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Zac's Upcoming Projects
08-17-2011, 02:34 AM (This post was last modified: 09-05-2011 11:40 PM by Kathryn.)
Post: #1
Zac's Upcoming Projects
The following is information on Zac's upcoming television and movie roles. Check back often for updates and new projects!
New Year's Eve
Role: Paul
Release Date: December 9th, 2011
Directed by: Garry Marshall
Also Starring: Ashton Kutcher, Robert De Niro, & Katherine Heigl
The lives of several couples and singles in New York intertwine over the course of New Year's Eve.
IMDb: http://www.imdb.com/title/tt1598822/
Official Site: newyearseve-movie.com
The Lorax
Status: In Production
Role: Ted
Release Date: March 12th, 2012
Directed by: Chris Renaud
Also Starring: Ed Helms, Danny DeVito, & Betty White
Zac will voice the character of Ted in this 3D animated adaptation of the beloved children's novel by Dr. Seuss. In The Lorax an environmentalist tries to save the forest from a greedy clothing manufacturer.
IMDb: http://www.imdb.com/title/tt1482459/
Official Site: N/A
The Lucky One
Status: Post-production
Role: Logan
Release Date: August 24th, 2012
Directed by: Scott Hicks
Also Starring: Taylor Schilling
In this film adaptation of the novel of the same name by Nicholas Sparks, a Marine returns to North Carolina after serving three tours in Iraq and searches for the unknown woman he believes was his good luck charm during the war.
IMDb: http://www.imdb.com/title/tt1327194/
Official Site: N/A
Untitled Seth Rogen/Zac Efron Project
Status: Pitch
Role: TBA
Release Date: 2013
Directed by: TBA
Also Starring: Seth Rogen
Zac is set to star in an upcoming untitled Universal Pictures comedy centered on a frat boy whose behavior affects a local neighbor's family life.
IMDb: http://www.imdb.com/title/tt2004420/
Official Site: N/A
Art of the Steal
Status: Treatment Outlined
Role: TBA
Release Date: 2013
Directed by: TBA
Also Starring: TBA
Art of the Steal is an upcoming crime-thriller centered on a master thief who by day is an upstanding citizen. More details to come!
IMDb: http://www.imdb.com/title/tt1690950/
Official Site: N/A
The Paperboy
Status: Filming
Role: Jack James
Release Date: 2012
Directed by: Lee Daniels
Also Starring: Matthew McConaughey, Sofia Vergara, & John Cusack
Based on the 1995 Pete Dexter novel, The Paperboy is a thriller which follows a Miami Times reporter as he returns to his Florida hometown to investigate the imprisonment of a death row inmate.
IMDb: http://www.imdb.com/title/tt1933662/
Official Site: N/A
Status: Filming
Role: Dean Whipple
Release Date: 2012
Directed by: Ramin Bahrani
Also Starring: Dennis Quaid, Kim Dickens, and Red West
A drama centered around a son battling his Iowa farmer father who wants him to give up race car driving and take over the family seed business.
IMDb: http://www.imdb.com/title/tt1937449/
Official Site: N/A
The Necessary Death of Charlie Countryman
Status: Pre-production
Role: TBA
Release Date: 2012
Directed by: Fredrik Bond
Also Starring: TBA
A guy falls for a woman who's claimed by a violent crime boss.
IMDb: http://www.imdb.com/title/tt1196948/
Official Site: N/A
Die in a Gunfight
Status: Being scripted
Role: Ben
Release Date: 2012
Directed by: Anthony Mandler
Also Starring: TBA
When young socialite rebel, Ben Gibbon, meets the beautiful, Mary Rathcart, it's electric. The two twenty-somethings prove to be more connected than they ever realized through litigation that may or may not prove the existence of the human soul. As both Ben and Mary attempt to reveal the truth about themselves to the other, a dark figure from Mary's past returns, and tests their young love to its limits.
IMDb: http://www.imdb.com/title/tt1697800/
Official Site: N/A
Einstein Theory
Status: Being Scripted
Role: TBA
Release Date: 2012
Directed by: TBA
Also Starring: TBA
Details to come on this upcoming Warner Bros. film based on time-travel.
IMDb: http://www.imdb.com/title/tt1637613/
Official Site: N/A
Status: Early stages of development
Role: Ben
Release Date: 2012
Directed by: TBA
Also Starring: TBA
Fire is based on a two-issue comic book spy thriller mini-series written by Brian Michael Bendis based on a college student named Ben Furst, a shy, quiet college student contacted by the government who want him to be part of an experiment in the art of human covert operations. Loosely based on events in the American intelligence community during the Reagan administration, Fire tells the unique and powerful story of a young man's journey through the complex world of international intelligence.
IMDb: http://www.imdb.com/title/tt1592870/
Official Site: http://www.circleofconfusion.com/production.html
Easy Money
Status: In Development
Role: TBA
Release Date: 2012
Directed by: TBA
Also Starring: TBA
Zac will star as a money launderer in and produce the upcoming remake of hit Swedish film Snabba Cash, (currently not officially retitled) which is a three-tiered story centered around drugs and organized crime, and focused on a young man who becomes a runner for a coke dealer.
IMDb: http://www.imdb.com/title/tt1639090/
Official Site: N/A
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Zac's Upcoming Projects - Kathryn - 08-17-2011 02:34 AM
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After 8years, I still struggle with Valentine's Day. See the posts I made below in 2010 and 2006. My husband and I tried to schedule a romantic dinner for this V-day, but I just feel sick to my stomach trying to plan it. Instead, I think my husband and I will take a care package over to the NICU on Valentine's Day for the Doctors, Nurses, Therapists, and other hospital staff. We'll include pictures of Seth who stayed with them for 5 ½ months and pictures of our youngest son who only had a 10 day stay in the NICU and is now a healthy and active 7 year old. For me, the grief of losing a child has gotten easier over the years until Valentine's Day approaches. Again, I am still confident that I made the best decision for my son Seth 8 years ago. He is always in my thoughts and heart, sometimes the memories bring happiness and sometimes an ache.
2010: I am always sad as we approach Valentine's Day. Six years ago my husband did something very uncharacteristic for him. He booked a surprise stay at a 5 star hotel for us for Feb 13th to celebrate Valentine's Day. He wanted to cheer me up. Instead of going to the hotel, we cancelled so we could take our son off the ventilator he had been on for 5 1/2 months. We got home from the hospital at about 11 p.m. the night before Valentine's Day and we just felt so empty. Six years later, life is easier. The pain stays in the background most of the time. But I still feel sad when I start to see all the hearts go up. People ask how we will celebrate the V day. Celebrate? I think not. We will go to Seth's grave.
Here is a memorial I wrote 4 years ago. There are not many posts on taking your child off of life support. I wanted others to know that I have been through it and still feel I made the very best decision I could for my son. I thought those who have been through this would relate.
2006: Two years ago, we made a decision. Not a decision to let Seth live or let Seth die. A Higher One than us made that decision. We were able to make the decision of how Seth's last moments would be. Would they be moments of panic, fear, surrounded by strangers in the middle of the night? Was he to suffer more and more pic lines, IVs, needles, blood draws, more being pinned down for 40 minutes every day so a respiratory tech could peal the tape from his face and administer more tape to hold the ventilator tube in place, higher ventilation settings that were shredding his lungs? No, we couldn't make the decision to save his life. We made the decision of how his last hours would be. The nurses gave him medications to keep him as comfortable as possible. We got our own room, Tim, Seth, and I. I held Seth in my arms as the doctor removed the ventilator tube. Seth opened his eyes and looked at me as if to say thank you. He had been trying to remove that tube for months, sometimes successfully. Those successful times had always been filled with panic for him and us. They were always followed by doctors and nurses running and the reinsertion of a tube, not a good experience for Seth. This time was different. This time it was peaceful. Seth opened his eyes, took about 5 breaths, then his breathing stopped and his eyes closed. I felt his spirit leave his body then, but his presence stayed with us. His heart continued to beat for 45 minutes. He fought to the very end, just as he had for the previous 5 1/2 months. For 5 months, my prayers had not been answered in the way that I had asked. Heavenly Father gave us those 5 1/2 months, but not a lifetime in this mortal existence. The last two weeks I had begun to ask for guidance. God answered those prayers. He gave me the wisdom, the strength, the courage, and the compassion to do the best thing I could do for my son. To end his suffering which no longer served any purpose and give him the most loving and peaceful passing he could have. I thank God that 2 years later I know that I did the right thing. I thank God that I had a husband that agreed and supported my decisions. I thank God for those 5 1/2 months of love, memories, photos, and videos. I thank God for Seth. I thank God for Seth's beautiful little brother who recently turned 1. I look forward to being reunited with Seth in the life to come.

subset: commoncrawl


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Behind The Scenes: Elle Varner – "I Don't Care' Music Video
Singer Elle Varner has recently called it a wrap on filming her music video for her latest single 'I Don't Care' off of her debut album 'Perfectly Imperfect,' and we've got the behind-the-scenes footage of Elle and crew on set in Brooklyn. The single dropped in mid-July, just before her album hit shelves back in August, and this is the first visual from the record.
Directed by Lenny Bass who has worked with other soulful favorites like Anthony Hamilton, Jill Scott, and Cee Lo Green, the sensual video portrays young couples who are extremely in love while battling different forms of discrimination. Elle's rocking all sorts of hot looks and bright colors as she gets extra close to her co-star. (Can you believe that top she's wearing in the picture below is hand-painted?!) Werk Elle!
Peep the behind-the-scenes footage and more photos from the set below:


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A system and method for installing a shoulder prosthesis. The method includes removing the original humeral head and shaping the proximal end of the humerus with one or more implements to prepare the humerus to receive the shoulder prosthesis.
1. A method of resecting a humeral-head in preparation for installing a shoulder prosthesis in a patient, comprising:
forming a bore in the medullary canal of the humerus with a reamer;
defining a desired resection-surface in the head of the humerus relative to the reamer positioned within the medullary canal;
maintaining the reamer inserted in the medullary canal; and
forming the desired resection-surface with one or more cutting instruments;
wherein the step of defining includes mounting a cutting guide on the reamer, the cutting guide being adapted to guide one or more of the cutting instruments to form the desired resection-surface, the cutting guide further being adapted to engage a shoulder on at least one of the cutting instruments to limit the cutting depth of the instrument; and
wherein the at least one cutting instrument includes a counter-bore receivable by the cutting guide.
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forming a bore in the medullary canal of the humerus with a reamer;
defining a desired resection-surface in the head of the humerus relative to the reamer positioned within the medullary canal;
maintaining the reamer inserted in the medullary canal;
forming a coarse resection of the humeral-head; and
forming the desired resection-surface with one or more cutting instruments, after the step of forming a coarse resection of the humeral-head.
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37. A method of resecting a humeral-head in preparation for installing a shoulder prosthesis in a patient, comprising:
forming a bore in the medullary canal of the humerus with a reamer;
defining a desired resection-surface in the head of the humerus relative to the reamer positioned within the medullary canal;
maintaining the reamer inserted in the medullary canal; and
forming the desired resection-surface with one or more cutting instruments;
wherein the step of forming the desired resection-surface includes cutting into the humeral-head along a direction generally perpendicular to the desired resection-surface.
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This application is a continuation-in-part of U.S. patent application Ser. No. 09/191,928, filed Nov. 13, 1998, which is a continuation-in-part of U.S. patent application Ser. No. 09/165,475, filed Oct. 2, 1998, and U.S. patent application Ser. No. 09/040,504, filed Mar. 17, 1998, issued as U.S. Pat. No. 5,961,555 on Oct. 5, 1999.
This invention relates generally to bone prostheses and more particularly to a system for facilitating installation of a shoulder prosthesis.
When a joint, such as the hip or shoulder, becomes impaired due to arthritis, disease or trauma, it is sometimes necessary to replace all or part of the joint with a prosthesis to restore function. For instance, hip replacement, where a prosthesis is provided to replace the femoral head and in some cases all or part of the acetabulum, has become a common procedure to treat femoral head fractures and arthritis in elderly patients. As a result of anatomical constraints and challenges in the shoulder, shoulder implants have historically been much less successful and less common than hip replacements. Recently, however, shoulder arthroplasty has emerged as an accepted treatment for severe arthritis and humeral head fractures.
As a consequence of the increasing acceptance of shoulder prostheses, many different devices have been developed to address various problems that have arisen and to offer additional benefits and features. In the simplest form, a shoulder prosthesis is formed as a single piece with a head to articulate with the glenoid cavity, and a stem to extend down the medullary canal of the humerus and support the head. While simple to construct, unitary implants do not offer any adjustability to accommodate the natural variations in size and geometry that occur among joints of different patients. To accommodate these variations, a large stock of devices must be manufactured and maintained to insure that an adequate match can be achieved during an operation. Stocking the large number of devices is a significant expense with one-piece designs, and in some cases a surgeon may not be provided with sufficient flexibility to achieve an ideal fit to the patient.
To avoid the expense of maintaining a large stock of single-piece prosthetics and to provide increased flexibility to surgeons, many shoulder implant makers have gone to a modular design that is assembled during the operation from two or three pieces. These pieces include a head to articulate with the glenoid and a stem structure on which the head is mounted and secured to the bone. In some cases, the stem includes a separate body portion disposed between the head and an intermedullary portion of the stem that extends down the medullary canal. By utilizing a modular design, a wide variety of devices can be assembled from only a few pieces, thus providing increased flexibility to accommodate anatomical variation and eliminating much of the cost associated with maintaining a large selection of one-piece devices.
Existing modular shoulder designs most commonly rely on a taper lock mechanism to secure the head to the rest of the implant. In at least some devices the portion of the taper lock on the head is offset to compensate for anatomical posterior offset of the humeral head. For instance, the taper lock portion on the head may be offset by 2-4 millimeters. By rotating the head, any offset between plus and minus the 2-4 millimeters can be achieved. Unfortunately, rotating an offset head can introduce a medial/lateral and/or superior/inferior offset at the same time the anterior/posterior positioning is adjusted. Furthermore, the offset between the center of the taper lock and the geometrical center of the head creates a torque which tends to rotate the head relative to the remainder of the implant, thereby increasing the chance of loosening of the head. As the offset increases, the resultant torque increases as well, making this a greater problem for larger offsets. Although such problems are incumbent in existing offset head designs, a posterior offset is generally desirable to better match the natural anatomy.
In addition to the specific drawbacks associated with various existing implant designs, there are a number of general problems inherent in shoulder replacements. In particular, it is generally difficult to establish the proper position and orientation for the implant in the humerus. One of the more important variables is the rotational position, or retroversion, of the head on the humerus. Anatomically, the average retroversion between a plane defined by the perimeter of the anatomical head and the axis of the flexed forearm is approximately 30-degrees. Unfortunately, with existing implants and techniques for their installation, it has been very difficult to reliably reproduce desired retroversion. Establishing correct retroversion is important because incorrect retroversion can lead to problems with subsequent dislocation.
In addition to the retroversion of the implant, it is necessary to establish the correct height of the implant on the humeral shaft. With existing designs, the surgeon slips the stem into the medullary canal and makes an educated guess at the proper height. Excess height may create too much tension in the deltoid, while inserting the implant too far down the humerus can result in deltoid lag. Similarly, the offset of the face of the head relative to the stem must be established correctly or excess or insufficient tension in the rotator cuff may be created. Unfortunately, with existing designs there is no way to evaluate implant height or head offset prior to final installation, after which correction is difficult.
When an implant is used as treatment for an arthritic shoulder joint, it is necessary to remove the existing humeral head and prepare the proximal end of the humeral shaft to receice the implant. It is important that the humeral preparation be accurate so that the position of the implant, which is determined in part by the configuration of the proximal end of the humerus, replicates the original anatomic position of the humeral head.
The present invention is a system and method for installing a shoulder prosthesis having a head and an elongate stem portion including a proximal end connected to the head, a distal section for insertion into a medullary canal of a humeral bone. The method includes removing the original humeral head and shaping the proximal end of the humerus with one or more implements to prepare the humerus to receive the shoulder prosthesis.
FIG. 1 is an exploded isometric view of a modular shoulder implant constructed according to the present invention.
FIG. 2 shows a modular shoulder implant kit constructed according to the present invention.
FIG. 3 is a cross-sectional view of a shaft of the implant of FIG. 1.
FIGS. 4-9 are various views of a body portion of the implant of FIG. 1.
FIGS. 10-13 are various views of a head portion of the implant of FIG. 1.
FIG. 14 is an isometric view of the backside of the head of FIGS. 10-13.
FIG. 15 is an isometric view of the head partially installed on the body.
FIG. 16 is a cross-sectional view of the implant along line 8—8 of FIG. 3.
FIG. 17 is a medial elevational view of the implant of FIG. 1.
FIG. 18 is an isometric view of a targeting/installation instrument according to the present invention.
FIG. 19 is a lateral elevational view of the targeting/installation instrument of FIG. 18.
FIG. 20 is an elevational view from above of the targeting installation instrument of FIG. 18.
FIG. 21 is an isometric view of the implant of FIG. 1 in an assembled configuration.
FIG. 22 is a side elevational view of an implant showing reference marks.
FIG. 23 is a side elevational view of a body constructed according to the present invention.
FIG. 24 is an elevational view of the rear surface of a head constructed according to the present invention.
FIG. 25 is an elevational view along line 25—25 in FIG. 23.
FIG. 26 is a side elevational view of a reamer disposed within the medullary canal.
FIG. 27 is an isometric view of the reamer of FIG. 26 and showing a cutting guide attached to the reamer and an alignment structure attached to the cutting guide.
FIG. 28 is a top plan view of the reamer of FIG. 27, showing alignment of the alignment structure with the patient's forearm.
FIG. 29 is a side elevational view of the reamer of FIG. 26 and showing a counter-bore cutting instrument and a counter-bore bushing installed in the cutting guide.
FIG. 30 is an isometric view of the counter-bore cutting instrument and counter-bore bushing of FIG. 29.
FIG. 31 is a side elevational view of the reamer of FIG. 26 and showing a chisel cutting instrument and a chisel bushing installed in the cutting guide. The chisel cutting instrument, chisel bushing, and a portion of the cutting guide are shown in cross-section.
FIG. 32 is an isometric view of the chisel cutting instrument and chisel bushing of FIG. 31.
A shoulder implant constructed according to the present invention is shown generally at 10 in FIG. 1. Implant 10 includes a head 12 and a stem 14. The stem preferably includes a distal shaft 16 and a body 18. The components making up implant 10 are preferably chosen from a kit 20 of interchangeable shafts, bodies and heads, as shown in FIG. 2. By selecting an appropriate shaft, body and head from kit 20, a surgeon is able to create an implant that is sized properly for almost any patient. It should be noted that positional references such as anterior/posterior, medial/lateral and proximal/distal used herein are made with reference to an implant as it would be positioned in a patient.
Shaft 16 is shown in greater detail in FIG. 3 and includes a proximal tapered end 30 extending distally to a shoulder 32 which tapers smoothly into a cylindrical medial region 34 with distal locking holes 36, 38. As can be seen in FIG. 2, the shaft can have a medial region of varying diameter and/or varying length. Generally speaking, the longer shafts are used where there is a mid-shaft fracture in addition to the proximal trauma. The varying diameter short shafts are used to accommodate size variations in the proximal end of the humerus. Either or both of holes 36, 38 may be elongated to allow for movement of the medial region over the locking screws. This is normally desirable when the implant is used to treat a combined mid-shaft fracture.
A rounded and tapered distal tip 40 is formed on the end of medial region 34. Shaft 16 preferably includes a central canulation 42 which can be used to guide the implant into the humerus with the aid of a guide wire. As best shown in FIG. 1, an alignment notch 44 is formed in shoulder 32 to aid in establishing the correct orientation of the body on the shaft, as will be described below. A threaded hole 46 is formed in tapered end 30 to receive a screw 50 which is used to draw the body firmly onto the tapered end. A wiring hole 48 is provided just distal of shoulder 32 to allow tension band wiring to be secured through the implant. In addition, when the implant is to be cemented in place, a K-wire can be driven through humerus and hole 48 to fix the position of the implant while the cement cures.
As indicated in FIG. 1, body 18 mounts to the top of shaft 16. Referring to FIGS. 4-9, body 18 has a distal end 54 with a cylindrical tapering socket 56 extending upwardly therefrom into the body. Socket 56 is sized to receive tapered end 30 of shaft 16 and taper-lock thereto to allow the body to be securely mounted to the shaft. A proximal bore 58 extends from the socket to the top of the body to the previously discussed screw to engage the top of the shaft to draw it into the socket. A small rib 60 is provided in the bore to engage against the head of the screw.
A small finger 62 projects down from the distal end of body 18 adjacent the socket to engage alignment notch 44 as the body is installed on the shaft. See FIGS. 1 and 17. This ensures the proper rotational positioning of the body on the shaft so that the various holes in the shaft are oriented correctly. Body 18 further includes a lateral rib 64 with three suture holes 66 which aid in securing the fracture fragments to the implant. Upper and lower medial suture holes 68, 70 are also provided in body 18 to offer additional options in securing the fragments. A medially-positioned, anteriorly-oriented threaded hole 72 is formed in body 18 to receive a screw for securing the head to the body. Hole 72 also serves as a mounting point for a targeting/installation instrument used with the implant. A recess 74 is located at the top of the hole and includes a keying notch 76 for orienting the targeting/installation instrument. See FIGS. 1 and 4. The recess allows the screw head to install substantially flush with the surface of the body to minimize the amount of bone removal required to insert the stem into the humerus.
Body 18 includes a medially-facing inclined mounting surface 80 at the proximal end onto which head 12 is mounted. Head 12 is secured to body 18 by coupling structure 82 which includes a fitting in the form of a pedestal or dovetail 84 located on mounting surface 80. As shown in FIGS. 6 and 8, dovetail 84 is tapered from anterior to posterior to establish a taperlock with the head, as will be described below. Because the dovetail is tapered, the body has a left or right orientation depending on which shoulder is to be replaced. Thus, as shown in FIG. 2, the kit will preferably include two or more bodies. Additional bodies, over and above one left and one right, may be provided to accommodate different stem diameters or head angles, etc.
Head 12, which is preferably formed as a unitary member, as opposed to being assembled from two or more components, includes a generally semi-spherical articulation surface 90 which is adapted to engage the glenoid cavity in the shoulder. See FIGS. 10-13. Because the glenoid cavity does not define a close fitting socket, such as found in the acetabulum in the hip joint, the articulation surface only needs to be sufficiently spherical to allow smooth articulation in the glenoid cavity.
As best shown in FIG. 14, articulation surface 90 is bounded by an articular margin 92 which defines an articular plane 94 generally normal to a head axis 96. In the preferred embodiment, where the head is substantially spherical, the head axis represents a central axis of rotational symmetry for the articulation surface and a center of curvature 98 lies on the head axis. See FIG. 11. As shown by the dotted lines in FIG. 13, the various heads are preferably formed with the same radius, but simply represent larger portions of a sphere. It is believed that this best reflects the actual anatomical characteristics.
In the most commonly occurring fracture pattern, the anatomic head fractures generally through the articular margin and plane. The articular plane defines generally the distal extent of head 12. This is important when it is necessary to remove the head as part of a revision procedure, because the present invention allows the head to be removed from an anterior direction without dislocation of the joint and the associated trauma. This is not the case with existing implant heads, which cannot be separated from the body for removal without first dislocating the joint. It is desirable, although not required, that the head not project substantially beyond the articular plane in the present invention so that it is possible to slide the head out of the joint in an anterior direction without disruption of the surrounding bone. Because the remainder of the humerus is distal to the articulation plane, the head may be slid out in that plane without disruption of the surrounding bone as long as the head does not project substantially beyond the articular plane. Thus, the coupling structure is adapted to allow the head to be installed on and removed from the stem without dislocating the shoulder after the implant has been installed in the shoulder.
Head 12 includes a mounting surface or backside 100 disposed opposite the articulation surface and separated from the articulation surface by the articular margin. Backside 100 includes a portion of coupling structure 82 in the form of a transverse track or undercut channel 102. Channel 102 is cut to match the cross-sectional shape and taper of dovetail 84 and includes an open end 104 and an inner end 106. A cylindrical recess 108 extends from the perimeter of the head past the inner end of the channel and to a stop 110. A groove 112 is formed in recess 108 near the edge of the head.
The channel is sized so that the head is guided onto the body and the dovetail taperlocks in the channel when the head is properly positioned. See FIG. 10. The taperlock connection is important because it rigidly secures the components and prevents them from fretting against each other and generating debris over time. The coupling structure of the present invention may also be described as a transversely acting taper lock, with a portion of the taper lock being disposed on the head and a portion disposed on the body. The taper lock of the present invention is transverse acting in that it does not rely on motion along the axis of the head to lock, contrary to existing designs. In fact, it can be seen that, when the head is engaged on the stem, the coupling structure mechanically interlocks the head against motion transverse to the articular plane. This is in contrast to existing designs, which simply rely on a frictional interconnection in the direction transverse to the articular plane.
A locking member in the form of a screw 114 is provided to draw the head firmly onto the body to properly seat the taperlock. In particular, after head 12 is initially positioned on the body, as shown in FIG. 15, it is slid generally into position and screw 114 is installed into hole 72 with the head of the screw fitting closely into cylindrical recess 108. See FIG. 16. As the screw is driven in, the head of the screw engages stop 110 to pull head 12 firmly onto body 18. Screw 114 also serves as a backup interlock to insure that the head does not become dislodged. It should be noted that the head of the screw will not seat completely against the body because some space must be left to accommodate machining tolerances in the coupling structure so that the taper lock may be drawn tight in all cases.
When it is necessary to remove the head, as in a revision, a tool 120 with a flange 122 secured near the tip of the tool is utilized. See FIG. 16. The tip of the tool is initially installed in the screw head from a slight angle away from the head and then the tool is rotated toward the head to engage the flange with taper breaking surface in the form of a groove 112 formed in recess 108. As the screw is backed out, the flange pulls against the head to dislodge the taperlock. Thus, the head can be removed with application of external force to the implant, as has been required with prior designs. This reduces the chance that the entire implant will be loosened when only the head needs to be removed.
Installation of the implant of the present invention is facilitated by a targeting/installation instrument, shown generally at 130 in FIG. 18. Instrument 130 includes a template member 132 to which are mounted a mounting bar 134, a height adjusting mechanism 136 and a retroversion guide 138. Mounting bar 134 serves to join template member 132 to implant 10. In particular, bar 134 is hollow and includes a tab 140 (not shown) at the free end. The bar receives a bolt 142 with a head 144 and a threaded end 146. To attach the instrument to the implant, the free end of the bar is placed in recess 74 and aligned so that tab 140 fits into keying notch 76. This establishes the correct alignment between the template and the implant. The threaded end of the bolt is then screwed into hole 72 to secure the instrument to the implant. The bar includes a flat 148 to allow the bar to reach body 18 without engaging head 12. In addition, it should be noted that the screw which secures the head to the body is not installed until after the instrument is removed.
Once the instrument is mounted to the implant, the stem is inserted into the shaft of the humerus. In the typical fracture pattern, the head and greater and lesser tubercles are separated from the remainder of the humerus, leaving a pipe-like upper shaft. As a result, there is no remaining reference for the correct height of the implant head relative to the top of the humeral shaft. It is important to position the head at the correct height relative to the humeral shaft to avoid excess tension on the deltoid muscle by having the head too high or deltoid lag where the head is too low and the deltoid must undergo some contraction prior to starting to move the arm.
The height adjusting mechanism allows the surgeon to temporarily set the height of the head and then evaluate the deltoid tension. In particular, as shown in FIGS. 18 and 19, height adjusting mechanism 136 includes a guide bar 150 which is moveably mounted to a carriage 152, which is driven up and down along a threaded rod 154. With the implant in a humeral shaft 156, the guide bar is positioned to sit on top 158 of the humeral shaft. The surgeon can then adjust the implant up or down by tuning the threaded rod. The guide bar establishes a predetermined height, which can be maintained while retroversion is set and even if the implant is removed and reinserted, as when bone cement is used.
After establishing the correct height the surgeon can use the retroversion guide to set correct retroversion, as shown in FIG. 20. The retroversion guide includes an L-shaped rod 160 with a lower sighting arm 162. Rod 160 is pivotally and slidably mounted to template 132 to allow the height and angular orientation of the sighting arm to be adjusted. A set screw 164 allows the position of the rod to be fixed once it is in the desired orientation. In use, the sighting arm is set for a predetermined retroversion angle relative to the head axis, for instance 30-degrees. This can be accomplished before attachment to the implant using a protractor jig (not shown). With the sighting arm set to the correct orientation, the patient's forearm is flexed to approximately 90-degrees to the humerus. The surgeon then rotates the implant to align the sight arm with the axis of the forearm, thereby easily and accurately establishing the desired retroversion.
Once the correct height and retroversion is established, a cannulated drill guide 170 is inserted through guide holes 172 provided in the distal end of the template member. See FIG. 18. Guide holes 172 are oriented to target locking holes 36 in the end of the stem. A drill 174 is inserted though the drill guide to bore through the bone over the locking holes. One or two screws are installed through the humerus and locking holes to secure the implant in place.
As shown by the dotted lines in FIG. 19, it is possible to attach the greater tubercle 159 to the implant prior to final securing of the head. This allows the surgeon to evaluate the tension in the rotator cuff and make corrections, if necessary, by moving to a smaller or larger head. One other feature of the present invention is the provision of suture supports 180, shown in FIG. 21, which serve to distribute the force of the suture over the bone. Particularly in trauma cases, the bone is very soft and without supports 180, the sutures will sometimes pull through the bone. By utilizing the supports, the surgeon can obtain the desired suture tension without risk of the suture pulling through the surface of the bone.
It should be noted that the targeting/installation instrument is provided in left and right versions, although it would also be possible to make mounting bar 134 reversible or symmetric to accommodate left and right bodies. In addition, a longer template member would be used with the longer shafts used to treat mid-shaft fractures.
Installation and alignment of the implant can also be facilitated by placing indications or reference marks on the implant as shown at 200 in FIG. 22. Reference marks 200 are placed in an alignment section 202 of the stem, generally in the area of the stem which will lie adjacent the top of the humeral shaft when installed. Preferably, the reference marks include one or more angular marks such as angular indication 204 and multiple vertically-spaced gradations 206, allowing both height and angular orientation to be monitored. A plurality of indicia such as letters 208 are applied to the vertically-spaced gradations marks at intervals to make identifying a particular gradation easier. The marks can be laser marked on the surface of the implant, etched into the implant or applied via any other standard marking process. It should be noted that the marks and indicia would normally be viewed from the anterior direction and are therefore preferably placed on that side. In the case of implants that can be placed on either the left or right side, the marks and indicia would preferably be formed on both sides of the implant so that they were visible in either case.
In use, the surgeon first installs one or more trial prostheses to obtain proper fit and positioning in the fashion described above. The trial prostheses are typically identical to the actual prosthesis, but are assembled from a kit of components that are reused from operation to operation. The trial prostheses are equipped with reference marks at the same locations as the actual prosthesis. Once the correct fit and positioning are established, the surgeon notes which gradation is positioned adjacent to the top of the humeral shaft. The surgeon then marks the bone with a methylene blue dye marker at the top of the shaft in line with the angular indication. The surgeon can then take the actual implant and place it in the bone and replicate the trial position, which includes an angular orientation and a depth component, by aligning the previously-noted marks on the actual implant with the previously-determined location on the bone.
It should be understood that the alignment marks could be implemented on a modular or unitary implant and could be used alone or in conjunction with the above-described targeting instrument. Moreover, such marks are beneficial, even when used without a trial device, to verify that an implant has not moved after the desired position has been established.
Another embodiment of a body for use with a shoulder implant according to the present invention is shown at 218 in FIG. 23. Body 218 is similar in construction to body 18, but includes a tapered stud 222 formed on an upper mounting surface 280. A head 212 is adapted to be mounted to body 218 by mounting on stud 222. More specifically, the head includes a tapered bore 226 which fits over stud 222 and is sized to form a taper lock therewith, thus securing the head to the body. See FIG. 24. A collar 224 forms the lower boundary of mounting surface 280. The collar serves to prevent the body from subsiding down into the humerus and creating an outward pressure on the head tending to loosen the taper lock.
As best seen in FIG. 25, the axis of the tapered stud is offset from an anterior/posterior plane 228 of the body and stem. In the disclosed embodiment, the offset, indicated at 229, is approximately two millimeters in the posterior direction, as implanted. Generally, suitable offset could be between approximately 1 and 5 millimeters. As a result of the offset, the bodies are provided in left and right versions which are mirror images of each other.
In the disclosed embodiment, the tapered bore is positioned approximately 1 millimeter offset from the center of the head as depicted at 227 in FIG. 24. This offset allows the surgeon to rotate the head to achieve any desired offset between 1 and 3 millimeters. By offsetting the tapered stud from the anterior/posterior plane, the surgeon is able to achieve a range of posterior offsets without introducing excessive superior/inferior offsets. Although the head is shown with an offset, it is possible that the head might not have any offset, thus eliminating any superior/inferior offset. One of the benefits of eliminating head offset is that it is possible to introduce the desired anterior/posterior offset via the body without introducing other perturbations into the positioning of the head. It is generally desirable to keep the head offset to a minimum to reduce the torque created by the offset.
In addition to providing the body in left and right versions, it may be desirable to provide multiple left and right bodies with various offsets. Because heads are substantially more costly to produce than bodies, providing multiple bodies offers a more economical approach to achieving a wide variety of anatomical offsets. The body can be manufactured by machining from bar stock or may be cast. Another benefit of providing side-specific bodies is that the size of the body can be kept to a minimum in comparison to adjustable bodies. Minimizing the size of the body reduces the amount of bone that must be removed to install the implant.
It should be noted that the anterior/posterior offset described in the context of a cylindrical taper lock could also be implemented on the dovetail taper lock previously described by simply offsetting the taper lock in the head or on the body or both.
When one of the implants describe above is used as treatment for arthritis rather than fracture repair, it is necessary to resect the humeral head. It is important that the resection process leaves a surface at the top of the humeral shaft with a correct retroversion, inclination and height because the resection-surface supports and orients the prosthesis. The first step in this process according to a preferred embodiment of the present system is to make a coarse resection of the head. The coarse resection can be accomplished with a saw, osteotome or other tool.
Once the initial, coarse resection is complete, a reamer, such as shown at 300 in FIG. 26, is used to form a bore down the medullary canal of the humerus. Typically, one or more reamers of increasing size are used until the desired fit is obtained. The final size will depend on the size of the patient and the anatomy of the humerus. The final size should result in a relatively snug fit of the reamer in the medullary canal, which will translate to a correspondingly good fit of a distal portion of a stem with a size matching the reamer.
Reamer 300 includes a distal fluted section 302 and a proximal ratchet drive handle 304. A clearance notch 306 is located just below a depth line 308 or other suitable reference indicia. The reamer is driven in until the depth line is aligned with the top of the greater tuberosity. This depth is chosen to locate the head of the implant at the correct height in the subsequent steps. When the final reamer is driven so that the depth line is aligned with the top of the tuberosity, it is relatively stable and is used as a reference for the remaining steps. Use of a single reference structure for several or all of the preparation steps increases the accuracy and ease of preparing the humerus. It will be appreciated that while the resection method described herein includes using the reamer as a reference structure, it is within the scope of the invention to remove the reamer from the medullary canal after the bore is formed and install any suitable device as the reference structure.
A cutting guide 310 is attached to reamer 300 at a neck 312. See FIG. 27. The cutting guide is the same thickness as the length of the neck and includes a notch 314 that fits over the neck. A screw 316 is tightened to secure the cutting guide on the reamer. The cutting guide includes a guide platform 318 with a central opening 320. The platform replicates the angle of the head of the implant. The central opening projects along a direction generally perpendicular to the desired resection-surface, down to the position of the head on the humerus.
The cutting guide includes mounting holes 322 on each side (see FIGS. 29 and 31) for mounting a retroversion alignment structure 324. In particular, alignment structure 324 includes a bracket 326 disposed at one end with a screw 327 that fits into one of holes 322. The bracket holds the sighting arm with a predetermined orientation to the cutting guide. An indexed pivot coupling 328 connects a distal sighting arm 330 to the remainder of the cutting guide.
The indexed pivot coupling allows the sighting arm to be rotated incrementally, in intervals of ten degrees for instance. The pivot is marked so that the surgeon can select the desired retroversion angle indicated by the alignment structure, i.e. 30-degrees, and then rotate the cutting guide until the sighting arm is aligned with the forearm. See FIG. 28. As with the sighting arm used on the previously described positioning jig, the location of the sighting arm near the forearm rather that near the shoulder, although not required, allows the retroversion angle to be set more accurately and reliably. The reamer can be rotated with the cutting guide to achieve the correct retroversion.
Once the retroversion is set, the cutting guide defines the height, inclination angle and retroversion angle of the resection-surface by guiding one or more cutting instruments used to form the resection-surface. Since cutting guide 310 is attached to the reamer, the resection-surface is defined relative to the medullary canal, thus providing a customized fit to the humerus. It should be noted that cutting guide 310 defines the resection-surface and guides the cutting instruments without requiring attachment to the humeral head. Thus, cutting guide 310 provides a simplified resection procedure over cutting guides which must be attached (e.g., by screws, etc.) to the humeral-head, and then removed after the head has been resected.
Exemplary cutting instruments are illustrated in FIGS. 29-32. Focusing first on FIGS. 29-30, a counter-bore bushing 336 is installed in the cutting guide. A counter-bore cutter 338 fits closely through the bushing and is aimed at the proper location on the humerus to counterbore a recess adapted to receive the prosthesis collar and/or the back side of the head. The cutter includes cutting edges 340 at the front end that remove bone in a flat circular area. The cutter is twisted to remove bone along a direction generally perpendicular to the resection-surface, until a shoulder 342 at the rear end of the cutter reaches the cutting guide. By this operation, a flat platform at the correct height, retroversion and inclination is created. It should be noted that notch 306 allows the cutter reach the full depth without striking the reamer. If necessary or desired, the bone material around the periphery of the recess platform may be removed or reduced by any suitable means.
Once the platform is properly shaped, a chisel bushing 343 is installed in the cutting guide, as shown in FIGS. 31-32. The chisel bushing has a key 344 to insure that bushing is installed in the guide in the correct orientation. The bushing includes a central opening 346 that is shaped to receive a hollow rectangular chisel 348. The bushing guides the chisel into the humerus at the proper location to form a recess adapted to receive the medial portion of the body. As with counter-bore cutter 338, cutting guide 310 guides chisel 348 along a direction generally perpendicular to the desired resection-surface. A shoulder 350 prevents the chisel from cutting too deeply into the bone. Once the recess for the implant body has been formed, the reamer and cutting guide may be removed from the humerus.
The result of the above steps is that humerus will fit very closely around the shoulder implant, without significant vertical, lateral or rotational play. This close fit leads to a more secure connection of the implant in the humerus and better surgical results.
It is believed that the disclosure set forth above encompasses multiple distinct inventions with independent utility. While each of these inventions has been disclosed in its preferred form, the specific embodiments thereof as disclosed and illustrated herein are not to be considered in a limiting sense as numerous variations are possible. The subject matter of the inventions includes all novel and non-obvious combinations and subcombinations of the various elements, features, functions and/or properties disclosed herein. No single feature, function, element or property of the disclosed embodiments is essential to all of the disclosed inventions. Similarly, where the claims recite "a" or "a first" element or the equivalent thereof, such claims should be understood to include incorporation of one or more such elements, neither requiring nor excluding two or more such elements.
It is believed that the following claims particularly point out certain combinations and subcombinations that are directed to one of the disclosed inventions and are novel and non-obvious. Inventions embodied in other combinations and subcombinations of features, functions, elements and/or properties may be claimed through amendment of the present claims or presentation of new claims in this or a related application. Such amended or new claims, whether they are directed to a different invention or directed to the same invention, whether different, broader, narrower or equal in scope to the original claims, are also regarded as included within the subject matter of the inventions of the present disclosure.
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Hey Gameinformer,
How is everything? I have been good, I just picked up that new fangled Kindle Fire actually. I noticed that you are not available on the app store though. So my question is this, do you plan on making your digital service available on that format? Follow up question, is there a way I can download the PDF onto my tablet? SUB QUESTION- is it better to burn out or to fade away?
I hope you have a good Thanksgiving Gameinformer.
The Game Informer Digital issues are unreadable in my opinion on the Kindle Fire. please game Informer, take a cue from Wired and make your magazine a must have on the Kindle!
what do i gotta do to read it on my fire?
I canceled my print edition so in could take my magazine on the road with me. However, i did not realize how awful this would be on the kindle fire. It is unusable, unreadable and has taken the joy out of this fine magazine. I want to start my print edition again until this is fixed but dont know how to. Do i just contact GI and tell them to start sending my print edition again?
I agree. I have a digital subscription and I'd really like to read them on my Kindle Fire.
As would I.
But please GameInformer, make it a good quality magazine for the kindle Fire, use high res picture's so we can see all the wonderful detail in the magazine.
Everybody is talking about their kindle fires on here but the same goes for android powered tablets. I have an internet connection so I can actually read my digital subscription on mines but it is painfully readable. If you guys could bring the experience of the PC/desktop versions closer on android that would be great. I have my tablet for portability I ordered go in digital form for portability, I starting to feel like print would be a better portable option right now!
The Kindle Fire is an Android powered tablet, but the problem is the same. It would be nice to hear from a tech guy at GI though, maybe hear if they are planning on addressing the issue eventually, or if they are currently working on something.
No word on this? Too bad, I can't see keeping a subscription to any magazine that doesn't work well on my android tablet.
Another vote for Kindle Fire support here.
Kindle fire and gameinformer need to hook upper so I can read it on my kindle fire !
There is no longer any need to post about this as there is an android app for digital subscriptions. Unless your device is not running 3.0
There still isn't an app on the Amazon appstore so this is still a problem for us Kindle Fire users.
I wish I could read this magazine on my kindle fire! Without having to have wifi. I just don't understand why they can't make a app. Comon gameinformer. I might as well cancell it!
I also have a kindle fire and was really hoping to be able to read GI through the device as well. Another vote in favor for app.


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But more importantly, Happy September!
Knit Simple Knitting Workshops is composed of step by step directions for dozens of knitting techniques that can help you through any of your knitting binds. An extremely helpful resource to have around.
Super interested! Especially in that knitting beyond the edge book. I've taken a look at it and was very impressed!
Lovely! I'm particularly interested in the Knit Simple Knitting Workshop book...it seems like a great resource. I love your blog!
What a great give away! I would love to have Knitting Beyond the Edge. I've considered buying it several times. Thanks!
Yay! Count me in and I hope your delivery comes today. :)
Lovely giveaway--my first choice is probably "knitting beyond the edge", but either book would find a very good home here.
Both books seem so interesting - but especially the Beyond the Edge. I have been drooling quite a bit over it already :)
Either book would be lovely to win.
My first choice would be to win Knitting Beyond the Edge, but I don't have either so I wouldn't fuss if I won the other one instead! :) Thanks!
Happy September! Enjoy your favorite month of the year!!
Thanks for the opportunity to win! I would love to have either, but first choice would be Knitting Beyond the Edge.
Awesome! I would love either.
That Knit Simple Knitting Workshop book sounds so useful! I'd love to have a copy of that around here.
Love September, probably because of my birthday:-) Would be great to win. Very interested in Knitting beyond the edge!
Thanks for the giveaway. Cindy
Oh my! I would be so happy to own either of those books! What a lovely offer. And, yes, September is a wonderful month.
I'm in, for either one! Crossing fingers your yarn comes today!
I think September is one of my favorite months too! Enjoy each and every day!
Count me in!
I would owne to have a copy of either book. i have never won anything in my life. And this would be a great excitement. I promise to use it to the utmost.
please give me the chance to win.
Oh my goodness! I would LOVE Knitting Beyond the Edge!
sherralandmax AT yahoo DOT com
I would like the Knit Simple book, but either one would be good :)
Would love to win the Knit Simple Knitting Workshop--I need all the help I can get! :) Good luck on your delivery.
Oh, how fun! I would happy to receive either book.
Either one would be really exciting to have.
I'm so glad to see Nicky Epstein's book in paperback. Sign me up!
I have seen the first book, and liked it, but as a new knitter, I could definitely see a use for the second book too. Thanks for the opportunity to win.
I would love one of the Knit Simple books-
It is great that these reference books are now available in paperback...either would fit well on my knitting library shelf...and would definately be well used!!
And September is followed by the awesome month of October! Simple Knittting Workshop would be my pick!
Terrific giveaway! I'd particularly like the Knitting Beyond the Edge book, as I frequently check out the books in that series from my local library. The Knitting Workshop looks great, too - I'd be thrilled with either one!
Would LOVE to win either, but the Knit Simple looks especially enticing!
Oooh, Knit Simple Knitting Workshop would be an excellent resource to have! Fingers crossed!
Edges! I love me a great edging. Case in point: I've made Girasole, Rock Island and Bridgewater by Jared Flood, all of which have intensly long edgings. Thanks for the giveaway!
Thank you! Love the Knitting workshop...always trying to get "that one thing" better :)
When I was in PA, I always loved Sept too....
Hi Leslie! I'm still waiting for yarn, too! Dang!!! If it doesn't come by tomorrow, I'll have to wait 'til Tuesday (long weekend and all). That seems like ages to wait!! Thanks for the giveaway. The Knit Simple book would be my first choice, but either would be awesome for the collection. Hope you have a great Labor Day weekend!
I would love to know what color your chose for your Aidez? I am trying to decide between the Oats or Gris Marengo. Enjoy your weekend!
Great idea for a giveaway! I would love to win either of them!
I would be thrilled with either!
I would love a copy of Knitting Beyond The Edge. I have Nicky Epstein's other books, she is great!
September's a wonderful month! Not really summer, but not yet autumn.
Count me in for your give-away. I'm particularly interested in knitting beyond the edge, but either would be nice to have.
I enjoy reading your thoughts & seeing all your creations: yarn, baking & kids.
I'm always second guessing myself since my teacher-friend no longer lives nearby, so I'd love the knit simple book! Thanks!
I have never seen either of these, they look great!!
Would love either book!
Thank you for the chance to win either
I'm really interested in the Knitting Workshop, but either would be great to own! Thanks for the giveaway! I hope your yarn arrives today!
Both of the books sound really useful. Thanks for the giveaway!
I would love to have the Knitting Workshop because I do get in some knitting binds.
Ooh, how gorgeous! I'd love to win one of your fabulous giveaways.
Looks like some handy books to have around!
Ohhhhhh! Knitting beyond the Edge looks fantastic. I would give it a good home!
ohhh great books! I'd love to peruse Knitting beyond the edge.
Oh September is a great month after all the humidity of the summer. The knitting beyond the edge book sounds great! What a great giveaway!!!
I love "Knitting beyond the edge!!" Maire
September will be one of my favorite months if I win! Actually, october and NOvember will always be my favorites, hands down. I'm very interested in the Simple Knitting workshop book. Thanks again and have a great Labor Day weekend!
I love to knit and really enjoy your blog! Would love to win these books!
Thanks for the giveaway!
Oooh, I'd be thrilled to win either, but I think at my skill level the workshop book is a little more my speed. Happy September!!
Thank you for offering this give away! Both books would be a great addition, however
Beyond the Edge looks slightly more interesting.
Denise W
I would love Knitting Beyond the Edge, what a treasure. Please, please, please random number generator....pick me.
Yipee!! I'd love a copy! Count me in!!
Hi. I am a new reader. I found your site via SouleMama. I would love to win one of these books. Thanks. xxoo Julie
I like the look of the knitting workshop book! Count me in please.
I would LOVE Knitting Beyond the Edge. It looks beautiful :)
Interesting edging is just what is needed. Thanks for a great give away.
Love that knit simple projects. Looks like just what I need!
These look great. I would really like Knitting Beyond the Edge, if possible. Thank you.
Thank you for this generous contest! My preference would be Knitting Beyong the Edge. And well, not that I don't like September, but then it's October, etc. I think May, June, July and August are my favorite months!
Super giveaway! Happy long weekend!
I have neither and would be happy with either, but my choice would be knitting workshops. I enjoy your blog and thank you for the opportunity to win!
I have neither and fear that if I drool on Knitting Beyond the Edge one more time, the bookstore will make me buy it!
Either one would look great on my bookshelf when it wasn't being toted around and flipped through. :-)
Do you think Irene has waylaid your package?
thanks for the drawing! Although I would enjoy either book, I have a slight preference for the Knit Simple title because I think it would be helpful in teaching my church knitting group new techniques. Jo
So cool! Both of those are gorgeous books :)
What a nice give away! Either books would be wonderful. I enjoy your blog, your pictures are always so beautiful. :)
Oh, awesome! Knitting Beyond the Edge would be so helpful! Thanks!
Always love reading your blog...am interested in Knit Simple Knitting Workshop...Happy September...wonderful time of year!
I've been reading your blog for ages and I love the fact that you have all those wonderful books to give away! I've looked at the Knit Simple Knitting Workshop book but have just never broke down and bought it! Perhaps if I don't win one I'll just have to go buy it!!
This is a great giveaway! I'm interested in the Knitting Workshop book and I love reading your blog.
Thank you for a chance at the give away, both books look great. Enjoy your Sept. I enjoy your blog and check in often.
Would love to win. You always have such cool "stuff"!
Pick me! I just learned to knit this summer!
Knitting Beyond the Edge looks stunning! Count me in!
Just started following you and already a giveaway! Love your blog, and these are both such great books. Especially Knit Simple, since I run into a lot of little binds with my knitting as I try to learn knew techniques. Thanks!
Thanks for the chance to win! The Knitting Workshop book sounds great.
I would love to win the Knit Simple Knitting Workshop. I am a new knitter and I think it would be a great help in improving my knitting. Thanks for a great giveaway!!!
Lovely giveaway. While an 'old' knitter, I have decided to extend myself and see what new ideas are better than my old techniques
Praying to the random number generator Gods!
I love September too - fall is my very favorite season! I would love a copy of Knit Simple knitting workshops to accompany some cozy fall knitting:)
I too love September - I always buy myself a new notebook & pencil/pen - new beginnings. I have a copy of Knitting Beyond the Edge so would enjoy adding Knitting Workshop to my library.
Thank you for the great give-away. I'd be happy with either book.
First time on your blog and am really enjoying it. I'm thinking of getting back to knitting and would love either book.
Either of those books would be a welcome addition to my knitting library. =)
Count me in and thank you. Stibbles
Great giveaways...hoping to be lucky! Knitting beyond the Edge would be very nice.
Both books look great -- though Knit Simple Knitting Workshop looks like it might be perfect for me. Thanks, again, for the great giveaway!
What a fabulous give away! I would be very happy with either one. Thank you.
Liane :)
Either book would be great to have. Please count me in.
i would love a chance to receive either book. thanks for the opportunity.
what a great treasure! :D
Knitting Beyond the Edge! Very cool giveaway =). Thanks!
At first I wondered why anyone would want a book on edgings, but then I saw a few reviews for Knitting Beyond the Edge and was amazed at what it had to offer. My mind has been changed! Great giveaway... thanks!!!
I'd love the knitting beyond the edge book. Thanks for the great giveaway. Love your new header photo.
As always, love your photos! I am especially interested in Knitting Beyond the Edge book. Happy knitting.
Yay! Fingers and toes crossed here!
great books and hope your mail arrives soon....that is going to be a beautiful sweater!
Ohhhhh I would love to win either book. Both on my wish list. Thank you and enjoy September. My favourite month too.
Melanie x
ooooooooo, knitting beyond the edge looks fabbulous !!!!!
So Great!!
I've decided to take up knitting again after many years. I would be delighted to win either of those lovely books.
i would love love love to win a copy of either bt especially the Knit Simple Knitting Workshop. I need all the help I can get.
knitting beyond the edge looks fantastic!! what a great giveaway! thanks!
Hi Leslie: I love your blog and your style. Your finished pieces have inspired me and after a long hiatus from knitting I am back to knitting like a fiend again. I would be thrilled with either book! Chris M.
How exciting. Fingers crossed. Hope your delivery came in.
Isn't the suspense of waiting for delivery the absolute pits? The roller coaster of anticipation, then the disappointment. It drives me crazy, especially when I miscalculated and didn't have the foresight to order extra the first time and am waiting on a re-order to finish a wip.
Wonderful giveaway. Knitting Beyond the Edge is on my Amazon wishlist and am going there now to list Simple Knitting Workshop too. I can always take one off if I get lucky with the contest!
Thank you for the awesome opportunity! Hope you have a great weekend, too.
i would love either book!
Hope your delivery came.
Have a great weekend
I would love to win Knit Simple as I am new to knitting and could use a good resource
I read your blog regularly...and the books look great..
Thank you for the opportunity to win one of these books.
what awesome books......would love either:)
Both books look desirable, but think I would choose the Workshop one this time. I always need all the help I can get! Hope your delivery comes soon and that you have a fun holiday weekend!
What a nice giveaway. Either book would be wonderful. Such a bummer you're still waiting.. My lys stocks the Berroco which is sometimes "to" easy to find it's way into my knitting bag for another project;)It will be so worth the wait though for you.. Will you being going to Rhinebeck this year? If so is this going to be the sweater you will wear? Have a great weekend and Happy Knitting
Would love to win the Simple Knitting Workshop book! I think it would be a great resource. Thank-you for a chance!
LynnIL ravelry
Thanks for the giveaway. The Knitting Workshop would be my first choice. Happy September!
Ooh, shiny books.
Leslie, my favorite month is sept too!!!~the edge
Love your blog. Either book would be fab.
What a terrific giveaway. I so enjoy your blog. Either book would be appreciated but I guess I would choose Knitting Beyond the Edge. Thanks!
Great book giveaway. I would love either book. email@example.com
Awesome! I would love either book! So much fun!
Both books look great. Thanks!
Thank you so much for the giveawy. I love September as well. I just love the beginning of Fall. Be Blessed. Kellyd2420
The knit simple books looks like a great book to keep in my knitting bag. Thanks for the chance. Happy September.
oooh I would love one of those! It would be a great addition to a minuscule library. What great options!
ooh, both of these would be so helpful; my knitting library is really small so far!
Pick me! Pick me! Knit Simple Knitting Workshop would be my first pick but both look lovely.
I would be thrilled to win either one!!
I'm a newbie knitter who learned how almost completely through books, the internet, and dvd's; I would love to add either of these books to my collection...thanks so much for the opportunity!
Oh, yes! Would love a chance to expand my knitting library! Nicky Epstein's would be my first choice. So nice of you to give us each a chance at owning one. Thank you:)
I love September too. Well now that I'm a grown up - I hated it as a kid!
You always have such good give aways, GO You! I would love either book, I am not picky :-)
Very interested! Both books look amazing 8D.
Both of these books look great! Perhaps one could help me get out of my knitting rut :)
Yes, please. Either would be lovely!!!
Wow, both books look awesome! Great giveaway!
Thanks so much! I'd love to add either one to my knitting library!
oh wow, another fantastic giveaway!! if i was lucky enough to choose i'd probably pick knitting workshops, but i've flipped through knitting beyond the edge before and know it would be very happy in my home as well ;)
I just came across your blog after a meeting with some Bhutanese women living in Oakland that I am trying to help start a knitting business. They don't know much English and don't have jobs. They lived in refugee camps in Nepal for the past 20 years. But, they do know how to knit! So, looking for all kind of knitting supplies to help them. Anything would be great.
Hi Lesley, both are great books, I'd love to win the 'edge' book ;-) keeping my fingers crossed.
Super interested. My preference would be Knitting beyond the edge and either will be fine. Thank you for sharing.
I just did a bunch of book shopping last night. I didn't see either of these books but nabbed a lovely historical lace knitting book.
I would love one of these!
Your giveaways are the best. Enjoy your weekend!
Great give away, those books look really helpful!
This is a great gift!
Thanks for the giveaway
Thanks for the offers! I have looked at both books and would love to win one of them!
Please count me in. My favorite is Nicky Epstein :-)
happy knitting
Angelika from the most northern part of Germany
I love your giveaways... Either book would be a great addition to my library! Thank you ! Larisa
PS I love September too--but I think I love October more : )
I would be appy owning either one, so count me in. I love September as well, even though it always makes me sad knowing summer is over...
For a beginner knitter, the Knit Simple Knitting Workshops could be a handy resource. Please include me in the drawing. Thank-you! Chels
Thanks for the great giveaway! Either book would be fantastic!
I would love to have a copy of the Knitting Beyond the Edge book. Thanks for having these contests, altho I am not usually very lucky!
Hello friend, my favorite month is October, the leaves are always so beautiful here in western NY. I would love to add "Beyond the Edge" to my library, I love Nicki's books. Have a great week!
Thanks for the opportunity to win. Both books are on my wish list so I'd love to win either.
September is one of my favorite months too. Awesome books to giveaway!!
I'm interested in the Knitting Simple book. Thanks!
Oh! I would just love knit simple!
I would love either book-thanks so much for all of the give-aways you do!
Oooh! What a super give away! I would LOVE to have the Knitting Workshop book! Thanks for the chance :)
Thanks for the give away! I'd love to win either one :) I'm waiting for a delivery too...darn Labor Day!
Thank you for a chance at a book. I am interested in the knitting workshop book, probably could not handle the knitting beyond the edge book. I like the new sweater you are woking on, maybe when I grow up I can knit like you. Enjoy your long weekend.
I'd love the knitting workshops as I have the first one {which I love to look at BUT have never used, ack!}
Would love to own Simple Knitting Workshop book!n
What great books! I LOVE summer, but I am looking forward to the fall. I have some wool knitting that's been calling my name!
Dorothy on Rav
would love to have a copy og knitting beyond the edge..
Love that Knit Workshop book. Looks very interesting.
Pleeeeaaase, let me win one - this time :)
Knit Simple's Knitting Workshops looks right up my alley. Thanks for the chance to win it!
I'm another "fall" fan!
I'd love to have the Knit Simple Knitting Workshop book.
Have my fingers crossed that your yarn arrived :)
I love September too!! Awesome give away!
Great give away! I would love knitting beyond the edge.
Awesome :) I'd love Knitting Beyond the Edge, but the Knit Simple Knitting Workshop looks great too!
I love September too! Thanks for the giveaway!! I have no preference - as they both look like great additions to any knitting bookshelf.
The Knit Simple Knitting Workshop book looks like a great resource!! I can't wait to see what color your delivery is. I love that pattern!!
I love the fall. Can't wait for apple pies, leaves turning colors,warm Witches Brew (spiced wine),carmel apples, spice doughnuts, wearing warm handknits,tailgating,cider mills,etc!
Knitting Beyond the Edge is a book I've considered buying for some time now and I would love to give it a nice home!
ravelry name: fowlervillesdeb
Absolutely love your blog - you are amazing! Would love to win the Simple Knitting Workshop book.
Janice DeF.
Interested in the books also
Great blog! Would love the knitting workshop book!
Oh - both those books look yummy! I have wanted "knitting beyond the edge" for a while but never got around to buying it. Wouldn't it be a hoot if I won it instead. Thanks for having the giveaway!
Wonderful giveaway. Have a great weekend!
Wow what a great giveaway, I would love this book, it looks like a great reference book
I hope your yarn comes in because you are, as always, a joy to read. Lovely giveaway, and a nice way to start fall!
Love September too! Would love to win one of these beautiful books.
Thanks so much for the giveaway! Although either would be fun, I'd prefer the Knitting Beyond the Edge book.
They both sound like great books, it can be hard to find interesting edges and it is always handy to have techniques explained without having to turn on the computer and search for how tos
they both look great, but if choosing I would go for Knitting Beyond the Edge. Love the new header by the way. Finger's crossed!
Lovely books! And thank you! I would really like the workshop book (I have nickys edge book) I LOVE. September too!
I am very excited and have everything crossed. What a wonderful give-away. Although they both look fantastic I think my absolute big wish would be for Knitting Beyond the Edge. x
Great giveaway ... both books seems usefull ;)


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WeatherBug for Samsung Wi-Fi Smart Fridge
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GEVALIA Signature Blend Coffee
With a medium body, perfectly balanced, and wonderfully smooth, this Signature Blend was personally crafted by the Gevalia Master Coffee Taster. Expertly brewed with just a single tap of a button, its smooth character makes it perfect for any occasion, any time of day.
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Rated 3.9 out of 5 by 99 reviewers.
Rated 5 out of 5 by jude31 Good summer coffee Signature blend has the right blend for a smooth coffee. I like in the summer as it isn't as bold as the Dark House Blend July 14, 2015
Rated 5 out of 5 by CAI926 My favorite coffee. This is my favorite coffee and everyone that visits my home and has a cup of it remarks on how good it is. My brother even purchased a Tassimo because he loved my coffee so much. July 12, 2015
Rated 4 out of 5 by LADKA GEVALIA SIGNATURE BLENDS GEVALIA SIGNATURE BLEND HAS A SMOTH TASTE NOT BITTER AND A GOOD AROMA. June 17, 2015
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Rated 5 out of 5 by aaaaaaa Great Product, Too b ad I can buy it at my local store Great Coffee, but why isn't it a my local supermarket like Keurig??? Why are there never any discounts??? May 8, 2015
Rated 5 out of 5 by AnnB46 Best coffee ever! When I tasted this coffee for the first time I fully expected it to taste like every other coffee I've had in the past. What a wonderful surprise it was! What a truly a delicious brew. After this, I'm not sure I even want to try another one...! April 17, 2015
(3 Questions : 4 Answers)
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Florida, USA
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2 years, 3 months ago
Bucks County, PA
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Answer:Hello Bigi,
This package includes 16 Gevalia Signature Blend Coffee T DISCS.
2 years, 4 months ago
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Prairie Village, KS, USA
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Answer:The only nutritional information for Gevalia Signature Blend is it contains 85mg of caffeine.
3 years, 7 months ago
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The prior answer says 85mg per cup but this is also the answer to the gevalia espresso- doesn't a cup of espresso have more caffeine then a regular cup of coffee?
3 years, 1 month ago
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Answer:Tassimo coffees have 85mg of caffeine while espressos actually have 110 mg of caffeine in each serving..
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This Week on Wii Shop Channel – Video Feature
This week, we go on dates, grab our rocket pack, solve animal puzzles, and get tribal.
This week, we go on dates, grab our rocket pack, solve animal puzzles, and get tribal.
Nintendo Store Update: Digital storefront adds mustached Italian Nintendo 64 tennis game for nostalgic front, Frat Party Games sequel on WiiWare, as well as dating, puzzle games, and more on ...
The world's most famous plumber dusts off his overalls and gets ready to do battle in GameSpot's All-Time Greatest Game Hero competition.
Join us here as we pull on our overalls, lace up our work boots, and take a jog down memory lane for a look at some of Mario's greatest hits ...
The inevitable has finally happened. Pokémon Gold and Pokémon Silver have been supplanted in the top spot on the PC Data sales charts.
Mario Tennis takes over the number one spot in total video game software sales.
TOKYO - Nintendo's portable take on Mario Tennis is on display at Space World. Check out some new screenshots of the game in action.
Nintendo releases screenshots from the new Tennis game for the Game Boy Color.
We went out for tennis and brunch in the Mushroom Kingdom. Find out exactly how badly we got whipped by Bowser and his crew!
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