CN101259047B - Artificial full knee joint transposing prosthesis capable of reestablishing anterior cruciate ligament - Google Patents
Artificial full knee joint transposing prosthesis capable of reestablishing anterior cruciate ligament Download PDFInfo
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- CN101259047B CN101259047B CN 200810089082 CN200810089082A CN101259047B CN 101259047 B CN101259047 B CN 101259047B CN 200810089082 CN200810089082 CN 200810089082 CN 200810089082 A CN200810089082 A CN 200810089082A CN 101259047 B CN101259047 B CN 101259047B
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- cruciate ligament
- anterior cruciate
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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
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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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
The invention relates to an artificial total knee replacing prosthesis which can reconstruct anterior cruciate ligament and comprises a tibia platform supporting part and a liner. The tibia platform supporting part consists of a horizontal platform and a rod part which are fixedly connected; the surface of the liner is provided with a pair of spherical concaves horizontally intervened so as to respectively receive a femur scleromere. The pad and the tibia platform supporting part are provided with a pore canal which respectively penetrates the pad and the horizontal platform of the tibia platform supporting part and are communicated with each other, so as to lead the anterior cruciate ligament to pass through the pore canals, the two ends of the ligament to be fixed on the tibias of a femur ectocondyle, and the horizontal platform of the tibia platform supporting part; thus realizing the reconstruction of the anterior cruciate ligament in a replacing surgery of the artificial total knee.
Description
The application is dividing an application of following application:
The applying date: on March 2nd, 2005
Application number: 200510011371.0
Denomination of invention: artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament
Technical field
The present invention relates to a kind of artificial full knee joint transposing prosthesis, particularly a kind of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament.
Background technology
Artificial joint is one of most important progress of obtaining at twentieth century of orthopaedics field, also is the most ripe and the most successful organ transplantation during present histoorgan is transplanted; It make over can only dependance on walking stick walking, even patient that can only amputation can walk as the normal person, has improved quality of life greatly.It is as the extensive use at home and abroad now of a kind of sophisticated Therapeutic Method, and at present, artificial joint replacement has become the ultimate treatment means of the serious pathological changes of treatment osteoarthrosis, is described as important milestone in 20th century orthopaedics development history.
Carrying out of artificial full knee joint transposing (TKR) operation also obtained immense success, but in the follow-up investigation of long period, the complication of artificial full knee joint transposing operation also manifests day by day, particularly the stability of artificial joint in motor process is very undesirable, reason is that the many of the whole world require to excise in the art anterior cruciate ligament (ACL) for the artificial full knee joint transposing prosthesis design at present, but it is not rebuild.This design concept instructs the artificial full knee joint transposing operation of carrying out down to face two aspect problems, and the artificial joint dislocation appears in first operation patella instability easily, causes suffering to the patient; It two is in order to solve the unstable defective of operation patella, take to remedy design in the design of artificial full knee joint transposing prosthesis, as adopting guided plate or stick.The required precision of artificial full knee joint transposing prosthesis operation is very high, and the levels of precision that prosthetic designs, manufacturing and prosthese are installed relates to the good and bad important factors of joint replacement surgery effect.Therefore, too complicated design is obviously causing operative failure aspect design, manufacturing and the prosthese installation.
The importance of anterior cruciate ligament is more and more causing clinical doctor's attention recently, and in order to keep anterior cruciate ligament, people also did some and explore, and such as the prosthetic replacement of two present single condyles (condyle and ectocondyle in the femur), but its effect is general, operating difficulties.
Summary of the invention
The objective of the invention is to solve post-operative complication defectives such as TKA posterior joint instability, but a kind of artificial knee joint prosthesis of novel rebuilding anterior cruciate ligament is provided.Described artificial knee joint prosthesis has been realized rebuilding anterior cruciate ligament in TKA by structural particular design, and the kneed stability of postoperative is increased greatly.
One of technical scheme of the present invention is to realize like this.
A kind of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament, comprise tibial plateau holder part and liner, tibial plateau holder part is made up of a horizontal stand and the rod member that is fixed in the tibia pulp cavity with smooth upper surface, both are fixed together, and also can be strengthened by two ribs.The shape of liner can be the rectangle of ellipse, band fillet etc., and liner has smooth lower surface and is arranged on the horizontal stand of tibial plateau holder part, and the liner upper surface has a pair of spaced spherical concave surface, to receive a femoral condyle portions separately; In the practical set, liner is arranged on the tibial plateau holder part, and the liner lower surface contacts with the horizontal stand upper surface of tibial plateau holder part.Artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention also comprises an anterior cruciate ligament, and the two ends of described anterior cruciate ligament are individually fixed on femoral lateral condyle and the tibia.
Described liner and tibial plateau holder part have all designed a duct, the horizontal stand of liner and tibial plateau holder part is arranged to run through in described duct, described anterior cruciate ligament passes on the tibia under the horizontal stand that this duct and two ends are individually fixed in femoral lateral condyle and tibial plateau holder part, thereby realizes the reconstruction that artificial complete knee joint is put anterior cruciate ligament in the operation.
Between the axis in the described duct of running through liner and tibial plateau holder part horizontal stand and the vertical line of tibial plateau holder part horizontal stand angle is arranged.Described duct axis is with respect to 10 °～30 ° of the sagittal planies of vertical line formation of tibial plateau holder part horizontal stand, the drift angle of 35 °～55 ° of coronalplanes, and direction is the preceding inboard from liner upper surface deflection tibial plateau holder part horizontal stand lower surface.
The described duct of running through liner and tibial plateau holder part horizontal stand is the duct with certain taper, and described tapering is 5 °～25 °.The diameter in described duct reduces to tibial plateau holder part horizontal stand lower surface direction along the liner upper surface.
The described duct of running through liner and tibial plateau holder part horizontal stand is arranged on the liner medium position in the position of liner upper surface, and promptly liner is along near on the centrosymmetry face of fore-and-aft direction or position.Described duct is 8mm～13mm at the diameter of liner upper surface.
The material of described tibial plateau holder part is titanium alloy, cobalt-base alloys and other various respective material well known to those skilled in the art.The material of described liner is ultra high molecular polyethylene porous material and other various respective material well known to those skilled in the art.
Described anterior cruciate ligament comprises the anterior cruciate ligament of the whole bag of tricks synthetic, allochthonous anterior cruciate ligament and heel string and/or from quadriceps femoris tendon, the tendon of body.
Described artificial full knee joint transposing prosthesis also comprises fixture, and described fixture is meant that the two ends with anterior cruciate ligament are separately fixed at the parts on tibia, the femur.Described fixture is a rivet.
Two of technical scheme of the present invention is to realize like this.
A kind of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament comprises tibial plateau holder part and liner, and tibial plateau holder part is made up of a horizontal stand and the rod member that is fixed in the tibia pulp cavity with smooth upper surface, and both are fixed together; Liner has smooth lower surface and is arranged on the horizontal stand of tibial plateau holder part, and the liner upper surface has a pair of spaced spherical concave surface, to receive a femoral condyle portions separately; Artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention also comprises an anterior cruciate ligament, one end of described anterior cruciate ligament is connected with liner, be fixed on the femoral lateral condyle in the other end Rhizoma Atractylodis Macrocephalae, thus the reconstruction of the anterior cruciate ligament of realization artificial full knee joint transposing.
Described liner and anterior cruciate ligament are integrated.
Described anterior cruciate ligament is artificial synthetic anterior cruciate ligament.
At present, conventional artificial full knee joint transposing prosthesis must excise anterior cruciate ligament when replacement operation, but it is not rebuild.This design concept instructs the artificial full knee joint transposing operation of carrying out down to face two aspect problems, and the artificial joint dislocation appears in first operation patella instability easily, causes suffering to the patient; It two is in order to solve the unstable defective of operation patella, take to remedy design in the design of artificial full knee joint transposing prosthesis, for example adopting guided plate or stick.The required precision of artificial full knee joint transposing prosthesis operation is very high, and the levels of precision that the design of prosthese, manufacturing and prosthese are installed relates to the important factors of joint replacement surgery effect quality.Therefore, too complicated design is obviously causing operative failure aspect design, manufacturing and the prosthese installation.
Artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention at first proposes rebuilding anterior cruciate ligament in the artificial full knee joint transposing prosthesis operation on design concept, fundamentally solve operation patella instability, the traditional shortcoming of artificial joint dislocation occurs easily.Because complete anterior cruciate ligament is for keeping kneed stability, keep its physiological function important role is arranged, anterior cruciate ligament can prevent knee joint in stretching the knee joint process excessively to front slide, thereby reduce the wearing and tearing in joint and increase the stability in joint.Simultaneously because the reconstruction of anterior cruciate ligament, make artificial full knee joint transposing prosthesis manufacturing, install simplyr, and have enough spaces to be strengthened at aspects such as design optimization, precision.
The parts of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention comprise tibial plateau holder part and liner, one anterior cruciate ligament is set simultaneously, one end of described anterior cruciate ligament is fixed on the femoral lateral condyle, the other end is connected with liner or the duct of passing the horizontal stand of liner and tibial plateau holder part is fixed on the tibia, thereby realizes the reconstruction that artificial complete knee joint is put anterior cruciate ligament in the operation.Can find from the said structure feature, owing to introduce rebuilding anterior cruciate ligament in the artificial full knee joint transposing operation, make the simplicity of design of artificial full knee joint transposing prosthesis, rationally, realize the lifting of design concept and the raising of designing technique.By CAD/CAE design, the dimensional tolerance of product articular surface is less than 10 μ m, and the angle tolerance of an installation conical surface of living be ± 1 ', make prosthese implant the stress shielding minimum that is then produced.Simultaneously, make anterior cruciate ligament implant the wearing and tearing minimum that the back is produced, intensity is enough, obtains rational stress distribution on prosthese and bone interface.
Description of drawings
Fig. 1 is the structural representation of building block liner of the present invention.
Fig. 2 is the vertical view of Fig. 1.
Fig. 3 is the structural representation of building block tibial plateau holder part of the present invention.
Fig. 4 is the vertical view of Fig. 3.
Fig. 5 is liner of the present invention and anterior cruciate ligament integrative-structure sketch map.
The specific embodiment
Describe concrete technical scheme of the present invention in detail below in conjunction with accompanying drawing.
A kind of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention comprises liner 1 and tibial plateau holder part 2, and Fig. 1～Fig. 4 is respectively the structural representation of liner 1, tibial plateau holder part 2.
As shown in Figure 1 and Figure 2, liner 1 is made by low friction, high density, low wearing and tearing plastics, for example ultra high molecular polyethylene or other known resins that is applicable to these purposes.Liner 1 is with respect to vertical and along the central plane symmetry of fore-and-aft direction, and shape is the rectangle of oval, band fillet etc., and the liner of technical solution of the present invention is the ellipse that has rearward recess.Liner 1 comprises oval platform 12, and the upper surface of oval platform 12 has a pair of spaced spherical concave surface 13 and 13`, receives a femoral condyle portions (not shown) separately.This support of femoral condyle portions can make knee-joint prosthesis stable, and can before and after translation, horizontal crooked and rotate.The rear portion of oval platform 12 is provided with a groove, so that posterior cruciate ligament is passed through.All these is a kneed normal function on the anatomy.The lower surface of liner 1 is the smooth surface of level, so that can be installed on the metal tibial plateau holder part that is fixed in a known way on the tibia.
By rear portion groove is set, makes in operation, to keep posterior cruciate ligament at oval platform 12.Keep posterior cruciate ligament and meet kneed anatomical physiology characteristic more, the condyle of femur prosthese is rolled on tibial plateau backward, increase the moment of joint flex and quadriceps femoris.
As shown in Figure 3, Figure 4, metal tibial plateau holder part 2 comprises that one has tibia support level platform 22 and rod member 23 that is fixed in the tibia pulp cavity of horizontal plane, and the two is fixed in the lower surface of horizontal stand 22.In fact, the two also integral structure.Metal tibial plateau holder part 2 also comprises diagonal rib 24, being strengthened horizontal stand 22 and being connected by diagonal rib 24 of rod member 23 of metal tibial plateau holder part 2.Diagonal rib 24 is used for directly bearing the femur that is applied on the tibia horizontal stand 22---the mechanical ballast between tibia.This structure helps reducing the thickness of tibia horizontal stand 22, thereby reduces the excision thickness of tibia in the operation.
The liner 1 of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention and tibial plateau holder part 2 also include duct 11 and 21 respectively, the horizontal stand 22 of liner 1 and tibial plateau holder part 2 is arranged to run through in duct 11 and 21, so that in TKA, anterior cruciate ligament pass this duct 11 and 21 and two ends be individually fixed on the tibia under femoral lateral condyle and the tibial plateau holder part horizontal stand 22, thereby realize the reconstruction that artificial complete knee joint is put anterior cruciate ligament in the operation.
As Fig. 1, shown in Figure 3, the above-mentioned duct 11 and 21 of running through liner 1 and tibial plateau holder part 2 horizontal stands 22 has common duct axis A, and duct axis A deviates from the vertical line B of tibial plateau holder part 2 horizontal stands 22.In the present embodiment, duct axis A is with respect to 10 °～30 ° of the sagittal planies of vertical line B formation of tibial plateau holder part 2 horizontal stands 22, the drift angle (being gradient) of 35 °～55 ° of coronalplanes, and direction is the preceding inboard from liner 1 upper surface deflection tibial plateau holder part 2 horizontal stands 22 lower surfaces.For the artificial complete knee joint prosthese that is installed on the human body, duct 11 and 21 trend be for left to bottom right, go up from the back preceding down, promptly from the rear side of femur front side (seeing Fig. 2, Fig. 4) through tibia.
Simultaneously, the duct of duct 11 and 21 for having certain taper, its diameter reduces to tibial plateau holder part 2 horizontal stands 22 lower surface directions along liner 1 upper surface.In the present embodiment, duct 11 and 21 tapering are 5 °～15 °.
In general, duct 11 and 21 is arranged on liner 1 medium position in the position of liner 1 upper surface, and promptly liner 1 is along near on the centrosymmetry face of fore-and-aft direction or position.The mainly fixedly convenience of anterior cruciate ligament consideration from operation of this set.
According to patient's situation, duct 11 and 21 diameter have plurality of specifications.Preferred diameter is 8mm～13mm in the present embodiment.
In fact, according to patient's the state of an illness, operation safety is reliable and operation technique particularly before the fixing factor such as convenient, firm of decussation ligament, duct 11 and 21 shape can be circular, oval or other shapes, so aforesaid diameter is a characteristic diameter.Obviously, aforementioned duct 11 and 21 tapering and gradient also can be feature tapering and feature gradient (at described tapering, the gradient situation that changes).
At present, conventional artificial full knee joint transposing prosthesis must excise anterior cruciate ligament when replacement operation, but it is not rebuild.This design concept instructs the artificial full knee joint transposing operation of carrying out down to face two aspect problems, and the artificial joint dislocation appears in first operation patella instability easily, causes suffering to the patient; It two is in order to solve the unstable defective of operation patella, take to remedy design in the design of artificial full knee joint transposing prosthesis, for example adopting guided plate or stick.The required precision of artificial full knee joint transposing prosthesis operation is very high, and the levels of precision that the design of prosthese, manufacturing and prosthese are installed relates to the important factors of joint replacement surgery effect quality.Therefore, too complicated design is obviously causing operative failure aspect design, manufacturing and the prosthese installation.
Artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention at first proposes rebuilding anterior cruciate ligament in the artificial full knee joint transposing prosthesis operation on design concept, fundamentally to solve operation patella instability, the traditional shortcoming that occurs the artificial joint dislocation easily, simultaneously because the reconstruction of anterior cruciate ligament, make design, manufacturing, the installation of artificial full knee joint transposing prosthesis simpler, and have enough spaces to be strengthened at aspects such as design optimization, precision.
In the present embodiment, the material of the liner 1 of artificial full knee joint transposing prosthesis is the ultra high molecular polyethylene porous material, and this material can also be other various materials well known to those skilled in the art.The material of tibial plateau holder part 2 is titanium alloy, cobalt-base alloys, and as Ti-6Al_4V alloy, Ti-6Al-7Nb alloy etc., this material can also be other various materials well known to those skilled in the art.
Described anterior cruciate ligament comprises the anterior cruciate ligament of the whole bag of tricks synthetic and allochthonous anterior cruciate ligament and heel string and/or from the quadriceps femoris tendon of body, tendon or the like.For allochthonous anterior cruciate ligament, can use an end (being fixed on the femur) to have the bone piece, with convenient fixing.Anterior cruciate ligament for synthetic can be fixed on macromolecule liner or the metal platform in one-shot forming, also can carry out as the whole bag of tricks of anterior cruciate ligament reparation under present opening or the arthroscope.
Conventional method is adopted in the operation of rebuilding anterior cruciate ligament.Main program is shaped for appearing the parallel intercondylar fossa of intercondylar fossa, and tibial tunnel is fixed between tibia and the femur bone condyle with rivet.What particularly point out is, at anterior cruciate ligament fixing at tibia, anterior cruciate ligament passes duct 11 and 21, and the rivet that the termination is passed duct 11 and 21 equally is fixed on the tibia under the horizontal stand 22 of tibial plateau holder part 2.Certainly, fixed form and fixture that anterior cruciate ligament also can adopt those skilled in the art to habitually practise are as interface extrusion screw etc.
Allochthonous anterior cruciate ligament comes from remains.Using the advantage of allograft is clearly, and patient's oneself health tissues can not destroyed, and therefore the zone that is extracted can pathological changes.Obviously, this operating time is short, has reduced patient's misery indirectly.The anterior cruciate ligament that can guarantee non-communicable disease of amputations such as allochthonous corpse or wound is gathered also sterilization wrap again under aseptic condition.Above-mentioned sterilization method is meant with oxirane directly sterilizes, or vacuum-packed back cobalt 60 illumination-based disinfections.
Use the advantage of artificial alternative transplanting to be to avoid gathering the pain that tissue regions produces, also avoided the donor of allograft substitute to lack simultaneously, also do not have pathophoresis.
Another technical scheme of a kind of artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention comprises tibial plateau holder part and the liner that has anterior cruciate ligament.
Described metal tibial plateau holder part comprises that one has tibia support level platform and rod member that is fixed in the tibia pulp cavity of horizontal plane, and the two is fixed in the lower surface of horizontal stand.In fact, the two also integral structure.
As shown in Figure 5, liner 1 is made by low friction, high density, low wearing and tearing plastics, for example ultra high molecular polyethylene or other known resins that is applicable to these purposes.Liner is with respect to vertical and along the central plane symmetry of fore-and-aft direction, and shape is the rectangle of oval, band fillet etc., and the liner of the technical program is the oval platform 12 that has groove.The upper surface of oval platform 12 has a pair of spaced spherical concave surface 13 and 13`, receives a femoral condyle portions (not shown) separately.Oval platform 12 is provided with a groove, so that posterior cruciate ligament is passed through.
Described liner and anterior cruciate ligament are integral structures, in the manufacturing and designing of liner anterior cruciate ligament are are together manufactured and designed; Described liner and anterior cruciate ligament also can manufacture and design respectively, are fixed on the liner in TKA.
Described anterior cruciate ligament is artificial synthetic anterior cruciate ligament.
The present invention has carried out comprising the kinesiology, kinetics wearing and tearing of the artificial joint prosthesis of ultra high molecular polyethylene liner and tibial plateau metal holder part and the evaluation of fatigue life, the biomechanics, the biocompatibility that have also carried out allogeneic or biosynthetic anterior cruciate ligament detect, and the biological mechanics determining of rivet or the like.Relevant description of test is as follows:
1. artificial joint wearing and tearing and the evaluation of fatigue life
Biomechanics experiment system by American MTS company adopts the CAD/CAE technology comprehensively, by the prophesy Optimum design of engineering structure.Concrete measure, is estimated product prototype by three-dimensional modeling, the rapid prototyping technique of CAD system for using the FigureHuman Modeler software system of Unigraphics Solution and ADAMS; The CAE system can carry out kinesiology, analysis of dynamics to product, provide the variation of prosthese (bone cement fixedly time comprise bone cement layer), people's bone stress field and strain field in motor process, and the sunykatuib analysis of friction, wear process, mechanical property (microscopic structure), chemical property (chemical constituent), elastic modelling quantity, fretting wear and corrosion resistance, electrochemical properties, biology performance etc. also are optimized prototype by reverse-engineering.Hence one can see that, and artificial joint finally can rise to the damage tolerance design from early stage static(al) design, Fatigue Design.
2. machining accuracy and assembly precision
The dimensional tolerance of product articular surface is less than 10 μ m, and the angle tolerance of an installation conical surface of living is ± 1 '.For this reason, intend to adopt CAM technology and four machining centers and three turning milling center to finish the processing of artificial knee joint tibial plateau prosthese, the precision of its production and processing can guarantee.
3. the pore passage structure of the ultra high molecular polyethylene liner of total knee prostheses, tibial plateau metal holder part design
Carry out prosthetic designs by CAD/CAE, make prosthese implant the stress shielding minimum that the back is produced, on bone, obtain rational stress distribution.The most basic change is the raising of designing technique.Carry out prosthetic designs by CAD/CAE, make ACL implant the wearing and tearing minimum that the back is produced, intensity is enough, obtains rational stress distribution on prosthese and bone interface.
Artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament of the present invention can be widely used in the displacement of various artificial knee joints, as: the artificial surface complete knee joint of fixed platform, the artificial surface complete knee joint of rotation platform, reservation or do not keep complete knee joint, hinge knee joint of posterior cruciate ligament etc.
Claims (3)
1. the artificial full knee joint transposing prosthesis of a rebuilding anterior cruciate ligament, comprise tibial plateau holder part and liner, tibial plateau holder part is made up of a horizontal stand and the rod member that is fixed in the tibia pulp cavity with smooth upper surface, and described horizontal stand and described rod member are fixed together; Liner has smooth lower surface and is arranged on the horizontal stand of tibial plateau holder part, and the liner upper surface has a pair of spaced spherical concave surface, to receive a femoral condyle portions separately; It is characterized in that: also comprise an anterior cruciate ligament, an end of described anterior cruciate ligament is connected with liner, be fixed on the femoral lateral condyle in the other end Rhizoma Atractylodis Macrocephalae, thus the reconstruction of the anterior cruciate ligament of realization artificial full knee joint transposing.
2. the artificial full knee joint transposing prosthesis of rebuilding anterior cruciate ligament as claimed in claim 1 is characterized in that, described liner and anterior cruciate ligament are integral structures.
3. the artificial full knee joint transposing prosthesis of rebuilding anterior cruciate ligament as claimed in claim 1 or 2 is characterized in that, described anterior cruciate ligament is artificial synthetic anterior cruciate ligament.
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| Application Number | Priority Date | Filing Date | Title |
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| CN 200810089082 CN101259047B (en) | 2005-03-02 | 2005-03-02 | Artificial full knee joint transposing prosthesis capable of reestablishing anterior cruciate ligament |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 200810089082 CN101259047B (en) | 2005-03-02 | 2005-03-02 | Artificial full knee joint transposing prosthesis capable of reestablishing anterior cruciate ligament |
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| CNB2005100113710A Division CN100405992C (en) | 2005-03-02 | 2005-03-02 | Artificial complete knee joint substitute prosthesis capable of reconstructing anterior cruciate ligament |
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| CN101259047B true CN101259047B (en) | 2010-06-16 |
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Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2010096960A1 (en) * | 2009-02-25 | 2010-09-02 | 北京纳通投资有限公司 | Artificial knee replacement prostheses with anterior cruciate ligament reserved or reconstructed |
| IT1395445B1 (en) * | 2009-05-08 | 2012-09-21 | Univ Bologna Alma Mater | PERFECT ORTHOPEDIC DEVICE. |
| WO2011130208A2 (en) * | 2010-04-13 | 2011-10-20 | Smith & Nephew, Inc. | Systems and methods for tensioning ligaments and other soft tissues |
| CN102232883B (en) * | 2010-04-23 | 2013-02-20 | 创生医疗器械（中国）有限公司 | Rotating platform false body for knee joint |
| WO2013159697A1 (en) * | 2012-04-24 | 2013-10-31 | 北京纳通科技集团有限公司 | Knee joint prosthesis pad, shinbone base element, and knee joint prosthesis |
| CN103655007B (en) * | 2012-08-31 | 2016-06-22 | 北京纳通科技集团有限公司 | Tibial base element and knee-joint prosthesis |
| CN102614036B (en) * | 2012-04-24 | 2014-10-29 | 北京纳通科技集团有限公司 | Knee joint prosthesis pad, shinbone base element and knee joint prosthesis |
| WO2013182062A1 (en) * | 2012-06-08 | 2013-12-12 | 河北医科大学第三医院 | Bionic elastic fixing device |
| CN106109063B (en) * | 2016-07-22 | 2019-02-01 | 西安市红会医院 | A kind of artificial knee joint prosthesis |
| CN114983635B (en) * | 2022-08-02 | 2022-12-13 | 北京爱康宜诚医疗器材有限公司 | Joint spacer structure |
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| Publication number | Publication date |
|---|---|
| CN101259047A (en) | 2008-09-10 |
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