GB2348373A - A knee prosthesis - Google Patents
A knee prosthesis Download PDFInfo
- Publication number
- GB2348373A GB2348373A GB9905250A GB9905250A GB2348373A GB 2348373 A GB2348373 A GB 2348373A GB 9905250 A GB9905250 A GB 9905250A GB 9905250 A GB9905250 A GB 9905250A GB 2348373 A GB2348373 A GB 2348373A
- Authority
- GB
- United Kingdom
- Prior art keywords
- knee prosthesis
- component
- meniscal
- superior
- inferior
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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
- A61F2/38—Joints for elbows or knees
- A61F2/3868—Joints for elbows or knees with sliding tibial bearing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
Abstract
A knee prosthesis includes a compressible meniscal or tibial component. In one example, the meniscal component 9 comprises superior and inferior parts 10 and 11 of non-compressible wear resistant material, such as ultra high molecular weight polyethylene, and an intermediate compressible layer 12, typically formed of biocompatible silicone elastomer, between the superior and inferior parts.
Description
A KNEE PROSTHESIS
This invention relates to a knee prosthesis.
It is now known that the natural meniscus in a healthy knee joint moves anteriorly-posteriorly, rotates, moves medially-laterally and expands and contracts during flexion and extension.
According to the present invention there is provided a knee prosthesis including a compressible meniscal or tibial component.
Preferred and/or optional features of the invention are set forth in claims 2 to 13, inclusive.
The invention will now be more particularly described, by way of example, with reference to the accompanying drawings, in which:
Figure 1 is a side view of a meniscal component of a knee prosthesis according to one embodiment of the invention,
Figure 2 is a bottom plan view of the meniscal component shown in Figure 1,'""'"'"
Figure 3 is a section taken through the line III-III of Figure 2,
Figure 4 is a sectional view of a tibial component of a knee prosthesis according to a second embodiment of the invention,
Figure 5 is a top plan view of the tibial component shown in Figure 4,
Figure 6 is a front view of the tibial component shown in Figures 4 and 5.
Referring firstly to Figures 1 to 3 of the drawings, the meniscal component 9 of a total knee prosthesis shown therein comprises a superior part 10, an inferior part 11 and a layer 12 of compressible material between the superior and inferior parts 10 and 11, respectively.
The inferior surface 13 of the inferior part 11 of the meniscal component is generally planar and the superior surface 14 of the superior part 10 of the meniscal component comprises two condylar surfaces, one on either side of the centre, each having a radius of curvature which is replicated in the articulating area of a femoral component (not shown), such that the femoral component and the meniscal component, when in contact throughout the range of motion, are fully congruent.
The meniscal component also has two recesses 15 and 16 which co-operate with bollards 17 and 18 upstanding from a plateau of a tibial component 19 to allow limited anterior-posterior, medial-lateral and rotational movement between the meniscal and tibial components. These recesses 15 and 16 extend through the inferior part 11 and through the compressible layer 12 into the superior part 10 of the meniscal component.
As shown, the superior and inferior parts 10 and 11 of the meniscal component are formed of ultra high molecular weight polyethylene and the compressible layer 12 is formed of a biocompatible compressible material, typically silicone rubber. The superior and inferior parts could, however, be made of any biocompatible metallic material suitable for the purpose and typically of high carbon cobalt chromium alloy. These parts could also be made of a ceramic material, such as alumina or zirconia. The advantage of making these parts of metal or ceramics material is that these materials are more wear resistant than polyethylene and the parts 10 and 11 can, therefore, be made thinner enabling the compressible layer 12 to be made thicker.
The superior and inferior parts 10 and 11 and the intermediate compressible layer 12 are secured together by a biocompatible adhesive or by mechanical means or a combination of both.
Referring now to Figures 4 to 6 of the accompanying drawings, the tibial component 19 shown therein comprises a plateau 20 and fixing devices such as pegs or stems 21. The plateau 20 comprises an inferior part 22, a superior part 23 and a layer 24 of compressible material between the inferior and superior parts 22 and 23, respectively. The superior surface 25 of the superior part 23 is flat for co-operation with an inferior surface of a meniscal component.
The bollards 17 and 18 are integral with the inferior part 22 and extend upwardly through openings in the compressible layer 24 and the superior part 23.
The inferior and superior parts 22 and 23, respectively, of the tibial component 19 and the pegs or stems 21 are made of a biocompatible metallic material suitable for the purpose and typically of a cobalt chromium alloy. They could also be made of a ceramic material, such as alumina or zirconia. The compressible layer 24 is formed of a biocompatible compressible material, typically silicone rubber.
The advantage of providing a knee prosthesis which allows for expansion and contraction during flexion and extension is that it would:1. Accommodate the differing extension/flexion gap during
articulation by expanding and compressing from flexion to
extension and vice versa, as does the meniscus in the natural
knee.
2. As a result of an equalisation of tension through expansion and
compression, there may be more even load transmission.
3. A meniscal component or a prosthetic knee, which will allow
compression and expansion, will be more resistant to
compressive load and shock.
4. The change in ligamentous tension will mimic the natural knee
as the meniscus expands and compresses. As such, the knee will
be in greater tension than with conventional knee prostheses
throughout the range of motion which, in the case of a mobile
meniscal knee, will provide a more stable construction and,
therefore, resist meniscal dislocation or lift-off, which has been
a problem reported in certain mobile meniscal knees.
5. The ability of the prosthetic knee to expand and compress will
make implantation of the knee and ligament tension balancing
more forgiving for the operating surgeon.
6. The expansion/compression process of the prosthetic knee will
make it feel more natural to the patient.
The above embodiments are given by way of example only and various modifications will be apparent to persons skilled in the art without departing from the scope of the invention as defined by the appended claims. For example, the meniscal component could be fixed to the tibial component or could, indeed, be an integral part of the tibial component. Also, although the knee prosthesis as described above is a total knee prosthesis, it could be a uni-condylar knee prosthesis.
Claims (12)
- CLAIMS 1. A knee prosthesis including a compressible meniscal or tibial component.
- 2. A knee prosthesis as claimed in claim 1, wherein the meniscal component and tibial component are separate parts.
- 3. A knee prosthesis as claimed in claim 2, wherein the meniscal component is capable of anterior-posterior movement relative to the tibial component.
- 4. A knee prosthesis as claimed in claim 2 or claim 3, wherein the meniscal component is capable of rotational movement relative to the tibial component.
- 5. A knee prosthesis as claimed in any one of claims 2 to 4, wherein the meniscal component is capable of medial-lateral movement relative to the tibial component.
- 6. A knee prosthesis as claimed in claim 1 or claim 2, wherein the meniscal component is fixed relative to the tibial component.
- 7. A knee prosthesis as claimed in any one of the preceding claims, wherein the meniscal component comprises superior and inferior non-compressible layers of wear resistant material and an intermediate compressible layer between the superior and inferior layers.
- 8. A knee prosthesis as claimed in claim 7, wherein the superior and inferior layers are of metal or ceramic material.
- 9. A knee prosthesis as claimed in any one of claims 1 to 7, wherein the tibial component includes a plateau having superior and inferior non-compressible layers and an intermediate compressible layer between the superior and inferior layers.
- 10. A knee prosthesis as claimed in any one of claims 7 to 9, wherein the compressible layer is formed of a biocompatible material.
- 11. A knee prosthesis as claimed in claim 10, wherein the compressible layer is formed of silicone elastomer.
- 12. A knee prosthesis substantially as hereinbefore described with reference to Figures 1 to 3, or Figures 4 to 6, of the accompanying drawings.12. A knee prosthesis as claimed in any one of the preceding claims, in the form of a total knee prosthesis.13. A knee prosthesis as claimed in any one of the preceding claims, in the form of a uni-condylar knee prosthesis.14. A knee prosthesis substantially as hereinbefore described with reference to Figures 1 to 3, or Figures 4 to 6, of the accompanying drawings.Amendments to the claims have been filed as follows CLAIMS 1. A knee prosthesis including a compressible meniscal or tibial component, the meniscal and tibial components being separate parts and the meniscal component being capable of anterior-posterior movement and/or rotational movement and/or medial-lateral movement relative to the tibial component.2. A knee prosthesis as claimed in claim 1, wherein the meniscal component is capable of anterior-posterior movement relative to the tibial component.3. A knee prosthesis as claimed in claim 1 or claim 2, wherein the meniscal component is capable of rotational movement relative to the tibial component.4. A knee prosthesis as claimed in any one of claims 1 to 3, wherein the meniscal component is capable of medial-lateral movement relative to the tibial component.5. A knee prosthesis as claimed in any one of the preceding claims, wherein the meniscal component comprises superior and inferior non-compressible layers of wear resistant material and an intermediate compressible layer between the superior and inferior layers.6. A knee prosthesis as claimed in claim 5, wherein the superior and inferior layers are of metal or ceramic material.7. A knee prosthesis as claimed in any one of claims 1 to 4, wherein the tibial component includes a plateau having superior and inferior non-compressible layers and an intermediate compressible layer between the superior and inferior layers.8. A knee prosthesis as claimed in any one of claims 5 to 7, wherein the compressible layer is formed of a biocompatible material.9. A knee prosthesis as claimed in claim 8, wherein the compressible layer is formed of silicone elastomer.10. A knee prosthesis as claimed in any one of the preceding claims, in the form of a total knee prosthesis.11. A knee prosthesis as claimed in any one of the preceding claims, in the form of a uni-condylar knee prosthesis.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB9905250A GB2348373B (en) | 1999-03-09 | 1999-03-09 | A knee prosthesis |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB9905250A GB2348373B (en) | 1999-03-09 | 1999-03-09 | A knee prosthesis |
Publications (3)
Publication Number | Publication Date |
---|---|
GB9905250D0 GB9905250D0 (en) | 1999-04-28 |
GB2348373A true GB2348373A (en) | 2000-10-04 |
GB2348373B GB2348373B (en) | 2001-03-14 |
Family
ID=10849158
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
GB9905250A Expired - Fee Related GB2348373B (en) | 1999-03-09 | 1999-03-09 | A knee prosthesis |
Country Status (1)
Country | Link |
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GB (1) | GB2348373B (en) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003049650A1 (en) | 2001-12-11 | 2003-06-19 | Dimitrios Sifneos | Endoprosthesis of the knee and / or other joints |
EP1477142A3 (en) * | 2003-05-13 | 2005-01-05 | Privelop AG | Endoprosthesis of the knee |
US7796791B2 (en) | 2002-11-07 | 2010-09-14 | Conformis, Inc. | Methods for determining meniscal size and shape and for devising treatment |
US7799077B2 (en) | 2002-10-07 | 2010-09-21 | Conformis, Inc. | Minimally invasive joint implant with 3-dimensional geometry matching the articular surfaces |
US8545569B2 (en) | 2001-05-25 | 2013-10-01 | Conformis, Inc. | Patient selectable knee arthroplasty devices |
US9603711B2 (en) | 2001-05-25 | 2017-03-28 | Conformis, Inc. | Patient-adapted and improved articular implants, designs and related guide tools |
US9642632B2 (en) | 2009-02-24 | 2017-05-09 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
US9649117B2 (en) | 2009-02-24 | 2017-05-16 | Microport Orthopedics Holdings, Inc. | Orthopedic surgical guide |
US9675471B2 (en) | 2012-06-11 | 2017-06-13 | Conformis, Inc. | Devices, techniques and methods for assessing joint spacing, balancing soft tissues and obtaining desired kinematics for joint implant components |
US9700420B2 (en) | 2008-03-05 | 2017-07-11 | Conformis, Inc. | Implants for altering wear patterns of articular surfaces |
US9700971B2 (en) | 2001-05-25 | 2017-07-11 | Conformis, Inc. | Implant device and method for manufacture |
US9775680B2 (en) | 2001-05-25 | 2017-10-03 | Conformis, Inc. | Patient-adapted and improved articular implants, designs and related guide tools |
US9883870B2 (en) | 2009-02-24 | 2018-02-06 | Microport Orthopedics Holdings Inc. | Method for forming a patient specific surgical guide mount |
US10085839B2 (en) | 2004-01-05 | 2018-10-02 | Conformis, Inc. | Patient-specific and patient-engineered orthopedic implants |
Families Citing this family (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8882847B2 (en) | 2001-05-25 | 2014-11-11 | Conformis, Inc. | Patient selectable knee joint arthroplasty devices |
US7618451B2 (en) | 2001-05-25 | 2009-11-17 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty |
US7534263B2 (en) | 2001-05-25 | 2009-05-19 | Conformis, Inc. | Surgical tools facilitating increased accuracy, speed and simplicity in performing joint arthroplasty |
US8234097B2 (en) | 2001-05-25 | 2012-07-31 | Conformis, Inc. | Automated systems for manufacturing patient-specific orthopedic implants and instrumentation |
US8083745B2 (en) | 2001-05-25 | 2011-12-27 | Conformis, Inc. | Surgical tools for arthroplasty |
US8771365B2 (en) | 2009-02-25 | 2014-07-08 | Conformis, Inc. | Patient-adapted and improved orthopedic implants, designs, and related tools |
US8556983B2 (en) | 2001-05-25 | 2013-10-15 | Conformis, Inc. | Patient-adapted and improved orthopedic implants, designs and related tools |
US7468075B2 (en) | 2001-05-25 | 2008-12-23 | Conformis, Inc. | Methods and compositions for articular repair |
US8735773B2 (en) | 2007-02-14 | 2014-05-27 | Conformis, Inc. | Implant device and method for manufacture |
US7239908B1 (en) | 1998-09-14 | 2007-07-03 | The Board Of Trustees Of The Leland Stanford Junior University | Assessing the condition of a joint and devising treatment |
US7184814B2 (en) | 1998-09-14 | 2007-02-27 | The Board Of Trustees Of The Leland Stanford Junior University | Assessing the condition of a joint and assessing cartilage loss |
AU772012B2 (en) | 1998-09-14 | 2004-04-08 | Board Of Trustees Of The Leland Stanford Junior University | Assessing the condition of a joint and preventing damage |
WO2002022014A1 (en) | 2000-09-14 | 2002-03-21 | The Board Of Trustees Of The Leland Stanford Junior University | Assessing the condition of a joint and devising treatment |
US8439926B2 (en) | 2001-05-25 | 2013-05-14 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools |
US8951260B2 (en) | 2001-05-25 | 2015-02-10 | Conformis, Inc. | Surgical cutting guide |
CA2447694A1 (en) | 2001-05-25 | 2002-12-05 | Imaging Therapeutics, Inc. | Methods and compositions for articular resurfacing |
TWI584796B (en) | 2006-02-06 | 2017-06-01 | 康福美斯公司 | Patient selectable joint arthroplasty devices and surgical tools |
US8623026B2 (en) | 2006-02-06 | 2014-01-07 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools incorporating anatomical relief |
AU2009246474B2 (en) | 2008-05-12 | 2015-04-16 | Conformis, Inc. | Devices and methods for treatment of facet and other joints |
BRPI1014917A2 (en) | 2009-04-16 | 2016-04-19 | Conformis Inc | "Patient specific joint arthroplasty devices for ligament repair" |
WO2012112694A2 (en) | 2011-02-15 | 2012-08-23 | Conformis, Inc. | Medeling, analyzing and using anatomical data for patient-adapted implants. designs, tools and surgical procedures |
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EP0046926A2 (en) * | 1980-09-03 | 1982-03-10 | Waldemar Link (GmbH & Co.) | Knee joint endoprosthesis |
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-
1999
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Non-Patent Citations (1)
Title |
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Cited By (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9700971B2 (en) | 2001-05-25 | 2017-07-11 | Conformis, Inc. | Implant device and method for manufacture |
US8545569B2 (en) | 2001-05-25 | 2013-10-01 | Conformis, Inc. | Patient selectable knee arthroplasty devices |
US9603711B2 (en) | 2001-05-25 | 2017-03-28 | Conformis, Inc. | Patient-adapted and improved articular implants, designs and related guide tools |
US9877790B2 (en) | 2001-05-25 | 2018-01-30 | Conformis, Inc. | Tibial implant and systems with variable slope |
US9775680B2 (en) | 2001-05-25 | 2017-10-03 | Conformis, Inc. | Patient-adapted and improved articular implants, designs and related guide tools |
WO2003049650A1 (en) | 2001-12-11 | 2003-06-19 | Dimitrios Sifneos | Endoprosthesis of the knee and / or other joints |
US7799077B2 (en) | 2002-10-07 | 2010-09-21 | Conformis, Inc. | Minimally invasive joint implant with 3-dimensional geometry matching the articular surfaces |
US7796791B2 (en) | 2002-11-07 | 2010-09-14 | Conformis, Inc. | Methods for determining meniscal size and shape and for devising treatment |
US8932363B2 (en) | 2002-11-07 | 2015-01-13 | Conformis, Inc. | Methods for determining meniscal size and shape and for devising treatment |
EP1477142A3 (en) * | 2003-05-13 | 2005-01-05 | Privelop AG | Endoprosthesis of the knee |
US10085839B2 (en) | 2004-01-05 | 2018-10-02 | Conformis, Inc. | Patient-specific and patient-engineered orthopedic implants |
US9700420B2 (en) | 2008-03-05 | 2017-07-11 | Conformis, Inc. | Implants for altering wear patterns of articular surfaces |
US9642632B2 (en) | 2009-02-24 | 2017-05-09 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
US10646238B2 (en) | 2009-02-24 | 2020-05-12 | Microport Orthopedics Holdings, Inc. | Systems and methods for installing an orthopedic implant |
US9675365B2 (en) | 2009-02-24 | 2017-06-13 | Microport Orthopedics Holdings Inc. | System and method for anterior approach for installing tibial stem |
US9883870B2 (en) | 2009-02-24 | 2018-02-06 | Microport Orthopedics Holdings Inc. | Method for forming a patient specific surgical guide mount |
US9901353B2 (en) | 2009-02-24 | 2018-02-27 | Microport Holdings Inc. | Patient specific surgical guide locator and mount |
US9949747B2 (en) | 2009-02-24 | 2018-04-24 | Microport Orthopedics Holdings, Inc. | Systems and methods for installing an orthopedic implant |
US10039557B2 (en) | 2009-02-24 | 2018-08-07 | Micorport Orthopedics Holdings, Inc. | Orthopedic surgical guide |
US9649117B2 (en) | 2009-02-24 | 2017-05-16 | Microport Orthopedics Holdings, Inc. | Orthopedic surgical guide |
US10512476B2 (en) | 2009-02-24 | 2019-12-24 | Microport Orthopedics Holdings, Inc. | Orthopedic surgical guide |
US11911046B2 (en) | 2009-02-24 | 2024-02-27 | Microport Orthopedics Holdings, Inc. | Patient specific surgical guide locator and mount |
US10660654B2 (en) | 2009-02-24 | 2020-05-26 | Microport Orthopedics Holdings Inc. | Method for forming a patient specific surgical guide mount |
US10973536B2 (en) | 2009-02-24 | 2021-04-13 | Microport Orthopedics Holdings, Inc. | Orthopedic surgical guide |
US11154305B2 (en) | 2009-02-24 | 2021-10-26 | Microport Orthopedics Holdings Inc. | Patient specific surgical guide locator and mount |
US11389177B2 (en) | 2009-02-24 | 2022-07-19 | Microport Orthopedics Holdings Inc. | Method for forming a patient specific surgical guide mount |
US11464527B2 (en) | 2009-02-24 | 2022-10-11 | Microport Orthopedics Holdings Inc. | Systems and methods for installing an orthopedic implant |
US11534186B2 (en) | 2009-02-24 | 2022-12-27 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
US11779356B2 (en) | 2009-02-24 | 2023-10-10 | Microport Orthopedics Holdings, Inc. | Orthopedic surgical guide |
US11779347B2 (en) | 2009-02-24 | 2023-10-10 | Microport Orthopedics Holdings Inc. | System for forming a patient specific surgical guide mount |
US9675471B2 (en) | 2012-06-11 | 2017-06-13 | Conformis, Inc. | Devices, techniques and methods for assessing joint spacing, balancing soft tissues and obtaining desired kinematics for joint implant components |
Also Published As
Publication number | Publication date |
---|---|
GB2348373B (en) | 2001-03-14 |
GB9905250D0 (en) | 1999-04-28 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
PCNP | Patent ceased through non-payment of renewal fee |
Effective date: 20120309 |