JP6043318B2 - 仮脛骨プロテーゼ装置 - Google Patents
仮脛骨プロテーゼ装置 Download PDFInfo
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- JP6043318B2 JP6043318B2 JP2014121515A JP2014121515A JP6043318B2 JP 6043318 B2 JP6043318 B2 JP 6043318B2 JP 2014121515 A JP2014121515 A JP 2014121515A JP 2014121515 A JP2014121515 A JP 2014121515A JP 6043318 B2 JP6043318 B2 JP 6043318B2
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- 210000002303 tibia Anatomy 0.000 claims description 23
- 210000000988 bone and bone Anatomy 0.000 claims description 12
- 238000002513 implantation Methods 0.000 claims description 11
- 238000003780 insertion Methods 0.000 claims description 10
- 230000037431 insertion Effects 0.000 claims description 10
- 210000003127 knee Anatomy 0.000 description 28
- 210000000629 knee joint Anatomy 0.000 description 24
- 230000002093 peripheral effect Effects 0.000 description 18
- 238000004513 sizing Methods 0.000 description 13
- 238000000034 method Methods 0.000 description 11
- 238000001356 surgical procedure Methods 0.000 description 9
- 210000003041 ligament Anatomy 0.000 description 8
- 210000000689 upper leg Anatomy 0.000 description 8
- 230000004888 barrier function Effects 0.000 description 7
- 238000002271 resection Methods 0.000 description 5
- 230000000399 orthopedic effect Effects 0.000 description 4
- 210000002967 posterior cruciate ligament Anatomy 0.000 description 4
- 230000006641 stabilisation Effects 0.000 description 4
- 238000011105 stabilization Methods 0.000 description 4
- 230000007423 decrease Effects 0.000 description 3
- 230000014759 maintenance of location Effects 0.000 description 3
- 230000003278 mimic effect Effects 0.000 description 3
- 238000013150 knee replacement Methods 0.000 description 2
- 230000013011 mating Effects 0.000 description 2
- 125000006850 spacer group Chemical group 0.000 description 2
- 206010020649 Hyperkeratosis Diseases 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- 229920000491 Polyphenylsulfone Polymers 0.000 description 1
- 229910052581 Si3N4 Inorganic materials 0.000 description 1
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical class [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- -1 polyethylene Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- HQVNEWCFYHHQES-UHFFFAOYSA-N silicon nitride Chemical compound N12[Si]34N5[Si]62N3[Si]51N64 HQVNEWCFYHHQES-UHFFFAOYSA-N 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/1036—Measuring load distribution, e.g. podologic studies
-
- 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
- A61F2/30721—Accessories
- A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
-
- 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
- A61F2/3868—Joints for elbows or knees with sliding tibial bearing
-
- 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/461—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of knees
-
- 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4684—Trial or dummy prostheses
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
- A61F2002/3042—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves with a pin cooperating with a helical groove
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
- A61F2002/30556—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting thickness
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30599—Special structural features of bone or joint prostheses not otherwise provided for stackable
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Physical Education & Sports Medicine (AREA)
- Dentistry (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Description
Claims (17)
- 近位脛骨の切除面への埋植のための脛骨プロテーゼ装置において、
前記脛骨プロテーゼ装置は、
上関節面と下面とを有するベアリング部品と、
上面と下面とを有するベース部品と、
第1方向にシム部品を挿入することによって前記ベアリング部品の前記下面と前記ベース部品の前記上関節面の間で取り外し可能に受け入れられるように構成されているシム部品とを備え、
前記シム部品が一旦前記ベアリング部品及び前記ベース部品の中の少なくとも一つと係合すると、前記シム部品は、前記第1方向とほぼ直角な第2方向の移動が制限され、
前記シム部品が前記ベアリング部品の前記下面と前記ベース部品の前記上関節面の間で取り外し可能に受け入れられる時に、前記シム部品によって前記ベアリング部品の前記下面と前記ベース部品の前記上関節面の間の相対的な近遠方向の位置が変えられる近位脛骨の切除面への埋植のための脛骨プロテーゼ装置。 - 前記第1方向は前後方向であり、前記第2方向は内外方向である、請求項1に記載の脛骨プロテーゼ装置。
- 前記シム部品は、前記シム部品の前記第1方向への挿入を案内するように、前記シム部品の一端部において一つ以上のテーパー壁を有する、請求項1に記載の脛骨プロテーゼ装置。
- 前記一つ以上のテーパー壁は、前記シム部品の前記第1方向への挿入を案内し、かつ、前記シム部品の近遠方向の高さに相当する近遠方向の距離だけ前記ベアリング部品を前記ベース部品から分離するように、前記シム部品の後端上にあり、前記第1方向は前後方向である、請求項3に記載の脛骨プロテーゼ装置。
- 前記シム部品を前記ベアリング部品と前記ベース部品の間へ挿入する及び前記シム部品を前記ベアリング部品と前記ベース部品の間から解除するのを助けるように前記シム部品を解除可能に固定するように構成されているシム操作器具をさらに備えている、請求項1に記載の脛骨プロテーゼ装置。
- 前記シム操作器具は、前記シム部品の一端部に形成されたいくつかの形体と係合するように構成された一つ以上の形体を有する、請求項5に記載の脛骨プロテーゼ装置。
- 前記シム操作器具は、
前記シム操作器具を前記シム部品に解除可能に固定するように構成されている歯と、
前記歯を前記シム部品から解除するように構成されている解除ボタンとを有する、請求項6に記載の脛骨プロテーゼ装置。 - 骨接触面と、前記骨接触面とは反対側にある台板上面とを有する、脛骨台板をさらに備え、
前記ベース部品は、前記脛骨台板に固定されている、請求項1に記載の脛骨プロテーゼ装置。 - 前記脛骨プロテーゼ装置は、近遠方向に前記ベアリング部品を前記ベース部品に固定するための第1ロックと第2ロックの中の少なくとも1つをさらに備え、
前記ベアリング部品と前記ベース部品との間の前記近遠方向の有意の相対的移動が防止される、請求項1に記載の脛骨プロテーゼ装置。 - 前記ベース部品は、前記ベース部品の前記上面から延びている突起部と、前記突起部と前記上面との間に形成された窪み部とを備え、
前記第1ロックは、前記ベアリング部品の前記下面にある複数のスロットと係合するように構成された、前記シム部品の上面にある複数のレールを有し、
前記第2ロックは、前記ベース部品の窪み部と係合するように構成された、前記シム部品の後面に形成されたノッチを備えている、請求項9に記載の脛骨プロテーゼ装置。 - 前記脛骨プロテーゼ装置は、第3ロックをさらに備え、前記ベアリング部品が前記ベース部品に取り付けられる時、前記第3ロックが、前記ベアリング部品を前記ベース部品に内外方向に固定し、前記ベアリング部品と前記ベース部品との間の近遠方向及び前後方向の有意の相対的移動が防止される、請求項9に記載の脛骨プロテーゼ装置。
- 前記第3ロックは、前記ベース部品の上面から延びている突起部と、前記ベアリング部品に形成されている空洞部とを備えている、請求項11に記載の脛骨プロテーゼ装置。
- 前記第3ロックは、前記ベース部品の前記突起部から延びている一つ以上のナブと係合するように構成されている一つ以上のナブ空洞部を前記ベアリング部品においてさらに備えている、請求項12に記載の脛骨プロテーゼ装置。
- 上関節面と下面とを有するベアリング部品と、
上面と下面とを有するベース部品と、
互いに異なる高さを有する複数のシム部品とを備え、
前記複数のシム部品の各々は、第1方向に前記シム部品を挿入することによって前記ベアリング部品の前記下面と前記ベース部品の前記上関節面の間で取り外し可能に受け入れられるように構成されており、
前記複数のシム部品の各々が一旦前記ベアリング部品及び前記ベース部品の中の少なくとも一つと係合すると、前記複数のシム部品の各々は、前記第1方向とほぼ直角な第2方向の移動が制限され、
前記シム部品が前記ベアリング部品の前記下面と前記ベース部品の前記上関節面の間で取り外し可能に受け入れられる時に、前記シム部品によって前記ベアリング部品の前記下面と前記ベース部品の前記上関節面の間の相対的な近遠方向の位置が変えられる、脛骨プロテーゼ装置。 - 前記複数のシム部品は、近遠方向において第1シム高さを有する第1シム部品と、近遠方向において前記第1シム部品とは異なる第2シム高さを有する第2シム部品とを少なくとも有する、請求項14に記載の脛骨プロテーゼ装置。
- 前記ベアリング部品と前記ベース部品が前記第1シム高さと前記第2シム高さの合計に等しい距離だけ分離されるように、前記第1シム部品と前記第2シム部品が、前記ベアリング部品と前記ベース部品の間に挿入可能である、請求項15に記載の脛骨プロテーゼ装置。
- 前記ベアリング部品及び前記ベース部品と共に使用するための前記第1シム部品又は前記第2シム部品の選択は、前記ベアリング部品及び前記ベース部品が近位脛骨の切除された表面上に位置決めされる時に前記第1シム部品又は前記第2シム部品のいずれが前記ベアリング部品と前記ベース部品の間を適切に離間させるかを確定することを含む、請求項15に記載の脛骨プロテーゼ装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201061424222P | 2010-12-17 | 2010-12-17 | |
US61/424,222 | 2010-12-17 | ||
US13/087,610 | 2011-04-15 | ||
US13/087,610 US8603101B2 (en) | 2010-12-17 | 2011-04-15 | Provisional tibial prosthesis system |
Related Parent Applications (1)
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JP2013544858A Division JP5559437B2 (ja) | 2010-12-17 | 2011-12-17 | 仮脛骨プロテーゼ装置 |
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JP2014239900A JP2014239900A (ja) | 2014-12-25 |
JP6043318B2 true JP6043318B2 (ja) | 2016-12-14 |
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Application Number | Title | Priority Date | Filing Date |
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JP2013544655A Active JP6081923B2 (ja) | 2010-12-17 | 2011-12-12 | 外科用仮器具に関連するユーザーインターフェイス |
JP2013544858A Active JP5559437B2 (ja) | 2010-12-17 | 2011-12-17 | 仮脛骨プロテーゼ装置 |
JP2014121515A Active JP6043318B2 (ja) | 2010-12-17 | 2014-06-12 | 仮脛骨プロテーゼ装置 |
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JP2013544655A Active JP6081923B2 (ja) | 2010-12-17 | 2011-12-12 | 外科用仮器具に関連するユーザーインターフェイス |
JP2013544858A Active JP5559437B2 (ja) | 2010-12-17 | 2011-12-17 | 仮脛骨プロテーゼ装置 |
Country Status (8)
Country | Link |
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US (6) | US8603101B2 (ja) |
EP (3) | EP2651327B1 (ja) |
JP (3) | JP6081923B2 (ja) |
CN (2) | CN105055052B (ja) |
AU (1) | AU2011343440B2 (ja) |
CA (2) | CA2821927C (ja) |
ES (2) | ES2622842T3 (ja) |
WO (2) | WO2012082628A1 (ja) |
Families Citing this family (116)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8303597B2 (en) | 2005-02-08 | 2012-11-06 | Rasmussen G Lynn | Systems and methods for guiding cuts to a femur and tibia during a knee arthroplasty |
US8317797B2 (en) | 2005-02-08 | 2012-11-27 | Rasmussen G Lynn | Arthroplasty systems and methods for optimally aligning and tensioning a knee prosthesis |
AU2006325787B2 (en) | 2005-12-15 | 2013-07-18 | Sergio Romagnoli | Distal femoral knee prostheses |
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