JP2007061620A - 整形外科インプラントキット、整形外科キット、および関連方法 - Google Patents
整形外科インプラントキット、整形外科キット、および関連方法 Download PDFInfo
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- JP2007061620A JP2007061620A JP2006231984A JP2006231984A JP2007061620A JP 2007061620 A JP2007061620 A JP 2007061620A JP 2006231984 A JP2006231984 A JP 2006231984A JP 2006231984 A JP2006231984 A JP 2006231984A JP 2007061620 A JP2007061620 A JP 2007061620A
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- component
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- stem
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- joint
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- 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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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
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- A—HUMAN NECESSITIES
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- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
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- A—HUMAN NECESSITIES
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- A61F2/02—Prostheses implantable into the body
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
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- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
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- 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
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- 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
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- A61F2/30—Joints
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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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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
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Abstract
【解決手段】長骨の切除平面から延びた内腔内のキャビティに対して修正外科手術を行う際に用いるためのキット。このキットは、キャビティにはめ込まれる内腔コンポーネントを含む。この内腔コンポーネントは、第1の端部および第2の端部を有する内腔部分を含む。内腔コンポーネントは、内部キャビティを画定する内面および外面を有するスリーブ部分も含む。キットは、本体部分および連結部分を有する第1の関節コンポーネントも含む。この連結部分は、スリーブ部分にはめ込まれる。第2の関節コンポーネントの連結部分が、スリーブ部分内にはめ込まれるため、第1の関節コンポーネントが内腔コンポーネントに連結固定されると、第1の関節コンポーネントの連結部分の外面が、内腔コンポーネントのスリーブ部分の外面から内側に離間する。
【選択図】図1
Description
参照するによって本明細書に組み込む、米国特許出願(代理人整理番号:DEP5419USNP)(名称:「整形外科インプラント、ステム、および関節方法(ORTHOPAEDIC IMPLANT, STEM AND ASSOCIATED METHOD)」)および同出願(代理人整理番号:DEP5557USNP)(名称:「整形外科インプラントステムコンポーネント、関節コンポーネント、および関連キット(ORTHOPAEDIC IMPLANT STEM COMPONENT, JOINT COMPONENT, AND ASSOCIATED KIT)」)の関連出願である。
本発明は、概して、整形外科の分野に関し、詳細には、関節形成術に用いるためのインプラントに関する。
変形性関節症およびリュウマチ様関節炎によって引き起こされる痛みや関節の硬直に苦しんでいる患者は、関節置換術を受けることができる。関節置換術は、かなり一般的であり、手術できない場合を除き、多くの患者は、関節が適切に機能するようになる。人工関節は、通常は、患者の骨に固定される金属、セラミック、および/またはプラスチックのコンポーネントで構成される。
本発明の態様は、モジュラーネック部分を利用する股関節ステムの形態である。この股関節ステムは、2つの主要部品を含む。これらの部品は、股関節ステム本体とモジュラーネック部分である。このモジュラーネックにより、外科医は、近位‐遠位ヘッド高さおよびヘッドオフセットを調節することができる。これらの調節は、個別または互いに組み合わせて行うことができる。このような調節は、ステムを配置して所定の位置に固定してから行うことができるため、ステムの固定を妨げずに済む。この調節は、最初の整形外科手術の最後、または修正の原因(不安定性またはレッグ長さの不一致)が調節によって対処できると判断された修正外科手術の際に微調整として行うことができる。
本発明の実施形態およびその利点は、以下の説明および添付の図面を参照すれば、最もよく理解できるであろう。添付の各図面において、同様および一致する構成要素には同様の参照符号を付した。
(1)長骨の内腔内のキャビティに対して修正外科手術を行う際に用いるためのキットであって、前記キャビティが、前記長骨の切除平面から延びている、前記キットにおいて、
内腔コンポーネントであって、
前記内腔コンポーネントが、前記内腔コンポーネントの外面を画定しており、
前記内腔コンポーネントの少なくとも一部が、前記長骨の前記内腔内の前記キャビティにはめ込まれるように構成されており、
前記内腔コンポーネントが、内腔部分を含み、前記内腔部分が、前記キャビティ内に挿入するための第1の端部、および反対側の第2の端部を画定しており、
前記内腔コンポーネントが、前記内腔部分の前記第2の端部から延びたスリーブ部分をさらに含み、前記スリーブ部分が、前記スリーブ部分の内面を有しており、前記内面が前記内面の内部キャビティを画定しており、前記スリーブ部分が、前記スリーブ部分の外面をも画定している、
前記内腔コンポーネントと、
前記内腔コンポーネントに取外し可能に連結できる第1の関節コンポーネントであって、本体部分および連結部分を有しており、前記第1の関節コンポーネントの前記連結部分が、この連結部分の外面を画定しており、前記第1の関節コンポーネントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されている、前記第1の関節コンポーネントと、
前記内腔コンポーネントに取外し可能に連結できる第2の関節コンポーネントであって、本体部分および連結部分を有しており、前記第2の関節コンポーネントの前記連結部分が、この連結部分の外面を画定しており、前記第2の関節コンポーネントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第1の関節コンポーネントが前記内腔コンポーネントに連結固定されると、前記第1の関節コンポーネントの前記連結部分の前記外面が、前記内腔コンポーネントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントの固定を妨げずに、前記第1の関節コンポーネントを前記長骨から取り外して、前記第2の関節コンポーネントと交換することができる、前記第2の関節コンポーネントと、
を含む、キット。
(2)実施態様(1)に記載のキットにおいて、
前記内腔コンポーネント、前記第1の関節コンポーネント、および前記第2の関節コンポーネントのうちの1つが、当該コンポーネントの表面に切除リングを画定しており、前記切除リングが、前記切除平面に整列するように構成されている、キット。
(3)実施態様(2)に記載のキットにおいて、
前記切除リングが、前記切除リングの表面から視覚的に区別できる、キット。
(4)実施態様(1)に記載のキットにおいて、
前記内腔コンポーネントの一部が、前記第1の関節コンポーネントまたは前記第2の関節コンポーネントの少なくとも一方の一部の上に延在可能である、キット。
(5)実施態様(1)に記載のキットにおいて、
前記第1の関節コンポーネントおよび前記第2の関節コンポーネントが、互いに異なる寸法を少なくとも1つ有する、キット。
前記内腔コンポーネントの前記外面の一部が概ね平面であり、
前記第1の関節コンポーネントの前記連結部分の前記外面の一部が概ね平面であり、
前記内腔コンポーネントの前記外面の前記一部と前記第1の関節コンポーネントの前記連結部分の前記外面の前記一部が互いに接触するように構成されている、
キット。
(7)実施態様(1)に記載のキットにおいて、
前記本体要素を前記ステム要素に連結するためのコネクタ、
をさらに含む、キット。
(8)実施態様(7)に記載のキットにおいて、
前記コネクタがネジを含む、キット。
(9)実施態様(7)に記載のキットにおいて、
前記コネクタがピンを含む、キット。
(10)実施態様(1)に記載のキットにおいて、
前記内腔コンポーネントおよび前記第1の関節コンポーネントの一方が、前記内腔コンポーネントおよび前記第1の関節コンポーネントの前記一方から延びた突出部を含み、
前記内腔コンポーネントおよび前記第1の関節コンポーネントの他方が、前記突出部を受容するための孔を画定している、
キット。
前記突出部がテーパ状になっている、キット。
(12)実施態様(1)に記載のキットにおいて、
第2の骨に植え込むように構成されたプロテーゼコンポーネント、
をさらに含み、
前記プロテーゼコンポーネントが、前記第1の関節コンポーネントと協働するように構成されており、
前記第1の関節コンポーネントの前記本体部分の少なくとも一部が、前記プロテーゼコンポーネントと関節運動するための関節運動面を含む、
キット。
(13)実施態様(1)に記載のキットにおいて、
第2の骨に植え込まれ、前記第1の関節コンポーネントと協働するプロテーゼコンポーネントと、
前記第1の関節コンポーネントと前記プロテーゼコンポーネントとの間に配置できる軸受コンポーネントであって、前記軸受コンポーネントが、前記第1の関節コンポーネントおよび前記プロテーゼコンポーネントの少なくとも一方と関節運動するように構成されている、前記軸受コンポーネントと、
をさらに含む、キット。
(14)実施態様(1)に記載のキットにおいて、
前記第1の関節コンポーネントが股関節ネックを含み、
前記内腔コンポーネントが股関節ステムを含み、
前記キットが、
前記股関節ステムに取り付けるための股関節ヘッドと、
前記股関節ヘッドと関節運動するための寛骨臼カップと、
をさらに含む、
キット。
(15)実施態様(14)に記載のキットにおいて、
前記第1の関節コンポーネントの前記連結部分が、テーパ状の突出部を含み、
前記内腔コンポーネントが、前記突出部を受容するためのキャビティを画定している、
キット。
前記内腔コンポーネントが、前記内腔コンポーネントの長さ方向の軸線を画定しており、
前記内腔コンポーネントの前記スリーブ部分の前記内面および前記外面が、前記内面と前記外面との間に肉厚を画定しており、前記肉厚が、前記内腔コンポーネントの前記長手方向の軸線に対して垂直な平面において概ね均一であり、
前記第1の関節コンポーネントの前記連結部分の前記外面が、前記内腔コンポーネントの前記スリーブ部分の前記内面に一致するように構成されている、
キット。
(17)実施態様(1)に記載のキットにおいて、
前記内腔コンポーネントが上腕骨ステムを含み、
前記第1の関節コンポーネントが上腕骨ネックを含み、
前記キットが前記上腕骨ネックに連結するための上腕骨ヘッドをさらに含む、
キット。
(18)実施態様(1)に記載のキットにおいて、
前記第1の関節コンポーネントまたは前記第2の関節コンポーネントの一方を前記内腔コンポーネントに連結するためのコネクタ、
をさらに含む、キット。
(19)実施態様(10)に記載のキットにおいて、
前記コネクタが、ネジまたはピンの一方を含む、キット。
(20)関節形成術を行う際に用いるためのキットにおいて、
内腔コンポーネントインプラントであって、
前記内腔コンポーネントインプラントが、前記内腔コンポーネントインプラントの外面を画定しており、
前記内腔コンポーネントインプラントの少なくとも一部が、長骨の内腔内のキャビティにはめ込まれるように構成されており、
前記内腔コンポーネントインプラントが、内腔部分を含み、前記内腔部分が、前記キャビティ内に挿入するための第1の端部、および反対側の第2の端部を画定しており、
前記内腔コンポーネントインプラントが、前記内腔部分の前記第2の端部から延びたスリーブ部分をさらに含み、前記スリーブ部分が、前記スリーブ部分の内面を有しており、前記内面が、前記内面の内部キャビティを画定しており、前記スリーブ部分が、前記スリーブ部分の外面をも有している、
前記内腔コンポーネントインプラントと、
前記内腔コンポーネントインプラントに取外し可能に連結できる第1の関節コンポーネントインプラントであって、本体部分および連結部分を有しており、前記第1の関節コンポーネントインプラントの連結部分が、前記第1の関節コンポーネントインプラントの外面を画定しており、前記第1の関節コンポーネントインプラントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第1の関節コンポーネントインプラントが前記内腔コンポーネントインプラントに連結固定されると、前記第1の関節コンポーネントインプラントの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第1の関節コンポーネントインプラントを前記長骨から取り外すことができる、前記第1の関節コンポーネントインプラントと、
大きさおよび形状が前記第1の関節コンポーネントインプラントに概ね一致する第1の関節コンポーネントトライアルであって、前記内腔コンポーネントインプラントに取外し可能に連結することができ、かつ、本体部分および連結部分を有しており、前記第1の関節コンポーネントトライアルの前記連結部分が、この連結部分の外面を画定しており、前記第1の関節コンポーネントトライアルの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第1の関節コンポーネントトライアルが、前記内腔コンポーネントインプラントに連結固定されると、前記第1の関節コンポーネントトライアルの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第1の関節コンポーネントトライアルを前記長骨から取り外すことができる、前記第1の関節コンポーネントトライアルと、
前記内腔コンポーネントインプラントに取外し可能に連結できる第2の関節コンポーネントインプラントであって、本体部分および連結部分を有しており、前記第2の関節コンポーネントインプラントの前記連結部分が、この連結部分の外面を画定しており、前記第2の関節コンポーネントインプラントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第2の関節コンポーネントインプラントが、前記内腔コンポーネントインプラントに連結固定されると、前記第2の関節コンポーネントインプラントの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第2の関節コンポーネントインプラントを前記長骨から取り外すことができる、前記第2の関節コンポーネントインプラントと、
大きさおよび形状が前記第2の関節コンポーネントインプラントに概ね一致する第2の関節コンポーネントトライアルであって、前記内腔コンポーネントインプラントに取外し可能に連結することができ、かつ、本体部分および連結部分を有しており、前記第2の関節コンポーネントトライアルの前記連結部分が、この連結部分の外面を画定しており、前記第2の関節コンポーネントトライアルの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第2の関節コンポーネントトライアルが、前記内腔コンポーネントインプラントに連結固定されると、前記第2の関節コンポーネントトライアルの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第2の関節コンポーネントトライアルを前記長骨から取り外すことができる、前記第2の関節コンポーネントトライアルと、
を含み、
前記キットにより、前記内腔コンポーネントインプラントを永久的に植え込み、前記第1の関節コンポーネントトライアルを前記内腔コンポーネントインプラントに取り付けて、トライアル整復を行い、このトライアル整復で満足いく結果が得られない場合は、前記第2の関節コンポーネントトライアルに交換することができる、
キット。
長骨を切除平面に沿って切除するステップと、
前記長骨の内腔内にキャビティを形成するステップと、
前記長骨の前記内腔内の前記キャビティ内に整形外科インプラント内腔コンポーネントを植え込むステップであって、前記整形外科インプラント内腔コンポーネントが、ステム要素、および前記ステム要素に固定して連結できる第1の本体要素を有しており、前記整形外科インプラント内腔コンポーネントが、前記長骨の前記内腔内に固定される、前記ステップと、
整形外科トライアル本体コンポーネントが前記長骨から離間するように、前記整形外科トライアル本体コンポーネントを前記インプラント内腔コンポーネントに連結するステップと、
前記患者の前記関節のトライアル整復を行うステップと、
前記整形外科トライアル本体コンポーネントが前記患者に満足のいく結果を与えているか否かを決定するステップと、
前記整形外科トライアル本体コンポーネントが前記患者に満足のいく結果を与えている場合は、前記整形外科トライアル本体コンポーネントに相当する整形外科インプラント本体コンポーネントを、前記整形外科インプラント内腔コンポーネントに植え込むステップと、
を含む、方法。
(22)実施態様(21)に記載の方法において、
前記内腔コンポーネントを植え込む前記ステップが、前記内腔コンポーネントを前記長骨に永久に固定するステップを含む、方法。
(23)実施態様(21)に記載の方法において、
前記内腔コンポーネントを植え込む前記ステップが、前記内腔コンポーネントが前記切除平面に交差するように前記内腔コンポーネントを配置するステップを含む、方法。
Claims (11)
- 長骨の内腔内のキャビティに対して修正外科手術を行う際に用いるためのキットであって、前記キャビティが、前記長骨の切除平面から延びている、前記キットにおいて、
内腔コンポーネントであって、
前記内腔コンポーネントが、前記内腔コンポーネントの外面を画定しており、
前記内腔コンポーネントの少なくとも一部が、前記長骨の前記内腔内の前記キャビティにはめ込まれるように構成されており、
前記内腔コンポーネントが、内腔部分を含み、前記内腔部分が、前記キャビティ内に挿入するための第1の端部、および反対側の第2の端部を画定しており、
前記内腔コンポーネントが、前記内腔部分の前記第2の端部から延びたスリーブ部分をさらに含み、前記スリーブ部分が、前記スリーブ部分の内面を有しており、前記内面が前記内面の内部キャビティを画定しており、前記スリーブ部分が、前記スリーブ部分の外面をも画定している、
前記内腔コンポーネントと、
前記内腔コンポーネントに取外し可能に連結できる第1の関節コンポーネントであって、本体部分および連結部分を有しており、前記第1の関節コンポーネントの前記連結部分が、この連結部分の外面を画定しており、前記第1の関節コンポーネントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されている、前記第1の関節コンポーネントと、
前記内腔コンポーネントに取外し可能に連結できる第2の関節コンポーネントであって、本体部分および連結部分を有しており、前記第2の関節コンポーネントの前記連結部分が、この連結部分の外面を画定しており、前記第2の関節コンポーネントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第1の関節コンポーネントが前記内腔コンポーネントに連結固定されると、前記第1の関節コンポーネントの前記連結部分の前記外面が、前記内腔コンポーネントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントの固定を妨げずに、前記第1の関節コンポーネントを前記長骨から取り外して、前記第2の関節コンポーネントと交換することができる、前記第2の関節コンポーネントと、
を含む、キット。 - 請求項1に記載のキットにおいて、
前記内腔コンポーネント、前記第1の関節コンポーネント、および前記第2の関節コンポーネントのうちの1つが、当該コンポーネントの表面に切除リングを画定しており、前記切除リングが、前記切除平面に整列するように構成されている、キット。 - 請求項1に記載のキットにおいて、
前記内腔コンポーネントの一部が、前記第1の関節コンポーネントまたは前記第2の関節コンポーネントの少なくとも一方の一部の上に延在可能である、キット。 - 請求項1に記載のキットにおいて、
前記第1の関節コンポーネントおよび前記第2の関節コンポーネントが、互いに異なる寸法を少なくとも1つ有する、キット。 - 請求項1に記載のキットにおいて、
前記内腔コンポーネントの前記外面の一部が概ね平面であり、
前記第1の関節コンポーネントの前記連結部分の前記外面の一部が概ね平面であり、
前記内腔コンポーネントの前記外面の前記一部と前記第1の関節コンポーネントの前記連結部分の前記外面の前記一部が互いに接触するように構成されている、
キット。 - 請求項1に記載のキットにおいて、
前記本体要素を前記ステム要素に連結するためのコネクタ、
をさらに含む、キット。 - 請求項1に記載のキットにおいて、
前記内腔コンポーネントおよび前記第1の関節コンポーネントの一方が、前記内腔コンポーネントおよび前記第1の関節コンポーネントの前記一方から延びた突出部を含み、
前記内腔コンポーネントおよび前記第1の関節コンポーネントの他方が、前記突出部を受容するための孔を画定している、
キット。 - 請求項1に記載のキットにおいて、
第2の骨に植え込むように構成されたプロテーゼコンポーネント、
をさらに含み、
前記プロテーゼコンポーネントが、前記第1の関節コンポーネントと協働するように構成されており、
前記第1の関節コンポーネントの前記本体部分の少なくとも一部が、前記プロテーゼコンポーネントと関節運動するための関節運動面を含む、
キット。 - 請求項1に記載のキットにおいて、
第2の骨に植え込まれ、前記第1の関節コンポーネントと協働するプロテーゼコンポーネントと、
前記第1の関節コンポーネントと前記プロテーゼコンポーネントとの間に配置できる軸受コンポーネントであって、前記軸受コンポーネントが、前記第1の関節コンポーネントおよび前記プロテーゼコンポーネントの少なくとも一方と関節運動するように構成されている、前記軸受コンポーネントと、
をさらに含む、キット。 - 請求項1に記載のキットにおいて、
前記第1の関節コンポーネントまたは前記第2の関節コンポーネントの一方を前記内腔コンポーネントに連結するためのコネクタ、
をさらに含む、キット。 - 関節形成術を行う際に用いるためのキットにおいて、
内腔コンポーネントインプラントであって、
前記内腔コンポーネントインプラントが、前記内腔コンポーネントインプラントの外面を画定しており、
前記内腔コンポーネントインプラントの少なくとも一部が、長骨の内腔内のキャビティにはめ込まれるように構成されており、
前記内腔コンポーネントインプラントが、内腔部分を含み、前記内腔部分が、前記キャビティ内に挿入するための第1の端部、および反対側の第2の端部を画定しており、
前記内腔コンポーネントインプラントが、前記内腔部分の前記第2の端部から延びたスリーブ部分をさらに含み、前記スリーブ部分が、前記スリーブ部分の内面を有しており、前記内面が、前記内面の内部キャビティを画定しており、前記スリーブ部分が、前記スリーブ部分の外面をも有している、
前記内腔コンポーネントインプラントと、
前記内腔コンポーネントインプラントに取外し可能に連結できる第1の関節コンポーネントインプラントであって、本体部分および連結部分を有しており、前記第1の関節コンポーネントインプラントの連結部分が、前記第1の関節コンポーネントインプラントの外面を画定しており、前記第1の関節コンポーネントインプラントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第1の関節コンポーネントインプラントが前記内腔コンポーネントインプラントに連結固定されると、前記第1の関節コンポーネントインプラントの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第1の関節コンポーネントインプラントを前記長骨から取り外すことができる、前記第1の関節コンポーネントインプラントと、
大きさおよび形状が前記第1の関節コンポーネントインプラントに概ね一致する第1の関節コンポーネントトライアルであって、前記内腔コンポーネントインプラントに取外し可能に連結することができ、かつ、本体部分および連結部分を有しており、前記第1の関節コンポーネントトライアルの前記連結部分が、この連結部分の外面を画定しており、前記第1の関節コンポーネントトライアルの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第1の関節コンポーネントトライアルが、前記内腔コンポーネントインプラントに連結固定されると、前記第1の関節コンポーネントトライアルの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第1の関節コンポーネントトライアルを前記長骨から取り外すことができる、前記第1の関節コンポーネントトライアルと、
前記内腔コンポーネントインプラントに取外し可能に連結できる第2の関節コンポーネントインプラントであって、本体部分および連結部分を有しており、前記第2の関節コンポーネントインプラントの前記連結部分が、この連結部分の外面を画定しており、前記第2の関節コンポーネントインプラントの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されおり、これにより、前記第2の関節コンポーネントインプラントが、前記内腔コンポーネントインプラントに連結固定されると、前記第2の関節コンポーネントインプラントの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第2の関節コンポーネントインプラントを前記長骨から取り外すことができる、前記第2の関節コンポーネントインプラントと、
大きさおよび形状が前記第2の関節コンポーネントインプラントに概ね一致する第2の関節コンポーネントトライアルであって、前記内腔コンポーネントインプラントに取外し可能に連結することができ、かつ、本体部分および連結部分を有しており、前記第2の関節コンポーネントトライアルの前記連結部分が、この連結部分の外面を画定しており、前記第2の関節コンポーネントトライアルの前記連結部分の前記外面の少なくとも一部が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記内部キャビティ内にはめ込まれるように構成されており、これにより、前記第2の関節コンポーネントトライアルが、前記内腔コンポーネントインプラントに連結固定されると、前記第2の関節コンポーネントトライアルの前記連結部分の前記外面が、前記内腔コンポーネントインプラントの前記スリーブ部分の前記外面から内側に離間し、これにより、前記長骨に対する前記内腔コンポーネントインプラントの固定を妨げずに、前記第2の関節コンポーネントトライアルを前記長骨から取り外すことができる、前記第2の関節コンポーネントトライアルと、
を含み、
前記キットにより、前記内腔コンポーネントインプラントを永久的に植え込み、前記第1の関節コンポーネントトライアルを前記内腔コンポーネントインプラントに取り付けて、トライアル整復を行い、このトライアル整復で満足いく結果が得られない場合は、前記第2の関節コンポーネントトライアルに交換することができる、
キット。
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US11/216,396 US20070050041A1 (en) | 2005-08-30 | 2005-08-30 | Orthopaedic implant stem component, joint component, and associated kit |
US11/215,929 | 2005-08-30 | ||
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2005
- 2005-08-30 US US11/215,929 patent/US8048167B2/en not_active Expired - Fee Related
- 2005-08-30 US US11/216,396 patent/US20070050041A1/en not_active Abandoned
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- 2006-08-21 EP EP06254387A patent/EP1762200A2/en not_active Withdrawn
- 2006-08-21 EP EP06254386A patent/EP1762199A3/en not_active Withdrawn
- 2006-08-21 DE DE602006003958T patent/DE602006003958D1/de active Active
- 2006-08-21 AT AT06254379T patent/ATE415912T1/de not_active IP Right Cessation
- 2006-08-28 AU AU2006203744A patent/AU2006203744A1/en not_active Abandoned
- 2006-08-28 AU AU2006203780A patent/AU2006203780A1/en not_active Abandoned
- 2006-08-28 AU AU2006203745A patent/AU2006203745B2/en not_active Ceased
- 2006-08-29 JP JP2006231984A patent/JP5456228B2/ja not_active Expired - Fee Related
- 2006-08-29 JP JP2006231978A patent/JP2007061619A/ja active Pending
- 2006-08-29 JP JP2006231972A patent/JP2007061618A/ja active Pending
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Also Published As
Publication number | Publication date |
---|---|
ATE415912T1 (de) | 2008-12-15 |
US20070050039A1 (en) | 2007-03-01 |
AU2006203745B2 (en) | 2012-05-03 |
AU2006203745A1 (en) | 2007-03-15 |
US20070050042A1 (en) | 2007-03-01 |
EP1762200A2 (en) | 2007-03-14 |
JP2007061618A (ja) | 2007-03-15 |
US20070050041A1 (en) | 2007-03-01 |
EP1762199A3 (en) | 2010-12-01 |
US20120016488A1 (en) | 2012-01-19 |
JP5456228B2 (ja) | 2014-03-26 |
EP1759664B1 (en) | 2008-12-03 |
AU2006203780A1 (en) | 2007-03-15 |
EP1759664A1 (en) | 2007-03-07 |
AU2006203744A1 (en) | 2007-03-15 |
JP2007061619A (ja) | 2007-03-15 |
EP1762199A2 (en) | 2007-03-14 |
DE602006003958D1 (de) | 2009-01-15 |
US8048167B2 (en) | 2011-11-01 |
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