JPH11511347A - 関節補綴部材およびその製造方法 - Google Patents
関節補綴部材およびその製造方法Info
- Publication number
- JPH11511347A JPH11511347A JP9509910A JP50991097A JPH11511347A JP H11511347 A JPH11511347 A JP H11511347A JP 9509910 A JP9509910 A JP 9509910A JP 50991097 A JP50991097 A JP 50991097A JP H11511347 A JPH11511347 A JP H11511347A
- Authority
- JP
- Japan
- Prior art keywords
- prosthetic
- prosthesis
- joint
- fixing
- resection
- 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
Links
Classifications
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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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
-
- A—HUMAN NECESSITIES
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
- A61F2/3603—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3804—Joints for elbows or knees for elbows
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/389—Tibial components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1666—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the acetabulum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1684—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30749—Fixation appliances for connecting prostheses to the body
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30138—Convex polygonal shapes
- A61F2002/30158—Convex polygonal 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
- A61F2002/30205—Three-dimensional shapes conical
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
- A61F2002/30879—Ribs
- A61F2002/30883—Ribs dovetail-shaped
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30957—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using a positive or a negative model, e.g. moulds
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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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3804—Joints for elbows or knees for elbows
- A61F2002/3822—Humeral components
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4018—Heads or epiphyseal parts of humerus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
-
- 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
- A61F2230/0067—Three-dimensional shapes conical
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Physical Education & Sports Medicine (AREA)
- Manufacturing & Machinery (AREA)
- Physics & Mathematics (AREA)
- Geometry (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.関節の骨の一方の関節面にその外周の少なくとも一部分にわたる突出縁部 (22、98、R、R1)を有する適切な切除部を形成した後、その切除部に固 定する関節補綴部材であって、 上記補綴部材(10、12、50、92、200)は、 関節の他方の骨の補綴部材と協働し、解剖学的関節面とほぼ同一である接触面 (C、C’、66、202)と、 関節面の切除部に固定するための固定面と、 上記接触面と固定面を相互に連結し、骨の皮質部に対応する上記切除部の突出 縁部と少なくとも部分的に協働するように設計された周縁面(P、P’、38、 74、76、102)とにより形成され、 上記固定面には固定手段(32、34、36、60、106、A、208)が 付設され、 上記接触面と上記固定面の間の中央区域における固定方向の距離はほぼ一定で あり、 上記周縁面は上記固定方向に対して上記固定面から接触面にまたは上記接触面 から固定面に向かって開いた部分を有し、 これにより上記周縁面の開いた部分は上記切除部の突出縁部の対応部分に対向 して接触していることを特徴とする関節補綴部材。 2.上記固定手段がシーリングまたは接着材料の層を含み、上記固定面が上記 材料の接着を増強するのに十分な粗さを有することを特徴とする、請求項1記載 の補綴部材。 3.上記固定手段が、固定面から突出し上記補綴部材と一体の部分を構成する 少なくとも1個のアンカー部材を含むことを特徴とする、請求項1記載の補綴部 材。 4.上記固定面(F’)がほぼ平面であり、 上記接触面(C’)もほぼ平面で上記固定面に対してほぼ平行であり、 上記アンカー部材が上記固定面にほぼ直交し、 上記周縁面が上記固定面に直角な方向に対して5°ないし45°の範囲にある 角aで上記接触面に向かって開いており、上記接触面および固定面の外形のほぼ 全部を占めていることを特徴とする、請求項1ないし3のいずれか1項記載の補 綴部材。 5.上記固定面がほぼ平面であり、 上記接触面もほぼ平面で上記固定面に対してほぼ平行であり、 上記アンカー部材が上記固定面にほぼ直交し、 上記周縁面が上記固定面に直角な方向に対して5°ないし45°の範囲にある 角aで上記接触面に向かって開いており、上記接触面および固定面の外形のほぼ 全部を占めていることを特徴とする、請求項1記載の補綴部材。 6.上記角aは上記補綴部材が受ける力の少なくとも70%が骨の皮質部に加 えられるように決められていることを特徴とする、請求項4または5記載の補綴 部材。 7.上記接触面および固定面(C、F)が、相互に平行な第1群の面の断面に おいて、互いに接線方向に連続する複数の円弧(En)により形成され、上記円 弧が別個の中心を有することを特徴とする、請求項1記載の補綴部材。 8.上記接触面および固定面(C、F)が、相互に平行な第1群の面の断面に おいて、互いに接線方向に接続する複数の円弧(En)により形成され、 上記周縁面(P)の上記第1群の面の断面が、上記接触面の断面の端で接線方 向に対して接触角bを形成し、 該接触角bが5°ないし85°の範囲にあり、上記固定面に向かって開いてい ることを特徴とする、請求項1記載の補綴部材。 9.上記周縁面(P)が、ほぼ、非円形の直角断面をもつ頭部を除いた錐体の 形であることを特徴とする、請求項1ないし8のいずれか1項記載の捕綴部材。 10.上記アンカー部材(A)が、上記補綴部材の残部と同一の材料で形成さ れたほぼ錐体台形の少なくとも1つの止めくぎを含むことを特徴とする、請求項 3記載の補綴部材。 11.上記アンカー部材が、上記固定面(204)から突出するほぼ鳩尾状の 形状(208)を有することを特徴とする、請求項3記載の補綴部材。 12.上記固定面と接触面の間の上記距離が少なくとも6mmであることを特 徴とする、請求項1ないし11のいずれか1項記載の補綴部材。 13.請求項1ないし12のいずれか1項記載の関節補綴部材を関節の骨の一 方の関節面上の局所に設置するためのキットであって、 ある寸法が異なる上記補綴部材と類似する補綴部材のセットであって、各補綴 部材は、上記関節の他方の骨上に固定された別の型の補綴と協働するための接触 面、少なくとも1個のアンカー部材が突設され、上記関節面に形成された適切な 切除部に固定するための固定面、および上記接触面と固定面を相互に連結する周 縁面を有し、上記接触面と固定面の間でほぼ一定の厚みを有する、補綴部材のセ ットと、 切除部の外形用のテンプレート形成手段の第1セットであって、各テンプレー トは上記補綴部材のセットの一つと連携し、各テンプレートは作成されるべき切 除部の外形をトレースする手段を有し、上記切除部の外形は上記補綴部材の周縁 に対応する、テンプレート形成手段(136)の第1セットと、 アンカー孔用のテンプレート形成手段のセットであって、各テンプレート形成 手段は上記補畷部材のセットの一つと連携し、各テンプレートは上記切除部の外 形に対して位置決めする手段および上記アンカー部材と連携する上記アンカー孔 の位置をトレースする手段を含む、アンカー孔(148)用のテンプレート形成 手段のセットと、 上記切除部を上記外形内に作成し、ミリングパラメータを制御する、ミリング 用の工具(140、140’、142)の第1セットと、 上記アンカー孔を作成し、穿孔パラメータを制御する穿孔用の工具の第2セッ トと、 軸が上記テンプレートに拘束された固定方向に対してほぼ平行なままであるよ うに、またドリル工具が同一のドリル軸上に保持されるように、上記ミリング工 具が少なくとも上記外形に沿って変位するように上記工具の変位を案内するのを 援助する手段と、 を含むことを特徴とするキット。 14.テスト用補綴部材のセットをさらに含み、各テスト用補綴部材はある補 綴部材に対応しまた正確に同一の形状を有し、各試験用補綴部材は局所設置手段 を含むことを特徴とする、請求項13記載のキット。 15.請求項1ないし12のいずれか1項記載の関節補綴部材の製造方法であ って、 補綴を作成すべき自然骨の関節面と正確に同じ形状を有する骨(120)を取 り、 一定のミリング方向を維持しつつ上記関節面における骨の先端部分(122、 122’)をミリングして、中心区域と周縁面を形成し、ミリングの深さを上記 中心区域においてほぼ一定にし、上記周縁面の少なくとも一部に上記中心区域か らミリング方向に突出する縁部を形成し、 第1に上記接触面を形成する第1面により、第2に上記固定面とミリングによ り生ずる上記周縁面とから構成される第2面により形成される、成型キャビティ を有する鋳型(130、132、154)を作成し、 上記鋳型に成型材料を注入して成型キャビティの形状を型取り、 型取られた成型片を鋳型から取り外し、これにより上記補綴部材の原形を得て 、 上記原形から上記補綴部材を作成する、 工程を含むことを特徴とする関節補綴部材の製造方法。 16.上記第1面が骨の関節面と同一の形状であることを特徴とする、請求項 15記載の補綴部材の製造方法。 17.上記面が骨の関節面と別のものであり、骨が一部を形成する関節の自由 度を減少するような形状を有することを特徴とする、請求項15記載の補綴部材 の製造方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR95/10004 | 1995-08-23 | ||
FR9510004A FR2737970B1 (fr) | 1995-08-23 | 1995-08-23 | Elements de prothese d'articulation et procede de fabrication de ceux-ci |
PCT/FR1996/001306 WO1997007753A1 (fr) | 1995-08-23 | 1996-08-22 | Elements de prothese d'articulation et procede de fabrication de ceux-ci |
Publications (2)
Publication Number | Publication Date |
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JPH11511347A true JPH11511347A (ja) | 1999-10-05 |
JP3934156B2 JP3934156B2 (ja) | 2007-06-20 |
Family
ID=9482042
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP50991097A Expired - Fee Related JP3934156B2 (ja) | 1995-08-23 | 1996-08-22 | 関節補綴部材およびその製造方法 |
Country Status (9)
Country | Link |
---|---|
EP (1) | EP0845964B1 (ja) |
JP (1) | JP3934156B2 (ja) |
AT (1) | ATE287685T1 (ja) |
AU (1) | AU6878896A (ja) |
BR (1) | BR9610261A (ja) |
CA (1) | CA2229868A1 (ja) |
DE (1) | DE69634255T2 (ja) |
FR (1) | FR2737970B1 (ja) |
WO (1) | WO1997007753A1 (ja) |
Cited By (10)
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JP2007522848A (ja) * | 2004-02-20 | 2007-08-16 | アルゴメディカル・アクチエンゲゼルシャフト | 球関節のボール領域における表面置換のためのプロテーゼ |
JP2009519781A (ja) * | 2005-12-15 | 2009-05-21 | ジンマー,インコーポレイティド | 遠位大腿膝義肢 |
US9173744B2 (en) | 2010-09-10 | 2015-11-03 | Zimmer Gmbh | Femoral prosthesis with medialized patellar groove |
US9301845B2 (en) | 2005-06-15 | 2016-04-05 | P Tech, Llc | Implant for knee replacement |
US9308095B2 (en) | 2011-06-16 | 2016-04-12 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
US10070966B2 (en) | 2011-06-16 | 2018-09-11 | Zimmer, Inc. | Femoral component for a knee prosthesis with bone compacting ridge |
US10130375B2 (en) | 2014-07-31 | 2018-11-20 | Zimmer, Inc. | Instruments and methods in performing kinematically-aligned total knee arthroplasty |
US10136997B2 (en) | 2015-09-29 | 2018-11-27 | Zimmer, Inc. | Tibial prosthesis for tibia with varus resection |
US10441429B2 (en) | 2011-06-16 | 2019-10-15 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
US12048630B2 (en) | 2021-01-26 | 2024-07-30 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
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GB0122779D0 (en) * | 2001-09-21 | 2001-11-14 | Ryd Leif | An osteoprosthesis component |
US20050137713A1 (en) * | 2003-12-17 | 2005-06-23 | Bertram Morton Iii | Anti-backout arthroscopic uni-compartmental prosthesis |
US8034113B2 (en) | 2005-09-27 | 2011-10-11 | Randall Lane Acker | Joint prosthesis and method of implanting same |
US8012214B2 (en) | 2005-09-27 | 2011-09-06 | Randall Lane Acker | Joint prosthesis |
US8864836B2 (en) | 2008-06-27 | 2014-10-21 | Zimmer, Inc. | ACL accommodating tibial design |
FR2953123B1 (fr) * | 2009-11-27 | 2012-01-27 | Jean Pierre Gemon | Prothese individualisee de re-surfacage |
WO2012160265A1 (fr) | 2011-05-20 | 2012-11-29 | Jean-Pierre Gemon | Prothese individualisee de re-surfaçage |
US8728084B2 (en) | 2011-06-27 | 2014-05-20 | Biomet Sports Medicine, Llc | Apparatus for repairing bone defects |
US8870884B2 (en) | 2011-06-27 | 2014-10-28 | Biomet Sports Medicine, Llc | Method for repairing bone defects |
FR3023044B1 (fr) | 2014-06-26 | 2017-10-13 | Blue Frog Robotics | Procede de determination d'une transformation geometrique entre deux modeles d'un objet en trois dimensions |
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DE3516743A1 (de) * | 1985-05-09 | 1986-11-13 | orthoplant Endoprothetik GmbH, 2800 Bremen | Endoprothese fuer einen hueftkopf |
JPH01136655A (ja) * | 1987-11-24 | 1989-05-29 | Asahi Optical Co Ltd | 人工椎間板 |
FR2627978B1 (fr) * | 1988-03-04 | 1997-06-13 | Cessot Christian | Dispositif de reproduction de relief osseux par echographie ultrasonore tridimensionnelle |
FR2630640B1 (fr) * | 1988-04-27 | 1994-04-08 | Lebeguec Pierre | Dispositif de prothese partielle du genou |
FR2686503B1 (fr) * | 1992-01-23 | 1995-11-24 | Tornier Sa | Prothese de rehabilitation de la tete femorale. |
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1995
- 1995-08-23 FR FR9510004A patent/FR2737970B1/fr not_active Expired - Fee Related
-
1996
- 1996-08-22 AU AU68788/96A patent/AU6878896A/en not_active Abandoned
- 1996-08-22 EP EP96929358A patent/EP0845964B1/fr not_active Expired - Lifetime
- 1996-08-22 CA CA002229868A patent/CA2229868A1/en not_active Abandoned
- 1996-08-22 BR BR9610261-6A patent/BR9610261A/pt not_active Application Discontinuation
- 1996-08-22 DE DE69634255T patent/DE69634255T2/de not_active Expired - Fee Related
- 1996-08-22 AT AT96929358T patent/ATE287685T1/de not_active IP Right Cessation
- 1996-08-22 JP JP50991097A patent/JP3934156B2/ja not_active Expired - Fee Related
- 1996-08-22 WO PCT/FR1996/001306 patent/WO1997007753A1/fr active IP Right Grant
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JP4658970B2 (ja) * | 2004-02-20 | 2011-03-23 | アルゴメディカル・アクチエンゲゼルシャフト | 球関節のボール領域における表面置換のためのプロテーゼ |
JP2007522848A (ja) * | 2004-02-20 | 2007-08-16 | アルゴメディカル・アクチエンゲゼルシャフト | 球関節のボール領域における表面置換のためのプロテーゼ |
US9301845B2 (en) | 2005-06-15 | 2016-04-05 | P Tech, Llc | Implant for knee replacement |
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JP2009519781A (ja) * | 2005-12-15 | 2009-05-21 | ジンマー,インコーポレイティド | 遠位大腿膝義肢 |
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US10322004B2 (en) | 2010-09-10 | 2019-06-18 | Zimmer Gmbh | Femoral prosthesis with lateralized patellar groove |
US9173744B2 (en) | 2010-09-10 | 2015-11-03 | Zimmer Gmbh | Femoral prosthesis with medialized patellar groove |
US9867708B2 (en) | 2010-09-10 | 2018-01-16 | Zimmer Gmbh | Femoral prosthesis with lateralized patellar groove |
US10070966B2 (en) | 2011-06-16 | 2018-09-11 | Zimmer, Inc. | Femoral component for a knee prosthesis with bone compacting ridge |
US10045850B2 (en) | 2011-06-16 | 2018-08-14 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
US10441429B2 (en) | 2011-06-16 | 2019-10-15 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
US9308095B2 (en) | 2011-06-16 | 2016-04-12 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
US11246710B2 (en) | 2011-06-16 | 2022-02-15 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
US10130375B2 (en) | 2014-07-31 | 2018-11-20 | Zimmer, Inc. | Instruments and methods in performing kinematically-aligned total knee arthroplasty |
US10939923B2 (en) | 2014-07-31 | 2021-03-09 | Zimmer, Inc. | Instruments and methods in performing kinematically-aligned total knee arthroplasty |
US10136997B2 (en) | 2015-09-29 | 2018-11-27 | Zimmer, Inc. | Tibial prosthesis for tibia with varus resection |
US10631991B2 (en) | 2015-09-29 | 2020-04-28 | Zimmer, Inc. | Tibial prosthesis for tibia with varus resection |
US11491018B2 (en) | 2015-09-29 | 2022-11-08 | Zimmer, Inc. | Tibial prosthesis for tibia with varus resection |
US12048630B2 (en) | 2021-01-26 | 2024-07-30 | Zimmer, Inc. | Femoral component for a knee prosthesis with improved articular characteristics |
Also Published As
Publication number | Publication date |
---|---|
DE69634255T2 (de) | 2006-01-26 |
JP3934156B2 (ja) | 2007-06-20 |
WO1997007753A1 (fr) | 1997-03-06 |
CA2229868A1 (en) | 1997-03-06 |
ATE287685T1 (de) | 2005-02-15 |
AU6878896A (en) | 1997-03-19 |
EP0845964A1 (fr) | 1998-06-10 |
BR9610261A (pt) | 1999-12-21 |
FR2737970B1 (fr) | 1998-01-09 |
EP0845964B1 (fr) | 2005-01-26 |
FR2737970A1 (fr) | 1997-02-28 |
DE69634255D1 (de) | 2005-03-03 |
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