GB2404862A - Prosthesis with adjustable bearing retainer - Google Patents

Prosthesis with adjustable bearing retainer Download PDF

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Publication number
GB2404862A
GB2404862A GB0319250A GB0319250A GB2404862A GB 2404862 A GB2404862 A GB 2404862A GB 0319250 A GB0319250 A GB 0319250A GB 0319250 A GB0319250 A GB 0319250A GB 2404862 A GB2404862 A GB 2404862A
Authority
GB
United Kingdom
Prior art keywords
prosthesis
component
base portion
bollard
mounting component
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Withdrawn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
GB0319250A
Other versions
GB0319250D0 (en
Inventor
Rachel Parkin
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.)
Biomet UK Ltd
Original Assignee
Biomet Merck Ltd
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 Biomet Merck Ltd filed Critical Biomet Merck Ltd
Priority to GB0319250A priority Critical patent/GB2404862A/en
Publication of GB0319250D0 publication Critical patent/GB0319250D0/en
Priority to DE602004011434T priority patent/DE602004011434D1/en
Priority to AT04254795T priority patent/ATE384496T1/en
Priority to EP04254795A priority patent/EP1506752B1/en
Publication of GB2404862A publication Critical patent/GB2404862A/en
Withdrawn legal-status Critical Current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
    • A61F2/30—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
    • A61F2/38—Joints for elbows or knees
    • A61F2/389—Tibial components
    • 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
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30133—Rounded shapes, e.g. with rounded corners kidney-shaped or bean-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30299—Three-dimensional shapes umbrella-shaped or mushroom-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
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    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections 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
    • A61F2002/30354—Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30433—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/305—Snap connection
    • 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
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • A61F2002/3054—Special 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
    • 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
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/3079—Stepped or enlarged apertures, e.g. having discrete diameter changes
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30795—Blind bores, e.g. of circular cross-section
    • A61F2002/30797—Blind bores, e.g. of circular cross-section internally-threaded
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A—HUMAN NECESSITIES
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
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    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
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    • A61F2230/0015—Kidney-shaped, e.g. bean-shaped
    • A—HUMAN NECESSITIES
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    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0093—Umbrella-shaped, e.g. mushroom-shaped

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Physical Education & Sports Medicine (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

A prosthesis for replacement of all or part of a human or animal joint, the prosthesis comprising a mounting component 40 for connection to a bone, a bearing component (not shown) for articulation relative to a second bone, and a fixing element 120 comprising a retainer portion 180 which engages the bearing component and a base portion 200 which is connectable to the mounting component 40, the position of the retainer portion 180 relative to the mounting component 40 being adjustable.

Description

PROSTHESIS WITH ADJUSTABLE BEARING RETAINER
This invention relates to a prosthesis with an adjustable bearing retainer. Particularly, although not exclusively, it relates to a tibial tray prosthesis having an adjustable bollard which retains a tibial bearing component.
BACKGROUND OF THE INVENTION
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Conventional knee prostheses comprise a tibial tray component which is fixed to a proximal end of a tibia, a femoral component which is fixed to a distal end of a femur and a meniscal bearing component which transfers the load between the femoral component and the tibial tray component. The meniscal component may be fixed to, or constrained by, a bollard which passes through all or part of the meniscal component and is mounted in, and projects from, a proximal end of the tibial tray component. This bollard may be integrally formed with the tibial tray prosthesis, or fixed to it in a particular position.
SUMMARY OF THE INVENTION
According to the present invention there is provided a prosthesis for replacement of all or part of a human or animal joint, the prosthesis comprising a mounting component for connection to a bone, a bearing component for articulation relative to a second bone, and a fixing element comprising a retainer portion which engages the bearing component and a base portion which is fixed to the mounting component, the position of the retainer portion relative to the mounting component being adjustable.
Preferably, the base portion is offset from the retainer portion, so that rotation of the base portion in a bore l formed in the mounting component adjusts the position of the retainer portion relative to the mounting component.
Preferably, a cross-sectional shape of the bore has rotational symmetry of at least order two.
Preferably, a cross-sectional shape of the base portion has rotational symmetry of at least order two.
Preferably, the rotational symmetry of the base portion is the same as that of the bore.
Preferably, the bore comprises an elongate recess.
Preferably, the recess is symmetrical about its longitudinal axis.
Preferably, the base portion of the fixing component is elongate. Preferably, the base portion is symmetrical about its longitudinal axis.
Preferably, the base portion is closely received in the bore.
Preferably, the fixing element is fixed to the mounting component by a screw or bolt.
Preferably, an opening is provided through the fixing element to accommodate the screw or bolt.
Preferably, the fixing component can be accommodated in the bore in any one of a plurality of possible orientations.
Preferably, the fixing component is reversible and can be accommodated in the bore in either of two possible orientations.
Preferably, the fixing element comprises the tibial bollard or post and the mounting component comprises the tibial tray of a knee prosthesis, and when implanted, rotation of the base portion of the bollard relative to the tibial tray displaces the retainer portion of the bollard at least in a posterior or an anterior direction.
BRIEF DESCRIPTION OF THE DRAWINGS
For a better understanding of the present invention, and to show more clearly how it may be carried into effect, reference will now be made, by way of example, to the accompanying drawings, in which: Figure l is a perspective view of a conventional tibial component of a meniscal knee prosthesis; Figure 2 is a cross section through the component of Figure 1; Figure 3 is a perspective view of a tibial component of a meniscal knee prosthesis in accordance with the present invention; Figure 4 is a crosssection through the component of Figure 3; Figure 5 is a perspective view of a tibial bollard with an offset base portion; Figure 6 is a plan view of the component of Figure 3 showing the bollard in a first position; and Figure 7 is a plan view of the component of Figure 3 with the bollard in its alternative position.
DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
Figures 1 and 2 show a tibial component 2 of a knee prosthesis. The tibial component 2 comprises a mounting component 4 having a keel 6 which is secured in the resected end of a human tibia, and a tibial tray or platform 8 which forms a proximal bearing surface 10.
A fixing element, in the form of a tibial bollard 12, is secured centrally in the tibial platform 8, such that the bollard 12 projects proximally at right angles to the proximal bearing surface 10. An annular recess 14 is formed around the circumference of the tibial bollard 12, so that a head 16 of the bollard 12 is of larger diameter than the main body 18 of the bollard 12.
In use of the prosthesis, a meniscal bearing component (not shown) is pushed on to the bollard 12, such that the head 16 of the bollard is forced into a suitably sized opening formed through the meniscal component. When the head 16 of the bollard 12 has passed completely through the opening formed in the meniscal component, the meniscal component is retained on the bollard 12, such that it can rotate about the bollard 12 and rests against the proximal bearing surface 10 of the tibial mounting component 4.
Figures 3 and 4 show a mounting component 40 in accordance
with the present invention. As in the prior art
arrangement described above, the mounting component 40 comprises a tibial keel 60 integrally formed with a tibial tray or platform 80. However, unlike in the prior art arrangement, a bollard 120 is releasably attached to the tibial mounting component 40, rather than being integrally formed with it. More specifically, the bollard 120 comprises a substantially cylindrical main body 180 having an oversized head 160 at its proximal end, and being integrally formed at its distal end with an offset elongate base portion 200.
Referring to Figure 5, the elongate base portion 200 is symmetrical about a plane XY, where the X axis is an anterior/posterior axis and is parallel to a longitudinal axis of the elongate base portion 200, and the Y axis is a proximal/distal axis of the prosthesis. A corresponding elongate recess 220 is formed in the proximal end of the mounting component 40 and is adapted to receive the elongate base portion 200 closely. A counter sunk bore 240 is formed through the bollard 120 along the Y axis and passes through a centre of the elongate base portion 200.
A corresponding threaded bore 260 extends along the Y axis into the keel 60 of the mounting portion 40. A screw or bolt (not shown) is passed through the counter sunk bore 240 and is screwed into the threaded bore 260 to retain the bollard 120 to the mounting portion 40.
It will be appreciated that because the base portion 200 and corresponding elongate recess 220 are symmetrical in the XY plane, with the screw or bolt removed, the bollard 120 can be withdrawn from the elongate recess 220 and rotated through a 180 before being replaced in the elongate recess 220. As a centre of the retainer portion is offset along the X axis relative to the centre of the base portion 200, rotation of the base portion 200 through 180 relative to the mounting component 40 displaces the bollard 120 along the X axis relative to the tibial tray 80.
Once the mounting component 40 has been implanted, the bollard 120 can be set in one or two different positions along the X axis, such that the bollard 120 is displaced in an anterior or posterior direction relative to the tibial tray 8. Consequently, the condylar bearing surfaces formed on the meniscal component (not shown) can be displaced in an anterior or posterior direction as required by the surgeon, simply by appropriate selection of which way round the bollard 120 is assembled to the mounting component 40.
Unlike in the prior art arrangement described above, because the bollard 120 is connected to the mounting component 40 by means of a screw or bolt, it is not necessary to force the meniscal component over the bollard during assembly. Instead, the meniscal component is laid on to the proximal bearing surface 100 of the mounting component 40 and the bollard is then inserted through an opening in the meniscal component and is held in place by the screw or bolt. Figures 6 and 7 show the two alternative orientations of the bollard 120 relative to the tibial platform 80. In the Figure 6 arrangement, the bollard 120 (and the meniscal component which will be connected to it) is displaced in a posterior direction, whereas in the Figure 7 embodiment, it is displaced in an anterior direction.
Although in the illustrated embodiments, a reversible bollard is illustrated which can be mounted in one or two possible orientations, it is possible, in alternative applications of the present invention for the fixing element to have a base portion which can be mounted in more than two different orientations (ie they have cross- sectional shapes which have rotational symmetry of greater than order 2). For example the base portion and corresponding recess may be triangular, so that the base portion could be mounted in any one of three possible orientations. Indeed, the base portion and corresponding recess could have any equal sided polygonal shape which is appropriate to a particular application.
Referring to Figure 8, the present invention may also be applied to a knee prosthesis having a tibial post with a removable "mushroom shaped" head 160 which may be attached to the main body 180 of the tibial post by the same screw or bolt which is used to attach the tibial post to the mounting component 40. In this embodiment, the main body 180 of the tibial post can be made a closer fit in the meniscal component because the meniscal component does not have to be forced over the head 160.

Claims (14)

1. A prosthesis for replacement of all or part of a human or animal joint, the prosthesis comprising a mounting component for connection to a bone, a bearing component for articulation relative to a second bone, and a fixing element comprising a retainer portion which engages the bearing component and a base portion which is connectable to the mounting component, the position of the retainer portion relative to the mounting component being
adjustable.
2. A prosthesis as claimed in claim l, in which the base portion is offset from the retainer portion, so that rotation of the base portion in a bore formed in the mounting component adjust the position of the retainer portion relative to the mounting component.
3. A prosthesis as claimed in claim 2, in which a cross-sectional shape of the bore has rotational symmetry of at least order two.
4. A prosthesis as claimed in claim 2 or 3, in which a cross-sectional shape of the base portion has rotational symmetry of at least order two.
5. A prosthesis as claimed in any one of claims 2 to 5, in which the bore comprises an elongate recess.
6. A prosthesis as claimed in any one of the preceding claims, in which the base portion of the fixing component is elongate.
7. A prosthesis as claimed in any one of claims 2 to 6, in which the base portion is closely received in the bore.
8. A prosthesis as claimed in any one of the preceding claims, in which the fixing element is fixed to the mounting component by a screw or bolt.
9. A prosthesis as claimed in claim 8, in which an opening is provided through the fixing element to accommodate the screw or bolt.
10. A prosthesis as claimed in any one of claims 2 to 9, in which the fixing component can be accommodated in the bore in any one of a plurality of possible orientations.
11. A prosthesis as claimed in claim 10, in which the fixing component is reversible and can be accommodated in the bore in either of two possible orientations.
12. A prosthesis as claimed in any one of the preceding claims, in which the fixing element comprises the tibial bollard and the mounting component comprises the tibial tray of a knee prosthesis, and when implanted, rotation of the base portion of the bollard relative to the tibial tray displaces the retainer portion of the bollard at least in a posterior or an anterior direction.
13. A prosthesis as claimed in claim 12, in which the tibial bollard has a removable head.
14. A prosthesis substantially as described herein with reference to and as shown in Figures 3 to 7 of the accompanying drawings.
GB0319250A 2003-08-15 2003-08-15 Prosthesis with adjustable bearing retainer Withdrawn GB2404862A (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
GB0319250A GB2404862A (en) 2003-08-15 2003-08-15 Prosthesis with adjustable bearing retainer
DE602004011434T DE602004011434D1 (en) 2003-08-15 2004-08-09 Prosthesis with adjustable bearing attachment
AT04254795T ATE384496T1 (en) 2003-08-15 2004-08-09 PROSTHESIS WITH ADJUSTABLE BEARING FIXTURE
EP04254795A EP1506752B1 (en) 2003-08-15 2004-08-09 Prosthesis with adjustable bearing retainer

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB0319250A GB2404862A (en) 2003-08-15 2003-08-15 Prosthesis with adjustable bearing retainer

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GB2404862A true GB2404862A (en) 2005-02-16

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GB2500918A (en) 2012-04-05 2013-10-09 Biomet Uk Healthcare Ltd A prosthetic ankle with sliding engaging components
KR102210434B1 (en) * 2018-12-12 2021-02-02 주식회사 비트러스트메디텍 Animal Knee Joint Implant Reflecting Anatomical Structure of Animal

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FR2702651A1 (en) * 1993-03-16 1994-09-23 Erato Knee prosthesis
US6165223A (en) * 1999-03-01 2000-12-26 Biomet, Inc. Floating bearing knee joint prosthesis with a fixed tibial post
DE10120162C1 (en) * 2001-04-18 2002-07-18 Eska Implants Gmbh & Co Tibia part, used during knee joint endoprosthesis, has plastic support containing slide-ways for slide skids of femur part, base part containing pin, adjustment mechanism of threaded hole and bolt
WO2002094138A1 (en) * 2001-05-18 2002-11-28 Mathys Orthopädie GmbH Knee endoprothesis
US6506216B1 (en) * 1998-05-13 2003-01-14 Depuy Products, Inc. Tibial tray with adjustable keel
WO2003063741A1 (en) * 2002-01-29 2003-08-07 Smith & Nephew, Inc. Mobile bearing knee prosthesis

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DE69716339T2 (en) * 1996-05-28 2003-02-20 Howmedica Internat S De R L Tibial part for a knee prosthesis
US6296666B1 (en) * 2000-03-13 2001-10-02 Encore Medical Corporation Mobile bearing knee with center post

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Publication number Priority date Publication date Assignee Title
FR2702651A1 (en) * 1993-03-16 1994-09-23 Erato Knee prosthesis
US6506216B1 (en) * 1998-05-13 2003-01-14 Depuy Products, Inc. Tibial tray with adjustable keel
US6165223A (en) * 1999-03-01 2000-12-26 Biomet, Inc. Floating bearing knee joint prosthesis with a fixed tibial post
DE10120162C1 (en) * 2001-04-18 2002-07-18 Eska Implants Gmbh & Co Tibia part, used during knee joint endoprosthesis, has plastic support containing slide-ways for slide skids of femur part, base part containing pin, adjustment mechanism of threaded hole and bolt
WO2002094138A1 (en) * 2001-05-18 2002-11-28 Mathys Orthopädie GmbH Knee endoprothesis
WO2003063741A1 (en) * 2002-01-29 2003-08-07 Smith & Nephew, Inc. Mobile bearing knee prosthesis

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ATE384496T1 (en) 2008-02-15
EP1506752A1 (en) 2005-02-16
EP1506752B1 (en) 2008-01-23
GB0319250D0 (en) 2003-09-17
DE602004011434D1 (en) 2008-03-13

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