CN108095860A - Correct implantation piece enhanced portion, system and method - Google Patents
Correct implantation piece enhanced portion, system and method Download PDFInfo
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- CN108095860A CN108095860A CN201810034863.9A CN201810034863A CN108095860A CN 108095860 A CN108095860 A CN 108095860A CN 201810034863 A CN201810034863 A CN 201810034863A CN 108095860 A CN108095860 A CN 108095860A
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- implantation piece
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Abstract
In some embodiments, surgical method includes forming notch in patients, exposure implantation multi-section in patients divides at least one portion that prosthese, dismounting multi-section divide in prosthese and the first correction implantation piece part is connected to the first portion that multi-section divides prosthese.Correcting implantation piece part has a body, which includes at least one in the protruding portion for dividing the feature complementary of the first portion of prosthese with multi-section or opening, will correct implantation piece part and be connected to the first portion that multi-section divides prosthese.
Description
It is on March 25th, 2014, (the international application no PCT/ of Application No. 201480000395.3 applying date that the application, which is,
The divisional application of the application of US2014/031713), entitled " correction implantation piece enhanced portion, system and method ".
Technical field
Enhanced portion, component, system and the method for the disclosure are related to orthopaedics implantation piece.More specifically, the increasing of the disclosure
Strong portion, components, systems and methods are related to the enhanced portion insert for the correction of orthopaedics implantation piece.
Background technology
Total joint replacement part is for repairing or replacing the orthopaedics implantation piece of natural joint.It is replaced by total joint replacement part
The example in usual joint include but not limited to buttocks, ankle and shoulder.The final goal of any total joint prosthese all connects
The function and structure of the natural health structure for the prosthese being closely replaced.In many cases, since prolonged bone dissolves, planting
Enter in the patient bone of part near sites and form gap.These gaps may make the fixation of prosthese in the patient fluff, and patient is made
The problem of into bigger.
The content of the invention
In some embodiments, surgical method is implanted into patients including forming notch in patients, exposing
Multi-section divides at least one portion and the first correction implantation piece part is connected to multi-section point that prosthese, dismounting multi-section divide prosthese
The first portion of prosthese.Correcting implantation piece part has body, which includes dividing the feature of the first portion of prosthese with multi-section
Complementary at least one protruding portion or opening, for the first portion that implantation piece part is connected to multi-section and divides prosthese will be corrected.
In some embodiments, correcting implantation piece part includes body, the body include above, bottom surface and upper
At least one side extended between face and bottom surface.Above with it is at least one including being configured to divide prosthese with multi-section in bottom surface
The feature of at least one portion engagement.The shape of correction implantation piece part is different from each part that multi-section divides prosthese.
Description of the drawings
Figure 1A is before an example according to the correction implantation piece part of some embodiments and following isometric
View.
Figure 1B is before the correction implantation piece part/enhanced portion shown in Figure 1A and the isometric view of top surface.
Fig. 2A is before another example of correction implantation piece part/enhanced portion and the isometric view of top surface.
Fig. 2 B are the bottom surface isometric views of the correction implantation piece part/enhanced portion shown in Fig. 2A；
Fig. 3 A and Fig. 3 B show the different views of another example of correction implantation piece part/enhanced portion.
Fig. 4 shows the correction implantation piece part/enhanced portion for being connected to implantation piece components of system as directed according to Figure 1A and Figure 1B.
Fig. 5 A and Fig. 5 B show the correction implantation piece part for being connected to implantation piece components of system as directed according to Fig. 2A and Fig. 2 B/
Enhanced portion.
Fig. 6 A and Fig. 6 B show according to some embodiments according to Figure 1A-Fig. 2 B be connected to ankle exchange system away from
A pair of of correction implantation piece part/enhanced portion of bone dome.
Fig. 7 A and Fig. 7 B show that the correction for the astragalus dome for being connected to ankle exchange system according to some embodiments is planted
Enter another example of part part/enhanced portion.
Fig. 8 shows the correction implantation piece portion for the astragalus dome that ankle exchange system is connected to according to some embodiments
Point/another example of enhanced portion.
Fig. 9 A and Fig. 9 B show that the correction for the astragalus dome for being connected to ankle exchange system according to some embodiments is planted
Enter another example of part part/enhanced portion.
Figure 10 A and Figure 10 B show the correction for the astragalus dome that ankle exchange system is connected to according to some embodiments
Another example of implantation piece part/enhanced portion.
Figure 11 A and Figure 11 B show the correction for the astragalus dome that ankle exchange system is connected to according to some embodiments
Another example of implantation piece part/enhanced portion.
Figure 12 A and Figure 12 B show the correction for the astragalus dome that ankle exchange system is connected to according to some embodiments
Another example of implantation piece part/enhanced portion.
Figure 13 shows the correction using screw attachment to the shin bone dome of ankle exchange system according to some embodiments
Another example of implantation piece part/enhanced portion.
Figure 14 A and Figure 14 B provide another example of correction implantation piece part/enhanced portion according to some embodiments
Different views.
Figure 14 C, which are shown, similar with the correction implantation piece part/enhanced portion shown in Figure 14 A and Figure 14 B is connected to ankle
Correction implantation piece part/enhanced portion of the shin bone part of portion's exchange system.
Figure 15 shows correction implantation piece part/enhanced portion using the shin bone part of screw attachment to ankle exchange system
Another example.
Figure 16 A and Figure 16 B provide another example of correction implantation piece part/enhanced portion according to some embodiments
Different views.
Figure 16 C show the shin bone for being connected to ankle exchange system according to Figure 16 A and Figure 16 B according to some embodiments
Correction implantation piece part/enhanced portion of partial tibial plateau.
Figure 16 D show correction implantation piece part/enhancing using the shin bone part of screw attachment to ankle exchange system
Another example in portion.
Figure 17 A and Figure 17 B show the correction implantation piece part/enhanced portion for the tibial plateau for dividing tibial prosthesis around multi-section
Another example.
Figure 18 A and Figure 18 B show another reality of correction implantation piece part/enhanced portion according to some embodiments
Example.
Figure 18 C show the shin bone for being connected to ankle exchange system according to Figure 18 A and Figure 18 B according to some embodiments
Correction implantation piece part/enhanced portion of partial tibial plateau.
Figure 19A and Figure 19B shows another example of the correction implantation piece part according to some embodiments.
Specific embodiment
It is intended to retouch illustrative embodiments to understand with reference to the attached drawing for the part for being considered as whole word descriptions
It states.Attached drawing is not necessarily to scale and for clearly some features may in an enlarged scale or slightly be shown with succinct purpose
Meaning property form is shown.In the description, relative terms, such as " level ", " vertical ", " on ", " under ", " top ", " bottom " and its spread out
New word (" flatly " " down ", " upward " etc.) be construed as representing as then description or such as under discussion attached
The direction shown in figure.These relative terms are to describe and be generally not intended to for convenience to require specific direction.Including " to
Interiorly " to " outwards ", " longitudinally " is to the term of " transverse direction " etc. by relative to each other or compared with outrigger shaft or rotation axis
Or pivot is suitably explained.Unless clearly in addition description, otherwise the term on attachment, engagement etc., such as " connects "
With " interconnection ", a kind of relation is represented, wherein structure is by intervening structure and removable or rigidly attached part or relation, directly
It is grounded or is indirectly attached to each other.When only showing single device, term " device " also it is believed that including individually or
One group (or multigroup) instruction is jointly performed to perform appointing for any one or more devices in methodology discussed here
What is gathered.Term " being operably connected " be dependency structure is allowed to be operated as expected by such relation this attachment,
Engagement or connection.In the claims, if necessary, device adds function clause to be intended to covering description, suggesting or pass through text
The structure that word description or attached drawing substantially assign not only includes structural equivalents object but also including equivalent structure to perform
Recited function.
Disclosed System and method for advantageously enables to be initially implanted on part to fill by providing to be designed as being connected to
The wedge piece in any gap being formed in by bone dissolving in bone corrects full ankle implantation piece with block piece.Although on by Tian Na
Wright Medical Technology, Inc., of Arlington (Wright Medical Tech Inc. of Arlington) of Xi Zhou is obtained
The INBONE full ankle System describes System and method for of the disclosure, but the System and method for of the displosure may be adapted to it
Its multi-section divides prosthesis system.
For example, Figure 1A and Figure 1B show an example of the correction implantation piece part 100A according to some embodiments.
With reference first to Figure 1A, correction implantation piece part 100A includes the body 102 of oblong shape, which includes curved the
One side 104 and the second side for equally bending and being arranged on the side opposite with first side 104 of body 102
106.3rd side 108 be it is flat and limit flat surfaces and be arranged in first side 104 and second side 106 it
Between.4th side 110 is also flat and limits positioned opposite with the 3rd side 108 and in first side 104 and second
Flat surfaces between side 106.Although correction implantation piece part 100A is described as being included in above between 114 and bottom surface 116
Multiple sides 104,106,108,110 of extension, but as one of ordinary skill will be understood, in some embodiment party
Implantation piece part 100A is corrected in formula can be including the single side in the form of circular, ellipse or other continuous shapes.
Head or guard member 112 extend from above 114 and be configured to second correction implantation piece part 100A or
The modular stem part of ankle Replacement Part or other prosthesis systems engages.For example, in some embodiments, head 112 is
Taper so that it is configured to and the respective recess with correction implantation piece part 100A or ankle Replacement Part or other implantation
The Morse's taper of the modular stem part of part system.In some embodiments, protruding portion 112 is cylindrical, i.e., non-tapered
, and including screw thread, bayonet connection or other attachments or coupling arrangement so as to another correction implantation piece part 100A
Complementary characteristic or ankle exchange system a part engagement.It can also use that implantation piece part 100A connections will be corrected
To another correction implantation piece part or multi-section divide prosthese part other coupling arrangements, such as screw, bolt or
The other fasteners of person.
The bottom surface 116 of correction implantation piece part 100A is sized and is configured to the opening complementary with head 112
118.For example, if head 112 is taper, then opening 118 is also taper, so that head 112 is in opening 118
Engagement forms Morse's taper.In some embodiments, when protruding portion 112 is threaded, opening 118 is also threaded.Such as scheming
Most preferably see in 1A and Figure 1B, bottom surface 116 can be compared with above 114 angled (that is, not parallel).However, in this field
Technical staff will be understood that and 114 be mutually parallel above with bottom surface 116 in some embodiments.
Correction implantation piece part 100A further includes that implantation piece part and other correction implantation piece part 100A will be corrected
And/or the feature that the part of ankle Replacement Part or other implantation piece systems couples and disengages.For example, and such as in Figure 1B
In best seen from, notch 120 is limited by the top 122 on head 112.In some embodiments, notch 120 has and is sized
And it is configured to screw driver or other elongate tools being contained in diameter therein.As seen in Figure 1A and Figure 1B, slot
Mouth 120 is at an angle of arrangement compared with the plane limited by flattened side 108,110.In some embodiments, recess portion 124 also limits
It is scheduled in the top 122 on head 112.
Hole 126 is limited along side 108,110, and in some embodiments in side 108,110 and side
104th, the interface between 106 limits hole 126, and hole 126 extends through body 102.As most preferably seen in figure 1A, hole
126 extend through body 102 and cavity 118 so that notch 128 is limited to the protrusion extended from the end surfaces 132 of cavity 118
In portion 130.The axis being sized and be configured to receive such as screw driver or pin of the geometry of hole 126 and notch 128
Removing tool, implant part 100A will be corrected and being connect from the part with another correction implant part or ankle exchange system
Close separation.
Such as those skilled in the art it will be understood that, the size and shape of correction implantation piece part/enhanced portion
It can change.For example, Fig. 2A and Fig. 2 B show another reality of the correction implantation piece part 100B according to some embodiments
Example.In addition to the plane limited by above 114 is parallel to the plane limited by bottom surface 116, what is shown in Fig. 2A and Fig. 2 B rectifys
The embodiment of positive implantation piece part 100B is similar with the embodiment shown in Figure 1A and Figure 1B.
Referring now to Fig. 3 A and Fig. 3 B, the correction for including the body 102 with side 104,106,108 and 110 is shown
Another example of implantation piece part 100C.Side 108 and 110 has concave curvature (as optimal visible in figure 3b), and
Side 104 and 106 is substantially that flat and side 104 and 106 each limits substantially flat surface.In some realities
It applies in mode, the interface between adjacent side 104,106,108,110 can be circular, but the ordinary skill in this field
Personnel will be understood that this interface can be point or chamfering.
Head or guard member 112 extend from above 114 and be configured to second correction implantation piece part 100B or
The part of ankle Replacement Part or other implantation piece systems engages.As described above, head 112 can be in some embodiments
Taper so that its be configured with the respective recess of another correction implantation piece part 100 or ankle Replacement Part or its
The Morse's taper of the part of its implantation piece system.However, head 112 can also be embodied as threaded cylinder or including being used for
It is engaged with the complementary characteristic of another correction implantation piece part 100 or the part of ankle Replacement Part or other implantation piece systems
Other attachment arrangements.
It is sized and is configured to the opening 118 complementary with head 112 and limited by the bottom surface 116 of correction implantation piece part 100C
It is fixed.For example, if head 112 is taper, then opening 118 is also taper so that the connecing in opening 118 of head 112
Conjunction forms Morse's taper.For example, if protruding portion 112 is threaded, then opening 118 is also threaded.
In some embodiments, head 112 limits notch 120 in its top surface 122.Notch 120 be sized and
It is configured to accommodate screw driver or other elongate tools wherein, implantation piece part will be corrected and be implanted into another correction
Part part is separated with a part of implantation piece part.As most preferably seen in figure 3 a, notch 120 is arranged as into certain angle
Degree so that the axis limited by notch 120 diagonally extends across body 102.In some embodiments, recess portion 124 further defines
In the top on head 112 122.Notch 124 contributes to surgeon or other medical professionals to orient Morse's taper, with
Convenient for another correction implantation piece part/enhanced portion or with multi-section the part of ankle prosthese being divided to couple.
Hole 126 is limited along side 104,106, and in some embodiments in side 108,110 and side
104th, the interface between 106 limits hole 126.As in figure 3b best seen from, hole 126 extend through body 102 and with
Cavity 118 intersects.When cavity 118 includes the protruding portion 130 extended from cavity end surfaces 132 towards bottom surface 116, hole 126 exists
Notch 128 is formed in protruding portion 130.The geometry of hole 126 and notch 128 is sized and is configured to receive such as screw
The removing tool of the axis of bottle opener or pin, so that correction implant part 100C is replaced from another correction implant part or ankle
The engagement separation of the modular stem part of system.
Above-mentioned correction implantation piece part 100A, 100B, 100C can be linked together or be connected to ankle Replacement Part or
The part of the other implantation piece systems of person.It is connected in for example, Fig. 4 is shown between the astragalus dome 10 of ankle exchange system and bar 20
Correction implantation piece part 100A.Astragalus dome 10 includes protrusion or saddle upper surface 12 and with restriction opening (not shown)
Bottom surface 14, the conical nose 22 of the amplification for being sized and being configured to receive bar 20 of the bottom surface 14 and correction are planted
Enter the head 112 of part part 100A.In some embodiments, astragalus dome 10 defines one in the upper surface of dome 10 12
A or multiple holes 16.The removing tool being sized and be configured to receive such as screw driver or pin in hole 16.Extremely
A few hole 16 is aligned with the notch 120 limited by the head 112 of correction implantation piece part 100A.
Fig. 5 A and Fig. 5 B show the correction implantation piece part 100B (Fig. 5 A) that is connected to shin bone dome 10 and bar 20 and its
Exploded view (Fig. 5 B).The conical nose 22 of the geometry amplification of arrows bar 20 in Fig. 5 B and correction implantation piece part
The head 112 of 100B is mutually similar so that the conical nose 22 of bar 20 and the conical nose 112 of correction implantation piece part 100B are all
It is configured to be locked to astragalus dome 10.
Referring now to Fig. 6 A and Fig. 6 B, astragalus dome 10 be shown as being connected to a pair of of correction implantation piece part 100A and
100B.Correcting implantation piece part 100A includes bottom surface 116, limits the plane of the plane parallel with being limited by above 114, and
And correction implantation piece part 100B includes bottom surface 116, limits and is at an angle of (that is, non-zero compared with the plane limited by above 114
Spend angle) flat surfaces of arrangement.As most preferably seen in fig. 6, the upper surface 12 of shin bone dome 10 is that have inwardly to prolong
The saddle type for the concave portion 18 stretched.Concave portion 18 limits the engagement surface extended along front-rear direction, the front-rear direction and Fig. 6 A
In bottom surface 116 and above 114 between angle open direction it is identical.
In some embodiments, the embodiment shown in such as Fig. 7 A and Fig. 7 B, correction implantation piece part 100A-1
Bottom surface 116 do not limit to receive another correction implantation piece part 100 head 112 cavity 118, the conical head of bar 20
Portion 22 or the taper of another prosthesis implant part.Can utilize bone cement, screw, other fixing devices or its
Correction implantation piece part 100A-1 is fixed in intramedullary cavity by combination.
Angle between bottom surface 116 and above 114 towards direction be not parallel to front-rear direction.Such as and as in Fig. 8
It shows, the angle between the bottom surface 116 and above 114 of correction implantation piece part 100D is oriented parallel to inward-outward direction.When
Bottom surface 116 is related to during the implantation piece 10 as shown in Fig. 7 A, Fig. 7 B and Fig. 8, and the position of the angle of bottom surface 116 can change.
The physical size of correction implantation piece part can change with geometry.For example, Fig. 9 A and Fig. 9 B show have
The embodiment party of the correction implantation piece part 100E of corresponding length approximate with width with the length of shin bone dome 10 and width dimensions
Formula.Correction implantation piece part 100E is shown as with the flat surfaces limited by bottom surface 116, and bottom surface 116 is compared with by above 114
The flat surfaces of restriction are at an angle of arrangement, above 114 limit flat surfaces be shown as abutting with the bottom surface of astragalus dome 10 14.
However, as described above, it may be further arranged so that it parallel to being limited by above 114 by the flat surfaces that bottom surface 116 limits
Flat surfaces.The side 104,106,108,110 of correction implantation piece part 100E is arranged as limiting approximately perpendicular to by above 114
Plane.
In some embodiments, the embodiment shown in such as Figure 10 A and Figure 10 B, side 104,106,108,110
It is arranged compared with the plane limited by above 114 into the angle in addition to right angle.As most preferably seen in Figure 10 A, side
104th, 106,108,110 is angled so that the length of bottom surface 116 is more than 114 length and width above with width.In some realities
It applies in mode, side 104,106,108,110 is angled so that 114 have the length and broad-ruler than 116 bigger of bottom surface above
It is very little.As most preferably seen in fig. 1 ob, side 104,106,108,110 can be concave surface so that astragalus dome 10 with
Smooth transition is equipped between correction implantation piece part 100F.
Referring now to Figure 11 A and Figure 11 B, it illustrates in accordance with another embodiment of the present disclosure, implantation piece portion is corrected
Point 100G include along essentially vertical direction from the side that the flat surfaces limited by above 114 extend 104,106,108,
110.As in Figure 11 B best seen from, above 114 with the length of bottom surface 116 and width be more than the length of astragalus dome 10 with
Width dimensions so that 114 include the region 134 for extending beyond the border of astragalus dome 10 above.
Figure 12 A and Figure 12 B show the another embodiment of correction implantation piece part 100H, wherein above 114 and bottom
The length in face 116 is more than the length and width dimensions of astragalus dome 10 with width so that region 134 extends beyond astragalus dome 10
Border.Side 104,106,108,110 is angled so that the length of bottom surface 116 is more than 114 length above and width with width
Degree.In fig. 12, it can be seen that conical nose 112 astragalus dome 10 bottom surface 14 with correction implantation piece part 100H's
Above between 114.
Figure 13 shows the embodiment of correction implantation piece part 100I, wherein will correct implantation piece part using screw
100I is locked to astragalus dome 10.As shown in Figure 13, the bottom surface 110 for correcting implantation piece part 100I is sized and constructs
For screw 24 is contained in countersunk 136 therein.Although invisible in fig. 13, astragalus dome 10 includes planting with correction
Enter the threaded hole that the countersunk 136 of part part 100I is aligned.
As described above, the geometry of correction implantation piece part can change so that correction implantation piece part have with
Other implantation piece parts or the geometry with the complementation of the geometry of marrow internal channel or cavity.For example, Figure 14 A- Figure 14 C show
The example for this correction implantation piece part 100J for being configured to be used together with the shin bone implantation piece of ankle exchange system is gone out.
Correcting the bottom surface 116 of implantation piece part 100J includes the tibial plateau 202 with the shin bone bar part 202 of ankle exchange system 200
Upper surface complementation contour surface 138, it is special that ankle exchange system 200 is shown as the U.S. submitted according on March 25th, 2009
Profit application the 12nd ,/410, the ankle exchange system of the system described in 978, the side that the full content of the application passes through reference
Formula is incorporated herein.
Contour surface 138 is limited to the passage 140 to extend internally between supporting leg 142.As most preferably seen in Figure 14 C,
Groove 144 extends internally from the approximate intermediate point of passage 140, and groove 144 is sized and is configured to receive tibial plateau
202 raised alignment guide 204.Conical nose 112 extends from correction implantation piece part 100J the upper surface of 114, and
Conical nose 112 is sized and is configured to receive by the central rod portion 210 of such as ankle prosthese 200 or side pole part
In the complementary openings that 220 prosthese bar part limits.
Figure 15 shows the correction for the tibial plateau 202 for being configured to be connected to ankle implantation piece system 200 via screw 24
The embodiment of implantation piece part 100K.Although invisible in fig.15, correction implantation piece part 100K is included from above
The conical noses 112 of 114 extensions, above 114 engaged via taper locking piece with center section.Bottom surface 116 includes and Figure 14 A-
The contour surface 138 of the correction implantation piece part 100J shown in Figure 14 C is similar, tibial plateau with shin bone implantation piece 200
The contour surface 138 of 202 upper surface complementation.
In some embodiments, in the embodiment such as shown in Figure 16 A- Figure 16 D, implantation piece part is corrected
100L is configured to the distance piece being inserted between implantation piece part.As shown in fig. 16, except correction implantation piece part
100L is not included beyond the conical nose 112 extended from above 114, and correction implantation piece part 100L has with correcting implantation piece
The similar shape of the shape of part 100K.In fig. 16b, hole 146 is shown as the approximate center in groove 144 and extends through
Correct implantation piece part 100L.Hole 146 is sized and is configured to be engaged by locking with taper or accommodates shin with non-locking engagement
The conical nose 204 of bone platform 202 (Figure 16 C).
As shown in figure 16d, screw 24 is used to tibial plateau 202 being fixed to correction implantation piece part 100L and fixation
To the intermediate implantation piece part 210 of anklebone exchange system 200.For example, screw 24 is through tibial plateau 202 and corrects implantation piece
Part 100L and the threaded hole (not shown) with being limited by intermediate implantation piece part 210 are threadedly engaged.Although it shows recessed
Head screw 24, but other screw types are also possible, include but not limited to pan head screw and flat head screw, and only list
Several screw types.
Figure 17 A and Figure 17 B show another example of correction implantation piece part 100N, wherein limited by body 102
Opening 146 is sized and is configured to accommodate intermediate implantation piece part 210 wherein.In some embodiments, hole 146
The intermediate implantation piece part 210 of being sized to provide and be slidably matched or frictional fit.
Figure 18 A- Figure 18 C, which are shown, is configured to be connected to tibial plateau 202 and/or multi-section divides the other parts of implantation piece
Correct another example of implantation piece part 100N.Correction implantation piece part 100N is configured to include from bottom surface 116 and above 114
The rectangular prism of vertically extending side 104,106,108,110.Conical nose 112 extends and is sized from above 114
And it is configured to engage with another correction implantation piece part or replacement prosthesis part.
Bottom surface 116 limits passage 140, and passage 140 is in a longitudinal direction across the part 100N extensions of correction implantation piece so that
Correcting implantation piece part 100N includes a pair of of supporting leg 142.As most preferably seen in Figure 18 B, in the about center of passage 140
Limit blind hole 146.The conical nose 114 for being sized and being configured to receive another correction implantation piece part of blind hole 146 or
The conical nose of person's implantation piece system, the tibial plateau 202 of the ankle exchange system 200 such as shown in Figure 18 C.Such as figure
It is shown in 18C, the raised alignment guide 204 being sized and be configured to receive tibial plateau 202 of passage 140.
Figure 19A and Figure 19B shows another example of correction implantation piece part 100P, correction implantation piece part 100P bags
It includes compared with 116 angled arrangement of bottom surface the upper surface of 114.It is different from correction implantation piece part 100N, correction implantation piece portion
100P the upper surface of 114 is divided not include the conical nose extended from above 114, and bottom surface 116 does not include passage 140.One
In a little embodiments, bottom surface 116 is sized and is configured to the cone by another correction implantation piece part or its part
Forming head portion is contained in hole 146 therein.In some embodiments, it is convenient to omit hole 146.As shown in fig. 19b, correction implantation
Part part 100P includes the passage 140 limited by bottom surface 116, and bottom surface 116 is sized and is configured to receive tibial plateau 202
Raised alignment guide 204.
As described above, correction implantation piece part/enhanced portion can have various shapes and geometrical construction.In some embodiment party
In formula, correction implantation piece part/enhanced portion is formed by the titanium of plasma spraying, but is included but not limited to from Wright
Medical Technology, Inc. (Wright Medical Tech Inc.) are obtainableOther materials and
Other metals, ceramics, plastics and bone growth material.
Fluoroscopy can be utilized to select the size of correction implantation piece part/enhanced portion 100 after assessing in the preoperative
With shape, with identify the multi-section that is implanted in bone divide prosthese position or can be after implantation piece position be checked by outer
Appropriate correction implantation piece part/enhanced portion of section doctor or other providers execution when surgical operation carries out
100 it is selected.In some embodiments, implantation piece part/enhanced portion 100 individually disinfection and packaging are corrected, and in some realities
It applies in mode, implantation piece part/enhanced portion 100 is arranged in external member.For example, it ought each be separately implantable part part/enhanced portion 100
When being arranged in external member, being each separately implantable part part/enhanced portion 100 can individually be packaged and be included in larger container
Or in packaging.However, it is possible to the shape in the situation multiple implantation piece part/enhanced portion 100 not being packaged in individual packaging
Suite.
During corrective operations, the multi-section point vacation being previously implanted in patients can be partially or fully dismantled
Body.For example, if multi-section divides implantation piece to be to include tibial plateau 202, one or more center sections 210 and end sections
220 multi-section divides tibial prosthesis 200, then surgeon can utilize such as instrument of screw driver, pin or such as this
Those of ordinary skill in technical field will be understood that specific apparatus by tibial plateau 202 and/or one or more middle parts
Divide 210 separation.For example, make tibial plateau by the way that Morse's taper is allow to be disengaged or unscrew implantation piece part 202,210
202 separate with intermediate implantation piece part 210.For example, if multi-section divides prosthese to be astragalus prosthese, then by joining Morse's taper
Connecing to be disengaged can be such that astragalus dome 10 is separated with astragalus bar 20.When fully dismantling, divide entire multi-section to prosthese from trouble
Person removes.
In the case where dismounting multi-section divides implantation piece at least partly, one or more is rectified using applicable attachment mechanism
Positive implantation piece part/enhanced portion 100 is assembled to multi-section and divides prosthese in the original location.In some embodiments, attachment includes inciting somebody to action in situ
One or more correction implantation piece part/enhanced portion 100 is inserted into the intramedullary cavity that prestores and will correction implantation piece part/enhancing
Portion 100 is attached to the implant part that multi-section divides prosthese.One or more can also be corrected into implantation piece part/enhancing in ex situ
Portion 100 divides one or more parts of prosthese to be linked together with multi-section, and the assembling of formation then is connected to multi-section point
Any part of prosthese.If for example, implantation piece is divided to be removed completely from patient multi-section, then surgeon or other medical treatment are specially
Family or care-giver can be implanted into multi-section and divide one or more parts of prosthese and one or more correction implantation piece part/increasings
Strong portion 100.
As described above, correction implantation piece part/enhanced portion can have configurations differing from one and/or divide prosthese with multi-section
Part variform shape so that correction implantation piece part/enhanced portion 100 can be linked together to fill in bone
Gap.In addition, single correction implantation piece part/enhanced portion can include multiple attachment arrangements, such as centrum, screw thread, card
Mouth connection, but only list several possibilities.
Although describing the present apparatus, external member, system and method according to illustrative embodiments, they are not limited to
This.In addition, should broadly understand appended claims, with include can be without departing from the present apparatus, external member, system and method
The present apparatus made in the case of scope and equivalent scope by those skilled in the art, external member, system and method it is other
Modification and embodiment.
Claims (20)
1. a kind of surgical method, including：
Notch is formed in patients；
The multi-section of exposure implantation in patients divides prosthese；
Dismantle at least one portion that the multi-section divides prosthese；And
First correction implantation piece part is connected to the first portion that the multi-section divides prosthese,
Wherein, the correction implantation piece part has body, and the body includes described first that divides prosthese with the multi-section
It is at least one in the protruding portion or opening of the feature complementary divided, it is described more for the correction implantation piece part is connected to
The first portion of part prosthese.
2. surgical method according to claim 1 further includes and the second portion of prosthese is divided to be connected to the multi-section
Divide the first correction implantation piece part that the first portion of prosthese couples with the multi-section.
3. surgical method according to claim 1, further include by the second correction implantation piece part be connected to it is described
Multi-section divides the first correction implantation piece part that the first portion of prosthese couples.
4. surgical method according to claim 3 further includes and the second portion of prosthese is divided to be connected to the multi-section
The first correction implantation piece part.
5. surgical method according to claim 4, wherein, the multi-section divides the first portion of prosthese to be shin bone
The center section of implantation piece, and wherein, the multi-section divides the shin bone that the second portion of prosthese is the shin bone implantation piece
Platform.
6. surgical method according to claim 4, wherein, the multi-section divides the first portion of prosthese to be astragalus
The astragalus dome of implantation piece, and wherein, the multi-section divides the astragalus that the second portion of prosthese is the astragalus implantation piece
Bar.
7. surgical method according to claim 3, wherein, the second correction implantation piece part is rectified with described first
Positive implantation piece part has different shapes.
8. surgical method according to claim 7, wherein, the first correction implantation piece part is planted with the second correction
Entering part part has and the multi-section shape that divide the shape of each part of prosthese different.
9. surgical method according to claim 1, wherein, the correction implantation piece part has a body, described
Body has and the multi-section shape that divide the shape of each part of prosthese different.
10. surgical method according to claim 1, wherein, the multi-section divides the first portion of prosthese to be shin
The central rod portion of bone implantation piece.
11. surgical method according to claim 1, wherein, the described first correction implantation piece part is connected to institute
Stating multi-section divides the first portion of prosthese to include the described first correction implantation piece being inserted partially into intramedullary cavity.
12. surgical method according to claim 11, wherein, the described first correction implantation piece part is joined in the original location
It is connected to the first portion that the multi-section divides prosthese.
13. a kind of correction implantation piece part, including：
Body, the body include above, bottom surface and at least one side extended between the bottom surface above described
Face,
Wherein, it is described above with it is at least one including being configured to engage at least one portion that multi-section divides in prosthese in bottom surface
Feature, and the shape of the correction implantation piece part is different from each part that the multi-section divides prosthese.
14. correction implantation piece part according to claim 13, wherein, protruding portion from the body it is described above or institute
State in bottom surface opening extended and be configured to and by the multi-section at least one part of prosthese is divided to limit
Engagement.
15. correction implantation piece part according to claim 14, wherein, the protruding portion is taper.
16. correction implantation piece part according to claim 14, wherein, the protruding portion is threaded and is configured to
Being threadedly engaged in the opening that at least one part with dividing prosthese by the multi-section limits.
17. correction implantation piece part according to claim 13, wherein, a restriction above or in the bottom surface
Opening, the opening are sized and are configured to the multi-section protruding portion of at least one portion of prosthese be divided to engage.
18. correction implantation piece part according to claim 17, wherein, the opening is taper.
19. correction implantation piece part according to claim 17, wherein, the opening includes being configured to and the multi-section point
The screw thread being threadedly engaged of the protruding portion of at least one portion of prosthese.
20. correction implantation piece part according to claim 13, wherein, it is limited respectively by the above and bottom surface
Plane is not parallel each other.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810034863.9A CN108095860A (en) | 2013-03-13 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/800,838 US9949839B2 (en) | 2013-03-13 | 2013-03-13 | Revision implant augments, systems, and methods |
| CN201480000395.3A CN105101896B (en) | 2014-03-25 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
| PCT/US2014/031713 WO2014160703A2 (en) | 2013-03-13 | 2014-03-25 | Revision implant augments, systems, and methods |
| CN201810034863.9A CN108095860A (en) | 2013-03-13 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201480000395.3A Division CN105101896B (en) | 2013-03-13 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108095860A true CN108095860A (en) | 2018-06-01 |
Family
ID=51792592
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810034863.9A Pending CN108095860A (en) | 2013-03-13 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
| CN201480000395.3A Expired - Fee Related CN105101896B (en) | 2013-03-13 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201480000395.3A Expired - Fee Related CN105101896B (en) | 2013-03-13 | 2014-03-25 | Correct implantation piece enhanced portion, system and method |
Country Status (3)
| Country | Link |
|---|---|
| JP (1) | JP2015521951A (en) |
| CN (2) | CN108095860A (en) |
| CA (1) | CA2867160A1 (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10136998B2 (en) * | 2016-08-30 | 2018-11-27 | Wright Medical Technology, Inc. | Revision total ankle implants |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060229730A1 (en) * | 2005-03-14 | 2006-10-12 | Topez Orthopedics, Inc. | Ankle replacement system |
| US20090054992A1 (en) * | 2004-06-23 | 2009-02-26 | Landes Mark D | Modular Ankle Prosthesis and Associated Method |
| CN102088931A (en) * | 2008-08-06 | 2011-06-08 | 泰克里斯公司 | Modular spacer device for treatment of arthro-prothesis infections |
| JP2011115440A (en) * | 2009-12-04 | 2011-06-16 | Nakashima Medical Co Ltd | Ankle prosthesis |
| US20110153024A1 (en) * | 2009-12-17 | 2011-06-23 | Zimmer, Inc. | Modular elbow prosthesis |
| CN103598936A (en) * | 2013-10-21 | 2014-02-26 | 上海市第十人民医院 | Combined tumor-type ankle joint prosthesis |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5370693A (en) * | 1992-09-28 | 1994-12-06 | Depuy Inc. | Orthopedic implant augmentation and stabilization device |
| US5733292A (en) * | 1995-09-15 | 1998-03-31 | Midwest Orthopaedic Research Foundation | Arthroplasty trial prosthesis alignment devices and associated methods |
| US20020115742A1 (en) * | 2001-02-22 | 2002-08-22 | Trieu Hai H. | Bioactive nanocomposites and methods for their use |
| US7854737B2 (en) * | 2002-12-20 | 2010-12-21 | Depuy Products, Inc. | Instrument and associated method of trailing for modular hip stems |
| US7722676B2 (en) * | 2003-02-05 | 2010-05-25 | Wright Medical Technology, Inc. | Articulating implant system |
| US20040193278A1 (en) * | 2003-03-31 | 2004-09-30 | Maroney Brian J. | Articulating surface replacement prosthesis |
| WO2004093747A1 (en) * | 2003-04-02 | 2004-11-04 | Ortho Development Corporation | Tibial augment connector |
| FR2885512B1 (en) * | 2005-05-10 | 2007-08-10 | Biocoral Inc | SYRINGE FOR BIO-MATERIAL |
| CN203001181U (en) * | 2012-11-14 | 2013-06-19 | 黄国富 | Buffer type artificial ankle joint |
-
2014
- 2014-03-25 CN CN201810034863.9A patent/CN108095860A/en active Pending
- 2014-03-25 CA CA2867160A patent/CA2867160A1/en not_active Abandoned
- 2014-03-25 JP JP2015521891A patent/JP2015521951A/en active Pending
- 2014-03-25 CN CN201480000395.3A patent/CN105101896B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090054992A1 (en) * | 2004-06-23 | 2009-02-26 | Landes Mark D | Modular Ankle Prosthesis and Associated Method |
| US20060229730A1 (en) * | 2005-03-14 | 2006-10-12 | Topez Orthopedics, Inc. | Ankle replacement system |
| CN102088931A (en) * | 2008-08-06 | 2011-06-08 | 泰克里斯公司 | Modular spacer device for treatment of arthro-prothesis infections |
| JP2011115440A (en) * | 2009-12-04 | 2011-06-16 | Nakashima Medical Co Ltd | Ankle prosthesis |
| US20110153024A1 (en) * | 2009-12-17 | 2011-06-23 | Zimmer, Inc. | Modular elbow prosthesis |
| CN103598936A (en) * | 2013-10-21 | 2014-02-26 | 上海市第十人民医院 | Combined tumor-type ankle joint prosthesis |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105101896A (en) | 2015-11-25 |
| CA2867160A1 (en) | 2014-10-02 |
| CN105101896B (en) | 2018-02-06 |
| JP2015521951A (en) | 2015-08-03 |
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