Surgery – Instruments – Orthopedic instrumentation
Patent
1992-02-19
1996-05-28
Brown, Michael A.
Surgery
Instruments
Orthopedic instrumentation
606 87, 606 88, A61F 500, A61B 1758
Patent
active
055206930
ABSTRACT:
A femoral guide for precisely positioning a guide wire on a bone surface of the femur includes a body having a lumen for receiving a guide wire and a tongue protruding from the body for engaging an edge or reference point on the bone surface with the tongue being spaced a predetermined distance from a longitudinal axis of the lumen. The lumen includes an opening allowing a guide wire extending through the lumen to contact the bone surface at a location spaced from the edge substantially the predetermined distance with the tongue engaging the edge. A stylus on the body can be driven into the bone to secure and stabilize the femoral guide prior to driving the guide wire into the bone through the lumen. With the guide wire driven into the bone, a bone tunnel can be formed substantially concentrically or coaxially along the guide wire such that a longitudinal axis of the bone tunnel will be disposed from the edge substantially the predetermined distance. Methods of precisely forming bone tunnels include the steps of engaging an edge of a bone surface with a tongue of the femoral guide, inserting a guide wire through a lumen of the femoral guide, driving the guide wire into the bone through the lumen and forming a bone tunnel in the bone along the guide wire such that a longitudinal axis of the bone tunnel will be disposed from the edge engaged by the tongue a distance substantially equal to the distance that the tongue is disposed from a longitudinal axis of the lumen.
REFERENCES:
patent: 2242003 (1941-05-01), Lorenzo
patent: 2267925 (1941-12-01), Johnston
patent: 2301500 (1942-11-01), Anderson
patent: 2697433 (1954-12-01), Zehnder
patent: 4273117 (1981-06-01), Neuhauser
patent: 4381770 (1983-05-01), Neufeld
patent: 4383527 (1983-05-01), Asnis et al.
patent: 4450835 (1984-05-01), Asnis et al.
patent: 4535768 (1985-08-01), Hourahane et al.
patent: 4625717 (1986-12-01), Covitz
patent: 4667664 (1987-05-01), Taylor et al.
patent: 4686972 (1987-08-01), Kurland
patent: 4712542 (1987-12-01), Daniel et al.
patent: 4721116 (1988-01-01), Schintgen et al.
patent: 4738255 (1988-04-01), Goble
patent: 4739751 (1988-04-01), Sapega et al.
patent: 4773417 (1988-09-01), Moore et al.
patent: 4781182 (1988-11-01), Purnell et al.
patent: 4784126 (1988-11-01), Hourahane et al.
patent: 4787377 (1988-11-01), Laboreau
patent: 4823780 (1989-04-01), Odensten et al.
patent: 4883048 (1989-11-01), Purnell et al.
patent: 4901711 (1990-02-01), Goble et al.
patent: 4920958 (1990-05-01), Walt et al.
patent: 4927421 (1990-05-01), Goble et al.
patent: 4950270 (1990-08-01), Bowman et al.
patent: 4964861 (1990-10-01), Agee
patent: 4969895 (1990-11-01), McLeod et al.
patent: 5002545 (1991-03-01), Whiteside et al.
patent: 5057113 (1991-10-01), Mingozzi
patent: 5112335 (1992-05-01), Laboureau
patent: 5112337 (1992-05-01), Paulos et al.
patent: 5139520 (1992-08-01), Rosenberg
patent: 5147367 (1992-09-01), Ellis
patent: 5152763 (1992-10-01), Johnson
patent: 5152766 (1992-10-01), Kirkley
patent: 5154720 (1992-10-01), Trott et al.
patent: 5320115 (1994-06-01), Kenna
patent: 5320626 (1994-06-01), Schmieding
"A New Femoral Drill Guide for Athroscopically Assisted Anterior Cruciate Ligament Replacement", Howard J. Marans, et al., Arthroscopy: The Journal of Arthroscopic and Related Surgery, 8(2): 234-238, 1992.
McGinty; Arthroscopic Surgery Update, 1985, Techniques in Orthopaedics, vol. 5, pp. 72-77.
Arthroscopic Technique for Anterior Cruciate Reconstruction, by Acufex Microsurgical, Inc. 1988.
Technique for Rear Entry ACL Guide, by Acufex Microsurgical, Inc. 1988.
Lambert, K. ; Vascularized Patellar Tendon Graft with Rigid Internal Fixation for Anterior Cruciate Ligament Insufficiency, Jul. 1982, pp. 85-89.
Kariya and Kurosawa; "Arthroscopically Aided Anterior Cruciate Ligament Reconstruction Using a New Drill Wire Guide", 1989, The Journal of Arthroscopic and Related Surgery, vol. 5, No. 3, pp. 227-231.
Hanson and Frost; "A Simple Suture Passer for Use in Cruciate Ligament Repair in the Knee", 1977, Clinical Orthopaedics and Related Research, pp. 45-46.
Odensten and Gillquist; "A Modified Technique for Anterior Cruciate Ligament (ACL) Surgery Using a New Drill Guide for Isometric Positioning of the ACL", 1976, Clinical orthopaedics and Related Research, pp. 154-158.
Beyer; "A Unitunnel Technique for Athroscopic Anterior Cruciate Ligament Reconstruction", 1988, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute, vol. 48, No. 2, pp. 164-169.
Burnett and Fowler; "Reconstruction of the Anterior Cruciate Ligament: Historical Overview", Jan. 1985, Orthopedic Clinics of North America, vol. 16, No. 1, pp. 143-157.
Raunest; "Application of a New Positioning Device for Isometric Replacement in Anterior Cruciate Ligament Repair and Reconstruction", Feb. 1991, The Journal of Trauma, vol. 31, No. 2, pp. 223-229.
Matthews, Martin and Wolock; "Accurate Tunnel Placement Using Drill Guides in Knee Ligament Reconstruction", Dec. 1, 1989, Orthopaedic Review, vol. XIX, No. 9, pp. 822-824.
Bassi and Fioriti; "A New Guide in the Surgical Reconstruction of the Cruciate Ligaments", Jun. 1990, Italian Journal of Orthopaedics and Traumatology, pp. 215-219.
Penner, Darrell A., M.D. et al.; "An in vitro study of anterior cruciate ligament graft placement and isometry", The American Journal of Sports Medicine, vol. 16, No. 3, 1988.
Melhorn, J. Mark, M.D.; "The relationship of the femoral attachment site to the isometric tracking of the anterior cruciate ligament graft", The American Journal of Sports Medicine, vol. 15, No. 6, 1987.
Bylski-Austrow, D. I. et al.; "Anterior Cruciate Ligament Replacements: A Mechanical Study of Femoral Attachment Location, Flexion Angle at Tensioning, and Initial Tension", Journal of Orthopaedic Research, 8:522-531, 1990.
Hefzy, Mohamed S., Ph.D. et al.; "Factors affecting the region of most isometric femoral attachments Part II: The anterior cruciate ligament", The American Journal of Sports Medicine, vol. 17, No. 2, 1989.
Odensten, Magnus, M.D., Ph.D. et al.; "Functional Anatomy of the Anterior Cruciate Ligament and a Rationale for Reconstruction", Sports and Trauma Research Group, vol. 67-A, No. 2, Feb. 1985.
McGuire David A.
Paterson Roger
LandOfFree
Femoral guide and methods of precisely forming bone tunnels in c does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Femoral guide and methods of precisely forming bone tunnels in c, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Femoral guide and methods of precisely forming bone tunnels in c will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-783214