JP2007522848A - 球関節のボール領域における表面置換のためのプロテーゼ - Google Patents
球関節のボール領域における表面置換のためのプロテーゼ Download PDFInfo
- Publication number
- JP2007522848A JP2007522848A JP2006553413A JP2006553413A JP2007522848A JP 2007522848 A JP2007522848 A JP 2007522848A JP 2006553413 A JP2006553413 A JP 2006553413A JP 2006553413 A JP2006553413 A JP 2006553413A JP 2007522848 A JP2007522848 A JP 2007522848A
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- JP
- Japan
- Prior art keywords
- prosthesis
- ball
- shell section
- coronal body
- ball shell
- 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
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- 210000000988 bone and bone Anatomy 0.000 claims abstract description 41
- 239000000463 material Substances 0.000 claims description 7
- 238000005520 cutting process Methods 0.000 claims description 3
- 238000000034 method Methods 0.000 claims description 3
- 210000002745 epiphysis Anatomy 0.000 claims description 2
- 230000035876 healing Effects 0.000 claims description 2
- 238000004519 manufacturing process Methods 0.000 claims description 2
- 238000003825 pressing Methods 0.000 claims 1
- 230000003628 erosive effect Effects 0.000 abstract description 2
- 238000003780 insertion Methods 0.000 abstract description 2
- 230000037431 insertion Effects 0.000 abstract description 2
- 238000002271 resection Methods 0.000 abstract 2
- 239000007943 implant Substances 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 210000003484 anatomy Anatomy 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 2
- 210000000845 cartilage Anatomy 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 210000000323 shoulder joint Anatomy 0.000 description 2
- 241000309551 Arthraxon hispidus Species 0.000 description 1
- 208000008924 Femoral Fractures Diseases 0.000 description 1
- 206010031264 Osteonecrosis Diseases 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 239000004568 cement Substances 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 239000004570 mortar (masonry) Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
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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
- A61F2/40—Joints for shoulders
- A61F2/4003—Replacing only the epiphyseal or metaphyseal parts of the humerus, i.e. endoprosthesis not comprising an entire humeral shaft
- A61F2002/4007—Replacing only the epiphyseal or metaphyseal parts of the humerus, i.e. endoprosthesis not comprising an entire humeral shaft implanted without ablation of the whole natural humeral head
-
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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
-
- 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
- A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
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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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- 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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- 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
- 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
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/005—Rosette-shaped, e.g. star-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
- 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
- A61F2230/0067—Three-dimensional shapes conical
-
- 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
- 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
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0036—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in thickness
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
本願は2004年2月20日に提出されたヨーロッパ特許出願第04003943号の優先権に基づくものであって、その全ての開示内容は本願に含まれる。
本願発明は、請求項1の上位概念に記載の形式のプロテーゼ、請求項15の上位概念に記載の形式のプロテーゼを挿入するための方法、請求項16記載のこのようなプロテーゼの特別な構成を製造するための素材セット、請求項17記載の種々異なる大きさのプロテーゼセットに関する。
このような形式のプロテーゼは、球関節で、特に肩関節および股関節で使用される。基本的に、球関節のためのプロテーゼでは2つの異なる解決手段が存在する。
本発明の課題は、冒頭で述べた形式のプロテーゼを改善して、上記欠点を少なくとも部分的に回避するようなプロテーゼを提供することである。
さらなる利点および有利な実施例は従属請求項ならびに以下の図面に即した説明に記載されている。この場合、
図1は、本発明のプロテーゼの有利な構成を示す断面図であって、
図2は、図1に示した本発明のプロテーゼの有利な構成を示す斜視図であって、
図3は、プロテーゼの1つのセットを示す図であって、
図4は、1つの実施例を示す断面図であって、
図5は、図4の構成を示す斜視図である。
図1には本発明のプロテーゼの有利な構成の断面図が示されている。図2には図1のプロテーゼの斜視図が示されている。このプロテーゼは、例えば大腿骨頭のような球関節のボールの表面の部分的な置換のために使用される。このプロテーゼ1は、主として、ボールシェル区分2とその内部に配置された冠状体5とから成っている。
Claims (17)
- 球関節のボール領域における表面置換のためのプロテーゼであって、
該プロテーゼ(1)が、関節臼内に載置するために形成された外面(3)を備えたボールシェル区分(2)を有しており、固定のため及び/又は載置力を良好に分配するために冠状体(5)を有しており、該冠状体は、骨端部を収容するためにボールシェル区分(2)によって形成された1つの中空室を主に第1の中空室(13)と第2の中空室(14)とに分割している形式のものにおいて、
ボールシェル区分(2)はほぼ半球の形状または有利には半球の一区分の形状を有しており、冠状体(5)の自由縁部が、ボールシェル区分(2)の自由縁部とほぼ同じ平面で延びていることを特徴とする、球関節のボール領域における表面置換のためのプロテーゼ。 - 冠状体(5)の自由縁部が、ボールシェル区分(2)の自由縁部が延びている平面を5mmまで越えて、特に1〜3mm越えて延びている、請求項1記載のプロテーゼ。
- 冠状体の自由縁部が、ボールシェル区分の自由縁部が延びている平面に達しておらず、特にこの平面から5mmまでの間隔をおいて、特に1〜3mmの間隔をおいて位置している、請求項1記載のプロテーゼ。
- ボールシェル区分が、ボール半径の65〜90%の高さhを有しており、特にボール半径の70〜85%、特に約80%をの高さhを有している、請求項1から3までのいずれか1項記載のプロテーゼ。
- 冠状体(5)の直径が、ボールシェル区分(2)の直径の45〜75%、特に55〜65%、特に約60%である、請求項1から4までのいずれか1項記載のプロテーゼ。
- ボールシェル区分(2)の内面(4)及び/又は冠状体(5)の表面が、骨と接触するために及び/又は骨と癒合するために形成されていて、このために特に粗く形成されている、請求項1から5までのいずれか1項記載のプロテーゼ。
- 冠状体(5)が少なくとも1つの切欠(9)を有しており、特に5〜10の切欠(9)を有している、請求項1から6までのいずれか1項記載のプロテーゼ。
- 冠状体(5)の外面(6)及び/又は内面(7)にレリーフが設けられており、特に、冠状体(5)を取り囲むリング突起から形成されている波形溝(8)が設けられている、請求項1から7までのいずれか1項記載のプロテーゼ。
- ボールシェル区分(2)の内面(4)にレリーフが設けられており、特に、ボールシェル区分82)の縁部に沿って延びている波形溝が設けられている、請求項1から8までのいずれか1項記載のプロテーゼ。
- ねじ外しもしくはねじ込みのために形成されており、冠状体(5)及び/又はボールシェル区分(2)の内面(4)がねじ山を有しており、プロテーゼ(1)が回転工具のための係合面として特に切り込み及び/又は面取部を有している、請求項1から9までのいずれか1項記載のプロテーゼ。
- 冠状体(5)の平面図が円の形状またはほぼ均等な多角形の形状を有しており、特に自由縁部がほぼ円筒状の区分(16)を有している、請求項1から10までのいずれか1項記載のプロテーゼ。
- 冠状体(5)が、ボールシェル区分(2)の縁部に対してほぼ同心的に配置されている、請求項11記載のプロテーゼ。
- ボールシェル区分(2)と冠状体(5)とが一体的に形成されている、及び/又は互いに溶接されている、請求項1から12までのいずれか1項記載のプロテーゼ。
- ボールシェル区分(2)と冠状体(5)とが個別部分として形成されており、機械的な固定手段、特にねじ山、バヨネットジョイントまたはクランプ装置によって互いに結合されている、請求項1から13までのいずれか1項記載のプロテーゼ。
- 骨をまず最初に剥離及び/又は切削し、次いで冠状体(5)のために溝を骨内に形成し、次いでプロテーゼ(1)をこの骨に押し付ける、及び/又は打ち込むことを特徴とする、請求項1から14までのいずれか1項記載のプロテーゼを挿入するための方法。
- 請求項14記載のプロテーゼを製造するための素材セットであって、請求項14に記載の種々様々な形式のボールシェル区分(2)と、請求項14に記載の種々様々な形式の冠状体(5)とを有しており、ボールシェル区分(2)と冠状体(5)とが、特に適合したプロテーゼ(1)を種々様々な組み合わせで形成するために、それぞれ対になって互いに固定可能であることを特徴とする、請求項14記載のプロテーゼを製造するための素材セット。
- 請求項1から14までのいずれか1項記載のプロテーゼのセットであって、複数のボールシェル区分を備えて形成されていて、これらのボールシェル区分は互いに異なる直径であるが、ボールシェル区分の高さhとそれぞれのボール直径の比が特に同じであって、冠状体の直径は、ボールシェル区分の直径とほぼ同じ比であることを特徴とする、請求項1から14までのいずれか1項記載のプロテーゼのセット。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP04003943A EP1566154A1 (de) | 2004-02-20 | 2004-02-20 | Prothese zum Oberflächenersatz im Bereich der Kugel von Kugelgelenken |
PCT/CH2005/000099 WO2005079709A1 (de) | 2004-02-20 | 2005-02-21 | Prothese zum oberflächenersatz im bereich der kugel von kugelgelenken |
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Publication Number | Publication Date |
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JP2007522848A true JP2007522848A (ja) | 2007-08-16 |
JP4658970B2 JP4658970B2 (ja) | 2011-03-23 |
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JP2006553413A Active JP4658970B2 (ja) | 2004-02-20 | 2005-02-21 | 球関節のボール領域における表面置換のためのプロテーゼ |
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EP (2) | EP1566154A1 (ja) |
JP (1) | JP4658970B2 (ja) |
WO (1) | WO2005079709A1 (ja) |
Cited By (1)
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JP2017148557A (ja) * | 2012-03-30 | 2017-08-31 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 外科用器具アセンブリー |
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DE102005006023B3 (de) * | 2005-02-08 | 2006-08-03 | Eska Implants Gmbh & Co. | Gelenkkopf-Kappenimplantat für ein künstliches Hüftgelenk |
DE102008053566A1 (de) | 2007-11-27 | 2009-06-04 | Bernhard Hildebrandt | System aus Endprothesen und Geräten zur minimal invasiven und zementfreien Implantation von Endoprothesen der Schulter und der Hüfte und der Offset-Verbesserung des Schenkelhalses |
CN102458311A (zh) * | 2009-05-07 | 2012-05-16 | 史密夫和内修有限公司 | 用于假体的模块化试验头 |
BR112012000643B8 (pt) * | 2009-07-10 | 2021-06-22 | Implantica Patent Ltd | método e dispositivo para articulação do quadril |
AU2010269202B2 (en) * | 2009-07-10 | 2016-07-28 | Implantica Patent Ltd. | Hip joint device |
EP2335653A1 (en) | 2009-12-16 | 2011-06-22 | Slobodan Tepic | Partial hip prosthesis |
DE102010020530A1 (de) | 2010-05-14 | 2011-11-17 | Bernhard Hildebrandt | Geräte und Vorrichtungen zur Durchführung einer Implantation von Endoprothesen |
FR2964857B1 (fr) * | 2010-09-17 | 2013-07-05 | Marc Duport | Cupule modulable de prothese d'epaule |
FR2964856B1 (fr) * | 2010-09-17 | 2012-08-24 | Marc Duport | Cupule de prothese d'epaule pourvue de nervures de fixation |
ES2494192T3 (es) | 2011-03-25 | 2014-09-15 | Zimmer Gmbh | Prótesis de hombro |
US20130190882A1 (en) * | 2012-01-20 | 2013-07-25 | Shoulder Options, Inc. | Humeral Head Prosthesis |
FR2996443B1 (fr) * | 2012-10-10 | 2015-10-30 | Philippe Valenti | Cupule de resurfacage pour une tete d’un os long |
GB2568047B (en) | 2017-11-01 | 2021-10-27 | Matortho Ltd | Improvements in or relating to ceramic femoral resurfacing head prosthesis |
GB2591915B (en) * | 2018-10-04 | 2022-11-09 | Nextremity Solutions Inc | Joint arthroplasty device and method |
GB2596320B (en) * | 2020-06-24 | 2022-07-06 | Always Be Happy Ltd | Humeral repair implant |
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-
2004
- 2004-02-20 EP EP04003943A patent/EP1566154A1/de not_active Withdrawn
-
2005
- 2005-02-21 EP EP05700374.1A patent/EP1715815B1/de active Active
- 2005-02-21 US US10/597,847 patent/US8157870B2/en active Active
- 2005-02-21 WO PCT/CH2005/000099 patent/WO2005079709A1/de not_active Application Discontinuation
- 2005-02-21 JP JP2006553413A patent/JP4658970B2/ja active Active
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DE2751537A1 (de) * | 1977-11-18 | 1979-05-23 | Wolfgang Bongartz | Hueftgelenkprothese |
US4328593A (en) * | 1979-12-22 | 1982-05-11 | Institut Straumann Ag | Universal joint prosthesis with cap |
US5549704A (en) * | 1994-09-08 | 1996-08-27 | Sutter; Franz | Universal joint prosthesis |
JPH11511347A (ja) * | 1995-08-23 | 1999-10-05 | シブラック,ジャン | 関節補綴部材およびその製造方法 |
US20030163202A1 (en) * | 2002-02-06 | 2003-08-28 | Lakin Ryan C. | Modular resurfacing prosthetic |
Cited By (2)
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---|---|---|---|---|
JP2017148557A (ja) * | 2012-03-30 | 2017-08-31 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 外科用器具アセンブリー |
JP2017159071A (ja) * | 2012-03-30 | 2017-09-14 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 外科用器具 |
Also Published As
Publication number | Publication date |
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US20070162149A1 (en) | 2007-07-12 |
EP1566154A1 (de) | 2005-08-24 |
WO2005079709A1 (de) | 2005-09-01 |
US8157870B2 (en) | 2012-04-17 |
JP4658970B2 (ja) | 2011-03-23 |
EP1715815A1 (de) | 2006-11-02 |
EP1715815B1 (de) | 2013-04-24 |
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