TR201906795A2 - Ters omuz protezi̇nde yeni̇li̇k - Google Patents

Ters omuz protezi̇nde yeni̇li̇k Download PDF

Info

Publication number
TR201906795A2
TR201906795A2 TR2019/06795A TR201906795A TR201906795A2 TR 201906795 A2 TR201906795 A2 TR 201906795A2 TR 2019/06795 A TR2019/06795 A TR 2019/06795A TR 201906795 A TR201906795 A TR 201906795A TR 201906795 A2 TR201906795 A2 TR 201906795A2
Authority
TR
Turkey
Prior art keywords
shoulder
prosthesis
proximal
orthopedic
humeral component
Prior art date
Application number
TR2019/06795A
Other languages
English (en)
Inventor
Keçeci̇ Burçi̇n
Küçük Levent
Dursunoğlu Hayri̇
Original Assignee
Hipokrat Tibbi Malzemeler Imalat Ve Pazarlama Anonim Sirketi
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Hipokrat Tibbi Malzemeler Imalat Ve Pazarlama Anonim Sirketi filed Critical Hipokrat Tibbi Malzemeler Imalat Ve Pazarlama Anonim Sirketi
Priority to TR2019/06795A priority Critical patent/TR201906795A2/tr
Priority to PCT/TR2020/050396 priority patent/WO2020226598A1/en
Publication of TR201906795A2 publication Critical patent/TR201906795A2/tr

Links

Classifications

    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4059—Humeral shafts
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4081—Glenoid components, e.g. cups
    • 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
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30332—Conically- or frustoconically-shaped protrusion and recess
    • 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
    • A61F2002/30461—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched
    • 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
    • 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
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • 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
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • 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
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/3082—Grooves
    • A61F2002/30827—Plurality of grooves
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2002/4011—Joints for shoulders including proximal or total replacement of the humerus
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • A61F2002/4018—Heads or epiphyseal parts of humerus
    • A61F2002/4022—Heads or epiphyseal parts of humerus having a concave shape, e.g. hemispherical cups
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • A61F2002/4037—Connections of heads to necks
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • A61F2002/4044—Connections of necks to shafts
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4059—Humeral shafts
    • A61F2002/4062—Proximal or metaphyseal parts of shafts
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4081—Glenoid components, e.g. cups
    • A61F2002/4085—Glenoid components, e.g. cups having a convex shape, e.g. hemispherical heads

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Buluş konusu, ortopedik ters omuz ameliyatlarında kullanılan, omzu içe çeviren kas (subscapularis) ile protez arasında bağlantı yaparak omzun içe dönmesini sağlayıp, hastanın günlük hayatında omzunu daha verimli bir şekilde hareket ettirmesini mümkün kılan protez ile ilgilidir. Buluş, humerus proksimalinde herhangi bir nedenle oluşan defektlerin rekonstrüksiyonu için kullanılabilen ortopedik bir üründür.Buluş özellikle, tıbbi medikal sahada omuz döndürücü kaslarının (rotator manşet) yetersizliği, kireçlenme (artrit) ve kompleks omuz kırıkları gibi ileri derecede omuz yapısı bozukluklarında kullanılmak üzere tasarlanan ortopedik bir protez ile ilgilidir.

Description

TARIFNAME TERS omuz PROTEZINDE YENILIK Teknik Alan Bulus konusu, ortopedik ters omuz ameliyatlarinda kullanilan, omzu içe çeviren kas (subscapularis) ile protez arasinda baglanti yaparak omzun içe dönmesini saglayip, hastanin günlük hayatinda omzunu daha verimli bir sekilde hareket ettirmesini mümkün kilan protez ile ilgilidir. Bulus, humerus proksimalinde herhangi bir nedenle olusan defektlerin rekonstrüksiyonu için kullanilabilen ortopedik bir üründür.
Bulus özellikle, tibbi medikal sahada omuz döndürücü kaslarinin (rotator manset) yetersizligi, kireçlenme (artrit) ve kompleks omuz kiriklari gibi ileri derecede omuz yapisi bozukluklarinda kullanilmak üzere tasarlanan ortopedik bir protez ile ilgilidir. Önceki Teknik Ters (reverse) omuz protezleri tamir edilemeyecek derecede rotator manset (omuz döndürücü kaslari) yirtigi ve artrit (kireçlenme), kompleks kiriklar ile birlikte agrili hareket kisitliligi olan hastalara uygulanmaktadir. Ters omuz protezi omuz sorunlarinin cerrahi tedavisinde önemli ve iyi bir seçenek olup, 30 yili askin süredir kullanilmaktadir.
Mevcut teknikte omzu içe çeviren kasin (subscapularis) proteze baglantisini saglayacak bir yapi bulunmamaktadir. Bu durum, kolun içe dönmesinde zafiyete yol açmaktadir. Hastanin günlük hayatindaki pantolon arka cebine uzanma, kadinlarin üst iç çamasirini baglama gibi bazi faaliyetleri yapamamasina neden olmaktadir.
Teknikte bilinen uygulamada, 2014-12306 tescil numarali Türk Patent ve Marka Kurumu dokümaninda, addüksiyon sirasinda humeral insert ile glenoid kemigin alt parçasi arasinda bir uyumsuzluk oldugunu ve bu uygunsuzlugu ortadan kaldirmak amaciyla yeni bir ters omuz protezi gelistirildiginden bahsedilmektedir.
Ayrica, teknigin bilinen bir diger durumunda proksimal humerus protezi kemik içine tamamen gömüldügü için sütür materyallerini göndermede proksimal humeral bilesendeki sütür delikleri yeterli gelmemektedir.
Bulusun Amaci Yukarida belirtilen mevcut teknikte var olan problemleri çözme amaciyla yeni bir ters omuz protezi gelistirilmistir. Gelistirilen bu ters omuz protezinin amaci, tibbi medikal sahada omuz humerus proksimalinde herhangi bir nedenle olusan defektlerin rekonstrüksiyonu için kullanilmasidir.
Bulus, omuzdaki çevirici kaslarin (rotator cufftendonlari) dikis materyali kullanilarak proteze monte edilmesini saglayacak yapiyi içermektedir. Ilgili kasin veya kaslarin tekrar proteze tutturulmasi sayesinde protezden daha yüksek bir fonksiyonel sonuç elde edilmektedir.
Omzu içe çeviren kasin (subscapularis) proteze baglantisinin yapilmasiyla birlikte, kolun içe dönmesinde meydana gelen zafiyet ortadan kalkmaktadir. Böylelikle, hasta günlük hayatindaki pantolon arka cebine uzanma, kadinlarin üst iç çamasirini baglama gibi faaliyetleri yerine getirebilecektir.
Bulusun bir diger amaci, çoklu sütür delikleri içeren bu protezin proksimal kemik kaybi vakalarinda kullanilabilmesidir. Bulusta bahsi geçen, ekstra sütür delikleri sayesinde gerekli görülen konumlardan istenilen miktarda sütür materyalleri gönderilebilmektedir.
Bulusun Detayli Açiklamasi Bu bulusun amacina ulasmak için, herhangi bir nedenle tamir edilemeyecek derecede rotator manset (omuz döndürücü kaslari) yirtigi ve artrit (kireçlenme), kompleks kiriklar ile birlikte agrili hareket kisitliligi olusan defektlerin rekonstrüksiyonunda kullanilmak üzere tasarlanan ortopedik bir protez olan bu ürün ve bilesenleri ekli sekillerle gösterilmistir.
Bu sekillerden; Sekil 1 - Bulus unsuru içeren ters omuz protezinin demontaj görünümü Sekil 2 - Bulus unsuru içeren ters omuz protezinin montaj görünümü Sekil 3 - Proksimal humeral bilesenin yandan kesit görünümü Sekil 4 - Bulusta yer alan proksimal humeral bilesenin alttan görünümü Sekil 5 - Sütür deliklerinin ve kanal çevrelerinin yandan kesit görünümü Sekil 6 - Sütür materyallerinin sütür deliklerinden geçisi Referans Numaralari Kilitli vida Metaglene Glenoid küresi Humeral insert Proksimal humeral bilesen .1 Çevresel sütür deligi .2 Çevresel oluk .3 Delik agzi ve kanal çevresi 6. Humeral stem Bulusumuz ters omuz protezi ile ilgili olup, kilitli vida (1) içeren metaglene (2), glenoid küresi (3), humeral insert (4), proksimal humeral bilesen (5), humeral stem (6) unsurlarindan olusmaktadir. Sekil 1'de bulus unsurlarinin demontaj halde yandan kesit görünümleri verilmektedir. Sekil 2'de ise bulus unsurlarinin temsili uygulamasinin montaj halde yandan kesit görünümleri yer almaktadir.
Metaglene (2); glenosphere ile uyumlu olacak sekilde farkli boyut seçenegine sahip olan, baslangiç fiksasyonu kolaylastirmak amaciyla merkezleyici stem, vida deligi (kilavuz çekilmis delik) ve kanalli mil içeren bir unsurdur. Metaglene (2), protezin glenoid kemigine merkezlenerek yerlestirilmesini saglamaktadir. Maksimum fiksasyon ve stabilite için kilitli vida (1) kullanilmaktadir. Ayrica, 2 tip metaglene mevcuttur ve çimentosuz implante edilebilmektedir.
Glenoid küresinin (3) boyutu, glenoid kemigine sabitlemede kullanilan metaglene (2) boyutuna göre belirlenmektedir. Seçilen boyuttaki glenoid küresi (3) metaglene (2) üzerine yerlestirilir.
Humeral insert (4) üzerinde yer alan çentik, proksimal humeral bilesenin (5) sirt kisminda yer alan markalama çizgisi ile ayni hizada olacak sekilde konumlandirilmaktadir ve humeral insert (4) el yardimi ile serbest olarak proksimal humeral bilesene (5) yerlestirilmektedir.
Konumlandirma sonrasinda proksimal humeral bilesenin (5) üzerine humeral insert (4) çakici ile çakilmaktadir. Sonra, hasta rahat pozisyondayken humeral insert (4) glenoid küresi (3) üzerine yerlestirilmektedir. Kemik çimentosu donmaya devam ederken, omuz yavasça incelenerek, belirlenmis hareket araligi ve eklem stabilitesi kontrol edilmektedir.
Kol distal humerus yönünde çekilirken, çekme sirasinda humeral Insert'in (4) glenoid küresinden (3) ayrilmasi deltoid gerginliginin yetersiz oldugunu göstermektedir. Tüm kontroller yapildiktan sonra eklem bosluklari yikanip, kalintilardan temizlenmektedir.
Bulusumuza ait esas unsur olan proksimal humeral bilesende (5), çevresel sütür delikleri (5.1 ), kemige gömülü olan sütür deliklerinden farkli olarak proksimal alin yüzeye dik olacak sekilde konumlanmis halde bulunmaktadir (Sekil 3, 4, 5). Dikis materyali kullanilarak, çevresel sütür deliklerinden (5.1) omuzdaki çevirici kaslar proteze monte edilmektedir (Sekil 6). Ayrica. sütür materyallerinin rahat geçebilmesi için proksimal yan yüzeylere ve alin yüzeye paralel olacak sekilde açilmis çevresel sütür delikleri (5.1) ile es sayida çevresel oluk (5.2) bulunmaktadir. Sütür materyallerinin hasar görmemesi için çevresel sütür delik (5.1) agizlari ve kanal çevreleri (5.3) yuvarlatilmistir (Sekil 5). Bahsi geçen çevresel sütür delikleri (5.1) sayesinde istenilen miktarda ve gerekli görülen konumlardan sütür materyalleri gönderilebilmektedir (Sekil 6).

Claims (1)

  1. ISTEM LER Bulus, ortopedik ters omuz ameliyatlarinda kullanilan bir protez olup, karakterize edici özelligi; en az bir adet çevresel sütür deligine (5.1) ve en az bir adet çevresel oluga sahip (5.2) proksimal humeral bilesen (5) içermesidir. istem 1'e uygun proksimal humeral bilesen (5) olup, karakterize edici özelligi; çevresel sütür deliklerinin (5.1) proksimal aliri yüzeye dik olacak sekilde bulunmasidir. istem 1'e uygun proksimal humeral bilesen (5) olup, karakterize edici özelligi; çevresel oluklarin (5.2) proksimal yan yüzeylere ve alin yüzeye paralel olacak sekilde açilmasidir. Istem 1'e uygun proksimal humeral bilesen (5) olup, karakterize edici özelligi; çevresel sütür delik (5.1) agizlari ve kanal çevreleri (5.3) yuvarlatilmis olmasidir.
TR2019/06795A 2019-05-07 2019-05-07 Ters omuz protezi̇nde yeni̇li̇k TR201906795A2 (tr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
TR2019/06795A TR201906795A2 (tr) 2019-05-07 2019-05-07 Ters omuz protezi̇nde yeni̇li̇k
PCT/TR2020/050396 WO2020226598A1 (en) 2019-05-07 2020-05-07 Novelty in reverse shoulder prostheses

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
TR2019/06795A TR201906795A2 (tr) 2019-05-07 2019-05-07 Ters omuz protezi̇nde yeni̇li̇k

Publications (1)

Publication Number Publication Date
TR201906795A2 true TR201906795A2 (tr) 2020-11-23

Family

ID=73051619

Family Applications (1)

Application Number Title Priority Date Filing Date
TR2019/06795A TR201906795A2 (tr) 2019-05-07 2019-05-07 Ters omuz protezi̇nde yeni̇li̇k

Country Status (2)

Country Link
TR (1) TR201906795A2 (tr)
WO (1) WO2020226598A1 (tr)

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6398812B1 (en) * 2000-02-10 2002-06-04 Medidea, Llc Shoulder prosthesis with anatomic reattachment features
AU2014262278A1 (en) * 2010-05-07 2014-12-04 Depuy (Ireland) Rotatable collar for a prosthesis
US9597190B2 (en) * 2015-01-15 2017-03-21 DePuy Synthes Products, Inc. Modular reverse shoulder orthopaedic implant and method of implanting the same

Also Published As

Publication number Publication date
WO2020226598A1 (en) 2020-11-12

Similar Documents

Publication Publication Date Title
Hartsock et al. Shoulder hemiarthroplasty for proximal humeral fractures
Dines et al. Modular shoulder hemiarthroplasty for acute fractures: surgical considerations
Cabarcas et al. Arthroscopic superior capsular reconstruction and over-the-top rotator cuff repair incorporation for treatment of massive rotator cuff tears
Levine et al. Humeral head replacement for proximal humeral fractures
Zuckerman Total shoulder arthroplasty outcome for treatment of osteoarthritis: a multicenter study using a contemporary implant
TR201906795A2 (tr) Ters omuz protezi̇nde yeni̇li̇k
Nicholson Arthroplasty and rotator cuff deficiency
RU2414865C1 (ru) Способ хирургического лечения многооскольчатых переломов головки и/или шейки плеча
Terragnoli et al. Treatment of proximal humeral fractures with reverse prostheses in elderly patients
Ji et al. Reverse total shoulder arthroplasty in the treatment of chronic anterior fracture dislocation complicated by a chronic full thickness retracted rotator cuff tear in an elderly patient
RU2798896C1 (ru) Способ артроскопического восстановления неполнослойных разрывов ротаторной манжеты плечевого сустава у спортсменов и артистов балета
RU2816448C1 (ru) Способ хирургического лечения артроза плечевого сустава с установкой метаглена реверсивного эндопротеза
Boileau et al. Arthroscopic Trillat procedure for recurrent anterior shoulder instability with associated irreparable rotator cuff tear
Ahmad et al. Modified mclaughlin technique for neglected locked posterior dislocation of the shoulder: A case report
RU2811821C1 (ru) Способ пластики верхней части капсулы плечевого сустава
RU2783001C1 (ru) Способ хирургического лечения хронической нестабильности реверсивного эндопротеза плечевого сустава
Nakamura Dry DRUJ Arthroscopy
RU178538U1 (ru) Эндопротез для суставов
RU2626197C1 (ru) Способ лечения переднего вывиха плеча у больных с парезом Эрба
Shah et al. Use of mesh in orthopaedic oncology surgery
RU2445034C1 (ru) Способ предупреждения возникновения ранних вывихов бедра и рецидива наружной ротационной контрактуры тазобедренного сустава после эндопротезирования больных коксартрозом
Goyal et al. Functional Outcome of Joshi External Stabilisation System for Proximal Humerus Fractures in Tertiary Care Centre
RU2654404C1 (ru) Способ удлинения подлопаточной мышцы сухожилием длинной головки двуглавой мышцы плеча при тотальном эндопротезировании плечевого сустава
RU2192206C1 (ru) Тазовый компонент эндопротеза тазобедренного сустава
Dhawan et al. Isolated avulsion fracture of the lesser tuberosity of the humerus in an adult: case report and literature review