JP5457544B2 - 二重束acl修復 - Google Patents
二重束acl修復 Download PDFInfo
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- JP5457544B2 JP5457544B2 JP2012503661A JP2012503661A JP5457544B2 JP 5457544 B2 JP5457544 B2 JP 5457544B2 JP 2012503661 A JP2012503661 A JP 2012503661A JP 2012503661 A JP2012503661 A JP 2012503661A JP 5457544 B2 JP5457544 B2 JP 5457544B2
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Description
Claims (28)
- 長手軸に沿って前端部から後端部まで延在する本体と、
前記前端部の端から端まで横断して延在し、かつ、前記本体の第1の対の両側の側面に沿って前記軸に概して平行に延在する溝と、
前記本体の第2の対の両側の側面に沿って前記軸に概して平行に延在する一対の窪みであって、前記第2の対の両側の側面は前記第1の対の両側の側面の間に位置される、一対の窪みと
を有することを特徴とする前十字靭帯再建のためのインプラント。 - 前記本体は多孔質材料を有することを特徴とする請求項1に記載のインプラント。
- 前記本体は治療薬を有することを特徴とする請求項1に記載のインプラント。
- 前記本体を通る開口部をさらに有することを特徴とする請求項1に記載のインプラント。
- 前記本体が、第1の端部から第2の端部まで前記軸に沿って延在しかつくびれた中央区間によって分離される一対の拡大ローブを有する8の字形状の断面を有する孔に挿入されるとき、前記一対の窪みは一致して前記くびれた中央区間に係合されることを特徴とする請求項1に記載にインプラント。
- 複数のチャンバは、前記溝付きの第1の対の両側の側面と前記拡大ローブとの間に形成されることを特徴とする請求項5に記載のインプラント。
- 前記孔は骨内に形成され、それにより前記骨に対する元々の前十字靭帯の元々の連結領域の大部分が占有されると、各チャンバが、前記骨に対する前記前十字靭帯の機能的な束の元々の連結領域に一致するようになることを特徴とする請求項6に記載のインプラント。
- 前端部から後端部まで長手軸に沿って投影される断面を有する本体であって、前記本体の断面は、共通の中央部分を有しかつ背中合わせに形成される一対のオープンクレセント状の部分を有する、本体
を有する、前十字靭帯再建のためのインプラントであって、
前記本体の前記前端部が、第1の端部から第2の端部まで前記軸に沿って投影される断面を有する孔に挿入されるとき、前記孔の断面は、くびれた中央部分の両側に配置される2つの拡大部分を有する8の字形状を有し、前記本体が前記くびれた中央部分に一致して係合され、前記クレセント状の部分は前記拡大部分に向かって開いている
ことを特徴とするインプラント。 - 前記本体は多孔質材料を有することを特徴とする請求項8に記載のインプラント。
- 前記多孔質材料は多孔質のポリエーテルエーテルケトンを含むことを特徴とする請求項9に記載のインプラント。
- 前記本体は治療薬を有することを特徴とする請求項8に記載のインプラント。
- 前記共通の中央部分を通る開口部をさらに有することを特徴とする請求項8に記載のインプラント。
- 一対のチャンバは、前記クレセント様の部分と前記拡大部分との間に形成されることを特徴とする請求項8に記載のインプラント。
- 前記孔は骨内に形成され、それにより前記骨に対する元々の前十字靭帯の元々の連結領域の大部分が占有されると、各チャンバが、前記骨に対する前記前十字靭帯の束の元々の連結領域に一致するようになることを特徴とする請求項13に記載のインプラント。
- 軟組織移植片の第1の端部を関節の第1の骨に固定するための第1の装置であって、
前記移植片を複数の束に分離するための、および、前記第1のトンネルの第1の端部のところにおいて第1の骨トンネルの側壁に対して前記束を押し込むための、本体手段であって、前記第1のトンネルは前記第1の骨内に形成され、前記第1のトンネルの前記第1の端部は前記第1の骨の関節面に近接しており、前記第1のトンネルは、前記第1のトンネルの前記第1の端部から前記第1のトンネルの第2の端部まで長手軸に沿って投影される非円筒形断面を有し、前記第1のトンネルの前記第2の端部は前記第1の骨の前記関節面から離れている、本体手段と、
前記移植片の前記第1の端部を前記第1の骨に固定するための、前記本体手段から分離した固定手段と、
前記本体手段を前記固定手段に固定するための接続手段と
を有する、第1の装置
を有することを特徴とする前十字靭帯再建のためのシステム。 - 前記本体手段は多孔質材料を有することを特徴とする請求項15に記載のシステム。
- 前記軟組織移植片が2つの束を有し、前記トンネルの断面は幅および高さを有するように縦長であり、前記幅は前記高さより大きく、前記本体手段は、前記幅を横断する前記第1のトンネルの壁の両側の部分に対して前記束を押し付けることを特徴とする請求項15に記載のシステム。
- 前記断面は、前記第1の骨に対する元々の前十字靭帯の連結領域に類似し、前記第1のトンネルの前記第1の端部は前記連結領域の大部分と重なるように位置されることを特徴とする請求項15に記載のシステム。
- 前記固定手段は、前記第1のトンネルの前記第1の端部の反対側に位置する前記第1の骨の皮質部分に係合されることを特徴とする請求項15に記載のシステム。
- 前記移植片の第2の端部を前記関節の第2の骨に固定するための第2の装置であって、
前記束を分離するための、および、前記第2のトンネルの第1の端部のところにおいて第2の骨トンネルの側壁に対して前記束を押し込むための、第2の本体手段であって、前記第2のトンネルは前記第2の骨内に形成され、前記第2のトンネルの前記第1の端部は前記第2の骨の関節面に近接しており、前記第2のトンネルは、前記第2のトンネルの前記第1の端部から前記第2のトンネルの第2の端部まで長手軸に沿って投影される非円筒形断面を有し、前記第2のトンネルの前記第2の端部は前記第2の骨の前記関節面から離れている、第2の本体手段と、
前記移植片の前記第2の端部を前記第2の骨に固定するための、前記第2の本体手段から分離した第2の固定手段と、
前記第2の本体手段を前記第2の固定手段に固定するための第2の接続手段と
を有する、第2の装置
をさらに有することを特徴とする請求項15に記載のシステム。 - 前記移植片の前記第1の端部が前記第1の装置により前記第1の骨に固定され、前記移植片の前記第2の端部が前記第2の装置により前記第2の骨に固定されるとき、前記移植片は、元々の前十字靭帯の前内側束に類似する第1の束と、前記元々の前十字靭帯の後外側束に類似する第2の束とに分離されることを特徴とする請求項20に記載のシステム。
- 大腿骨内の非円筒形骨トンネルの第1の端部に挿入されるためのプラグを有する第1の固定装置であって、前記大腿骨トンネルの前記第1の端部は前記大腿骨の遠位関節顆と交差し、前記プラグが前記大腿骨トンネル内に動作可能に位置されている場合に離間した複数のチャンバが前記プラグと前記大腿骨トンネルの側壁との間に形成される、第1の固定装置と、
前記大腿骨トンネルの第2の端部に近接して移植するための第2の固定装置であって、前記第1の固定装置は前記第2の固定装置に接続され、前記第2の固定装置は前記第1の固定装置を前記大腿骨に固定する、第2の固定装置と
を有することを特徴とする前十字靭帯再建のためのシステム。 - 前記第1の固定装置は多孔質材料を有することを特徴とする請求項22に記載のシステム。
- 前記第1の固定装置は治療薬を有することを特徴とする請求項22に記載のシステム。
- 第1のチャンバおよび第2のチャンバが形成され、前記第1のチャンバは、前記大腿骨に対する元々の前十字靭帯の前内側束の連結領域の大部分に重なるように位置され、前記第2のチャンバは、前記大腿骨に対する前記元々の前十字靭帯の後外側束の連結領域の大部分に重なるように位置されることを特徴とする請求項22に記載のシステム。
- 前記第2の固定装置は、前記大腿骨トンネルの前記第1の端部の反対側に位置する前記骨の皮質部分に係合されることを特徴とする請求項22に記載のシステム。
- 脛骨内の非円筒形骨トンネルの第1の端部に挿入されるための第2のプラグを有する、第1の固定装置に類似する第3の固定装置であって、前記脛骨トンネルの前記第1の端部は前記脛骨の近位関節顆と交差し、前記第2のプラグが前記脛骨トンネル内に動作可能に位置されている場合に離間した複数のチャンバが前記第2のプラグと前記脛骨トンネルの側壁との間に形成される、第3の固定装置と、
前記脛骨トンネルの第2の端部に近接して移植するための、前記第2の固定装置に類似する第4の固定装置であって、前記第3の固定装置は前記第4の固定装置に接続され、前記第4の固定装置は前記第3の固定装置を前記脛骨に固定する、第4の固定装置と
をさらに有することを特徴とする請求項22に記載のシステム。 - 第3チャンバおよび第4のチャンバが、前記第2のプラグと前記脛骨トンネルの前記側壁との間に形成され、前記第3のチャンバは、前記脛骨に対する元々の前十字靭帯の前内側束の連結領域の大部分に重なるように位置され、前記第4のチャンバは、前記脛骨に対する前記元々の前十字靭帯の後外側束の連結領域の大部分に重なるように位置されることを特徴とする請求項27に記載のシステム。
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US8968402B2 (en) * | 2011-10-18 | 2015-03-03 | Arthrocare Corporation | ACL implants, instruments, and methods |
US9107745B2 (en) * | 2012-04-03 | 2015-08-18 | DePuy Synthes Products, Inc. | Graft anchor system and method |
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CN102481187A (zh) | 2012-05-30 |
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CA2896582A1 (en) | 2010-10-21 |
WO2010120520A2 (en) | 2010-10-21 |
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US9216079B2 (en) | 2015-12-22 |
US8617241B2 (en) | 2013-12-31 |
AU2010236836B2 (en) | 2015-06-18 |
US9549811B2 (en) | 2017-01-24 |
AU2015202720B2 (en) | 2015-08-13 |
AU2010236836A1 (en) | 2011-10-13 |
WO2010120520A3 (en) | 2011-03-10 |
CN102481187B (zh) | 2016-06-08 |
US20100249930A1 (en) | 2010-09-30 |
US20140031932A1 (en) | 2014-01-30 |
CA2757296A1 (en) | 2010-10-21 |
US20150374488A1 (en) | 2015-12-31 |
US20110137416A1 (en) | 2011-06-09 |
EP2413841A2 (en) | 2012-02-08 |
US8702796B2 (en) | 2014-04-22 |
CA2896582C (en) | 2016-02-02 |
JP2012522586A (ja) | 2012-09-27 |
AU2015202720A1 (en) | 2015-06-18 |
CA2757296C (en) | 2016-01-19 |
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