JP6494250B2 - ステムを備える肩インプラント - Google Patents
ステムを備える肩インプラント Download PDFInfo
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- JP6494250B2 JP6494250B2 JP2014230776A JP2014230776A JP6494250B2 JP 6494250 B2 JP6494250 B2 JP 6494250B2 JP 2014230776 A JP2014230776 A JP 2014230776A JP 2014230776 A JP2014230776 A JP 2014230776A JP 6494250 B2 JP6494250 B2 JP 6494250B2
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- 239000007943 implant Substances 0.000 title claims description 75
- 210000000988 bone and bone Anatomy 0.000 claims description 40
- 238000003780 insertion Methods 0.000 claims description 18
- 230000037431 insertion Effects 0.000 claims description 18
- 210000002758 humerus Anatomy 0.000 claims description 17
- 239000000463 material Substances 0.000 description 12
- 210000004095 humeral head Anatomy 0.000 description 8
- 241001653121 Glenoides Species 0.000 description 7
- 239000004568 cement Substances 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000011882 arthroplasty Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000008468 bone growth Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
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- 230000007774 longterm Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 210000000513 rotator cuff Anatomy 0.000 description 2
- 210000000323 shoulder joint Anatomy 0.000 description 2
- 208000036487 Arthropathies Diseases 0.000 description 1
- 206010065687 Bone loss Diseases 0.000 description 1
- 208000012659 Joint disease Diseases 0.000 description 1
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- 206010003246 arthritis Diseases 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 239000002639 bone cement Substances 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
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- 239000002184 metal Substances 0.000 description 1
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- 239000007769 metal material Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 230000000278 osteoconductive effect Effects 0.000 description 1
- 230000002138 osteoinductive effect Effects 0.000 description 1
- -1 polyethylene Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
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Images
Classifications
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- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4059—Humeral shafts
-
- 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
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
-
- 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
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4018—Heads or epiphyseal parts of humerus
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4018—Heads or epiphyseal parts of humerus
- A61F2002/4022—Heads or epiphyseal parts of humerus having a concave shape, e.g. hemispherical cups
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4037—Connections of heads to necks
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4051—Connections of heads directly to shafts
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4059—Humeral shafts
- A61F2002/407—Intermediate parts of shafts
- A61F2002/4074—Connections of proximal or metaphyseal parts to distal or diaphyseal parts
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
31 上腕骨頭部の切除された部分
32 空洞
33 穴
50 リバース肩人工器官の関節窩コンポーネント
100 カップ状ボディ
101〜106 側壁セグメント
110,111 タブ
120 第1の側壁セグメント
121 間隙
122 ロッキングフィン
130 第2の側壁セグメント
131 凹所
132 穴
140 間隙
150 ねじ山付き穴
160 スロット
170 回転方向
181 小さな全体の高さ
182 中間の全体の高さ
183 大きな全体の高さ
200 ロッキングアダプタ
201 ねじ用の穴
203 別のコンポーネントを保持するための手段
204 円錐形の輪郭
205 ロッキングリング
206 ねじ
210 ねじ用の穴
220 第2のロッキングアダプタ
221 ねじ用の穴
222 テーパしたシャンク
300 インバース人工器官の上腕骨コンポーネント
301 球面
320 球状のキャップ
321 円錐形の穴
400 ステム
401 係止セクション
402 ロッキングセクション
410 短いステム
460 キー
Claims (12)
- 上腕骨インプラントであって、ステム(400,410)と、カップ状ボディ(100)とを備え、前記ステムは、係止セクション(401)と、キーおよびスロット結合を形成するために前記カップ状ボディのスロット(160)に嵌入される少なくとも1つのキー(460)を備えるロッキングセクション(402)とを有しており、前記ステムに対する前記カップ状ボディの回転によって前記カップ状ボディを前記ステムにロックすることができ、
前記ステム(400)は、様々な距離における前記ステム(400)と前記カップ状ボディ(100)とのロッキングを可能にするために様々な距離の間隔を置いて配置された複数のキー(460)を有することを特徴とする、上腕骨インプラント。 - 前記カップ状ボディ(100)は、複数の可撓性の第1の側壁セグメント(120)を有し、隣接する前記側壁セグメントの間に間隙(140)を備え、前記第1の側壁セグメント(120)は、複数のロッキングフィン(122)を有する、請求項1記載の上腕骨インプラント。
- 前記カップ状ボディ(100)は、複数の可撓性の第2の側壁セグメント(130)を有し、該第2の側壁セグメント(130)は、複数の凹所(131)および穴(132)を有する、請求項2記載の上腕骨インプラント。
- 前記少なくとも1つの側壁セグメント(120,130)は、前記カップ状ボディから半径方向に延びる少なくとも1つのタブ(110,111)を有する、請求項3記載の上腕骨インプラント。
- 4つの前記第1の側壁セグメント(120)と、2つの前記第2の側壁セグメント(130)とが設けられている、請求項3または4記載の上腕骨インプラント。
- 前記インプラントはさらに、ロッキングアダプタ(200)を有し、該ロッキングアダプタは、該ロッキングアダプタ(200)を前記カップ状ボディ(100)に固定するための手段を有する、請求項1から5までのいずれか1項記載の上腕骨インプラント。
- 前記ロッキングアダプタ(200)は、前記側壁セグメント(120,130)を最終的な位置にロックするためのロッキングリング(205)を有する、請求項2または3を引用する請求項6記載の上腕骨インプラント。
- 前記ロッキングリング(205)は、前記側壁セグメント(101〜106)を押付力または引張力にかかわらずその位置にしっかりと保持するために、前記側壁セグメント(101〜106)の縁部を包囲している、請求項7記載の上腕骨インプラント。
- 前記ロッキングアダプタ(200)は、別のコンポーネントを取り付けるためのテーパしたシャンク(222)を有する、請求項6から8までのいずれか1項記載の上腕骨インプラント。
- 前記ロッキングアダプタ(200)は、インバース人工器官の上腕骨コンポーネント(300)を取り付けるための手段または球状のキャップを取り付けるための手段を有する、請求項6から9までのいずれか1項記載の上腕骨インプラント。
- 前記ロッキングアダプタ(200)は、円錐形の外側輪郭(204)を有し、該円錐形の外側輪郭(204)において、前記側壁セグメントは、前記カップ状ボディ(100)への前記ロッキングアダプタ(200)の挿入時に摺動することができ、これにより、骨に向かって外方へ押し付けられる、請求項6から10までのいずれか1項記載の上腕骨インプラント。
- 前記ステムは、短いステムである、請求項1から11までのいずれか1項記載の上腕骨インプラント。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13192983.8 | 2013-11-14 | ||
EP13192983.8A EP2873392B1 (en) | 2013-11-14 | 2013-11-14 | Shoulder implant with stem |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2015093202A JP2015093202A (ja) | 2015-05-18 |
JP6494250B2 true JP6494250B2 (ja) | 2019-04-03 |
Family
ID=49584639
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014230776A Active JP6494250B2 (ja) | 2013-11-14 | 2014-11-13 | ステムを備える肩インプラント |
Country Status (3)
Country | Link |
---|---|
US (1) | US9603712B2 (ja) |
EP (1) | EP2873392B1 (ja) |
JP (1) | JP6494250B2 (ja) |
Families Citing this family (45)
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US6520964B2 (en) | 2000-05-01 | 2003-02-18 | Std Manufacturing, Inc. | System and method for joint resurface repair |
US6610067B2 (en) | 2000-05-01 | 2003-08-26 | Arthrosurface, Incorporated | System and method for joint resurface repair |
US8388624B2 (en) | 2003-02-24 | 2013-03-05 | Arthrosurface Incorporated | Trochlear resurfacing system and method |
WO2006004885A2 (en) | 2004-06-28 | 2006-01-12 | Arthrosurface, Inc. | System for articular surface replacement |
WO2007109340A2 (en) | 2006-03-21 | 2007-09-27 | Axiom Orthopaedics, Inc. | Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction |
CA2686814A1 (en) | 2006-12-11 | 2008-06-19 | Arthrosurface Incorporated | Retrograde resection apparatus and method |
WO2010121250A1 (en) | 2009-04-17 | 2010-10-21 | Arthrosurface Incorporated | Glenoid resurfacing system and method |
BRPI1014961A2 (pt) | 2009-04-17 | 2016-04-26 | Arthrosurface Inc | "sistema e método para reparar um defeito em uma parte de uma superfície articular de um glenoídeo de paciente" |
WO2016154393A1 (en) | 2009-04-17 | 2016-09-29 | Arthrosurface Incorporated | Glenoid repair system and methods of use thereof |
EP2542165A4 (en) | 2010-03-05 | 2015-10-07 | Arthrosurface Inc | SYSTEM AND METHOD FOR TIBIAL RESURFACING |
USD685474S1 (en) | 2010-07-06 | 2013-07-02 | Tornier, Inc. | Prosthesis anchor |
US9066716B2 (en) | 2011-03-30 | 2015-06-30 | Arthrosurface Incorporated | Suture coil and suture sheath for tissue repair |
FR2978912A1 (fr) | 2011-08-10 | 2013-02-15 | Tornier Inc | Ancillaire d'extraction d'une prothese |
EP2604225A1 (en) | 2011-10-31 | 2013-06-19 | Tornier Orthopedics Ireland Ltd. | Modular reverse shoulder prosthesis |
WO2013096746A1 (en) | 2011-12-22 | 2013-06-27 | Arthrosurface Incorporated | System and method for bone fixation |
WO2014008126A1 (en) | 2012-07-03 | 2014-01-09 | Arthrosurface Incorporated | System and method for joint resurfacing and repair |
CN106943211B (zh) | 2012-10-29 | 2019-09-06 | 东尼尔矫形爱尔兰有限公司 | 用于反向肩植入物的系统 |
US9492200B2 (en) | 2013-04-16 | 2016-11-15 | Arthrosurface Incorporated | Suture system and method |
EP2873392B1 (en) * | 2013-11-14 | 2016-03-30 | Arthrex, Inc. | Shoulder implant with stem |
US10456264B2 (en) | 2014-01-24 | 2019-10-29 | Tornier, Inc. | Humeral implant anchor system |
US20230149177A1 (en) * | 2014-01-24 | 2023-05-18 | Howmedica Osteonics Corp. | Humeral implant anchor system |
US11607319B2 (en) | 2014-03-07 | 2023-03-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US10624748B2 (en) | 2014-03-07 | 2020-04-21 | Arthrosurface Incorporated | System and method for repairing articular surfaces |
US9861492B2 (en) | 2014-03-07 | 2018-01-09 | Arthrosurface Incorporated | Anchor for an implant assembly |
WO2016086119A1 (en) * | 2014-11-26 | 2016-06-02 | Smith & Nephew, Inc. | Variable angle blade augment |
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US9603712B2 (en) | 2017-03-28 |
US20150134066A1 (en) | 2015-05-14 |
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