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    • 1. 发明授权
    • External fixation device
    • 外固定装置
    • US4747400A
    • 1988-05-31
    • US791222
    • 1985-10-25
    • James B. KoenemanThomas M. HansenMark PhillipsAllan M. Weinstein
    • James B. KoenemanThomas M. HansenMark PhillipsAllan M. Weinstein
    • A61B17/64A61B17/66A61F5/04
    • A61B17/645A61B17/66
    • A unilateral external fixation device for closed reduction of simple or comminuted long bone fractures includes a frame formed of composite materials which mounts a proximal carriage at one end and a distal carriage at the other end. The proximal carriage is adapted to mount half pins inserted in the proximal segment, and is supported on the frame by support arms which are movable with respect to the frame for adjusting the position of the proximal segment. The distal carriage includes a clamping member adapted to mount half pins inserted in the distal segment, which is pivotal about the fracture to permit precise adjustment of the distal segment for alignment with the proximal segment. A fragment support, mounted to one of the side rails of the support arm for the proximal carriage, is adapted to clamp a half pin inserted within a central fragment positioned between the proximal and distal segments of a comminuted fracture.
    • 用于闭合还原简单或粉碎的长骨骨折的单侧外固定装置包括由复合材料形成的框架,其在一端安装近端托架并在另一端安装远端托架。 近端托架适于安装插入近端段中的半销,并且通过可相对于框架移动的支撑臂支撑在框架上,用于调节近端段的位置。 远端托架包括适于安装插入在远侧段中的半销的夹紧构件,所述远端段围绕骨折枢转,以允许精确调节远端段以与近端段对准。 安装到用于近侧托架的支撑臂的一个侧轨的碎片支撑件适于夹紧插入位于粉碎骨折的近端段和远端段之间的中心碎片内的半针。
    • 2. 发明授权
    • Pin clamp
    • 针夹
    • US4757809A
    • 1988-07-19
    • US828051
    • 1986-02-10
    • James B. KoenemanThomas M. HansenMark PhillipsAllan M. Weinstein
    • James B. KoenemanThomas M. HansenMark PhillipsAllan M. Weinstein
    • A61B17/64A61B17/66A61F5/04
    • A61B17/66A61B17/645Y10T24/3978Y10T403/7016Y10T403/7069
    • A pin clamp particularly adapted for use in an external skeletal fixation device to clamp pins inserted in the distal segment and/or proximal segment of a fractured bone for positioning and immobilizing the bone segments to reduce the fracture. The pin clamp employs a wedge lock construction including a block having a tapered, hollow interior which receives a wedge element having opposed, tapered sidewalls connected to a slotted top wall. The pins are inserted between the sidewalls of the wedge element into the slot, and are clamped therebetween as the wedge element is moved into the block. A screw carried by the block threads into a bore in the top wall of the wedge element to move the wedge element in and out of the block. Both the block and wedge element are formed of a composite material and the sidewalls of the wedge element which contact the pins are preferably coated with a grit material having a high coefficient of friction.
    • 一种特别适用于外部骨骼固定装置的针夹,用于夹持插入骨折骨远端段和/或近端段中的销,用于定位和固定骨段以减少骨折。 销夹具采用楔形锁定结构,其包括具有锥形中空内部的块,其接收具有连接到开槽顶壁的相对的锥形侧壁的楔形元件。 销钉插入到楔形元件的侧壁之间插入槽中,并且当楔形元件移动到块体中时将它们夹在两者之间。 由螺纹承载的螺钉进入楔形元件的顶壁中的孔中以将楔形元件移入和移出该块。 块和楔形元件均由复合材料形成,并且楔形元件的与销接触的侧壁优选地涂覆有具有高摩擦系数的砂砾材料。
    • 3. 发明授权
    • Unilateral external fixation device
    • 单侧外固定装置
    • US4895141A
    • 1990-01-23
    • US122397
    • 1987-11-19
    • James B. KoenemanThomas M. HansenMark PhillipsAllan M. Weinstein
    • James B. KoenemanThomas M. HansenMark PhillipsAllan M. Weinstein
    • A61B17/64A61B17/66
    • A61B17/645A61B17/6416A61B17/66
    • A unilateral external fixation device comprises a distal frame and a proximal frame interconnected by a hinge formed of mating, partially spherical-shaped surfaces which permits relative movement of the distal frame and proximal frame. Each of the frames includes one or more pin clamps which mount half pins inserted with the proximal or distal segments of a fractured bone to immobilize the bone segments and permit reduction of the fracture. The focal point of the partially spherical-shaped surfaces of the hinge is positioned in direct alignment with the fracture, preferably in a vertical plane passing through the fracture transverse to the longitudinal axis of the bone, so that manipulation of one or both of the distal and proximal frames permits a relatively slight and precise movement of the bone segments connected thereto by the half pins to ensure proper reduction of the fracture.
    • 单侧外固定装置包括远侧框架和近端框架,所述远端框架和近端框架通过由配合的部分球形表面形成的铰链相互连接,所述铰链允许远端框架和近端框架相对移动。 每个框架包括一个或多个销夹,其安装插入骨折骨的近端或远端段的半销以固定骨段并允许骨折的减少。 铰链的部分球形表面的焦点定位成与断裂直接对准,优选地在垂直于横向于骨的纵向轴线的断裂的垂直平面中,使得操纵一个或两个远端 并且近端框架允许通过半销连接到其上的骨段的相对轻微和精确的运动,以确保骨折的适当减小。
    • 4. 发明授权
    • Femoral-joint prosthetic device
    • 股关节假体装置
    • US4738681A
    • 1988-04-19
    • US753711
    • 1985-07-10
    • James B. KoenemanJoseph A. LongoRoger H. JohnsonThomas M. HansenAllan M. WeinsteinThomas P. Murray
    • James B. KoenemanJoseph A. LongoRoger H. JohnsonThomas M. HansenAllan M. WeinsteinThomas P. Murray
    • A61F2/32A61F2/30A61F2/36
    • A61F2/30965A61F2/36A61F2/3672A61F2002/3686
    • A femoral-side hip-joint prosthetic device for use in hip-joint replacement. The device includes an elongate stem whose surface defines maximally spaced infero-medial and supero-lateral surface curves, and which is characterized by a surface rotation which carries the supero-lateral surface curve about 18.degree.-30.degree. forward with respect to the infero-medial surface curve, on progressing upward along the upper surface portion of the stem, with the device in operative position. The rotation of the stem surface produces a close approximation to the cavity formed in the proximal femur by removal of the cancellous bone in the natural cavity formed by a wall of densified calcellous bone. A 3.degree.-15.degree. proximal anteversion of the neck is adapted to place a hip-joint ball carried on the stem at a position closely approximating that of the head in the natural femur. In the method of the invention, the cavity which receives the prothesis stem is formed by a rasp/broach-type tool whose surface conforms closely to that of the stem.
    • 用于髋关节置换的股骨侧髋关节假体装置。 该装置包括细长的杆,其表面限定了最大间隔的内侧和外侧表面曲线,其特征在于表面旋转,该表面旋转将超过侧面曲线约18°-30°, 内表面曲线沿着杆的上表面部分向上延伸,同时该装置处于操作位置。 茎表面的旋转通过去除由密实的钙质骨壁形成的自然腔中的松质骨而产生近似于在股骨近端形成的空腔。 颈部的3°-15°近端前倾适于将携带在茎上的髋关节球放置在与天然股骨中的头部近似的位置处。 在本发明的方法中,接收假体柄的空腔由表面与杆的表面相一致的锉刀/拉刀式工具形成。
    • 5. 发明授权
    • Femoral-joint prosthetic device
    • 股关节假体装置
    • US4895573A
    • 1990-01-23
    • US172026
    • 1988-03-23
    • James B. KoenemanJoseph A. LongoRoger H. JohnsonThomas M. HansenAllan M. WeinsteinThomas P. Murray
    • James B. KoenemanJoseph A. LongoRoger H. JohnsonThomas M. HansenAllan M. WeinsteinThomas P. Murray
    • A61F2/30A61F2/36
    • A61F2/36A61F2/30965A61F2/3672A61F2002/3686
    • A femoral-side hip-joint prosthetic device for use in hip-joint replacement. The device includes an elongate stem whose surface defines maximally spaced infero-medial and supero-lateral surface curves, and which is characterized by a surface rotation which carries the supero-lateral surface curve about 15.degree.-30.degree. forward with respect to the infero-medial surface curve, on progressing upward along the upper surface portion of the stem, with the device in operative position. The rotation of the stem surface produces a close approximation to the cavity formed in the proximal femur by removal of the cancellous bone in the natural cavity formed by a wall of densified cancellous bone. A 3.degree.-15.degree. proximal anteversion of the neck is adapted to place a hip-joint ball carried on the stem at a position closely approximating that of the head in the natural femur. In the method of the invention, the cavity which receives the prosthesis stem is formed by a rasp/broach-type tool whose surface conforms closely to that of the stem.
    • 用于髋关节置换的股骨侧髋关节假体装置。 该装置包括细长的杆,其表面限定了最大间隔的内侧和外侧表面曲线,其特征在于表面旋转,该表面旋转将超过15°-30°的超侧表面曲线相对于下 - 内表面曲线沿着杆的上表面部分向上延伸,同时该装置处于操作位置。 茎表面的旋转通过去除由致密化的松质骨壁形成的自然腔中的松质骨而产生近似于在股骨近端形成的空腔。 颈部的3°-15°近端前倾适于将携带在茎上的髋关节球放置在与天然股骨中的头部近似的位置处。 在本发明的方法中,接纳假体柄的腔由表面与杆的表面相一致的锉刀/拉刀式工具形成。
    • 7. 发明授权
    • Compression hip screw
    • 压缩髋螺钉
    • US4621629A
    • 1986-11-11
    • US764319
    • 1985-08-12
    • James B. Koeneman
    • James B. Koeneman
    • A61B17/74A61F2/30F16B19/02F16B35/00A61F5/04
    • A61B17/746F16B35/00A61F2002/30566F16B19/02
    • A compression hip screw to aid in healing of a fracture between the neck and head of a femur includes a hollow lag screw having a threaded inner end adapted to be inserted through the neck and into the head of the femur to span the fracture therebetween, a spring assembly slidably disposed within the lag screw and attached thereto, a side plate having a barrel adapted to fit over the outer end of the lag screw and a shank section for mounting to the lateral aspect of the femur, and a compression screw insertable through the barrel and into threaded engagement with the spring assembly. The compression screw seats in a recess formed at one end of the barrel and is rotatable to move the spring assembly along its threaded shaft toward the side plate. In turn, the lag screw connected to the spring assembly is urged toward the side plate which forces the femoral head against the neck of the femur to apply a compression force at the fracture therebetween. The longitudinal axes of the compression screw and spring assembly are offset from the longitudinal axes of the lag screw and barrel, so that attempted rotation of the lag screw within the barrel causes the lag screw to follow an eccentric path and frictionally engage the interior wall of the barrel to prevent such rotation.
    • 用于有助于股骨颈部和头部之间骨折愈合的压缩髋螺钉包括中空拉伸螺钉,其具有螺纹内端,该螺纹内端适于插入穿过颈部并进入股骨头部以跨越其间的骨折, 弹簧组件可滑动地设置在拉力螺钉内并附接到其上,具有适于装配在拉杆螺钉的外端上的筒体的侧板和用于安装到股骨侧面的柄部分以及可插入通过 并且与弹簧组件成螺纹接合。 压缩螺钉位于形成在筒的一端的凹部中并且可旋转以使弹簧组件沿其螺纹轴朝向侧板移动。 连接到弹簧组件的拉力螺钉又向侧板推动,迫使股骨头抵靠股骨的颈部,以在它们之间的断裂处施加压缩力。 压缩螺钉和弹簧组件的纵向轴线与拉力螺钉和滚筒的纵向轴线偏离,因此拉杆螺钉在筒体内的试图旋转导致拉力螺钉跟随偏心路径并摩擦地接合 桶防止这种旋转。
    • 9. 发明授权
    • Knee joint prosthesis
    • 膝关节假体
    • US4231122A
    • 1980-11-04
    • US852111
    • 1977-11-16
    • James B. Koeneman
    • James B. Koeneman
    • A61F2/38A61F1/03
    • A61F2/3845
    • A prosthesis for knees and other joints comprises two portions which are disposed side by side and which are at least partially spaced apart from one another. Each portion of the prosthesis includes a pair of spaced apart, relatively inextensible primary components. Disposed between and spaced from the primary components in each portion of the prosthesis is a pivot member. Each pivot member is resiliently secured to the two corresponding primary components of its portion of the prosthesis so as to permit and accommodate relative rotation between the pivot member and the primary components. As a result, the two primary components of each portion of the joint prosthesis can rotate toward and away from one another about an axis that is disposed at least adjacent to and at least approximately parallel to a central axis of the corresponding pivot member. The pivot member and the primary components of each portion of the prosthesis are preferably secured together by one or more bodies of elastomer.
    • 用于膝盖和其他关节的假体包括并排设置并且至少部分彼此分开的两部分。 假体的每个部分包括一对间隔开的相对不可伸展的主要部件。 假体的每个部分中的主要部件之间和间隔开的是枢转部件。 每个枢转构件弹性地固定到其假体的其部分的两个对应的主要部件,以便允许和适应枢转构件与主要构件之间的相对旋转。 结果,关节假体的每个部分的两个主要部件可以围绕设置成至少邻近并且至少近似平行于相应的枢转构件的中心轴线的轴线彼此转动并远离彼此。 枢轴构件和假体的每个部分的主要部件优选地通过一个或多个弹性体固定在一起。