JP7013443B2 - 初期固定、骨折再建、および関節バイオメカニクスを改善可能なモジュール式付属品を備えたプラットフォームrtsa関節窩プロステーシス - Google Patents
初期固定、骨折再建、および関節バイオメカニクスを改善可能なモジュール式付属品を備えたプラットフォームrtsa関節窩プロステーシス Download PDFInfo
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Description
本願は、2016年8月1日に出願された「初期固定、骨折再建、および関節バイオメカニクスを改善可能なモジュール式付属品を備えたプラットフォームRTSA関節窩プロステーシス」と題する、共同所有の同時係属中の米国仮特許出願第62/369519号に関し、当該出願の利益を要求する国際(PCT)出願である。その内容は、その全体が参照により本明細書に全て組み入れられる。
本発明のある実施形態による重度の骨喪失および/または骨折の場合にてインプラント固定を改善するために追加の肩甲骨固定を供するためのモジュール式rTSA関節窩アタッチメント。
モジュール式骨補強部材は(均一または不均一、すなわちくさび形または円錐形等の)様々な形状、サイズ、および厚さで供される。
本発明のある実施形態に従い、重度の関節窩/肩甲骨の骨喪失の場合、特に関節窩欠損が包囲されていない/末梢にある場合における、関節窩骨移植片の使用および封じ込めを容易にするためのモジュール型rTSA関節窩アタッチメント。
本発明のある実施形態により、肩甲骨骨折、関節窩骨折、および/または肩峰骨折の場合に、肩甲骨骨を同時に再構築しながら、関節窩固定を達成するためのモジュール式rTSA関節窩アタッチメント。
本発明のある実施形態に従い、棘下筋と小円筋の作用線を変更して、これら筋緊張を改善し、又各筋肉の外部回転と外転モーメントの腕長さを増やすことで、改善されたrTSA関節バイオメカニクス、特に後方回旋腱板の効率の改善を供するモジュール式rTSA筋肉増強アタッチメントが供される。
Claims (15)
- キットであって、
プロステーシス、および
複数の付属品
を有して成り、
前記プロステーシスが、関節窩球体、ボディ部分および幹部分を含む関節窩プレート、ならびに複数の付属品固定ポイント
を含み、
前記関節窩球体は、第1サイド、第1サイドに対向する第2サイド、第1サイド上にある関節面、第2サイド上にある空洞部分、および第1サイドと第2サイドとの交点にて外縁を有し、
前記関節窩プレートの前記ボディ部分は、第1サイドおよび第2サイドを有し、ボディ部分の第1サイドが関節窩球体に面するように関節窩球体の空洞部分に動作可能に接続されており、関節窩プレートの前記幹部分は、ボディ部分の第2サイドから延在し、患者の関節窩に固定されるように構成され、
複数の付属品固定ポイントの各々が、留め機構を用いて付属品固定ポイントに固定された付属品を受容するように構成され、複数の付属品固定ポイントの各々が関節窩球体に又は関節窩プレートに位置付けられており、
複数の付属品固定ポイントが、(a)関節窩球体の第2サイドに位置付けられ、関節窩球体の第2サイドの外縁の周囲に配置され、(b)関節窩プレートのボディ部分に設けられ、関節窩プレートの幹部分の周囲に配置され、又は(c)これらの組合せであり、
複数の付属品の各々がプロステーシスの複数の付属品固定ポイントのうちの選択された1つに取り付けられるように構成され、
複数の付属品の少なくとも1つは第1端部および第2端部を有し、第1端部は留め機構を用いてプロステーシスの複数の付属品固定ポイントのうちの選択された1つに取り付けられるように構成され、第2端部は関節窩球体の外縁の外側の位置にて患者の骨に取り付けられるように構成されている、キット。 - 複数の付属品の少なくとも1つは、肩甲骨へのプロステーシスの固定を容易にするように構成されている、請求項1に記載のキット。
- 複数の付属品の少なくとも1つは、プロステーシスの複数の付属品固定ポイントのうちの選択された1つに取り付けられるように構成されている第1端部と、肩甲骨に取り付けられるように構成されている第2端部とを有する、請求項1に記載のキット。
- 複数の付属品の少なくとも1つの第2端部は、肩甲骨の前方部分、肩甲骨の後方部分、肩甲骨の肩峰、又は肩甲棘のうちの1つに取り付けられるように構成されている、請求項3に記載のキット。
- 複数の付属品の少なくとも1つの第1端部は、プロステーシスの複数の付属品固定ポイントのうちの選択された2つに取り付けられるように構成されている、請求項3に記載のキット。
- 複数の付属品の少なくとも1つは、肩甲骨の一部分の形状に対応する形状を有する、請求項1に記載のキット。
- 複数の付属品の少なくとも1つは骨移植片を含むように構成されている、請求項6に記載のキット。
- 複数の付属品の少なくとも1つは、肩甲骨の一部分の形状に対応する形状を有するかまたは曲げ可能となっているかの一方である、請求項1に記載のキット。
- 肩関節ラインを定位の方向に移すように、関節窩プレートと患者の関節窩との間に複数の付属品の少なくとも1つが位置付けられる、請求項1に記載のキット。
- 複数の付属品の少なくとも1つは筋肉補強部材を含む、請求項1に記載のキット。
- 筋肉補強部材は、棘下筋、小円筋、肩甲下筋、または棘上筋のうちの1つのモーメントアームを増やすために、作用線を移すように構成されている、請求項10に記載のキット。
- 固定ポイントの少なくともいくつかは、関節窩球体の第2サイドにある空洞部分の周りに配列されている、請求項1に記載のキット。
- 固定ポイントの少なくともいくつかは、関節窩プレートを介して関節窩プレートのボディ部分の第1サイドから関節窩プレートのボディ部分の第2サイドまで延在している、請求項1に記載のキット。
- 複数のスロットが、関節窩プレートのボディ部分の第2サイドにある固定ポイントへの付属品のアクセスを可能とするように、関節窩球体の第2サイドに形成され、外縁から空洞部分まで延在している、請求項13に記載のキット。
- 固定ポイントのいくつかは、関節窩球体の第2サイドにある空洞部分の周りに配列され、固定ポイントのいくつかは、関節窩プレートを介して関節窩プレートのボディ部分の第1サイドから関節窩プレートのボディ部分の第2サイドまで延在している、請求項1に記載のキット。
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US201662369519P | 2016-08-01 | 2016-08-01 | |
US62/369,519 | 2016-08-01 | ||
PCT/US2017/044846 WO2018026785A1 (en) | 2016-08-01 | 2017-08-01 | Platform rtsa glenoid prosthesis with modular attachments capable of improving initial fixation, fracture reconstructions, and joint biomechanics |
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JP2019523085A JP2019523085A (ja) | 2019-08-22 |
JP7013443B2 true JP7013443B2 (ja) | 2022-01-31 |
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JP2019505169A Active JP7013443B2 (ja) | 2016-08-01 | 2017-08-01 | 初期固定、骨折再建、および関節バイオメカニクスを改善可能なモジュール式付属品を備えたプラットフォームrtsa関節窩プロステーシス |
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EP (1) | EP3490466B1 (ja) |
JP (1) | JP7013443B2 (ja) |
KR (1) | KR102634074B1 (ja) |
CN (1) | CN110121301A (ja) |
AU (1) | AU2017305243B2 (ja) |
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KR102634074B1 (ko) * | 2016-08-01 | 2024-02-05 | 이그잭테크, 인코포레이티드 | 초기 고정, 골절 재건, 및 관절 생체역학을 개선할 수 있는 모듈형 부착물들을 갖는 플랫폼 rtsa 관절와 보철물 |
US20220192837A1 (en) * | 2019-03-27 | 2022-06-23 | Exactech, Inc. | Device for acromion replacement |
US11432935B2 (en) | 2020-04-01 | 2022-09-06 | Arthrex, Inc. | Orthopaedic implants including peripheral aperture arrangements |
WO2021202101A1 (en) | 2020-04-01 | 2021-10-07 | Arthrex, Inc. | Systems and methods of forming orthopaedic implants including printed augments |
US11737883B2 (en) | 2021-03-02 | 2023-08-29 | Arthrex, Inc. | Orthopaedic implants including breakaway fastener |
US11819415B2 (en) | 2021-04-02 | 2023-11-21 | Arthrex, Inc. | Orthopaedic implant systems including internal networks and methods of repair |
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- 2017-08-01 JP JP2019505169A patent/JP7013443B2/ja active Active
- 2017-08-01 AU AU2017305243A patent/AU2017305243B2/en active Active
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- 2017-08-01 WO PCT/US2017/044846 patent/WO2018026785A1/en unknown
- 2017-08-01 CN CN201780060675.7A patent/CN110121301A/zh active Pending
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Also Published As
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US20240074867A1 (en) | 2024-03-07 |
US11759326B2 (en) | 2023-09-19 |
WO2018026785A1 (en) | 2018-02-08 |
JP2019523085A (ja) | 2019-08-22 |
AU2017305243A1 (en) | 2018-02-28 |
CA3032645A1 (en) | 2018-02-08 |
US20190159907A1 (en) | 2019-05-30 |
KR20190038593A (ko) | 2019-04-08 |
AU2017305243B2 (en) | 2021-10-28 |
CN110121301A (zh) | 2019-08-13 |
EP3490466B1 (en) | 2024-04-24 |
KR102634074B1 (ko) | 2024-02-05 |
EP3490466A1 (en) | 2019-06-05 |
EP3490466A4 (en) | 2020-03-04 |
AU2017305243A2 (en) | 2019-02-14 |
BR112019002008A2 (pt) | 2019-05-07 |
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