JPS62500634A - How to fix joint prosthesis - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

[Detailed description of the invention] Joint prosthesis fixing method and fixing device The present invention relates to joint prosthesis fixing method and fixing device. It relates to devices for promoting joints and joints, especially for hip joint prostheses, but also for joint prostheses, This invention relates to joint prostheses for joints, feet, fingers, etc.

Implantation of joint prostheses is a common procedure in orthopedics today. surgical techniques However, apart from infections and thrombosis, there are many problems that can be solved. Loosening of both prosthesis components is a significant problem. the most typical one The 11-section reconstruction is a so-called hip joint prosthesis. This type of approximately 5.500 The surgery was performed in Sweden in 1981. And the most common reason is , arthrosis of the IIQ joint or resulting from fractures and other causes such as rheumatism This is an I0 injury to the joint caused by deformity.

The issues involved in the reconstruction of the crotch 1'1 have not been thoroughly studied over the past decade. It's been coming. And it was discussed. For example, Toko AI'? May 12, 1982 This was the agreement reached at the Stockholm meeting on the 14th. Medical research review after the conference A consensus statement drawn up by Congress calls for the use of metal thighs and plastic pelvises. use of cement to secure the prosthesis for use and in normal cases was recommended for arthroplasty of the IIQ joint.

From other information, ``cement'' is generally a polymer that can be polymerized in its state. It has become clear that it is recognized that there is.

Polymerization temperatures vary depending on the components used, but are often Mr. 471! I may be considerably exceeded. The temperature can cause damage to bone tissue. , is the temperature limit at which bone tissue can be exposed without resulting in a so-called thin film structure.

Numerous researchers (Rik Huiskis of the Institute of Orthopedics, Nijmegen University) , E., M. orscher, et al., 3ASEL University Orthopedic Institute, etc.) The material for the thigh prosthesis is stainless metal.

It should be selected from cobalt-chromium alloys and titanium. The opinion is that plastic should be chosen for prostheses. This combination is Advantages include relatively low FJrM and wear resistance. Material selection depends on the mechanical It depends not only on the properties but also on the requirements of the material's biocompatibility with human tissues. stainless The use of metals does not tend to increase, and today the main interest is titanium, titanium It is aimed at alloys and Kobal-chromium alloys. Among the conventionally tested metals , titanium has the best tissue compatibility and corrosion resistance, and is highly resistant to fatigue. It has excellent properties and also appears to be relatively flexible.

Researchers used polyethylene, delrin, and methyl methacrylate as materials for joint injection. I mainly recommend Related. High-density polyethylene can be used in combination with the above-mentioned materials. Widely used for joint therapy due to its excellent fg friction and anti-wear properties. There is. And debris caused by wear is less irritating to the tissue. recently used Delrin is now harder than polyethylene, and has no advantages over polyethylene. rare. Ceramic materials with high histocompatibility among other available materials Describe the fees. The material resists corrosion but is effective in terms of mechanical properties. It is thought that there is no such thing. and punctures caused by fragments separating from the surface of the ceramic material. It will cause severe and negative effects.

Cement for fixing prosthetic parts, especially the prosthetic part, within the femoral bone] The use of ~ filling the entire space between the prosthesis and the bone wall, and filling the bone as wide as possible Helps distribute loads over a range. Traditionally used cement materials (plus Deck glue) is sure to adhere to metal. However, confirmation of chemical adhesion with bone tissue It is inappropriate for standing. The primary function of the cement is therefore to provide security between the prosthesis and the bone. The goal is to form a defined filling.

Prosthetic materials for the joint and femoral head with stem have been thoroughly tested. I?, which occurs between the prosthetic cup and the prosthetic head or bulb? ! Regarding fEl Although a suitable elastic prosthesis material can be selected that gives satisfactory results, only one Significant issues remain. The gap between the thighs caused by hitting, load and human body movement the upper load and the stem is sufficiently firmly anchored to the bone tissue within the bone canal wall. Due to the lack of This is a minute movement that occurs between the rotthesis part and the stem. Upper and lower ends of the stem Such micro-movements, which occur most often between This causes pain and requires re-surgery.

The purpose of this invention is to provide good tissue compatibility and to add any undesired properties. A prosthesis made of the above-mentioned materials and having exemplary properties for bone tissue lacking It is an object of the present invention to provide a system and method that ensures the safety and permanent bonding of parts.

Furthermore, the object of this invention is to provide a fully compatible low r! Ita articular surfaces and each other A simplified version of the joint and joint head section with appropriate elastic protrusions. The purpose of this invention is to provide a practical manufacturing method.

According to the invention, these objects have the features set out in the appended claims. This is achieved by the apparatus and method.

The invention will be described in detail below with reference to the accompanying drawings. This diagram The surface is designed according to the invention, provided with fastening means and provided with a protection according to the invention. A joint prosthesis that is secured to the pelvis is disclosed. Ma In addition, the extension part has a stem that follows the joint part of the joint part, a joint head or a ball, and a large A portion of a femur with a prosthesis secured within the femoral canal is disclosed. Ru.

As shown in the drawing, the cupular joint of the acetabulum is applied to the cup-shaped main part 1 and the concave side of the cup, and layer 2 forming the articular surface of the joint. The main part 1 of the acetabular joint preferably includes: This is achieved by compression molding of metal powder and sintering of metal powder by known powder molding. According to the compression molding and sintering method, the concave side is provided with pores. but However, the main part 1 can be obtained from metal by suitable cutting techniques or typical molding techniques. You can also do it. Therefore, the concave side has a structure different from that corresponding to the hole described above and the following structure. When applied in this manner, reliable layer 2 support is provided. Suitable for main part 1 of acetabulum The suitable material is selected from among the metals mentioned in the introduction and is preferably a combination thereof. Titanium known for its tissue compatibility, tissue compatible titanium alloys or optionally chromium alloy or other histocompatible metallic material.

The cup-shaped main part 1 preferably has a convex upper surface to be engaged with the pelvis B; is porous or rough <1 surface so as to enhance the growth potential of bone tissue.

The main part 1 of the acetabulum is fixed in a known manner with the fixation of a plastic cup O thesis. can be secured to the pelvis, for example by means of a bottle or screw. However, the cup-shaped main part 1 is Preferably, according to the present invention, a method using a plurality of bottles 3 protruding from the convex side of the main part 1 It is fixed in place. Bin 3 also shows that the ecological bone KIn grows even if it is fixed to the material. Made of tissue compatible material. These bottles have jaws and sharp edges, so They are placed inside the pelvis so that the bones are later strengthened by bone growth on the bottle. Driven into tissue and mechanically engages bone tissue.

Before the main part 1 of the acetabulum is joined to the pelvic bone, layer 2 is preferably coated according to the invention. , a cup-shaped main part 1 is placed on the injection-molded shell, and a layer 2 is associated with the cooperating articular ball. In order to obtain the appropriate diameter of the articular surface of the joint, injection molding is performed on a model of the joint ball. Ru. Suitable materials for layer 2 are preferably the plastics mentioned at the outset or the general other suitable tissues with appropriate elasticity and thickness to distribute the loads applied to the hip joint. selected from synthetic plastics. Suitable plastics include, for example, polyester. It is a tyrene, delrin and methyl methacrylate based plastic. Plasti Suitable enamel or ceramic materials can be selected instead of the lacquer.

The femoral prosthesis part 5 is preferably similar to the main part 1 of the acetabular prosthesis. prepared from methods and materials of the same type. Molding powder material with particles of appropriate size, The medullary canal of the bone is secured by the prosthesis part 5 prepared by compression and sintering. bonded to the type of cement typically used to secure the prosthetic stem within However, a suitable porous or rough surface can be obtained by 4%. However, the thigh The prosthesis portion may be manufactured in a typical manner. In this case, the stem The surface provides adequate support for the cement material selected for application to the medullary canal of the bone. Sufficient porosity or roughness is required.

When the prosthesis part 5 is prepared, it is inserted into the injection molded shell and the joint ball 6 to provide an isomorphic and smooth articular surface similar to the l5I1 segment surface of acetabular prosthesis 1.2. A layer 7 of absorbing material is applied. Injection molded material on the joint ball connects the joint socket and joint A between the ball! In order to obtain the optimal combination considering both friction and bone properties, joints or Selected considering the injection molding material on the socket.

For example, plastic and plastic, enamel and plastic or ceramic and plastic. Injection molding of layer 7 on the model of the joint socket and vice versa The molding provides a very precise attachment between the socket and the ball. joint ball and joint This molding technique for both node sockets eliminates the extremely uneconomical Finishing and cleaning operations can be reduced or eliminated altogether.

However, due to the combination of this type of metal joint surface and plastic, vacuum The metal surface can be deposited by internal metal vapor deposition or by possible electrolytic or electrochemical welding. Applicable to the joint ball. However, these methods generally do not affect the joint ball surface. To apply layer 7, the use of more precise manufacturing methods is required. because, It requires less plating or gold than injection molding of injection moldable materials. This is because it is more difficult to achieve the exact shape and size adjustments required.

A substantial advantage of the manufacturing method according to the invention is that the articular surfaces can be coated with layers of material. 1 = The accuracy required for the prosthesis part can be reduced. That's true.

As is clear from the above, the acetabular cup prosthesis can be used to connect the pelvic bones without using cement. is fixed to. Due to the fixation of the stem 8 of the prosthesis part 5 within the medullary canal of the thigh, The stem is placed in cement l-9 that fills the entire space between the stem 8 and the bone wall 18. A reliable technique of attachment is used. As is clear from the preface of the specification μi, this person The law has not provided fully satisfactory results.

This is because the cement can loosen from the bone tissue. Therefore, The application of the cement is such that the cement material r1 is fixed to the bone tissue by a member made of a metal material. This is supplemented by the present invention. The metal material component is histocompatible and bone The organization can grow in its own capacity. In addition, the member shall meet the “Ill II Compatibility Selection” ment (cement-compatible)''.As such, the negative type used A suitable cement material can be attached to the part.

According to the invention, the metal anchoring member used preferably connects the glenoid to the bones of the pelvis. A type 1q pin 11 similar to the bottle 3 used for fastening. Bin with chin 11 For example, by driving them into the bone tissue from the inside of the medullary conductor with a driving tool. or by pressing them into the bone tissue with any suitable tool. Can be applied to bone tissue. Those bottles are placed on the prochaloid stem of the thigh. The bone is inserted into the medullary canal of the bone and secured in place before being secured. Them The bottle must penetrate only the bone tissue and, of course, must not protrude from the outside of the bone wall. on the other hand , those bottles provide a suitable mounting surface for the element material inside the medullary canal. It has a sufficiently large joint surface, joint head, or protrusion.

Alternately, metal screws can be used, although jawed bottles are preferred. that screw extends into the medullary canal of the bone, is enclosed within it, and is attached to the cement member. It can be screwed on from the outside at will.

As an alternative to a more or less complex bottle, a metal plate or strip can be used. They include The cement material r1 used for attaching the stem and protease stem is It is.

For good adhesion with cement materials, and for the protection of bone tissue against bottles, screws, etc. For stable growth, use a bottle, screw or equivalent with a porous surface. The use of is advantageous.

In addition to adhering cement material FA9 to metal parts, it can also be applied to Therefore, it is advantageous to be more firmly connected to the buried part of the member. sufficient number relatively small bottles, screws, etc., especially in the lower end and neck area of the prosthesis stem. Good to be used. In this way, sufficient Therefore, there is a fixed point.

Place a collection of bottles, nails, etc. into the annular area above the medullary canal of the bone adjacent to the joint ball. is used at the lower end of the prosthesis stem to create a collection within these ffls. Medium-cast anchors are possible and are often mounted on the stem, especially at the lower end of the stem. At the club! lI! Eliminates the need for metal centering rings using molded methods.

The number of such fixation points is determined by considering the disadvantage of requiring reoperation despite reliable fixation. must be selected with consideration. Of course, in reoperation, the prosthesis must be removed. In order to be able to do so, we have to loosen that anchor point. and as firm as possible. It has been argued that the number of points should be reduced. Regarding revision surgery, to loosen the bottle , it becomes necessary to loosen the attachment by drilling or breaking it from the outside.

Of course, the fewer anchor points there are, the easier the anchor points will loosen. If the bottle is perforated loosely If the hole drilled is small, the growth of bone tissue after the reoperation will It will heal well.

As already mentioned above, often during the cementing operation the stem is removed as much as possible. the outer end (lower end) of the femoral prosthesis stem to hold it in place. ) a guide or centering means is used. In a specific example, the centering means is located at its lower end. a band-like ring placed on the stem adjacent to the stem and made of the same material as the stem; Ru. The ring generally has sloping outward and upward elastic tongues of the same material. MI is being carried out on the sparse corona in the southern part of the country. It is stagnant within the bone m1Il canal. is driven by the bone wall toward the medial prosthesis stem during insertion. elastic tongue The ring with the lower part or the lower part is used to generate vibrations and oscillating movements of the stem within the medullary canal. The size is insufficient to prevent loading on the femoral prosthesis from. the Such a rocking motion is extremely minute at first, and the vibration amplitude is at the lower end of the stem. Tends to increase with time and is relatively strenuous due to retaining a femoral prosthesis with devastating consequences.

In order to pursue a technique for stabilizing a prosthesis within the femoral medullary canal, the present invention was developed. Accordingly, the guide or centering means is provided at least at the lower end of the prosthesis stem. Fastened by hooks, bottles or the like. Hooks etc. Titanium or titanium that penetrates the bone wall and allows bone tissue to grow on the bottle etc. um-based histocompatible material.

A number of different methods can be used to achieve penetration of bone growth bottles or similar elements. There are methods that are fixed to guides or centering means of the type mentioned above or , simply UIAl on the prosthesis stem itself.

One method is to insert the bottle from outside the bone wall and secure the bottle to the stem. Ru. Another method is to insert the ring with an intraosseous or annular bottle prior to insertion of the prosthesis. It is to fix the . Stable whether or not cement is used. To obtain retention, the prosthesis stem is inserted into a ring or annular bottle; It adheres well within it. Other possible methods according to the invention are promising but still Not clinically confirmed. The method includes a bottle with an inflatable annular member 12. use. The member may be It is possible to inflate one finger.

The illustrated annular member 12 can be expanded by means of a bolt 13.

The bolt is provided with a threaded end 13' and is located on either side of an inflatable annular torus 15. It is engaged with two female threaded elastic washers. The torus is located at the end of stem 8 A large number of bottles protrude outward in a j-shape. Therefore, they By rotating the bolt 13, it can be driven into the wall 10 of the thigh. the The bolt is spaced apart from the articular ball 6 through a channel provided in the stem 8. and extends to the upper end of the stem located laterally. At its upper end, the bolt 13 , has a member 17 that can be engaged by a tool (not shown).

In order to move the expansion washers 14 that inflate the member 15 relative to each other, one The washer has a left-hand thread, and the washer used has a right-hand thread. And bolt The threaded part consists of one left-hand threaded part and one right-hand threaded part, that is, the washer 14 and The bolt 13 functions as a fastener as illustrated.

Instead of the inflation assembly shown in the drawings, other known inflation assemblies suitable for the intended purpose may be used. A tensioning device can be used. The bottle thus penetrates the large ff11 bone wall, and/or expand to engage and bond to the inside of the wall.

The torus member 15 is made of titanium or titanium-based material or tissue compatible material. Made of tissue compatible material such as plastic. Intramedullary prosthesis of the thigh without neglecting the need to eliminate or at least reduce the M-motion of the stem; Achieving a certain elasticity that allows the expandable member 12 (15) to conform to the shape of the medullary canal. This is possible by appropriate selection of materials and shapes.

In particular, since the inflatable annular member and prosthetic stem can be configured as such, , before the prosthesis is inserted into position, and after expansion of the annular member within the medullary canal. , the stem can be inserted into the annular member. In this case, the prosthesis stem has a bore. There is no need to do so, and the bolt 13 can be omitted. However, instead of that, A tool that can be inserted through the bore or into the end of the medullary canal is required to expand the material. It is essential.

The invention is schematically illustrated in the drawing. Among them, for example, cement lol! The thicknesses of layers 2 and 7 forming J9 and the articular surfaces are selected according to the purpose illustrated. Ru. It also applies to bottles serving as fastening members.

The thickness of the different layers and especially the geometry of the anchoring member can be varied. and fixed Numerous implementations of members are possible within the scope of this invention. In addition, there are many Combinations of materials can be used. For example, fixation of steel or other cheap materials manufacturing components and using more biocompatible materials, higher purity titanium or Titanium-based materials that are particularly histocompatible and otherwise biologically acceptable coating the surface with

The femoral prosthesis need not be made entirely of titanium. Therefore, one embodiment It preferably consists of a steel core coated with titanium material. different metals The anchoring member is preferably made of steel coated with titanium according to the above. Become. Furthermore, the joint prosthesis of the present invention can be applied to, for example, neck joints, shoulder joints, and other joints. Can be used in external PA clauses. Additionally, titanium metal screws covered with a surface layer of Steel with titanium layer Iron screws have similar histocompatibility as titanium screws, but are less expensive and be. Furthermore, suitable elasticity is easily obtained with the steel/titanium surface layer combination. can be done. In addition, such screws may also interfere with osseous fixation in case of compound fractures. can be used for osseous augmentation where a joint prosthesis has been applied.

This invention provides that the prosthesis stem 8 is made of gold before it is cemented into the medullary canal. The present invention is not limited to the above-mentioned method in which the genus fastening members are applied. In fact, the bone wall from the outside It is possible to drive or screw the fixing element into the cement material via the screw.

In order to eliminate the most severe stress, a through hole is provided through which the cement under pressure can be discharged. It is possible to use an anchoring member provided.

This application can be carried out after filling the cement but before the cement solidifies. .

Bone cement for fixing the prosthesis to the bone Il and the bottle or stem between the bone tissue. As a supplement or replacement for the above-mentioned bridge members in the form of cables, screws, etc. Simplification purposes in connection with hip prosthesis with a stem connected to the femoral wall The following means are presented to describe: Another option is to secure the prosthesis to bone tissue. It can also be applied to many other cases of implantation, including artificial roots or dental stems.

Within the open medullary canal of the bone, the inserted titanium molecules temporarily or partially attach to the bone tissue. permanently attached. The molecular layer depends on the field of use and the concentration point of the attachment. It is desired to be concentrated or relatively dispersed. These molecules or particles It can be applied by any reasonable means. For example, spraying through a nozzle is advantageous. The particle size mainly depends on the size of the prosthesis and the thickness of the bone cement layer. It can be selected from microns to several millimeters depending on the size. titanium particles is in the form of an extremely fine powder. This powder is applied to bone cement after application of the prosthesis. Can be applied with a fine nozzle prior to application of No. 1. However, in some cases It is possible to mix titanium powder or granules with bone cement.

In experiments on bone tissue of living animals, bone tissue was fixed with bone cement. It has been confirmed that it grows in granular soil. Therefore, the prosthesis has a tllDA shape. If a bottle or the like is used, the adhered cement may be removed between the bone tissue and the prosthesis. A hard bridge is formed between them.

The titanium granule or powder material is in the form of a more or less free-flowing paste or fine slurry. It can be applied in any situation. Alternatively, fine particle titanium powder can be mixed with a pigmented substance. used.

The method according to the invention is expected to give good results. Among them, titanium particles are It is introduced as a layer between the prosthesis and the bone 111m. Therefore, the prosthesis is The binder for attaching and fixing the particles can be applied using an injection needle or other When the binder is discharged in a suitable manner and in such a free-flowing state, it is Air bubbles between particles are filled by the rari action.

In the above cases, animal experiments have confirmed extremely advantageous results that can be applied to human applications. Or it was predictable.

, the combination of the fixing and solidification methods described in by tt! lli deposition, and the use of fibers is possible. titanium Possible fibers, other fibers, carbon fibers, etc.

international search report 11IIenr-&In’n1Aoelt+abaIIN++, PCT/SE8 41003321″1″″Shizunai″″”FCT/SF:84100332

Claims (1)

[Claims] 1. An anchoring member applied between the prosthesis and the bone tissue and in contact with the bone tissue is a material The bone tissue serves as a bridging member of the material, and the surface structure allows the bone tissue to A type of binder that can be grown in and attached to the prosthesis, the so-called bone cement. is applied between the bone tissue and the prosthesis, and the prosthesis is bonded to the binder and the part. Prosthesis related to ecological bone tissue characterized by being connected to bone tissue through a material Fixation method. 2. The component fixed in contact with the biological bone tissue has a suitable length and a special application. and other physical properties selected from said member. The body has substantially the same shape and dimensions as the final member and also has the above-described features for the surface. The exposed covering on the body combines with bone tissue and binds bone tissue with respect to said member. growth and forming a surface layer that is not mechanically separated with respect to said body. is coupled to the body for the purpose of providing bone tissue to the entire body or the used portion of the member; a histocompatible material tightly surrounding and covering the portion of the body that otherwise engages the body; A method according to claim 1, characterized in that the method comprises: 3. The coating is applied beforehand by metal vapor deposition or plating or metal welding equivalent to plating. a titanium-based metal or preferably pure titanium metal applied on said body of said member; The method according to claim 1 or 2, characterized in that it is coated with titanium. Law. 4. the member comprises a body manufactured by molding and sintering a suitable material; the body or the part thereof to which the surface layer is applied has pores or other non-uniform areas; and the member comprises a surface layer covering the non-uniform portion, and these Claims 1 to 3 are reflected on the opposite side of the surface layer. Method described. 5. A plurality of members as set forth in claim 1 may be incorporated into a prosthesis portion that is fixed to bone tissue. applied to the required site with respect to said bone tissue in conjunction with or prior to the applied application. and penetrates the bone tissue according to any one of the above claims. The method described in section. 6. such that the member is anchored to bone cement between the prosthesis and bone tissue; A fastening member with a sharp point and a jaw, or a screw with a protrusion or head at the opposite end of the sharp point or a pin. 7. A sharpened anchoring member is a chip applied by metal vapor deposition on the porous surface of the body. Body of metallic material with tanium base, preferably pure titanium coating Claim 6, characterized in that it is a screw or pin (3, 11, 16) consisting of The method described in section. 8. An optional anchoring member (16) of the anchoring members (11, 16) is an inflatable support. and the sharpened portion is arranged on the material (12), and the sharpened portion is formed by expansion of the inflatable member (12). is implanted into the bone tissue, and the member (12) is inserted into the prosthesis portion prior to expansion. (8) or alternatively, said prosthetic part (8) Claims 6 and 7, characterized in that the inflatable member (12) is fixed to the inflatable member (12) after inflation. and the method described in any of paragraph 7. 9. The fixation member includes titanium powder applied to bone tissue and/or bone cement. In both cases, the titanium particles provide a framework for the particles. The particles are bound to the bone cement, thus allowing bone tissue and protein growth. 2. A method according to claim 1, characterized in that the enzymes are combined with each other. 10. The titanium powder or particles are applied by spraying or painting. The method according to claim 9, characterized in that: 11. The titanium powder or particles are dispersed in a liquid such as a liquid binder. Method according to claim 9, characterized in that it is applied. 12. The titanium powder is dispersed in a paste that is substantially compatible with bone cement. 10. The method according to claim 9, characterized in that it is applied in the form of: 13. The titanium powder or particles are added to the bone cement as an additive scattered within the bone cement. 10. A method according to claim 9, characterized in that it is applied in contact with tissue. 14. Titanium particles and/or other combinations such as titanium fibers or carbon fibers Textile-compatible fibers contact the bone tissue as a layer placed between the bone tissue and the prosthesis. and the pores and other spaces between the titanium particles and/or fibers are , which is filled with a liquid binder that causes it to attach in contact with the prosthesis. 9. The method according to claim 9, wherein the method is characterized by: 15. a part consisting of a body (1, 8) with a spherical articular surface and a bone tissue or the part to be anchored in relation to the tissue and the prosthesis in relation to the bone tissue; A joint prosthesis fixing device (1, 2, or 5), the surface portion of the prosthesis facing and fixed to the bone tissue is attached to the main body. With a porous or rough surface of titanium completely covered and inseparably bonded to the body , the anchoring member has a sharpened portion that engages a side of the bone tissue facing the prosthesis surface. , an edge or corner, the bony tissue is disposed on the member and on the protease. direct anchoring of the prosthesis to the bone tissue and/or anchoring of the prosthesis to the bone tissue; An indirect anchor by being embedded and attached within the cement layer (9) between the bone tissue An anchoring device for a joint prosthesis, characterized in that growth is allowed in the area for attachment. Place. 16. a skeleton with at least a plurality of anchoring members (3, 11, 16) facing the prosthesis; It is characterized by having one or more sharp parts or sharp protrusions that penetrate into the bone tissue from the side of the tissue. 16. The apparatus according to claim 15, characterized in that: 17. At least a plurality of anchoring members (3, 11, 16) are attached to the bone facing the prosthesis. One or more sharp parts or protrusions that penetrate into the bone tissue from the side of the tissue, and within the bone tissue Claim 1, characterized in that it has one or more jaws that hold a portion or a pointed portion of The device according to item 5. 18. The at least plurality of anchoring members (3, 11) are arranged to connect the prosthesis to the bone tissue. having a base or end with means for being embedded in a cement layer (9) between 18. A device according to claim 16 or 17. 19. The prosthesis body (1, 8) is manufactured from sintered metal, and the prosthesis body (1, 8) Manufactured from sintering of surface titanium powder or titanium-based sinterable metal powder and the surface has, at least locally, a granular, preferably coarse-grained structure. 16. The device according to claim 15, characterized in that: 20. The prosthesis body and the surface are manufactured using the same sintering process. 20. Apparatus according to claim 19, characterized in that: 21. The surface is made of powder with smaller particles than the powder from which the prosthesis body is manufactured. 21. The device according to claim 20, wherein the device is transparent at the end. 22. The prosthesis body and the surface are made of dissimilar metal powders. The device according to any one of claims 15 to 21, characterized in that: 23. The prosthesis body is made of sintered steel powder and stamped titanium metal powder. 16. Device according to claim 15, characterized in that it is manufactured from a pressure-applied surface. . 24. A stem portion of a joint prosthesis, wherein the anchoring member is anchored within a medullary canal of a bone. a corona of the fixing member (16) extending at least around the annular portion of (8); 24. The device according to any one of claims 15 to 23, characterized in that: 25. The corona of the anchoring member protrudes from the inflatable member and is made of titanium or titanium. a surface of a rubber-based material, and has a sharpened part facing outward from the member, and the sharpened part is having a length such that expansion of the annular member (12) press-fits it into the wall of the bone (10); an annular inflatable member (12) having a plurality of pin-like fixing members (16); 25. A device according to claim 24, characterized in that: 26. Said inflatable member (12) means (13', 14, 1) for anchoring the component by expansion in place within the bone (10); 4), the application of which allows the prosthesis stem (8 ) into the inflatable member (12). The device according to item 5. 27. The inflatable member (12) is expanded by the inflatable device (13, 13', 14, 14). It is applied to the prosthesis stem (8) and the prosthesis stem is attached to said bone (1). After insertion into the medullary canal of 0), external means or prosthetic stem inflatable by means of a conduit and/or from an outer end of said bone through said bone; 26. The device according to claim 25, characterized in that: 28. a prosthesis stem holds a glenoid cup (2) fixed to the base on one side; The opposite side is provided with the surface of a tissue-compatible metallic material, and a plurality of the anchoring portions. Claim 15, characterized in that it has the form of a base (1) on which a material (3) is placed. 24. The device according to any one of paragraphs 23 to 23. 29. The side of the base (1) facing the glenoid cup (2) is coarse-grained and/or polygonal. It has a porous structure, preferably consists of a tissue-compatible plastic, and is a material for the calyx. A supporting surface to which the cup (2) is fixed is prepared by impregnating and adhering a material to the structure of that surface. 29. A device according to claim 28, characterized in that it is formed. 30. The glenoid cup (2) is articulated against the surface of the glenoid ball prosthesis that cooperates with the glenoid cup. projections on the base (1) or on the model of the joint ball to adjust the surface of the cup. Obtained by extrusion or compression molding, limiting or eliminating any post-treatment of the cup surface 30. A device according to claim 28 or 29, characterized in that it comprises: 31. An anchoring member made of titanium powder or titanium particles is placed within the bone tissue. Edges, corners or other structure, the bone tissue is allowed to grow rapidly on the particles, and the bone tissue The side of the particle facing away from the 20. The device according to claim 19, wherein the device is exposed so as to be coupled to the device. Place. 32. Titanium particles are characterized by having sizes ranging from microns to several millimeters. 32. The apparatus according to claim 31, characterized in that: 33. Titanium powder is preferably a particulate adhesive and is an excellent powder. 32. The device according to claim 31, characterized in that it is applied to 34. Titanium powder or titanium particles are used to secure the prosthesis to the bone tissue. According to claim 31, the method constitutes a filler for bone cement. Device. 35. titanium fibers or carbon to strengthen the anchorage member or prosthesis material. A claim characterized in that fibers of other tissue compatible materials such as fibers are used. The device according to any one of items 15 to 23. 36. Titanium fibers and Claims 15 to 25, characterized in that/or carbon fiber is used. The device described in any of the above. 37. A ball with a stem to be inserted and anchored into the medullary canal of the bone. In the method for manufacturing a joint ball prosthesis comprising: preferably the ball and the stem; In particular, powders of tissue-compatible metallic materials such as titanium or titanium-based metallic materials may be used. Manufactured by molding and sintering, the stem (8) has coarse-grained, porous and /or a rough surface structure and a superior granular powder of said material due to molding and sintering. A surface layer of the joint ball formed over the entire spherical surface is provided to adjust the joint ball surface. Detailed description of the invention for manufacturing a joint ball prosthesis characterized by minimal post-processing explanation