FR2735971A1 - Prothese femorale modulaire de reprise - Google Patents

Prothese femorale modulaire de reprise Download PDF

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Publication number
FR2735971A1
FR2735971A1 FR9508027A FR9508027A FR2735971A1 FR 2735971 A1 FR2735971 A1 FR 2735971A1 FR 9508027 A FR9508027 A FR 9508027A FR 9508027 A FR9508027 A FR 9508027A FR 2735971 A1 FR2735971 A1 FR 2735971A1
Authority
FR
France
Prior art keywords
prosthesis
surgery
femoral prosthesis
surgical prosthesis
prosthesis according
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.)
Pending
Application number
FR9508027A
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English (en)
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.)
Mecanurgie SA Soc
Original Assignee
Mecanurgie SA Soc
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 Mecanurgie SA Soc filed Critical Mecanurgie SA Soc
Priority to FR9508027A priority Critical patent/FR2735971A1/fr
Priority to FR9515215A priority patent/FR2735972B3/fr
Publication of FR2735971A1 publication Critical patent/FR2735971A1/fr
Pending 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
    • A61F2/3662Femoral shafts
    • A61F2/367Proximal or metaphyseal parts of 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
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
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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
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    • AHUMAN NECESSITIES
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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
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    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30159Concave polygonal shapes
    • A61F2002/30171Concave polygonal shapes rosette- or star-shaped
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    • 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
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    • 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
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    • 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
    • AHUMAN NECESSITIES
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    • 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
    • A61F2002/30362Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364Rotation about the common longitudinal axis
    • A61F2002/30367Rotation about the common longitudinal axis with additional means for preventing said rotation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
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    • 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
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    • 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
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    • A61F2002/30537Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
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    • A61F2002/30599Special structural features of bone or joint prostheses not otherwise provided for stackable
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    • 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
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • A61F2230/005Rosette-shaped, e.g. star-shaped
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063Nested prosthetic parts

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

Prothèse fémorale de reconstruction, utilisée en chirurgie, plus particulièrement pour la chirurgie de la hanche dégénérative, tumorale et traumatologique ainsi que la chirurgie de reprise, caractérisé en ce qu'elle comporte différents éléments entièrement modulables, un système de réglage pas à pas de l'angle d'antéversion, 8 saillies longitudinales sur la tige diaphysaire et un système anti-migration de la tige diaphysaire par appui sur le haut du trochanter.

Description

DESCRIPTION.
La présente invention a pour objet une prothèse fémorale de reprise ou de reconstruction utilisée pour la chirurgie de la hanche.
Lors de la pose d'une prothèse de hanche le réglage de l'antéversion est donné soit par la prothèse elle même, soit par son positionnement.
Il est nécessaire de palier à ce genre de problème, lors notamment d'une prothèse cimenté.
Conformément à l'invention, et selon une première caractéristique ce but est facilité par un système d'assemblage arbre/alésage tronconique cannelé.
Permettant ainsi un réglage correct de l'anteversion après impaction de la tige diaphysaire.
La deuxième caractéristique de l'invention, repose sur la modularité totale des différents éléments du système. Partie diaphysaire, partie métaphysaire et partie épiphysaire.
Permettant d'obtenir des combinaisons multiples pouvant s'adapter rapidement à des situations chirurgicales complexes.
La troisième caractéristique de l'invention, concerne le mode d'assemblage des différentes parties. Cet assemblage se fait par emboîtement tronconique, verrouillé par une vis d'union supprimant ainsi le jeu entre les différentes parties de la prothèse.
Les dessins annexés illustrent l'invention
La figure I représente la pièce epyphisaire.
La figure 2a représente la pièce metaphysaire.
La figure 2b représente la cale metaphysaire.
La figure 3 représente la pièce diaphysaire.
La figure 4 représente la vis d'union, qui permettra une fois bloqué de rendre l'ensemble solidaire.
La figure 5 représente l'ensemble du système dans sa position assemblé avec une vue en élévation du système de cannelure permettant un réglage optimum et précis de l'anteversion.
Le dispositif selon l'invention est particulièrement destiné à la chirurgie de la hanche dégénérative, tumorale et traumatologique ainsi que la chirurgie de reprise souvent complexe et difficile.
Enfin, ce matériel ne nécessite pas une instrumentation particulière pour sa pose.

Claims (4)

  1. REVENDICATIONS
    Prothèse fémorale de reprise ou de reconstruction , utilisée en chirurgie, plus particulièrement pour la chirurgie de la hanche dégénérative, tumorale et traumatologique ainsi que la chirurgie de reprise.
    Caractérisé par son système de réglage de l'anteversion et par sa modularité totale.
  2. 2 Prothèse fémorale selon la revendication i caractérisé par son systéme d'assemblage arbre/alésage tronconique cannelé (5).
  3. 3 Prothèse fémorale selon la revendication 2 caractérisé par sa modularité totale des différents éléments du système. Partie diaphysaire, partie métaphysaire et partie épiphysaire. ( 1 ) (2a) ( 2b ) ( 3 ).
  4. 4 Prothèse fémorale selon la revendication 3 caractérisé par le mode d'assemblage tronconique ( 5 ) supprimant ainsi le jeu entre les différentes parties de la prothèse.
FR9508027A 1995-06-30 1995-06-30 Prothese femorale modulaire de reprise Pending FR2735971A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
FR9508027A FR2735971A1 (fr) 1995-06-30 1995-06-30 Prothese femorale modulaire de reprise
FR9515215A FR2735972B3 (fr) 1995-06-30 1995-12-19 Prothese femorale de reconstruction

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9508027A FR2735971A1 (fr) 1995-06-30 1995-06-30 Prothese femorale modulaire de reprise

Publications (1)

Publication Number Publication Date
FR2735971A1 true FR2735971A1 (fr) 1997-01-03

Family

ID=9480652

Family Applications (1)

Application Number Title Priority Date Filing Date
FR9508027A Pending FR2735971A1 (fr) 1995-06-30 1995-06-30 Prothese femorale modulaire de reprise

Country Status (1)

Country Link
FR (1) FR2735971A1 (fr)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000064384A1 (fr) * 1999-04-27 2000-11-02 Steinicke Maschinen- Und Werkzeugbau Ag Endoprothese, destinee en particulier a une articulation de hanche artificielle
EP1159937A1 (fr) * 2000-05-29 2001-12-05 Spike Trading Lda Prothèse fémorale
WO2004064676A3 (fr) * 2003-01-22 2004-12-09 Osteoimplant Technology Inc Stabilite intrinseque dans une tige de hanche totale
JP2008119051A (ja) * 2006-11-08 2008-05-29 Japan Medical Materials Corp 大腿骨用コンポーネント
FR2913590A1 (fr) * 2007-03-14 2008-09-19 Mouzayek Hicham Tige femorale de reprise modulaire
WO2009124719A1 (fr) * 2008-04-07 2009-10-15 Waldemar Link Gmbh & Co. Kg Prothèse de tête de fémur modulaire
US7794503B2 (en) * 2002-12-20 2010-09-14 Depuy Products, Inc. Trialing system and method for modular hip joint replacement system
US7854737B2 (en) 2002-12-20 2010-12-21 Depuy Products, Inc. Instrument and associated method of trailing for modular hip stems

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000064384A1 (fr) * 1999-04-27 2000-11-02 Steinicke Maschinen- Und Werkzeugbau Ag Endoprothese, destinee en particulier a une articulation de hanche artificielle
EP1159937A1 (fr) * 2000-05-29 2001-12-05 Spike Trading Lda Prothèse fémorale
US7794503B2 (en) * 2002-12-20 2010-09-14 Depuy Products, Inc. Trialing system and method for modular hip joint replacement system
AU2009201974B2 (en) * 2002-12-20 2010-11-18 Depuy Products, Inc. Modular hip stems and associated method of trialing
US7854737B2 (en) 2002-12-20 2010-12-21 Depuy Products, Inc. Instrument and associated method of trailing for modular hip stems
US8529578B2 (en) 2002-12-20 2013-09-10 DePuy Synthes Products, LLC Instrument and associated method of trialing for modular hip stems
WO2004064676A3 (fr) * 2003-01-22 2004-12-09 Osteoimplant Technology Inc Stabilite intrinseque dans une tige de hanche totale
JP2008119051A (ja) * 2006-11-08 2008-05-29 Japan Medical Materials Corp 大腿骨用コンポーネント
FR2913590A1 (fr) * 2007-03-14 2008-09-19 Mouzayek Hicham Tige femorale de reprise modulaire
WO2009124719A1 (fr) * 2008-04-07 2009-10-15 Waldemar Link Gmbh & Co. Kg Prothèse de tête de fémur modulaire

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