JP2003061991A - Artificial knee joint - Google Patents

Artificial knee joint

Info

Publication number
JP2003061991A
JP2003061991A JP2001260523A JP2001260523A JP2003061991A JP 2003061991 A JP2003061991 A JP 2003061991A JP 2001260523 A JP2001260523 A JP 2001260523A JP 2001260523 A JP2001260523 A JP 2001260523A JP 2003061991 A JP2003061991 A JP 2003061991A
Authority
JP
Japan
Prior art keywords
wall
rib
posterior
knee joint
artificial knee
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
Application number
JP2001260523A
Other languages
Japanese (ja)
Other versions
JP4331903B2 (en
Inventor
Wataru Yamanashi
渉 山梨
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.)
Kyocera Corp
Original Assignee
Kyocera Corp
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 Kyocera Corp filed Critical Kyocera Corp
Priority to JP2001260523A priority Critical patent/JP4331903B2/en
Publication of JP2003061991A publication Critical patent/JP2003061991A/en
Application granted granted Critical
Publication of JP4331903B2 publication Critical patent/JP4331903B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

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
    • A61F2/38Joints for elbows or knees
    • A61F2/3886Joints for elbows or knees for stabilising knees against anterior or lateral dislocations

Abstract

PROBLEM TO BE SOLVED: To provide a backward stable type artificial knee joint with a sufficient mechanical strength while keeping the excellent slidability of ceramics. SOLUTION: A first rib 14 continuing to a cam 13 and extending in the direction nearly perpendicular to the inner surface 3a of the femur member 3 is formed in the ridge part with the post engaging groove 12, and a second rib 15, continuous with the first rib 14, extends obliquely forward. The front end of the second rib 15 is apart from the corner part between the rear oblique wall 8 and the bottom wall 9 of the inner surface 3a by 3-10 mm to the front or to the rear (the distance w). In the structure, the front end 15a of the second rib 15 continues to the inner surface 3a of the femur member 3 in a circular arc.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【発明の属する技術分野】この発明は正常な機能を失っ
た膝関節表面を置換する人工膝関節に関し、特に脛骨部
材から突出するポストとこれに係合する大腿骨部材のカ
ムを有した後方安定型の人工膝関節に関するものであ
る。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an artificial knee joint for replacing a surface of a knee joint which has lost normal function, and more particularly, to a posterior stability having a post protruding from a tibial member and a cam of a femoral member engaging with the post. Type artificial knee joint.

【0002】[0002]

【従来の技術】後方安定型の人工膝関節30は、図4に
示すような大腿骨部材31のカム32と脛骨部材33の
ポスト34が係合作用することで、屈曲伸展運動時にお
いて大腿骨部材31が前方へ過度に移動することを防
ぎ、安定性と可動性を確保している。
2. Description of the Related Art A posterior stable artificial knee joint 30 has a cam 32 of a femoral member 31 and a post 34 of a tibial member 33 engaging with each other as shown in FIG. The member 31 is prevented from excessively moving forward, and stability and movability are ensured.

【0003】このような後方安定型の人工膝関節30と
して、従来は金属製のもののみが使用されてきた。
As such a backward-stabilized artificial knee joint 30, only metal ones have been conventionally used.

【0004】また、上記従来の人工膝関節30は、図5
に示すように、大腿骨部材31のカム32を補強するた
めのリブ35が後壁36、後方斜壁37、底壁38を左
右に分割するポスト係合用溝39に沿って設けられ、こ
のリブ35の前方終端が本体内面40の角41と略一致
していた。
The conventional artificial knee joint 30 described above is shown in FIG.
5, ribs 35 for reinforcing the cam 32 of the femoral member 31 are provided along the post engagement groove 39 that divides the rear wall 36, the rear slant wall 37, and the bottom wall 38 into left and right. The front end of 35 was substantially aligned with the corner 41 of the inner surface 40 of the main body.

【0005】[0005]

【発明が解決しようとする課題】ところで、上記リブ3
5の終端や本体内面40の角41は形状的に剛性変化が
大きいため単独でも応力集中しやすいが、それらが一致
すれば相乗効果によりさらに応力が集中し易い。そのた
め、この形状をセラミック製品に適用すると応力集中に
より破損するおそれが大きい。しかしながら、セラミッ
ク製の大腿骨部材31は脛骨部材33における高分子材
料製の摺動部42との摺動特性が優れるので、上記後方
安定型の人工膝関節30においても、セラミック製の大
腿骨部材31が望まれる。
By the way, the rib 3 is used.
At the end of 5 and the corner 41 of the inner surface 40 of the main body, stress is likely to be concentrated independently because of a large change in rigidity, but if they match, stress is more likely to be concentrated due to a synergistic effect. Therefore, if this shape is applied to a ceramic product, there is a high possibility that it will be damaged due to stress concentration. However, since the ceramic femoral member 31 has excellent sliding characteristics with the sliding portion 42 made of the polymer material in the tibial member 33, the ceramic femoral member 30 is also used in the posterior stable artificial knee joint 30. 31 is desired.

【0006】このような従来技術の課題に鑑み、本発明
は、セラミックの優れた摺動性を生かしかつ機械的強度
が十分に大きい人工膝関節を可能とすることである。
In view of the problems of the prior art as described above, the present invention makes it possible to provide an artificial knee joint that makes use of the excellent slidability of ceramics and has a sufficiently large mechanical strength.

【0007】[0007]

【課題を解決するための手段】上記従来の課題を解決す
るため、本発明の人工膝関節は、大腿骨部材が略垂直方
向に起立する前壁とその後方に連なる前方斜壁とその後
方に連なる底壁とその後方に連なる後方斜壁とその後方
に連なる後壁、上記後壁、後方斜壁、底壁を左右に分割
しかつ上記脛骨部材に形成されたポストを受容する前後
方向に延びるポスト係合用溝と該ポスト係合用溝の後端
に位置しかつ上記二つの後壁を橋渡しするよう設けられ
たカムとを備え、このカムに連続して上記大腿骨部材の
内面にほぼ垂直方向に伸びる第一のリブが上記ポスト係
合用溝との稜線部に形成され、この第一のリブに連続し
て斜め前方に伸びる第二のリブを備え、この第二のリブ
の前方終端が上記内面における上記後方斜壁と上記底壁
との角から前方に3mmから10mm離れていることを
特徴とする。
In order to solve the above-mentioned conventional problems, the artificial knee joint of the present invention has a front wall on which a femoral member stands in a substantially vertical direction, an anterior oblique wall connected to the rear thereof, and a rear wall thereof. A continuous bottom wall and a posterior oblique wall that is connected to the rear of the posterior wall, and a posterior wall that is connected to the posterior of the posterior wall, the posterior wall, the posterior oblique wall, and the bottom wall that are divided into left and right and extend in the front-rear direction that receives the post formed in the tibial member A post-engaging groove and a cam located at a rear end of the post-engaging groove and bridging the two rear walls, and extending in a direction substantially perpendicular to the inner surface of the femoral member following the cam. A first rib extending to the post engagement groove is formed at a ridge portion with the post engaging groove, and a second rib extending obliquely forward to the first rib is provided, and a front end of the second rib is Forward from the corner between the rear slanted wall and the bottom wall on the inner surface Wherein the away 10mm from mm.

【0008】かかる構成によれば、大腿骨部材の内面に
おける上記後方斜壁と上記底壁との角に過度の応力が集
中することを効果的に防止する。したがって、大腿骨部
材のカムと脛骨部材のポストを係合させて前後方向の動
きを安定させた後方安定型の人工膝関節において、大腿
骨部材をセラミック製とすることができる。これによ
り、セラミックの優れた摺動性を生かしかつ機械的強度
が十分に大きい人工膝関節が可能となる。
With this structure, it is possible to effectively prevent excessive stress from concentrating on the corner between the posterior oblique wall and the bottom wall on the inner surface of the femoral member. Therefore, in the posterior stable artificial knee joint in which the cam of the femoral member and the post of the tibial member are engaged to stabilize the movement in the anterior-posterior direction, the femoral member can be made of ceramic. This makes it possible to make use of the excellent slidability of ceramics and an artificial knee joint with sufficiently large mechanical strength.

【0009】なお、上記第二のリブの前方終端が上記内
面の上記後方斜壁と上記底壁との角部から3mmより近
づくと過度の応力が集中し、上記第二のリブの前方終端
が上記内面の上記後方斜壁と上記底壁との角部から10
mmより離れると上記第二のリブを受容するために大腿
骨の骨切除量が過大となる恐れがある。
When the front end of the second rib comes closer than 3 mm from the corner between the rear slanted wall and the bottom wall of the inner surface, excessive stress is concentrated and the front end of the second rib is 10 from the corner between the rear slanted wall and the bottom wall of the inner surface
If the distance is more than mm, the amount of bone resection of the femur may be excessive because the second rib is received.

【0010】また、請求項2の人工膝関節は、上記第二
のリブの前方終端が上記大腿骨部材の内面に円弧状に連
続することを特徴とする。
Further, the artificial knee joint according to claim 2 is characterized in that the front end of the second rib is continuous with the inner surface of the femoral member in an arc shape.

【0011】かかる構成によれば、第二のリブの前方終
端と大腿骨部材の内面との接合部分における応力集中を
さらに緩和することができる。
With this structure, the stress concentration at the joint between the front end of the second rib and the inner surface of the femoral member can be further alleviated.

【0012】[0012]

【発明の実施の形態】以下本発明の実施形態を図を用い
て説明する。
BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below with reference to the drawings.

【0013】図1から図3は本発明の人工膝関節1を示
す。この人工膝関節1は脛骨部材2とセラミック製の大
腿骨部材3とからなる。使用するセラミックとしてはア
ルミナ、ジルコニア等の生体適合性および摺動特性に優
れた材料を用い、その中でも材料強度が高いジルコニア
が好ましい。
1 to 3 show an artificial knee joint 1 of the present invention. This artificial knee joint 1 comprises a tibial member 2 and a femoral member 3 made of ceramic. As the ceramic to be used, a material having excellent biocompatibility and sliding characteristics such as alumina or zirconia is used, and among them, zirconia having high material strength is preferable.

【0014】上記脛骨部材2は脛骨に固定する金属製の
ベース4と大腿骨部材3と摺動する高分子材料製の摺動
部5とから構成される。使用する金属としては生体適合
性に優れたもの、例えばコバルトクロム合金等を用い
る。また、上記高分子材料としては生体適合性および摺
動特性に優れたポリエチレン等が好適である。上記ベー
ス4は下方に突出するステム4aを脛骨髄腔内に固定
し、ステム4aの反対側で上記摺動部5を嵌合保持する
構造となっている。
The tibial member 2 is composed of a metal base 4 fixed to the tibia and a sliding portion 5 made of a polymer material that slides on the femoral member 3. As a metal to be used, one having excellent biocompatibility, for example, a cobalt chromium alloy or the like is used. In addition, polyethylene or the like, which is excellent in biocompatibility and sliding properties, is suitable as the polymer material. The base 4 has a structure in which a stem 4a protruding downward is fixed in the tibial bone marrow cavity and the sliding portion 5 is fitted and held on the opposite side of the stem 4a.

【0015】上記摺動部5には上記大腿骨部材3と係合
するポスト6が形成される。上記ポスト6は後述する上
記大腿骨部材3のカム13と係合して前後方向の動きを
安定させる。他方、ポスト6の左右の凹曲面5aは上記
大腿骨部材3の外面3bと摺動するようになっている。
上記大腿骨部材3は、図2に示すように略垂直方向に起
立する前壁7とその後方に連なる前方斜壁8とその後方
に連なる底壁9とその後方に連なる後方斜壁10とその
後方に連なる後壁11からなる。また、上記大腿骨部材
3は、上記後壁11、後方斜壁10、底壁9を左右に分
割しかつ上記脛骨部材2に形成されたポスト6を受容す
る前後方向に延びるポスト係合用溝12と該ポスト係合
用溝12の後端に位置しかつ上記二つの後壁11を橋渡
しするよう設けられたカム13とを備える。さらに、こ
のカム13に連続して上記大腿骨部材3の内面3aに図
2に示すように略垂直方向に伸びる第一のリブ14が上
記ポスト係合用溝12との稜線部に形成され、この第一
のリブ14に連続して斜め下前方に伸びる第二のリブ1
5を備える。上記第一のリブ14と上記第二のリブ15
は、その巾t(図1参照)が3mmから10mmであっ
て、上記カム13の補強のために備えられている。な
お、この巾tが3mmより小さければ強度が不足し、巾
tが10mmより大きければ上記第一のリブ14と上記
第二のリブ15を受容するために大腿骨の骨切除量が過
大となり、骨の強度が大きく低下する恐れがある。
A post 6 that engages with the femoral member 3 is formed on the sliding portion 5. The post 6 engages with a cam 13 of the femoral member 3 described later to stabilize the movement in the front-rear direction. On the other hand, the left and right concave curved surfaces 5a of the post 6 are adapted to slide on the outer surface 3b of the femoral member 3.
As shown in FIG. 2, the femoral member 3 includes a front wall 7 standing in a substantially vertical direction, a front slant wall 8 connected to the rear of the front wall 7, a bottom wall 9 connected to the rear of the front wall 7, and a rear slant wall 10 connected to the rear of the front wall 7. It is composed of a rear wall 11 extending in one direction. Further, the femoral member 3 divides the posterior wall 11, the posterior oblique wall 10, and the bottom wall 9 into right and left parts, and receives a post 6 formed in the tibial member 2 and extends in a post engaging groove 12 extending in the front-rear direction. And a cam 13 located at the rear end of the post engaging groove 12 and provided so as to bridge the two rear walls 11. Further, as shown in FIG. 2, a first rib 14 extending substantially vertically to the inner surface 3a of the femoral member 3 following the cam 13 is formed at the ridge of the post engaging groove 12, and The second rib 1 extending obliquely downward and forward continuously from the first rib 14.
5 is provided. The first rib 14 and the second rib 15
Has a width t (see FIG. 1) of 3 mm to 10 mm and is provided to reinforce the cam 13. If the width t is smaller than 3 mm, the strength is insufficient, and if the width t is larger than 10 mm, the amount of resection of the femur is too large to receive the first rib 14 and the second rib 15. Bone strength may be significantly reduced.

【0016】この第二のリブ15の前方終端15aが上
記大腿骨部材3の内面3aにおける上記後方斜壁10と
上記底壁9との角から前方に距離w(図1参照)=3m
m〜10mm離れていることが重要である。
A front end 15a of the second rib 15 is a distance w (see FIG. 1) = 3 m from the corner between the posterior oblique wall 10 and the bottom wall 9 on the inner surface 3a of the femoral member 3.
It is important that they are separated by m to 10 mm.

【0017】すなわち、上記第二のリブ15の前方終端
15aが上記大腿骨部材3の内面3aにおける上記後方
斜壁10と上記底壁9との角から3mmより近づくと過
度の応力が集中し、上記第二のリブ15の前方終端15
aが大腿骨部材3の上記内面3aにおける上記後方斜壁
10と上記底壁9との角から10mmより離れると上記
第二のリブ15を受容するために大腿骨の骨切除量が過
大となり、骨の強度が大きく低下する恐れある。
That is, when the front end 15a of the second rib 15 comes closer than 3 mm from the corner between the posterior oblique wall 10 and the bottom wall 9 on the inner surface 3a of the femoral member 3, excessive stress concentrates, Front end 15 of the second rib 15
When a is more than 10 mm away from the corner between the posterior oblique wall 10 and the bottom wall 9 on the inner surface 3a of the femoral member 3, the amount of osteotomy of the femur becomes too large to receive the second rib 15. Bone strength may be significantly reduced.

【0018】また、上記第二のリブ15は、その前方終
端15aが、上記大腿骨部材3の内面3aに円弧状に連
続することが望ましい。
It is desirable that the front end 15a of the second rib 15 be continuous with the inner surface 3a of the femoral member 3 in an arc shape.

【0019】すなわち、上記円弧状の連なりとすること
で、第ニのリブ15の前方終端15aと大腿骨部材3の
内面3aとの接合部分における応力集中をさらに緩和す
ることができる。
That is, by forming the arcuate connection, it is possible to further alleviate stress concentration at the joint between the front end 15a of the second rib 15 and the inner surface 3a of the femoral member 3.

【0020】以上、本発明の実施形態を例示したが、本
発明はこの実施例に限定されるものではなく、発明の目
的を逸脱しない限り任意の形態とすることができること
は云うまでもない。
Although the embodiment of the present invention has been illustrated above, it is needless to say that the present invention is not limited to this embodiment and can take any form without departing from the object of the invention.

【0021】[0021]

【発明の効果】上述のように本発明によれば、大腿骨部
材のカムと脛骨部材のポストを係合させて前後方向の動
きを安定させた後方安定型の人工膝関節において、大腿
骨部材をセラミック製とすることができる。
As described above, according to the present invention, in the posterior stable artificial knee joint in which the cam of the femoral member and the post of the tibial member are engaged to stabilize the movement in the anteroposterior direction, the femoral member is provided. Can be made of ceramic.

【0022】これにより、セラミックの優れた摺動性を
生かしかつ機械的強度が十分に大きい後方安定型の人工
膝関節が可能となる。
This makes it possible to make a posterior stable artificial knee joint that takes advantage of the excellent slidability of ceramics and has a sufficiently large mechanical strength.

【図面の簡単な説明】[Brief description of drawings]

【図1】本発明一実施形態の人工膝関節の分解斜視図で
ある。
FIG. 1 is an exploded perspective view of an artificial knee joint according to an embodiment of the present invention.

【図2】図1の人工膝関節における大腿骨部材の側面図
である。
FIG. 2 is a side view of a femoral member in the artificial knee joint of FIG.

【図3】図2の大腿骨部材の斜視図である。3 is a perspective view of the femoral member of FIG.

【図4】従来の人工膝関節の分解斜視図である。FIG. 4 is an exploded perspective view of a conventional artificial knee joint.

【図5】図4の人工膝関節における大腿骨部材の斜視図
である。
5 is a perspective view of a femoral member in the artificial knee joint of FIG. 4. FIG.

【符号の説明】[Explanation of symbols]

1 人工膝関節 2 脛骨部材 3 大腿骨部材 3a 内面 3b 外面 4 ベース 4a ステム 5 摺動部 6 ポスト 7 前壁 8 前方斜壁 9 底壁 10 後方斜壁 11 後壁 12 ポスト係合用溝 13 カム 14 第1のリブ 15 第2のリブ 15a 前方終端 w 距離 t 壁 1 artificial knee joint 2 tibia member 3 Femoral members 3a inner surface 3b exterior 4 base 4a stem 5 Sliding part 6 posts 7 front wall 8 forward slope 9 bottom wall 10 Back slope 11 rear wall 12 Post engagement groove 13 cams 14 First rib 15 Second rib 15a front end w distance t wall

Claims (2)

【特許請求の範囲】[Claims] 【請求項1】脛骨部材とセラミック製の大腿骨部材とか
らなる人工膝関節であって、上記大腿骨部材は略垂直方
向に起立する前壁とその後方に連なる前方斜壁とその後
方に連なる底壁とその後方に連なる後方斜壁とその後方
に連なる後壁、上記後壁、後方斜壁、底壁を左右に分割
しかつ上記脛骨部材に形成されたポストを受容する前後
方向に延びるポスト係合用溝と該ポスト係合用溝の後端
に位置しかつ上記二つの後壁を橋渡しするよう設けられ
たカムとを備え、 このカムに連続して上記大腿骨部材の内面にほぼ垂直方
向に伸びる第一のリブが上記ポスト係合用溝との稜線部
に形成され、この第一のリブに連続して斜め前方に伸び
る第二のリブを備え、 この第二のリブの前方終端が上記内面における上記後方
斜壁と上記底壁との角から前方に3mmから10mm離
れていることを特徴とする人工膝関節。
1. An artificial knee joint comprising a tibial member and a femoral member made of ceramic, wherein the femoral member is connected to a front wall standing upright in a substantially vertical direction, an anterior oblique wall connected to the rear thereof, and a posterior oblique wall thereof. A bottom wall and a posterior oblique wall connected to the rear thereof and a posterior wall connected to the posterior of the posterior wall, the posterior wall, the posterior oblique wall, and a post that divides the posterior wall into left and right parts and extends in the anterior-posterior direction for receiving the post formed on the tibial member. An engaging groove and a cam provided at a rear end of the post engaging groove and provided so as to bridge the two rear walls, and in a direction substantially perpendicular to the inner surface of the femoral member following the cam. A first rib that extends is formed at a ridge line with the post engaging groove, and a second rib that extends obliquely forward in a continuous manner with the first rib is provided, and a front end of the second rib is the inner surface. From the corner between the rear slanted wall and the bottom wall in Artificial knee joint which is characterized in that the property is approximately 10mm from 3mm.
【請求項2】上記第二のリブの前方終端が上記大腿骨部
材の内面に円弧状に連続することを特徴とする請求項1
記載の人工膝関節。
2. The front end of the second rib is continuous with the inner surface of the femoral member in an arc shape.
The described artificial knee joint.
JP2001260523A 2001-08-30 2001-08-30 Knee prosthesis Expired - Fee Related JP4331903B2 (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006224729A (en) * 2005-02-15 2006-08-31 Bridgestone Corp Pneumatic radial tire
JP2011062511A (en) * 2003-03-07 2011-03-31 Louis A Serafin Jr Ceramic manufacture
US9162008B2 (en) 2003-03-07 2015-10-20 Louis A. Serafin, Jr. Ceramic manufactures

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2011062511A (en) * 2003-03-07 2011-03-31 Louis A Serafin Jr Ceramic manufacture
US9162008B2 (en) 2003-03-07 2015-10-20 Louis A. Serafin, Jr. Ceramic manufactures
US9694102B2 (en) 2003-03-07 2017-07-04 Louis A. Serafin, Jr. Trust Ceramic manufactures
US9833542B2 (en) 2003-03-07 2017-12-05 Louis A. Serefin, Jr. Trust Ceramic manufactures
JP2006224729A (en) * 2005-02-15 2006-08-31 Bridgestone Corp Pneumatic radial tire

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