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    • 2. 发明申请
    • LOWER ARM ARTHROPLASTY
    • 下臂肌肉
    • WO2008026135A1
    • 2008-03-06
    • PCT/IB2007/053371
    • 2007-08-23
    • DE VILLIERS, Malan
    • DE VILLIERS, Malan
    • A61F2/38A61F2/42
    • A61F2/4261A61F2/3804A61F2002/30332A61F2002/30662A61F2002/30663A61F2002/30881A61F2002/30883A61F2002/3809A61F2002/3827A61F2002/4269A61F2220/0033A61F2310/00023A61F2310/00029A61F2310/0088
    • The invention concerns a lower arm arthroplasty, possibly a proximal radial head replacement or a distal radio-ulnar arthroplasty. The arthroplasty includes an intermedullary stem (12, 52) having a first end for anchorage in a hole in a forearm bone and a second end (14, 60). The arthroplasty also has a head (18, 55) with an external, curved surface (44,46, 66) for articulation relative to another bone (53). Another component of the arthroplasty is an intermediate member (16, 54) which locates between the head and the second end of the stem and is enagable with those components. The intermediate member is engagable with at least the stem in an articulating manner which allows the head to pivot relative to the stem through a limited range of angles. In the preferred embodiment, the intermediate member engages both the head and the stem in articulating manner.
    • 本发明涉及下臂关节置换术,可能是近端桡骨头置换术或远端放射性尺骨关节置换术。 关节成形术包括具有用于锚固在前臂骨中的孔中的第一端和第二端(14,60)的中间杆(12,52)。 关节成形术还具有头部(18,55),其具有用于相对于另一骨骼(53)铰接的外部弯曲表面(44,46,66)。 关节置换术的另一个组成部分是一个中间部件(16,54),它位于头部和头部的第二个末端之间,并且可以被这些部件所困扰。 中间构件至少可以以铰接方式接合杆,这允许头部相对于杆在有限的角度范围内枢转。 在优选实施例中,中间构件以铰接方式接合头部和杆部。
    • 9. 发明申请
    • RADIAL HEAD REPLACEMENT SYSTEM
    • 径向头置换系统
    • WO2004066883A2
    • 2004-08-12
    • PCT/US2004002672
    • 2004-01-30
    • MAYO FOUNDATIONSTEINMANN SCOTT P
    • STEINMANN SCOTT P
    • A61B17/15A61F2/38A61F2/46
    • A61F2/3804A61B17/15A61F2/4614A61F2002/3827A61F2002/4662
    • A radial head replacement system includes a radial head replacement (50), an apparatus for guiding the resection of a radial head, and a kit including bone plug and bone plug insertion instrument. The radial head replacement has a separate adjustable head portion (59) that may be secured on an implanted stem (52) such that the implanted radial head replacement smoothly interfaces with the capitellum of the humerus. In another form, the radial head replacement (80) uses crossed bone screws (104, 106) that serve to more securely anchor the stem (82) of the radial head replacement in the intramedullary canal of the radius. The resection guide includes a movable cutting guide (140) which ensures a precise resection of the radial head and thereby allows for better positioning of the implanted radial head replacement. The bone plug (190) limits the travel of bone cement beyond the area of affixation of the stem portion of a radial head replacement to the radius.
    • 径向头置换系统包括径向头置换器(50),用于引导径向头部切除的装置,以及包括骨插塞和骨插塞插入器具的套件。 径向头部更换具有单独的可调整的头部部分(59),其可以固定在植入的杆部(52)上,使得植入的径向头部更换平滑地与肱骨的毛细血管连接。 在另一种形式中,径向头置换器(80)使用交叉的骨螺钉(104,106),其用于将径向头置换的杆(82)更牢固地锚定在半径的髓内管中。 切除引导件包括可移动切割引导件(140),其确保精确地切除径向头部,从而允许植入的径向头置换器的更好的定位。 骨塞(190)将骨粘固剂的行程限制在径向头置换器的杆部的固定区域到半径之外。