Abstract: A patellar prosthesis used to replace a portion of the natural knee. The patellar prosthesis comprises two basic components: A baseplate and an articulation component connected together with an attachment mechanism. This attachment mechanism provides both rotational and orbital translation such that the articulation component moves in an infinite number of directions with respect to the baseplate.

Abstract: A system for providing safe, effective ear-piercing is provided. The invention provides an earring cartridge carrying a stud having a post in a stud post holder assembly and a nut in slidably aligned, spaced apart, and oppositely opposed placement so that an ear part may be placed between the post and the nut for piercing wherein a torque-like force is produced on the stud post holder assembly causing the assembly to rotatably open when the earring cartridge is compressed to bring the stud towards the nut for engaging the post with the nut. The earring cartridge of the invention is adaptable for use with traditional style ear-piercing studs or with the novel hinged hoop earrings of the present invention. Also provided is a novel nut with a backing shield that prevents the nut from sliding down along the stud post. A vertically stackable packing box maintains a sterile environment in which an earring cartridge with an ear-piercing earring stud may be transported and stored.

Abstract: A spine-fixing apparatus includes a plurality of spine screw members fixed to a spine in a predetermined interval, a pair of rods coupled to the spine screw members for supporting the spine, a plurality of fixing nuts coupled to the spine screw members, and a plurality of pressing pieces interposed between the fixing nuts and the spine screw members for pressing and fixing the rods.

Abstract: A knee joint endoprosthesis is provided having a femoral part (1) that can be linked with a shank part to be anchored in the femur, the femoral part being provided with two runners (2, 3) interlinked ventrally via a bridge. A tibia plateau part (5) interacts with a shank part to be anchored in the tibia and is provided with two slide guides (6) in which the runners (2, 3) of the femoral part (1) can roll off and slide. With increasing bend of the knee joint and upon exceeding a predetermined bending angle, the femoral part is allowed to perform an increasing rotation relative to the tibia plateau part (5).

Abstract: An improved ceramic bone graft is provided for human implantation, particularly such as a spinal fusion cage for implantation into the inter-vertebral space between two adjacent vertebrae. The improved spinal fusion cage includes a substrate block of high strength ceramic having a selected size and shape to fit the anatomical space, and a controlled porosity analogous to natural bone. The substrate block is coated with a bio-active surface coating material such as hydroxyapatite or a calcium phosphate to promote bone ingrowth and enhanced bone fusion. Upon implantation, the fusion cage provides a spacer element having a desired combination of mechanical strength together with osteoconductivity and osteoinductivity to promote bone ingrowth and fusion, as well as radiolucency for facilitated post-operative monitoring. The fusion cage may additionally carry one or more natural or synthetic therapeutic agents for further promoting bone ingrowth and fusion.

Abstract: A bone wax applicator has a cylinder magazine for storing bone wax and a piston for movement within the cylinder in response to manual activation of a trigger connected to the piston. The wax is moved out of the cylinder magazine through a tube mounted to communicate with one end of the cylinder magazine. The tube has a free end extending from the cylinder magazine with an opening at the free end. A dissector tip is attached to the free end adjacent the opening. Wax exuded from the opening is available to be spread on bleeding bone surfaces using the dissector tip.

Abstract: A prosthesis for implantation in a bone includes a collar having a first surface and a second surface generally on an opposite side of the collar for engaging the bone and transferring forces to the bone. A neck extends outwardly from the first surface and is adapted to receive a ball thereon. A stem extends outwardly from the second surface of the collar for reception in the bone. The second surface is shaped to promote force transmitting engagement of the second surface with the bone over at least a substantial portion of the second surface, to limit engagement of the second surface with the bone at an area of stress concentration in the second surface, and to inhibit line contact between the second surface and bone.

Abstract: A pin (20) is provided for securing a replacement ligament (24) inside a tunnel (10) of a receptor bone (36). A threaded section (30) of the pin (20) engages and anchors the pin (20) in the receptor bone (36). A first taper (26) opposite the threaded section (30) is configured to enter a drilled hole (14) which is transverse to the tunnel (10), capture a looped replacement ligament (24), and extend into the medial side (25) of the receptor bone (36). A second taper (28) urges the replacement ligament (24) against the wall (15) of the tunnel (10) and provides resistance when the second taper (28) contacts the medial side (25) of the bone (36), thus signaling that the pin (20) has been inserted to the proper depth. The body (21) of the pin (20) secures the looped replacement ligament (24) in the tunnel (10) and holds the replacement ligament (24) in contact with the wall (15) of the tunnel (10) to insure ingrowth.

Abstract: A spacer assembly is provided for use in spinal surgeries. The spacer assembly includes a spacer having opposite ends and a side wall extending between the opposite ends and at least one end cap coupled to at least one of the opposite ends of the spacer. Each end cap includes an inner end facing the spacer, an outer end having a serrated surface, and a side wall extending between the inner and outer ends. The side wall of each end cap is formed for engagement with the side wall of the spacer to provide a mechanical connection between the end cap and the spacer.

Abstract: A spinal-column (e.g., cervical-column) buttress plate assembly and method for attaching together first and second vertebral bodies of a spinal column (e.g., cervical column) of a medical patient. Bone screws are inserted into the vertebral bodies at optimum locations on the vertebral bodies. A buttress plate having an elongated slot is placed on the vertebral bodies so that the heads of the bone screws are positioned in the elongated slot. Inner screws are threaded into the bone screws to expand their heads against the opposing edges of the elongated slot thereby attaching the buttress plate to the vertebral bodies.

Abstract: A bone anchor is provided that can toggle in two planes for secure anchorage within a bone cavity. The bone anchor includes an oblique suture channel configured such that a suture strand extending through the bone anchor can be tensioned to toggle the bone anchor inside the bone cavity. The suture strand can be located on the same side of the anchor body to maximize the area of the anchor surface which engages bone, resulting in increased engagement into bone and resistance to tensile forces.

Abstract: A fusionless method of correcting spinal deformities in growing adolescents is disclosed utilizing a shape memory alloy staple. Various embodiments of the shape memory alloy staple include features such as barbs on the inner and outer surfaces of the prongs in the shape memory alloy staple as well as the use of notches on the crossbar or cross plate connecting the prongs to the shape memory alloy staple. In some embodiments, the shape memory alloy staple has an aperture defined through the cross plate for receiving a bone screw or other bone anchor which in turn allows the interconnection of a longitudinal member.

Abstract: A femoral knee saw guide for use in surgery includes a cutting guide having a slot extending therethrough for guiding a saw and alignment structure attached to the guide and positioned externally of the patient's femur for effecting proper alignment of the cutting guide. The cutting guide may be used for cutting one or both condyles at the distal end of the femur in a medial to lateral direction or lateral to medial direction. An arm having a stylus extending into the plane defined by the path of travel of the saw may be used when it is desired to cut only a single condyle to prevent inadvertently cutting the opposing condyle.

Abstract: A fixation system includes a plate intended to be positioned against a bone, a plurality of bone screws for securing the plate along an non-fractured portion of the bone, and a plurality of bone pegs which extend from the plate and into bone fragments of the fracture to provide a supporting framework. The pegs can be oriented at various angles relative to an axis normal to the lower surface of the plate. For each peg, once the peg has been appropriately positioned within the peg hole, a set screw is threaded into the peg hole and tightened, thereby securing the peg in the selected orientation.

Abstract: A technique for preparing a bone to receive an implantable orthopedic component. The technique utilizes a modular bone impaction preform. The preform holds the shape of the implantable component during impaction of bone replacement material to fill defects formed in the bone via disease, congenital defect, or trauma. Typically, the bone impaction preform is used with an instrument that may comprise a trial stem, a trial stem adapter, and a handle. The bone impaction preform and trial stem, as well as the other components, can be made in modular form to facilitate interchangeability.

Abstract: This invention relates to methods and instruments for performing disc space preparation and implant insertion from a unilateral approach to the spine through a posterior lateral opening to the disc space. The instruments include spreaders, distractors, reamers, scrapers, cutters, chisels, rasps, pushers and implant inserters. A surgical procedure is provided that allows bilateral support of the adjacent vertebrae with at least one interbody fusion device inserted into the disc space via a unilateral approach. Implants for insertion into the disc space are also provided.

Abstract: A surgical tool to create a recess for an artificial joint in cartilaginous and/or bony tissue, and particularly for an artificial acetabulum in a hip-joint bone, is described which has an essentially hemispherical superficies 10 and a hollow interior space 50 bounded by this surface where at the superficies 10 are formed at least one cutting edge 20 extending from the pole 12 of the superficies 10 to the equator 14 of the superficies 10 and having at least one cutting element 20 with one cutting surface 26 turned toward the workpiece and one cutting surface 28 turned away from the workpiece, as well as one opening 22 in the superficies 10 cooperating therewith to evacuate the chips toward the hollow interior space 50, where for rotation around the axis of symmetry which forms the axis of rotation, a bearing shaft 40 extending through the hollow internal space 50 is fastened at the superficies 10 and where a clearance angle &ggr; of the cutting edge 20 subtended between the superficies 10 and the cutting surf

Abstract: A transverse connector for a spinal column corrective device for interconnecting two components connectable with vertebrae of a spinal column includes a first member having a body portion and a connector portion extending from the body portion, the connector portion including an opening for receiving the first component, a second member having a body portion and a connector portion extending from the body portion, the connector portion including an opening for receiving the second component, and a clamp extending between the first and second member body portions, the clamp being movable into a tightened position to lock the first and second members into position relative to one another, and a loosened position to permit adjustment of the position of the first and second members relative to one another. The first and second member body portions having mating retaining surfaces to prevent relative movement between the first and second members when the clamp is in the tightened position.

Abstract: An installation tool that is useful for the efficient and effective placement of an article, such as an artificial disc, between adjacent vertebral bodies is provided. The installation tool can be provided as a kit having modular components which allow the surgeon to select from among a variety of components to assemble an installation tool that is optimized for its intended use. The installation tool of the invention generally includes a pair of opposed levers, each of which has a proximal handle portion and a distal portion. A fulcrum is disposed between the two levers to enable proper operation of the tool. The tool further includes a pusher block that is positioned between the two levers and is selectively movable between an initial location distal of the fulcrum and a final location adjacent the distal end of the levers. The pusher block includes a proximal end, a distal end, and a bore extending at least partially therethrough.

Abstract: A bone plate for supporting bone. At least one shaping area reducing the shaping resistance of the shape of the bone plate and the bending and/or torsional resistance of the body is arranged in the section of the bone plate between fixation holes.