RU2011126293A - Способ и устройство для артропластики вертлужной впадины - Google Patents

Способ и устройство для артропластики вертлужной впадины Download PDF

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Publication number
RU2011126293A
RU2011126293A RU2011126293/14A RU2011126293A RU2011126293A RU 2011126293 A RU2011126293 A RU 2011126293A RU 2011126293/14 A RU2011126293/14 A RU 2011126293/14A RU 2011126293 A RU2011126293 A RU 2011126293A RU 2011126293 A RU2011126293 A RU 2011126293A
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Russia
Prior art keywords
bone
canal
ilium
cavity
acetabulum
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RU2011126293/14A
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English (en)
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RU2596717C2 (ru
Inventor
Майкл Д. РИС
Дэвид С. КЕЛМАН
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Смит Энд Нефью, Инк.
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Publication of RU2011126293A publication Critical patent/RU2011126293A/ru
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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
    • A61F2/30767—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
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2002/3092—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth having an open-celled or open-pored structure
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • 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
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation

Abstract

1. Способ выполнения артропластики вертлужной впадины в вертлужной впадине подвздошной кости, включающий этапы, на которых:a) определяют местоположение костномозгового канала подвздошной кости, проходящего от поверхности вертлужной впадины, по существу, в направлении гребня подвздошной кости;b) вбивают неповоротный инструмент для удаления костной ткани, центрированный относительно костномозгового канала подвздошной кости, так, что указанный неповоротный инструмент удаляет костную ткань внутри канала подвздошной кости с образованием костной полости;c) закрепляют в полости костномозгового канала крепежный имплантат;d) на крепежный имплантат устанавливают вертлужный имплантат, размещаемый в вертлужной впадине.2. Способ по п.1, в котором на этапе определения местоположения костномозгового канала подвздошной кости выполняют канюлирование указанного канала.3. Способ по п.1 или 2, в котором на этапе определения местоположения костномозгового канала на подвздошной кости размещают кондуктор для поиска канала.4. Способ по п.3, в котором кондуктор для поиска канала содержит первый участок, второй участок и центрирующую направляющую, причем на этапе позиционирования кондуктора для поиска канала размещают первый участок кондуктора для поиска канала напротив участка вертлужной впадины и размещают второй участок кондуктора для поиска канала напротив участка гребня подвздошной кости, так что при этом центрирующая направляющая центрирована относительно оси костномозгового канала подвздошной кости.5. Способ по п.1 или 2, в котором на этапе вбивания формируют костную полость смежную с кортикальным слоем кости.6. Спосо

Claims (15)

1. Способ выполнения артропластики вертлужной впадины в вертлужной впадине подвздошной кости, включающий этапы, на которых:
a) определяют местоположение костномозгового канала подвздошной кости, проходящего от поверхности вертлужной впадины, по существу, в направлении гребня подвздошной кости;
b) вбивают неповоротный инструмент для удаления костной ткани, центрированный относительно костномозгового канала подвздошной кости, так, что указанный неповоротный инструмент удаляет костную ткань внутри канала подвздошной кости с образованием костной полости;
c) закрепляют в полости костномозгового канала крепежный имплантат;
d) на крепежный имплантат устанавливают вертлужный имплантат, размещаемый в вертлужной впадине.
2. Способ по п.1, в котором на этапе определения местоположения костномозгового канала подвздошной кости выполняют канюлирование указанного канала.
3. Способ по п.1 или 2, в котором на этапе определения местоположения костномозгового канала на подвздошной кости размещают кондуктор для поиска канала.
4. Способ по п.3, в котором кондуктор для поиска канала содержит первый участок, второй участок и центрирующую направляющую, причем на этапе позиционирования кондуктора для поиска канала размещают первый участок кондуктора для поиска канала напротив участка вертлужной впадины и размещают второй участок кондуктора для поиска канала напротив участка гребня подвздошной кости, так что при этом центрирующая направляющая центрирована относительно оси костномозгового канала подвздошной кости.
5. Способ по п.1 или 2, в котором на этапе вбивания формируют костную полость смежную с кортикальным слоем кости.
6. Способ по п.1, в котором на этапе вбивания вбивают нескольких неповоротных инструментов для удаления костной ткани.
7. Способ по п.1, в котором на этапе вбивания вбивают нескольких неповоротных инструментов для удаления костной ткани, имеющих разный размер.
8. Способ по п.1 или 6, в котором на этапе закрепления крепежного имплантата указанный крепежный имплантат цементируют в полости костномозгового канала.
9. Способ по п.1, в котором вертлужный имплантат представляет собой ацетабулярную чашку.
10. Способ по п.1, в котором вертлужный компонент представляет собой ацетабулярное кольцо.
11. Неповоротный инструмент для удаления костной ткани из костномозгового канала подвздошной кости, содержащий:
a) поверхность для удаления костной ткани, выполненную с возможностью удаления костной ткани из костномозгового канала подвздошной кости и формирования костной полости, и
b) позиционирующий элемент, выполненный с возможностью позиционирования поверхности для удаления костной ткани внутри костномозгового канала подвздошной кости; при этом взаимное расположение поверхности для удаления костной ткани и позиционирующего элемента таково, что при формировании костной полости в костномозговом канале подвздошной кости указанная поверхность для удаления костной ткани прилегает к кортикальному слою кости.
12. Неповоротный инструмент по п.11, в котором позиционирующий элемент представляет собой полость, выполненную с возможностью размещения в ней канюли.
13. Неповоротный инструмент по п.11 или 12, в котором поверхность для удаления костной ткани выполнена на основе изображения, полученного перед операцией.
14. Неповоротный инструмент для удаления костной ткани по п.11, в котором поверхность для удаления костной ткани выполнена из нескольких элементов, соединенных друг с другом с образованием сложной формы.
15. Неповоротный инструмент для удаления костной ткани по п.11, содержащий несколько модульных съемных поверхностей, причем каждая модульная съемная поверхность выполнена с возможностью независимого крепления к неповоротному инструменту для удаления костной ткани, при этом предусмотрена возможность формирования костной полости путем комбинации нескольких съемных модульных поверхностей в ходе ряда этапов вбивания.
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WO2010065677A2 (en) 2010-06-10
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AU2009322396A1 (en) 2010-06-10
WO2010065672A2 (en) 2010-06-10
US20110288650A1 (en) 2011-11-24
US8608744B2 (en) 2013-12-17
CN102300520A (zh) 2011-12-28
EP2385811A4 (en) 2015-09-23
BRPI0923222A2 (pt) 2017-06-06
RU2555131C2 (ru) 2015-07-10
BRPI0922217A2 (pt) 2017-04-11
US20110306978A1 (en) 2011-12-15
JP5603345B2 (ja) 2014-10-08
WO2010065677A3 (en) 2010-10-14
KR20110096127A (ko) 2011-08-29
RU2011126292A (ru) 2013-01-10
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US9248023B2 (en) 2016-02-02
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