FR2622790A1 - Ligaments prothetiques avec systeme de vis a os - Google Patents

Ligaments prothetiques avec systeme de vis a os Download PDF

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Publication number
FR2622790A1
FR2622790A1 FR8715474A FR8715474A FR2622790A1 FR 2622790 A1 FR2622790 A1 FR 2622790A1 FR 8715474 A FR8715474 A FR 8715474A FR 8715474 A FR8715474 A FR 8715474A FR 2622790 A1 FR2622790 A1 FR 2622790A1
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France
Prior art keywords
ligament
bone screw
screw
strands
diameter
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Granted
Application number
FR8715474A
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English (en)
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FR2622790B1 (fr
Inventor
Michel Lahille
R Maurel
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MATCO
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MATCO
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Priority to FR8715474A priority Critical patent/FR2622790B1/fr
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Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (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)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne des ligaments avec un système de vis à os utilisées comme moyen de fixation d'une extrémité du ligament dans l'os et mises en place à l'aide d'une clé creuse. Ces ligaments et leurs vis sont destinés à des opérations du genou ou de la clavicule et ne diffèrent que par leurs dimensions et leur résistance.

Description

La présente invention consiste en deux ligaments prothétiques avec système de vis à os, capables de remplacer, pour l'un les ligaments croisés du genou, l'autre de réparer la luxation acromio claviculaire.
- Genou : la rupture la plus fréquente est celle du ligament croisé antérieur (85 % des cas), la rupture du ligament croisé posterieur plus rare (15 % des cas).
Les techniques habituelles de remplacement prothetique du ligament croisé du genou peuvent se résumer en deux chapitres.
La présente invention consiste donc sur le plan réalisation a) Ligament de genou.
Une vis à os (planche 2/4 repère 1) de diamètre extérieur ne dépassant pas 10.5mm avec un pas extérieur dit "d'artillerie" c'est à dire anti recul. Le corps de cette vis est alésé intérieurement suivant un profil cylindro conique qui passe de 5.5 pour le petit diamètre à 6.8mm pour le grand diamètre. La face interne peut être obstruée par un bouchon conique , ou ne pas être obstruée par le bouchon, dans ce cas les brins du ligament dépassent l'extrémité de la vis de lOmm environ (planche 2/4, repère 2).
L'autre face, ou externe possède 2 encoches en bout, diamétralement opposées, cela pour permettre, grâce à une clé creuse
appropriée (planche 3/4, repère 1), le vissage de la vis dans l'os. Pour mettre les encoches de la vis en regard des tenons de la clé, il est évident que le ligament doit passer à l'inté- rieur de la clé creuse (planche 3/4, repère 1).
Le ligament (planche 2/4, repère 1 et 2) est composé de 5 brins
séparés tissés selon un procédé particulier, procédé donnant une élasticité optimale pour des efforts normaux d'utilisation courante. Sa résistance à la rupture est de 260 da N - 5 da N.
Afin de limiter les effets de contact entre l'extrémité arrondie de la vis et les brins de fibre, une gaine de protection
est mise en place sur une longueur d'environ 8mm, la matière
de cette gaine est en visco élastique appartenant à la famille des polyuréthannes. Son but, non seulement limite les effets
de contact, mais élimine éventuellement des vibrations parasites dûes aux contraintes subies par les brins.
Les 5 brins sont fixés à l'intérieur du corps de la vis suivant
un procédé de serrage par vis/cheville; l'ensemble résiste à des tractions de 160 da N, ce qui est bien supérieur à la resistance d'arrachement de la vis dans l'os lui-même qui est voisine de 100 da N.
L'extrémité du ligament opposée à la vis est constituée par une partie souple réunissant les 5 brins; la longueur de cette gaine est de 12 cm; elle se termine en "queue de rat", c'est à dire que le diamètre extérieur de la gaine au ras des brins est à cet endroit maximum pour diminuer progressivement et régulièrement.
A un centimètre de l'extrémité la plus fine 4 fils de traction sont mis en place et reliés entre eux, la longueur de ces brins réunis est de 15 cm, longueur suffisante pour passer dans la clé creuse et tirer le ligament jusqu'au contact clé/vis.
b) Luxation acromio claviculaire.
Une vis à os (planche 4/4) de diamètre extérieur ne dépassant pas 6 mm, avec un pas extérieur dit d'artillerie, c'est à dire anti-recul. La conception interne de la vis est identique à celle du genou. Par contre le ligament lui-même est composé de 2 brins séparés, sa résistance à la rupture est de 150 da N + 5 da N.
L'extrémité du ligament opposée à la vis est identique à celle du 5 brins avec bien sur des diamètres de gaine adaptés aux 2 brins.
Il est par ailleurs indiqué que; la longueur maximum du système de vis à os sera de 20 mm dans le cas d'un ligament de genou et de 1-8 mm dans le cas d'un ligament d'épaule, que l'extrémité externe de la vis à os présente un arrondi entre le petit diamètre interne et le diamètre externe de-la vis.

Claims (9)

REVENDICATIONS
1 - Ligament prothétique caractérisé en ce qu'il comprend un système de
vis à os pour sa fixation et en ce qu'il comporte une gaine en ma
tèrevisoeélastique mise en place entre les brins formant le ligament
et le corps interne de la vis à os de longueur d'environ 8mm, cela
afin d'éviter les effets de contact métal/fibre.
2 -Ligament selon la revendication 1, caractérisé en ce que l'extrémité
externe de la vis à os présente un arrondi entre le petit diamètre
interne et le diamètre externe de la vis.
3 -Ligament selon 11 une des revendications précédentes caractérisé en
ce que l'extrémité interne de la vis à os reçoit un bouchon conique.
4 -Ligament selon l'une des revendications 1 et 2 caractérisé en ce que
l'extrémité interne de la vis à os reste libre, laissant dépasser les
brins du ligament vers l'extérieur.
5 -Ligament selon l'une des revendications 1 à 4, caractérisé en ce que
le système à vis présente un pas extérieur dit "d'artillerie" avec un
diamètre extérieur ne dépassant pas 10.5mm et une longueur maximum
de 20mm.
6 -Ligament selon la revendication 5, caractérisé en ce qu'il comprend 5
brins séparés, reliés entre eux dans la vis et offrant une résistance
à la rupture de 260+ 5 da.N 7 -Ligament selon la revendication 6 caractérisé en ce qu'il s'agit d'un
ligament de genou.
8 -Ligament selon l'une des revendications 1 à 4, caractérisé en ce que
le diamètre de la vis à os présente un pas extérieur dit "d'artillerie"
avec un diamètre extérieur ne dépassant pas 6mm et une longueur maximum
de 18mm.
9 -Ligament selon la revendication 8 caractérisé en ce qu'il comprend
2 brins offrant une résistance à la rupture de 150 +da N.
10 - Ligament selon la revendication 9 caractérisé en ce qu'il s'agit d'un
ligament d'épaule.
FR8715474A 1987-11-09 1987-11-09 Ligaments prothetiques avec systeme de vis a os Expired - Fee Related FR2622790B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR8715474A FR2622790B1 (fr) 1987-11-09 1987-11-09 Ligaments prothetiques avec systeme de vis a os

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR8715474A FR2622790B1 (fr) 1987-11-09 1987-11-09 Ligaments prothetiques avec systeme de vis a os

Publications (2)

Publication Number Publication Date
FR2622790A1 true FR2622790A1 (fr) 1989-05-12
FR2622790B1 FR2622790B1 (fr) 1990-02-09

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Family Applications (1)

Application Number Title Priority Date Filing Date
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Country Status (1)

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Cited By (56)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0440991A1 (fr) * 1990-01-31 1991-08-14 Acufex Microsurgical Inc. Méthode et instruments pour la reconstruction du ligament croisé antérieur
US5062843A (en) * 1990-02-07 1991-11-05 Mahony Iii Thomas H Interference fixation screw with integral instrumentation
EP0464479A1 (fr) * 1990-07-02 1992-01-08 American Cyanamid Company Ancre pour os
WO1992003980A1 (fr) * 1990-09-04 1992-03-19 Hip Developments Pty. Ltd. Vis chirurgicale
FR2683715A1 (fr) * 1991-11-14 1993-05-21 Bahuaud Jacques Prothese textile de ligament croise anterieur du genou.
US5961521A (en) * 1993-06-04 1999-10-05 Smith & Nephew, Inc. Surgical screw and washer
US6056752A (en) * 1997-10-24 2000-05-02 Smith & Nephew, Inc. Fixation of cruciate ligament grafts
EP0913131A3 (fr) * 1997-10-14 2000-06-14 John K. Frazier Vis de fixation pour un brin intra-articulaire de tendon
US6123710A (en) * 1995-04-12 2000-09-26 Smith & Nephew, Inc. Process and article for knee reconstruction
US6235057B1 (en) 1995-01-24 2001-05-22 Smith & Nephew, Inc. Method for soft tissue reconstruction
WO2001082848A2 (fr) * 2000-04-28 2001-11-08 Advanced Bionics Corporation Acces avec effraction minimale a la cochlee pour l'insertion d'une electrode et l'administration d'un fluide
US6628991B2 (en) 2000-04-28 2003-09-30 Advanced Bionics Corporation Minimally-invasive access into the cochlea for electrode insertion and fluid delivery
US6802862B1 (en) 1995-01-24 2004-10-12 Smith & Nephew, Inc. Method for soft tissue reconstruction
US9433407B2 (en) 2012-01-03 2016-09-06 Biomet Manufacturing, Llc Method of implanting a bone fixation assembly
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9622851B2 (en) 2004-06-09 2017-04-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
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US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10149767B2 (en) 2009-05-28 2018-12-11 Biomet Manufacturing, Llc Method of implanting knee prosthesis assembly with ligament link
US10154837B2 (en) 2006-02-03 2018-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10251637B2 (en) 2006-02-03 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10265159B2 (en) 2011-11-03 2019-04-23 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US10265064B2 (en) 2004-11-05 2019-04-23 Biomet Sports Medicine, Llc Soft tissue repair device and method
US10321906B2 (en) 2006-02-03 2019-06-18 Biomet Sports Medicine, Llc Method for tissue fixation
US10363028B2 (en) 2011-11-10 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10368856B2 (en) 2011-11-10 2019-08-06 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US10398428B2 (en) 2006-02-03 2019-09-03 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10441264B2 (en) 2006-02-03 2019-10-15 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10517714B2 (en) 2006-09-29 2019-12-31 Biomet Sports Medicine, Llc Ligament system for knee joint
US10610217B2 (en) 2006-09-29 2020-04-07 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10729421B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
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US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
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US20060189993A1 (en) 2004-11-09 2006-08-24 Arthrotek, Inc. Soft tissue conduit device
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US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
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US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
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US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US7828820B2 (en) 2006-03-21 2010-11-09 Biomet Sports Medicine, Llc Method and apparatuses for securing suture
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
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GB1602834A (en) * 1978-03-14 1981-11-18 Welsh Nat School Med Replacements for ligaments and tendons
EP0217541A1 (fr) * 1985-08-29 1987-04-08 E. Marlowe Goble Système d'ancrage pour suture

Patent Citations (2)

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Publication number Priority date Publication date Assignee Title
GB1602834A (en) * 1978-03-14 1981-11-18 Welsh Nat School Med Replacements for ligaments and tendons
EP0217541A1 (fr) * 1985-08-29 1987-04-08 E. Marlowe Goble Système d'ancrage pour suture

Cited By (107)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0440991A1 (fr) * 1990-01-31 1991-08-14 Acufex Microsurgical Inc. Méthode et instruments pour la reconstruction du ligament croisé antérieur
US5062843A (en) * 1990-02-07 1991-11-05 Mahony Iii Thomas H Interference fixation screw with integral instrumentation
US5282802A (en) * 1990-02-07 1994-02-01 Mahony Iii Thomas H Method of securing a tendon graft with an interference fixation screw
EP0464479A1 (fr) * 1990-07-02 1992-01-08 American Cyanamid Company Ancre pour os
WO1992003980A1 (fr) * 1990-09-04 1992-03-19 Hip Developments Pty. Ltd. Vis chirurgicale
US5383878A (en) * 1990-09-04 1995-01-24 Hip Developments Pty Ltd. Surgical screw
FR2683715A1 (fr) * 1991-11-14 1993-05-21 Bahuaud Jacques Prothese textile de ligament croise anterieur du genou.
US5961521A (en) * 1993-06-04 1999-10-05 Smith & Nephew, Inc. Surgical screw and washer
US6235057B1 (en) 1995-01-24 2001-05-22 Smith & Nephew, Inc. Method for soft tissue reconstruction
US6802862B1 (en) 1995-01-24 2004-10-12 Smith & Nephew, Inc. Method for soft tissue reconstruction
US6123710A (en) * 1995-04-12 2000-09-26 Smith & Nephew, Inc. Process and article for knee reconstruction
US6273890B1 (en) 1997-10-14 2001-08-14 John K Frazier Intra-articular tendon sling fixation screw
EP0913131A3 (fr) * 1997-10-14 2000-06-14 John K. Frazier Vis de fixation pour un brin intra-articulaire de tendon
US6056752A (en) * 1997-10-24 2000-05-02 Smith & Nephew, Inc. Fixation of cruciate ligament grafts
WO2001082848A2 (fr) * 2000-04-28 2001-11-08 Advanced Bionics Corporation Acces avec effraction minimale a la cochlee pour l'insertion d'une electrode et l'administration d'un fluide
WO2001082848A3 (fr) * 2000-04-28 2002-03-21 Advanced Bionics Corp Acces avec effraction minimale a la cochlee pour l'insertion d'une electrode et l'administration d'un fluide
US6628991B2 (en) 2000-04-28 2003-09-30 Advanced Bionics Corporation Minimally-invasive access into the cochlea for electrode insertion and fluid delivery
US9622851B2 (en) 2004-06-09 2017-04-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue attachment
US11109857B2 (en) 2004-11-05 2021-09-07 Biomet Sports Medicine, Llc Soft tissue repair device and method
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