DE102006002210A1 - Modular revision socket for prosthetic hip joint comprises oval press-fit shell with flat top and rounded edges held in position by pins and clip and fitted with lining of ultra-high molecular weight polyethylene - Google Patents

Modular revision socket for prosthetic hip joint comprises oval press-fit shell with flat top and rounded edges held in position by pins and clip and fitted with lining of ultra-high molecular weight polyethylene Download PDF

Info

Publication number
DE102006002210A1
DE102006002210A1 DE102006002210A DE102006002210A DE102006002210A1 DE 102006002210 A1 DE102006002210 A1 DE 102006002210A1 DE 102006002210 A DE102006002210 A DE 102006002210A DE 102006002210 A DE102006002210 A DE 102006002210A DE 102006002210 A1 DE102006002210 A1 DE 102006002210A1
Authority
DE
Germany
Prior art keywords
socket
pan
anchoring
revision
anchoring pin
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
DE102006002210A
Other languages
German (de)
Other versions
DE102006002210B4 (en
Inventor
Hans-Georg Prof. Dr. Neumann
Ernst-Dieter Dr. Klinkenberg
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.)
DOT GmbH
Original Assignee
DOT 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 DOT GmbH filed Critical DOT GmbH
Priority to DE102006002210A priority Critical patent/DE102006002210B4/en
Priority to DE202006000650U priority patent/DE202006000650U1/en
Priority to PCT/EP2007/050145 priority patent/WO2007082810A2/en
Publication of DE102006002210A1 publication Critical patent/DE102006002210A1/en
Application granted granted Critical
Publication of DE102006002210B4 publication Critical patent/DE102006002210B4/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30721—Accessories
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30721—Accessories
    • A61F2/30749—Fixation appliances for connecting prostheses to the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8038—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers the additional component being inserted in the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4609—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of acetabular cups
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30326—The prosthesis having different structural features at different locations within the same prosthesis differing in height or in length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364—Rotation about the common longitudinal axis
    • A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30378—Spherically-shaped protrusion and recess
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
    • A61F2002/30403—Longitudinally-oriented cooperating ribs and grooves on mating lateral surfaces of a mainly longitudinal connection
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30433—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30484—Mechanically expandable devices located on the first prosthetic part for locking into or onto the second prosthetic part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
    • A61F2002/30578—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/3069—Revision endoprostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30785—Plurality of holes parallel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30787—Plurality of holes inclined obliquely with respect to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/3079—Stepped or enlarged apertures, e.g. having discrete diameter changes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2002/30906—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth shot- sand- or grit-blasted
    • 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
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A61F2002/3401—Acetabular cups with radial apertures, e.g. radial bores for receiving fixation screws
    • 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
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A61F2002/3401—Acetabular cups with radial apertures, e.g. radial bores for receiving fixation screws
    • A61F2002/3403—Polar aperture
    • 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
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A61F2002/3453—Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped
    • A61F2002/3454—Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped having an oblong, oval or elliptical cross-section in the equatorial plane
    • 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
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A61F2002/3453—Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped
    • A61F2002/3456—Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped ellipsoidal or having a flattened polar region
    • 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
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A61F2002/348—Additional features
    • A61F2002/349—Shell having a wavy or undulated peripheral rim
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4629—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof connected to the endoprosthesis or implant via a threaded connection
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0037—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in height or in length
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00407—Coating made of titanium or of Ti-based alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

Modular revision socket (1) for a prosthetic hip joint comprises an oval press-fit shell with a flat top and rounded edges. This has a press-fit angle of 75 - 82[deg]. It is held in position by pins (2a, 2b) and a clip (3) whose shape is determined by the requirements of fitting. A recess in the socket wall prevents impingement. The socket is fitted with a lining of ultra-high molecular weight polyethylene with a corresponding recess. An independent claim is included for the fastening pins which have a cylindrical tip with guide surfaces, a retaining section below this with a similarly modified surface to the socket, and a head with radial studs which hold the pi in mountings on the socket.

Description

Die Erfindung betrifft eine modulare Revisionspfanne für die Hüftgelenkendoprothetik und Verankerungszapfen hierzu.The The invention relates to a modular revision socket for hip arthroplasty and anchoring pin this.

[Stand der Technik][Was standing of the technique]

Beim Ersatz eines verschlissenen Hüftgelenkimplantats stellt der Operateur regelmäßig sowohl im Bereich des Hüftstieles als auch im Bereich der Hüftpfanne partiellen Knochenverlust fest. Der Operateur muss das Knochenbett für die Fixierung des Implantates unter Verlust von weiterer Knochenmasse vorbereiten und für die Revisionsimplantation eine Gelenkskonfiguration wählen, die die veränderten räumlichen Bedingungen berücksichtigt. Während für den Revisionsstiel bereits bewährte Lösungen existieren, ist dies für die Revisionspfannenprothese nicht der Fall bzw. die existierenden Lösungen sind unbefriedigend. Als wesentliche Anforderung ist insbesondere die variable und dennoch sichere, primär- und dauerstabile Verankerung der acetabulären Implantatkomponente, im folgenden Revisionspfanne genannt, im Beckenknochen bisher nicht zufriedenstellend gelöst.At the Replacement of a worn hip joint implant provides the surgeon regularly both in the Area of the hip stem as well as in the area of the hip socket partial bone loss. The surgeon needs the bone bed for the Fixation of the implant with loss of further bone mass prepare and for the revision implant will choose a joint configuration that the changed spatial Conditions taken into account. While for the Revision handle already proven solutions exist, this is for the revision cup prosthesis is not the case or the existing ones solutions are unsatisfactory. In particular, as an essential requirement the variable, yet secure, primary and permanent anchorage the acetabular Implant component, referred to in the following revision pan, in the pelvic bone so far not satisfactorily solved.

Zusätzlich muss die Revisionspfanne insbesondere bei Wechseloperationen aufgrund von Endoprothesenlockerungen mit schweren Schäden des Knochenlagers, z.B. nach Mehrfachwechseln, dem besonderen Anspruch genügen, auch regenerative Prozesse im umgebenden Knochenlager zu ermöglichen um damit eine hohe Sekundärstabilität zu realisieren.In addition, must the revision pan especially during replacement operations due of endoprosthesis loosening with severe damage to the bone stock, e.g. after multiple changes, meet the special requirement, too to enable regenerative processes in the surrounding bone stock to realize a high secondary stability.

Durch eine entsprechende Formgebung der Revisionspfanne muss sichergestellt sein, dass die Lage des Bewegungszentrums trotz des defekten Knochenlagers rekonstruiert wird und dass der Bewegungsumfang in weitgehend natürlichem Maße möglich sein soll.By a corresponding shape of the revision pan must be ensured be that the location of the movement center despite the defective bone stock is reconstructed and that the scope of motion in a largely natural extent be possible should.

Der Operateur stellt die Forderung, neben der unkomplizierten Handhabung der Revisionspfanne, in der konkreten operativen Situation variabel auf den vorgefundenen Befund, den unterschiedlichen Knochenverlust, reagieren zu können.Of the Surgeon makes the claim, in addition to the uncomplicated handling Revision panel, variable in a concrete operational situation on the found findings, the different bone loss, to be able to react.

Pfannen für die Hüftgelenkendoprothetik sind in verschiedener Ausführung bekannt. Durch ihre Form, ihre funktionellen Bereiche und durch ihre Zusatzelemente wird mit unterschiedlichem Erfolg versucht, die aufgezeigten Anforderungen auch für den Revisionsfall zu erfüllen.Pans for the Are hip arthroplasty in different design known. Through their shape, their functional areas and through their additional elements are tried with varying degrees of success to fulfill the indicated requirements also for the revision case.

Sie lassen sich grob in folgende Gruppen einteilen:

  • – Hüftpfannen mit ovalärer Form
  • – Hüftpfannen mit Lasche
  • – Hüftpfannen mit Zapfen
  • – Hüftpfannen mit Lasche und Zapfen
  • – Hüftpfannen mit anderen Verankerungsmitteln
They can be roughly divided into the following groups:
  • - Acetabular cups with oval shape
  • - acetabular cups with flap
  • - acetabular cups with pegs
  • - acetabular cups with lugs and spigots
  • - acetabular cups with other anchoring means

Dabei ist die ovaläre Form besonders vorteilhaft, um den Knochenverlust, der in den typischerweise auftretendenden acetabulären Defekten offenbar wird, teilweise ausgleichen zu können.there is the oval Shape particularly beneficial to the bone loss that is typical in the occurring acetabular Defects apparently will be able to compensate in part.

Aus der Patentschrift DE 197 01 778 C2 ist ein Gelenkpfannenimplantat bekannt, das aus einem länglich geformten Pfannenkörper und einem Pfanneneinsatz (Inlay) besteht, der auf der Frontseite eine halbkugelförmige Öffnung zur Aufnahme einer Gelenkkugel aufweist. Das Gelenkpfannenimplantat besteht aus zwei Teilen, dem äußeren Pfannenkörper und dem darin einrastenden Pfanneneinsatz. Der Pfannenkörper ist oval gehalten, wobei die kugelige Aufnahme für den Pfanneneinsatz auf der Hauptachse einseitig verschoben ist. Der Pfanneneinsatz trägt außen Nasen, die in entsprechende Aussparungen im Pfannenkörper einrasten können, und zwar in verschiedenen Winkelstellungen.From the patent DE 197 01 778 C2 For example, a joint socket implant is known, which consists of an elongate shaped socket body and a socket insert (inlay), which has on the front side a hemispherical opening for receiving a joint ball. The acetabulum implant consists of two parts, the outer cup body and the therein latching socket insert. The pan body is held oval, wherein the spherical seat for the pan insert is shifted on one side on the main axis. The socket insert carries outside lugs that can engage in corresponding recesses in the socket body, in different angular positions.

Eine ähnliches Revisionspfanneimplantat wird in dem Gebrauchsmuster DE 201 08 114 U1 offenbart, welches aus einem Stück besteht und direkt in das Acetabulum eingesetzt wird. Das Pfannenimplantat hat eine ovale Außenkontur und eine Halbkugelöffnung zur Aufnahme einer Kugel.A similar revision socket implant is in the utility model DE 201 08 114 U1 discloses which consists of one piece and is inserted directly into the acetabulum. The acetabular implant has an oval outer contour and a hemispherical opening for receiving a ball.

Nachteil dieses Gelenkpfannenimplantates ist es, dass keine zusätzlichen Verankerungen zur Befestigung am Knochen vorgesehen sind und es somit als Revisionspfannenimplantat bei größeren Defekten, die nicht mit Pressfit-Implantaten versorgt werden können, nicht geeignet sind.disadvantage This acetabular implant is that no additional Anchors are provided for attachment to the bone and it thus as a revision socket implant for larger defects that are not with Press-fit implants can be supplied are not suitable.

Ein weiteres Problem besteht darin, dass das Revisionspfannenimplantat im Acetabulum mit dem patientenindividuell einzustellenden Pfanneneingangswinkel in die richtige Stellung gebracht werden muss, da ansonsten der Bewegungsumfang nach der Implantation eines künstlichen Hüftgelenkes nicht mehr physiologisch nachgebildet ist. Durch ein zu tiefes Einpressen des Implantats in das Acetabulum entsteht ein verändertes Rotationszentrum, wodurch die Beinlänge und der femurale Abstand negativ beeinflusst werden. Zur Verhinderung dieses zu tiefen Einpressens können am Revisionspfannenimplantat Befestigungslaschen vorhanden sein.One Another problem is that the revision cup implant in the acetabulum with the individual patient to be adjusted Pfanneneingangswinkel in the right position, otherwise the Range of motion after implantation of an artificial hip joint is no longer physiological is modeled. Due to too deep pressing in of the implant in the acetabulum creates an altered center of rotation, which the leg length and the femoral distance are negatively affected. To prevent this too deep pressing can Attachment tabs may be present on the revision socket implant.

In dem Gebrauchsmuster DE 201 05 862 U1 wird ein Pfannenimplantat beschrieben, dessen Knochenlagerseite wenigstens abschnittsweise eine dreidimensionale, offenmaschige Raumnetzstruktur aufweist. Auf dieser Seite befindet sich ein zusätzliches, in den Knochen einzuführendes Fixierungselement für die Sekundärfixierung. Die Beckenpfanne hat nach einer Seite hin einen ausladenden Bereich, derart, dass sie in Draufsicht eine ovaläre und in Seitenansicht eine halb-ovaläre Kontur aufweist. Die flügelartig ausgebildete Lasche, die sich beim Einpressen der Pfanne in das Acetabulum an die Darmbeinschaufel anlegt, dient der Erhöhung der Primärstabilität des Implantats.In the utility model DE 201 05 862 U1 a pan implant is described, the bone bearing side has at least partially a three-dimensional, open-mesh spatial network structure. On this side there is an additional fixation element for secondary fixation to be introduced into the bone. The pelvic cup has an expansive area to one side, such that it has an oval and in plan view a semi-oval contour in plan view. The wing-like flap, which rests against the iliac vane when the acetabulum is pressed into the acetabulum, serves to increase the primary stability of the implant.

Die Lasche ist in einem festen Winkel mit der Pfanne verbunden. Dieser Winkel ist so gewählt, das er für eine empirisch ermittelte mittlere Beckenform optimal ist. Auf patientenspezifisch verschiedene Formen kann damit nicht reagiert werden oder es müssen in diesem Fall implantatbedingte, in der Regel abtragende Anpassungen des Knochenlagers vorgenommen werden.The Tab is connected at a fixed angle with the pan. This Angle is chosen he for an empirically determined middle pelvic form is optimal. On patient specific different forms can not be reacted or it must be in In this case, implant-related, usually ablation adjustments be made of the bone store.

In DE 101 13 614 B4 wird ein modulares Implantat für eine stark defekte Hüftgelenkpfanne beschrieben. Dieses besteht aus einem in das defekte Acetabulum zu setzenden, ovalären Pfannenimplantat, welches mindestens drei, die Wandung durchsetzende Bohrungen aufweist. Ein langgestrecktes Fixierungselement ist an das Implantat wahlweise im Bereich der drei Bohrungen anschraubbar und so fest arretierbar.In DE 101 13 614 B4 a modular implant for a bad hip joint socket is described. This consists of an oval acetabular implant to be placed in the defective acetabulum, which has at least three holes penetrating the wall. An elongated fixation element can be screwed onto the implant, optionally in the area of the three bores, and can thus be firmly locked.

Aus DE 197 24 828 A1 ist ein modulares Hüftpfannenimplantat mit der Möglichkeit zur Anpassung an die vorhandenen individuellen anatomischen Voraussetzungen bei der Implantation bekannt. Der Grundkörper eines Hüftpfannenimplantats wird mit einem oder mehreren Modulen durch Metallschrauben fest miteinander verbunden. Das System kann zusätzlich durch Knochenschrauben stabil verankert werden.Out DE 197 24 828 A1 is a modular acetabular implant with the ability to adapt to the existing individual anatomical requirements in implantation known. The main body of a hip socket implant is firmly connected to one or more modules by metal screws. The system can also be anchored stably by bone screws.

Bei diesen letztgenannten Veröffentlichungen sind Befestigungslaschen nicht vorgesehen.at these latter publications are fastening tabs not provided.

In CA 2 454 672 A1 wird ein modulares Revisionspfannenimplantat offenbart, welches neben dem Pfannengrundkörper auch einen fest zu montierenden Laschenüberkörper als Modul mit drei Laschen besitzt. Diese Anordnung ist nicht durch Verpressung zu implantieren. Der Laschenüberkörper ist durch seine Abmessungen, die den Maximalabmessungen des Implantats entsprechen und durch die daran befindlichen festen Laschen zu unflexibel, um individuelle anatomische Besonderheiten berücksichtigen zu können.In CA 2 454 672 A1 discloses a modular revision socket implant, which in addition to the pan base body also has a fixed plate body to be mounted as a module with three tabs. This arrangement is not to be implanted by compression. The flap body is too inflexible due to its dimensions, which correspond to the maximum dimensions of the implant and due to the attached fixed tabs to account for individual anatomical features.

Keine der in den vorgenannten Veröffentlichungen vorgeschlagenen Lösungen ist geeignet, um intraoperativ auf verschiedene Defektqualitäten des Acetabulums im Revisionsfall hinreichend variabel zu reagieren und sowohl die Primärstabilität, eine gute Prognose für die Sekundärstabilität und einen nahezu physiologischen Bewegungsumfang sichern zu können.None in the aforementioned publications proposed solutions is suitable for intraoperatively to different defect qualities of the Acetabulum in the case of revision sufficiently variable to respond and both the primary stability, a good one Forecast for the secondary stability and a near to be able to secure the physiological range of motion.

[Aufgabe der Erfindung][Abandonment of Invention]

Aufgabe der Erfindung ist es, ein modulares Revisionspfannenimplantat zu entwickeln, welches während der Operation entsprechend dem Defektzustand des Acetabulums angepasst werden kann, das eine hohe Primärstabilität besitzt und eine hohe Sekundärstabiltät ermöglicht, sowie einen nahezu physiologischen Bewegungsumfang gestattet..task The invention is directed to a modular revision cup implant develop that during adapted to the operation according to the defect condition of the acetabulum can be, which has a high primary stability and high secondary stability allows as well as a nearly physiological range of motion.

Die Lösung der Aufgabe erfolgt entsprechend der Patentansprüche.The solution the task is carried out according to the claims.

Die erfindungsgemäße modulare Revisionspfanne besteht aus einem Pfannengrundkörper, einer Befestigungslasche, einem oder mehreren Verankerungszapfen und einem Pfanneneinsatz.The modular according to the invention Revision pan consists of a pan body, a fastening strap, one or more anchoring pins and a socket insert.

Der Pfannengrundkörper ist als ovaläre Pressfitschale geformt, deren Grundform durch Radien beschreibbar ist. Er weist einen Pressfitwinkel zwischen 75°-82° und eine breite Pressfitfläche auf, die im vorwiegend erhaltenen Defektbereich abgeflacht ist. Der Pfannengrundkörper hat zwei polyaxiale Spreizpressfitlager für Verankerungszapfen, ein Montagelager für eine Befestigungslasche und eine Aussparung zur Verhinderung des Anschlagens des Kopfhalses (Impingement) und konsekutiver Luxation des Kopfes.Of the Pan base is as an oval pressfit dish shaped whose basic shape is described by radii. He points a pressfit angle between 75 ° -82 ° and a wide pressfit surface on, which is flattened in the predominantly obtained defect area. The pan base body has two polyaxial expansion bearing blocks for anchoring pins, an assembly bearing for one Mounting tab and a recess to prevent the impact of the head neck (impingement) and consecutive dislocation of the head.

Die Befestigungslasche ist entsprechend den operativen Anforderungen in unterschiedlichen Geometrien einsetzbar. Die Aufnahme von Kippmomenten der Befestigungslasche erfolgt durch ein Befestigungslager im Pfannengrundkörper.The Fastening tab is according to the operational requirements can be used in different geometries. The absorption of tilting moments The fastening tab is made by a mounting bearing in the pan body.

Ein oder mehrere Verankerungszapfen können in verschiedenen Größen gesetzt werden, wobei die Verankerung im Grundkörper durch Spreizpressfit erfolgt. Der Verankerungszapfen wird mittels Führhülse durch eine Bohrung im Pfannengrundkörper gesetzt.One or more anchoring pins can be set in different sizes be anchored in the body by Spreizpressfit. The anchoring pin is set by means of a guide sleeve through a hole in the socket body.

Der Pfanneneinsatz wird durch Pressfit in der Pfanne befestigt. Auch er hat eine Aussparung zur Verhinderung von Impingement.Of the Cup insert is fixed in the pan by pressfit. Also He has a recess to prevent impingement.

Der Verankerungszapfen besitzt mehrere Funktionsbereiche. Der Spitzenbereich ist zylindrisch und dient zur Führung des Zapfens während des Eindrückens. Der Führungsbereich, welcher sich dem Spitzenbereich anschließt, ist kegelförmig polyedrisch ausgeführt und dient zur Verdrehsicherung und Kompression des spongiosen Knochens während des Einführens. Der darauf folgende Haltebereich besitzt die funktional gleich modifizierte Oberfläche wie der Pfannengrundkörper und sichert als bevorzugter knöcherner Einwachsungsbereich die mechanische Stabilität des Verankerungszapfens im Knochen. Der abschließende Kopfbereich ist dübelähnlich mit sphärischen Teilflächen aufgebaut. Er dient zur Befestigung des Verankerungszapfens in der Revisionspfanne und ermöglicht die polyaxiale Ausrichtung des Verankerungszapfens. Mit dem Kopfbereich sind Sicherungsnoppen verbunden, welche in Aussparungen des Zapfenlagers eingreifen und den Verankerungszapfen gegen Verdrehung sichern.The anchoring pin has several functional areas. The tip area is cylindrical and serves to guide the pin during indentation. The guide region, which adjoins the tip region, is designed conically polyhedral and serves to prevent rotation and compression of spongious bone during insertion. The following holding area has the same functionally modified surface as the pan base body and, as a preferred bony ingrowth area, ensures the mechanical stability of the anchoring pin in the bone. The final head area is dowel-like Lich built with spherical surfaces. It serves to fasten the anchoring pin in the revision socket and allows the polyaxial alignment of the anchoring pin. With the head area locking knobs are connected, which engage in recesses of the journal bearing and secure the anchoring pin against rotation.

Die kegelförmig polyedrisch ausgeführten Flächen des Führungsbereichs sind als Viererflächen oder Sternflächen ausgeführt.The conical polyhedral surfaces of the guiding region are as quadruplets or Stern faces executed.

Der Haltebereich besitzt eine osteointegrative Fläche, die durch Beschichtung oberflächenvergrößert ist und als Oberflächenabschluss eine bioaktive Calciumphosphat-Schicht aufweist.Of the Holding area possesses an osteointegrative area covered by coating surface is enlarged and as a surface finish a bioactive calcium phosphate layer.

Der Kopfbereich wird durch eine Schraube, welche eine Konusfläche entsprechender Steigung besitzt, mit der sphärischen Fläche des Zapfenlagers verpresst.Of the Head area is characterized by a screw which has a conical surface corresponding Slope possesses, with the spherical area of the journal bearing pressed.

[Beispiele][Examples]

Die Erfindung wird anhand von Zeichnungen näher erläutert. Hierzu zeigenThe The invention will be explained in more detail with reference to drawings. Show this

1 Anordnung der erfindungsgemäßen modularen Revisionspfanne im Knochen 1 Arrangement of the modular revision socket according to the invention in the bone

2 ovalärer Pfannengrundkörper mit Sicht auf die polyaxialen Lager der Verankerungszapfen 2 Oval pans basic body with a view of the polyaxial bearings of the anchoring pins

3 ovalärer Pfannengrundkörper mit Sicht auf das Laschenlager und die Aussparung im Pfannengrundkörper zur Verhinderung von Impingement und konsekutiver Luxation des Kopfes 3 Oval pans basic body with view of the tab bearing and the recess in the pan body to prevent impingement and consecutive dislocation of the head

4 erfindungsgemäße Befestigungslasche 4 inventive fastening tab

5 erfindungsgemäßer Verankerungszapfen 5 Anchoring pin according to the invention

6 erfindungsgemäßer Verankerungszapfen und Befestigungsmittel hierfür 6 Anchoring pin according to the invention and fastening means therefor

7 erfindungsgemäßer Pfanneneinsatz 7 inventive pan insert

Die modulare Revisionspfanne in 1 besteht aus dem Pfannengrundkörper 1, dem Pfanneneinsatz aus Kunststoff, dargestellt in 7, zwei Verankerungszapfen 2 und einer Befestigungslasche 3. Das Implantat wird, bis auf den Pfanneneinsatz, aus Titanmaterial in notwendiger Güte hergestellt, die Implantatoberflächen werden je nach Aufgabenbereich funktionalisiert. Der Pfanneneinsatz wird aus UHMW-Polyethylen (ultra high molecular weight polyethylen) hergestellt.The modular revision pan in 1 consists of the pan body 1 , the pan insert made of plastic, shown in 7 , two anchoring pins 2 and a fastening strap 3 , The implant is made of titanium material of the required quality, except for the socket insert, the implant surfaces are functionalized depending on the task. The cup insert is made of UHMW polyethylene (ultra high molecular weight polyethylene).

Der Pfannengrundkörper 1 besitzt eine ovaläre Form, durch die die Revisionspfanne in zwei Dimensionen verdrehsicher ist. In der Grundebene des Implantats lässt sich diese Form durch Radien beschreiben und ist den typischerweise auftretenden Defekten in der Weise angepasst, dass der Defekt räumlich ausgefüllt wird, wodurch sich das Drehzentrum des Gelenks weitgehend wieder in der natürlichen Lage befindet.The pan base body 1 has an oval shape, by which the inspection pan in two dimensions is against rotation. In the base plane of the implant, this shape can be described by radii and is adapted to the typically occurring defects in such a way that the defect is spatially filled, whereby the center of rotation of the joint is largely back to its natural position.

Die Form selbst ist für einen weiten Bewegungsbereich (ROM, R_ange O_f M_otion) optimiert.The Form itself is for a wide range of motion (ROM, R_ange O_f M_otion) optimized.

Der Pfannengrundkörper 1 besitzt eine breite Pressfitfläche und ist im erfahrungsgemäß vorwiegend erhaltenen Defektbereich abgeflacht (geringe Tiefe), um ein Implantatlager mit möglichst wenig Knochenverlust zu ermöglichen und die verbliebene Knochensubstanz zu schonen. Das Implantatlager kann durch Fräsungen mit lediglich zwei Fräsköpfen vorbereitet werden.The pan base body 1 has a wide Pressfitfläche and is flattened in the experience predominantly obtained defect area (small depth) to allow an implant site with minimal bone loss and to protect the remaining bone substance. The implant bed can be prepared by milling with only two milling heads.

Die Steigung der seitlichen Pfannenflächen in Bezug auf die Implantatgrundfläche ist mit einem Winkel zwischen 75°-82° so gewählt, dass ein belastbarer Halt nach dem Einpressen der Pfanne in ein intaktes Implantatlager (Pressfit im weiten Randbereich der Revisionspfanne) gegeben ist.The Slope of the side pan surfaces with respect to the implant base is with an angle between 75 ° -82 ° so chosen that a strong grip after pressing the pan into an intact Implant bearing (press fit in the wide edge area of the revision socket) given is.

Die Kanten 10 in der Pfannengrundebene (2 und 3) sind verrundet, um bei gleitendem Gewebekontakt die Reibung zu verringern. Zur Rekonstruktion des natürlichen Bewegungsbereiches des Beins besitzt der Pfannengrundkörper 1 eine Pfannenaussparung 12 zur Verhinderung von Impingement. Das Einpressen des Pfannengrundkörpers 1 wird mit einer Hilfsvorrichtung vorgenommen, die im zentralen Gewinde 9 zu diesem Zweck temporär eingeschraubt wird.The edges 10 in the pan floor level ( 2 and 3 ) are rounded to reduce friction on sliding tissue contact. To reconstruct the natural range of movement of the leg possesses the Pfannengrundkörper 1 a pan recess 12 to prevent impingement. The pressing of the pan body 1 is done with an auxiliary device that in the central thread 9 is screwed in temporarily for this purpose.

Im Pfannengrundkörper befinden sich Öffnungen zur Aufnahme von konventionellen Knochenschrauben.in the Pan base there are openings for receiving conventional bone screws.

Für Defektsituationen, bei denen das Implantatlager in Bezug auf die Primärstabilität nicht hinreichend belastbar ist, werden zur Erhöhung der Primärstabilität, abgesehen von konventionellen Knochenschrauben, die modular wählbaren Teile Befestigungslasche 3, Verankerungszapfen lang 2a und Verankerungszapfen kurz 2b zur Sicherung der Stabilität eingesetzt. Diese Teile werden formschlüssig am Pfannengrundkörper 1 befestigt. Die Befestigungslasche 3 wird in das Laschenlager 13 gesetzt und mit zwei Befestigungsschrauben 5 in das Gewinde für die Laschenschrauben 14 angeschraubt. Durch die Formschlüssigkeit nimmt das Laschenlager 13 den größten Teil der auf die Befestigungslasche 3 wirkenden Kräfte auf.For defect situations in which the implant bearing can not be adequately loaded with respect to the primary stability, the modular components can be attached to increase the primary stability, with the exception of conventional bone screws 3 , Anchoring pin long 2a and anchoring pin short 2 B used to ensure stability. These parts are form-fitting on the pan body 1 attached. The fastening strap 3 gets into the lug bearing 13 set and with two mounting screws 5 into the thread for the tab screws 14 screwed. Due to the positive engagement takes the tab bearing 13 most of the on the mounting strap 3 acting forces.

Die Verankerungszapfen 2 werden in je einem polyaxialen Zapfenlager 6 (Spreizpressfitlager) formschlüssig im Pfannengrundkörper 1 verpresst. Die zwei polyaxialen Zapfenlager 6 weisen an der Innenseite 11 des Pfannengrundkörpers neben dem sphärischen Pressbereich 7 zwei seitliche Aussparungen 8 zur Aufnahme der Zapfenverdrehsicherung auf. Das Blind-Setzen der Zapfenlager ist möglich. Die Verankerungszapfen 2 können nach Ausführung einer Richtungsbohrung in Bohrungsrichtung in den Pfannengrundkörper 1 gesetzt werden.The anchoring pins 2 are each in a polyaxial journal bearing 6 (Spreizpressfitlager) positively in the pan body 1 pressed. The two polyaxial journal bearings 6 show on the inside 11 of the pan body in addition to the spherical pressing area 7 two lateral recesses 8th for receiving the journal rotation lock. The blind setting of the journal bearing is possible. The anchoring pins 2 can after execution of a directional bore in the bore direction in the pan body 1 be set.

Zur Sicherung des Einwachsens und zur Vergrößerung der osteointegrativen Oberfläche der Revisionspfanne wird die Pressfit-Seite des Implantats in einem ersten Schritt mit einer strukturierten Oberfläche versehen, die in einem weiteren Schritt osteoinduktiv beschichtet wird. Die Strukturierung erfolgt indirekt durch Aufrauhung mittels Abrasionsstrahl und nachfolgender Oberflächenvergrößerung durch Aufbringen von Ti-Partikeln in einem plasmagestützten Beschichtungsprozess. Die osteoinduktive Beschichtung erfolgt durch elektrochemische Abscheidung einer biomimetischen Calciumphosphatschicht (z.B. mit BONIT®).To ensure the ingrowth and increase of the osteointegrative surface of the revision socket, the pressfit side of the implant is provided in a first step with a structured surface, which is coated in an osteoinductive manner in a further step. The structuring takes place indirectly by roughening by means of abrasion jet and subsequent surface enlargement by application of Ti particles in a plasma-assisted coating process. The osteoinductive coating is done by electrochemical deposition biomimetic calcium phosphate coating (eg with BONIT ®).

Für die Befestigungslasche 3 sind unterschiedliche Geometrien einsetzbar und entsprechend den operativen bzw. anatomischen Anforderungen während der Operation montierbar. 4 zeigt ein typisches Beispiel für die wahlweise zu benutzende Befestigungslasche 3. Sie besteht aus einer anatomisch geformten Ti-Flachstruktur mit einer Basis 15, die passend zu dem Laschenlager 13 der Revisionspfanne ist. Dadurch kann die Befestigungslasche 3 formschlüssig gesetzt werden und sie erhält durch die Blockmontage Rotationsstabilität. Durch das Befestigungslager im Pfannengrundkörper 1 werden außerdem Kippmomente aufgenommen.For the fastening strap 3 Different geometries can be used and assembled according to the operational or anatomical requirements during the operation. 4 shows a typical example of the optional fastening tab 3 , It consists of an anatomically shaped Ti flat structure with a base 15 to match the tab bearing 13 the revision pan is. This allows the fastening strap 3 be placed form-fitting and it gets through the block assembly rotation stability. Through the mounting bearing in the pan body 1 tilting moments are also recorded.

Die Montage der Befestigungslasche erfolgt durch Schraubverbindung. Die Basis der Lasche 15 beinhaltet zwei Öffnungen 16 für den Befestigungsschraubendurchlass. Die in 1 dargestellten Befestigungsschrauben 5 werden in der Befestigungslasche 3 versenkt.The mounting strap is screwed. The base of the tab 15 includes two openings 16 for the fastening screw passage. In the 1 illustrated fastening screws 5 be in the fastening tab 3 sunk.

Die in 4 dargestellten drei Öffnungen 16 dienen zur Aufnahme von Knochenschrauben 4. Die konkrete Ausformung der Befestigungslasche 3 in diesem Bereich kann variabel und den jeweiligen Bedingungen im Acetabulum angepasst sein.In the 4 illustrated three openings 16 serve to accommodate bone screws 4 , The concrete shape of the fastening strap 3 This range may be variable and adapted to the conditions in the acetabulum.

Eine wahlweise zusätzliche Verankerung der Pfanne im Beckenknochen erfolgt durch zwei Verankerungszapfen 2, die aus anatomischen Gründen unterschiedlich lang sind. Die einfache Vorbereitung des Sitzes erfolgt durch eine Richtungsbohrung mit reduziertem Durchmesser mittels Führhülsen durch den Pfannengrundkörper 1. Die Verankerungszapfen 2 werden durch das Zapfenlager 6 im Pfannengrundkörper 1 in den Knochen gedrückt und in den Zapfenlagern 6 der Revisionspfanne fest verpresst. Ihre Richtung ist in einem vorgegebenen Bereich polyaxial einstellbar.An optional additional anchoring of the pan in the pelvic bone is carried out by two anchoring pins 2 that are different in length for anatomical reasons. The simple preparation of the seat is made by a directional hole with a reduced diameter by means of guide sleeves through the pan body 1 , The anchoring pins 2 be through the journal bearing 6 in the pan body 1 pressed into the bones and in the journal bearings 6 the revision pan firmly pressed. Their direction is polyaxially adjustable in a predetermined range.

Die Verankerungszapfen 2 (5) bestehen aus mehreren Funktionsbereichen. Der erste, zylindrische Bereich (Spitzenbereich 17) dient zur Führung des Verankerungszapfens 2 während des Eindrückens.The anchoring pins 2 ( 5 ) consist of several functional areas. The first, cylindrical area (tip area 17 ) serves to guide the anchoring pin 2 while impressing.

Der zweite Bereich (Führungsbereich 18) ist kegelförmig polyedrisch ausgeführt (Vierer-Sternfläche) und dient zur Verdrehsicherung und Kompression des spongiosen Knochens während des Einführens.The second area (guidance area 18 ) is conical polyhedral executed (four-star surface) and serves to prevent rotation and compression of spongious bone during insertion.

Der dritte Bereich (Haltebereich 19) besitzt die gleiche funktional modifizierte Oberfläche wie der Pfannengrundkörper 1 (Osteointegrative Fläche mit TPS, BONIT®) und sichert durch die bevorzugte Verwachsung mit dem Knochen die mechanische Stabilität des Verankerungszapfens 2 im Knochen.The third area (holding area 19 ) has the same functionally modified surface as the pan body 1 (Osteointegrative surface with TPS, BONIT ® ) and ensures the mechanical stability of the anchoring pin by the preferred bonding with the bone 2 in the bone.

Der vierte Bereich ist als Kopfbereich 20 dübelähnlich mit sphärischen Teilflächen aufgebaut und dient zur Befestigung des Verankerungszapfens 2 in der Revisionspfanne und ermöglicht die polyaxiale Ausrichtung des Verankerungszapfens 2. Durch Aufspreizung (Spreizpressfit) des Verankerungszapfens 2 (6) mit einer Schraube 22, welche im Kopfbereich eine Konusfläche entsprechender Steigung besitzt, werden die sphärischen Teilflächen des vierten Bereiches (Kopfbereich 20) mit der sphärischen Fläche des Zapfenlagers 6 verpresst. Die Verdrehsicherheit im Zapfenlager 6 wird durch zwei gegenüberliegende Sicherungsnoppen 21 erreicht. Im Zapfenlager 6 sind Aussparungen 8 für diese Noppen vorgesehen. Entsprechend den operativen Gegebenheiten können Verankerungszapfen 2 in verschiedenen Größen verwendet werden.The fourth area is as a header area 20 dowel similar constructed with spherical surfaces and used to attach the anchoring pin 2 in the revision cup and allows the polyaxial orientation of the anchoring pin 2 , By spreading (Spreizpressfit) of the anchoring pin 2 ( 6 ) with a screw 22 , which has a conical surface of corresponding slope in the head region, the spherical partial surfaces of the fourth region (head region 20 ) with the spherical surface of the journal bearing 6 pressed. The anti-rotation in the journal bearing 6 is provided by two opposing safety nubs 21 reached. In the journal camp 6 are recesses 8th intended for these pimples. Depending on the operational conditions anchoring pins 2 can be used in different sizes.

7 zeigt den Pfanneneinsatz aus geeignetem Kunststoff (z.B. UHMW-Polyethylen u.a.). Der Pfanneneinsatz wird so dimensioniert, das er im Pfannenkörper 1 durch Verpressung gehalten wird. Die in 7 dargestellte Aussparung 23 ist formoptimiert für großen Bewegungsbereich (ROM, R_ange O_f M_otion) und entspricht der Fortsetzung der Pfannenaussparung 12. 7 shows the pan insert made of suitable plastic (eg UHMW polyethylene, etc.). The socket insert is dimensioned so that he in the socket body 1 is held by compression. In the 7 illustrated recess 23 is form-optimized for a large range of movement (ROM, R_ange O_f M_otion) and corresponds to the continuation of the socket recess 12 ,

11
PfannengrundkörperPan base
22
Verankerungszapfenanchoring pin
33
Befestigungslaschemounting tab
44
Knochenschraubenbone screws
55
Befestigungsschraubenmounting screws
66
Zapfenlagerchocks
77
sphärischer Pressbereichspherical Press area
88th
Aussparungen zur Aufnahme der Zapfenverdrehsicherungrecesses for receiving the pin rotation lock
99
zentrales Gewindecentral thread
1010
Kanten der Pfannengrundebeneedge the pan floor level
1111
Innenseite des Pfannengrundkörpersinside of the pan body
1212
Pfannenaussparungjoint recess
1313
LaschenlagerLasch camp
1414
Gewinde für Laschenschraubenthread for tab screws
1515
Basis der BefestigungslascheBase the fastening strap
1616
Öffnungenopenings
1717
Spitzenbereich des Verankerungszapfenstip area of the anchoring pin
1818
Führungsbereich des Verankerungszapfensguide region of the anchoring pin
1919
Haltebereich des Verankerungszapfensholding area of the anchoring pin
2020
Kopfbereich des Verankerungszapfenshead area of the anchoring pin
2121
Sicherungsnoppensecuring knobs
2222
Schraubescrew
2323
Aussparung im Pfanneneinsatzrecess in the pan insert

Claims (12)

Modulare Revisionspfanne für die Hüftgelenkendoprothetik bestehend aus – einem Pfannengrundkörper (1), welcher als ovaläre Pressfitschale geformt ist, die im vorwiegend erhaltenen Defektbereich abgeflacht ist, deren Basisfläche durch Radien beschreibbar ist, und die eine breite Pressfitfläche bei einem Pressfitwinkel zwischen 75°-82° aufweist und wobei der Pfannengrundkörper (1) zwei polyaxiale Spreizpressfitlager für Verankerungszapfen (2) und ein Montagelager für eine Befestigungslasche (3) und eine Aussparung (12) zur Verhinderung von Impingement besitzt, – einer Befestigungslasche (3), welche entsprechend den operativen Anforderungen in unterschiedlichen Geometrien einsetzbar ist, deren Blockmontage durch formschlüssige Verbindung in einem auch Kippmomenten aufnehmenden Befestigungslager im Pfannengrundkörper (1) erfolgt, – einem oder mehreren Verankerungszapfen (2) in verschiedenen Größen, wobei die polyaxial mögliche Verankerung im Grundkörper durch Spreizpressfit erfolgt, – einem Pfanneneinsatz aus UHMW-Polyethylen, welcher durch Pressfit in der Pfanne gehalten wird und eine Aussparung (23) zur Verhinderung von Impingement und zur Erhöhung des Bewegungsumfangs besitzt.Modular revision socket for hip joint endoprosthesis consisting of - a socket body ( 1 ) which is shaped as an oval pressfit shell, which is flattened in the predominantly obtained defect region, the base surface of which can be described by radii, and which has a broad pressfit surface at a pressfit angle between 75 ° -82 °, and wherein the base body ( 1 ) two polyaxial Spreizpressfitlager for anchoring pins ( 2 ) and a mounting bracket for a fastening tab ( 3 ) and a recess ( 12 ) for preventing impingement, - a fastening tab ( 3 ), which can be used according to the operational requirements in different geometries whose block assembly by positive connection in a tilting moments receiving mounting bearing in the pan base body ( 1 ), - one or more anchoring pins ( 2 ) in various sizes, wherein the polyaxially possible anchoring in the base body is carried out by Spreizpressfit, - a socket insert made of UHMW polyethylene, which is held by Pressfit in the pan and a recess ( 23 ) for preventing impingement and increasing the range of motion. Modulare Revisionspfanne nach Anspruch 1 dadurch gekennzeichnet, dass eine hohe Primärstabilität der Verankerung des Implantates durch die Merkmale ovaläre Pressfitschale, Befestigungslasche und polyaxial ausrichtbare Verankerungszapfen erreicht wird.Modular revision pan according to claim 1 characterized characterized in that a high primary stability of the anchoring of the implant by the features oval Pressfit shell, attachment tab and polyaxial alignable anchoring pins achieved becomes. Modulare Revisionspfanne nach Anspruch 1 dadurch gekennzeichnet, dass der Pfannengrundkörper (1) zur Vergrößerung der osteointegrativen Oberfläche mit Titanpulver beschichtet ist.Modular revision pan according to claim 1, characterized in that the pan body ( 1 ) is coated with titanium powder to increase the osteointegrative surface. Modulare Revisionspfanne nach Anspruch 2 dadurch gekennzeichnet, dass die Beschichtung mit einer biomimetischen, elektrolytisch abgeschiedenen Calciumphosphatschicht (beispielsweise BONIT®) erfolgt.Modular revision cup according to claim 2 characterized in that the coating with a biomimetic, electrodeposited calcium phosphate layer (for example BONIT ®) is carried out. Modulare Revisionspfanne nach Anspruch 1 dadurch gekennzeichnet, dass die Montage der Befestigungslasche (3) durch Schraubverbindung erfolgt.Modular revision pan according to claim 1, characterized in that the mounting of the fastening tab ( 3 ) by screw connection. Modulare Revisionspfanne nach Anspruch 1 dadurch gekennzeichnet, dass der Verankerungszapfen (2) durch eine Bohrung im Pfannengrundkörper (1) gesetzt wird.Modular revision socket according to claim 1, characterized in that the anchoring pin ( 2 ) through a hole in the pan body ( 1 ) is set. Modulare Revisionspfanne nach Anspruch 1 dadurch gekennzeichnet, dass der Pfanneneinsatz aus Kunststoff, beispielsweise UHMW-Polyethylen, besteht.Modular revision pan according to claim 1 characterized in that the socket insert made of plastic, for example UHMW polyethylene. Verankerungszapfen mit mehreren Funktionsbereichen für eine modulare Revisionspfanne, dadurch gekennzeichnet, dass – ein Spitzenbereich (17), welcher zylindrisch ist, zur Führung des Verankerungszapfens (2) während des Eindrückens dient, – ein Führungsbereich (18), welcher sich dem Spitzenbereich (17) anschließt, kegelförmig polyedrisch ausgeführt ist und zur Verdrehsicherung und Kompression des spongiosen Knochens während des Einführens dient, – ein darauf folgender Haltebereich (19), welcher die gleiche funktional modifizierte Oberfläche wie der Pfannengrundkörper (1) besitzt und die mechanische Stabilität des Verankerungszapfens (2) im Knochen sichert, – ein abschließender Kopfbereich (20), welcher dübelähnlich mit sphärischen Teilflächen aufgebaut ist, zur Befestigung des Verankerungszapfens (2) in der Revisionspfanne dient und die polyaxiale Ausrichtung des Verankerungszapfens (2) ermöglicht, und – mit dem Kopfbereich (20) verbundene Sicherungsnoppen (21), welche in Aussparungen (8) im Zapfenlager (6) eingreifen und den Verankerungszapfen (2) gegen Verdrehung sichern.Multi-functional anchoring pegs for a modular revision ladle, characterized in that - a tip section ( 17 ), which is cylindrical, for guiding the anchoring pin ( 2 ) during the impression, - a guidance area ( 18 ), which belongs to the tip area ( 17 ), is conical polyhedral executed and serves to prevent rotation and compression of spongious bone during insertion, - a subsequent holding area ( 19 ), which has the same functionally modified surface as the pan base body ( 1 ) and the mechanical stability of the anchoring pin ( 2 ) secures in the bone, - a final head area ( 20 ), which is dowel-like constructed with spherical faces, for fastening the anchoring pin ( 2 ) in the revision socket and the polyaxial orientation of the anchoring pin ( 2 ), and - with the header ( 20 ) associated safety nubs ( 21 ), which in recesses ( 8th ) in the journal bearing ( 6 ) and the anchoring pin ( 2 ) against twisting. Verankerungszapfen nach Anspruch 8 dadurch gekennzeichnet, dass die kegelförmig polyedrisch ausgeführten Flächen des Führungsbereichs (18) Vierer-Sternflächen sind.Anchoring pin according to claim 8, characterized in that the conically polyhedral running surfaces of the guide area ( 18 ) Are four-star surfaces. Verankerungszapfen nach Anspruch 8 dadurch gekennzeichnet, dass der Haltebereich (19) eine osteointegrative Fläche besitzt, welche durch Beschichtung mit Titanpulver oberflächenvergrößert ist.Anchoring pin according to claim 8, characterized in that the holding area ( 19 ) has an osteointegrative surface which is surface enlarged by coating with titanium powder. Verankerungszapfen nach Anspruch 8 dadurch gekennzeichnet, dass der Haltebereich (19) eine osteointegrative Oberfläche besitzt, welche mit einer biomimetischen, elektrolytisch abgeschiedenen Calciumphophatschicht (beispielsweise BONIT®) versehen ist.Anchoring pin according to claim 8, characterized in that the holding area ( 19 ) a osteointegrative surface has, which is provided with a biomimetic, electrodeposited Calciumphophatschicht (e.g. BONIT ®). Verankerungszapfen nach Anspruch 8 dadurch gekennzeichnet, dass der Kopfbereich (20) durch eine Schraube (22), welche eine Konusfläche entsprechender Steigung besitzt, mit der sphärischen Fläche des Zapfenlagers (6) verpresst wird.Anchoring pin according to claim 8, characterized in that the head area ( 20 ) by a screw ( 22 ) having a conical surface of corresponding pitch, with the spherical surface of the journal bearing ( 6 ) is pressed.
DE102006002210A 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs Expired - Fee Related DE102006002210B4 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
DE102006002210A DE102006002210B4 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs
DE202006000650U DE202006000650U1 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs
PCT/EP2007/050145 WO2007082810A2 (en) 2006-01-16 2007-01-08 Modular revision socket for hip-joint prosthesis and anchoring pin therefor

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102006002210A DE102006002210B4 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs
DE202006000650U DE202006000650U1 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs

Publications (2)

Publication Number Publication Date
DE102006002210A1 true DE102006002210A1 (en) 2007-07-19
DE102006002210B4 DE102006002210B4 (en) 2007-09-27

Family

ID=38287975

Family Applications (2)

Application Number Title Priority Date Filing Date
DE102006002210A Expired - Fee Related DE102006002210B4 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs
DE202006000650U Expired - Lifetime DE202006000650U1 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs

Family Applications After (1)

Application Number Title Priority Date Filing Date
DE202006000650U Expired - Lifetime DE202006000650U1 (en) 2006-01-16 2006-01-16 Modular revision socket for hip arthroplasty and anchoring pegs

Country Status (2)

Country Link
DE (2) DE102006002210B4 (en)
WO (1) WO2007082810A2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010142621A1 (en) * 2009-06-09 2010-12-16 Dot Gmbh Stabilizing element for hip joint prosthetics
EP3050539A1 (en) 2015-01-27 2016-08-03 AQ Implants GmbH Revision endoprosthesis

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9949839B2 (en) 2013-03-13 2018-04-24 Wright Medical Technology, Inc. Revision implant augments, systems, and methods
US10136998B2 (en) 2016-08-30 2018-11-27 Wright Medical Technology, Inc. Revision total ankle implants

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5360452A (en) * 1991-05-20 1994-11-01 Depuy Inc. Enhanced fixation system for a prosthetic implant
WO1995030389A1 (en) * 1994-05-09 1995-11-16 Smith & Nephew Richards Inc. Orthopedic prosthesis
DE19502503C1 (en) * 1995-01-27 1996-09-26 Amir Dr Zahedi Modular bone implant with cup and pins
EP1034754A1 (en) * 1999-03-10 2000-09-13 Sulzer Orthopedics Ltd. Kit for the outer shell of an artificial acetabular cup

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE9212420U1 (en) * 1992-09-15 1994-01-27 Link Waldemar Gmbh Co Socket for an endoprosthetic acetabular cup
ES2133074B1 (en) * 1996-09-11 2000-04-01 Levante Ind Quirurgicas ACETABULAR PROTEST OF RECONSTRUCTION.
US6413280B1 (en) * 1996-10-04 2002-07-02 Frederic C. Feiler Hip joint prosthesis
DE19701778C2 (en) * 1996-11-21 1999-03-11 Plus Endoprothetik Ag Joint socket for a hip joint endoprosthesis
DE19724828A1 (en) * 1997-06-12 1998-12-17 Schmidt Joachim Dr Med Priv Do Modular pelvis system for prosthesis for individually matching to the existing bones during implantation in the pelvis bone
EP1032330A4 (en) * 1997-10-31 2004-10-13 Midwest Orthopedic Res Foundat Acetabular cup prosthesis with extension for deficient acetabulum
FR2779341B1 (en) * 1998-06-09 2000-07-28 Merck Biomaterial France COTYL FOR HIP PROSTHESIS
IT1303805B1 (en) * 1998-12-01 2001-02-23 Bridgehall Consultants Ltd REVISION COTILE FOR USE IN THE TREATMENT OF HIP PATHOLOGIES.
US6416553B1 (en) * 1999-03-31 2002-07-09 Biomet, Inc. Method and apparatus for providing a modular acetabular prosthesis
DE10113614B4 (en) * 2001-03-20 2004-01-29 Eska Implants Gmbh & Co. Set for creating an implant as a replacement for a destroyed pelvic bone socket
FR2827503B1 (en) * 2001-07-23 2003-10-24 Macara Frederique MODULAR RECONSTRUCTION COTYLE
FR2831424B3 (en) * 2001-10-26 2003-10-17 Medical Solution COTYLOIDIAN IMPLANT WITH ADDED FIXING LEG

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5360452A (en) * 1991-05-20 1994-11-01 Depuy Inc. Enhanced fixation system for a prosthetic implant
WO1995030389A1 (en) * 1994-05-09 1995-11-16 Smith & Nephew Richards Inc. Orthopedic prosthesis
DE19502503C1 (en) * 1995-01-27 1996-09-26 Amir Dr Zahedi Modular bone implant with cup and pins
EP1034754A1 (en) * 1999-03-10 2000-09-13 Sulzer Orthopedics Ltd. Kit for the outer shell of an artificial acetabular cup

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010142621A1 (en) * 2009-06-09 2010-12-16 Dot Gmbh Stabilizing element for hip joint prosthetics
EP3050539A1 (en) 2015-01-27 2016-08-03 AQ Implants GmbH Revision endoprosthesis

Also Published As

Publication number Publication date
WO2007082810A2 (en) 2007-07-26
WO2007082810A3 (en) 2008-02-21
DE102006002210B4 (en) 2007-09-27
DE202006000650U1 (en) 2006-03-23

Similar Documents

Publication Publication Date Title
EP2010107B1 (en) Modular hip implant
EP0591594B1 (en) Acetabular cup supporting ring
DE60303749T2 (en) Humerusschulterprothese
DE60218686T2 (en) MODULAR PROSTHETIC JOINT PAN
DE202005020876U1 (en) Endoprosthesis comprises a shaft, which extends along a primary axis, a distal end piece and a proximal end piece
DE112009002085T5 (en) Modular implant for a joint prosthesis
EP0244720A1 (en) Recesses in orthopaedic or surgical implants for containing a medication
WO2007041879A1 (en) Inverse design of endoprosthesis for shoulder joints
DE3903832A1 (en) Socket part for a joint prosthesis
DE8623855U1 (en) Self-tensioning acetabular cup that can be implanted without cement
DE3901885A1 (en) PAN FOR A JOINT OPROTHESIS
EP1168989B1 (en) Condyle prosthesis and kit for producing same
DE102006002210B4 (en) Modular revision socket for hip arthroplasty and anchoring pegs
EP1276440B1 (en) Femoral neck prosthesis
DE102004042502A1 (en) Shoulder joint endoprothesis for human shoulders has an inlet side formed as a base in the structure of a rotation-symmetrical body
DE10106863C2 (en) Implantable cup for hip joint endoprostheses
DE102006002211B4 (en) Polyaxial alignable stabilizing element for endoprostheses
DE202006006349U1 (en) Modular hip implant
WO2013060718A1 (en) Adapter for an implant and knee joint prosthesis
CH649913A5 (en) Cementlessly anchorable joint socket
EP2338443B1 (en) Artificial hip joint socket for uncemented anchoring
CH715848A2 (en) Modular acetabular prosthesis.
DE102009024844B4 (en) Stabilizing element and acetabular implant for hip arthroplasty
DE10224390B4 (en) Cementless acetabular cup
WO2003096938A2 (en) Femoral neck endoprosthesis

Legal Events

Date Code Title Description
OP8 Request for examination as to paragraph 44 patent law
8364 No opposition during term of opposition
R082 Change of representative

Representative=s name: PRINZ & PARTNER PATENTANWAELTE RECHTSANWAELTE, 803

Representative=s name: PRINZ & PARTNER PATENTANWAELTE RECHTSANWAELTE, DE

Representative=s name: PRINZ & PARTNER MBB PATENTANWAELTE RECHTSANWAE, DE

R119 Application deemed withdrawn, or ip right lapsed, due to non-payment of renewal fee