JP2011512908A - 人工寛骨臼の位置合わせのために大腿骨頭をマッピングする方法およびシステム - Google Patents
人工寛骨臼の位置合わせのために大腿骨頭をマッピングする方法およびシステム Download PDFInfo
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- JP2011512908A JP2011512908A JP2010547859A JP2010547859A JP2011512908A JP 2011512908 A JP2011512908 A JP 2011512908A JP 2010547859 A JP2010547859 A JP 2010547859A JP 2010547859 A JP2010547859 A JP 2010547859A JP 2011512908 A JP2011512908 A JP 2011512908A
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Abstract
Description
本出願は、2008年2月25日に出願した米国特許仮出願第61/031,230号の利益を主張するものである。この出願の開示は、すべて参照により本明細書に組み込まれている。
14 大腿骨頸
20 大腿骨頭
21 しるし、読取ライン
22 しるし、バンド
24 しるし、バンド
26 しるし、バンド
28 しるし、バンド、警告バンド
30 接続する手段
40 寛骨臼シェルコンポーネント
50 寛骨臼ライナコンポーネント
100 大腿骨頸
174 位置合わせマーク
200 大腿骨頭
210 ラインマーク
220 ラインマーク
230 ラインマーク
240 カラーボディ
242 カラーボディ
244 カラーボディ
246 前傾マーク
247 外転マーク
250 目標ライン
251 外転マーク
252 前傾マーク
253 外転マーク
254 前傾マーク
255 外転マーク
256 前傾マーク
261 緑色外転バンド
262 赤色前傾バンド
263 橙色外転バンド
264 橙色前傾バンド
266 緑色前傾バンド
270 領域
272 領域
274 位置合わせマーク
280 ライン
282 第3のボディ領域
284 第2のボディ領域
286 第1のボディ領域
300 照明手段
310 照明を向ける手段
320 しるし
400 しるし
410 外部光源
420 光
900 矢状面
901 冠状面
902 横断面
910 股関節
920 前傾角度
930 外転角度
940 頂点
950 寛骨臼コンポーネント
960 長手方向軸
1000 内側リム
1010 大腿骨頸
1012 大腿骨ステムコンポーネント
1020 大腿骨頭
1022 カラーボディ
1024 カラーボディ
1026 カラーボディ
1040 ライナ
1050 寛骨臼シェルコンポーネント
1060 垂直軸
1062 水平軸
Claims (20)
- 人工大腿骨頭を寛骨臼に対して方向付ける装置であって、
a.大腿骨の髄内管内に受け入れられるように構成された大腿骨ステムと、
b.前記大腿骨ステムに結合するように構成され、さらに前記寛骨臼に受け入れられるように構成された大腿骨頭部材であって、前記寛骨臼に対する前記人工大腿骨頭の相対位置を方向付けるように構成されたしるしをさらに備え、前記しるしが、前記寛骨臼における前記人工大腿骨頭の適切な相対位置を示す、大腿骨頭部材と
を具備する装置。 - 前記寛骨臼に受け入れられるように構成された寛骨臼コンポーネントをさらに具備する、請求項1に記載の装置。
- 前記大腿骨頭部材および前記大腿骨ステムの少なくとも一方がトライアルコンポーネントである、請求項1または2に記載の装置。
- 前記大腿骨頭部材が、複数のしるしをさらに備え、前記複数のしるしのうちの1つが、前記寛骨臼における前記大腿骨頭の適切な相対位置を示し、前記複数のしるしの他のものが、前記適切な相対位置からの測定された変位量を示す、請求項1から3のいずれか一項に記載の装置。
- 前記測定された変位量が、前記大腿骨頭と前記寛骨臼と間の相対的な回転の角度測定値である、請求項4に記載の装置。
- 前記大腿骨頭部材が、複数のしるしをさらに備え、前記複数のしるしのうちの1つが、中間位置での前記寛骨臼における前記大腿骨頭の適切な相対位置を示し、前記複数のしるしのうちの他のものが、前記大腿骨ステムの位置がその可動域内で回転する際の前記寛骨臼に対する適切な相対位置を示す、請求項1から3のいずれか一項に記載の装置。
- 前記適切な相対位置が、前記寛骨臼に対する外転/内転における適切な向きである、請求項1から6のいずれか一項に記載の装置。
- 前記適切な相対位置が、前記寛骨臼に対する前傾/後傾における適切な向きである、請求項1から7のいずれか一項に記載の装置。
- 前記しるしがラインである、請求項1から8のいずれか一項に記載の装置。
- 前記しるしが、前記大腿骨頭部材において緯線方向に方向付けられたラインである、請求項8に記載の装置。
- 前記しるしが、前記大腿骨頭部材において長手方向に方向付けられたラインである、請求項8に記載の装置。
- 前記しるしが、前記大腿骨頭部材の表面の一部である、請求項1から11のいずれか一項に記載の装置。
- 前記しるしが照明される、請求項1から12のいずれか一項に記載の装置。
- 人工大腿骨頭を寛骨臼に対して方向付ける方法であって、
a.大腿骨ステムを大腿骨の髄内管内に移植するステップと、
b.大腿骨頭部材を前記大腿骨ステムに結合するステップと、
c.前記人工大腿骨頭を前記寛骨臼内に位置決めすることにより、前記大腿骨頭部材を前記寛骨臼に対して方向付けるステップであって、前記人工大腿骨頭が前記寛骨臼において適切に位置決めされた時、前記人工大腿骨頭上のしるしが位置合わせされかつ可視である、ステップと
を含む方法。 - 寛骨臼部材を移植するステップであって、前記方向付けるステップが前記大腿骨頭部材を前記寛骨臼部材に対して方向付ける、ステップをさらに含む、
請求項14に記載の方法。 - a.前記大腿骨頭の前記寛骨臼コンポーネントに対する不適切な位置を示すしるしを読み取るステップであって、不適切な位置を示す前記しるしが、前記寛骨臼コンポーネントの適切な位置からの変位の測度である、ステップと、
b.前記寛骨臼における前記寛骨臼コンポーネントの位置を、調節の量が前記変位の測度に対するように調節するステップと
をさらに含む、請求項15に記載の方法。 - 前記変位の測度が、角度変位の測度である、請求項16に記載の方法。
- 前記調節が、前記寛骨臼コンポーネントの外転/内転の調節である、請求項16に記載の方法。
- 前記調節が、前記寛骨臼コンポーネントの前傾/後傾の調節である、請求項16に記載の方法。
- 前記読み取るステップが、照明されたしるしを読み取ることを含む、請求項14から19のいずれか一項に記載の方法。
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