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    • 91. 发明申请
    • SURGICAL METHOD AND INSTRUMENTATION ASSEMBLY FOR POSITIONING AN ANKLE PROSTHESIS
    • 手术方法和仪器装置用于定位ANKLE PROSTHESIS
    • US20160256293A1
    • 2016-09-08
    • US15044441
    • 2016-02-16
    • Tornier, Inc.
    • Richard Garret MauldinYann BrunnariusDelphine Henry
    • A61F2/46A61B17/17A61B17/15
    • A61F2/4606A61B17/15A61B17/1739A61B17/1775A61F2/4657A61F2002/4623A61F2002/4668
    • This surgical ankle repair method comprises the steps of providing an instrumentation assembly for positioning an ankle prosthesis, the instrumentation assembly including a talar alignment instrument and a cutting block, the talar alignment instrument comprising a front portion and two fins extending from the ends of the front portion, said fins being adapted to be positioned in gutters extending below a tibia of a patient and around a trochlea of a talus of the patient, each fin including a reference marker, the cutting block comprising a tibial alignment structure and a recess which engages a protrusion provided on the talar alignment instrument, positioning the talar alignment instrument such that the fins are disposed in the gutters extending below the tibia and around the trochlea of the talus; aligning the talar alignment instrument so that the fins are parallel to the rotational plane of the talus, perpendicular to the rotational axis of the talus, and so that the reference markers are aligned with a longitudinal axis of the tibia; confirming alignment of the reference markers via imaging technology; mechanically attaching the talar alignment instrument to the talus; fastening the cutting block to the talar alignment instrument such that the recess engages the protrusion locked in a parallel orientation to the rotational plane of the talus; rotating the talus such that the tibial alignment structure is in a parallel alignment to the longitudinal axis of the tibia, thereby correcting any varus or valgus deformity of the talus; attaching the tibial alignment structure to the tibia; and performing a first resection of the talus and at least one resection of the tibia using the cutting block.
    • 该外科手术脚踝修复方法包括以下步骤:提供用于定位踝假体的仪表组件,所述仪表组件包括位置对准仪器和切割块,所述距离对准仪器包括前部和从前端的两端延伸的两个翅片 所述翅片适于定位在在患者的胫骨下方延伸并且围绕患者的距骨的滑车的每个鳍片包括参考标记的切口中,所述切割块包括胫骨对准结构和接合 突出部,其设置在距离对位仪上,定位位置仪器,使得翅片设置在胫骨下方延伸并且在距离的滑车周围延伸的沟槽中; 对准所述距离对准仪器,使得所述翅片平行于所述距离的旋转平面,垂直于所述距离的旋转轴线,并且使得所述参考标记与所述胫骨的纵向轴线对齐; 通过成像技术确定参考标记的对准; 将距离对位仪器机械地连接到距骨; 将所述切割块紧固到所述牙齿对准仪器,使得所述凹部与所述突起以与所述距离的旋转平面平行的方向锁定; 旋转距骨,使得胫骨对准结构与胫骨的纵向轴线平行对准,从而矫正距骨的任何内翻或外翻畸形; 将胫骨对准结构附接到胫骨; 并使用切割块进行距骨的第一次切除和至少一次切除胫骨。
    • 94. 发明申请
    • LEG LENGTH CALCULATION IN COMPUTER-ASSISTED SURGERY
    • 计算机辅助手术中的LEG长度计算
    • US20160220391A1
    • 2016-08-04
    • US15013285
    • 2016-02-02
    • ORTHOSOFT INC.
    • Karine DuvalDi LiLaurence Moreau-BelangerBenoit PelletierYvan LeoneMyriam ValinFrancois Paradis
    • A61F2/46A61B17/56A61B5/00A61B5/107A61B34/20
    • A61F2/4657A61B5/1072A61B5/1075A61B5/1079A61B5/6829A61B5/6838A61B17/848A61B34/20A61B34/25A61B2034/2048A61B2090/061A61F2002/4658A61F2002/469G01B21/04G01B2210/40G01B2210/58
    • A computer-assisted surgery system for outputting at least one of a leg length discrepancy and an offset between a preoperative leg condition and a post-implant rejointing leg condition comprises instruments. An inertial sensor unit is connected to one of the instrument, the inertial sensor unit producing readings representative of its orientation. A computer-assisted surgery processor unit operating a surgical assistance procedure and comprises a coordinate system module for setting a pelvic coordinate system from readings of the at least one inertial sensor unit when the at least one instrument is in a given orientation relative to the pelvis, a tracking module for tracking an orientation of the at least one instrument relative to the pelvic coordinate system during movements thereof using the readings from the inertial sensor unit on the instrument, and a geometrical relation data module for recording preoperatively a medio-lateral orientation of the at least one instrument representative of a medio-lateral axis of the legs relative to the pelvic coordinate system and a distance between the legs along the medio-lateral axis, for recording after implant rejointing the medio-lateral orientation and said distance, and for calculating at least one of a leg length discrepancy and an offset, based on said distances and said medio-lateral orientations. An interface outputs at least the leg length discrepancy or the offset between the preoperative leg condition and the post-implant rejointing leg condition.
    • 一种计算机辅助手术系统,用于输出腿部长度差异和术前腿部状况与植入物后连接腿状况之间的偏移中的至少一个,包括器械。 惯性传感器单元连接到仪器之一,惯性传感器单元产生代表其取向的读数。 一种操作手术辅助程序的计算机辅助手术处理器单元,包括坐标系统模块,用于当所述至少一个仪器相对于所述骨盆处于给定取向时,从所述至少一个惯性传感器单元的读数设置骨盆坐标系, 跟踪模块,用于使用来自仪器上的惯性传感器单元的读数来跟踪至少一个器械相对于骨盆坐标系的姿态,以及几何关系数据模块,用于在术前记录术中的中间坐标系的中间方向 至少一个仪器代表腿部相对于骨盆坐标系的中间轴线轴线和沿着中间轴线的腿之间的距离,用于在植入物重新连接中间横向方向和所述距离之后进行记录,并用于计算 基于所述距离和所述中间位置,腿长度差异和偏移中的至少一个 坦率的方向。 界面至少输出腿部长度差异或术前腿部状况与植入后重合腿部状况之间的偏移。