251 results about "Tibial plafond" patented technology

An all-inside double-socket ACL reconstruction technique, according to which a femoral socket and a closed tibial socket are provided to accommodate retrograde fixation of at least one graft (for example, a semitendonosus allograft) within the sockets. The closed tibial socket is formed by using a retrograde drill device provided with a retrograde drill cutter detachable from a retrograde drill guide pin. The femoral socket may be formed by the retrograde drill method or by a conventional method, and may be carried out before or after the formation of the tibial socket. The graft is secured in the knee by employing a transversal implant, or by employing an interference screw, and/or a continuous loop/button construct.

A ligament and bone conserving prosthesis for total knee resurfacing includes a distal femoral component which resurfaces the weight bearing portions of both femoral condyles and the trochlear groove. The prosthesis also includes implants to independently resurface the medial and lateral tibial plateaus in an inset manner. Also disclosed are apparatus and methods for performing the total knee resurfacing utilizing a minimally invasive, bone and ligament conserving manner.

An apparatus in a total knee replacement and arthroplasty operation for measuring a joint gap and ligament balance between a osteotomized surface at a femoral distal end and a osteotomized surface at a tibial proximal end. The apparatus is provided with a base 10, from which an engaging plate 14 extends by way of an arm, so that the engaging plate 14 contacts with the osteotomized surface at the tibial proximal end. A moving body 18 is vertically movably connected to the base 10, from which moving body 18 an arm 20 extends, to which arm a supporting plate 22 is rotatably mounted about a central axis. The supporting plate 22 has, at its top surface, a projected portion 48. to which an auxiliary guiding piece 50 is connected under a snap like fitted manner. A femoral component 52 is mounted, at its groove portion 54, to the osteotomized surface at the femoral distal end. The engaging plate 14 as well as the supporting plate 22 are under an offset arrangement with respect to the base and moving body, respectively.

An orthopedic implant with a diffusion-hardened surface on non-load bearing areas of the implant for interaction with non-load bearing surfaces of a polymeric bio-compatible material, such as UHMWPE (ultra-high molecular weight polyethylene). The orthopedic implant is a mobile-bearing knee prosthetic and system where a coating of oxidized zirconium is formed on the post of the tibial tray of the prosthetic for interaction with an opening of a polymeric tibial insert. The diffusion-hardened surface of the orthopedic implant provides a strengthened post and reduction in wear in the opening of the polymeric insert.

An “all-inside double-bundle” ACL reconstruction technique, according to which two femoral sockets and two closed tibial sockets are provided to accommodate retrograde fixation of two grafts (for example, two semitendonosus allografts) within the four sockets. At least one of the tibial sockets is formed by using a retrograde drill device provided with a retrograde drill cutter detachable from a retrograde drill guide pin. The femoral tunnels or sockets may be formed by the retrograde drill method or by a conventional method, and may be carried out before or after the formation of the tibial sockets. The grafts (for example, two semitendonosus allografts) are secured in the knee by employing a continuous loop/button construct provided with a button, preferably of titanium alloy, and a continuous loop of suture attached to the button.

Endosteal fixation of a ligament graft with an interference fixation device installed in a retrograde manner in ACL reconstruction is disclosed. The interference fixation device may be a screw or a ribbed implant fitted with a length of reinforced suture or wire for pulling the interference fixation device through the tibial tunnel. The suture extends beyond the leading tip of the interference fixation device a sufficient length to allow the interference fixation device to be passed into the joint by pulling on the suture or wire exiting the tibial tunnel. A driver or an impaction device, such as a slap hammer, is employed to advance and insert the interference fixation device in a retrograde manner into the tibial tunnel. Accordingly, interference fixation of the graft near the tibial plateau is provided, thereby eliminating graft abrasion at the tibial plateau tunnel opening.

An osteotomy guide is provided for cutting a bone, such as the medial distal tibia, to facilitate an ankle replacement. The osteotomy guide includes a positioning device having a number of fixation points, a first guide member structured to align with a first portion of the bone, in order to perform a first procedure, thereon, and a second guide member structured to align with a second portion of the bone, in order to perform a second procedure thereon. The fixation points engage the bone and maintain alignment of the first guide member with respect to the first portion during the first procedure, and maintain alignment of the second guide member with respect to the second portion during the second procedure, in order that the first procedure and the second procedure are substantially reproducible.

Methods, systems and devices are provided for facilitating a surgical procedure on a knee, particularly, a revision total knee replacement procedure. Prior femoral and tibial prostheses are removed. A cut end of a distal femur is engaged with a femoral adjustment member, which will typically center itself about an intermedullary rod placed into the femur. The lateral and medial forces exerted by lateral and medial sides of the femoral adjustment member and the cut tibial plateau against each other are measured. The femoral adjustment member is adjusted to apply and/or adjust tension to the lateral collateral ligament and/or the medial collateral ligament based on the measured forces, for example, such that the measured lateral force and the measured medial force are matched. Based on the position of the adjusted femoral member, guided clean-up cuts for placement of a new femoral prostheses are made on the cut end of the distal femur.

An orthopedic prosthesis, system and method has a dual bearing component that, along with first and second bone anchoring components, provides multi-axial movement separately with respect to both the first and second bone anchoring components. An ankle prosthesis, system and method may thus be fashioned utilizing these principles that includes a dual bearing component, a tibial component adapted for attachment to the tibia bone, and a talar component adapted for attachment to the talus or calceneus bone of the foot. The dual bearing component includes a superior bearing providing gliding articulation/translation between it and the tibial component, and an inferior bearing providing gliding articulation/translation between it and the talar component. A bearing component plate provides a base or foundation for the superior and inferior bearings. The superior bearing is bonded to the bearing component plate while the inferior bearing moves with respect to the bearing component plate.

Apparatus for reconstructing a joint, the apparatus comprising:

• • an implant body having a bone contacting surface; and
  • a plurality of fixation elements secured to the implant body and extending into the host bone at a plurality of angles, wherein all angles are not equal to one another, so as to create immediate stability between the implant body and the host bone.

An orthopaedic knee prosthesis includes a tibial bearing component with surface features which operate to protect adjacent soft tissues of the natural knee throughout a wide range of flexion. More particularly, the tibial bearing component provides an anterior relief space disposed between the dished lateral and medial articular compartments, in which the relief space is convex as viewed from a sagittal perspective across the medial/lateral extent of the relief space.

An artificial knee joint comprise a femoral component and tibial component. The posterior side of the femoral component comprises medial and lateral condyles, wherein the width and offset of the posteromedial condyle is greater than the width and offset of the posterolateral condyle. At the posterior the tibial bearing component comprises medial and lateral articulating surface geometries, wherein the posterior slope of the lateral articulating geometry is greater than the posterior slope of the medial articulating geometry. The medial articulating surface geometry of the tibial bearing component supports the medial condyle of the femoral component and the lateral articulating surface geometry of the tibial bearing component supports the lateral condyle of the femoral component. The greater slope of the lateral articulating geometry allows the femoral component condyle to roll down to the posterior during knee flexion. This invention of an artificial knee joint for a prosthetic knee implant system facilitates deep knee flexes beyond 130 degrees.

A joint balancing insert with an actuated mechanism is for balancing a joint during a joint surgery is disclosed. The joint balancing insert includes a first plate, a second plate and an actuator there between. The second plate includes an integrated mounting portion for mounting a cutting block used to guide surgical cuts of the joint during the joint surgery. Various configurations of the integrated mounting portion may be implemented in the insert to provide for mounting various types of cutting blocks, such as cutting blocks for tibial cuts, femoral cuts, and distal femoral cuts.

The present invention relates to a knee joint prosthesis having a tibial component and a femoral component. The tibial component includes a fixation portion fixed to an upper end of a prepared tibia and a ceramic bearing portion presenting articulation surface(s). The femoral component is fixed to a lower end of a prepared femur and comprises a ceramic body portion presenting articulation surface(s). The respective articulation surfaces of the tibial and femoral components are configured for essentially congruent engagement over a full range of movement of the prosthesis, and the bearing portion of the tibial component is adapted for movement relative to the fixation portion. Also disclosed is an apparatus and a method for finishing articulation surfaces of ceramic components of a knee joint prosthesis, including the steps of combining the ceramic bearing portion and the ceramic body portion, and imparting relative movement to the bearing portion and/or the body portion.