JP2016527986A - 寛骨臼補綴具 - Google Patents
寛骨臼補綴具 Download PDFInfo
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- JP2016527986A JP2016527986A JP2016534560A JP2016534560A JP2016527986A JP 2016527986 A JP2016527986 A JP 2016527986A JP 2016534560 A JP2016534560 A JP 2016534560A JP 2016534560 A JP2016534560 A JP 2016534560A JP 2016527986 A JP2016527986 A JP 2016527986A
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- acetabular
- acetabulum
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- 210000000588 acetabulum Anatomy 0.000 claims abstract description 178
- 239000007943 implant Substances 0.000 claims description 34
- 238000000034 method Methods 0.000 claims description 27
- 210000000988 bone and bone Anatomy 0.000 claims description 16
- 230000008569 process Effects 0.000 claims description 15
- 210000001624 hip Anatomy 0.000 claims description 7
- 210000001621 ilium bone Anatomy 0.000 claims description 7
- 230000000087 stabilizing effect Effects 0.000 claims description 7
- 210000004394 hip joint Anatomy 0.000 claims description 6
- 230000008878 coupling Effects 0.000 claims description 3
- 238000010168 coupling process Methods 0.000 claims description 3
- 238000005859 coupling reaction Methods 0.000 claims description 3
- 210000000936 intestine Anatomy 0.000 claims description 2
- 210000004197 pelvis Anatomy 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 210000003484 anatomy Anatomy 0.000 description 5
- 239000011162 core material Substances 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 230000003014 reinforcing effect Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 230000008859 change Effects 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 210000001981 hip bone Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000008450 motivation Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
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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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/34—Acetabular cups
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/315—Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
- A61M5/31596—Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms comprising means for injection of two or more media, e.g. by mixing
-
- 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
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
- A61F2002/30387—Dovetail connection
-
- 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
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30428—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by inserting a protrusion into a slot
-
- 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
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30433—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
-
- 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
- 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
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
- A61F2002/30736—Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Prostheses (AREA)
Abstract
Description
従来技術の一部は、本発明との類似点を含む可能性もあるが、本明細書に開示される本発明の全効果及び固有の特徴を教示、示唆又は包含するものではない。
Claims (5)
- 人工股関節移植体に対応して、補綴接続具により少なくとも1つの寛骨臼補綴物を寛骨臼碗に一体に固定し、寛骨臼碗の基部から頂部に向かって寛骨臼碗の外面上に少なくとも1つの溝を形成した寛骨臼碗を、少なくとも1つの寛骨臼補綴物により腸骨に固定する方法において、
寛骨臼碗を収容する腸骨の寛骨臼を準備する過程と、
準備した寛骨臼の部位に対する寛骨臼碗の好適な方向を決定する過程と、
寛骨臼の好適な方向に寛骨臼碗を位置決めする過程と、
寛骨臼の好適な方向に寛骨臼碗を嵌入する過程と、
好適な方向で寛骨臼に嵌入した寛骨臼碗を安定化させる過程と、
寛骨臼補綴物と補綴接続具とを一緒に組み立てる過程と、
寛骨臼碗の溝内に補綴接続具の少なくとも一部を位置決めする過程と、
寛骨臼碗の頂部に向かって溝に沿って寛骨臼連結部材を摺動させて、側部腸骨に寛骨臼補綴物を接触させる過程と、
寛骨臼碗の外面に係合させて寛骨臼補綴物を位置決めする過程と、
側部腸骨に寛骨臼補綴物を固定する過程と、
補綴接続具を締め付けて寛骨臼補綴物を寛骨臼碗に固定する過程とを含むことを特徴とする寛骨臼碗の固定法。 - 人工股関節移植体に対する補綴接続具を寛骨臼補綴物に一体に固定し、寛骨臼碗の基部から頂部に向かって少なくとも1つの溝を形成した寛骨臼碗を寛骨臼補綴物により腸骨に固定する方法において、
寛骨臼碗を収容する腸骨の寛骨臼を準備する過程と、
準備した寛骨臼の部位に対し、組み立てた寛骨臼碗と寛骨臼補綴物の好適な方向を決定する過程と、
補綴接続具と共に寛骨臼碗と寛骨臼補綴物とを組み立てる過程と、
寛骨臼碗の溝内に補綴接続具の少なくとも一部を位置決めする過程と、
準備した寛骨臼の部位内での好適な方向に、組み立てた寛骨臼碗と寛骨臼補綴物を位置決めする過程と、
寛骨臼碗に緩く締結した寛骨臼補綴物を、準備した寛骨臼の部位に好適な方向で嵌入する過程と、
嵌入した寛骨臼碗を好適な方向に安定化させる過程と、
頂部に向かって溝に沿って寛骨臼連結部材を長さ方向に摺動させて、寛骨臼補綴物を側部腸骨に接触させる過程と、
寛骨臼碗の外面に接触させて寛骨臼補綴物を位置決めする過程と、
寛骨臼補綴物を側部腸骨に固定する過程と、
補綴接続具を締め付けて寛骨臼補綴物を寛骨臼碗に固定する過程とを含むことを特徴とする寛骨臼碗の固定法。 - 寛骨臼碗移植体及び寛骨臼補綴物移植体の組立体模型に対して仮寛骨臼碗、仮寛骨臼補綴物及び仮補綴接続具を使用して、人工股関節移植体に対応して、補綴接続具により少なくとも1つの寛骨臼補綴物を寛骨臼碗に一体に固定し、寛骨臼碗の基部から頂部に向かって寛骨臼碗の外面上に少なくとも1つの溝を形成した寛骨臼碗移植体を、少なくとも1つの寛骨臼補綴物により腸骨に固定する方法において、
寛骨臼碗移植体を収容する腸骨の寛骨臼を準備する過程と、
準備した寛骨臼の部位に対し、寛骨臼碗移植体と寛骨臼補綴物移植体の好適な方向を決定する過程と、
準備した仮寛骨臼碗を寛骨臼部位の好適な方向に位置決めする過程と、
仮寛骨臼補綴物と仮補綴接続具とを一緒に組み立てる過程と、
仮寛骨臼碗の溝内に仮補綴接続具の少なくとも一部を位置決めする過程と、
溝に沿って頂部方向に仮寛骨臼連結部材を摺動させて、仮寛骨臼補綴物を側部腸骨に接触させ、仮寛骨臼碗の溝内に仮寛骨臼補綴物の正確な位置を確立する過程と、
仮補綴接続具を締め付けて、仮寛骨臼碗に仮寛骨臼補綴物を固定し、仮寛骨臼碗の溝内の正確な位置に仮寛骨臼補綴物を保持する過程と、
準備した寛骨臼部位から組み立てた仮寛骨臼碗と仮寛骨臼補綴物を除去する過程と、
模型に組み立てた仮寛骨臼碗と仮寛骨臼補綴物を使用して、寛骨臼碗移植体の溝の長さ方向に補綴接続具移植体を事前配置し、補綴接続具を締め付けて寛骨臼碗移植体に寛骨臼補綴物移植体を固定して、寛骨臼碗移植体と寛骨臼補綴物移植体とを一体化した移植体に組み立てる過程と、
組み立てた寛骨臼碗移植体及び寛骨臼補綴物移植体を、準備した寛骨臼部位の好適な方向に位置決めする過程と、
寛骨臼内の好適な方向に寛骨臼碗を嵌入して、側部腸骨に寛骨臼補綴物移植体を係合する過程と、
準備した寛骨臼部位の好適な方向に嵌入した寛骨臼碗移植体を安定化させる過程と、
側部腸骨に寛骨臼補綴物移植体を固定する過程とを含むことを特徴とする寛骨臼碗移植体の固定法。 - 寛骨臼碗の基部から頂部に向かって少なくとも1つの溝を寛骨臼碗の外面に形成し、仮寛骨臼碗と仮寛骨臼補綴物を模型として使用して、人工股関節移植体に対し、補綴接続具に一緒に固定する寛骨臼補綴物により寛骨臼碗を腸骨に固定する方法において、
寛骨臼碗を収容する腸骨の寛骨臼を準備する過程と、
準備した寛骨臼の部位に対し、組み立てた仮寛骨臼碗と仮寛骨臼補綴物の好適な方向を決定する過程と、
仮補綴接続具により、仮寛骨臼碗と仮寛骨臼の補綴物とを組み立てる過程と、
仮寛骨臼碗の溝に仮補綴接続具の少なくも一部を位置決めする過程と、
組み立てた仮寛骨臼碗と仮寛骨臼補綴物を準備した寛骨臼の部位の好適な方向に位置決めする過程と、
頂部に向かい溝内で長さ方向に仮寛骨臼連結部材を摺動させて、仮寛骨臼補綴物を側部腸骨に接触させて、仮寛骨臼碗の溝内での仮寛骨臼補綴物の位置を確立する過程と、
仮補綴接続具を締め付けて、仮寛骨臼碗に仮寛骨臼補綴物を固定し、仮寛骨臼碗の選択された溝内の正確な位置に仮寛骨臼補綴物を保持する過程と、
組み立てた仮寛骨臼碗と仮寛骨臼補綴物を準備した寛骨臼部位から除去する過程と、
仮寛骨臼碗と仮寛骨臼補綴物を模型として使用して、寛骨臼碗の溝の長さ方向に補綴接続具を事前配置して、寛骨臼碗移植体及び寛骨臼補綴物移植体を統合単一体に組み立てる過程と、
組み立てた寛骨臼碗移植体と寛骨臼補綴物を、準備した寛骨臼の部位の好適な方向に位置決めする過程と、
固定すべき寛骨臼補綴物移植体により、寛骨臼内の好適な方向に寛骨臼碗を嵌入する過程と、
嵌入した寛骨臼碗移植体を好適な方向に安定化させる過程と、
側部腸骨に対し寛骨臼補綴物移植体を固定する過程とを含むことを特徴とする寛骨臼碗の固定法。 - 寛骨臼碗の頂部に向かって寛骨臼碗の基部から寛骨臼碗の外面上に少なくとも1つの溝を形成し、仮寛骨臼碗と仮寛骨臼補綴物を模型として使用して、人工股関節移植体に対し、補綴接続具に一緒に固定される少なくとも1つの寛骨臼補綴物により、寛骨臼碗を固定する方法において、
寛骨臼碗を収容する側部腸骨の寛骨臼を準備する過程と、
補綴接続具により、仮寛骨臼碗の溝内に仮寛骨臼補綴物を緩く組み立てる過程と、
緩く組み立てた仮寛骨臼碗と仮寛骨臼補綴物を、準備した寛骨臼の部位に配置する過程と、
準備した寛骨臼部位に対して、仮寛骨臼碗と仮寛骨臼補綴物の好適な方向を決定する過程と、
仮寛骨臼碗と仮寛骨臼補綴物を準備した寛骨臼部位の好適な方向に位置決めする過程と、
頂部に向かってに溝に沿って長さ方向に仮寛骨臼補綴物を摺動させて、仮寛骨臼補綴物を側部腸骨に接触させ、仮寛骨臼碗の溝内で仮寛骨臼補綴物の正確な位置を確立する過程と、
仮補綴接続具により仮寛骨臼碗に仮寛骨臼補綴物を固定する過程と、
仮寛骨臼碗の溝内の正確な位置に仮寛骨臼補綴物を保持する過程と、
仮寛骨臼碗と仮寛骨臼補綴物を準備した寛骨臼部位から除去する過程と、
仮寛骨臼碗と仮寛骨臼補綴物を模型として使用し、寛骨臼碗の溝内で長さ方向に補綴接続具を予め移動し、補綴接続具により寛骨臼補綴物を寛骨臼碗に固定して、寛骨臼碗と寛骨臼補綴物を統合単一体に組み立てる過程と、
準備した寛骨臼の部位内の好適な方向に、寛骨臼碗と寛骨臼補綴物を位置決めする過程と、
寛骨臼内の好適な方向に寛骨臼碗を嵌入して、寛骨臼補綴物を側部腸骨に接触させる過程と、
準備した寛骨臼部位の好適な方向に、嵌入した寛骨臼碗を安定化させる過程と、
側部腸骨に対し寛骨臼補綴物を固定する過程とを含むことを特徴とする寛骨臼碗の固定法。
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US13/987,624 US9005304B2 (en) | 2012-01-18 | 2013-08-15 | Acetabular prosthetic device |
PCT/US2013/000258 WO2015023247A1 (en) | 2012-01-18 | 2013-11-18 | Acetabular prosthetic device |
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US5176711A (en) * | 1991-03-06 | 1993-01-05 | Grimes James B | Acetabular revision system |
US6454809B1 (en) * | 1998-03-03 | 2002-09-24 | Tornier Sa | Modular acetabular or cotyloid implant |
US20130035766A1 (en) * | 2011-08-04 | 2013-02-07 | Biomet Manufacturing Corp. | Patient-specific pelvic implants for acetabular reconstruction |
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US8123814B2 (en) * | 2001-02-23 | 2012-02-28 | Biomet Manufacturing Corp. | Method and appartus for acetabular reconstruction |
US8313531B2 (en) * | 2010-03-08 | 2012-11-20 | Hip Innovation Technology Llc | Interlocking reverse hip prosthesis and method |
EP2579816B1 (en) * | 2010-06-08 | 2021-04-07 | Smith & Nephew, Inc. | Implant components and methods |
US8556986B2 (en) * | 2012-01-18 | 2013-10-15 | George J. Haidukewych | Acetabular prosthetic device |
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US5176711A (en) * | 1991-03-06 | 1993-01-05 | Grimes James B | Acetabular revision system |
US6454809B1 (en) * | 1998-03-03 | 2002-09-24 | Tornier Sa | Modular acetabular or cotyloid implant |
US20130035766A1 (en) * | 2011-08-04 | 2013-02-07 | Biomet Manufacturing Corp. | Patient-specific pelvic implants for acetabular reconstruction |
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