Surgical method for hip joint replacement

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Implantable prosthesis – Bone

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623 22, 36441313, A61F 236, A61F 234, A61F 232

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active

050079360

ABSTRACT:
Preoperative planning method for systematically performing a total hip replacement utilizing CT scan data to size acetabular and femoral components, orient the actabular cup, and equalize leg lengths. The method includes one or more of the steps of selecting acetabular cup size according to dimensions revealed by a certain acetabular CT slice, determining stem size of the femoral component according the scanned dimensions of the medullary canal, reaming the acetabulum and orienting the face of the acetabular cup placed therein according to a reference plane defined by three CT-defined reference points on the acetabulum, equalizing leg lengths by performing the femoral neck osteotomy according the preselected component dimensions and bone/cartilage removal. The invention envisions the use of CT and NMR devices to achieve bony contour definitions.

REFERENCES:
patent: 3874003 (1975-04-01), Moser et al.
patent: 4704686 (1987-11-01), Aldinger
William H. Harris, "Surgical Technique Harris/Galante Porous Hip Prosthesis", 1984, pp. 9, 16, 17.
Engh et al., "Biological Fixation of the Porocoat AML Hip", 1984, pp. 12, 14, 15.
Marketing brochure by Biomet Inc., "Cement-Free Total Hip Reconstruction", 1984, pp. 1, 5, 6, 7, 8, 9.
Leo A. Whiteside, "Whiteside Total Hip System Surgical Technique," Nov. 1985, pp. 3, 5, 6, 7.
Marketing brochure by Biomet Inc., "Bio-Groove Total Hip System Surgical Technique", 1986, pp. 1, 6.
Steven H. Fried, "Acetabular Cup Holder Surgical Technique," 1984, p. 2.
"The Role of Computerized Tomography Scan in Preoperative Evaluation of the Adult Dislocated Hip", Dr. David G. Mendes, Clinical Orthopaedics and Related Research, Nov.-Dec. 1981, vol. 161, pp. 198-202.
"A Prototype Femoral Stem Utilizing CAT and CAD/CAM", Dr. Richard P. Gilberty et al., Orthopaedic Review, vol. XII, No. 8, Aug. 1983, pp. 59-63.
"Possibilities of Geometric XRay Examination of Pelvis for Replacing Half of the Pelvic by an Artificial Pelvis", H. Gerngross et al., Orthopadie, 118 (1980), pp. 331-336.
"Computer-Aided Manufacture of Individual Endroprostheses", G. Aldinger et al., Archives of Orthopaedic and Traumatic Surgery, vol. 102, No. 1 (1983), pp. 31-35.
Richards Medical Company: SPECTRON.TM. System Conversion Femoral Endoprosthesis Product Brochure, Memphis, Tenn., 1983.

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