FR2673832A1 - Femoral element for a hip prosthesis - Google Patents

Femoral element for a hip prosthesis Download PDF

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Publication number
FR2673832A1
FR2673832A1 FR9103150A FR9103150A FR2673832A1 FR 2673832 A1 FR2673832 A1 FR 2673832A1 FR 9103150 A FR9103150 A FR 9103150A FR 9103150 A FR9103150 A FR 9103150A FR 2673832 A1 FR2673832 A1 FR 2673832A1
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FR
France
Prior art keywords
rod
base
cervical part
femoral element
femur
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Withdrawn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
FR9103150A
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French (fr)
Inventor
Rambert Andre
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.)
Societe dEtudes de Recherches et de Fabrication SAS SERF
Original Assignee
Societe dEtudes de Recherches et de Fabrication SAS SERF
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 Societe dEtudes de Recherches et de Fabrication SAS SERF filed Critical Societe dEtudes de Recherches et de Fabrication SAS SERF
Priority to FR9103150A priority Critical patent/FR2673832A1/en
Publication of FR2673832A1 publication Critical patent/FR2673832A1/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3662Femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
    • A61F2002/30339Double cones, i.e. connecting element having two conical connections, one at each of its opposite ends
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30433Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • A61F2002/3054Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation about a connection axis or implantation axis for selecting any one of a plurality of radial orientations between two modular parts, e.g. Morse taper connections, at discrete positions, angular positions or continuous positions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616Sets comprising a plurality of prosthetic parts of different sizes or orientations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30795Blind bores, e.g. of circular cross-section
    • A61F2002/30797Blind bores, e.g. of circular cross-section internally-threaded
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3611Heads or epiphyseal parts of femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3625Necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3625Necks
    • A61F2002/3647Necks pierced with a longitudinal bore
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/365Connections of heads to necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3652Connections of necks to shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0041Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws

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  • 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

This femoral element is of the type comprising a shaft (2) which is intended to be anchored and, if appropriate, embedded in the medullary cavity of a resected femur, and supporting a cervical part (3) which simulates the anatomical neck of the femur and comprises a conical support (4) intended to receive and to hold a spherical head (5) simulating the head of the femur. The cervical part (3) is integral with a shoulder (3a) which is fixed, in a removable manner and with the desired angular adjustment, to the proximal end (2a) of the shaft (2).

Description

ELEMENT FEMORAL POUR PROTHESE DE LA HANCHE
La présente invention concerne un élément fémoral pour prothèse de la hanche, ctest-à-dire un élément comportant une tige destinée à être ancrée dans le canal médullaire du fémur reséqué, et supportant une partie cervicale qui reconstitue le col anatomique du fémur et porte une portée conique destinée à recevoir et retenir une tête sphérique reconstituant la tête du fémur.
FEMALE ELEMENT FOR HIP PROSTHESIS
The present invention relates to a femoral element for hip prosthesis, that is to say an element comprising a rod intended to be anchored in the medullary canal of the resected femur, and supporting a cervical part which reconstitutes the anatomical neck of the femur and carries a conical bearing intended to receive and retain a spherical head reconstituting the head of the femur.

Dans ces éléments fémoraux connus de prothèse de hanche, la partie cervicale fait, généralement, partie intégrante de la tige avec laquelle elle forme donc un ensemble monobloc. In these known femoral elements of hip prosthesis, the cervical part is generally an integral part of the rod with which it therefore forms a monobloc assembly.

Par ailleurs, le col anatomique d'un fémur présente généralement une antéversion d'environ 200.  In addition, the anatomical neck of a femur generally has an anteversion of about 200.

En outre, lors de la pose d'une prothèse de hanche, il est nécessaire de retendre le système musculaire en latéralisant le fémur. In addition, when placing a hip prosthesis, it is necessary to tighten the muscular system by lateralizing the femur.

Il en résulte que, pour pouvoir réaliser des poses de prothèses de hanche, en respectant l'antéversion droite ou gauche, décalées ou non selon qu'il y a nécessité ou non de retendre les muscles, il est nécessaire de disposer de quatre types différents d'éléments fémoraux pour chaque taille de prothèses. It follows that, to be able to perform hip prosthesis poses, respecting the right or left anteversion, offset or not depending on whether or not it is necessary to tighten the muscles, it is necessary to have four different types femoral components for each size of prosthesis.

Etant donné qu'il est, généralement, prévu dix tailles différentes de prothèses, il est donc nécessaire de disposer de quarante implants différents. Since ten different sizes of prostheses are generally provided, it is therefore necessary to have forty different implants.

La présente invention vise à remédier à ces inconvénients en permettant de simplifier considérablement les stocks d'implants. The present invention aims to remedy these drawbacks by making it possible to considerably simplify the stocks of implants.

A cet effet, dans l'élément fémoral qu'elle concerne et qui est du type précité, comportant une tige et une partie cervicale, la partie cervicale est solidaire d'une embase fixée, de manière amovible et, avec le calage angulaire désiré, à l'extrémité proximale de la tige. To this end, in the femoral element which it relates to and which is of the aforementioned type, comprising a rod and a cervical part, the cervical part is integral with a fixed base, detachably and, with the desired angular setting, at the proximal end of the stem.

Ainsi, il suffit de disposer de dix tiges et de quatre parties cervicales, à savoir, antéversée droite, antéversée gauche, décalée antéversée droite, et décalée antéversée gauche, pour remplacer les quarante éléments fémoraux habituellement nécessaires. Thus, it suffices to have ten rods and four cervical parts, namely, right anteversion, left anteversion, offset right anversion, and offset left anversion, to replace the forty femoral elements usually necessary.

Suivant une forme d'exécution simple de l'invention, les moyens de fixation amovible de l'embase de la partie cervicale à l'extrémité proximale de la tige sont du type à cônes mâle et femelle, avec effet de coincement, éventuellement complèté par vis coaxiale et les moyens de calage angulaire de l'embase sur l'extrémité proximale de la tige peuvent être constitués, tout simplement, par un ergot excentré porté par l'une de ces parties et engageable dans un logement prévu pour le recevoir dans l'autre partie. According to a simple embodiment of the invention, the means for detachably fixing the base of the cervical part to the proximal end of the rod are of the male and female cone type, with wedging effect, possibly supplemented by coaxial screw and the angular setting means of the base on the proximal end of the rod can be constituted, quite simply, by an eccentric lug carried by one of these parts and can be engaged in a housing intended to receive it in the other party.

De toute façon, l'invention sera bien comprise, à l'aide de la description qui suit, en référence au dessin schématique annexé représentant une forme d'exécution de cet élément fémoral pour prothèse de hanche
figure 1 en est une vue de face en élévation
figure 2 en est une vue en coupe longitudinale suivant II-II de figure 1.
Anyway, the invention will be well understood, with the aid of the description which follows, with reference to the appended schematic drawing representing an embodiment of this femoral element for hip prosthesis
Figure 1 is a front view in elevation
Figure 2 is a longitudinal sectional view along II-II of Figure 1.

Cet élément fémoral est du type comportant une tige 2 supportant une partie cervicale 3 qui reconstitue le col anatomique du fémur et qui présente, à son extrémité libre, une portée conique 4 destinée à recevoir une tête sphérique 5 reconstituant la tête du fémur. La tige 2 est du type destine à être ancrée et, éventuellement, scellée avec du ciment, dans le canal médullaire du fémur. This femoral element is of the type comprising a rod 2 supporting a cervical part 3 which reconstitutes the anatomical neck of the femur and which has, at its free end, a conical bearing 4 intended to receive a spherical head 5 reconstituting the head of the femur. The rod 2 is of the type intended to be anchored and, optionally, sealed with cement, in the medullary canal of the femur.

Selon l'invention, pour permettre de recréer l'antéversion anatomique du fémur réséqué, droite ou gauche, selon le cas, décalée ou non selon qu'il y a nécessité de retendre les muscles, sans avoir à disposer d'un stock important d'éléments fémoraux de dimensions et d'antéversions différentes, la partie cervicale 3 est solidaire d'une embase 3a fixée, de manière amovible et avec le calage angulaire désiré, à l'extrémité proximale 2a de la tige 2. According to the invention, in order to recreate the anatomical anteversion of the resected femur, right or left, as the case may be, offset or not depending on whether there is a need to tighten the muscles, without having to have a large stock of 'femoral elements of different dimensions and anteversions, the cervical part 3 is integral with a base 3a fixed, in a removable manner and with the desired angular setting, at the proximal end 2a of the rod 2.

Dans l'exemple illustré sur le dessin, la fixation amovible de l'embase 3a de la partie cervicale 3 à l'extrémité proximale 2a de la tige 2 est réalisée par l'engagement d'un puits tronconique 3b, ménagé dans la face d'assemblage 3c de l'embase 3a, sur une portée conique 2b de volume complémentaire de celui du puits 3b, même à l'extrémité proximale 2a de la tige 2, en correspondance de ce puits, la pente commune du puits 3b et de la portée 2b étant déterminée pour l'obtention d'une bonne fixation par coincement. In the example illustrated in the drawing, the removable attachment of the base 3a of the cervical part 3 to the proximal end 2a of the rod 2 is achieved by the engagement of a frustoconical well 3b, formed in the face d '3c assembly of the base 3a, on a conical bearing 2b of volume complementary to that of the well 3b, even at the proximal end 2a of the rod 2, in correspondence of this well, the common slope of the well 3b and the scope 2b being determined for obtaining a good fixing by wedging.

Cette fixation peut d'ailleurs être améliorée au moyen d'une vis 9 traversant axialement la partie cervicale 3 et engagée dans un trou taraudé au même pas 6 et ménagé axialement à la portée conique 2b. This fixing can also be improved by means of a screw 9 axially passing through the cervical part 3 and engaged in a tapped hole at the same pitch 6 and formed axially at the conical bearing 2b.

Ce mode de fixation de l'embase 3 à l'extrémité proximale 2a de la tige 2 permet donc une fixation amovible très solide tout en autorisant le calage angulaire rendu nécessaire par la valeur de l'antéversion à recréer, propre à retendre les muscles du patient. This method of fixing the base 3 to the proximal end 2a of the rod 2 therefore allows a very solid removable fixing while allowing the angular setting made necessary by the value of the anteversion to be recreated, capable of tightening the muscles of the patient.

Grâce à ces dispositions, une même embase peut servir à recréer plusieurs antéversions, de sorte que, pour pouvoir recréer pratiquement toutes les conditions opératoires possibles, y compris en taille, au lieu de 40 modèles différents d'éléments fémoraux, comme avec les éléments fémoraux connus, il suffit de disposer de dix tiges 2 et d'un jeu de quatres embases 3, soit une embase antéversée droite, une antéversée gauche, une décalée antéversée droite et une décalée antéversée gauche, soit quatorze pièces au lieu de quarante. Thanks to these provisions, the same base can be used to recreate several anteversions, so that, in order to be able to recreate practically all possible operating conditions, including in size, instead of 40 different models of femoral elements, as with the femoral elements known, it suffices to have ten rods 2 and a set of four bases 3, either a right anteverted base, a left anteverse, a right anteverted offset and a left anteverted offset, or fourteen pieces instead of forty.

Pour améliorer la tenue du calage de la position angulaire choisie de l'embase 3, il est prévu, en saillie sur la face d'assemblage 3c de l'embase 3, un ergot cylindrique 7 engageable dans l'un d'une série de logements 8 de même dimension, ménagés dans la face d'assemblage 2c de la tige 2, concentriquement à l'axe de la portée conique 2b et à même distance de cet axe que l'ergot 7 précité. Naturellement, chaque logement 8 correspond à l'une des positions angulaires possibles de l'embase 3.  To improve the resistance of the setting of the chosen angular position of the base 3, there is provided, projecting from the assembly face 3c of the base 3, a cylindrical lug 7 which can be engaged in one of a series of housing 8 of the same dimension, formed in the assembly face 2c of the rod 2, concentrically with the axis of the conical bearing 2b and at the same distance from this axis as the lug 7 above. Naturally, each housing 8 corresponds to one of the possible angular positions of the base 3.

Claims (5)

REVENDICATIONS 1. Elément fémoral pour prothèse de hanche, du type comportant une tige (2), destinée à être ancrée et, éventuellement, scellée dans le canal médullaire d'un fémur réséqué, et supportant une partie cervicale (3) qui reconstitue le col anatomique du fémur et comporte une portée conique (4) destinée à recevoir et retenir une tête sphérique (5) reconstituant la tête du fémur, caractérisé en ce que la partie cervicale (3) est solidaire d'une embase (3a) fixée, de manière amovible et avec le calage angulaire désiré, à l'extrémité proximale (2a) de la tige (2). 1. Femoral element for hip prosthesis, of the type comprising a rod (2), intended to be anchored and, optionally, sealed in the medullary canal of a resected femur, and supporting a cervical part (3) which reconstitutes the anatomical neck of the femur and has a conical bearing (4) intended to receive and retain a spherical head (5) reconstituting the head of the femur, characterized in that the cervical part (3) is integral with a base (3a) fixed, so removable and with the desired angular setting, at the proximal end (2a) of the rod (2). 2. Elément fémoral selon la revendication 1, caractérisé en ce que les moyens de fixation amovible de l'embase (3a) de la partie cervicale (3) à l'extrémité proximale (2a) de la tige (2) sont du type à cônes mâle (2b) et femelle (3b), avec effet de coincement. 2. femoral element according to claim 1, characterized in that the means for detachably fixing the base (3a) of the cervical part (3) to the proximal end (2a) of the rod (2) are of the male (2b) and female (3b) cones, with wedging effect. 3. Elément fémoral selon la revendication 2, caractérisé en ce que la face d'assemblage (3c) de l'embase (3a) de la partie cervicale (3) présente, en son centre, un puits tronconique (3b) à faible pente et la face d'assemblage (2c) de la tige (2) porte, en son centre, une portée conique (2b) de même dimension que le puits précité et propre à y être engagé et retenu dans la position angulaire précitée. 3. femoral element according to claim 2, characterized in that the assembly face (3c) of the base (3a) of the cervical part (3) has, in its center, a frustoconical well (3b) with a slight slope and the assembly face (2c) of the rod (2) carries, in its center, a conical bearing (2b) of the same dimension as the aforementioned well and suitable for being engaged therein and retained in the aforementioned angular position. 4. Elément fémoral selon la revendication 2 ou 3, caractérisé en ce que les moyens de fixation amovible de l'embase (3a) de la partie cervicale (3) à l'extrémité proximale (2a) de la tige (2) comprennent, en outre, une vis e: traversant coaxialement la partie cervicale (3) et engageable dans un trou taraudé (6) au même pas, prévu au centre de la portée conique (2b). 4. femoral element according to claim 2 or 3, characterized in that the means for detachably fixing the base (3a) of the cervical part (3) to the proximal end (2a) of the rod (2) comprise, in addition, a screw e: coaxially passing through the cervical part (3) and engaging in a tapped hole (6) at the same pitch, provided in the center of the conical seat (2b). 5. Elément fémoral selon l'une quelconque des revendications, caractérisé en ce que les moyens de fixation amovible de l'embase (3a) de la partie cervicale (3) à l'extrémité proximale (2a) de la tige (2) comprennent, en outre, pour améliorer le calage dans la position angulaire choisie, sur les faces d'assemblage (3c) de l'embase (3a) et (2c) de la tige (2), d'une part, un ergot (7) et, d'autre part, une série de logements (8) dont chacun est propre à recevoir et loger l'ergot (7) et qui sont disposés en arc de cercle autour de l'axe commun du puits (3b) et de la portée conique (2b), le choix du logement (8) dans lequel est engagé l'ergot (7) déterminant la position angulaire de la portée cervicale (3) par rapport à l'extrémité distale (2a) de la tige (2).  5. femoral element according to any one of claims, characterized in that the removable fixing means of the base (3a) of the cervical part (3) at the proximal end (2a) of the rod (2) comprise , in addition, to improve the timing in the angular position chosen, on the assembly faces (3c) of the base (3a) and (2c) of the rod (2), on the one hand, a lug (7 ) and, on the other hand, a series of housings (8) each of which is suitable for receiving and housing the lug (7) and which are arranged in an arc around the common axis of the well (3b) and the conical bearing (2b), the choice of the housing (8) in which the lug (7) is engaged determining the angular position of the cervical bearing (3) relative to the distal end (2a) of the rod (2 ).
FR9103150A 1991-03-11 1991-03-11 Femoral element for a hip prosthesis Withdrawn FR2673832A1 (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2699400A1 (en) * 1992-12-18 1994-06-24 Medinov Sa Artificial shoulder prosthesis
EP1088531A1 (en) * 1999-09-24 2001-04-04 Waldemar Link (GmbH & Co.) Joint prosthesis
FR2879917A1 (en) * 2004-12-23 2006-06-30 Genie Medical Sgm Sa Soc D Femoral assembly for hip prosthesis, has modular epiphysis placed angularly relative to stem to receive `medium collar` type femoral head in monoblock manner, and having, at slot, female conical bearing cooperating with male conical bearing

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0038897A1 (en) * 1980-04-30 1981-11-04 André Rambert Non cemented intramedullary prosthesis for a hip joint
FR2606273A1 (en) * 1986-11-10 1988-05-13 Collomb Jean Improved joint prosthesis
FR2616060A1 (en) * 1987-06-03 1988-12-09 Tornier Sa Hip prosthesis with variable epiphyseal part
EP0339530A2 (en) * 1988-04-26 1989-11-02 S + G Implants Gmbh Endoprosthesis for a joint
EP0201407B1 (en) * 1985-04-24 1990-07-18 Patrick Montagne Set of parts for forming a femoral prosthesis

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0038897A1 (en) * 1980-04-30 1981-11-04 André Rambert Non cemented intramedullary prosthesis for a hip joint
EP0201407B1 (en) * 1985-04-24 1990-07-18 Patrick Montagne Set of parts for forming a femoral prosthesis
FR2606273A1 (en) * 1986-11-10 1988-05-13 Collomb Jean Improved joint prosthesis
FR2616060A1 (en) * 1987-06-03 1988-12-09 Tornier Sa Hip prosthesis with variable epiphyseal part
EP0339530A2 (en) * 1988-04-26 1989-11-02 S + G Implants Gmbh Endoprosthesis for a joint

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2699400A1 (en) * 1992-12-18 1994-06-24 Medinov Sa Artificial shoulder prosthesis
EP1088531A1 (en) * 1999-09-24 2001-04-04 Waldemar Link (GmbH & Co.) Joint prosthesis
AU772401B2 (en) * 1999-09-24 2004-04-29 Waldemar Link Gmbh & Co. Kg Joint endoprosthesis
FR2879917A1 (en) * 2004-12-23 2006-06-30 Genie Medical Sgm Sa Soc D Femoral assembly for hip prosthesis, has modular epiphysis placed angularly relative to stem to receive `medium collar` type femoral head in monoblock manner, and having, at slot, female conical bearing cooperating with male conical bearing

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