CN106456332A - Surface replacement prosthesis for natural femur head - Google Patents

Surface replacement prosthesis for natural femur head Download PDF

Info

Publication number
CN106456332A
CN106456332A CN201580019636.3A CN201580019636A CN106456332A CN 106456332 A CN106456332 A CN 106456332A CN 201580019636 A CN201580019636 A CN 201580019636A CN 106456332 A CN106456332 A CN 106456332A
Authority
CN
China
Prior art keywords
replacement prosthesis
surface replacement
guide finger
section
accommodating chamber
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.)
Pending
Application number
CN201580019636.3A
Other languages
Chinese (zh)
Inventor
P.西尔贝雷尔
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ceramtec GmbH
Original Assignee
Ceramtec GmbH
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 Ceramtec GmbH filed Critical Ceramtec GmbH
Publication of CN106456332A publication Critical patent/CN106456332A/en
Pending legal-status Critical Current

Links

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
    • A61F2/32Joints 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
    • A61F2/3603Femoral 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
    • 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
    • A61F2/28Bones
    • A61F2002/2825Femur
    • A61F2002/2828Femoral head
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • 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
    • 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
    • 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

Abstract

The invention relates to a surface replacement prosthesis (1) for the natural femur head (2), comprising an outer spherical surface and an inner receiving space (3) having an inner lateral face and a guide pin (4) on said inner lateral face, which pin projects from the receiving space (3). In order to exclude the risk of micromovements and the resulting destruction of the cement mantle, the guide pin (4) has an out-of-round cross-section at least in sections of its length.

Description

For innately capital surface replacement prosthesis
Technical field
The present invention relates to a kind of be used for innately capital surface replacement prosthesis, this surface replacement prosthesis carries outside ball The surface of shape and internal accommodating chamber, this accommodating chamber carries on internal side face and side face internally from leading that accommodating chamber is stretched out To pin.
Background technology
Surface replacement prosthesis are also referred to as repairing surface head, hip cover (H ü ftkappe) or cover prosthese.
In the case of the abrasion of born femoral head or hip head (Caputfemoris), according to known in the art It is to fix by being placed on femoral head by the surface replacement prosthesis that metal or pottery form and using bone binding agent.Surface Replacement prosthesises are only replaced capital articular cartilage and are not substantially had in shape or structure in the femur under articular cartilage Have and used during damage.
Or that the outer surface of this surface replacement prosthesis constructs globulate and be directly placed in born pelvis It is placed in artificial acetabular bone, this acetabular bone is fixed in born pelvis again.
The surface replacement prosthesis of pottery so far largely rely on the design of known metal and substantially by Bonding.The internal circumferential surface in inner containment chamber is provided with binding agent recess and guide finger.
In the case of repairing complex surface, the surface forming joint is replaced.Acetabular bone is utilized metal-back displacement, and it is directly Grow in the bone of basin bone and have the polished metal surface as articular surface.Contrary with traditional mode, in thigh The hip head at place and neck of femur will not be removed, but such finishing, you can a small amount of bone is utilized by the metal cap with guide finger Head binding agent is placed.
This guide finger has rotational symmetric geometry according to prior art.This pin is currently only used for guiding.Rotation Stability only to be realized by bonding.The breaking-up of the dynamic risk of micro-shifting and consequent binding agent side face is using mode now Can not be excluded.
Content of the invention
It is an object of the invention to, the surface replacement prosthesis of preamble according to claim 1 are so modified, that is, The dynamic risk of micro-shifting and the breaking-up of consequent binding agent side face are excluded.
According to the present invention, this purpose is realized by the surface replacement prosthesis of feature according to claim 1.
By make guide finger be configured in cross-section at least in the subregion of its length non-round so that this implantation Surface replacement prosthesis can not rotate again, therefore ensure that rotational stabilization and the thus exclusion risk of micromotion and thus producing Binding agent side face breaking-up.
Guide finger is preferably configured to non-round over the whole length in cross-section.Thus can compensate for higher torsion And ensure to repair the rotational stabilization of surface head.
In preferred form of implementation guide finger be configured in cross-section ellipse or have corner angle, preferably rectangle 's.The material of surface replacement prosthesis is preferably metal or pottery.Pottery is to be difficult human relations due to the friction of its hardness and shortage Ratio and be more and more used to and for required for market.
Specific embodiment
Next the present invention is expanded on further with reference to the accompanying drawings.
The born femoral head 2 with the people being placed with surface replacement prosthesis 1 is respectively illustrated in Fig. 1 a and 1b.Surface is put Change prosthese 1 to be made up of metal in fig 1 a and be made up of pottery in Figure 1b.Can be seen that guide finger 4 in fig 1 a, it is from table Accommodating chamber 3 in face replacement prosthesises 1 is stretched out.Surface replacement prosthesis 1 are also known as repairing surface head.According to the present invention, guide finger 4 It is configured to non-round at least in the subregion of its length in cross-section.Although the cross section of guide finger 4 ellipse or The design of person's rectangle is preferred, but rotational stabilization can pass through arbitrary non-round being designed to ensure that.
Fig. 3 a to 3d shows the cross section through different guide fingers 4.Fig. 3 a shows leading with triangular cross section To pin 4.Fig. 3 b shows the guide finger 4 with oval cross section.Fig. 3 c shows the guide finger with square cross section 4.Fig. 3 d shows the guide finger 4 with rectangular cross section.
Fig. 2 b shows the roentgen's photography with the surface replacement prosthesis 1 being placed on born femoral head 2, and this femoral head is again It is presented in metal-back 5.Metal-back 5 is implanted in the born pelvis 6 of patient.Can well identify, guide finger 4 has not The cross section (see Fig. 3) of circle.
Fig. 2 a shows the surface replacement prosthesis 1 according to the present invention, and this surface replacement prosthesis carries outside spherical table Face and internal accommodating chamber 3, this accommodating chamber carries the guide finger stretching out on internal side face and side face internally from accommodating chamber 3 4.The cross section of guide finger 4 is configured to non-round.Surface replacement prosthesis 1 are presented to metal-back 5 using its spherical surface Ball cap in.
Fig. 2 c shows the femur of the femoral head 2 of the patient with Fig. 2 b, and wherein surface replacement prosthesis 1 are placed to femur On 2.Surface replacement prosthesis 1 are made up of ceramic material.

Claims (4)

1. a kind of surface replacement prosthesis (1) for born femoral head (2), described surface replacement prosthesis carry the spherical of outside Surface and internal accommodating chamber (3), described accommodating chamber carry internal side face and from described accommodating chamber (3) stretch out described interior Guide finger (4) on the side face in portion it is characterised in that described guide finger (4) at least in the subregion of its length transversal It is configured to non-round in face.
2. surface replacement prosthesis (1) according to claim 1 are it is characterised in that described guide finger (4) is in its whole length On be configured in described cross section non-round.
3. surface replacement prosthesis (1) according to claim 1 and 2 are it is characterised in that described guide finger (4) is in cross section In be configured to ellipse or having corner angle it is therefore preferable to rectangle.
4. the surface replacement prosthesis according to any one of Claim 1-3 (1) are it is characterised in that described surface replacement is false The material of body (1) is metal or pottery.
CN201580019636.3A 2014-04-14 2015-03-27 Surface replacement prosthesis for natural femur head Pending CN106456332A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102014207136 2014-04-14
DE102014207136.4 2014-04-14
PCT/EP2015/056678 WO2015158526A1 (en) 2014-04-14 2015-03-27 Surface replacement prosthesis for natural femur head

Publications (1)

Publication Number Publication Date
CN106456332A true CN106456332A (en) 2017-02-22

Family

ID=52781073

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201580019636.3A Pending CN106456332A (en) 2014-04-14 2015-03-27 Surface replacement prosthesis for natural femur head

Country Status (6)

Country Link
KR (1) KR20160145111A (en)
CN (1) CN106456332A (en)
BR (1) BR112016023830A2 (en)
DE (1) DE102015205583A1 (en)
RU (1) RU2016144388A (en)
WO (1) WO2015158526A1 (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU176945U1 (en) * 2017-07-31 2018-02-02 Ильдар Фуатович Ахтямов TOTAL HIP JOINT SPACER
RU2663628C1 (en) * 2017-08-25 2018-08-07 Денис Игоревич Варфоломеев Hip joint spacer
WO2019057434A1 (en) 2017-09-21 2019-03-28 Ceramtec Gmbh Replacement prosthesis for natural femur head
RU2680771C1 (en) * 2018-05-10 2019-02-26 Денис Игоревич Варфоломеев Hip joint spacer

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT471394B (en) * 1950-12-04 1952-05-14
US2679245A (en) * 1950-03-20 1954-05-25 Timmermans Frans Donatus Prosthesis for femoral heads
EP2621410A1 (en) * 2010-09-29 2013-08-07 Zimmer, Inc. Pyrolytic carbon implants with porous fixation component and methods of making the same

Also Published As

Publication number Publication date
RU2016144388A (en) 2018-05-18
KR20160145111A (en) 2016-12-19
DE102015205583A1 (en) 2015-10-15
BR112016023830A2 (en) 2017-08-15
WO2015158526A1 (en) 2015-10-22

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C06 Publication
PB01 Publication
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20170222

WD01 Invention patent application deemed withdrawn after publication