JP5710646B2 - 仙腸関節固定システム - Google Patents
仙腸関節固定システム Download PDFInfo
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- JP5710646B2 JP5710646B2 JP2012548960A JP2012548960A JP5710646B2 JP 5710646 B2 JP5710646 B2 JP 5710646B2 JP 2012548960 A JP2012548960 A JP 2012548960A JP 2012548960 A JP2012548960 A JP 2012548960A JP 5710646 B2 JP5710646 B2 JP 5710646B2
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- JP
- Japan
- Prior art keywords
- sacroiliac
- implant
- joint
- sacroiliac joint
- longitudinal
- 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.)
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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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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
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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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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
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- A61F2310/00359—Bone or bony tissue
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Description
本発明によれば、下記のいくつかの態様が提供される。
(1) 人体の仙骨と腸骨との間に位置する仙腸関節のために前記人体に移植される仙腸関節用インプラントであって、
長手状本体部を含み、
その長手状本体部は、その長手状本体部の第1端部と第2端部との間に位置する長さを有し、
その長手状本体部は、前記仙腸関節の複数の関節面の間に、それら関節面を横切らないように位置するように構成され、それにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置する仙腸関節用インプラント。
(2) さらに、第1半径方向部材を含み、その第1半径方向部材は、前記長手状本体部の長軸に沿って延びるとともに、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されている(1)項に記載の仙腸関節用インプラント。
(3) さらに、第2半径方向部材を含み、その第2半径方向部材は、前記長手状本体部の長軸に沿って延びるとともに、前記第1半径方向部材とは概して反対側に配置され、かつ、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されている(2)項に記載の仙腸関節用インプラント。
(4) 当該仙腸関節用インプラントは、形状を有し、その形状のうちの実質的な全部は、前記仙腸関節の前記複数の関節面に、それら関節面を横切らないように係合し、それにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置する(1)項に記載の仙腸関節用インプラント。
(5) 当該仙腸関節用インプラントは、形状を有し、その形状は、前記仙腸関節のうち、切除された被切除部分を置換し、その被切除部分は、前記複数の関節面によって仕切られる領域内に位置する(1)項に記載の仙腸関節用インプラント。
(6) 当該仙腸関節用インプラントは、形状を有し、その形状は、インプラント収容空間内に収容可能であり、そのインプラント収容空間は、前記仙腸関節に切り込まれるとともに、当該仙腸関節用インプラントを、前記仙腸関節の前記複数の関節面の間であって、それら関節面によって仕切られる領域内に位置決めする(1)項に記載の仙腸関節用インプラント。
(7) 前記インプラント収容空間内に位置する当該仙腸関節用インプラントは、形状を有し、その形状は、前記仙腸と前記腸骨との相対位置関係が実質的に変化することを実質的に阻止する(6)項に記載の仙腸関節用インプラント。
(8) 前記インプラント収容空間内に位置する当該仙腸関節用インプラントは、形状を有し、その形状は、前記仙腸および前記腸骨同士の離間を実質的に阻止する(6)項に記載の仙腸関節用インプラント。
(9) 前記インプラント収容空間内に位置する当該仙腸関節用インプラントは、形状を有し、その形状は、前記仙腸と前記腸骨との相対位置関係を正常な相対位置関係に復元し、それにより、前記仙腸関節の変形性疾患を是正する(6)に記載の仙腸関節用インプラント。
(10) さらに、第2半径方向部材を含み、その第2半径方向部材は、前記長手状本体部の長軸に沿って延びるとともに、前記第1半径方向部材とは概して反対側に配置され、かつ、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されている(2)項に記載の仙腸関節用インプラント。
(11) さらに、第3半径方向部材を含み、その第3半径方向部材は、前記長手状本体部の長軸に沿って延びるとともに、前記腸骨の内部まで延びるように構成されている(2)項に記載の仙腸関節用インプラント。
(12) さらに、第4半径方向部材を含み、その第4半径方向部材は、前記長手状本体部の長軸に沿って延びるとともに、前記仙骨の内部まで延びるように構成されている(2)項に記載の仙腸関節用インプラント。
(13) 前記長手状本体部は、形状を有し、その形状は、前記仙骨および前記腸骨を、両者が実質的に相対運動しない関係を有するように配置する際の自身の変形を防止するのに十分な寸法を有する(1)項に記載の仙腸関節用インプラント。
(14) 前記長手状本体部は、形状を有し、その形状は、前記第1端部と前記第2端部との間に位置し、
前記長手状本体部は、前記仙骨および前記腸骨を、それら仙骨および腸骨の前記複数の関節面によって仕切られる領域内においてのみ、互いに係合させるように構成されている(1)項に記載の仙腸関節用インプラント。
(15) 前記長手状本体部は、断面形状を有し、その断面形状は、円形、長円形、三角形、正方形および長方形から成るグループから選択される(14)項に記載の仙腸関節用インプラント。
(16) 前記長手状本体部は、概して円筒状を成す外面を有する(15)項に記載の仙腸関節用インプラント。
(17) 前記第1半径方向部材および前記第2半径方向部材の各々は、互いに対向する両側面を有し、それら両側面は、実質的に互いに平行に、厚さ分だけ互いに離れており、
前記第1半径方向部材および前記第2半径方向部材の各々は、前記仙骨および前記腸骨を、前記複数の関節面によって仕切られる領域内においてのみ、互いに係合させるように構成されており、それにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置する(10)項に記載の仙腸関節用インプラント。
(18) さらに、軸方向ボアを含み、その軸方向ボアは、前記長手状本体部の前記第1端部と前記第2端部とを互いに連通させる(1)項に記載の仙腸関節用インプラント。
(19) さらに、少なくとも1つの開口要素を含み、その開口要素は、前記第1端部または前記第2端部の、互いに対向する両側面を互いに連通させるか、または、前記長手状本体部を横切るように貫通する(17)項に記載の仙腸関節用インプラント。
(20) さらに、被膜を含み、その被膜は、当該仙腸関節用インプラントの外面のうちの少なくとも一部に結合されるとともに、前記仙骨または前記腸骨に対して、生体適合性を有する骨結合(オッセオインテグレーション)を行うことが可能である(1)項に記載の仙腸関節用インプラント。
(21) さらに、少なくとも1つの生理活性剤を含み、その生理活性剤は、生体適合性と、生分解性または骨結合性とを有する材料と混合され、その混合物は、少なくとも1つの開口要素内に位置するとともに、骨成長を促進する(20)項に記載の仙腸関節用インプラント。
(22) さらに、少なくとも1つの通路を含み、その通路は、前記長手状本体部を通過するとともに、その通路内を長手状部材が前記複数の関節面を横切るように通過することを可能にする寸法を有する(1)項に記載の仙腸関節用インプラント。
(23) 当該仙腸関節用インプラントの前記第2端部は、インプラント挿入具に適合する形状を有する(22)項に記載の仙腸関節用インプラント。
(24) 人体の仙骨と腸骨との間に位置する仙腸関節を固定する(内固定する、fixate)ために仙腸関節用インプラントを前記人体に移植する方法でって、
a)前記仙腸関節の複数の関節面間にある関節面間空間にアクセスする工程と、
b)前記仙腸関節用インプラントを前記仙腸関節の前記複数の関節面の間に配置する工程と、
c)前記仙腸関節の前記複数の関節面に前記仙腸関節用インプラントを係合させることにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置する工程と
を含む仙腸関節用インプラント移植方法。
(25) さらに、インプラント収容空間を前記仙腸関節の前記複数の関節面の間に形成するインプラント収容空間形成工程を含む(24)項に記載の仙腸関節用インプラント移植方法。
(26) 前記インプラント収容空間形成工程は、さらに、前記仙腸関節のうち、前記複数の関節面によって仕切られる領域内に位置する部分を切除する部分的切除工程を含む(25)項に記載の仙腸関節用インプラント移植方法。
(27) さらに、前記仙腸関節のうちの前記部分であって、前記複数の関節面によって仕切られる領域内に位置するものを、前記仙腸関節用インプラントによって置換する工程を含む(26)項に記載の仙腸関節用インプラント移植方法。
(28) 前記部分的切除工程は、前記仙腸関節の一部であって、ある量の関節軟骨と、前記仙骨または前記腸骨のうちのある量の皮質骨と、前記仙骨または前記腸骨のうちのある量の海綿骨と、それらのうちの組合せとから成るグループから選択されるものを切除する工程を含む(27)項に記載の仙腸関節用インプラント移植方法。
(29) さらに、半径方向部材を収容する半径方向部材収容チャネルを、前記仙腸関節の前記複数の関節面のうちの少なくとも1つに切り込む切込み工程を含む(28)項に記載の仙腸関節用インプラント移植方法。
(30) さらに、半径方向部材を収容する半径方向部材収容チャネルを、前記仙腸関節の前記複数の関節面のそれぞれに切り込む切込み工程を含む(28)項に記載の仙腸関節用インプラント移植方法。
(31) さらに、前記仙腸関節用インプラントのうちの実質的な全部を前記インプラント収容空間内に挿入する工程を含む(25)項に記載の仙腸関節用インプラント移植方法。
(32) さらに、前記仙腸関節用インプラントを前記仙腸関節の前記複数の関節面の間にそれら関節面を横切らないように設置することにより、前記仙腸と前記腸骨との相対位置関係が変化することを実質的に阻止する工程を含む(31)項に記載の仙腸関節用インプラント移植方法。
(33) さらに、相対運動が実質的に阻止された関係を有するように配置された前記仙骨および前記腸骨間の相対位置を、前記仙腸関節用インプラントを前記仙腸関節の前記複数の関節面の間にそれら関節面を横切らないように設置する前と同じ相対位置に実質的に維持する工程を含む(31)項に記載の仙腸関節用インプラント移植方法。
(34) さらに、前記仙腸関節の前記複数の関節面同士を離間させることなく、前記仙腸関節用インプラントを前記仙腸関節の前記複数の関節面の間にそれら関節面を横切らないように位置決めする工程を含む(31)項に記載の仙腸関節用インプラント移植方法。
(35) さらに、前記複数の関節面を前記仙腸関節用インプラントに押し付ける工程を含む(31)項に記載の仙腸関節用インプラント移植方法。
(36) さらに、長手状部材を、前記仙腸関節用インプラントと係合する状態で、前記複数の関節面を横切るように配置する工程を含む(35)項に記載の仙腸関節用インプラント移植方法。
(37) さらに、前記長手状部材の作用により、前記複数の関節面を前記仙腸関節用インプラントに向かって引っ張る工程を含む(36)項に記載の仙腸関節用インプラント移植方法。
(38) さらに、
前記仙腸関節用インプラントを通過するボアを提供する工程と、
長手状部材を、前記仙腸関節用インプラントに係合する状態で、前記複数の関節面を横切るように配置するために、前記長手状部材を前記ボア内の通路を通過させる工程と
を含む(24)項に記載の仙腸関節用インプラント移植方法。
(39) さらに、前記仙腸関節用インプラントを、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように配置することにより、前記仙骨および前記腸骨を、両者間の相対運動が阻止された関係を即座に有するように配置する工程を含む(24)項に記載の仙腸関節用インプラント移植方法。
(40) さらに、前記仙腸関節の前記複数の関節面の間に位置する前記関節面間空間にアクセスする通路を形成する工程を含む(24)項に記載の仙腸関節用インプラント移植方法。
(41) さらに、前記仙腸関節用インプラントを前記通路内を通過させ、それにより、前記仙腸関節用インプラントを、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように配置する工程を含む(40)項に記載の仙腸関節用インプラント移植方法。
(42) さらに、少なくとも1つのガイド・ピンを前記通路内を前進させ、それにより、前記仙腸関節用インプラントを、前記仙腸関節の前記複数の関節面の間に位置決めする工程を含む(41)項に記載の仙腸関節用インプラント移植方法。
(43) さらに、中空ドリルを、前記少なくとも1つのガイド・ピンの周りをスライド状態で作動させ、それにより、前記仙腸関節の前記複数の関節面の間から所定量の組織を切除する工程を含む(42)項に記載の仙腸関節用インプラント移植方法。
(44) さらに、ブローチを、前記少なくとも1つのガイド・ピンの周りをスライド状態で作動させ、それにより、前記仙腸関節の前記複数の関節面の間から所定量の組織を切除する工程を含む(43)項に記載の仙腸関節用インプラント移植方法。
(45) さらに、前記ブローチの外面の形状を、インプラント収容空間の所定形状を形成するように設定する工程を含む(44)項に記載の仙腸関節用インプラント移植方法。
(46) さらに、カニューレを前記通路内に挿入し、それにより、そのカニューレの一端部を前記仙腸関節の後部に隣接する位置に位置決めする工程を含み、前記少なくとも1つのガイド・ピンは、前記カニューレ内を通過している(45)項に記載の仙腸関節用インプラント移植方法。
(47) さらに、前記カニューレを、前記仙腸関節に対する相対位置関係が変化しないように配置する工程を含む(46)項に記載の仙腸関節用インプラント移植方法。
(48) さらに、前記カニューレの内面の形状を、複数のジグの外面にスライド可能に係合するように設定する工程を含む(47)項に記載の仙腸関節用インプラント移植方法。
(49) さらに、
少なくとも1つのジグ・ガイドを有するドリル・ジグを前記カニューレ内に挿入する工程と、
前記ドリルを、前記ジグ・ガイド内において作動させ、それにより、前記仙腸関節の前記複数の関節面の間から所定量の組織を切除する工程と
を含む(48)項に記載の仙腸関節用インプラント移植方法。
(50) さらに、前記ドリル・ガイドの形状を、(1),(2),(11)または(12)項に記載の仙腸関節用インプラントを収容するようにインプラント収容空間を形成するように設定する工程を含む(49)項に記載の仙腸関節用インプラント移植方法。
(51) さらに、
ブローチ・ガイドを有するブローチ・ジグを前記カニューレ内に挿入する工程と、
前記ブローチを、前記ブローチ・ガイド内において作動させ、それにより、前記仙腸関節の前記複数の関節面の間から所定量の組織を切除する工程と
を含む(49)項に記載の仙腸関節用インプラント移植方法。
(52) さらに、前記ブローチ・ガイドの形状を、(1),(2),(11)または(12)項に記載の仙腸関節用インプラントを収容するようにインプラント収容空間を形成するように設定する工程を含む(22)項に記載の仙腸関節用インプラント移植方法。
(53) 当該仙腸関節用インプラントについてのいずれかの実施形態および/または添付図面を参照して本明細書に記載されているものと実質的に同じ(1)項に記載の仙腸関節用インプラント。
(54) 当該仙腸関節用インプラント移植方法についてのいずれかの実施形態および/または添付図面を参照して本明細書に記載されているものと実質的に同じ(22)項に記載の仙腸関節用インプラント移植方法。
Claims (20)
- 仙腸関節内に移植される仙腸関節用インプラントであって、前記仙腸関節は、仙骨と腸骨とによって形成される前記仙腸関節の複数の関節面を有するものであって、
長手状本体部であって、その長手状本体部の第1端部と第2端部との間に位置する長さを有するとともに、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成され、それにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置するものと、
第1半径方向部材であって、前記長手状本体部の長軸に沿って延びるとともに、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されるものと、
第2半径方向部材であって、前記長手状本体部の長軸に沿って延びるとともに、前記第1半径方向部材に対して実質的に対向する関係を有するように配置され、かつ、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されるものと、
第3半径方向部材であって、前記長手状本体部の長軸に沿って延びるとともに、前記腸骨の内部まで延びるように構成され、かつ、前記第1半径方向部材に対して実質的に直角となる関係を有するように配置されるものと、
第4半径方向部材であって、前記長手状本体部の長軸に沿って延びるとともに、前記仙骨の内部まで延びるように構成され、かつ、前記第3半径方向部材に対して実質的に対向する関係を有するように配置されるものと
を含む仙腸関節用インプラント。 - 当該仙腸関節用インプラントは、当該仙腸関節用インプラントが仙腸関節空間内に移植される場合に、当該仙腸関節用インプラントが前記仙腸と前記腸骨との自然な相対位置関係を実質的に変化させることを阻止する形状を有し、
前記長手状本体部は、当該仙腸関節用インプラントが前記仙腸関節空間内に移植される場合に、当該長手状本体部が変形することを阻止するのに十分な寸法を有する形状を有する請求項1に記載の仙腸関節用インプラント。 - 当該仙腸関節用インプラントは、当該仙腸関節用インプラントが仙腸関節空間内に移植される場合に、当該仙腸関節用インプラントが前記仙腸および前記腸骨を互いに離間させることを実質的に阻止する形状を有し、
前記長手状本体部は、当該仙腸関節用インプラントが前記仙腸関節空間内に移植される場合に、当該長手状本体部が変形することを阻止するのに十分な寸法を有する形状を有する請求項1に記載の仙腸関節用インプラント。 - 当該仙腸関節用インプラントは、当該仙腸関節用インプラントが仙腸関節空間内に移植される場合に、前記仙腸と前記腸骨との相対位置関係を正常な相対位置関係に復元し、それにより、前記仙腸関節の変形性疾患を是正する形状を有する請求項1に記載の仙腸関節用インプラント。
- 前記長手状本体部は、円形、長円形、三角形、正方形および長方形から成るグループから選択される断面形状を有する請求項1に記載の仙腸関節用インプラント。
- 前記長手状本体部は、概して円筒状を成す外面を有する請求項1に記載の仙腸関節用インプラント。
- 前記第1半径方向部材および前記第2半径方向部材の各々は、互いに対向する両側面を有し、それら両側面は、実質的に互いに平行に、厚さ分だけ互いに離れており、それにより、前記仙骨および前記腸骨を、前記複数の関節面によって仕切られる領域内においてのみ、互いに係合させるように構成されており、それにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置する請求項1に記載の仙腸関節用インプラント。
- さらに、軸方向ボアを含み、その軸方向ボアは、前記長手状本体部の前記第1端部と前記第2端部とを互いに連通させる請求項1に記載の仙腸関節用インプラント。
- さらに、少なくとも1つの開口要素を含み、その少なくとも1つの開口要素は、前記第1半径方向部材、前記第2半径方向部材、前記第3半径方向部材、前記第4半径方向部材および前記長手状本体部のうちの少なくとも1つに配置される請求項7に記載の仙腸関節用インプラント。
- さらに、被膜を含み、その被膜は、当該仙腸関節用インプラントの外面のうちの少なくとも一部に結合されるとともに、前記仙骨または前記腸骨に対して、生体適合性を有する骨結合(osseointegration、オッセオインテグレーション)を行うことが可能である請求項1に記載の仙腸関節用インプラント。
- さらに、少なくとも1つの生理活性剤を含み、その生理活性剤は、生体適合性と、生分解性または骨結合性(osseointegratable、オッセオインテグレーション性)とを有するある量の材料と混合され、その混合物は、前記少なくとも1つの開口要素のうちの少なくとも1つ内に位置するとともに、骨成長を促進する請求項9に記載の仙腸関節用インプラント。
- さらに、
長手状部材と、
少なくとも1つの通路と
を含み、
その少なくとも1つの通路は、前記長手状本体部の内部において、前記長手状部材が当該少なくとも1つの通路内を、前記複数の関節面を横切るように通過することを可能にする寸法を有する請求項1に記載の仙腸関節用インプラント。 - 仙腸関節を内固定する(fixating)ためのシステムであって、
位置合わせツールと、
請求項12に記載の仙腸関節用インプラントと
を含み、
前記位置合わせツールは、
部分と、
位置合わせガイドと、
挿入ツールと
を有し、
前記位置合わせツールの前記部分は、前記仙腸関節用インプラントの前記第1端部に嵌まり合うように構成されたツール端部を有し、
前記位置合わせガイドは、前記位置合わせツールの前記部分に連結され、
前記挿入ツールは、前記位置合わせガイドと係合し、
前記仙腸関節用インプラントの前記第1端部は、前記位置合わせツールの前記部分の前記ツール端部に嵌まり合うように構成されており、
前記挿入ツールの、前記位置合わせガイドとの係合は、前記長手状部材が、前記挿入ツールによって前進させられると、前記長手状部材が、前記少なくとも1つの通路内に受け入れられるように行われ、さらに、前記長手状部材が、前記複数の関節面に対してそれを横切る姿勢で通過する一方、前記位置合わせツールの前記部分の前記ツール端部が、前記仙腸関節用インプラントの前記第1端部に嵌まり合うとともに、前記仙腸関節用インプラントが、前記仙腸関節内に位置決めされるように行われるシステム。 - 仙腸関節を内固定する(fixating)ためのシステムであって、
長手状部材と、
位置合わせツールと、
請求項1に記載の仙腸関節用インプラントと
を含み、
前記位置合わせツールは、
部分と、
位置合わせガイドと、
挿入ツールと
を有し、
前記位置合わせツールの前記部分は、前記仙腸関節用インプラントに嵌まり合うように構成されたツール端部を有し、
前記位置合わせガイドは、前記位置合わせツールの前記部分に連結され、
前記挿入ツールは、前記位置合わせガイドと係合し、
前記仙腸関節用インプラントは、前記位置合わせツールの前記部分の前記ツール端部に嵌まり合うように構成されており、
前記挿入ツールの、前記位置合わせガイドとの係合は、前記長手状部材が、前記挿入ツールによって前進させられると、前記長手状部材が、前記仙腸関節および前記仙腸関節用インプラントの前記長手状本体部に対してそれらを横切る姿勢で通過する一方、前記位置合わせツールの前記部分の前記ツール端部が、前記仙腸関節用インプラントに嵌まり合うとともに、前記仙腸関節用インプラントが、前記仙腸関節内に位置決めされるように行われるシステム。 - 仙骨と腸骨とによって形成される仙腸関節を内固定する(fixating)ためのシステムであって、
前記仙腸関節内に移植される仙腸関節用インプラントであって、長手状本体部を有し、その長手状部材は、第1端部と、第2端部と、それら第1端部および第2端部の間に位置する長さとを有し、その長手状本体部は、前記仙腸関節内に、その仙腸関節を横切らないように位置するように構成されるものと、
前記仙腸関節用インプラントに連結されるように構成された連結要素と、
その連結要素に固定可能である架橋部材と、
その架橋部材と係合可能である第2の連結要素と
を含むシステム。 - 前記架橋部材のうちの少なくとも一部は、平板として構成されており、
その一部は、少なくとも1つの開口部を用いて構成されており、
その少なくとも1つの開口部は、前記第2の連結要素のうちの少なくとも一部が通過するための通路を提供する請求項15に記載のシステム。 - 前記第2の連結要素は、締結部を含み、
その締結部は、前記少なくとも1つの開口部を通過するように構成されており、
前記締結部は、さらに、前記仙骨および前記腸骨のうちの一方または両方の内部に配置されるように構成されている請求項16に記載のシステム。 - 当該システムは、一対の仙腸関節用インプラントを互いに連結することが可能である請求項15に記載のシステム。
- 仙骨と腸骨とによって形成される仙腸関節を内固定する(fixating)ためのシステムであって、
前記仙腸関節内に移植される仙腸関節用インプラントであって、長手状本体部を有し、その長手状部材は、第1端部と、第2端部と、それら第1端部および第2端部の間に位置する長さとを有し、その長手状本体部は、前記仙腸関節内に、その仙腸関節を横切らないように位置するように構成されたものと、
長手状部材と、
位置合わせツールと
を含み、
その位置合わせツールは、
部分と、
位置合わせガイドと、
挿入ツールと
を有し、
前記位置合わせツールの前記部分は、前記仙腸関節用インプラントに嵌まり合うように構成されたツール端部を有し、
前記位置合わせガイドは、前記位置合わせツールの前記部分に連結され、
前記挿入ツールは、前記位置合わせガイドと係合し、
前記仙腸関節用インプラントは、前記位置合わせツールの前記部分の前記ツール端部に嵌まり合うように構成されており、
前記挿入ツールの、前記位置合わせガイドとの係合は、前記長手状部材が、前記挿入ツールによって前進させられると、前記長手状部材が、前記仙腸関節および前記仙腸関節用インプラントの前記長手状本体部に対してそれらを横切る姿勢で通過する一方、前記位置合わせツールの前記部分の前記ツール端部が、前記仙腸関節用インプラントに嵌まり合うとともに、前記仙腸関節用インプラントが、前記仙腸関節内に位置決めされるように行われるシステム。 - 仙腸関節内に移植される仙腸関節用インプラントであって、前記仙腸関節は、仙骨と腸骨とによって形成される前記仙腸関節の複数の関節面を有するものであって、
長手状本体部であって、その長手状本体部の第1端部と第2端部との間に位置する長さを有するとともに、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成され、それにより、前記仙骨および前記腸骨を、両者間の相対運動が実質的に阻止された関係を有するように配置するものと、
第1半径方向部材であって、前記長手状本体部の長軸に沿って延びるとともに、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されるものと、
第2半径方向部材であって、前記長手状本体部の長軸に沿って延びるとともに、前記第1半径方向部材とは概して反対側に配置され、かつ、前記仙腸関節の前記複数の関節面の間に、それら関節面を横切らないように位置するように構成されるものと、
前記長手状本体部の前記第1端部上に支持されるとともに、前記第1半径方向部材および前記第2半径方向部材に沿って延びる端部キャップと
を含む仙腸関節用インプラント。
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