JP4047394B2 - 膝関節の平衡を判定する器械 - Google Patents
膝関節の平衡を判定する器械 Download PDFInfo
- Publication number
- JP4047394B2 JP4047394B2 JP53760599A JP53760599A JP4047394B2 JP 4047394 B2 JP4047394 B2 JP 4047394B2 JP 53760599 A JP53760599 A JP 53760599A JP 53760599 A JP53760599 A JP 53760599A JP 4047394 B2 JP4047394 B2 JP 4047394B2
- Authority
- JP
- Japan
- Prior art keywords
- rack
- knee joint
- joint
- femur
- tibia
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 210000000629 knee joint Anatomy 0.000 title claims description 51
- 210000002303 tibia Anatomy 0.000 claims description 29
- 210000000689 upper leg Anatomy 0.000 claims description 29
- 210000003127 knee Anatomy 0.000 claims description 19
- 230000007935 neutral effect Effects 0.000 claims description 6
- 238000006073 displacement reaction Methods 0.000 claims description 4
- 210000004417 patella Anatomy 0.000 description 13
- 210000000988 bone and bone Anatomy 0.000 description 11
- 230000000399 orthopedic effect Effects 0.000 description 10
- 210000004872 soft tissue Anatomy 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 5
- 238000002513 implantation Methods 0.000 description 4
- 210000003041 ligament Anatomy 0.000 description 4
- 230000005499 meniscus Effects 0.000 description 3
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 210000000078 claw Anatomy 0.000 description 2
- 230000002950 deficient Effects 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 208000032170 Congenital Abnormalities Diseases 0.000 description 1
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 description 1
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical class [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000000544 articulatio talocruralis Anatomy 0.000 description 1
- 229920000249 biocompatible polymer Polymers 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 210000004394 hip joint Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 210000004353 tibial menisci Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/025—Joint distractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4657—Measuring instruments used for implanting artificial joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/025—Joint distractors
- A61B2017/0268—Joint distractors for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
- A61B2017/2837—Locking means with a locking ratchet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/067—Measuring instruments not otherwise provided for for measuring angles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3859—Femoral components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/389—Tibial components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4658—Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4666—Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4666—Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension
- A61F2002/4667—Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension for measuring torque
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Physical Education & Sports Medicine (AREA)
- Medical Informatics (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US09/009,070 US6022377A (en) | 1998-01-20 | 1998-01-20 | Instrument for evaluating balance of knee joint |
| US09/009,070 | 1998-01-20 | ||
| PCT/US1999/001166 WO1999035972A1 (en) | 1998-01-20 | 1999-01-20 | Instrument for evaluating balance of knee joint |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2001517135A JP2001517135A (ja) | 2001-10-02 |
| JP2001517135A5 JP2001517135A5 (enExample) | 2006-05-18 |
| JP4047394B2 true JP4047394B2 (ja) | 2008-02-13 |
Family
ID=21735408
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP53760599A Expired - Fee Related JP4047394B2 (ja) | 1998-01-20 | 1999-01-20 | 膝関節の平衡を判定する器械 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US6022377A (enExample) |
| EP (1) | EP0975262B1 (enExample) |
| JP (1) | JP4047394B2 (enExample) |
| CA (1) | CA2284661A1 (enExample) |
| DE (1) | DE69924193T2 (enExample) |
| ES (1) | ES2237907T3 (enExample) |
| WO (1) | WO1999035972A1 (enExample) |
Families Citing this family (160)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7635390B1 (en) | 2000-01-14 | 2009-12-22 | Marctec, Llc | Joint replacement component having a modular articulating surface |
| AU2001250538A1 (en) * | 2000-04-27 | 2001-11-20 | Finsbury (Development) Limited | Surgical tool |
| US20050113846A1 (en) * | 2001-02-27 | 2005-05-26 | Carson Christopher P. | Surgical navigation systems and processes for unicompartmental knee arthroplasty |
| US7547307B2 (en) | 2001-02-27 | 2009-06-16 | Smith & Nephew, Inc. | Computer assisted knee arthroplasty instrumentation, systems, and processes |
| US6827723B2 (en) * | 2001-02-27 | 2004-12-07 | Smith & Nephew, Inc. | Surgical navigation systems and processes for unicompartmental knee arthroplasty |
| FR2831053B1 (fr) * | 2001-10-22 | 2004-10-29 | Sofinordest | Ancillaire pour la preparation de la mise en place d'une prothese |
| EP1474054A1 (en) * | 2002-02-11 | 2004-11-10 | Smith & Nephew, Inc. | Image-guided fracture reduction |
| AU2003228341A1 (en) * | 2002-03-19 | 2003-10-08 | The Board Of Trustees Of The University Of Illinois | System and method for prosthetic fitting and balancing in joints |
| US6758850B2 (en) | 2002-03-29 | 2004-07-06 | Depuy Orthopaedics, Inc. | Instruments and methods for flexion gap adjustment |
| DE10215358B4 (de) * | 2002-04-08 | 2007-03-08 | Mathys Medizinaltechnik Ag | Bänderspannvorrichtung mit Schnittlehre |
| DE10230375B4 (de) * | 2002-07-05 | 2006-05-04 | Mathys Medizinaltechnik Ag | Bänderspannvorrichtung mit verschieblichen Pratzen |
| US7736368B2 (en) * | 2002-08-23 | 2010-06-15 | Orthosoft Inc. | Surgical universal positioning block and tool guide |
| US7632283B2 (en) | 2002-09-30 | 2009-12-15 | Depuy Products, Inc. | Modified system and method for intraoperative tension assessment during joint arthroplasty |
| US20040097951A1 (en) * | 2002-11-18 | 2004-05-20 | Steffensmeier Scott J. | Measurement instrument for use in orthopaedic surgery |
| JP4095919B2 (ja) * | 2002-12-09 | 2008-06-04 | ジンマー株式会社 | 人工膝関節全置換手術用計測装置 |
| US20070282347A9 (en) * | 2002-12-20 | 2007-12-06 | Grimm James E | Navigated orthopaedic guide and method |
| US20040172044A1 (en) * | 2002-12-20 | 2004-09-02 | Grimm James E. | Surgical instrument and method of positioning same |
| US7111401B2 (en) * | 2003-02-04 | 2006-09-26 | Eveready Battery Company, Inc. | Razor head having skin controlling means |
| JP4231813B2 (ja) * | 2003-05-06 | 2009-03-04 | ツィマー ゲーエムベーハー | 牽引装置 |
| EP1659955B1 (de) * | 2003-09-04 | 2007-10-17 | Mathys AG Bettlach | Hydraulische bänderspannvorrichtung |
| ATE289787T1 (de) | 2003-09-15 | 2005-03-15 | Zimmer Gmbh | Einstellvorrichtung |
| US7862570B2 (en) | 2003-10-03 | 2011-01-04 | Smith & Nephew, Inc. | Surgical positioners |
| US20050085822A1 (en) * | 2003-10-20 | 2005-04-21 | Thornberry Robert C. | Surgical navigation system component fault interfaces and related processes |
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| WO2005048851A1 (en) | 2003-11-14 | 2005-06-02 | Smith & Nephew, Inc. | Adjustable surgical cutting systems |
| US20050109855A1 (en) * | 2003-11-25 | 2005-05-26 | Mccombs Daniel | Methods and apparatuses for providing a navigational array |
| US20050113659A1 (en) * | 2003-11-26 | 2005-05-26 | Albert Pothier | Device for data input for surgical navigation system |
| US8025663B2 (en) * | 2003-12-30 | 2011-09-27 | Depuy Products, Inc. | Augments for surgical instruments |
| CA2553368A1 (en) * | 2004-01-16 | 2005-08-11 | Smith & Nephew, Inc. | Computer-assisted ligament balancing in total knee arthroplasty |
| US20050159759A1 (en) * | 2004-01-20 | 2005-07-21 | Mark Harbaugh | Systems and methods for performing minimally invasive incisions |
| AU2005206203A1 (en) * | 2004-01-22 | 2005-08-04 | Smith & Nephew, Inc. | Methods, systems, and apparatuses for providing patient-mounted surgical navigational sensors |
| US7442196B2 (en) | 2004-02-06 | 2008-10-28 | Synvasive Technology, Inc. | Dynamic knee balancer |
| US8758355B2 (en) | 2004-02-06 | 2014-06-24 | Synvasive Technology, Inc. | Dynamic knee balancer with pressure sensing |
| FR2866556B1 (fr) * | 2004-02-23 | 2006-06-16 | Sofinordest | Dispositif d'assistance au chirurgien dans la selection d'un implant femoral et/ou tibial pour la preparation d'une prothese et procede de mise en oeuvre dans le dispositif precite |
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| US8635082B2 (en) | 2006-05-25 | 2014-01-21 | DePuy Synthes Products, LLC | Method and system for managing inventories of orthopaedic implants |
| MXPA06007251A (es) * | 2006-06-22 | 2007-07-11 | Jose Adan Ortega Blanco | Sistema de osteosintesis percutaneo patelar aplicable a fracturas de rotula desplazadas de la rodilla. |
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| US9439656B2 (en) | 2008-10-30 | 2016-09-13 | Synvasive Technology, Inc. | System for positioning a cutting guide in knee surgery |
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| US8740817B2 (en) | 2009-03-31 | 2014-06-03 | Depuy (Ireland) | Device and method for determining forces of a patient's joint |
| US8721568B2 (en) | 2009-03-31 | 2014-05-13 | Depuy (Ireland) | Method for performing an orthopaedic surgical procedure |
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| US8597210B2 (en) | 2009-03-31 | 2013-12-03 | Depuy (Ireland) | System and method for displaying joint force data |
| US8568306B2 (en) * | 2009-04-03 | 2013-10-29 | Mitchell A Hardenbrook | Surgical retractor system |
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1998
- 1998-01-20 US US09/009,070 patent/US6022377A/en not_active Expired - Lifetime
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1999
- 1999-01-20 WO PCT/US1999/001166 patent/WO1999035972A1/en not_active Ceased
- 1999-01-20 CA CA002284661A patent/CA2284661A1/en not_active Abandoned
- 1999-01-20 JP JP53760599A patent/JP4047394B2/ja not_active Expired - Fee Related
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- 1999-01-20 ES ES99903209T patent/ES2237907T3/es not_active Expired - Lifetime
- 1999-01-20 EP EP99903209A patent/EP0975262B1/en not_active Expired - Lifetime
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|---|---|
| DE69924193T2 (de) | 2006-03-23 |
| DE69924193D1 (de) | 2005-04-21 |
| US6022377A (en) | 2000-02-08 |
| EP0975262A1 (en) | 2000-02-02 |
| CA2284661A1 (en) | 1999-07-22 |
| EP0975262B1 (en) | 2005-03-16 |
| JP2001517135A (ja) | 2001-10-02 |
| WO1999035972A1 (en) | 1999-07-22 |
| ES2237907T3 (es) | 2005-08-01 |
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