TW393315B - Hip-joint prosthesis - Google Patents

Hip-joint prosthesis Download PDF

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Publication number
TW393315B
TW393315B TW087103233A TW87103233A TW393315B TW 393315 B TW393315 B TW 393315B TW 087103233 A TW087103233 A TW 087103233A TW 87103233 A TW87103233 A TW 87103233A TW 393315 B TW393315 B TW 393315B
Authority
TW
Taiwan
Prior art keywords
neck bearing
rod
neck
compound
bearing
Prior art date
Application number
TW087103233A
Other languages
English (en)
Inventor
Arnold Keller
Original Assignee
Link Waldemar Gmbh Co
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Link Waldemar Gmbh Co filed Critical Link Waldemar Gmbh Co
Application granted granted Critical
Publication of TW393315B publication Critical patent/TW393315B/zh

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30721Accessories
    • A61F2/30728Collars; Bone edge protectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3601Femoral 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
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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30721Accessories
    • A61F2/30734Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
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    • A61F2/00Filters 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
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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
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    • A61F2/00Filters 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
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    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
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    • A61F2002/30331Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
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    • A61F2/00Filters 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
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30383Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
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    • A61F2/00Filters 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
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    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30433Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • AHUMAN NECESSITIES
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    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0013Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)
  • Materials For Medical Uses (AREA)
  • Hydrogenated Pyridines (AREA)
  • Supports For Pipes And Cables (AREA)

Description

Α7 Β7 五、發明説明(1 ) 本發明係關於一種髖關節膺復物,附有一根桿將*** 知骨内’以一件式聯結至頸轴承上端及具有縱切槽。 桿之縱切槽可改善力量由膺復物傳遞至周圍骨。此點 對於無膠合劑植入之病例特別重要。此種病例中,股組織 於癒合過程中生長入切槽内,及或多或少牢固聯結膺復物 表面。但膺復物經配備有切槽也有助於經膠合的植入病例 。若於追蹤手術時,位於切槽内部的骨材或膠合劑材料必 須再度去除,外科醫生須由近端將適當鑿刀引進切槽内。 其先決要件為切槽可由近端接近。 經濟部中央樣準局員工消費合作社印製 (请先閲讀背面之注意事項再填寫本頁) 股骨競關節膺復物為已知(EP-B 93378,第1及2圖), 其具有頸軸承設計成與桿呈單件式。桿設置有縱肋,介於 肋間形成深切槽。於上端,肋及切槽遠至頸軸承且由頸轴 承劃界線。因頸轴承由關節方向覆蓋切槽空間,此種空間 於追蹤手術時難以接近。因此也曾提議(同案第5圖)將搭 接部件製造成活動式’而植入膺復物,但未揭示膺復物的 聯結情況》類似已知膺復物(Waldemar Link(GmbH &公 司)手冊:「聯結肋系統」)中,馬蹄形頸軸承之臂固定於 桿之前及後導溝。當頸轴承移開時,於導溝區並未存在有 凸出部件來妨礙手術接近《但導溝於桿之縱向方向為橫向 延伸,故許多情況下不合所需,原因會減少桿的剖面積因 而降低桿強度。此外,有關頸轴承之可靠度,許多醫生偏 好以單件式聯結於桿的頸轴承。 已知股骨髖關節膺復物(FR-A 2 595 241),其免除此 本紙朱尺度適用中國國家標準(CNS ) Α4規格(2ΐ〇χ297公釐) 4 經濟部中央標準局員工消費合作社印製 A7 B7 五、發明説明(2 ) 一~;— 種問題之辦法係以頸軸承之方式設置小凸出部,但僅設置 於膺復物桿之無切槽中央窄側,而設置有切槽之桿之前侧 及後側皆不含頸轴承。但曾經嘗試形成大表面積之頸轴承 俾減少骨被頸轴承之比負載,因此該發明之條件為頸麵承 也存在於配備有切槽之桿兩侧上。 本發明揭示一種競關節膺復物,其雖然存在有頸轴承 以整合一體式聯結至桿,但其切槽空間可接近。解決辦法 在於頸軸承與切槽區設置有切出部,及縱切槽止於頸轴承 上方。換έ之,縱切層持續貫穿頸轴承區,頸轴承被切槽 所切開。因此於追蹤手術時可將器械引進切槽内而清除切 槽區的骨質聯結;或於植入過程中使用切槽空間來填塞骨 質材料。雖s如此,膺復物具有頸軸承,其整合一體聯結 至桿。許多情況下,於切出部外側有頸軸承提供的表面足 夠提供支撐。若需要較大軸承面積,則根據本發明可使用 活動搭接部件提供,搭接部件主要封閉縱切槽區的切出部 。頸軸承及/或桿形成滑動導件,導件平行頸軸承的形成 延伸且沿此導件搭接部件可***或去除而植入膺復物。 將參照附圖闡釋優異範例具體例說明本發明之進一步 細節如下,附圖中: 第1圖顯示膺復物之側視圖,及待推上的搭接部件剖 面圊, 第2圖顯示待推上的搭接部件之平面圖, 第3圖顯示膺復物之側視圖, 本紙張尺度適用中國國家標準(CNS) A4規格(210x297公釐) (請先閲讀背面之注意事項再填寫本頁) 裝· 訂 經濟部中央榡準局貝工消費合作社印裝
393S15 A7 ___ B7 五、發明説明(3 ) 第4圖顯示第i圖沿線〖v之剖面圖, 第5圓顯示對應於第4圖之視圖但嵌合搭接部件及 第6圖顯示第1圖沿線VI之剖面圖。 待***股骨内的膺復物桿丨於上端沒入頸2内,頸載有 一個錐3,錐上設置關節頭。桿〗與頸2間有個頸轴承4,其 於桿或頸之各側向外側凸出,或至少於前側及後側凸出了 及其具有平坦底面預期承載於骨之切除面上。 桿1於前側及後側具有兩個切槽5,其平行桿的中線延 伸。如已知,切槽5用來使膺復面與周圍骨質材料更緊密 聯結,此等骨質材料係於產生容納膺復物桿之穴時留在此 區者,或到達此區而被膺復物桿所異位者,或藉填塞而壓 密於此區者或隨後長入者。桿及切槽的剖面形狀由第嗰 可見’亦即由外部輪廓可見。 欲禮保切槽表面可接近供於植入期間填塞骨質材料或 供於去除期間解除骨與廣復物表面的聯結,頸轴承4於各 切槽區設置有切出部6,如第4圖所示。可知仍保留相當表 面積,該表面積依病例情況而定,例如足夠承載於切除面 上。 若頸抽承4之剩餘表面不夠,則增加搭接部件厂馬蹄 形部件具有平行導緣9,其於内部8接合。容納切槽10於廣 復物桿1上端之頸轴承4下方,切槽於前側及後侧個別對應 於導緣9。當搭接部件7於第丨圖之箭頭方向被推送至桿上 時’導緣由切槽U)所容納及固定。可利用螺絲⑽
393315
五、發明説明(4 二第5圖可知,搭接部件7不僅玫大前、後及中區的轴承 Si:封閉切出部6至相當大程度,桿之核心 元全封閉’原因為支撑作用主要出現於骨皮質外圍區 〇 /部件4設計成與桿整合一體稱作頸抽承並非暗示其必 須獨立完成頸轴承的功能,亦即不含搭接部件7。反而此 部件可限於牢固固定搭接部件的功能故唯有二者結合才 能形成頸轴承。 如第1圖所示,切槽5持續至頸轴承4上方的點,此處 略微跑出。也可更容易施用器械。但也可使其僅始於頸軸 承4區或緊接於其下方開始。 元件標號對照 訂 經濟部中央標準局貝工消費合作社印製 1.. .桿 2".頸 3."雜 4.. .頸軸承 5·..切槽 6.. .切出部 7…搭接部件 8.. .内部 9.. .導緣 10.. .切槽 11…鎖定裝置 本紙張尺度適用中國國家標準(CNS ) A4規格( 210X297公釐)

Claims (1)

  1. 393315 A8 B8 C8 D8 六、申請專利範圍 ' 種瓶關知膺復物,其具有一個桿(1)待插置於股骨 内於其上端整合一體聯結至頸軸承(4)及具有縱切槽 (5),其特徵為頸軸承(4)於縱切槽(5)區設置有切出部。 2.如申專利範圍第1項之膺復物,其特徵為縱切槽(5) 止於頸軸承(4)上方。 如申明專利範圍第1或2項之膺復物,其特徵為頸轴 承(4)設置有活動式搭接部件(7),其大體封閉於縱切槽 (5)區的頸軸承切出部(6)。 4·如申請專利範圍第3項之膺復物,其特徵為該頸軸承(4) 及/或桿(1)形成滑動導件(1〇),其平行頸軸承的形成 延伸且順次滑動導件於膺復物植入時可***或去除搭 接部件(7)。 5·如申請專利範圍第4項之膺復物,其特徵為該頸軸承(4) 及搭接部件(7)或桿(1)具有共同合作的鎖定裝置(u)。 11 ! ,.装 I訂I i I 冰 (請先閲讀背面之,注意事項再填寫本頁) 經濟部中央標準局貝工消費合作社印裝 本紙張尺度適用中國國家標準(CNS) Λ4規格(210x297公釐)
TW087103233A 1997-03-26 1998-03-05 Hip-joint prosthesis TW393315B (en)

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DE29705498U DE29705498U1 (de) 1997-03-26 1997-03-26 Hüftgelenkprothese

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KR100358191B1 (ko) * 2000-02-16 2002-10-25 한국과학기술원 시멘트 사용 인공관절 스템용 자켓 및 이것을 구비한 인공관절
WO2002100302A1 (de) * 2001-06-13 2002-12-19 Bomet Merck Gmbh Hüft-endoprothese
DE102005006316A1 (de) * 2005-02-11 2006-08-24 Nowakowski, Andrej, Dr. med. Dipl.-Ing.(FH) Hüftgelenk-Endoprothesensystem
EP2155118B1 (en) * 2007-05-09 2017-01-11 Biomet UK Limited Metaphyseal hip prosthesis
FR3077198B1 (fr) * 2018-01-26 2022-04-15 Conri Pierre Emmanuel Agissant Au Nom Et Pour Le Compte De La Soc Evok En Cours De Formation Composant femoral pour former une prothese de hanche

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GB1030145A (en) * 1964-04-21 1966-05-18 Paul Wittebol Improvements in or relating to femoral prostheses
EP0012146A1 (de) * 1978-11-23 1980-06-25 Osteo Ag Zementfrei implantierbare, mit Tragrippen versehene Prothese zum Ersatz eines Gelenkes und Verfahren zur Herstellung dieser Prothesen
DE8212788U1 (de) * 1982-05-03 1985-09-26 Waldemar Link Gmbh & Co, 2000 Hamburg Knochenenimplantat, insbesondere femorale Hüftgelenkprothese
CH663896A5 (de) * 1984-07-03 1988-01-29 Sulzer Ag Sich vom distalen ende konisch erweiternder schaft fuer eine hueftgelenksprothese.
FR2595241B1 (fr) * 1986-03-07 1992-08-21 Erato Prothese de hanche
FR2602672B3 (fr) * 1986-08-13 1989-04-21 Yves Marquer Prothese femorale destinee a etre logee dans le canal diaphysaire d'un femur
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FR2687306B1 (fr) * 1992-02-13 1996-04-05 Prolig Sa Implant femoral pour protheses de hanches.
US5360446A (en) * 1992-12-18 1994-11-01 Zimmer, Inc. Interactive prosthesis design system for implantable prosthesis

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PT867160E (pt) 2002-12-31
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EP0867160A1 (de) 1998-09-30
JPH10262999A (ja) 1998-10-06
DK0867160T3 (da) 2002-12-02
ATE221354T1 (de) 2002-08-15
DE59804956D1 (de) 2002-09-05
KR19980080636A (ko) 1998-11-25
BR9800976A (pt) 1999-12-14
EP0867160B1 (de) 2002-07-31
ES2180082T3 (es) 2003-02-01
AU5946998A (en) 1998-10-01
KR100454209B1 (ko) 2005-08-04

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