US20080109085A1 - Method and apparatus for hip femoral resurfacing tooling - Google Patents

Method and apparatus for hip femoral resurfacing tooling Download PDF

Info

Publication number
US20080109085A1
US20080109085A1 US11/593,168 US59316806A US2008109085A1 US 20080109085 A1 US20080109085 A1 US 20080109085A1 US 59316806 A US59316806 A US 59316806A US 2008109085 A1 US2008109085 A1 US 2008109085A1
Authority
US
United States
Prior art keywords
datum
femoral head
tool
axis
ball
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/593,168
Inventor
Peter Tulkis
Robert E. Ledger
Patrick Raugel
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Howmedica Osteonics Corp
Original Assignee
Howmedica Osteonics Corp
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 Howmedica Osteonics Corp filed Critical Howmedica Osteonics Corp
Priority to US11/593,168 priority Critical patent/US20080109085A1/en
Assigned to HOWMEDICA OSTEONICS CORP. reassignment HOWMEDICA OSTEONICS CORP. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: LEDGER, ROBERT E., RAUGEL, PATRICK, TULKIS, PETER
Publication of US20080109085A1 publication Critical patent/US20080109085A1/en
Application status is Abandoned legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1742Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
    • A61B17/175Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for preparing the femur for hip prosthesis insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1664Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
    • A61B17/1668Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3601Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • A61F2/3603Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4607Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1637Hollow drills or saws producing a curved cut, e.g. cylindrical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897Guide wires or guide pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surfaces, e.g. coating for improving bone ingrowth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/30004The prosthesis made from materials having different values of a given property at different locations within the same prosthesis
    • A61F2002/30011The prosthesis made from materials having different values of a given property at different locations within the same prosthesis differing in porosity
    • A61F2002/30013The prosthesis made from materials having different values of a given property at different locations within the same prosthesis differing in porosity made from both porous and non-porous parts, e.g. adjacent parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30205Three-dimensional shapes conical
    • A61F2002/3021Three-dimensional shapes conical frustoconical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30205Three-dimensional shapes conical
    • A61F2002/30217Three-dimensional shapes conical hollow cones, e.g. tubular-like cones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30378Spherically-shaped protrusion and recess
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30721Accessories
    • A61F2/30734Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • A61F2002/30738Sleeves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surfaces, e.g. coating for improving bone ingrowth
    • A61F2002/30934Special articulating surfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3601Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • A61F2/3603Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
    • A61F2002/3605Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head made of two or more concentric caps fitted onto one another
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4623Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof having a handle portion, e.g. integral with the implanting tool
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4628Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4631Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4677Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using a guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4687Mechanical guides for implantation instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0067Three-dimensional shapes conical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0023Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity
    • A61F2250/0024Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity made from both porous and non-porous parts, e.g. adjacent parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00407Coating made of titanium or of Ti-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00413Coating made of cobalt or of Co-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00419Other metals
    • A61F2310/00491Coating made of niobium or Nb-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00419Other metals
    • A61F2310/00544Coating made of tantalum or Ta-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00592Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds

Abstract

Tools and methods for implanting hip resurfacing femoral prostheses along a path defined by the axis of a shaped femoral head surface are described. The prostheses are stemless partial ball components having an outer surface shaped to conform to an acetabular socket and may be a two part design having a mating sleeve component with an internal bore adapted to receive the shaped femoral head. The tools and methods are capable of accurately implanting both one and two piece ball components and sleeves without requiring the prosthesis to have a central stem or the preparation of a stem cavity in the femoral head and neck.

Description

    BACKGROUND OF THE INVENTION
  • The present invention relates generally to systems, kits and methods for joint prosthesis installation tools. The present invention includes jigs and methods for installing a stemless ball component to a prepared femoral head along an axis defined by the prepared femoral head and jigs for installing a sleeve component for adapting a ball component to a prepared femoral head along an axis defined by the prepared femoral head.
  • Artificial joint prostheses are widely used today, restoring joint mobility to patients affected by a variety of conditions, including degeneration of the joint and bone structure. Typically, the failed bone structure is replaced with an orthopedic implant that mimics, as closely as possible, the structure of the natural bone and performs its functions. The satisfactory performance of these implants can be affected not only by the design of the component itself, but also by the surgical positioning of the implanted component and the long-term fixation of the implant. Improper placement or positioning of the implant can adversely affect the goal of satisfactorily restoring the clinical bio-mechanics of the joint as well as impairing adequate fixation of the component when implanted.
  • Orthopedic implants are constructed from materials that are stable in biological environments and withstand physical stress with minimal or controlled deformation. Such materials must possess strength, resistance to corrosion, biocompatibility, and good wear properties. Also, the implants include various interacting parts, which undergo repeated long-term physical stress inside the body.
  • For these reasons, among others, the bone/implant interface and the connection between various parts of the implant must be durable and resistant to breakdown. This is especially important since installation of an orthopedic implant often involves an extensive and difficult medical procedure, and therefore replacement or revision of the installed implant is typically difficult and traumatic.
  • The requirements for the useful life of the implant continue to grow with the increase in human life expectancy. Also, as implants improve, younger patients are considered as implant candidates. It is therefore desirable to develop implants that, while durable in their own right, minimize the difficulty of replacement
  • The strength and longevity of implants in large part depend on the bone/implant interface. Various methods of connection are known in the art. For example, a hip joint is a ball-in-socket joint, and includes a rounded femoral head and a cup-like socket (acetabular cup) located in the pelvis. The surfaces of the rounded femoral head and the acetabular cup continually abrade each other as a person walks. The abrasion, along with normal loading, creates stress on the hip joint and adjacent bones. If the femoral head or the acetabular cup is replaced with an implant, this stress must be well tolerated by the implant's bearing surfaces to prevent implant failure.
  • Depending on the type of bone, the location of the bone within the body and individual characteristics, bone has a wide variation in mechanical characteristics. Bone is generally categorized as trabecular or cancellous bone, which is porous and has an open cancellated structure, and cortical bone, which is dense. Considering the femoral bone of the hip joint, FIG. 1 shows the proximal portion of a femur 1 with the upper portion of the shaft 3, a neck 5 and a head 7. A shaft axis A-A is aligned with the shaft 3 and a head axis B-B is generally aligned with the neck 5. The shaft 3 is primarily composed of cortical bone while the neck 5 and head 7 are primarily composed of trabecular bone with cortical bone at the surface.
  • Implantable joint prostheses have long been used to provide an artificial hip. When the prosthesis is situated in this position, significant forces such as axial, bending, and rotational forces are imparted to the device. Conventional total hip replacements use an intramedullary stem as part of the femoral prosthesis. The stem passes into the marrow cavity of the femoral shaft. These stem type prostheses are very successful but when they fail the stem can create considerable damage inside the bone. The implant can move about inside the bone causing the intramedullary cavity to be damaged. Because a stiff stem transmits the forces more directly into the femoral shaft, such implants have the further disadvantage that they can weaken the surrounding bone nearer to the hip joint due to stress shielding.
  • Early designs of femoral prostheses for artificial hips relied primarily on cemented fixation. These cements, such as polymethylmethacrylate, are used to anchor the component within the medullary canal by acting as a grouting agent between the component and the endosteal (inner) surface of the bone. While this method of fixation by cement provides immediate fixation and resistance to the forces encountered, and allows the surgeon to effectively position the device before the cement sets, it is not without problems. Over time, the mechanical properties and the adhesive properties of the bone cement degrade; eventually the forces may overcome the cement and cause the components to become loose due to a failure at the cement/bone or cement/stem interface. Alternative approaches to address the issue of cement failure include both biological ingrowth and press-fit type stems.
  • Stems designed for biological ingrowth typically rely on the bone itself to grow into a specially prepared surface of the component, resulting in firmly anchoring the implant within the medullary canal. A shortfall of this approach is that, in contrast to components that utilize cement fixation, surfaces designed for biological ingrowth do not provide for immediate fixation because it takes time for the bone to grow into the specially prepared surface. Press-fit stems precisely engineered to fit within a surgically prepared medullary canal may or may not have specially prepared surfaces and typically rely on an interference fit of some portion of the component within the medullary canal of the bone to achieve stable fixation.
  • The need often arises to replace at least a portion of a hip implant. Prior art designs often require the entire implant to be replaced even if only a portion of the implant fails. Similarly, the entire implant may have to be replaced if the implant is intact but certain conditions surrounding the implant have changed. This is often due to the implant suffering from a decrease in support from the adjacent bone due to stress shielding or other negative effects of the implant on surrounding bone.
  • Surgeons have sought a more conservative device than an implant using an intramedullary stem as part of the femoral prosthesis. There have been a number of attempts at implants using short stems or femoral caps without stems and requiring less extensive surgery. This type of prosthesis is generally known as a hip resurfacing prosthesis. In the mid-1940's, Judet in France designed a prosthesis whereby the majority of the femoral head was removed and a replacement device was fitted with a peg or nail which passed a short way down the femoral neck. Small movement of the device against the bone caused friction of the bone and the bending loads on the peg often caused them to break out underneath the bony femoral neck. In the mid-1970's, double cup type arthroplasty was tried. There were several designs: Wagner in Germany, an Italian Group, Imperial College London and the Tharies design from Amstutz in California.
  • These all removed a fair proportion of the femoral bearing surface by turning it down to a cylindrical form or hemispherical form. A metal shell was then fixed with bone cement on the remaining bony peg. The acetabular cup was conventional. Unlike normal total hips, however, which have standard femoral head sizes in the range of 22-32 mm, these double cup arthroplasties have large bearing surface diameters closer to the original hip, typically in a range from 40-60 mm. These latter double cup designs commonly failed either by a crack progressing around the bone cement between the prosthetic femoral shell and the bone or by a fracture of the bone across from one side of the prosthetic femoral component rim to the other.
  • Current approaches to femoral head resurfacing can be traced back to Amstutz in U.S. Pat. No. 4,123,806. In the '806 patent, a hemispherical cap is cemented to a prepared femoral head while preserving a substantial portion of the femoral head. In U.S. Pat. No. 6,156,069, Amstutz shows a femoral head resurfacing implant having a stem. A similar femoral head resurfacing technique having a stem called Birmingham Hip Resurfacing has been developed by McMinn in the United Kingdom.
  • These stem-type femoral head resurfacing prostheses consist of a bearing cap provided with a central pin that guides the prosthesis during the insertion. The guiding is important because it ensures that the prosthesis will be seating at the appropriate orientation planned by the surgeon with regard to the bone. A consequence of the misalignment of the prosthesis is a sub-optimal load transfer to the bone that can lead to the failure of the prosthetic joint. Similar to the problems with the prostheses having a stem extending into the femoral shaft, a stem-type resurfacing prostheses requires the surgeon to remove enough bone in the neck of the femur so that it can host the pin of the prosthesis and the stem can contribute to stress shielding. Therefore the stem-type prosthesis is not as bone preserving as a stemless prosthesis, either in the short term or long term.
  • Notwithstanding the problem of guiding a stemless prosthesis, stemless approaches have been advocated and continue to be developed. A modular approach to a stemless femoral hip resurfacing is shown in U.S. Pat. No. 4,846,841 to Oh. In this approach, a frustro-conical cap is press-fit to a prepared femoral head. A ball component is then attached to and retained by the cap using a Morse taper fit. A similar approach is shown in U.S. Pat. No. 5,258,033 to Lawes and Ling, which shows a ball component cemented either directly to a prepared head or, additionally, retained by a press-fit with a frustro-conical cap. A contemporary approach to stemless femoral head resurfacing is found in co-owned U.S. patent application Ser. No. 11/478,870 entitled, Femoral Head Resurfacing.
  • All of these more modern hip resurfacing approaches require that the femoral head be prepared to provide a properly oriented and shaped bone interface for the implant by shaping the head. The outer prepared bone interface with the implant is symmetrical around a prepared head axis B-B passing through and established with reference to the central region of the femoral neck and is typically cylindrical or conical but may be a more complex tapering solid of revolution. The proximal portion of the prepared head can be a flat surface, tapered, domed, chamfered, or any combination of these features and is usually performed as a separate resection. If a stem is used, it may be cylindrical, conical or a more complex tapering solid of revolution and is typically short compared to a conventional intramedullary stem. The portion of the bone that hosts the prosthesis must be shaped so that it matches the shape of the prosthesis. The size and shape of the bone may fit exactly the shape and size of the prosthesis or may provide room for cementing to take place or have an excess of bone in a region to allow press-fit fixation, depending on the preferred fixation method.
  • Because the desired bone shape of the outer implant interface is symmetrical around an axis, a guide wire or pin introduced into the femoral head is typically used to establish the tooling landmark or datum that establishes and defines the prepared head axis B-B. The guide pin provides an axis of revolution for the various measuring and cutting tools used in the preparation process as shown in FIG. 4 and discussed later. When introduced into the femoral head, the guide wire creates a corresponding bore that also provides a datum for the axis B-B in the absence of the guide wire. Based on pre-operative planning, the surgeon initially places the guide wire, either freehand or using measurement and guidance tools based on various anatomical reference points on the femur. In order to place the pin, the pin is driven or inserted in the proximal surface of the femoral head directed toward the greater trochanter and approximately down the mid-lateral axis of the femoral neck. A gauge having an extended stylus that allows measurement of the position of the pin with respect to the neck is then typically used to make a preliminary check of the pin position. By revolving the gauge, the surgeon can evaluate the position of the pin to ensure that the femoral neck will not be undercut when the cutting tool is revolved around the pin. If the surgeon is satisfied that the pin position meets these criteria, the guide wire is used as the axis of revolution for the shaping cutter or reamer to prepare the head to receive the implant.
  • For a traditional stem-type resurfacing prosthesis, the stem cavity is used to guide the stem and prosthesis into position. Thus, a stem-type resurfacing prosthesis has provided an acceptable method of guiding the prosthesis with respect to the femoral head axis because the stem cavity approximates the head axis datums and the stem serves as tooling to guide the prosthesis along an axis approximating the femoral head axis during installation by engaging the stem cavity.
  • For a stemless prosthesis, the stem and stem cavity do not exist and the stem cannot serve as tooling to guide the prosthesis. It is desirable to have tooling and a surgical method for use with a stemless prosthesis that allows implanting the prosthesis along the femoral head axis with at least the same accuracy achieved by stem-type resurfacing prosthesis.
  • SUMMARY OF THE INVENTION
  • It is an object of the present invention to provide a more successful surface replacement of the femoral portion of a total hip replacement based on a stemless modular approach to femoral hip resurfacing by improvements to the tooling and methods used for implanting the prostheses components.
  • According to an aspect of the present invention, a jig or tool is used to control the direction of the travel and the seating force vector of a femoral prosthesis component with respect to an axis previously used to create the outer surface of the resected or shaped femoral head surface that will mate with the prosthesis component.
  • In a first embodiment of the present invention, a tool and method for seating the sleeve component of a two-part prosthesis guides the sleeve on a guide pin or Kirschner wire located in the head axis used as a datum to create the femoral head resection. The sleeve inner and outer distal surfaces are typically in the shape of a truncated cone, but may also incorporate other anti-rotational or locking features. The inner surface of the sleeve is shaped and dimensioned to mate with a prepared femoral head. The sleeve proximal portion has a central hole capable of allowing the guide pin to pass through it. The tool also has a central cannulated bore capable of receiving the guide pin and slidingly journaling on the guide pin to insure that the tool is aligned with the datum provided by the guide pin. Consequently, the tool and sleeve are aligned with the femoral head axis while seating the sleeve. The tool distal portion has holding features that conform to a portion of the sleeve outer surface and retains the sleeve with suitable features such as detents. Because of the tapered sleeve exterior configuration mating with the holding features, the sleeve will tend to strongly lock with the tool as a result of the force applied to the tool as the sleeve is seated.
  • In order to remove the tool and overcome this locking force without damaging the bone surface of the prepared femoral head or breaking the sleeve loose from the femoral head, the tool incorporates release features, such as an extractor assembly that forces pins against the sleeve, to release the prosthesis from the tool.
  • In another aspect of the first embodiment, these releasing features are symmetrical about the tool and femoral head axis in order to insure that the sleeve is not cocked with respect to the axis by the releasing action.
  • In a further aspect of the first embodiment, a method is provided for using the prosthesis holding tool of the first embodiment. The sleeve prosthesis is first attached to the prosthesis holder. If necessary, bone cement is applied to the interior surface of the sleeve or to the mating prepared femoral head surface. The tip of the guide pin is introduced into the hole of the sleeve and the cannulated bore of the prostheses holder and the holder is used to drive the sleeve along the axis defined by the guide pin until the sleeve is mated with the prepared femoral head. Then sufficient pressure is applied to seat the prosthesis as required by the selected fixation method. The extractor assembly of the prosthesis holding tool is next used to release the sleeve and the prosthesis holding tool can be removed from the guide pin. The guide pin is then removed from the patient, and a ball component is seated on the sleeve using a suitable tool.
  • In a second embodiment of the invention, a prosthesis holding tool similar to the first embodiment is adapted to be used when the guide pin has been removed prior to using the tool. The prosthesis holder of the second embodiment has a central pin projecting from the distal prosthesis holding portion to pass through the hole in the proximal portion of the sleeve and enter the bore in the prepared femoral head previously occupied by the guide pin. In other respects, the operation and method of the second embodiment is the same as the first embodiment except that, after preparing the femoral head, the guide pin is removed prior to the step of seating the sleeve.
  • In a third embodiment, the invention is used to seat a ball component rather than a sleeve. In this embodiment, an alignment jig is temporarily attached to the femoral neck. Initially, a pin location guide is fitted on the guide pin projecting from the femoral head which provides a datum. A frame with various translational and rotational adjustments is connected with the location guide, and also fastened to the femoral neck. By adjusting the jig position and locking the various adjusting joints, the guide pin position and consequently the femoral head axis are determined and the alignment jig is constrained to align with the axis. The guide pin is then removed. The partial ball component and a suitable prosthesis holding tool are then engaged with the alignment jig to allow the prosthesis and holding tool to be installed by translating the prosthesis and tool along the head axis B-B to create a secondary datum.
  • The alignment jig of the third embodiment also has the capability to establish a new axis for the alignment pin if necessary. Upon determining that the previous axis is unsatisfactory, the various translational and rotational adjustments of the jig can be re-adjusted to a new axis location. Then a pin location guide can be reinstalled and used as a guide to drive in a new alignment pin that can, in turn, be used for a secondary re-surfacing of the femoral head. The prosthesis can be installed on the newly prepared head and the prosthesis installed along the new axis as described in the previous paragraph.
  • In a fourth embodiment, the tooling of the third embodiment is modified to provide a separate axis alignment jig and prostheses alignment jig. The axis alignment jig is fitted directly over the guide pin without the use of a pin location guide to determine the head axis and is used to install a mount, typically a mounting pin, on the side of the femoral neck in a predetermined relationship to the head axis B-B. The axis alignment jig is next removed and then the guide pin is removed. The prosthesis is installed in the prosthesis alignment jig and the jig is aligned with the prepared femoral head axis B-B using the mount on the side of the neck. The prosthesis alignment jig is then used to install the prosthesis in a manner similar to the third embodiment.
  • It is also an aspect of the invention to provide the various surgical methods described in connection with the embodiments above, along with kits incorporating the various tool and jig components for adapting to differently sized sleeves, ball components, and other variations typically encountered in orthopedic replacements of femoral ball components.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a cross-sectional side view of the upper portion of a human femur;
  • FIG. 2 is a cross-sectional side view of a two-piece femoral resurfacing prosthesis showing a sleeve and ball component installed on a prepared femoral head;
  • FIG. 3 is a perspective view of a sleeve and ball component corresponding to the sleeve and ball component shown in FIG. 2;
  • FIG. 4 is a view of a step in the preparation of a femoral head as shown in FIG. 2, wherein a guide pin has been installed along a femoral head axis B-B and is used to prepare a femoral head surface suitable for a prosthesis by revolving a cutter about the pin;
  • FIG. 5 is a perspective view of a prosthesis holding tool for a sleeve prosthesis according to the first embodiment of the invention;
  • FIGS. 6-10 show perspective views of a sequence of steps in the method of use according to the first embodiment of the invention;
  • FIGS. 11-12 show the prosthesis holder according to the second embodiment of the invention and the method of use according to the second embodiment of the invention;
  • FIG. 13 is a perspective view according to the third embodiment of the invention showing an alignment jig attached to a femoral neck to install a ball prosthesis on a prepared femoral head along femoral neck access;
  • FIGS. 14-19 show perspective views of a sequence of steps of a method of using the alignment jig of FIG. 13 including, starting in FIG. 16, the use of a prosthesis holder guided by the jig to install the prosthesis; and
  • FIGS. 20-26 show a sequence of perspective views according to a fourth embodiment of the present invention and the method of use of an alignment jig to determine the position of a secondary alignment pin on the side of the femoral neck using an alignment jig and then using a separate prosthesis holder engaged on the secondary pin to install the ball component prosthesis.
  • DETAILED DESCRIPTION
  • As shown in FIG. 2, a proximal femur as depicted in FIG. 1 has been surgically prepared for the implantation of a stemless femoral hip resurfacing prosthesis. The preparation consists of a re-shaping of the femoral head 7, in this instance, as a surface of revolution about the prepared femoral head axis B-B. The femoral head 7 has been re-shaped by known surgical techniques as a prepared femoral head 7′, such that the femoral head surface 9 has been removed, creating a prepared femoral head surface 9′. Arranged in close contact with the distal portion of the prepared femoral head surface 9′, is a sleeve 10. In turn, a ball component 20 is fitted over the sleeve 10. The axis B-B passes approximately through the center of the femoral neck 5, the center of the prepared femoral head 7′, the center of the sleeve 10, the center of a hole 12 in the sleeve distal end and the center of the ball component 20. In this instance, a two-part modular prosthesis having a sleeve component 10 and ball component 20 is depicted on the prepared femoral head. In some embodiments, a unitary ball prosthesis 20′ (not shown), integrating the features of the sleeve 10 and the ball 20 will also be discussed.
  • FIG. 3 shows in an exploded perspective view the prosthesis of FIG. 2. It can be seen that the sleeve component 10 fits closely inside at least a portion of the ball component 20. It can further be seen that the sleeve 10 is generally a tapering solid of revolution about a central axis having a sleeve cavity which is configured to interface with the prepared femoral head surface 9′. In this instance, the distal portion of the sleeve is in the configuration of a hollow truncated cone. While shown here in the preferred configuration of a truncated cone, either of the inner or outer surfaces of the sleeve can define any hollow cylinder or tapering surfaces such as an ogive or any parabolic surface capable of being fit over a matched prepared femoral head surface 9′. The proximal portion 12 can be a different shape of revolution about the central axis, for example a flat surface, a spherical domed surface or a chamfered flat surface. When present, the proximal portion 12 may be closely configured to the prepared femoral head surface 9′ or may have clearance from the prepared femoral head surface.
  • The sleeve 10 may be a solid metallic or ceramic structure or it may have a tissue ingrowth surface such as a porous inner surface integrated with or attached to a solid outer layer. The sleeve may also be porous throughout.
  • The ball component 20 has a spherical outer surface that serves as the bearing for the implant when assembled with a mating acetabular cup. The ball component 20 has a bore that has an inner surface allowing it to closely conform to the distal sleeve outer surface or in the instance of a a one-piece ball prosthesis 20′, the prepared femoral head surface 9′. The body of the ball component 20 is preferably made of a metallic or ceramic material similar to those described for the sleeve 10 with the exception that the material is typically solid throughout and has a suitable hardness and durability to provide a bearing surface or substrate. For durability and bearing performance, the ball component 20 may be coated or have a surface layer of ceramic material. In any instance, the hemispherical outer surface must function as a bearing and requires a fine finish. It is also necessary that a prosthesis holder provide suitable handling of the prosthesis to prevent damage to the implant bearing surface during installation.
  • FIG. 4 shows the preparation of the prepared femoral head 7′, such that the femoral head surface 9 has been removed to create the distal portion of the prepared femoral surface 9′. The part of the prosthesis that comes in contact with the bone can be tapered, domed, chamfered, cylindered or any combination of any of these features. The portion of the bone that hosts the prosthesis is shaped so that it matches the shape of the prosthesis. The size and shape of the bone may fit exactly the shape and size of the prosthesis or it may provide room for bone cement or provide an excess of bone in some area to allow press-fit fixation, depending on the preferred fixation method. The bone shape is typically symmetrical around a prepared femoral head axis B-B and created by an appropriately shaped cutter 32 that revolves about a guide pin 30, located in a femoral neck bore 31. As shown, the surface 9′, the cutter 32, the pin 30 and the bore 31 are co-axial with the axis B-B. The symmetrical axis B-B of the bone is also the axis along which it is desirable to guide the prosthesis for proper installation. The cutter 32 may also shape the proximal portion of the surface 9′.
  • FIGS. 5 and 6 depict a prosthesis holding tool 50 according to an aspect of the first embodiment of the invention for seating the sleeve component 10 of a two-part prosthesis onto the prepared femoral head 7′ of the femur 1. The tool 50 is cannulated with a central bore 51 to allow guiding on the guide pin 30 initially used to prepare the femoral head. The sleeve 10 has a central hole 12 in the proximal portion to allow the guide pin 30 to pass through it. The central bore 51 of the tool 50 is capable of receiving the guide pin 30 and slidingly journaling on the guide pin to insure that the tool is aligned with the prepared femoral head axis B-B while seating the sleeve. The tool distal portion has a sleeve interface 52 for receiving the sleeve 10. The sleeve interface 52 has holding features 54 that conform to a portion of the sleeve outer surface and retain the sleeve with suitable features such as detents 55 or tines. Because of the preferred tapered sleeve exterior configuration wedging with the holding features 54, the sleeve 10 will tend to strongly lock with the sleeve interface 52 as a result of the force of seating the sleeve 10 on the head 7′. In order to remove the tool and overcome this locking force without damaging the bone surface of the prepared femoral head 7′ or breaking the sleeve 10 loose from the femoral head, the tool incorporates release features, such as an extractor assembly 60 that forces pins 64 against the proximal portion of the sleeve, to release the sleeve from the tool.
  • It is preferred that the releasing features are symmetrical about the tool and femoral head axis in order to insure that the sleeve is not cocked with respect to the axis by the releasing action. As shown on FIG. 6, the pins 64 are centrally connected and slidingly journalled on the handle 56 of the tool 50 by an extractor cage 62 in order to ensure that the extractor pins 64 apply force symmetrically about the handle axis and consequently the femoral head axis B-B in order to ensure that the sleeve 10 is not cocked during the separation of the tool from the sleeve. A camming lever 68 drives the extractor cage 62 and consequently the extractor pins 64 parallel to the axis B-B when actuated. A return spring 66 is provided to keep the cage 62 positively engaged with the cam of the lever 68.
  • FIGS. 5-10 illustrate the method of using the prosthesis holding tool 50. The sleeve prosthesis 10 is first inserted into the sleeve interface 52 and retained by the tines 55 of the retention prongs 54 located symmetrically about the interface. If necessary, bone cement is applied to the interior surface of the sleeve 10 or to the mating prepared femoral head surface 9′. Using the tool, the sleeve 10 is brought into position to introduce the proximal end of the tip of the guide pin 30 into the central hole 12 of the sleeve and the cannulated bore 51 of the prostheses holder 50. The handle 56 of the holder is used by the surgeon to drive the sleeve 10 along the axis B-B defined by the guide pin until the sleeve is mated with the prepared femoral head 7′ as shown in FIGS. 5 and 6. Sufficient pressure is applied to seat the prosthesis as required by the selected fixation method. If necessary, the tool 50 is held in position while the bone cement sets. As seen in FIG. 7, the extractor assembly 60 of the prosthesis holding tool is then actuated by rotating the handle 68 toward the handle 56. As further seen in FIG. 8, this actuation drives the extractor cage 62 and pins 64 distally against the proximal portion of the sleeve 10 to overcome the locking force and detents in order to release the sleeve. The handle 68 is returned to the initial position, withdrawing the pins 64 by the action of the spring 64. The prosthesis holding tool 50 can then be removed from the guide pin 30 as shown in FIG. 9. The guide pin 30 is next removed from the femoral head 7′, as in FIG. 10 and a ball component 20 may be seated on the sleeve 10 in a subsequent operation.
  • FIGS. 11-12 show a prosthesis holder according to an aspect of the second embodiment of the invention and a sequence of steps of the method of use of the second embodiment of the invention. As depicted in FIG. 11, a prosthesis holding tool 50 similar to the first embodiment is adapted to be used after removing the guide pin 30 prior to being used. After finishing the preparation of the femoral head 7, as previously discussed with respect to FIG. 4, the guide pin 30 is removed from the femoral head 7′.
  • In order to guide the tool 50, a central alignment pin 70 projects from the center of the handle 56 in place of the bore 51 previously used to receive the guide pin 30. To place the sleeve 10 in the tool 50, the central alignment pin 70 is first passed through the hole 12 in the proximal portion of the sleeve and the sleeve is captured, as in the first embodiment, by the holding features 54 and detents 55 of the sleeve interface 52. As shown in FIG. 11, the tool 50 is positioned with the alignment pin 70 aligned with the axis B-B and guided toward the femoral head 7′ until the alignment pin 70 is seated in the bore 31 to slidingly journal the tool along the axis B-B. In other respects, the tool, operation and method of the second embodiment is the same as the first embodiment except that, of course, the guide pin 30 is already removed prior to seating the sleeve.
  • FIGS. 13-19 show tools and methods according to an aspect of the third embodiment of the invention wherein an alignment jig 80 is attached to a femoral neck 5 to install a ball prosthesis 20′ on a prepared femoral head 7′ along a prepared femoral head axis B-B determined from the guide pin 30. In this embodiment, the invention is used to seat the ball component 20′ rather than the sleeve 10. The ball component 20′ depicted is a one-piece type prosthesis with a cavity fitting directly on the prepared femoral head 7′ although the aspects of the invention applicable to a one-piece ball component 20′ are also applicable to any modular ball component such as ball component 20. Fitting a ball component 20′ presents problems because the axis B-B cannot be directly located by the datums of the previous embodiments, either by guiding on the guide pin 30 or the bore 31, during the installation of the ball because the pin must be removed prior to installing the component and the bore is inaccesible as the head 7′ enters the cavity 10. As depicted in FIGS. 13-19, an alignment jig 80 is used to transfer the datum for the axis B-B to create a secondary datum at a position sufficiently distant from the femoral head 7′ to allow a path for the ball component 20 to be installed on the head. A sequence of steps of the method of using the alignment jig 80 is illustrated in FIGS. 13-19 including, starting in FIG. 16, the use of a prosthesis holding tool 50 guided by the jig to install the prosthesis.
  • Turning to FIG. 13, the alignment jig 80 is attached to a proximal portion of the femur 1, preferably at the femoral neck 5. The femoral head 7 has been prepared, as previously discussed with respect to FIG. 4 and the guide pin 30 is temporarily left in place. The alignment jig 80 is comprised of a femoral mount 81, an axial extension 82 and a radial extension 84 with a pin location guide 86 at the proximal end of the extension. The pin location guide 86 is an aperture having a central axis that can be aligned to be co-axial with the femoral head axis datum provided by the guide pin 30 or the bore 31 and consequently with axis B-B. The jig 80 has various clamps, slides and rotational adjustments that provide sufficient degrees of freedom to allow the pin location guide 86 to be co-axially positioned with axis B-B. The pin locator 87 has a bore with a central axis. The bore is sized to slidingly engage on the guide pin 30 projecting from the femoral head and the locator 87 has an outer surface coaxial with the bore that slidingly engages the pin location guide 86 to translate the datum for the axis B-B originally established by the guide pin 30. Alternatively, the pin locator 87 may also be configured with a projecting alignment pin, to locate the datum for axis B-B using the bore 31 in the same manner as the pin 70 of the tool 50 in the second embodiment of the invention.
  • The femoral mount 81 is first attached to the proximal femur 1, preferably at the femoral neck 5. The attachment may be by friction means using, for example, a hinged clamping mechanism, as shown, or by set screws or bone screws, care being taken to not compromise the integrity of the femoral bone at the interface with the clamp. The mount 81 incorporates a multi-axis adjuster 88 comprising a spherical cavity 88 a and a binder bolt 88 b. The spherical cavity 88 a engages a split spherical collet 89 and can apply a clamping force using the binder bolt 88 b as shown. The collet 89, in turn, is slidingly engaged with the axial extension 82 which passes through a central cavity of the collet to provide an axial adjustment. Consequently, when the adjuster 88 is not clamped, the spherical interface 88 a provides the collet 89 with three degrees of rotational freedom and allows the axial extension 82 to translate relative to the collet. When clamped, the three rotational degrees of freedom and the translational degree of freedom are locked because the binder bolt 88 b constricts the spherical cavity 88 a onto the split collet 89, which in turn constricts the collet onto the axial extension 82. Two of the rotational degrees of freedom allow the axial extension 82 to be positioned parallel to the guide pin 30 and axis B-B while the third degree of freedom allows rotation of the axial extension 82 about its axis.
  • The axial extension 82 has a radial adjustment 85 at its proximal end with a suitable clamping mechanism, such as a set screw, to slidingly engage the distal portion of the radial extension 84 and lock the joint when desired.
  • As shown in FIG. 14, when the jig 80 is mounted on the femoral neck 5 and the jig joints are adjusted and locked to allow the pin locator 87 to engage the pin location guide 86, the datum provide by the guide pin 10, and consequently the prepared femoral head axis B-B, are determined and the pin alignment guide 86 is constrained to align with the axis and bore of the guide. The pin alignment guide 86 can now be used as a new datum to determine the axis B-B.
  • It will be understood by the person of skill in the art familiar with mechanism design and kinematics that numerous configurations of joints, extensions and locking mechanisms will provide the necessary ability to reestablish the datum of axis B-B at a point remote from the surface of the femoral head so long as the necessary degrees of freedom are provided and that the configuration shown is but exemplary. Examples of similar joints, extensions and locking mechanisms indicative of the skill in the art can be found, for example, in a prosthetic checking jig disclosed in U.S. Pat. No. 6,203,575. It will also be recognized by the person of skill that it may be desirable to provide additional redundant rotational and translational axes and appropriate bearing configurations to improve assembly sequences, flexibility of the jig and ease of use, for instance by allowing sideways access to the pin location guide 86. The number of necessary degrees of freedom in the jig 80 may also be reduced by allowing the mount 81 to be adjusted to various positions relative to the femoral neck 5 in order to provide additional degrees of freedom at the neck interface. Supplementary tools, such as a checking fixture to determine that the axial extension 82 is parallel to the guide pin 30 by locating on the guide pin and the extension, may be used to simplify establishing the new datum. While the use of the pin locator 87 is a preferred embodiment, an extended pin 30 may be directly engaged by the pin location guide 86 to determine the datum.
  • Having established a new datum for the axis B-B, the guide pin 30 is then removed as shown in FIG. 15. In FIG. 16, the partial ball component 20′ and a prosthesis holding tool 50 adapted to retain a ball component are mounted on the alignment jig 80 to allow the ball 20′ to be installed by translating the prosthesis and tool along the axis B-B as established by the jig using the new datum remote from the femoral head.
  • The prosthesis holding tool 50 has been modified to retain and selectably release the ball component 20′. As previously discussed the ball component 20′ has a finely finished bearing surface that must be suitably handled to protect the finish. In this example, the ball 20′ is gripped by three retention prongs 54, that are pivotably mounted to an interface body 52. The prongs 54 may be capable of elastic deformation or spring loaded and may be released by a suitable pivot arm connected to a release button in the handle 58 as will be understood by a person of skill in the art. If desired, detents 55 or tines, may be engaged on the planar portion of the partial ball component 20′ to prevent rotation of the ball as shown in FIG. 16A. The tines 55 project inwardly from the spherical inner surface of the prongs 54 at the position corresponding to the planar portion of the partial ball component 20′. In use, the prongs 54 are deflected outward to install the ball component 20′ and capture the ball component when the ball component is fully seated and the prongs 44 and tines 55 move inward. The ball 20′ may be released by overcoming a spring preload or deflecting the retention prongs 54 and tines 55 either as a result of the frictional retention force created by the interface of the ball cavity with the prepared femoral head surface 9′ as the tool 50 is retracted or by a plunger acting on the ball to eject it from the tool. Methods of protecting, retaining and releasing a ball component 20 or 20′ are known as disclosed in U.S. Pat. No. 4,542,825; U.S. Pat. No. 5,133,765; U.S. Pat. No. 6,585,771; and U.S. Published Patent Application No. 2003/0228357.
  • The prosthesis holding tool 50 is guided along the axis B-B by the sliding engagement of the cylindrical tool handle 56 with the bore of the pin alignment guide 86 that is now used as a new datum to determine the axis B-B and control the path of the tool and consequently the ball component along the axis until seated on the prepared femoral head 7′ as shown in FIGS. 17 and 18. In FIG. 18, the ball 20′ has been released from the retention prongs 54 and the tool retracted and subsequently removed as shown in FIG. 19.
  • FIGS. 20-26 show a sequence of perspective views according to a fourth embodiment of the present invention similar to the third embodiment except that the datum for the axis B-B is not absolutely determined and the tooling is simplified by the use of a separate axis alignment jig and prostheses alignment jig. First, the axis alignment jig 90 is used to determine the position of a secondary alignment pin on the side of the femoral neck relative to the axis B-B, then the axis alignment jig is removed and the prosthesis alignment 100 is engaged on the secondary pin to install the ball component prosthesis.
  • As shown in FIG. 20, the axis alignment jig 90 has, at its proximal end, a tube with a bore 92 sized to slidingly engage and journal the guide pin 30. As in the other embodiments, the guide pin 30 is the datum for the axis B-B of a prepared femoral head 7′. The jig 90 has an extension having a slotted fitting 96. The jig is placed with the bore 92 directly over the guide pin to locate the datum for axis B-B. A mount, typically a mounting pin 94, is then placed on the side of the femoral neck in a predetermined relationship to the axis B-B determined by the slot in the fitting 96 as shown in FIG. 21. It can be seen that an axis defined by the pin 94 will intersect the axis B-B because the slot orients the pin 94 to intersect the axis B-B. Typically, the surgeon places the pin approximately perpendicular to the axis B-B in a freehand manner, but a supplemental tool establishing an axis perpendicular to the axis of the bore 92 for guiding the pin 94 may be mounted proximal to the slot of fitting 96 to insure that the pin 94 is perpendicular to the axis B-B by using, for instance, a bore in the supplemental tool that is perpendicular to the axis when mounted to the fitting 96 to guide the pin. As shown on FIG. 22, the axis alignment jig 90 is then removed followed by the guide pin 30.
  • The prosthesis alignment jig 100, shown in FIGS. 23 and 24, is similar to the pin alignment jig 90 except that rather than having a cylindrical portion with a bore 92 mounted at the proximal end, a prosthesis holder 102 is mounted to a mount 101. The ball 20′ is gripped by three retention prongs 106, that are connected to an interface body in a manner similar to that described in connection with the third embodiment. The ball 20′ may be captured or released by deflecting the retention prongs 106, as shown, or by any of the methods discussed above in connection with the third embodiment.
  • The prosthesis 20′ is installed in the prosthesis alignment jig 100 and the jig 100 is aligned with the femoral head axis using the mount 94 on the side of the femur as shown in FIG. 25. The prosthesis alignment jig 100 is then used to install the prosthesis 10 in a manner similar to the third embodiment as shown in FIG. 26. Subsequently, the retention prongs 106 are released, the jig 100 is removed, and the pin 94 is removed.
  • It is noteworthy that the tools and methods of this aspect of the fourth embodiment, as described above, allow considerably more degrees of freedom, such as rotation about the pin 94, for the path of the jig 100 as the ball 20′ is seated. It has been found that this simplified tooling is sufficient to seat the prosthesis and provide increased accuracy in the placement of the prosthesis because the axis of the pin 94 intersects the prepared femoral head axis B-B and the ball is sufficiently guided toward the head axis to prevent cocking and allow accurate placement of the prosthesis 20.
  • A person of skill in the art will appreciate that the tools and methods of the fourth embodiment can readily provide increased control of any of the degrees of translational or rotational freedom by various methods known in the art. For example, the pin 94 may have flats oriented parallel with the head axis B-B that slidingly engage with the slots of the fittings 96 of both the jigs 90 and 100 to prevent rotation about the pin axis and keep the jigs aligned with the head axis. As another example, a pair of stops may be fixed on the pin 94 at both sides of the fittings 96 to establish a radial datum that is transferred from the pin jig 90 to the prosthesis jig 100 to prevent the radial translation or rotation of the prosthesis jig relative to the pin.
  • It is also possible to combine the attributes of the third and fourth embodiment in a hybrid embodiment to provide control of additional degrees of freedom while retaining the relative simplicity of the fourth embodiment. For instance, the pin alignment jig 90 may be fitted with a joint such as multi-axial adjuster 88 configured to allow the pin 94 to be clamped by the collet 89 to lock the position of the jig in alignment with axis B-B. In this embodiment, the proximal portion of the alignment jig 90 has a fitting allowing the proximal portion to be detached and replaced with a second proximal portion having the features of the prosthesis jig 100 and allowing the prosthesis to translate only in the axis B-B.
  • The modular components of tools according to the embodiments of the invention described above are particularly well suited for inclusion in a kit that can be used by a surgeon to implant femoral ball components 20 and 20′ of different sizes by providing the various prosthesis holders of the invention in various sizes corresponding to the prostheses sizes.
  • Unless stated to the contrary, any use of the words such as “including,” “containing,” “comprising,” “having” and the like, means “including without limitation” and shall not be construed to limit any general statement that it follows to the specific or similar items or matters immediately following it.
  • Although the invention herein has been described with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present invention. It is therefore to be understood that numerous modifications may be made to the illustrative embodiments and that other arrangements may be devised without departing from the spirit and scope of the present invention as defined by the appended claims.
  • Although the invention herein has been described with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present invention. It is therefore to be understood that numerous modifications may be made to the illustrative embodiments and that other arrangements may be devised without departing from the spirit and scope of the present invention as defined by the appended claims.

Claims (45)

1. A tool for translating a hollow sleeve prosthesis component along a femoral head axis to install the sleeve on a prepared femoral head, the head axis being defined by a datum used to prepare the femoral head outer surface, the sleeve having a distal end with an opening into a cavity to engage the outer surface of the prepared natural femoral head and a proximal end with an aperture in the proximal end, the tool comprising:
a distal sleeve interface for retaining and releasing the hollow sleeve by contacting the sleeve outer surface;
a guide capable of aligning the sleeve interface with the femoral head axis when engaged with the datum and guiding the interface portion to slidingly translate along the head axis when engaged; and
a handle for applying force to the sleeve interface.
2. The tool as set forth in claim 1 wherein the datum is a guide wire.
3. The tool as set forth in claim 2 wherein the guide comprises a bore through the sleeve interface configured to slidingly journal the guide wire.
4. The tool as set forth in claim 1 wherein the datum is a guide wire bore.
5. The tool as set forth in claim 4 wherein the guide comprises a pin extending from the sleeve interface configured to slidingly fit in the guide wire bore.
6. The tool as set forth in claim 1 wherein at least one surface of the the sleeve interface is tapered.
7. The tool as set forth in claim 6 wherein the sleeve interface comprises an extractor assembly that is capable of applying force to the sleeve to release the sleeve from the tool.
8. The tool as set forth in claim 7 wherein the force is applied symmetrically about a central axis of the proximal portion of the sleeve.
9. The tool as set forth in claim 6 wherein at least one surface of the the sleeve interface is partially cone shaped.
10. A method of installing a femoral sleeve prosthesis to a femoral head, said method comprising the steps of:
a.) preparing the outer surface of the femoral head about a datum to a predetermined configuration to create a prepared femoral head having a head axis defined by the datum;
b.) selecting a sleeve prosthesis, the sleeve having a distal end with an opening into a cavity, the cavity being sized and configured to engage the outer surface of the prepared femoral head, and a proximal end having an aperture;
c.) inserting the sleeve into the sleeve interface of a tool and retaining the sleeve in the sleeve interface, the tool further comprising a guide capable of aligning the sleeve interface with the head axis when engaged with the datum and guiding the interface portion to slidingly translate along the head axis when engaged with the datum, and a handle for applying force to the interface portion;
d.) engaging the guide of the tool with the datum;
e.) applying force to the tool handle to slidingly translate the tool and sleeve along the head axis to seat the sleeve cavity on the prepared femoral head surface; and
f.) releasing the sleeve from the sleeve interface, disengaging the guide from the datum and removing the tool.
11. The method as set forth in claim 10 wherein the datum is a guide wire.
12. The method as set forth in claim 11 wherein the guide comprises a bore through the sleeve interface configured to slidingly journal the guide wire and the guide is engaged with the guide wire by positioning the tool to pass the guide wire into the sleeve cavity, through the sleeve aperture and into the guide bore.
13. The method as set forth in claim 10 wherein the datum is a guide wire bore.
14. The method as set forth in claim 13 wherein the guide comprises a pin extending from the sleeve interface and configured to slidingly fit in the guide wire bore and the guide pin is engaged with the guide wire bore by passing the guide pin through the sleeve aperture and cavity when inserting the sleeve into the sleeve interface and then positioning the tool to place the guide pin into the guide wire bore.
15. The method as set forth in claim 10 wherein at least one outer surface of the sleeve is tapered.
16. The method as set forth in claim 15 whereby the sleeve is released from the sleeve interface by actuating an extractor assembly that applies force to the sleeve to release the sleeve from the tool.
17. The method as set forth in claim 16 wherein the force is applied symmetrically about a central axis of the proximal portion of the sleeve.
18. The method as set forth in claim 15 wherein at least one surface of the sleeve interface is partially cone shaped.
19. The method of claim 10 wherein bone cement is applied between the interior surface of the sleeve and the prepared femoral head surface prior to seating the sleeve cavity on the prepared femoral head surface.
20. The method of claim 10 wherein the outside of the sleeve is solid metal.
21. The method of claim 10, wherein the sleeve is substantially composed of a metal selected from the group of titanium, titanium alloys, cobalt chrome alloys, niobium and tantalum.
22. A tool for establishing a secondary datum for translating a ball prosthesis along a femoral head axis to install the ball on a prepared femoral head, the head axis being defined by a datum fixed in the femoral head and used to prepare the femoral head outer surface, the ball having a distal end with an opening into a cavity to engage the outer surface of the prepared femoral head, the tool comprising:
an alignment jig comprising a mount, an extension connected to the mount by at least one joint, and a secondary datum location feature connected to the extension, the mount being capable of being mounted to the proximal femur adjacent the prepared femoral head, and the extension being capable of moving the secondary datum location feature, when the jig is mounted, to a position establishing a secondary datum coaxial with the datum and distant from the datum along the proximal portion of the femoral head axis.
23. The tool as set forth in claim 22 wherein the alignment jig extension further comprises at least one movable and lockable joint.
24. The tool as set forth in claim 23 wherein the alignment jig extension further comprises providing at least one translational degree of freedom between said mount and said secondary datum location feature.
25. The tool as set forth in claim 23 wherein the alignment jig extension further comprises providing at least two rotational degrees of freedom between said mount and said secondary datum location feature.
26. The tool as set forth in claim 23 wherein the alignment jig extension further comprises providing at least four degrees of freedom between said mount and said secondary datum location feature.
27. The tool as set forth in claim 23 wherein the alignment jig extension further comprises providing at least four degrees of freedom including at least two rotational degrees of freedom and at least one translational degrees of freedom between said mount and said secondary datum location feature.
28. The tool as set forth in claim 22 wherein the alignment jig further comprises an axial extension, said mount and said axial extension being connected by at least one movable and lockable joint providing at least two rotational degrees of freedom to allow the axial extension to be aligned axially parallel with the datum.
29. The tool as set forth in claim 26 wherein the alignment jig extension further comprises a radial extension incorporating said secondary datum location feature, said radial extension being capable of rotation about the axis of said axial extension to radially align with the axis of the datum and radially translate relative to the axial extension to allow the axial extension to align said secondary datum location features coaxially with said datum and establish the secondary datum when the mount is mounted to the femur and the axial extension is aligned axially parallel with the datum.
30. The tool as set forth in claim 22 wherein the alignment jig allows the distance from the prepared femoral head to the secondary datum location feature to be a sufficient length to allow the placement of a ball prosthesis centrally between the femoral head and the secondary datum.
31. The tool as set forth in claim 22 wherein the alignment jig allows the distance from the prepared femoral head to the secondary datum location feature to be at least 25 mm.
32. A tool kit for translating a ball prosthesis along a femoral head axis to install the ball on a prepared femoral head, the head axis being defined by a datum fixed in the femoral head and used to prepare the femoral head outer surface, the ball having a distal end with an opening into a cavity to engage the outer surface of the prepared natural femoral head, the kit comprising:
an alignment jig capable of being mounted to the proximal femur adjacent the prepared femoral head, locating on the datum when mounted and creating a secondary datum coaxial with the datum and proximally distant from the prepared femoral head along the femoral head axis; and
a prosthesis holding tool having a first distal ball interface for retaining and releasing a first ball prosthesis of a first diameter by contacting the first ball outer surface, a proximal guide capable of aligning the ball interface with the head axis when engaged with said secondary datum and guiding the ball interface to slidingly translate along the head axis when engaged, and a handle for applying force to the ball interface.
33. A kit according to claim 32 further comprising a second prosthesis holding tool having a distal ball interface for retaining and releasing a second ball prosthesis of a second diameter different from said first diameter of said first ball prosthesis by contacting the second ball outer surface.
34. A method of installing a femoral ball prosthesis to a femoral head, said method comprising the steps of:
a.) preparing the outer surface of the femoral head about a datum to a predetermined configuration to create a prepared femoral head having a head axis defined by the datum;
b.) mounting an alignment jig to the proximal femur adjacent the prepared femoral head, and using the alignment jig to locate on the datum when mounted and create a secondary datum coaxial with the datum and proximally distant from the prepared femoral head along the femoral head axis;
c.) selecting a ball prosthesis, the ball prosthesis having a distal end with an opening into a cavity, the cavity being sized and configured to engage the outer surface of the prepared femoral head;
d.) inserting the ball prosthesis into the ball interface of a prosthesis holding tool and retaining the ball in the ball interface, the tool further comprising a proximal guide and a handle;
e.) engaging the guide of the prosthesis holding tool with the secondary datum, the guide, upon engagement, aligning the ball interface with the head axis;
f.) applying force to the tool handle to slidingly translate the tool and ball prosthesis along the head axis to seat the ball prosthesis cavity on the prepared femoral head surface; and
g.) releasing the ball prosthesis from the ball interface, retracting the tool and removing the alignment jig and the prosthesis holding tool.
35. A tool for establishing a secondary datum for the purpose of translating a ball prosthesis along a femoral head axis to install the ball on a prepared femoral head, the head axis being defined by a datum fixed in the femoral head and used to prepare the femoral head outer surface, the ball having a distal end with an opening into a cavity to engage the outer surface of the prepared natural femoral head, the tool comprising:
an axis alignment jig comprising a proximal datum location feature having an axis, a distal secondary datum fixture, and an intermediate extension connected to the datum location feature and the secondary datum fixture, the datum location feature being capable of mounting to the datum adjacent the prepared femoral head, locating the location feature axis co-axially with the head axis and positioning the jig relative to the datum, the extension being capable of locating the secondary datum fixture, when the jig is mounted to the datum, to a position distally remote from the prepared femoral head for establishing a secondary datum in the proximal femur with an axis intersecting the femoral head axis, and the secondary datum fixture being capable, when the jig is mounted to the datum, of providing a guide for establishing a secondary datum in the proximal femur with an axis intersecting the femoral head axis.
36. The tool as set forth in claim 30 wherein the datum is a guide wire.
37. The tool as set forth in claim 31 wherein the proximal datum location feature comprises a bore through the feature configured to slidingly journal the guide wire in order to locate the datum and position the jig relative to the datum.
38. The tool as set forth in claim 30 wherein the datum is a guide wire bore.
39. The tool as set forth in claim 33 wherein the proximal datum location feature comprises a pin configured to slidingly fit in the guide wire bore in order to locate the datum and position the jig relative to the datum.
40. The tool as set forth in claim 30 wherein the secondary datum fixture guide is a slot oriented toward the axis of the datum location feature.
41. The tool as set forth in claim 30 wherein the secondary datum fixture guide is a bore with an opening oriented perpendicular to the axis of the datum location feature.
42. A tool for translating a ball prosthesis toward a femoral head axis to install the ball on a prepared femoral head by locating on a secondary datum in the proximal femur with an axis intersecting the femoral head axis, the head axis being defined by a datum fixed in the femoral head and used to prepare the femoral head outer surface, the ball having a distal end with an opening into a cavity to engage the outer surface of the prepared natural femoral head, the tool comprising:
a prosthesis holding tool having a distal ball interface for retaining and releasing the ball prosthesis by contacting the ball outer surface, a guide capable of guiding the ball interface to slidingly translate toward the head axis when engaged on the secondary datum, an intermediate extension connected to the ball interface and the guide, and a handle for applying force to the ball interface.
43. The tool as set forth in claim 37 wherein the guide is a slot with an opening oriented toward the head axis when engaged on the secondary datum.
44. A tool kit for translating a ball prosthesis toward a femoral head axis to install the ball on a prepared femoral head by creating and locating on a secondary datum in the proximal femur with an axis intersecting the femoral head axis, the head axis being defined by a datum fixed in the femoral head and used to prepare the femoral head outer surface, the ball having an end with an opening into a cavity to engage the outer surface of the prepared natural femoral head, the tool kit comprising:
an axis alignment jig comprising a proximal datum location feature having an axis, a distal secondary datum fixture, and an intermediate extension connected to the datum location feature and the secondary datum fixture, the datum location feature being capable of mounting to the datum adjacent the prepared femoral head, locating the location feature axis co-axially with the head axis and positioning the jig relative to the datum, the extension being capable of locating the secondary datum fixture, when the jig is mounted to the datum, to a position distally remote from the prepared femoral head for establishing a secondary datum in the proximal femur with an axis intersecting the femoral head axis, and the secondary datum fixture being capable, when the jig is mounted to the datum, of providing a guide for establishing a secondary datum in the proximal femur with an axis intersecting the femoral head axis; and
a prosthesis holding tool having a ball interface for retaining and releasing the ball-prosthesis by contacting the ball outer surface, a distal guide capable of guiding the ball interface to slidingly translate toward the head axis when engaged on the secondary datum, an intermediate extension connected to the ball interface and the guide, and a handle for applying force to the ball interface.
45. A method of installing a femoral ball prosthesis to a femoral head, said method comprising the steps of:
a.) preparing the outer surface of the femoral head about a datum to a predetermined configuration to create a prepared femoral head having a head axis defined by the datum;
b.) mounting an axis alignment jig to the datum, the axis alignment jig comprising a proximal datum location feature having an axis, a distal secondary datum fixture, and an intermediate extension connected to the datum location feature and the secondary datum fixture, the datum location feature locating the datum axis and positioning the jig relative to the datum so that the extension locates the secondary datum fixture to a position distally remote from the prepared femoral head, the secondary datum fixture being capable of providing a guide for establishing a secondary datum in the proximal femur with an axis intersecting the femoral head axis,
c.) installing a secondary datum, under at least partial guidance from the secondary datum fixture, to position the secondary datum in the proximal femur so that the secondary datum has an axis intersecting the femoral head axis;
d.) selecting a ball prosthesis, the ball prosthesis having a distal end with an opening into a cavity, the cavity being sized and configured to engage the outer surface of the prepared femoral head;
e.) inserting the ball prosthesis into the ball interface of a prosthesis holding tool and retaining the ball in the ball interface, the tool further comprising a distal guide and a handle;
d.) engaging the guide of the tool with the secondary datum, the guide, upon engagement, aligning the ball interface with the head axis;
e.) applying force to the tool handle to slidingly translate the tool and ball prosthesis toward the head axis to seat the ball prosthesis cavity on the prepared femoral head surface; and
f.) releasing the ball prosthesis from the ball interface, and removing the alignment jig and the prosthesis holding tool.
US11/593,168 2006-11-03 2006-11-03 Method and apparatus for hip femoral resurfacing tooling Abandoned US20080109085A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US11/593,168 US20080109085A1 (en) 2006-11-03 2006-11-03 Method and apparatus for hip femoral resurfacing tooling

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/593,168 US20080109085A1 (en) 2006-11-03 2006-11-03 Method and apparatus for hip femoral resurfacing tooling
US12/884,502 US8152855B2 (en) 2006-11-03 2010-09-17 Method and apparatus for hip femoral resurfacing tooling

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/884,502 Division US8152855B2 (en) 2006-11-03 2010-09-17 Method and apparatus for hip femoral resurfacing tooling

Publications (1)

Publication Number Publication Date
US20080109085A1 true US20080109085A1 (en) 2008-05-08

Family

ID=39360675

Family Applications (2)

Application Number Title Priority Date Filing Date
US11/593,168 Abandoned US20080109085A1 (en) 2006-11-03 2006-11-03 Method and apparatus for hip femoral resurfacing tooling
US12/884,502 Active US8152855B2 (en) 2006-11-03 2010-09-17 Method and apparatus for hip femoral resurfacing tooling

Family Applications After (1)

Application Number Title Priority Date Filing Date
US12/884,502 Active US8152855B2 (en) 2006-11-03 2010-09-17 Method and apparatus for hip femoral resurfacing tooling

Country Status (1)

Country Link
US (2) US20080109085A1 (en)

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090240253A1 (en) * 2007-12-07 2009-09-24 Wright Medical Technology, Inc. Pin Centering Guide with Goniometer
WO2011005192A1 (en) * 2009-07-10 2011-01-13 Milux Holding S.A. Hip joint device, system and method
WO2011017620A2 (en) 2009-08-06 2011-02-10 Skeletal Dynamics, Llc Alignable prostheses device, system and method
GB2483425A (en) * 2010-06-08 2012-03-14 David John Jones Prosthetic hip joint with stemless and adjustable shell to fit over femoral head
WO2012058344A1 (en) * 2010-10-29 2012-05-03 The Cleveland Clinic Foundation System for assisting with attachment of a stock implant to a patient tissue
WO2014175986A2 (en) * 2013-04-23 2014-10-30 RevOrtho LLC A method and system for modular hip resurfacing
US9039780B2 (en) 2009-07-10 2015-05-26 Peter Forsell Hip joint device, system and method
US9119722B1 (en) 2011-08-18 2015-09-01 Sharat Kusuma Measurement and placement techniques in hip resurfacing and the like
EP3066996A1 (en) * 2009-07-10 2016-09-14 Kirk Promotion LTD. Hip joint device
WO2017077342A1 (en) * 2015-11-06 2017-05-11 Embody Orthopaedic Limited Holder for resurfacing head implant
US20170266009A1 (en) * 2014-07-09 2017-09-21 Ceramtec Gmbh Full-Ceramic Resurfacing Prosthesis Having a Porous Inner Face
WO2018202782A3 (en) * 2017-05-04 2018-12-13 Orthofix S.R.L. Targeting system for the guided insertion of a guide wire or a bone screw

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0521173D0 (en) * 2005-10-18 2005-11-23 Finsbury Dev Ltd Tool
US9808262B2 (en) 2006-02-15 2017-11-07 Howmedica Osteonics Corporation Arthroplasty devices and related methods
US8734455B2 (en) * 2008-02-29 2014-05-27 Otismed Corporation Hip resurfacing surgical guide tool
US9610084B2 (en) 2012-09-12 2017-04-04 Peter Michael Sutherland Walker Method and apparatus for hip replacements
US9402637B2 (en) 2012-10-11 2016-08-02 Howmedica Osteonics Corporation Customized arthroplasty cutting guides and surgical methods using the same
US8936645B1 (en) * 2012-11-01 2015-01-20 Marcos V. Masson Surgical process for resurfacing a humeral head
US9820757B2 (en) * 2013-04-12 2017-11-21 Greatbatch Ltd. Instrument for reshaping the head of a femur
GB2531589B (en) * 2014-10-23 2017-02-01 James Wallace Mcminn Derek Femoral head resurfacing implant
EP3244839A1 (en) * 2015-01-15 2017-11-22 DePuy Synthes Products, Inc. Assembly tool
US9937048B2 (en) 2015-01-15 2018-04-10 Depuy Ireland Unlimited Company Femoral stem including an anchor to facilitate assembly and implantation
WO2017123506A1 (en) * 2016-01-11 2017-07-20 Behzadi Kambiz Orthopedic systems and methods
US10251663B2 (en) 2016-01-11 2019-04-09 Kambiz Behzadi Bone preparation apparatus and method
US10335285B2 (en) 2016-10-13 2019-07-02 Howmedica Osteonics Corp. Reviseable stemless prostheses and methods

Citations (70)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2622592A (en) * 1952-01-05 1952-12-23 Rosenstein Max X-ray marker for artificial femoral heads
US2650588A (en) * 1950-12-29 1953-09-01 Drew Harry Guy Radcliffe Artificial femoral head having an x-ray marker
US2668531A (en) * 1952-02-15 1954-02-09 Edward J Haboush Prosthesis for hip joint
US2685877A (en) * 1952-03-20 1954-08-10 Dobelle Martin Femoral head prosthesis
US2755865A (en) * 1954-11-15 1956-07-24 Wilbur A Nelson Self-contained, instantaneously responsive fire extinguisher
US3028183A (en) * 1959-11-30 1962-04-03 Werner A Phillips Sealed ball joint for electrodes
US3543749A (en) * 1968-02-19 1970-12-01 Ned M Grove Mechanical pseudarthrosis of the femur
US3925824A (en) * 1972-11-16 1975-12-16 Nat Res Dev Endoprosthetic bone joint devices
US4005495A (en) * 1975-08-09 1977-02-01 Rosenthal Technik Ag Ceramic cap bone prosthesis and method of implantation
US4035848A (en) * 1975-03-21 1977-07-19 Heinz Wagner Hip capitulum cap for a hip joint prosthesis
US4173797A (en) * 1976-08-19 1979-11-13 Agence Nationale De Valorisation De La Recherche (Anvar) Prosthesis for arthroplasty of the hip
US4328593A (en) * 1979-12-22 1982-05-11 Institut Straumann Ag Universal joint prosthesis with cap
US4520511A (en) * 1981-10-26 1985-06-04 Paribelli Gianezio Hip prosthesis with expanding femoral component
US4528702A (en) * 1982-10-15 1985-07-16 Sulzer Brothers Limited Joint endoprosthesis
US4532660A (en) * 1982-05-17 1985-08-06 National Research Development Corporation Endoprosthetic bone joint devices
US4532661A (en) * 1982-05-07 1985-08-06 Halpern Alan A Femoral head remodeling and prosthetic means therefor
US4752296A (en) * 1983-05-06 1988-06-21 Buechel Frederick F Prosthesis with interlocking fixation and providing reduction of stress shielding
US4911720A (en) * 1983-03-10 1990-03-27 Collier John P Particular surface replacement prosthesis
US4976740A (en) * 1989-07-14 1990-12-11 Kleiner Jeffrey B Anchored femoral dome
US4995883A (en) * 1989-02-08 1991-02-26 Smith & Nephew Richards Inc. Modular hip prosthesis
US5066304A (en) * 1989-03-20 1991-11-19 Zimmer, Inc. Prosthetic interpositional device/coupler
US5127920A (en) * 1987-03-27 1992-07-07 Macarthur A Creig Prosthesis and methods for subtotal dome arthroplasty of the hip joint
US5133764A (en) * 1983-05-06 1992-07-28 Pappas Michael J Multi-component prosthesis with increased wall flexibility and segmented locking ridge to facilitate component assembly
US5358526A (en) * 1991-12-27 1994-10-25 Etablissements Tornier Modular shoulder prosthesis
US5507830A (en) * 1989-02-08 1996-04-16 Smith & Nephew Richards Inc. Modular hip prosthesis
US5569263A (en) * 1995-01-12 1996-10-29 Orthopaedic Innovations, Inc. Adjustable provisional articulating device
US5725593A (en) * 1995-02-22 1998-03-10 Caracciolo; Francesco Total anatomic hip prosthesis
US5735905A (en) * 1995-04-27 1998-04-07 Southwest Research Institute Shock absorbing element for a load bearing prosthesis
US5868796A (en) * 1990-09-17 1999-02-09 Buechel; Fredrick F. Prosthesis with biologically inert wear resistant surface
US5911759A (en) * 1994-09-16 1999-06-15 Rogala; Piotr Acetabulum endoprosthesis and head
US5972033A (en) * 1996-10-01 1999-10-26 Norton Desmarquest Fine Ceramics Hip joint prosthesis having a 22.22 mm zirconia femoral head and a 12/14 size stem
US6096084A (en) * 1998-09-04 2000-08-01 Biopro, Inc. Modular ball and socket joint preferably with a ceramic head ball
US6120544A (en) * 1997-05-16 2000-09-19 Eska Implants Gmbh & Co. Femur endoprosthesis for articial hip joint
US6190416B1 (en) * 1996-03-12 2001-02-20 Groupe Grion Orthopedic surgery assembly for a hip prosthesis with a removable neck
US6273915B1 (en) * 1996-08-13 2001-08-14 James B. Grimes Femoral head-neck prosthesis and method of implantation
US20020022889A1 (en) * 1995-08-23 2002-02-21 Jean Chibrac Joint prosthesis members and method for making same
US20020049501A1 (en) * 2000-03-27 2002-04-25 Storer John Andrew Femoral hip prosthesis
US6379390B1 (en) * 1999-06-23 2002-04-30 The University Of Delaware Stemless hip prosthesis
US6383227B1 (en) * 1998-07-30 2002-05-07 Aap Implanters Ag Femoral neck endoprosthesis for an artificial hip joint
US20020072805A1 (en) * 1996-08-21 2002-06-13 Sullivan John Martin Patrick Joint replacement prosthesis
US20020107577A1 (en) * 2000-11-07 2002-08-08 Storer John Andrew Cementless prosthetic bearing element
US6464728B1 (en) * 1998-04-14 2002-10-15 Ian P. Murray Modular neck for femur replacement surgery
US6508841B2 (en) * 1993-11-01 2003-01-21 Biomet, Inc. Method and apparatus for segmental bone replacement
US20030055431A1 (en) * 2001-09-19 2003-03-20 James Kevin Brannon Bone cutting assembly
US20030060889A1 (en) * 2001-09-24 2003-03-27 Tarabishy Imad Ed. Joint prosthesis and method for placement
US20030065399A1 (en) * 2001-10-02 2003-04-03 Brannon James Kevin Biaxial core compression
US20040015238A1 (en) * 2000-03-02 2004-01-22 Buehler Knute C. Shrouds for implants
US6688798B2 (en) * 2001-02-27 2004-02-10 Incumed, Inc. Adjustable locking mount and methods of use
US20040034431A1 (en) * 2001-01-23 2004-02-19 Maroney Brian J. Method and apparatus for performing a shoulder replacement procedure in the treatment of cuff tear arthropathy
US20040037618A1 (en) * 2000-09-30 2004-02-26 Ulrich Hermens Element for fixing plates
US20040054419A1 (en) * 2002-05-09 2004-03-18 Serra Michael A. System for trial implantation of a femoral hip prosthesis
US20040059340A1 (en) * 2002-05-09 2004-03-25 Serra Michael A. System for establishing the orientation of a modular implant
US20040059429A1 (en) * 2002-09-20 2004-03-25 Uri Amin Mechanically attached elastomeric cover for prosthesis
US20040107001A1 (en) * 1999-06-01 2004-06-03 Cheal Edward J. Joint prostheses and components thereof
US20040162621A1 (en) * 2002-04-11 2004-08-19 Crofford Theodore W. Femoral neck fixation prosthesis
US20040172039A1 (en) * 2003-02-27 2004-09-02 Donald Dye Driving instrument with variably angled joint and extended tip and method of use for minimally invasive hip surgery
US20040193168A1 (en) * 2003-03-31 2004-09-30 Long Jack F. Arthroplasty instruments and associated method
US6802865B2 (en) * 2000-10-18 2004-10-12 Aesculap Tilted femoral component
US20040210317A1 (en) * 2000-07-28 2004-10-21 Brian Maroney Device and method for positioning an eccentric humeral head of a humerus prosthesis for a shoulder arthroplasty
US20040225367A1 (en) * 2001-12-14 2004-11-11 Mathys Orthopadie Gmbh Hip-joint and shoulder-joint endoprosthesis
US6827720B2 (en) * 2002-01-15 2004-12-07 Alejandro Leali System and method for treating osteonecrosis
US20040260399A1 (en) * 2001-09-21 2004-12-23 Poon-Ung Chieng Device for propecting femoral neck
US20050004680A1 (en) * 2003-07-03 2005-01-06 Joseph Saladino Femoral head assembly with variable offset
US20050033445A1 (en) * 2003-08-05 2005-02-10 Thomas Siebel Hip joint prosthesis
US20050080426A1 (en) * 2001-12-29 2005-04-14 Benwen Qian Apparatus for fitting the protecting femoral neck device
US6942699B2 (en) * 2001-07-11 2005-09-13 Biomet, Inc. Shoulder prosthesis
US20050203633A1 (en) * 2004-03-02 2005-09-15 Alfred Fernandes Lifetime solution for hip dysfunction
US20050256586A1 (en) * 2004-05-14 2005-11-17 Werner Kraus Femoral head cap implant including a device for electrically stimulating tissue
US20050256585A1 (en) * 2004-05-13 2005-11-17 Park Myung-Sik Femoral head surface replacement system
US20060015111A1 (en) * 2002-10-11 2006-01-19 Gary Fenton Reamer assembly

Family Cites Families (121)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2718228A (en) * 1952-09-26 1955-09-20 Henri Georges Van Steenbrugghe Artificial femoral heads in prostheses
US2934065A (en) * 1954-11-01 1960-04-26 Zimmer Mfg Company Femoral intramedullary prosthesis
US3053251A (en) * 1959-03-30 1962-09-11 Black Maurice Joint prosthesis
DE1164019B (en) 1960-03-29 1964-02-27 Chiron Werke Gmbh Hueftgelenkkopfprothese and drilling for its fastening
GB1402557A (en) * 1971-08-09 1975-08-13 Thackray C F Ltd Femoral prostheses
GB1448111A (en) 1973-01-30 1976-09-02 Crabbe W A Device for the fixation of bone fractures
US4007494A (en) * 1975-04-11 1977-02-15 Glasrock Products, Inc. Bone cap
US4123806A (en) * 1977-01-31 1978-11-07 Regents Of The University Of California Total hip joint replacement
CH612585A5 (en) * 1977-05-23 1979-08-15 Sulzer Ag
US4135517A (en) * 1977-07-21 1979-01-23 Minnesota Mining And Manufacturing Company Femoral prosthesis trial fitting device
DE2834295C3 (en) * 1978-08-04 1981-02-05 Orthoplant Orthopaedische Implantate Gmbh & Co Kg, 2800 Bremen
DE2834298C3 (en) * 1978-08-04 1981-06-25 Orthoplant Orthopaedische Implantate Gmbh & Co Kg, 2800 Bremen, De
DE2834297C3 (en) * 1978-08-04 1981-01-29 Orthoplant Orthopaedische Implantate Gmbh & Co Kg, 2800 Bremen
GB2042897A (en) 1978-12-22 1980-10-01 Charnley Surgical Inventions Prosthesis Sheath for Femoral Prosthesis
DE2914737C3 (en) * 1979-04-11 1981-12-10 Feldmuehle Ag, 4000 Duesseldorf, De
US4542539A (en) * 1982-03-12 1985-09-24 Artech Corp. Surgical implant having a graded porous coating
FR2550167B1 (en) * 1983-08-02 1985-12-06 Synthese Creation Sarl A packaging and for handling an object to remain sheltered from direct manual contact, and the assembly comprising such an object
GB8419559D0 (en) * 1984-08-01 1984-09-05 Field R E Endoprosthetic bone joint components
LU85727A1 (en) * 1985-01-11 1986-08-04 Professeur Andre Vincent Joint prosthesis and tool for mounting the one-di
US5314479A (en) 1986-08-15 1994-05-24 Depuy Inc. Modular prosthesis
US4846841A (en) * 1986-04-25 1989-07-11 Indong Oh Femoral Prosthesis
US4865609A (en) * 1988-03-02 1989-09-12 Bioconcepts, Inc. Modular joint prosthesis assembly and method of removing
FR2631543B1 (en) 1988-05-20 1997-04-04 Schwartz Claude Prosthetic femoral head has variable spatial orientation
US4860735A (en) * 1988-08-08 1989-08-29 The General Hospital Corporation Drill alignment guide for osteoplastic surgery
GB8821126D0 (en) 1988-09-09 1988-10-12 Biomet Ltd Prosthetic components
US4896663A (en) * 1988-10-14 1990-01-30 Boehringer Mannheim Corporation Self centering femoral drill jig
FR2639824B1 (en) * 1988-12-07 1991-03-29 Implants Instr Ch Fab Apparatus for laying an element of prosthesis
FR2656792B1 (en) 1990-01-10 1992-04-24 Astel Sarl A packaging and handling with a header prosthetic joint and including a femoral implant head.
GB9017402D0 (en) * 1990-08-08 1990-09-19 Howmedica Total hip replacement femoral component
US5133769A (en) * 1990-11-09 1992-07-28 Sulzer Brothers Cap for a femur head
US5312409A (en) * 1992-06-01 1994-05-17 Mclaughlin Robert E Drill alignment guide
GB2270344B (en) * 1992-09-08 1997-03-05 Claude Paul Genero An engaging device
EP0705075B1 (en) * 1993-06-21 1999-04-21 Osteonics Corp. Apparatus for aligning knee prostheses
AU680267B2 (en) * 1993-06-21 1997-07-24 Howmedica Osteonics Corp. Method and apparatus for locating functional structures of the lower leg during knee surgery
US5601566A (en) * 1994-02-22 1997-02-11 Osteonics Corp. Method and apparatus for the alignment of a femoral knee prosthesis
SE9501828D0 (en) * 1995-05-17 1995-05-17 Astra Ab Cutting guide
DE19537676A1 (en) 1995-10-10 1997-04-17 Cerasiv Gmbh Femoral head cap for a hip prosthesis
US5653714A (en) * 1996-02-22 1997-08-05 Zimmer, Inc. Dual slide cutting guide
FR2749753B1 (en) * 1996-06-14 1998-12-24 Mosseri Raphael Total hip prosthesis destiny has to be asked by endo-articularly and its auxiliary device
US5788700A (en) * 1996-10-30 1998-08-04 Osteonics Corp. Apparatus and method for the alignment of a total knee prosthesis
GB9802499D0 (en) 1998-02-05 1998-04-01 Corin Medical Ltd Acetabular cup
GB9804473D0 (en) * 1998-03-02 1998-04-29 Benoist Girard & Cie Prosthesis inserter
DE19813328A1 (en) * 1998-03-26 1999-09-30 Ceramtec Ag Means for handling of ball heads of joint prostheses
US6322564B1 (en) * 1998-06-18 2001-11-27 Depuy Orthopaedics, Inc. Proximal alignment insertion guide and method therefor
US6129764A (en) * 1998-11-24 2000-10-10 Stryker Technologies Corporation Modular prosthetic joint components
US6165177A (en) * 1998-12-24 2000-12-26 Depuy Orthopaedics, Inc. Alignment guide for insertion of stem prosthesis
US6156069A (en) * 1999-02-04 2000-12-05 Amstutz; Harlan C. Precision hip joint replacement method
JP2002537020A (en) 1999-02-19 2002-11-05 ジェイムズ・ビー・グライムズ As a method of implantation and the artificial bone
GB2347864B (en) 1999-11-20 2001-02-14 Corin Ltd Attachment for an acetabular cup in a dysplastic acetabulum
US6589282B2 (en) 1999-12-31 2003-07-08 Implex Corporation Modular shoulder prostheses
GB0007391D0 (en) 2000-03-27 2000-05-17 Benoist Girard & Cie Prosthetic femoral component
US6395005B1 (en) 2000-04-14 2002-05-28 Howmedica Osteonics Corp. Acetabular alignment apparatus and method
US20050043810A1 (en) 2000-04-26 2005-02-24 Dana Mears Method and apparatus for performing a minimally invasive total hip arthroplasty
US6991656B2 (en) 2000-04-26 2006-01-31 Dana Mears Method and apparatus for performing a minimally invasive total hip arthroplasty
US6676706B1 (en) 2000-04-26 2004-01-13 Zimmer Technology, Inc. Method and apparatus for performing a minimally invasive total hip arthroplasty
US20020134775A1 (en) 2000-04-29 2002-09-26 Jun Ohashi Ceramic heater and method of controlling temperature of the ceramic heater
US6673114B2 (en) * 2000-05-03 2004-01-06 Smith & Nephew, Inc. Multi modular trialing system and instrumentation
US7918856B2 (en) * 2002-10-08 2011-04-05 Greatbatch Medical S.A. Guided reamer system for reshaping bone
DE10036985A1 (en) 2000-07-29 2002-02-07 Klaus Draenert Femur component of artificial hip joint for cement-free implantation comprises prosthesis whose shaft has no bearing collar and whose constructional axis coincides with the femur channel axis
US6527808B1 (en) 2000-10-11 2003-03-04 Zimmer Technology, Inc. Constrained socket for use with a ball-and-socket joint
DE10056698A1 (en) 2000-11-15 2002-05-16 Merete Man Gmbh Method and appliance consist of adapter with markings, conical shaft, or endoprosthesis
GB0100199D0 (en) 2001-01-05 2001-02-14 Mcminn Derek J W Hip prosthesis
FR2821545B1 (en) 2001-03-02 2003-08-29 Aston Medical Ltd prosthetic assembly for the shoulder joint
US6616697B2 (en) 2001-03-13 2003-09-09 Nicholas G. Sotereanos Hip implant assembly
GB2366733B (en) 2001-04-24 2002-08-07 Corin Ltd A hip prosthesis
AT330565T (en) * 2001-04-27 2006-07-15 Zimmer Gmbh Bohrlehere apply to determine the axis of a femoral head prosthesis
EP1260200B1 (en) 2001-05-18 2007-03-28 Copf, Peter, Dr. med Cementless hip joint endoprosthesis for replacing the surface of the proximal femur
EP1258233A1 (en) 2001-05-18 2002-11-20 Sulzer Orthopedics Ltd. Trial balls for hip prothesis
US20030018391A1 (en) 2001-07-23 2003-01-23 Robert Evans Total hip joint replacement prosthesis
US7241315B2 (en) 2001-07-23 2007-07-10 Robert Evans Femoral head resurfacing apparatus and methods
US6610096B2 (en) 2001-08-22 2003-08-26 Macdonald Stuart G. Prosthetic implants having enhanced utility
AT376817T (en) 2001-09-10 2007-11-15 Zimmer Gmbh A femoral neck prosthesis
US20030060890A1 (en) 2001-09-24 2003-03-27 Tarabishy Imad Ed. Joint prosthesis and method for implantation
US20050065532A1 (en) 2001-09-27 2005-03-24 Matthias Honl Surgical instruments
EP1415621B1 (en) 2002-08-21 2016-09-14 Zimmer GmbH Shoulder prothesis
US20030130741A1 (en) 2002-01-07 2003-07-10 Mcminn Derek James Wallace Hip prosthesis
US20030163202A1 (en) 2002-02-06 2003-08-28 Lakin Ryan C. Modular resurfacing prosthetic
US6916325B2 (en) 2002-02-11 2005-07-12 Zimmer Orthobiologies, Inc. Femoral sizing guide
US7575578B2 (en) 2002-02-13 2009-08-18 Karl Storz Gmbh & Co. Kg Surgical drill guide
US6695850B2 (en) 2002-02-20 2004-02-24 Robert L. Diaz Minimally invasive total hip replacement
GB0207170D0 (en) 2002-03-26 2002-05-08 Mcminn Derek J W Hip joint prosthesis
US6869434B2 (en) 2002-05-08 2005-03-22 Soon C. Choi Alignment system for bone fixation
WO2003095936A1 (en) 2002-05-09 2003-11-20 Hayes Medical, Inc. Modular implant assembly tool
US20030229357A1 (en) * 2002-06-10 2003-12-11 Donald Dye Femoral head holder and impaction instrument and method of use
FR2841768B1 (en) 2002-07-05 2005-05-06 Tornier Sa Prothese of shoulder or hip facilitating abduction
GB2415402B (en) 2002-07-25 2006-07-05 Carglass Luxembourg Sarl Zug Cutting device
JP4619118B2 (en) 2002-07-30 2011-01-26 株式会社ブリヂストン Sputtering target and a method of manufacturing the same
US6960741B2 (en) 2002-08-26 2005-11-01 Lexmark International, Inc. Large area alumina ceramic heater
US6743235B2 (en) 2002-10-15 2004-06-01 Goli V. Subba Rao Modular instrument for positioning acetabular prosthetic socket
KR100536797B1 (en) 2002-12-17 2005-12-14 동부아남반도체 주식회사 Chemical vapor deposition apparatus
GB2396561A (en) 2002-12-27 2004-06-30 Biomet Merck Ltd Hip prosthesis with ceramic bearing
GB2397765B (en) 2003-01-28 2004-12-15 Corin Ltd A hip resurfacing device
US7517364B2 (en) 2003-03-31 2009-04-14 Depuy Products, Inc. Extended articulation orthopaedic implant and associated method
US7338498B2 (en) 2003-03-31 2008-03-04 Depuy Products, Inc. Prosthetic implant, trial and associated method
US20040193278A1 (en) * 2003-03-31 2004-09-30 Maroney Brian J. Articulating surface replacement prosthesis
US20040193276A1 (en) * 2003-03-31 2004-09-30 Maroney Brian J. Modular articulating surface replacement prosthesis
FR2854320B1 (en) 2003-04-30 2009-07-03 Francois Prigent Modular hip prosthesis has double offset
GB2401550B (en) 2003-05-12 2005-04-20 Corin Ltd Head centering jig for femoral resurfacing
US7601155B2 (en) 2003-05-20 2009-10-13 Petersen Thomas D Instruments and method for minimally invasive surgery for total hips
US20040246895A1 (en) 2003-06-09 2004-12-09 Telefonaktiebolaget Lm Ericsson (Publ) Bandwidth-limited supervisory packet transmission to control congestion and call establishment in packet-based networks
GB0313444D0 (en) 2003-06-11 2003-07-16 Midland Medical Technologies L Modular dysplasia cup
GB0313445D0 (en) 2003-06-11 2003-07-16 Midland Medical Technologies L Hip resurfacing
DE10335442A1 (en) 2003-07-31 2005-02-24 Merete Medical Gmbh Ball element temporarily used for determination of position of hip replacement unit, comprising adjustable components
GB0321582D0 (en) 2003-09-15 2003-10-15 Benoist Girard Sas Prosthetic acetabular cup and prosthetic femoral joint incorporating such a cup
GB2406056B (en) 2003-09-17 2007-07-11 Corin Ltd Prosthetic cup
US7585327B2 (en) 2003-09-24 2009-09-08 Biomet Manufacturing Corp. Extended articular surface resurfacing head
JP2007512108A (en) 2003-11-20 2007-05-17 アースロサーフィス・インコーポレーテッド Degeneracy specific delivery of surface re-forming device
CN1882285B (en) 2003-11-20 2011-05-11 瑞特医疗技术公司 Guide clamp for guiding placement of a guide wire in a femur
US7578824B2 (en) 2003-12-30 2009-08-25 Zimmer, Inc. Methods and apparatus for forming a tunnel through a proximal end of a tibia
GB0403363D0 (en) * 2004-02-16 2004-03-17 Depuy Int Ltd Surgical instrument
GB0404345D0 (en) * 2004-02-27 2004-03-31 Depuy Int Ltd Surgical jig and methods of use
DE102004013368A1 (en) 2004-03-17 2005-10-06 Merete Medical Gmbh A modular joint prosthesis system
DE602005002175T2 (en) * 2004-04-20 2008-05-29 Finsbury (Development) Ltd., Leatherhead alignment guide
EP1588668B1 (en) 2004-04-20 2008-12-10 Finsbury (Development) Limited Alignment guide for use in femoral head surgery
US7571366B2 (en) 2004-12-02 2009-08-04 Texas Instruments Incorporated Sequential signals selecting mode and stopping transfers of interface adaptor
GB0505782D0 (en) * 2005-03-22 2005-04-27 Depuy Int Ltd Surgical guide
EP1772106A1 (en) * 2005-10-06 2007-04-11 Zimmer GmbH Instrument for preparing and/or working the femur head
GB0521173D0 (en) * 2005-10-18 2005-11-23 Finsbury Dev Ltd Tool
GB0601803D0 (en) * 2006-01-30 2006-03-08 Finsbury Dev Ltd Tool
US20070299451A1 (en) * 2006-06-08 2007-12-27 Howmedica Osteonics Corp. Offset tool guide for femoral head preparation
US20080262626A1 (en) * 2007-04-18 2008-10-23 Howmedica Osteonics Corp. Femoral sleeve for hip resurfacing

Patent Citations (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2650588A (en) * 1950-12-29 1953-09-01 Drew Harry Guy Radcliffe Artificial femoral head having an x-ray marker
US2622592A (en) * 1952-01-05 1952-12-23 Rosenstein Max X-ray marker for artificial femoral heads
US2668531A (en) * 1952-02-15 1954-02-09 Edward J Haboush Prosthesis for hip joint
US2685877A (en) * 1952-03-20 1954-08-10 Dobelle Martin Femoral head prosthesis
US2755865A (en) * 1954-11-15 1956-07-24 Wilbur A Nelson Self-contained, instantaneously responsive fire extinguisher
US3028183A (en) * 1959-11-30 1962-04-03 Werner A Phillips Sealed ball joint for electrodes
US3543749A (en) * 1968-02-19 1970-12-01 Ned M Grove Mechanical pseudarthrosis of the femur
US3925824A (en) * 1972-11-16 1975-12-16 Nat Res Dev Endoprosthetic bone joint devices
US4035848A (en) * 1975-03-21 1977-07-19 Heinz Wagner Hip capitulum cap for a hip joint prosthesis
US4005495A (en) * 1975-08-09 1977-02-01 Rosenthal Technik Ag Ceramic cap bone prosthesis and method of implantation
US4173797A (en) * 1976-08-19 1979-11-13 Agence Nationale De Valorisation De La Recherche (Anvar) Prosthesis for arthroplasty of the hip
US4328593A (en) * 1979-12-22 1982-05-11 Institut Straumann Ag Universal joint prosthesis with cap
US4520511A (en) * 1981-10-26 1985-06-04 Paribelli Gianezio Hip prosthesis with expanding femoral component
US4532661A (en) * 1982-05-07 1985-08-06 Halpern Alan A Femoral head remodeling and prosthetic means therefor
US4532660A (en) * 1982-05-17 1985-08-06 National Research Development Corporation Endoprosthetic bone joint devices
US4528702A (en) * 1982-10-15 1985-07-16 Sulzer Brothers Limited Joint endoprosthesis
US4911720A (en) * 1983-03-10 1990-03-27 Collier John P Particular surface replacement prosthesis
US4752296A (en) * 1983-05-06 1988-06-21 Buechel Frederick F Prosthesis with interlocking fixation and providing reduction of stress shielding
US5133764A (en) * 1983-05-06 1992-07-28 Pappas Michael J Multi-component prosthesis with increased wall flexibility and segmented locking ridge to facilitate component assembly
US5127920A (en) * 1987-03-27 1992-07-07 Macarthur A Creig Prosthesis and methods for subtotal dome arthroplasty of the hip joint
US4995883A (en) * 1989-02-08 1991-02-26 Smith & Nephew Richards Inc. Modular hip prosthesis
US5507830A (en) * 1989-02-08 1996-04-16 Smith & Nephew Richards Inc. Modular hip prosthesis
US5066304A (en) * 1989-03-20 1991-11-19 Zimmer, Inc. Prosthetic interpositional device/coupler
US4976740A (en) * 1989-07-14 1990-12-11 Kleiner Jeffrey B Anchored femoral dome
US5868796A (en) * 1990-09-17 1999-02-09 Buechel; Fredrick F. Prosthesis with biologically inert wear resistant surface
US5358526A (en) * 1991-12-27 1994-10-25 Etablissements Tornier Modular shoulder prosthesis
US6508841B2 (en) * 1993-11-01 2003-01-21 Biomet, Inc. Method and apparatus for segmental bone replacement
US5911759A (en) * 1994-09-16 1999-06-15 Rogala; Piotr Acetabulum endoprosthesis and head
US5569263A (en) * 1995-01-12 1996-10-29 Orthopaedic Innovations, Inc. Adjustable provisional articulating device
US5725593A (en) * 1995-02-22 1998-03-10 Caracciolo; Francesco Total anatomic hip prosthesis
US5735905A (en) * 1995-04-27 1998-04-07 Southwest Research Institute Shock absorbing element for a load bearing prosthesis
US20020022889A1 (en) * 1995-08-23 2002-02-21 Jean Chibrac Joint prosthesis members and method for making same
US6190416B1 (en) * 1996-03-12 2001-02-20 Groupe Grion Orthopedic surgery assembly for a hip prosthesis with a removable neck
US6273915B1 (en) * 1996-08-13 2001-08-14 James B. Grimes Femoral head-neck prosthesis and method of implantation
US20020072805A1 (en) * 1996-08-21 2002-06-13 Sullivan John Martin Patrick Joint replacement prosthesis
US20030125810A1 (en) * 1996-08-21 2003-07-03 Sullivan John Martin Patrick Joint replacement prosthesis
US5972033A (en) * 1996-10-01 1999-10-26 Norton Desmarquest Fine Ceramics Hip joint prosthesis having a 22.22 mm zirconia femoral head and a 12/14 size stem
US6120544A (en) * 1997-05-16 2000-09-19 Eska Implants Gmbh & Co. Femur endoprosthesis for articial hip joint
US6464728B1 (en) * 1998-04-14 2002-10-15 Ian P. Murray Modular neck for femur replacement surgery
US6383227B1 (en) * 1998-07-30 2002-05-07 Aap Implanters Ag Femoral neck endoprosthesis for an artificial hip joint
US6096084A (en) * 1998-09-04 2000-08-01 Biopro, Inc. Modular ball and socket joint preferably with a ceramic head ball
US20040107001A1 (en) * 1999-06-01 2004-06-03 Cheal Edward J. Joint prostheses and components thereof
US6379390B1 (en) * 1999-06-23 2002-04-30 The University Of Delaware Stemless hip prosthesis
US20040015238A1 (en) * 2000-03-02 2004-01-22 Buehler Knute C. Shrouds for implants
US20020049501A1 (en) * 2000-03-27 2002-04-25 Storer John Andrew Femoral hip prosthesis
US20040210317A1 (en) * 2000-07-28 2004-10-21 Brian Maroney Device and method for positioning an eccentric humeral head of a humerus prosthesis for a shoulder arthroplasty
US20040037618A1 (en) * 2000-09-30 2004-02-26 Ulrich Hermens Element for fixing plates
US6802865B2 (en) * 2000-10-18 2004-10-12 Aesculap Tilted femoral component
US20020107577A1 (en) * 2000-11-07 2002-08-08 Storer John Andrew Cementless prosthetic bearing element
US20040034431A1 (en) * 2001-01-23 2004-02-19 Maroney Brian J. Method and apparatus for performing a shoulder replacement procedure in the treatment of cuff tear arthropathy
US6688798B2 (en) * 2001-02-27 2004-02-10 Incumed, Inc. Adjustable locking mount and methods of use
US6942699B2 (en) * 2001-07-11 2005-09-13 Biomet, Inc. Shoulder prosthesis
US20030055431A1 (en) * 2001-09-19 2003-03-20 James Kevin Brannon Bone cutting assembly
US20040260399A1 (en) * 2001-09-21 2004-12-23 Poon-Ung Chieng Device for propecting femoral neck
US20030060889A1 (en) * 2001-09-24 2003-03-27 Tarabishy Imad Ed. Joint prosthesis and method for placement
US6607561B2 (en) * 2001-10-02 2003-08-19 James Kevin Brannon Biaxial core compression
US20030065399A1 (en) * 2001-10-02 2003-04-03 Brannon James Kevin Biaxial core compression
US20040225367A1 (en) * 2001-12-14 2004-11-11 Mathys Orthopadie Gmbh Hip-joint and shoulder-joint endoprosthesis
US20050080426A1 (en) * 2001-12-29 2005-04-14 Benwen Qian Apparatus for fitting the protecting femoral neck device
US6827720B2 (en) * 2002-01-15 2004-12-07 Alejandro Leali System and method for treating osteonecrosis
US20050010230A1 (en) * 2002-04-11 2005-01-13 Crofford Theodore W. Method of implanting a femoral neck fixation prosthesis
US20040162621A1 (en) * 2002-04-11 2004-08-19 Crofford Theodore W. Femoral neck fixation prosthesis
US20050010232A1 (en) * 2002-04-11 2005-01-13 Crofford Theodre W. Method of implanting a femoral neck fixation prosthesis
US20040059340A1 (en) * 2002-05-09 2004-03-25 Serra Michael A. System for establishing the orientation of a modular implant
US20040054419A1 (en) * 2002-05-09 2004-03-18 Serra Michael A. System for trial implantation of a femoral hip prosthesis
US20040059429A1 (en) * 2002-09-20 2004-03-25 Uri Amin Mechanically attached elastomeric cover for prosthesis
US20060015111A1 (en) * 2002-10-11 2006-01-19 Gary Fenton Reamer assembly
US20040172039A1 (en) * 2003-02-27 2004-09-02 Donald Dye Driving instrument with variably angled joint and extended tip and method of use for minimally invasive hip surgery
US20040193168A1 (en) * 2003-03-31 2004-09-30 Long Jack F. Arthroplasty instruments and associated method
US20050004680A1 (en) * 2003-07-03 2005-01-06 Joseph Saladino Femoral head assembly with variable offset
US20050033445A1 (en) * 2003-08-05 2005-02-10 Thomas Siebel Hip joint prosthesis
US20050203633A1 (en) * 2004-03-02 2005-09-15 Alfred Fernandes Lifetime solution for hip dysfunction
US20050256585A1 (en) * 2004-05-13 2005-11-17 Park Myung-Sik Femoral head surface replacement system
US20050256586A1 (en) * 2004-05-14 2005-11-17 Werner Kraus Femoral head cap implant including a device for electrically stimulating tissue

Cited By (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8348957B2 (en) * 2007-12-07 2013-01-08 Wright Medical Technology, Inc. Pin centering guide with goniometer
US20090240253A1 (en) * 2007-12-07 2009-09-24 Wright Medical Technology, Inc. Pin Centering Guide with Goniometer
EP3066996A1 (en) * 2009-07-10 2016-09-14 Kirk Promotion LTD. Hip joint device
WO2011005192A1 (en) * 2009-07-10 2011-01-13 Milux Holding S.A. Hip joint device, system and method
EP2451364A4 (en) * 2009-07-10 2013-04-24 Milux Holding Sa Hip joint device, system and method
US9039780B2 (en) 2009-07-10 2015-05-26 Peter Forsell Hip joint device, system and method
EP2451364A1 (en) * 2009-07-10 2012-05-16 Milux Holding SA Hip joint device, system and method
EP2461769A2 (en) * 2009-08-06 2012-06-13 Skeletal Dynamics, LLC Alignable prostheses device, system and method
US20110035016A1 (en) * 2009-08-06 2011-02-10 Skeletal Dynamics, Llc Alignable prostheses device, system and method
WO2011017620A2 (en) 2009-08-06 2011-02-10 Skeletal Dynamics, Llc Alignable prostheses device, system and method
EP2461769A4 (en) * 2009-08-06 2014-09-10 Skeletal Dynamics Llc Alignable prostheses device, system and method
GB2483425A (en) * 2010-06-08 2012-03-14 David John Jones Prosthetic hip joint with stemless and adjustable shell to fit over femoral head
EP3449848A1 (en) * 2010-10-29 2019-03-06 The Cleveland Clinic Foundation System for assisting with attachment of a stock implant to a patient tissue
WO2012058344A1 (en) * 2010-10-29 2012-05-03 The Cleveland Clinic Foundation System for assisting with attachment of a stock implant to a patient tissue
US9877735B2 (en) 2010-10-29 2018-01-30 The Cleveland Clinic Foundation System and method for assisting with attachment of a stock implant to a patient tissue
US10258352B2 (en) 2010-10-29 2019-04-16 The Cleveland Clinic Foundation System and method for assisting with attachment of a stock implant to a patient tissue
US9119722B1 (en) 2011-08-18 2015-09-01 Sharat Kusuma Measurement and placement techniques in hip resurfacing and the like
US9539098B2 (en) 2013-04-23 2017-01-10 Rev Ortho Llc System for modular hip resurfacing
WO2014175986A3 (en) * 2013-04-23 2015-01-15 RevOrtho LLC A method and system for modular hip resurfacing
WO2014175986A2 (en) * 2013-04-23 2014-10-30 RevOrtho LLC A method and system for modular hip resurfacing
US20170266009A1 (en) * 2014-07-09 2017-09-21 Ceramtec Gmbh Full-Ceramic Resurfacing Prosthesis Having a Porous Inner Face
CN108366863A (en) * 2015-11-06 2018-08-03 恩博迪骨科有限公司 Holder for resurfacing head implant
WO2017077342A1 (en) * 2015-11-06 2017-05-11 Embody Orthopaedic Limited Holder for resurfacing head implant
WO2018202782A3 (en) * 2017-05-04 2018-12-13 Orthofix S.R.L. Targeting system for the guided insertion of a guide wire or a bone screw

Also Published As

Publication number Publication date
US20110004318A1 (en) 2011-01-06
US8152855B2 (en) 2012-04-10

Similar Documents

Publication Publication Date Title
US4676798A (en) Socket bearing assembly for a constrained ball and socket joint
US6129765A (en) Locking mechanism for acetabular cup
EP1006953B1 (en) Modular prosthesis
US9770334B2 (en) Shoulder arthroplasty system
US10166032B2 (en) Modular humeral head resurfacing system
US8062376B2 (en) Shoulder implant assembly
US4944759A (en) Porous-coated artificial joints
EP0158534B1 (en) Hip implant
US5403320A (en) Bone milling guide apparatus and method
US6702824B2 (en) Prosthesis positioning apparatus
EP0627902B1 (en) Hip joint prosthesis
US7585301B2 (en) Modular hip inserter/positioner
AU2008229838B2 (en) Modular shoulder prosthesis
US7931656B2 (en) Acetabular shell impactor
CA2101249C (en) Endoprosthesis, especially for the hip joint
CN102014800B (en) Partial joint resurfacing implant, instrumentation, and method
EP1480582B1 (en) Patello-femoral joint replacement
EP1762191B1 (en) Modular humeral head resurfacing system
JP4201960B2 (en) Prosthesis system
US6863690B2 (en) Humeral shoulder prosthesis
US7338498B2 (en) Prosthetic implant, trial and associated method
US4385405A (en) Hip prosthesis and its method of fitting
EP1634551A2 (en) Surgical tool
US4904265A (en) Cementless acetabular implant
EP0913133A2 (en) Modular elbow prosthesis

Legal Events

Date Code Title Description
AS Assignment

Owner name: HOWMEDICA OSTEONICS CORP., NEW JERSEY

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:TULKIS, PETER;LEDGER, ROBERT E.;RAUGEL, PATRICK;REEL/FRAME:018520/0740

Effective date: 20061024

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION