FR2726994A1 - Cage agrafe pour fracture de l'extremite superieure de l'humerus - Google Patents
Cage agrafe pour fracture de l'extremite superieure de l'humerus Download PDFInfo
- Publication number
- FR2726994A1 FR2726994A1 FR9413747A FR9413747A FR2726994A1 FR 2726994 A1 FR2726994 A1 FR 2726994A1 FR 9413747 A FR9413747 A FR 9413747A FR 9413747 A FR9413747 A FR 9413747A FR 2726994 A1 FR2726994 A1 FR 2726994A1
- Authority
- FR
- France
- Prior art keywords
- cage
- osteo
- humerus
- permeable
- metaphysis
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0017—Angular shapes
- A61F2230/0026—Angular shapes trapezoidal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0082—Three-dimensional shapes parallelepipedal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
Landscapes
- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Biomedical Technology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Cage de forme trapézoïdale (I) visant à être interposée dans les fractures séparant la tête humérale et la métaphyse. Cette cage grillagée est remplie de greffe osseuse. Sa face supérieure est munie de pointes d'agrafes (1) pour fixer la tête humérale. Sa face inférieure est munie d'un dispositif d'emboîtement (2) avec une pièce prothétique (II) placée préalablement dans la métaphyse humérale.
Description
CAGE AGRAFE POUR FRACTURE DE L'EXTREMITE SUPERIEURE DE L'HUMERUS
Certaines fractures complexes de l'extrémité supérieure de l'humérus désolidarisent la tête de l'humérus des éminences tubérositaires et du reste de l'humérus. Certaines de ces fractures, dites céphalo-tubérositaires, justifient un remplacement de la tête humérale par une prothèse articulaire tant le volume de la tête restante est réduit et voué à terme à la nécrose si elle est conservée. D'autres fractures au contraire ont encore une tête volumineuse et viable, mais à cause de l'impaction associée au moment du traumatisme, il y a une perte de substance osseuse entre les deux extrémités principales séparées.
Certaines fractures complexes de l'extrémité supérieure de l'humérus désolidarisent la tête de l'humérus des éminences tubérositaires et du reste de l'humérus. Certaines de ces fractures, dites céphalo-tubérositaires, justifient un remplacement de la tête humérale par une prothèse articulaire tant le volume de la tête restante est réduit et voué à terme à la nécrose si elle est conservée. D'autres fractures au contraire ont encore une tête volumineuse et viable, mais à cause de l'impaction associée au moment du traumatisme, il y a une perte de substance osseuse entre les deux extrémités principales séparées.
Le dispositif présenté ici (figure 1) vise à remplacer cette solution de continuité entre la tete humérale et l'extrémité proximale de la métaphyse afin de permettre une reconstitution osseuse et non un remplacement par prothèse.
Le dispositif de base est une cage trapézoïdale (figure 2) dont les parois sont ostéo-perméables tel un grillage en métal lui-même ostéo-conducteur. La cage sera remplie de fragments osseux spongieux, prélevés sur l'opéré lui-même ou provenant d'une banque d'os. La cage est de forme globalement trapézoïdale. Elle présente deux faces principales, de préférence arrondies, afin de disposer d'un large contact avec les tranches de section de la tête humérale en haut, et de la métaphyse en bas.
Sur la face supérieure (A), sont disposées deux, trois ou quatre pointes (1), type agrafes, qui seront plantées dans la surface osseuse de la tête humérale. La face inférieure (B) de la cage (I) est appliquée sur la face supérieure d'une pièce intermédiaire de prothèse (II) préalablement introduite et fixée dans le canal médullaire de la métaphyse de l'humérus. L'emboitement entre les deux pièces est assuré par tout dispositif, par exemple de type Cône Morse propre aux modèles de prothèse variés utilisés en chirurgie de l'épaule. Sur la figure 1, le schéma c'est le modèle Cône Morse qui a été choisi, dont la pièce mâle (2) est du côté de la cage, I'inverse est possible ou tout autre mode de liaison. L'intégralité de la cage est limitée par des parois ostéoperméables grillagées ou de toute autre forme, sauf du côté le plus haut adossé aux tubérosités après qu'elles aient été fixées par cerclage. A cet endroit, est ménagée une large fenêtre (3) pour permettre d'introduire dans la cage le maximum de greffe osseuse.
Claims (4)
1- Cage ostéo-perméable et ostéo-conductrice (I) de forme trapézoïdale visant à être interposée entre la téte humérale séparée par fracture de l'extrémité supérieure de la métaphyse humérale dans laquelle est placée la pièce intermédiaire (II) d'une prothèse d'épaule.
2- Cage selon la revendication 1 caractérisée en ce que cette cage présente à sa face supérieure (A) des pointes d'agrafes (1) destinées à être fichées dans la tête humérale.
3- Cage selon les revendications 1 et 2 caractérisée en ce que la face inférieure présente un dispositif d'emboitement (2) avec la pièce métallique (II) placée préalablement dans la métaphyse humérale.
4- Cage selon les revendications 1 à 3 caractérisée en ce que les parois de la cage sont entièrement ostéo-perméables grillagées, sauf sur son plus grand côté où est ménagée une large ouverture (3) destinée à introduire à l'intérieur une greffe osseuse ou tout autre substitut osseux.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9413747A FR2726994B1 (fr) | 1994-11-17 | 1994-11-17 | Cage agrafe pour fracture de l'extremite superieure de l'humerus |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9413747A FR2726994B1 (fr) | 1994-11-17 | 1994-11-17 | Cage agrafe pour fracture de l'extremite superieure de l'humerus |
Publications (2)
Publication Number | Publication Date |
---|---|
FR2726994A1 true FR2726994A1 (fr) | 1996-05-24 |
FR2726994B1 FR2726994B1 (fr) | 1997-04-11 |
Family
ID=9468869
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9413747A Expired - Fee Related FR2726994B1 (fr) | 1994-11-17 | 1994-11-17 | Cage agrafe pour fracture de l'extremite superieure de l'humerus |
Country Status (1)
Country | Link |
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FR (1) | FR2726994B1 (fr) |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1999037254A1 (fr) * | 1998-01-22 | 1999-07-29 | Sulzer Orthopedics, Ltd. | Prothese de tete d'humerus |
EP1088533A1 (fr) * | 1999-09-28 | 2001-04-04 | Sulzer Orthopedics Ltd. | Récipient du type corbeille pour implanter du tissue osseux |
WO2004100838A1 (fr) * | 2003-05-16 | 2004-11-25 | Jean-Maxwell Cyprien | Prothese d'epaule composite |
FR2871369A1 (fr) * | 2004-06-15 | 2005-12-16 | Tornier Sas | Composant glenoidien, jeu de tels composants et prothese d'epaule incorporant un tel composant glenoidien |
EP1607067A1 (fr) * | 2004-06-15 | 2005-12-21 | Tornier | Composant glénoïdien, jeu de tels composants et prothèse d'épaule incorporant un tel composant glénoïdien |
WO2007040917A2 (fr) * | 2005-10-03 | 2007-04-12 | Zimmer, Inc. | Composite de greffe de prothetique pour humerus proximal |
FR2909858A1 (fr) * | 2006-12-18 | 2008-06-20 | Sem Sa | Prothese d'articulation d'epaule comprenant une tige humerale, une tete humerale et une cale de liaison . |
FR2916961A1 (fr) * | 2007-06-20 | 2008-12-12 | Tornier Sas | Prothese totale d'epaule inversee |
WO2010146545A1 (fr) | 2009-06-18 | 2010-12-23 | Compagnie Financiere Et Medicale | Ensemble de reconstruction d'une articulation d'epaule fracturee |
NL2009592C2 (en) * | 2012-10-09 | 2014-04-14 | Cornelis Pieter Jan Visser | A medical device for the operative treatment of a proximal humerus fracture. |
US9089435B2 (en) | 2007-01-30 | 2015-07-28 | Tornier Sas | Intra-articular joint replacement |
US9408652B2 (en) | 2010-04-27 | 2016-08-09 | Tornier Sas | Intra-articular joint replacement and method |
US10251755B2 (en) | 2007-01-30 | 2019-04-09 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US10631993B2 (en) | 2010-10-22 | 2020-04-28 | Tornier, Inc. | Set of glenoid components for a shoulder prosthesis |
US10898336B2 (en) | 2006-03-21 | 2021-01-26 | Tornier, Inc. | Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction |
Families Citing this family (6)
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US7887544B2 (en) | 2003-03-10 | 2011-02-15 | Tornier Sas | Ancillary tool for positioning a glenoid implant |
EP1607069B1 (fr) | 2004-06-15 | 2009-12-23 | Tornier | Prothese totale d'epaule de type inverse |
US9433507B2 (en) | 2006-03-21 | 2016-09-06 | Tornier, Inc. | Non-spherical articulating surfaces in shoulder and hip replacement |
EP1996125B1 (fr) | 2006-03-21 | 2013-05-15 | Tornier, Inc. | Élément glénoïde à stabilité de fixation améliorée |
FR2899790B1 (fr) | 2006-04-13 | 2008-06-13 | Tornier Sas | Composant glenoidien pour prothese totale d'epaule, jeu de tels composants, et prothese totale d'epaule comprenant un tel composant |
FR2900045B1 (fr) | 2006-04-21 | 2009-01-16 | Tornier Sas | Prothese d'epaule ou de hanche |
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EP0307241A2 (fr) * | 1987-09-11 | 1989-03-15 | John W. Brantigan | Implant de prothèse chirurgical |
US4865604A (en) * | 1987-04-27 | 1989-09-12 | Chaim Rogozinski | Prosthetic bone joint |
FR2669528A1 (fr) * | 1990-11-23 | 1992-05-29 | Doursounian Levon | Implant destine a l'osteosynthese des fractures de l'extremite superieure de l'humerus. |
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US2537070A (en) * | 1948-12-27 | 1951-01-09 | Puy Mfg Company Inc De | Surgical appliance and method for fixation of bone fragments |
US4865604A (en) * | 1987-04-27 | 1989-09-12 | Chaim Rogozinski | Prosthetic bone joint |
EP0307241A2 (fr) * | 1987-09-11 | 1989-03-15 | John W. Brantigan | Implant de prothèse chirurgical |
FR2669528A1 (fr) * | 1990-11-23 | 1992-05-29 | Doursounian Levon | Implant destine a l'osteosynthese des fractures de l'extremite superieure de l'humerus. |
Cited By (30)
Publication number | Priority date | Publication date | Assignee | Title |
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US6406496B1 (en) | 1998-01-22 | 2002-06-18 | Sulzer Orthopedics Ltd. | Humerus head prosthesis |
WO1999037254A1 (fr) * | 1998-01-22 | 1999-07-29 | Sulzer Orthopedics, Ltd. | Prothese de tete d'humerus |
EP1088533A1 (fr) * | 1999-09-28 | 2001-04-04 | Sulzer Orthopedics Ltd. | Récipient du type corbeille pour implanter du tissue osseux |
US6447543B1 (en) | 1999-09-28 | 2002-09-10 | Sulzer Orthopedics Ltd. | Basket-like container for implanting bone tissue |
WO2004100838A1 (fr) * | 2003-05-16 | 2004-11-25 | Jean-Maxwell Cyprien | Prothese d'epaule composite |
US10610363B2 (en) | 2004-06-15 | 2020-04-07 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
FR2871369A1 (fr) * | 2004-06-15 | 2005-12-16 | Tornier Sas | Composant glenoidien, jeu de tels composants et prothese d'epaule incorporant un tel composant glenoidien |
EP1607067A1 (fr) * | 2004-06-15 | 2005-12-21 | Tornier | Composant glénoïdien, jeu de tels composants et prothèse d'épaule incorporant un tel composant glénoïdien |
US11523907B2 (en) | 2004-06-15 | 2022-12-13 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
WO2007040917A2 (fr) * | 2005-10-03 | 2007-04-12 | Zimmer, Inc. | Composite de greffe de prothetique pour humerus proximal |
WO2007040917A3 (fr) * | 2005-10-03 | 2007-08-23 | Zimmer Inc | Composite de greffe de prothetique pour humerus proximal |
US8617249B2 (en) | 2005-10-03 | 2013-12-31 | Zimmer, Inc. | Graft prosthetic composite for proximal humerus |
US10898336B2 (en) | 2006-03-21 | 2021-01-26 | Tornier, Inc. | Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction |
FR2909858A1 (fr) * | 2006-12-18 | 2008-06-20 | Sem Sa | Prothese d'articulation d'epaule comprenant une tige humerale, une tete humerale et une cale de liaison . |
US11185417B2 (en) | 2007-01-30 | 2021-11-30 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US9089435B2 (en) | 2007-01-30 | 2015-07-28 | Tornier Sas | Intra-articular joint replacement |
US10251755B2 (en) | 2007-01-30 | 2019-04-09 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US10413416B2 (en) | 2007-01-30 | 2019-09-17 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US11547572B2 (en) | 2007-01-30 | 2023-01-10 | Tornier Sas | Intra-articular joint replacement |
FR2916961A1 (fr) * | 2007-06-20 | 2008-12-12 | Tornier Sas | Prothese totale d'epaule inversee |
WO2010146545A1 (fr) | 2009-06-18 | 2010-12-23 | Compagnie Financiere Et Medicale | Ensemble de reconstruction d'une articulation d'epaule fracturee |
FR2946863A1 (fr) * | 2009-06-18 | 2010-12-24 | Cie Financiere Et Medicale | Ensemble de reconstruction d'une articulation de l'epaule fracturee. |
US9408652B2 (en) | 2010-04-27 | 2016-08-09 | Tornier Sas | Intra-articular joint replacement and method |
US11771568B2 (en) | 2010-04-27 | 2023-10-03 | Tornier Sas | Intra-articular joint replacement and method |
US10695195B2 (en) | 2010-04-27 | 2020-06-30 | Tornier Sas | Intra-articular joint replacement and method |
US10631993B2 (en) | 2010-10-22 | 2020-04-28 | Tornier, Inc. | Set of glenoid components for a shoulder prosthesis |
US11304815B2 (en) | 2010-10-22 | 2022-04-19 | Howmedica Osteonics Corp. | Set of glenoid components for a shoulder prosthesis |
US9615928B2 (en) | 2012-10-09 | 2017-04-11 | Implant Service B.V. | Medical device for reconstruction of a humerus for the operative treatment of a proximal humerus fracture |
NL2009592C2 (en) * | 2012-10-09 | 2014-04-14 | Cornelis Pieter Jan Visser | A medical device for the operative treatment of a proximal humerus fracture. |
WO2014058314A1 (fr) * | 2012-10-09 | 2014-04-17 | Visser Cornelis Pieter Jan | Dispositif médical pour la reconstruction d'un humérus pour le traitement chirurgical d'une fracture de l'humérus proximal |
Also Published As
Publication number | Publication date |
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FR2726994B1 (fr) | 1997-04-11 |
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