JP2012502742A - 大腿骨寛骨臼を治療するための器具および方法 - Google Patents
大腿骨寛骨臼を治療するための器具および方法 Download PDFInfo
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1666—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the acetabulum
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- A61B17/1746—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for the acetabulum
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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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- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4684—Trial or dummy prostheses
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1684—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
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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
- A61F2/40—Joints for shoulders
- A61F2/4081—Glenoid components, e.g. cups
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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
- 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
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
- A61F2002/30578—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation screws
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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
- 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
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/307—Prostheses for animals
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- 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
- 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
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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
- A61F2/32—Joints for the hip
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- A61F2002/348—Additional features
- A61F2002/3487—Partial acetabular cups, e.g. strips replacing only partially the natural acetabular cartilage
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- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0081—Prosthesis for animals
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Abstract
Description
2、3、4 FAIに冒された股関節
12 大腿骨頚部
10 大腿骨
18 インピンジメント領域
20 寛骨臼
24 縁隆起
27 インプラント空間
30 インプラント
32 固定素子
34 座面
Claims (10)
- a.前後方向の冠状図において通常L字型の外形を有するインプラントであって、前記インプラントは第1フランジおよび第2フランジを有し、前記第1フランジは寛骨臼内に延在するように構成され、前記第2フランジは、前記第1フランジに概ね垂直に寛骨臼縁を超えて延在するように構成される、インプラントと、
b.前記第2フランジを貫通して前記インプラントを軟骨に固定するように構成される固定素子と、
を備える、寛骨臼の縁変形を治療するインプラント。 - 前記第2フランジが、側面から見た際、前後方向に延在するフランジ部を有することを特徴とする請求項1に記載のインプラント。
- 前記第1フランジの幅が、2cm未満であり、第1フランジの厚みが1mm〜5mm厚であることを特徴とする請求項1または2に記載のインプラント。
- 前記固定素子が、ねじであることを特徴とする請求項1または3に記載のインプラント。
- a.直接前部アプローチを通じて股関節を外科的に露出するステップと、
b.前記寛骨臼から前記大腿骨を離すことによって前記股関節を離間するステップと、
c.寛骨臼ソケット内に延在する第1部分と、寛骨臼縁を超えて、第1部分に概して垂直に延在する第2部分と、を取り除くことによって寛骨臼縁の所定部分を取り除くステップと、
d.寛骨臼縁の取り除かれた第1および第2部分内にインプラントを配置するステップと、
e.股関節の離間を開放するステップと、
f.固定素子で寛骨臼内の軟骨にインプラントを固定するステップと、
を備える寛骨臼における大腿骨寛骨臼インピンジメントの治療方法。 - 前記インプラントが、
a.前後方向の冠状図において通常L字型の外形を有するインプラントであって、前記インプラントは第1フランジおよび第2フランジを有し、前記第1フランジは寛骨臼内に延在するように構成され、前記第2フランジは、前記第1フランジに概ね垂直に寛骨臼縁を超えて延在するように構成される、インプラントと、
b.前記第2フランジを貫通して前記インプラントを軟骨に固定するように構成される固定素子と、
を備えることを特徴とする請求項5に記載の治療方法。 - 前記取り除くステップが、さらに、
a.大腿骨に切断ガイドを固定するステップと、
b.前記切断ガイドが寛骨臼を切断するように、寛骨臼に対して大腿骨を回転するステップと、
を備えることを特徴とする請求項5または6に記載の治療方法。 - 前記取り除くステップが、寛骨臼から第1部分および第2部分をバーリングするステップを含むことを特徴とする請求項5または6に記載の治療方法。
- 前記バーは、前記寛骨臼に対して前記大腿骨とともに動かされることを特徴とする請求項8に記載の治療方法。
- 前記開放するステップが、前記固定するステップより前に完了することを特徴とする請求項5に記載の治療方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US9810508P | 2008-09-18 | 2008-09-18 | |
US61/098,105 | 2008-09-18 | ||
PCT/US2009/056890 WO2010033473A2 (en) | 2008-09-18 | 2009-09-15 | Apparatus and method for addressing femoral acetabular impingement |
Publications (2)
Publication Number | Publication Date |
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JP2012502742A true JP2012502742A (ja) | 2012-02-02 |
JP5784492B2 JP5784492B2 (ja) | 2015-09-24 |
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JP2011527895A Expired - Fee Related JP5784492B2 (ja) | 2008-09-18 | 2009-09-15 | 大腿骨寛骨臼を治療するための器具および方法 |
Country Status (8)
Country | Link |
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EP (1) | EP2362761B1 (ja) |
JP (1) | JP5784492B2 (ja) |
CN (2) | CN106974695A (ja) |
AU (2) | AU2009293436B2 (ja) |
BR (1) | BRPI0918646A2 (ja) |
CA (1) | CA2736813A1 (ja) |
RU (1) | RU2506928C2 (ja) |
WO (1) | WO2010033473A2 (ja) |
Cited By (2)
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JP2013539995A (ja) * | 2010-08-16 | 2013-10-31 | スミス アンド ネフュー インコーポレーテッド | 骨の表面を変更するためのシステムおよび方法 |
JP2016185359A (ja) * | 2016-06-22 | 2016-10-27 | スミス アンド ネフュー インコーポレイテッド | 骨の表面を変更するためのシステムおよび方法 |
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CN105167888B (zh) | 2009-02-24 | 2018-04-20 | 史密夫和内修有限公司 | 用于fai手术的方法和设备 |
US8506569B2 (en) | 2009-12-31 | 2013-08-13 | DePuy Synthes Products, LLC | Reciprocating rasps for use in an orthopaedic surgical procedure |
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US10245045B2 (en) * | 2010-06-30 | 2019-04-02 | Smith & Nephew, Inc. | Resection instrument |
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JP5784492B2 (ja) * | 2008-09-18 | 2015-09-24 | スミス アンド ネフュー インコーポレーテッド | 大腿骨寛骨臼を治療するための器具および方法 |
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2009
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2013539995A (ja) * | 2010-08-16 | 2013-10-31 | スミス アンド ネフュー インコーポレーテッド | 骨の表面を変更するためのシステムおよび方法 |
US9345495B2 (en) | 2010-08-16 | 2016-05-24 | Smith & Nephew, Inc. | Systems and methods for altering the surface of a bone |
US10292717B2 (en) | 2010-08-16 | 2019-05-21 | Smith & Nephew, Inc. | Systems and methods for altering the surface of a bone |
JP2016185359A (ja) * | 2016-06-22 | 2016-10-27 | スミス アンド ネフュー インコーポレイテッド | 骨の表面を変更するためのシステムおよび方法 |
Also Published As
Publication number | Publication date |
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RU2506928C2 (ru) | 2014-02-20 |
CN102215785A (zh) | 2011-10-12 |
AU2009293436A1 (en) | 2010-03-25 |
CA2736813A1 (en) | 2010-03-25 |
BRPI0918646A2 (pt) | 2016-10-25 |
CN106974695A (zh) | 2017-07-25 |
AU2009293436B2 (en) | 2015-10-22 |
EP2362761A2 (en) | 2011-09-07 |
EP2362761B1 (en) | 2017-07-12 |
EP2362761A4 (en) | 2014-04-23 |
RU2011114020A (ru) | 2012-10-27 |
WO2010033473A2 (en) | 2010-03-25 |
JP5784492B2 (ja) | 2015-09-24 |
WO2010033473A3 (en) | 2010-05-27 |
AU2016200366B2 (en) | 2017-09-28 |
AU2016200366A1 (en) | 2016-02-11 |
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