TL;DR: In this paper, an internal fastener is attached from within the interior of the bone to a bone fragment with a length of flexible, inelastic cord extending within the bone interior and attached to the fastener and passing outwardly through an opening in a second bone fragment.
Abstract: Methods and apparatuses for fixing a bone fragment or a bone prosthesis onto a bone. To affix a bone fragment to the bone, an internal fastener is attached from within the interior of the bone to a bone fragment with a length of flexible, inelastic cord extending within the bone interior and attached to the fastener and passing outwardly through an opening in a second bone fragment. The fastener and cord are so positioned as to draw respective fracture surfaces together to reduce the fracture when the cord is pulled outwardly of the opening in the second bone fragment. A second fastener desirably is attached to the bone opening, this fastener including an open bore to receive the cord and a lock to secure the cord to this fastener and maintain the cord under tension.
TL;DR: The final author version and the galley proof are versions of the publication after peer review and the final published version features the final layout of the paper including the volume, issue and page numbers.
Abstract: • A submitted manuscript is the author's version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website. • The final author version and the galley proof are versions of the publication after peer review. • The final published version features the final layout of the paper including the volume, issue and page numbers.
TL;DR: In this article, computer aided imaging techniques are applied to generate a data base representing the size and shape of the original bone in a three dimensional coordinate system. The implantable replica is fabricated using the data base and free-form manufacturing to sequentially solidify adjoining, cross-sectional intervals of a fluid material.
Abstract: Prosthetic bone implants are fabricated to approximately replicate a patient's original bone. Medical computer aided imaging techniques are applied to generate a data base representing the size and shape of the original bone in a three dimensional coordinate system. The implantable replica is fabricated using the data base and free form manufacturing to sequentially solidify adjoining, cross-sectional intervals of a fluid material. Appropriate fluid materials include ceramic particles which may be selectively bonded by sintering or bonding with a polymer, and a monomer which is polymerized at selected regions by an incident laser beam.
TL;DR: In this article, a bone model is generated from a scanned image of a bone, a prosthesis model is selected from a library of prosthesis models (304) and then a cavity model is formed based on the prosthesis and/or the bone model.
Abstract: The invention is methods, systems and apparatus for planning the position of a prosthesis in a long bone in orthopaedic surgical procedures. A bone model (302) is generated from a scanned image of a bone, a prosthesis model (312) is selected from a library of prosthesis models (304) and then a cavity model (310) is formed based on the prosthesis model and/or the bone model. The cavity model may then be positioned over the bone model, either interactively by the surgeon or automatically through an algorithm based on clinical parameters, to determine a reasonable location for implantation of a prostehsis within the bone. The cavity model allows the surgeon to optimize placement of the implant within the bone, and it provides important clinical information to the surgeon, such as areas in which press fits are provided, extension areas for possible subsidence, and access areas for allowing the surgeon to insert the implant into the cavity.
TL;DR: In this paper, a computer-aided method of replacing a bone prosthesis according to the present invention comprises the steps of: receiving as input image data of a bone; identifying bounding contours of material in the image data surrounding a first-bone prosthesis for removal; and generating system contours from the bounding- contours, the contours specifying a cavity to be cut in the bone to accommodate a second-bone reconstruction.
Abstract: Computer implemented systems and methods for removing bone cement or other material to replace a bone prosthesis is provided. A computer-aided method of replacing a bone prosthesis according to the present invention comprises the steps of: receiving as input image data of a bone; identifying bounding contours of material in the image data surrounding a first bone prosthesis for removal; and generating system contours from the bounding contours, the system contours specifying a cavity to be cut in the bone to accommodate a second bone prosthesis.