TR201912235A1 - MULTI-AXIAL ANGULAR HIP PROSTHESIS FOR ANIMALS - Google Patents
MULTI-AXIAL ANGULAR HIP PROSTHESIS FOR ANIMALS Download PDFInfo
- Publication number
- TR201912235A1 TR201912235A1 TR2019/12235A TR201912235A TR201912235A1 TR 201912235 A1 TR201912235 A1 TR 201912235A1 TR 2019/12235 A TR2019/12235 A TR 2019/12235A TR 201912235 A TR201912235 A TR 201912235A TR 201912235 A1 TR201912235 A1 TR 201912235A1
- Authority
- TR
- Turkey
- Prior art keywords
- area
- characterizing feature
- hip
- femoral stem
- width
- Prior art date
Links
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- 210000001624 hip Anatomy 0.000 claims abstract description 28
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- 210000003484 anatomy Anatomy 0.000 claims abstract description 6
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Classifications
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- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2002/30971—Laminates, i.e. layered products
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3611—Heads or epiphyseal parts of femur
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2310/00035—Other metals or alloys
- A61F2310/00131—Tantalum or Ta-based alloys
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Physical Education & Sports Medicine (AREA)
- Manufacturing & Machinery (AREA)
- Prostheses (AREA)
Abstract
Buluş konusu, dört ayaklı hayvanlarda çeşitli nedenlerle hareket fonksiyonu azalmış ya da kaybolmuş kalça ekleminde, eklem fonksiyonel işlevini yeniden kazandırmak üzere hayvanların anatomisine uygun en yakın kalça eklemi açısal değerleri yakalanarak kalça eklemine tam uyumlu yeni tasarım çok eksenli açısal kalça protezi ile ilgilidir. Buluş özellikle, tıbbi medikal sahada başta kedi ve köpek grupları olmak üzere, dört ayaklı hayvanların kalça ekleminde travmatik artrit, kırık ve benzeri sebepler nedeniyle oluşan ağrılı kemik ve eklem deformasyonlarının giderilmesi amacıyla kemik yapısına uygun olarak tasarlanan çok eksenli açısal kalça protezi ile ilgilidir.The subject of the invention is about the new design multi-axis angular hip prosthesis that is fully compatible with the hip joint by capturing the closest hip joint angular values suitable for the anatomy of the animals in order to restore the joint functional function in the hip joint with reduced or lost movement function due to various reasons in four-legged animals. In particular, the invention relates to a multiaxial angular hip prosthesis designed in accordance with the bone structure in order to eliminate painful bone and joint deformations caused by traumatic arthritis, fractures and similar reasons in the hip joint of four-legged animals, especially cat and dog groups in the medical medical field.
Description
TARIFNAME HAYVANLAR IÇIN ÇOK EKSENLI AÇISAL KALÇA PROTEZI Teknik Alan Bulus konusu, dört ayakllîlhayvanlarda çesitli nedenlerle hareket fonksiyonu azalmlgl ya da kaybolmus kalça ekleminde, eklem fonksiyonel islevini yeniden kazandlîmak üzere hayvanlari anatomisine uygun en yakI kalça eklemi açlglal degerleri yakalanarak kalça eklemine tam uyumlu yeni tasarlE1 çok eksenli açlElal kalça protezi ile ilgilidir. DESCRIPTION MULTIAXIS ANGULAR HIP PROSTHESIS FOR ANIMALS Technical Area The subject of the invention is the movement function in quadrupedal animals for various reasons. In the diminished or lost hip joint, the joint can regain its functional function. Open the hip joint closest to the animal anatomy in order to gain Newly designed multi-axis angle that is fully compatible with the hip joint by capturing the values of the hip joint. related to hip replacement.
Bulus özellikle, tiEbi medikal sahada basta kedi ve köpek gruplarlîblmak üzere, dört ayaklühayvanlarl kalça ekleminde travmatik artrit, kEIJZI ve benzeri sebepler nedeniyle olusan agrEIJEkemik ve eklem deformasyonlarII giderilmesi amaclýlla kemik yapßlla uygun olarak tasarlanan çok eksenli açigal kalça protezi ile ilgilidir. Önceki Teknik Genellikle kedi ve köpek gruplarEbasta olmak üzere, dört ayaklEhayvanlarda zaman zaman travmalara baglüolarak vücudun degisik kemiklerinde klEIJZI olgularüla karsüêsillnaktadîl Bu klIIJZl olgularIdan biri de kalça eklemi klEIEIarIE Mevcut teknikte dört ayakIEhayvanlarI kalça ekleminde meydana gelen parçaIEI tibia kEJZIIarIda kullanilan eksizyon artroplastisi teknigi, yapilan uygulama sonrasIda hastanI yeniden yürümeye baslamasElen az 60 gün süre geçmesi ve bu süre sonunda da en az 2 y[l]ll]2l fizik tedavi görmesi gerekmektedir. The invention is particularly useful in the medical field, especially in the groups of cats and dogs. traumatic arthritis in quadrupedal hip joint, kEIJZI and so on Removal of aggreIJEbone and joint deformationsII caused by reasons Multiaxial angular hip prosthesis designed in accordance with the bone structure for the purpose It is related to. Prior Art Usually cats and dogs kLEIJZI in different bones of the body from time to time due to trauma casesüla karsüêsillnaktadîl One of these klIIJZl cases is the hip joint. KLEEIEIARIE In the current technique, the quadrupedal IE animals, the part that occurs in the hip joint IEI Excision arthroplasty technique used in tibial bones, application after at least 60 days before the patient starts walking again and at the end of this period, he should receive physical therapy for at least 2 years[l]11].
Operasyon sonrasIda iyilesme süresinin uzun olmasEl hastanI günlük ihtiyaçlarIEkarsilîiyabiIecek duruma çok geç dönmesine neden olmaktadlEl Teknigin bilinen durumunda hayvanlara uygulanan eksizyon artroplastisi fonksiyonel yalancEl bir eklem olusturmasla karsmilgl, hatallZI yapüên operasyonlarda ilgili bacakta klglalma, agrü kas atrofisi ve topallügl meydana getirebilmektedir. Eksizyon artroplastisi uygulanan köpeklerde en sEIZl karsühsüân komplikasyon, osteotomi hattII hatalElaçElIandlIIEnasD'iedeniyle, collum femoris'te keskin bir kemik çEEIItEDbEbküîlnaslIl Bu kemik çEIZIItIgEl kalça kemiginin dorsal kenarlSclla sürekli temas ederek postoperatif dönemde agrIZl yaratIB, ayrlEla osteoarthritis gelisimine neden olabilmektedir. Ülkemizde genel olarak kalça eklemi klERllarIda veteriner hekimlerce uygulanan yöntem kalça ekleminde kaput femoralis alIarak eksizyon artroplastisidir. Bu yöntemin 15 kg ve üzeri aglîlfga sahip köpeklerde uygulama zorlugu yasand[gl:l kanlflanmlgl olup, femur kemiginin pelvis yüksekliginden yukarlýa dogru yükselmesine, bu durumda ise siyatik gerilmelerin olusmaslîlve hastanI yürüyememesi gibi sorunlar ortaya çElZlmaktadIIl Eksizyon artroplastisi uygulamaslda, aynIZIzamanda trochanter majör Üzerine dogrusal kuvvet gelmediginden femur kemiginde osteoporoz gelismekte ve özellikle quadriseps femoris kasIda ciddi oranda artrofi görünmektedir. If the recovery period is not long after the operation, the patient needs are causing him to return to a situation that can be met too late. Excision arthroplasty applied to animals in the state of the art it creates a functional false joint In the operations, klglag, painful muscle atrophy and lameness occur in the related leg. can bring. Most common in dogs undergoing excision arthroplasty Karsuhsuan complication due to osteotomy line failure, a sharp bone drawing in collum femoris Pain in the postoperative period by continuous contact with the dorsal edge of the hip bone creatIB may also cause the development of osteoarthritis. In our country, it is generally applied by veterinarians in hip joint ears. The method is excision arthroplasty by taking the caput femoralis in the hip joint. This It was difficult to apply the method in dogs with a weight of 15 kg and above[gl:l It is globular and extends from the height of the pelvis of the femoral bone upwards. elevation, in this case, the formation of sciatic tensions and the patient Problems such as inability to walk are emerging. Excision arthroplasty in practice, also linear force on the trochanter major Since it does not come, osteoporosis develops in the femur bone and especially the quadriceps A severe atrophy appears in the femoris muscle.
Mevcut teknikte insan kalça protezleri sistemlerinin ölçüsel olarak küçültülerek hayvanlara adapte edilmeye çallâEIBnStIE ki hali hazEda bu yöntemi denemekte olan dünya genelinde büyük firmalar vardEl Bu firmalardaki tüm açlElal deger ve teknik özellikler insan protezleri ile birebir aynIEL Lakin hayvanlardaki kalça açüânmalarlîli15° ile 145° arasIda Ek kosullarIa göre degismekte olup, insan modellerindeki gibi 135° ile sabitlenememektedir. AyrlEla saglißlüaklem hareket mekanizmasEhayvanIarda toplam 225° iken insanlarda 160°'dir. Bu nedenle, insanlar için üretilmis ve gelistirilmis kalça sistemleri hayvanlarda luksasyon, gevseme ve klEIJIlnaIara sebebiyet vermektedir. Bahsedilen bu klEIJIlnalar femur saft kElerü olarak gözlemlenmekte ve tedavisi için çok üzün süreçler gerekmektedir. In the current technique, human hip prosthesis systems are scaled down. trying to be adapted to animals EIBnStIE which is still trying this method There are big companies around the world that have all the open values and values in these companies. technical features are exactly the same as human prosthesesIEL But hips in animals Openings vary between 15° and 145° according to the Additional conditions, and human It cannot be fixed with 135° as in the models. SeparateEla healthy action The mechanism is 225° in animals and 160° in humans. Because, hip systems produced and developed for humans luxation in animals, It causes relaxation and contractions. These clavicles mentioned are It is observed as sputum and there are very long processes for its treatment. required.
Bulusun AmacEI Bulus, yukarIa belirtilen mevcut teknikte var olan problemleri çözme amacßla, dört ayakIlZlhayvanIarI çesitli nedenlerle hareket fonksiyonu azalmlSl ya da kaybolmus kalça ekleminde, eklem fonksiyonel islevini yeniden kazandlEfnak üzere hayvanlari anatomisine uygun en yakI kalça eklemi açlElal degerleri yakalanarak kalça eklemine tam uyumlu yeni tasar& çok eksenli açlâlal kalça protezi ile ilgilidir. Purpose of the Invention In order to solve the problems existing in the above-mentioned existing art, the invention quadrupedal animals may have decreased movement function for various reasons or In the lost hip joint, the joint regained its functional function. The closest hip joint opening values suitable for animal anatomy, such as new design fully compatible with hip joint & multi-axial angled hip related to the prosthesis.
Bulusun öncelikli amacü dört ayaklElhayvanlarI kalça ekleminde çok eksenli açßal kalça protezi kullanarak kalça ekleminde meydana gelen klIIJZIIarI tedavisinde yasanüên kaynamama, kaynama gecikmesi veya avasküler nekroz komplikasyon oranlarIüTiinimuma düsürmektir. The primary aim of the invention is to use the quadrupedal hand animals, multiaxial in the hip joint. clIIJZIIars occurring in the hip joint using an angular hip prosthesis nonunion, delayed union or avascular necrosis To reduce complication rates to a minimum.
Bulusun amacüözellikle iç içe hareket edebilen çiftli bas sistemi sayesinde kalça hareket mekanizmasIEl235°'ye kadar çElEartmaktlIl Bu açlßnma ile kalça lulsasyonlarlZIengellenmekte olup, saft üzerine binebilecek olan makaslama kuvvetleri ve buna baglEbiyomekanik aks degisimleri sonucu klIIJIlnalarI önüne geçilebilmektedir. Böylece tüm kedi ve köpeklerde olusabilme olas[[lliZllarl:lçok yüksek olan kalça displazisi, çaput femorais kEIJZllarü travmaya baglü luksasyonlar, lgamentum teres kopuklarlZlve patolojik kEEIar sonrasElkalça eklemi degisimlerinde tam fonksonerlige sahip yapay eklem sistemi gelistirilmistir. The aim of the invention is especially hip thanks to the intertwined double bass system. movement mechanismIel to increase up to 235° With this opening, the hip luctions are prevented and shearing that may overlap the shaft As a result of the forces and the related biomechanical axis changes, can be passed. Thus, it is possible to occur in all cats and dogs[[lliZllarl:many high hip dysplasia, shoddy femorais keIJZllaru due to trauma luxations, ruptures of lgamentum teres, Zl and after pathological bones Artificial joint system with full functionality in joint replacements developed.
Bulusun bir diger amaclZlçok eksenli açlglal kalça protezini merkezleyici ile birlikte femur kemiginin 1/3 prosimal alanla yerlestirirken medüller kanala merkezleyerek stemler eger çimento ile kullanüacaksa stemin her tarafIa 1 mm'lik alanla esit olarak kemik çimentosunun yaplSl'na alanElblIlakEIJinaktadE eger çimentosuz kullanEIIiacaksa her yerden proteze kemik yapülnasII esit olmasIlBsaglamaktEl Elde edilen bulus sayesinde, dört ayaklühayvanlarl kalça eklemi ile ilgili rahatsEIEElarI operasyon ile giderilmesinden sonra hayvanlar. herhangi bir anatomik veya biyomekanik komplikasyon yasamadan tedavi edilmeleri mümkün olacaktlEl Bulusun DetaylEAçERlamasü Bu bulusun amacIa ulasmak için, dört ayaklElhayvanlarI kalça ekleminde herhangi bir nedenle olusan defektlerin rekonstrüksiyonunda kullanüîlnak üzere kalça ekleminin anatomisine uygun olarak tasarlanan çok eksenli açlglal kalça protezi ekli sekillerle gösterilmistir. Another purpose of the invention is to use multiaxial angled hip prosthesis with centering. into the medullary canal while placing 1/3 of the femoral bone with the proximal area. centering the stems on each side of the stem if it will be used with cement. ElblIlakEIJinaktadE, which takes on the structure of bone cement evenly with an area of mm If it will be used without cement, it is equally possible to build bone to the prosthesis from anywhere. to provide Thanks to the obtained invention, it is related to hip joint with quadrupedal animals. Animals are comfortable after removal of the IIEs by operation. any be treated without any anatomical or biomechanical complications. will be possible DETAILED DESCRIPTION OF THE INVENTION To achieve the purpose of this invention, quadrupedalhand animals are placed in the hip joint. to be used in the reconstruction of defects caused by any reason. Multiaxial angled hip designed in accordance with the anatomy of the hip joint The prosthesis is shown in the attached figures.
Bu sekillerden; Sekil 1 - Bipolar dlgl cup sürtünme alanlîtam yan görünümü Bipolar dlSl cup ventral görünümü Bipolar dg cup alt oblik görünümü Küre tam yan görünümü Küre alt oblik görünümü Küre boy uzatma yüzeyi alt oblik görünümü Sekil 7 - Femoral stem üstten görünümü Sekil 8 - Femoral stem tam lateral görünümü Sekil 9 - Femoral stem tam medial görünümü Sekil 10 - Femoral stem ventro-lateral oblik görünümü Sekil 11 - Çok eksenli açlglal kalça protezi montajlüam yan görünümü Sekil 12 - Çok eksenli açlglal kalça protezi montajIEtam lateral görünümü Sekil 13 - Çok eksenli açlâlal kalça protezi 235°'Iik açlElal dönüs hareketi Sekil 14 - Merkezleyici tam yan görünümü Sekil 15 - Merkezleyici alt oblik görünümü Referans Numaralarü 1. Bipolar dlSl cup sürtünme alanü UHWMPE (Ultra yüksek moleküler aglIlElZllEl polietilen) özel sertlestirilmis polietilen Çelik-polietilen kilit segman alani] DE bükey küre tutma yüzeyi Özel form küre sürtünme alanü CoCrMo (kobalt krom m0libden)alasl31dan üretilen özel küre alani] Küre protez ters konik kilitleme alanlII Küre boy uzatma yüzeyi 1/3 proksimal femur lateral radyal alan .Küre konik oturma yüzey açßlü 11.Collum kesim yüzeyi oturma yaka alani] 12.1/3 prosimal femur ventral daralma yüzey alanEl 13.Tr0chanter minör yüzey oturma alanEI 14.Merkezleyici montaj alanü .Distal medüller kanal beslenme alanIZI 16.0steintegrasyon tutunma yüzey alanEl 17.Proksimal femur anterior korteks dönüs oturma alanlîl 18.Proksimal femur anterior distal minör oturma dönüs alanEl 19.Tr0chanter minör destek alanIZI .Merkezleyici UHWMPE medüller kanal çapIZl 23.Ç0k eksenli açlâlal kalça protezi 24.Bipolar dlSl cup .Küre 26.Femoral stem 27. Merkezleyici Çok eksenli açlâlal kalça protezi femur kemiginin içerisine oturtulabilmesi için femurun 1/3 proksimal alanla yerlestirilmektedir. Söz konusu bulus; bipolar dßl cup (24), küre (25), femoral stem (26) ve merkezleyici (27) olmak üzere dört ana unsurdan meydana gelmektedir. From these figures; Figure 1 - Full side view of the bipolar dlgl cup friction area Ventral view of bipolar dlSl cup Bipolar dg cup inferior oblique view Globe full side view Sphere lower oblique view Sphere lengthening surface lower oblique view Figure 7 - Top view of the femoral stem Figure 8 - Full lateral view of the femoral stem Figure 9 - Full medial view of the femoral stem Figure 10 - Femoral stem ventro-lateral oblique view Figure 11 - Side view of multiaxial angled hip prosthesis assembled Figure 12 - Assembly of multiaxial angled hip prosthesis Full lateral view Figure 13 - Multiaxial angled hip prosthesis 235° angled rotational motion Figure 14 - Centering full side view Figure 15 - Centering lower oblique view Reference Numbers 1. Bipolar dlSl cup friction area UHWMPE (Ultra-high molecular agllElZllEl polyethylene) special hardened polyethylene Steel-polyethylene lock ring area] DE concave sphere holding surface Special form sphere friction area Special sphere area produced from CoCrMo (cobalt chrome m0libdenum)alasl31] Ball prosthesis with reverse conical locking areasII Spherical extension surface 1/3 proximal femur lateral radial area .Sphere conical seating surface angle 11.Collum cut surface sitting collar area] 12.1/3 prosimal femur ventral narrowing surface areaHand 13.Tr0chanter minor surface seating areaEI 14.Centering mounting area .Distal medullary canal nutrition area 16.0steintegration adhesion surface areaHand 17. Proximal femur anterior cortex rotation seating area 18. Proximal femur anterior distal minor sitting rotation areaHand 19.Tr0chanter minor support area .Centering UHWMPE medullary canal diameterIZl 23. Multi-axis angular hip prosthesis 24. Bipolar dlSl cup .Sphere 26. Femoral stem 27. Centering Multiaxial achillary hip prosthesis for insertion into the femoral bone 1/3 of the femur is placed with the proximal area. The invention in question; bipolar dsl There are four types of cup (24), globe (25), femoral stem (26) and centralizer (27). consists of the main element.
Ilk ana unsur bipolar dlg cup (24) olup; Sekil 1'de yer alan cllîsl cup sürtünme alanl:{1), Sekil 2'de yer alan çelik-polietilen kilit segman alanE(3) ve Sekil 3'de yer alan dlSl bükey küre tutma yüzeyinden (4) meydana gelmektedir. DIS] bükey küre tutma yüzeyi (4) -2,55° ile -5,75° arasIda bulunup, bipolar dISI cup (24) içerisinde bulunarak bipolar dßl cup (24) ile kürenin (25) birbirine kilitlenmesi saglamaktadlîl DIS] bükey küre tutma yüzeyi (4), UHWMPE (Ultra yüksek moleküler aglElElZlllZpolietilen) özel sertlestirilmis polietilen (2) gibi plastik türevi malzemeden üretilmektedir ve 16,15 mm ile 36,65 arasIda genisligi bulunan özel form küre sürtünme alanEI(5) içermektedir. UHWMPE mikron bazIIII esneyebilen bir malzeme oldugu için kürenin (25) bipolar dlSl cup (24) içerisine güçlükle girmesine neden olmakta, fakat geri dlglarlîa çlIIZlmasIa engel olmaktadlîl AyrlEJa UHWMPE, sürtünme esnasIda partikül saIIlIhü/apmayan ve dejenerasyon olusturmayan bir sistemdir. DS] cup sürtünme alanE(1) 10,2 mm ile 16,15 mm arasIda genisligi bulunan çelik bir yüzeydir ve UHWMPE (Ultra yüksek moleküler aglîlMlljbolietilen) özel sertlestirilmis polietilenden (2) üretilen dlSl bükey küre tutma yüzeyinin (4) birbirine kilitlenebilmesi için çelik-polietilen kilit segman alanla (3) ihtiyaç duyulmaktadm Slîaslîla cl& bükey küre tutma yüzeyi (4), çelik-polietilen kilit segman alanla (3) ve disi cup sürtünme alanlZl (1) birbiri içerisine girerek bipolar dlSl cup (24) elde edilmektedir. The first main element is the bipolar dlg cup (24); Cllîsl cup friction in Figure 1 area:{1), steel-polyethylene lock ring areaE(3) in Figure 2 and Figure 3 It consists of the dlSl convex sphere holding surface (4). Convex sphere holding surface (4) located between -2.55° and -5.75°, bipolar DISI cup (24) locking the bipolar dßl cup (24) and the sphere (25) together by being in sagtadlîl DIS] concave sphere holding surface (4), UHWMPE (Ultra high molecular aglElElZlllZpolyethylene) plastic derivative such as special hardened polyethylene (2) It is made of material and has a width between 16.15 mm and 36.65 mm. The special form contains the sphere friction areaEI(5). UHWMPE micron baseIII Since it is a flexible material, the sphere (25) is placed in the bipolar dlSl cup (24). difficult to enter Separately, UHWMPE is particle-free/non-particle-free and It is a non-degenerative system. DS] cup friction areaE(1) 10.2 mm It is a steel surface with a width of between 16.15 mm and UHWMPE (Ultra produced from special hardened polyethylene (2). Steel-polyethylene for interlocking of the dlSl concave sphere holding surface (4) with key segment area (3) needed Sliaslîla cl& concave sphere holding surface (4), with steel-polyethylene lock ring area (3) and female cup friction area (1) interweaving, bipolar dlSl cup (24) is obtained.
Ikinci ana unsur küre (25) olup; Sekil 4'de yer alan rezekte edilen kaput kadar ya da biraz daha küçük bir çapta olan CoCrMo (kobalt krom molibden)alasß1dan üretilen 10,2 mm ile 16,15 mm arasIda genisligi bulunan özel küre alanIZ(6), Sekil 5'de yer alan 6,8 mm ile 11,5 mm arasIda genisligi bulunan küre protez ters konik kilitleme alanlZ(7), Sekil 6'de yer alan 0,43 mm ile 10,35mm arasIda genisligi bulunan küre boy uzatma yüzeyinden (8) meydana gelmektedir. The second main element is the sphere (25); As much as the resected hood in Figure 4 or a slightly smaller diameter CoCrMo (cobalt chrome molybdenum)alaß1dan Special sphere area IZ(6), which is produced with a width between 10.2 mm and 16.15 mm, Spherical prosthesis with a width between 6.8 mm and 11.5 mm in Figure 5 reverse taper locking area(7), 0.43mm to 10.35mm in Figure 6 It consists of a sphere length extension surface (8).
CoCrMo (kobalt krom molibden) alasüidan üretilen özel küre alanE(6), yüzey ölçüsüne göre bir yuvarlanma alanEbeIirIenmektedir, böylelikle rezekte edilen kaputu birebir taklit edebilmektedir. Kürenin (25) aItIda bulunan küre protez ters konik kilitleme alanEl(7) ile femoral stem (26) birbirine kilitlenmektedir. Special sphere areaE(6) produced from CoCrMo (cobalt chrome molybdenum) alasui, surface A rolling area is determined according to the size of the resected It can imitate the hood exactly. The ball prosthesis below the ball (25) the reverse taper locking areaEl(7) and the femoral stem (26) are locked together.
Küre boy uzatma yüzeyi (8), rezekte edilen collum miktarIa göre degisebilen ölçülere sahip olup, collumun mesafesini taklit edebilecek ölçüdedir. Üçüncü ana unsur femoral stem (26) olup; femur saft ile bütünlük saglayan ana tasülöünekanizmadlîl Femur stem, kedi ve köpek EklarII femur aks degerli olan 5°'Iik angülasyon açlglîille üretilmektedir. Femoral stem (26); Sekil 9'da yer alan 4,25° ile 8,05° arasIdaki açEtlegerine sahip 1/3 proksimal femur lateral radyal alan (9), Sekil 7'de yer alan 0,85° ile 5,75° arasIdaki açütlegerine sahip küre konik oturma yüzey açlElEI(10), Sekil 8'de yer alan collum kesim yüzeyi oturma yaka alanEl(11), Sekil 8'de yer alan 0,85° ile 3,16° arasIdaki açEI degerine sahip 1/3 prosimal femur ventral daralma yüzey alanl:(12), Sekil 7'de yer alan trochanter minör yüzey oturma alanlI(13), Sekil 9'da yer alan 2,55 mm ile 3,45 mm arasIda genisligi bulunan merkezleyici montaj alanla (14), Sekil mm arasIdaki genisligi bulunan osteintegrasyon tutunma yüzey alanEl(16), Sekil 10'da yer alan 3,4 mm ile 10,6 mm arasIda genisligi bulunan proksimal femur anterior korteks dönüs oturma alanlZ(17) ve Sekil 10'da yer alan 3,4 mm ile 10,6 mm arasIda genisligi proksimal femur anterior distal minör oturma dönüs alanE(18) ve Sekil 9'da yer alan 1,7° ile 2,3° arasIda açlîiüegerine sahip trochanter minör destek alanIdan (19) meydana gelmektedir. Femoral stem (26) üzerinde yer alan küre konik oturma yüzey açlglülû) yardlüilgla küre (25) femoral steme (26) kilitlenmektedir. Küre konik oturma yüzey açlgEUO) ters konik bir alandlIl 8 mm'den 10 mm'ye dogru açüllan konik bir alana sahiptir. Sphere lengthening surface (8), which can be changed according to the amount of collum resected. It has dimensions and can imitate the distance of the collum. The third main element is the femoral stem (26); main unit that provides integrity with the femoral shaft tasülönekanizmadlîl Femur stem, cat and dog Appendix II femur axle valuable It is produced with an angulation angle of 5°. Femoral stem (26); place in figure 9 1/3 proximal femur lateral with angles between 4.25° and 8.05° the radial area (9) has angles between 0.85° and 5.75° in Figure 7 spherical conical seating surface angle(10), collum cut surface in Figure 8 seated collar areaEl(11), the angle between 0.85° and 3.16° in Figure 8 1/3 prosimal femur ventral narrowing surface area with a value of:(12), Figure 7 trochanter minor surface seating (13), 2.55 mm in Figure 9 with centering mounting area (14) with a width of between 3.45 mm and Fig. Osteintegration adhesion surface area with a width between mm (16), The proximal width of 3.4 mm to 10.6 mm in Figure 10 femur anterior cortex rotation seating area(17) and 3.4 mm in Figure 10 between 10.6 mm in width proximal femur anterior distal minor sitting turning area E(18) and having an angle of 1.7° to 2.3° in Figure 9 consists of the trochanter minor support area (19). femoral stem Sphere with conical seating surface angle on (26) yardluilgla sphere (25) it locks onto the femoral stem (26). Spherical conical seating surface anglelgEUO) reverse It has a conical area that angles from 8 mm to 10 mm.
Rezekte edilen bölümde collumun içe dogru yaplgtlîglîgluteus minimus kasII çaligltEgElbir yan alan bulunmaktadE, burada kasI rahat çalßlabilmesi için collum kesim yüzeyi oturma yaka alanlZl(11) numara ile girintisel bir açüânma verilmektedir. Collum kesim yüzeyi oturma yaka alanE(11) sayesinde, femoral stem (26) yerlestirildikten sonra gluteus minimus kasII çallgh'iasü engellenmemektedir ve bu kas olmasü gereken anatomik balansta çallSlabilmektedir. Femoral stem (26) içerisinde distal medüller kanal beslenme alanE(15) bulunmaktadlEl Distal medüller kanal beslenme alanE(15), kemigin içerideki intramedüller beslenmesine yardüi etmesi ve kemigin canlElgII korunmasIEsaglamaktadlEl Kemikte bulunan medüller kanal yukarIan asagüa dogru daralan bir yapIadIIl 1/3 prosimal femur ventral daralma yüzey alanü (12) ile yanal ve 1/3 proksimal femur lateral radyal alan (9) ile ön-arka pozisyonda bahsi geçen daralan yaplîltaklit edilmektedir. Bu açüâanmalar sayesinde, femoral stemi (26) medüller kanalElbirebir taklit etmektedir ve protezin kemige yapßl'nasla ya da çimentonun dogru miktarda dagtülnasla yardüicljblunmaktadlîl Femoral stemde (26) bulunan osteintegrasyon tutunma yüzey alanEl(16), protezin kemige daha iyi yaplgmasIElsaglamak için önemli olan bir alandlIl Femur kemiginin iç yüzünde ve trochanter minörün altIa dogru proksimal femur anterior korteks dönüs oturma alanE(17) ve proksimal femur anterior distal minör oturma dönüs alanEI(18) olmak üzere iki farklEhoktasal açtlhnma ile kemik dönüs yapmaktadlE Bu açlîlîiinmalar sayesinde, femur kemiginin iç yüzünde ve trochanter minörün altIda iki farklünatomik açEtaklit edilmektedir. Çok eksenli açlâlal kalça protezi (23) kemikte tutunana kadar ya da çimentolu ise çimento tam olarak kuruyana kadar ki yaklasElZl bir haftalElZl süre içerisinde bahsedilen protezin kemik içerisinde bizim belirledigimiz yükseklikten daha asagbîla inmemesi gerekmektedir, bunu saglayan trochanter minör destek alanIIE (19). Trochanter minör destek alanEl(19), femur kemiginde rezekte edilen yüzeye tam oturan bir yüzeydir. Trochanter minör destek alanE(19) ile bahsedilen protez kemige yerlestirildiginde kesim hattEtrochanter minöre denk gelmektedir. Trochanter minördeki yük dagEIJIEhIEtam saglayabilmek için ayrü bir trochanter minör yüzey oturma alanü(13) ile trochanter minörün oturabilecegi ayrEbir alan olusturulmaktadlîl mm arasIda uzunlugu bulunan merkezleyici UHWMPE medüller kanal çapIIQZO), Sekil 14'de yer alan 0,85 mm ile 1,73 mm arasIda genisligi bulunan esneyebilir kanat yapEIEQZI) ve Sekil 15'de yer alan 2,55 mm ile 3,45 mm arasIda genisligi bulunan femoral stem montaj alanIdan (22) meydana gelmektedir. In the resected part, the collum is made inwardly, and the gluteus minimus muscleII WORKINGThere is a side area where the collum muscle can be worked comfortably. The cut surface is a recessed opening with the number of sitting collar areaZl(11) are given. Collum cut surface thanks to the seated collar areaE(11), femoral After insertion of the stem (26) gluteus minimus muscle II is not inhibited and this muscle is in the required anatomical balance. can be played. Distal medullary canal nutrition within the femoral stem (26) distal medullary canal nutrition area(15), bone It helps the intramedullary nutrition inside and vitalizes the bone. The medullary canal in the bone is ascending downward 1/3 prosimal femur ventral narrowing surface area (12) with lateral and 1/3 proximal femur lateral radial area (9) with anteroposterior The narrowing structure mentioned in the position is imitated. These revelations It imitates the femoral stem (26) and the medullary canal exactly. whether the prosthesis is adhered to the bone or the correct amount of cement is dispersed Osteintegration attachment in the femoral stem (26) surface areaHand(16) is important to ensure better adhesion of the prosthesis to the bone. an area on the inner surface of the femoral bone and below the trochanter minor proximal femur anterior cortex rotation seating areaE(17) and proximal femur Anterior distal minor sitting rotation area EI(18) in two different With opening, the bone turns. Thanks to these openings, the femur Two different anatomical angles on the inner surface of the bone and below the trochanter minor is being done. Until the multiaxial achillary hip prosthesis (23) adheres to the bone or If it is also cemented, it takes approximately one week until the cement is completely dry. the prosthesis mentioned in the bone from the height we have determined. it should not descend further, the trochanter minor support that provides this areaIIE (19). Hand (19) receiving trochanter minor support, resected in the femoral bone It is a surface that fits perfectly on the surface. With trochanter minor support area E(19) when said prosthesis is placed on the bone, the cutting line is equivalent to Etrochanter minor is coming. The load on the trochanter minor must be separated to ensure full distribution. a trochanter minor surface seating (13) and a trochanter minor A separate area is being created to sit in. centering UHWMPE medullary canal diameter IIQZO, with a length of mm Stretchable with a width between 0.85 mm and 1.73 mm in figure 14 wing structure (EIEQZI) and its width between 2.55 mm and 3.45 mm in Figure 15 It consists of the femoral stem mounting area (22).
Bulusun temsili bir uygulamasIdan bahsetmek gerekirse, çok eksenli açlglal kalça protezini femur kemiginin içerisine oturtulabilmesi için femurun proksimal alanIdaki kaput ve collum rezekte edilerek protezin kemige ait anatomik yapührlîltaklit etmesi saglanmaktadEl Rezekte edildikten sonra medüller kanalElçerisine çok eksenli açßlal kalça protezi impakta edilmektedir. To speak of a representative application of the invention, multiaxial angular In order to fit the hip prosthesis into the femoral bone, the hood and collum in the proximal area of the femur were resected and the prosthesis anatomical structure is provided to imitate after resection A multiaxial angular hip prosthesis is impacted on the medullary canal hand.
Bu impaktasyondaki ana hedef, statik ve biyomekanik kuvvetlerin tamamIEl dogrusal olarak protez üzerinden safta aktarmaktlEL Çok eksenli açlâlal kalça protezin (23) femur kemigi içerisinde merkezde kalabilmesi Için merkezleyici (27) femoral stem montaj alanIdan (22) çok eksenli açßilal kalça protezinin (23) stem alt ucunda bulunan merkezleyici montaj alanla (14) montajlanmaktadEl ve bahsedilen protez merkezleyici (27) ile birlikte kemigin içerisine gönderilmektedir. Merkezleyici (27) üzerinde yer alan merkezleyici UHWMPE medüller kanal çapüZO) ve esneyebilir kanat yapElüZl) medüller kanal çapEa uygun olarak esneme paylleayesinde femoral stem (26) medüller kanalI merkezinde kalmaktadlîl Femoral stem (26) femur kemigi içerisine yerlestirildikten sonra küre (25) ile irtibatlandEßnaktadlEl Küre (25) ters konik olarak femoral steme (26) yerlestirildikten sonra, femoral komponent denilen iki parçallîsistem bitmis olmaktadlEl Bulusumuz için önemli bir unsur olan bipolar cllîsl cup (24), femur kemiginin legen kemigi içerisinde hareket ettigi sürtünme alanla denk gelen bipolar dlSl cup sürtünme alanla (1) sahiptir. DlSl cup sürtünme alanlII(1), kürenin (25) içerisinde çalßttglîlbipolar dlSl cup (24) iç yüzeyidir. Kürenin (25) dlSl yüzeyi olan COCrMo (kobalt krom molibden) alasüjdan üretilen özel küre alanE(6) bipolar dlSl cup (24) içinde yüzeyi olan özel form küre sürtünme alanIZ(5) içerisinde hareket etmektedir. Çok eksenli açElal kalça protezinde (23) femoral stem (26) ile CoCrMo (kobalt krom molibden) alasüidan üretilen özel küre alanEl(6) birbirine kilitli halde bulunmaktadlîl COCrMo (kobalt krom molibden) alaslBwdan üretilen özel küre alanlZ(6) üzerinde yer alan bipolar cllIsl cup (24) unsurunun en dlSl yüzeyinde dßl cup sürtünme alanEl(1) yer almaktadlîl Çok eksenli açlâlal kalça protezi (23) kalça kemigine dlSl cup sürtünme alanIZ(1) ile temas etmektedir. Küre (25) ile bipolar cllSl cup (24) birbirine impakta oldugu için birlikte hareket etmektedirler ve bahsedilen bu kilitli parçalar hareket ettikleri esnada bipolar cllgl cup (24) içerisinde bulunan UHWMPE (Ultra yüksek moleküler aglElÜâlElpolietilen) özel sertlestirilmis polietilenden (2) üretilen dlSlbükey küre tutma yüzeyi (4) de belli bir açEa kadar hareket etmektedir. Küre konik oturma yüzey açlgllîl(10) dßl bükey küre tutma yüzeyine (4) 45°'Iik açma kadar dayandEgIda kalça kemigi içerisinde yer alan dlSl cup sürtünme alanlZ(1) kendi ekseni etrafIda 190°'lik açEI yapabilecek kadar dönmeye baslamakta ve böylelikle çok eksenli açlglal kalça protezine (23) toplamda 235°'lik çift kademeli dönüs hareketi kazandlîülnlgl 0lmaktadlE(Sekil 13). Mevcut teknikte, çok eksenli açlâlal kalça protezi (23) kalça kemigine dlSl cup sürtünme alanIdan (1) çimentoyla veya vidalar yardüiüla sabitlendigi için bahsedilen protez basIdaki dßl küre kalça kemigi içerisinde maksimum 135°'lik bir açüânma ile dönüs hareketi yapabiliyordu. The main goal in this impaction is to complete the static and biomechanical forces. linearly transfer over the prosthesis to the rowtlEL Multiaxial angled hip centering so that the prosthesis (23) stays centered within the femoral bone (27) from the femoral stem mounting area (22) of the multiaxial angular hip prosthesis (23) The stem is mounted with the centering mounting area (14) at the lower end. and into the bone with said prosthesis centralizer (27). is sent. Centering UHWMPE located on the centering (27) medullary canal diameterZO) and flexible wing structureElüZl) medullary canal diameterEa the medullary canal of the femoral stem (26) in the flexion joint, in accordance with Femoral stem (26) stays in the center of the femoral bone After it is placed, the ball (25) is connected to the ball (25) inverted conical After being placed on the femoral stem (26), it is called the femoral component. The bipartite system is coming to an end. Bipolar, an important element of our invention cllîsl cup (24), friction with which the femoral bone moves within the pelvis The bipolar dlSl cup has a friction area (1) corresponding to the area. dlSl cup friction areaII(1), inside the sphere (25) bipolar dlSl cup (24) inner is the surface. COCrMo (cobalt chrome molybdenum) as the dlSl surface of the sphere (25) Special sphere areaE(6) bipolar dlSl cup (24) with surface inside special sphere produced from alloy The form sphere moves in the friction field IZ(5). CoCrMo (cobalt) with femoral stem (26) in multiaxial angled hip prosthesis (23) Special sphere areaEl(6) produced from chrome molybdenum) alasui, locked to each other Special sphere produced from COCrMo (cobalt chrome molybdenum) alaslBw dßl on the most dlSl surface of the bipolar cllIsl cup (24) located on arealZ(6) cup friction areaHand(1) locateddlîl Multiaxial aclalal hip prosthesis (23) the dlSl cup contacts the hip bone with the friction areaIZ(1). with globe (25) bipolar cllSl cup (24) act together as they impact each other and the bipolar cllgl cup (24) while said locking parts move UHWMPE (Ultra-high molecular aglyalAlElpolyethylene) contained in the special The dlSlconvex sphere holding surface (4) produced from hardened polyethylene (2) is also evident. moves up to an angle. Spherical conical seating surface angle(10) dßl hip bone resting on the concave sphere holding surface (4) up to a 45° opening The friction area of the dlSl cup located inside of it (1) is an angle of 190° around its axis. begins to rotate enough to A total of 235° double-stage rotation movement was gained to the prosthesis (23) It is in progress (Fig. 13). In the current art, multiaxial achillage hip prosthesis (23) cement or screws from the dlSl cup friction area (1) to the hip bone Since it is fixed to the fracture, the external sphere hip bone in the prosthetic head mentioned It could rotate with a maximum angle of 135° inside.
Kedi ve Köpek gruplarmla birlikte dört ayaklüzliger hayvanlar. femur kemigi ile kalça kemigi düz degil açÜJElbir yapIadEl Bu nedenle anatomisine uygun bir protez olusturulmasEiçin, kalça ekleminde yer alan bazthalan ve açlîtlegerleri üzerinde laboratuvar çallgmalarlîlyapüîlnlgl, ve yukarIa bahsi geçen açüve alanlara iliskin minimum ve maksimum ölçüler tespit edilmistir. Elde edilen sonuçlar yine yaplßn teorik ve pratik uygulamalar ile optimize edilerek çok eksenli açlglal kalça protezi (23) üretiminde kullanEIJlnlSltlElFour-legged animals with my Cat and Dog groups. with the femoral bone the hip bone is not straight, it is angled. To create a prosthesis, basthalan and achillegers located in the hip joint laboratory studies on it, and the above-mentioned angle The minimum and maximum dimensions of the areas have been determined. Obtained The results were again optimized with theoretical and practical applications, used in the production of axial angled hip prosthesis (23)EIJlnlSltlEl
Claims (14)
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TR2019/12235A TR201912235A1 (en) | 2019-08-09 | 2019-08-09 | MULTI-AXIAL ANGULAR HIP PROSTHESIS FOR ANIMALS |
PCT/TR2020/050291 WO2021029838A1 (en) | 2019-08-09 | 2020-04-08 | Multi-axial angular hip prosthesis for animals |
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US7179298B2 (en) * | 2005-05-27 | 2007-02-20 | Greenlee Wilfred E | Hip prosthesis and the use thereof |
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