EP2091470A1 - Endoprothèse pour une articulation de la hanche - Google Patents

Endoprothèse pour une articulation de la hanche

Info

Publication number
EP2091470A1
EP2091470A1 EP07820822A EP07820822A EP2091470A1 EP 2091470 A1 EP2091470 A1 EP 2091470A1 EP 07820822 A EP07820822 A EP 07820822A EP 07820822 A EP07820822 A EP 07820822A EP 2091470 A1 EP2091470 A1 EP 2091470A1
Authority
EP
European Patent Office
Prior art keywords
shaft
endoprosthesis according
endoprosthesis
coated
possibly coated
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.)
Withdrawn
Application number
EP07820822A
Other languages
German (de)
English (en)
Inventor
Jacques Vallotton
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of EP2091470A1 publication Critical patent/EP2091470A1/fr
Withdrawn legal-status Critical Current

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
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3662—Femoral shafts
    • 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
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • A—HUMAN NECESSITIES
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    • 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
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    • A—HUMAN NECESSITIES
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    • 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
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    • 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
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    • A61F2/3662—Femoral shafts
    • A61F2/367—Proximal or metaphyseal parts of shafts
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    • 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
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    • 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
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    • 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
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
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    • A61F2002/30125—Rounded shapes, e.g. with rounded corners elliptical or oval
    • A—HUMAN NECESSITIES
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    • 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
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    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/3013—Rounded shapes, e.g. with rounded corners figure-"8"- or hourglass-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • 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
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    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
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    • A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
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    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/001—Figure-8-shaped, e.g. hourglass-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0017—Angular shapes
    • A61F2230/0019—Angular shapes rectangular
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0052—T-shaped
    • 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
    • A61F2250/0026—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 surface structures
    • 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
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • 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
    • A61F2310/00401—Coating made of iron, of stainless steel or of other Fe-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
    • A61F2310/00395—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
    • A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00419—Other metals
    • A61F2310/00449—Coating made of chromium or Cr-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

Definitions

  • the present invention relates to an endoprosthesis for a hip joint and to a method for implanting an endoprosthesis.
  • the altered loading patterns very often follow a structural adaptation with unfavorable consequences for the prosthetics: in the pressure-relieved area
  • the bone will atrophy according to Wolff's law; in the zones of load transfer from the prosthesis to the bone, hypertrophy of adaptation can be observed.
  • femoral stem prostheses have a nonphysiological force introduction. This can lead to bone remodeling and disassembly, which eventually ends in the prosthetic loosening described above, necessarily associated with a revision surgery.
  • all the systems known from the prior art have a relatively far laterally located resection plane and sacrifice a large part of the femoral neck.
  • DE 10 2004 038 281 proposes to use a shaft which has the shape of a polygon in cross-section in the proximal region, and wherein the dorsal surface and the medial surface form a wedge shape as clamping surfaces.
  • this proposal largely preserves the femoral neck, this prosthesis offers little resistance to rotational forces or the primary stability is insufficient.
  • To counteract, large-scale, often provided with ribs shafts are often proposed, such as in DE 25 17 702. Although the ribbed shanks preserve the outer cortical bone of the femoral neck, but still sacrifice a large part of the force-transmitting trabecular structure.
  • This is to be achieved by a design of an implant, which allows implanting the implant in the area of the force-transmitting trabecular structure. As little bone as possible should be sacrificed on the proximal femoral neck.
  • a design is to be found, which offers maximum strength and rotational stability with minimal space requirements, the loads are transmitted physiologically correct cranial and caudal.
  • the design should maintain blood flow in the femoral neck so that the bone remains vital and counteracts bone loss.
  • an endoprosthesis for a hip joint according to the wording, in particular according to claim 1, is accordingly proposed. It is proposed that the endoprosthesis has a shaft for fixing the prosthesis in the thigh neck, which has on its surface at least one extending in the longitudinal direction of the groove or notch. According to a variant embodiment, it is proposed to provide at least two grooves or indentations, these extending at least in the proximal region, which is intended to be arranged in the femoral neck region or proximal femur.
  • One embodiment variant is a modular femoral neck implant, which is cementlessly implanted in the proximal femur, more precisely in the femoral neck. Due to the special design of the cross section, which is designed according to a variant I- or double-T- similar, optimum strength combined with a high rotational stability and a maximum of bone care is achieved. By way of example, each laterally in the direction of the shaft extending grooves or indentations remain sufficient clearance around the implant obtained to ensure the trabecular structure sufficient blood supply.
  • the femur implant proposed according to the invention allows a maximum due to its special shape and modern implantation technique
  • the proximal portion of the entire shaft length amounts to at least 30%, preferably at least 1/3, at most 2/3.
  • the shaft is polished, anodized or dot-coated, for example, to prevent bony growth in the femur, which additionally ensures better implantability during implantation. Furthermore, a load transfer distal is preferably avoided.
  • the groove or indentation depth is designed to decrease in the distal direction towards the shaft end, or the distal tip of the shaft is thinned out.
  • the I-like or double-T-like cross-section extends distally in a round, oval or rectangular or in the form of an "8" shaped cross section.
  • the implant proposed according to the invention can also have a collar in the transition from the neck to the shaft of the implant.
  • This collar which is placed on a corresponding adapter portion of the endoprosthesis, can either serve to take over a part of the force transmission to the cortical bone or merely as a shield against any possible abrasion particles from the sliding pair.
  • the collar is preferably formed tilted laterally relative to the longitudinal axis of the femoral neck, in particular if the collar is formed lying on the resection plane.
  • the material used for the implant may be titanium (possibly coated), titanium alloys (possibly coated), cobalt chrome alloys (possibly coated), stainless steels (possibly coated), polymers such as in particular PEEK (possibly coated) CF / PEEK (possibly coated).
  • the coating consists of either titanium or combined titanium-hydroxyapatite layers or other calcium phosphate compounds which are plasma, vacuum plasma, or chemical or electrochemical
  • the implantation of the implant or the endoprosthesis proposed according to the invention can be minimally invasive both by navigation or without navigation, and aims to optimally restore the center of rotation. Furthermore, the natural antetorsion of the femur is taken over.
  • the implantation takes place after resection of the femoral head, whereby it is to be ensured that as much as possible can be spared from the intact femoral neck bone, but at least half the length of the femoral neck (to and with isthmus).
  • FIG. 6 shows a front view again a further embodiment variant of an implant
  • FIG. 7 again shows a further embodiment variant in front view
  • FIG. 8 shows again a further embodiment variant in front view of an implant according to the invention.
  • FIG. 1 shows in perspective an endoprosthesis 1 according to the invention for a hip joint.
  • the endoprosthesis or the implant 1 consists primarily of a neck or adapter region 3, provided for the placement of a condyle and a shaft 5, provided to be arranged in the femur or femur.
  • the curvature of the shaft is adapted to the anatomy of the femur or the approach of the
  • the shaft 5 basically comprises two parts 15 and 17, like the proximal region 15, provided around the femoral neck or femoral neck to be arranged, as well as the distal portion 17, provided to be inserted in the actual thigh bone.
  • the shank 5 has a lateral notch or groove 7 formed in the longitudinal direction of the shank and correspondingly curved, as well as a groove or notch 9 correspondingly visible on the back and in FIG.
  • FIGS. 3 and 4 represent further cross sections along the lines II-II and III-III, the I-like cross section extends distally into a round, oval or rectangular cross-section.
  • a largely round cross-section of the shaft 5 is shown.
  • the groove or notch can also be made more or less deep as far as the end of the shaft.
  • the shaft 5 in the proximal region 15 with a corresponding layer, such as a plasma-titanium layer or a calcium phosphate layer, such as hydroxyapatite is provided to allow bony integration or this in Optimize the area of the femoral neck.
  • the shaft is largely polished in the distal region 17, in order to prevent as much as possible bone contact.
  • a bony growth is prevented, thus ensuring that the power overflow is achieved primarily in the region of the femoral neck and not in the region of the femur.
  • FIGS. 5 to 8 further possible embodiments of an implant according to the invention are shown in FIGS. 5 to 8, in particular having different cross-sections, especially in the region of the projection of the adapter region 3, as shown for example in FIG.
  • the further embodiment variants are shown in a Frontdraufsieht corresponding arrow direction A as indicated in Figure 1.
  • Figure 5 shows a largely I-shaped cross-section having both an outwardly directed, rectilinear surface 6, as well as corresponding downwardly directed rectilinear surface.
  • the two lateral notches or grooves 7 or 9 are formed in the form of rechteckformigen channels.
  • FIG. 6 The embodiment variant according to FIG. 6 is similar to that in FIG. 5, with the difference that the two lateral indentations or grooves 7 or 9 have a rounded portion 12 towards the I-leg.
  • FIG. 7 in turn, clearly differs from the two variants shown in FIGS. 5 and 6 in that the flat closure against the adapter 3 has a rearwardly or rearwardly directed bend 10, which is quasi collar-shaped.
  • the embodiment according to FIG. 8 has a considerably larger cross-section of the adapter region 3, compared with the implant shown in FIG. 7.
  • the shaft 5 extends much more strongly against the shaft end 19 than the two preceding implants.
  • the design of the implant depends on the requirement on the implant, which are dependent on the design of the femur, the damage to the hip joint, the aging of the bone or the person, gender of the person, etc., etc.
  • the implants or shaft geometries illustrated with reference to FIGS. 1 to 8 are only possible examples of implants according to the invention and other dimensions and designs are possible. It is essential that the shaft has at least one groove or notch extending in the longitudinal direction of the shaft.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne une endoprothèse pour une articulation de la hanche, présentant au moins une zone d'adaptateur (3) ou un col d'adaptateur prévu pour la disposition d'une tête d'articulation, ainsi qu'une tige (5) destinée à fixer la prothèse dans le fémur. La tige (5) présente sur sa surface au moins une rainure ou une entaille (7, 9) s'étendant dans le sens de la tige.
EP07820822A 2006-10-19 2007-10-02 Endoprothèse pour une articulation de la hanche Withdrawn EP2091470A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH16592006 2006-10-19
PCT/EP2007/060440 WO2008046734A1 (fr) 2006-10-19 2007-10-02 Endoprothèse pour une articulation de la hanche

Publications (1)

Publication Number Publication Date
EP2091470A1 true EP2091470A1 (fr) 2009-08-26

Family

ID=38738821

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07820822A Withdrawn EP2091470A1 (fr) 2006-10-19 2007-10-02 Endoprothèse pour une articulation de la hanche

Country Status (2)

Country Link
EP (1) EP2091470A1 (fr)
WO (1) WO2008046734A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110151364A (zh) * 2019-07-01 2019-08-23 广东省新材料研究所 一种髋关节假体柄结构及其制备方法

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2331728A1 (de) * 1973-06-22 1975-01-16 Gruenert Adolf Hueftgelenkprothese mit kugel, prothesenkragen und schaft
DE2517702C3 (de) * 1975-04-22 1978-11-02 Friedrichsfeld Gmbh, Steinzeug- Und Kunststoffwerke, 6800 Mannheim Femurteil einer Hüftgelenktotalendoprothese
US4163292A (en) * 1977-11-21 1979-08-07 Averett James E Jr Hip prosthesis
FR2538242B1 (fr) * 1982-12-24 1985-05-31 Lord Gerald Nouvelle prothese articulaire a ancrage sans ciment
DE3736304A1 (de) * 1987-10-27 1989-05-11 Witzel Ulrich Oberschenkelteil fuer eine hueftgelenkendoprothese
EP0910315A1 (fr) * 1996-06-03 1999-04-28 Mathys Medizinaltechnik AG Partie femorale pour prothese de la hanche
DE19928791A1 (de) * 1999-04-13 2000-11-02 Plus Endoprothetik Ag Rotkreuz Blattartiger Schaft einer Hüftgelenkprothese für die Verankerung im Femur
FR2855396B1 (fr) * 2003-06-02 2006-10-06 Nikola Despot Tige femorale autostable pour prothese de la hanche pour l'homme ou tous autres autres animaux, en particulier le chien
DE102004038281B3 (de) * 2004-08-03 2006-05-11 Endoplant Gmbh Schenkelhalsprothese

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO2008046734A1 *

Also Published As

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