second implant component is being positioned relative to the first implant component. The guide device permits movement of the second implant component relative to the first implant component only in one direction relative to a longitudinal axis of the connection section. A third implant component, which matches the first implant component in functionality, is attached to the other end of the second implant component.

A cutting block for use in a bone osteotomy procedure includes a first cutting guide surface, a second cutting guide surface, and a third cutting guide surface. The first, second, and third cutting guide surfaces are adapted to be temporarily affixed to a bone having a first side and a second side such that the first cutting guide surface is disposed on the first side of the bone, and such that the second cutting guide surface and third cutting guide surface are disposed on the second side of the bone forming an angle therebetween.

An apparatus to aid in cutting a bone during a bone osteotomy procedure, including a frame having a first bushing, a first fixation pin, and an adjustment screw. The apparatus further includes a side plate attached to the frame and moveable with respect thereto, the side plate having a second bushing and a second fixation pin. In addition, the apparatus includes a drill block assembly releasably attached to the side plate and moveable with respect thereto, the drill block having a third bushing and a hinge pin.

A method for reconstructing a knee ligament and for performing a tibial osteotomy on the knee in a single procedure, the method comprising:forming a bone tunnel through the tibia at a location appropriate for the ligament reconstruction, disposing a graft ligament in the bone tunnel, and securing the graft ligament in the bone tunnel, and forming a wedge-like opening in the bone at a location appropriate for the tibial osteotomy, positioning an osteotomy implant in the wedge-like opening in the bone, and securing the osteotomy implant in the wedge-like opening in the bone;wherein the osteotomy implant is secured in the wedge-like opening in the bone with a fastener which extends through the implant and into the bone tunnel.

A surgical template for performing dental implant osteotomies comprises a malleable, resinous, thermoplastic base, at least one non-thermoplastic, rigid drill guide attached to the base, and a securing mechanism between the base and the drill guide. The template may reversibly melt to a malleable state and can be handled by hand without additional tools so as to conform to the adjacent teeth of the edentulous ridge, either directly in the patient's mouth or on a cast model. Dental osteotomies using the template can then be performed. The surgical template may be manufactured of a thermoplastic material having a sharp and low melting point but high rigidity in the solid state at room temperature.

A bioabsorbable band system is provided. The system comprises a bioabsorbable elongated band and two locking member systems. This band system may be used to heal bone fractures or osteotomies.

A system and method are provided that use a formable bone plate and a clamping apparatus for small bone reconstruction. The formable bone plate includes a plate body having a plurality of nodes separated by internodes. Each node includes a hole formed therein for receiving a screw, wire, tack, or other fixation device screwed or placed into a bone. A clamp engages an engagement section of the node to facilitate bending of at least one of the internodes to contour the plate to the bone in-situ or ex-situ and when at least partly screwed to or not screwed to the bone.

An internal osteotomy fixation apparatus is provided. The device comprises a distal plate including a channel. A slide is slidably received within the channel such that the slide is translatable with respect to the distal plate along a first axis. A proximal plate is hingedly connected to the slide, such that the proximal plate has two degrees of freedom relative to the distal plate. A ledge protruding from a first portion of the proximal plate is configured to support a proximal bone segment when the device is implanted. The slide includes ratchet teeth. A ratchet arm including teeth is attached to the distal plate, and configured to engage the slide ratchet teeth. A cross-section of the ratchet arm is configured to maintain a constant stress level along a flexed portion of the arm. The distal plate includes a shelf upon which the ratchet arm rests. Compressive loads borne by the device are translated through the shelf to the distal plate. A minimum length of the device is related to the longer of the ratchet arm or the segment of teeth on the slide. The distal plate includes a hole through which a release mechanism is accessible.

A method and apparatus for forming an osteotomy in bone. The osteotomy opening is formed in a bone with a keyhole. A similarly configured implant is inserted into the opening with a key configured to engage the keyhole to provide stability and support to the osteotomy opening.

A method for performing a high tibial, dome osteotomy to adjust the lateral and / or angular disposition of the tibial plateau relative to the lower portion of the tibia, the method comprising: forming an arcuate osteotomy cut in the tibia to subdivide it into upper and lower portions; manipulating the upper and lower portions to adjust their lateral and / or angular dispositions relative to one another; forming a pair of keyholes along the osteotomy cut; forming a keyhole slot to connect the two keyholes; forming a fixation hole in the tibia for each keyhole; providing an implant comprising a pair of keys connected by a bridge, each key comprising a bore for receiving a fixation screw therein; inserting the implant so that the keys are disposed in the keyholes, and so that the bores of the keys are aligned with the fixation holes; and inserting fixation screws through the bores of the keys and into the fixation holes of the keyholes so as to stabilize the upper and lower portions of the tibia.

The surgeon grasps the jig by its handle and manipulates the head of the jig through the patient wound and onto the femoral neck. The head of the jig includes jig location means in the form of an elongate rod which acts as a spacer. The spacer has an end which abuts the trochanteric fossa so as to position the slot of the jig at the required position, which is between 5 mm and 25 mm, and most preferably 15 mm, from the trochantic fossa. Additional jig location means are provided by a surface adapted to receive a bone formation. This surface is provided by contours on the base of the head which are adapted to mate with contours of the femur. The slot is oriented generally perpendicularly to the elongate dimension of the rod. The slot functions as a surgical tool guide means which is positioned by the jig at the correct position for osteotomisation of the neck. Advantageously, osteotomisation takes place while the femoral head is still disposed within the acetabulum.

The invention relates to a custom-fit implantable surgical guide (1) and an associated milling tool (4), which is positioned in straddling on the alveolar ridge (7) of a maxillary or mandible arch (2) and comprises at least one drilling barrel (11) for axially guiding said milling tool (4), wherein said barrel (11) is laterally open and at least one part of the internal surface thereof (17) and at least one part of the external surface of the milling tool (4) interact and axially maintain the entire milling tool (4) with respect to the barrel (11). Said invention makes it possible to carry out high precision osteotomies for lateral insertion dental implants.

The present invention comprises a novel method and apparatus for performing an open wedge, high tibial osteotomy. More particularly, the present invention comprises the provision and use of a novel method and apparatus for forming an appropriate osteotomy cut into the upper portion of the tibia, manipulating the tibia so as to open an appropriate wedge-like opening in the tibia, and then mounting an appropriately-shaped implant at the wedge-like opening in the tibia, so as to stabilize the tibia with the desired orientation, whereby to reorient the lower portion of the tibia relative to the tibial plateau and hence adjust the manner in which load is transferred from the femur to the tibia.

A method and apparatus for forming an osteotomy in bone. The osteotomy opening is formed in a bone with a keyhole. A similarly configured implant is inserted into the opening with a key configured to engage the keyhole to provide stability and support to the osteotomy opening.

An osteotomy of a portion of a vertebral endplate and / or vertebral body allows for easier insertion of a device that fits tightly into a disc space. A different aspect of the invention resides in a mechanical device to hold the osteotomized portion of the vertebra against the vertebral body after the intradiscal device is placed. The device may be removed after the pieces of vertebra heal and fuse together.

A maxillofacial anchoring and distraction system having an internally threaded anchoring or distraction fixture (12) and a selected length jack screw (14) for placement in an osteotomy. To minimize required bone height, a cut-away bone screw (16) or a solid mesh tip (17) is provided for insertion in bone in a direction generally perpendicular to the longitudinal axes of the anchoring and jack screws. A flat surface portion (16c, 17a) serves as a reaction surface for the distal end of the jack screw. In a second embodiment a sealing screw (24) is used with distraction fixture (20) modified to include a sealing surface. After completion of distraction the sealing screw is used to seal off the distraction fixture for conversion into an implant suitable for receiving conventional prosthetic components.

A bone re-angling device may be used in performing an osteotomy. The re-angling device may be a generally wedge-shaped body. The re-angling device maybe coupled to the bone using a fixation member.

The invention relates to a custom-fit implantable surgical guide (1) and an associated milling tool (4), which is positioned in straddling on the alveolar ridge (7) of a maxillary or mandible arch (2) and comprises at least one drilling barrel (11) for axially guiding said milling tool (4), wherein said barrel (11) is laterally open and at least one part of the internal surface thereof (17)and at least one part of the external surface of the milling tool (4) interact and axially maintain the entire milling tool (4) with respect to the barrel (11). Said invention makes it possible to carry out high precision osteotomies for lateral insertion dental implants.

An improved tibial plateau leveling osteotomy plate is disclosed. The plate is contoured in its proximal head portion to more closely resemble the structure of the tibial bone segment that is cut and rotated during the procedure. The plate also preferably has screw holes in the proximal head portion that are machined through the pre-contoured proximal head portion and are designed to angle the screw in a targeted screw path with respect to the osteotomy.

Systems and methods for producing minimally invasive osteotomies to correct angular deformities of bones in and about the knee are disclosed. A method includes locating a plane in which the angle exhibited by the deformity is situated. An oblique cut is then made along a surface of the bone, such that the cut is transverse to the plane in which the angle is situated. Thereafter, the bone pieces are rotated about the cut relative to one another until a desired alignment between the bone pieces is achieved. To maintain the bone pieces in alignment, a device having an elongated body for extending into a tunnel between the bone pieces is provided. The system also includes a rigid member fixedly positioned at one end of the body. The rigid member is transverse to the body to engage one bone piece. The system further includes a locking mechanism at an opposite end of the body to engage the other bone piece. The system permits the bone pieces to be pulled against one another between the rigid member and the locking mechanism.