US2719522A - Articular replacement - Google Patents
Articular replacement Download PDFInfo
- Publication number
- US2719522A US2719522A US297742A US29774252A US2719522A US 2719522 A US2719522 A US 2719522A US 297742 A US297742 A US 297742A US 29774252 A US29774252 A US 29774252A US 2719522 A US2719522 A US 2719522A
- Authority
- US
- United States
- Prior art keywords
- bone
- head
- shank
- replacement
- host
- 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.)
- Expired - Lifetime
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3662—Femoral shafts
- A61F2/367—Proximal or metaphyseal parts of shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3662—Femoral shafts
- A61F2/3676—Distal or diaphyseal parts of shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/3008—Properties of materials and coating materials radio-opaque, e.g. radio-opaque markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
- A61F2002/30364—Rotation about the common longitudinal axis
- A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
- A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set screw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30617—Visible markings for adjusting, locating or measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3082—Grooves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
- A61F2002/30884—Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3652—Connections of necks to shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
Definitions
- This invention relates to improvements in osteal appliances, and more particularly pertains to improvements in articular replacements for surgically excised bone.
- the principal object of this invention is to provide an osteal appliance affording a substantial equivalent and a substitute for surgically excised bone.
- Another object is to provide an articular replacement for surgically excised bone.
- Still another object is to provide an articular replacement substantially equivalent in structural strength, resistance to vibration, and chemically and electrolytically inert quality to human bone, wherein stress dispersion, affording of optimum vascular supply to the host tissue, and maintenance of restitution of form and function are achieved.
- Fig. 1 is an elevation of a portion of the ilium and a partially excised femur with fixation thereinbetween of an articular replacement, showing a preferred embodiment of the invention. (Relevant musculature is omitted for purposes of clarity.)
- Fig. 2 is an enlarged side elevation of the articular replacement shown in Fig. 1;
- Fig. 3 is a section taken on the line 33 of Fig. 2;
- Pi g. 4 is a section taken on the line 44 of Fig. 2;
- Fig. 5 is a section taken on the line 55 of Fig. 2;
- Fig. 6 is a section taken on the line 66 of Fig. 2.
- the articular replacement comprises a head 13 and 2,719,522 Patented Oct. 4, 1955 shank 14 adapted to be seated in a femur 18 the upper portion of which has been excised.
- the head 13 is preferably a cured methyl methacrylate polymer having no undiffused monomers, dimers or trimers, no plasticizer contaminant, and no bubbles, craze marks or other evidence of internal strain.
- Said head 13 comprises a substantially spherical or bulbous femoral head portion 15 having substantially the diameter of the excised femoral head to assure facile articulation in the cotyloid cavity of the innominate bone 16.
- Said head portion 15 flares into a substantially cylindrical throat portion 17 somewhat below the major dimension thereof, the axes of the head and throat portions defining an angle substantially equal to the corresponding angle of the excised portion of the femur.
- a first fin or car 19 that extends radially from the throat portion at the center of the lateral side thereof and flares into the head at all meeting surfaces is provided with a plurality of holes 21 for the insertion of selected muscles having their origin in the innominate bone.
- Additional fins or cars 23 and 25 extend radially from the throat portion, each at a radial angle of approximately 45 from the ear 19 to provide a general symmetry, and each of said ears 23 and 25 flares into the head at all meeting surfaces.
- a plurality of holes 27 in ear 23 and a plurality of holes 29 in ear 25 are provided for the insertion of selected muscles having their origin in the innominate bone.
- the shank 14 is preferably a hexamethylene diamine adipate polymer such as the Dupont nylon formula 10,001 fabricated by the Polymer Corp. of Reading, Pa. It must be free of internal strain, quick-cooled to prevent crystallization that gives a predisposition to brittleness and radial fracture, and must be so fabricated as to be uncontaminated by other plastics or by other nylon formulas which may contain irritative impurities.
- Said shank 14 comprises a threaded stud 31 that extends above the upper face 33 to mate with an internally threaded bore 35 in the throat portion 17 and secure said shank in precise and coextensive abutment with the lower face 37 of the said throat portion 17, a generally frusto-conical intermediate portion 39 having smooth opposed flats 41 and a plurality of symmetrical grooves or flutes 43 extending longitudinally along the surface thereof, and an elongated tapered end portion 45 having a plurality of annular grooves or flutes 47.
- Said intermediate portion 39 and end portion 45 are integral elements characterized by a smooth transition with their respective meeting ends as shown in Figs. 1, 2 and 3.
- a threaded bore 49 extends through the upper shoulder 51 of the intermediate portion 39 and further eX- tends into the throat portion 17 to receive a molybdenum stainless steel screw 53, primarily to provide a reference marker to indicate post-operatively any rotation of the articular replacement and secondarily to prevent relative rotation of the head 13 and shank 14.
- the operative procedure recommended for articular replacement of the upper portion of the femur with the subject device comprises the steps of exposure, excision, seating and closure.
- the anterior Smith-Petersen approach is preferred, since the lateral or posterior approaches do not seem to give enough access to the anterior and mesial acetabulum.
- the rectus femoris and its attachment are saved.
- Adequate detachment from both faces of the innominate bone contributes to ease of dislocation, excision of the femur and revision of the acetabulum.
- the capsule is then excised as completely as possible to remove diseased and scar tissue and to allow for greater operative flexibility.
- the amount of femur to be excised is estimated, allowing for restitution of length where possible.
- the marrow canal is opened and its ipeculiarities felt out with an intrarnedullary pin.
- the canal is prepared for the seating and the length of the open gap tested to be sure that the -fit for the head element is :not too snug and that reduction is possible after the seating of the i-ntramedullary portion.
- the replacement element is seated with the patella straight up and the element rotated externally about 25 degrees. It is then reduced and tested for motion, snugness and stability. (In seating, if fiexion and adduction contracture are present and long standing, the replacement element should be adapted to allow optimum motion. When the anterior acetabulur lip is hypertrophied, it should be revised surgically to allow unimpaired flexion.
- the acetabulum When the acetabulum is shallow, as in chronic dislocation, it should be deepened to give a stable socket. When the joint is fused or destroyed it should be i e-formed surgically to proportions as nearly normal as possible.
- the marrow canal of the upper femur should be shaped to fit snugly the upper shank 39 to control torque, and the fit should be good but not right. If fitting is difficult, the upper femur can be split part way longitudinally to expand the marrow canal. The split should of course, be lateral and not long enough to weaken the femur structurally.
- the motor flanges are settled into the trochanteric shell and sutured into place, .pulling the shell anteriorly to snug up the gluteal aponeurosis.
- the reflected lateral portion of the rectus femoris is utilized, being sutured to the anterior limit of the gluteal aponeurosis to stabilize against lateral slipping.
- the deep covering of the tensor fascia femoris is sutured to the lateral limit of the rectus femoris and the layers closed in. Where the foregoing reconstruction is deemed unstable, immobilization in plaster is effected. Otherwise, only a posterior shell with a cross bar to prevent rotation is used.
- Postoperative roen-tgenograms the objective and subjective postoperative indicia of restoration of function and alleviation of pain, and postmortem examinations have all supported the conclusion that the subject articular replacement accomplishes dispersion of stress on the host tissue, permits undisturbed vascular supply to the host tissue taking the compression strain and affords a striking maintenance or restitution of form and function. Progressive new-bone formations over the flats 41, and in the flutes 43 and grooves 47 is deemed a salient factor in accomplishing these results.
- the head and shank elements being separate pieces and comprising respective attaching devices companion to each other for securing the head and shank elements to each other rigidly.
- the head 'elementcomprisingdevices located to be engaged by host musculature having-origin in the host bone formation.
- the head element consisting of a cured methyl methacrylate polymer
- the shank element consisting of a hexamethylene diamine adipate polymer
- An articular replacement comprising a head element having a bulbous :portion adapted to be seated for articulation in the cavity of a host bone formation and having a cylindrical portion bearing a plurality of spaced radial fins, a plurality of holes in each of said fins adapted to receive host musculature having origin in said host bone formation, a shank element having a threaded stud extending from an end thereof inserted into a threaded bore in the cylindrical portion of said head element, said shank element having a longitudinally fluted substantially conica'l portion, opposed flats cut in said conical portion and an elongated tapered portion having a multiplicity of annular grooves subtended from said conical portion, said shank element being adapted to be inserted into the medullary canal of a host bone at the excised end face thereof, and a pin threaded through a portion of said shank element and into said head element.
Description
Oct. 4, 1955 5 s, HUDAcK 2,719,522
ARTICULAR REPLACEMENT Filed July 8, 1952 INVEN 575mm 5 Hum (34mm 6. m
H15 flTTOK V Y United States Patent ARTICULAR REPLACEMENT Stephen S. Hudack, Enumclaw, Wash., assignor, by mesne assignments, to the United States of America as represented by the Secretary of the Navy Application July 8, 1952, Serial No. 297,742
Claims. (Cl. 128-92) This invention relates to improvements in osteal appliances, and more particularly pertains to improvements in articular replacements for surgically excised bone.
Where it becomes necessary to excise surgically a part of a human bone and to replace the excised element with an osteal appliance, several desiderata must be considered. The structural strength of live bone must be provided in the resultant compound of live bone and replacement element. The replacement element must be able to withstand the constant minute vibratory muscular strains that will be imposed. Such element must also be unaffected by the highly corrosive chemical and electro lytic action in the body.
Particularly where an articular replacement is involved, there must be a dispersion of stress on the host tissue, as by decreasing the angle of the neck, expanding the surface area of the host tissue to avoid undue stress concentration and by elimination of screw-fixation techniques. Undisturbed vascular supply to the host tissue taking the compression strain must be maintained, since preservation of the bone element with impaired blood supply leads to necrosis and collapse. In addition, in femoral replacements, there must be maintenance or restitution of form and function, with preservation and reattachment, insofar as possible, of the ilio-psoas groups, the rectus femoris, the glutei groups, the tensor fascia femoris and the small external rotator muscles.
The principal object of this invention is to provide an osteal appliance affording a substantial equivalent and a substitute for surgically excised bone.
Another object is to provide an articular replacement for surgically excised bone.
Still another object is to provide an articular replacement substantially equivalent in structural strength, resistance to vibration, and chemically and electrolytically inert quality to human bone, wherein stress dispersion, affording of optimum vascular supply to the host tissue, and maintenance of restitution of form and function are achieved.
Other objects and many of the attendant advantages of this invention will be readily appreciated as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawing wherein:
Fig. 1 is an elevation of a portion of the ilium and a partially excised femur with fixation thereinbetween of an articular replacement, showing a preferred embodiment of the invention. (Relevant musculature is omitted for purposes of clarity.)
Fig. 2 is an enlarged side elevation of the articular replacement shown in Fig. 1;
Fig. 3 is a section taken on the line 33 of Fig. 2;
Pi g. 4 is a section taken on the line 44 of Fig. 2;
Fig. 5 is a section taken on the line 55 of Fig. 2; and
Fig. 6 is a section taken on the line 66 of Fig. 2.
Similar numerals refer to similar parts throughout the several views.
The articular replacement comprises a head 13 and 2,719,522 Patented Oct. 4, 1955 shank 14 adapted to be seated in a femur 18 the upper portion of which has been excised. The head 13 is preferably a cured methyl methacrylate polymer having no undiffused monomers, dimers or trimers, no plasticizer contaminant, and no bubbles, craze marks or other evidence of internal strain. Said head 13 comprises a substantially spherical or bulbous femoral head portion 15 having substantially the diameter of the excised femoral head to assure facile articulation in the cotyloid cavity of the innominate bone 16. Said head portion 15 flares into a substantially cylindrical throat portion 17 somewhat below the major dimension thereof, the axes of the head and throat portions defining an angle substantially equal to the corresponding angle of the excised portion of the femur.
A first fin or car 19 that extends radially from the throat portion at the center of the lateral side thereof and flares into the head at all meeting surfaces is provided with a plurality of holes 21 for the insertion of selected muscles having their origin in the innominate bone. Additional fins or cars 23 and 25 extend radially from the throat portion, each at a radial angle of approximately 45 from the ear 19 to provide a general symmetry, and each of said ears 23 and 25 flares into the head at all meeting surfaces. A plurality of holes 27 in ear 23 and a plurality of holes 29 in ear 25 are provided for the insertion of selected muscles having their origin in the innominate bone. The shank 14 is preferably a hexamethylene diamine adipate polymer such as the Dupont nylon formula 10,001 fabricated by the Polymer Corp. of Reading, Pa. It must be free of internal strain, quick-cooled to prevent crystallization that gives a predisposition to brittleness and radial fracture, and must be so fabricated as to be uncontaminated by other plastics or by other nylon formulas which may contain irritative impurities. Said shank 14 comprises a threaded stud 31 that extends above the upper face 33 to mate with an internally threaded bore 35 in the throat portion 17 and secure said shank in precise and coextensive abutment with the lower face 37 of the said throat portion 17, a generally frusto-conical intermediate portion 39 having smooth opposed flats 41 and a plurality of symmetrical grooves or flutes 43 extending longitudinally along the surface thereof, and an elongated tapered end portion 45 having a plurality of annular grooves or flutes 47. Said intermediate portion 39 and end portion 45 are integral elements characterized by a smooth transition with their respective meeting ends as shown in Figs. 1, 2 and 3. A threaded bore 49 extends through the upper shoulder 51 of the intermediate portion 39 and further eX- tends into the throat portion 17 to receive a molybdenum stainless steel screw 53, primarily to provide a reference marker to indicate post-operatively any rotation of the articular replacement and secondarily to prevent relative rotation of the head 13 and shank 14.
The operative procedure recommended for articular replacement of the upper portion of the femur with the subject device comprises the steps of exposure, excision, seating and closure. In exposure, the anterior Smith-Petersen approach is preferred, since the lateral or posterior approaches do not seem to give enough access to the anterior and mesial acetabulum. Whenever possible, the rectus femoris and its attachment are saved. Adequate detachment from both faces of the innominate bone contributes to ease of dislocation, excision of the femur and revision of the acetabulum. The capsule is then excised as completely as possible to remove diseased and scar tissue and to allow for greater operative flexibility. The amount of femur to be excised is estimated, allowing for restitution of length where possible. (Unless there is tumor or destruction of the greater trochanter it should be preserved. The transection of the femur should be above the lesser ice trochanter when possible. Accurate planographs or distortion-corrected X rays of the normal side (if there is one) also aid in reconstructing to approximately the desired nor ms) The-estimated segment is then excised with or without dislocation, depending upon limitation of movement, posterior scarring deformation and other factors. Where the outer shell of the greater trochanter is saved, the excision of the posterior capsule is then completed. Essentially, such excision dene'rvates the joint and reduces postoperative pain and muscle spasm, making active motion possible on the first postoperative day.
:In seating the subject device, the marrow canal is opened and its ipeculiarities felt out with an intrarnedullary pin. The canal is prepared for the seating and the length of the open gap tested to be sure that the -fit for the head element is :not too snug and that reduction is possible after the seating of the i-ntramedullary portion. The replacement element is seated with the patella straight up and the element rotated externally about 25 degrees. It is then reduced and tested for motion, snugness and stability. (In seating, if fiexion and adduction contracture are present and long standing, the replacement element should be adapted to allow optimum motion. When the anterior acetabulur lip is hypertrophied, it should be revised surgically to allow unimpaired flexion. When the acetabulum is shallow, as in chronic dislocation, it should be deepened to give a stable socket. When the joint is fused or destroyed it should be i e-formed surgically to proportions as nearly normal as possible. The marrow canal of the upper femur should be shaped to fit snugly the upper shank 39 to control torque, and the fit should be good but not right. If fitting is difficult, the upper femur can be split part way longitudinally to expand the marrow canal. The split should of course, be lateral and not long enough to weaken the femur structurally.)
Completing the surgery with the closure, the motor flanges are settled into the trochanteric shell and sutured into place, .pulling the shell anteriorly to snug up the gluteal aponeurosis. Where possible, the reflected lateral portion of the rectus femoris is utilized, being sutured to the anterior limit of the gluteal aponeurosis to stabilize against lateral slipping. The deep covering of the tensor fascia femoris is sutured to the lateral limit of the rectus femoris and the layers closed in. Where the foregoing reconstruction is deemed unstable, immobilization in plaster is effected. Otherwise, only a posterior shell with a cross bar to prevent rotation is used.
Postoperative roen-tgenograms, the objective and subjective postoperative indicia of restoration of function and alleviation of pain, and postmortem examinations have all supported the conclusion that the subject articular replacement accomplishes dispersion of stress on the host tissue, permits undisturbed vascular supply to the host tissue taking the compression strain and affords a striking maintenance or restitution of form and function. Progressive new-bone formations over the flats 41, and in the flutes 43 and grooves 47 is deemed a salient factor in accomplishing these results.
The application of the subject invention to the problem of articular-replacement of the upper part of the humerus, as well as to other bone structure, is apparent. Obvious 1y, many modifications and variations of the present invention are possible in the light of the above teachings.
t is therefore to be understood that within the scope of the appended claims the invention may be practiced otherwise than as specifically described.
I claim:
1. In an articular replacement for a host bone formation consisting of articulated bone structures, a head element of which one bone structure of the formation is host and a shank element of which another bone structure of the formation is host, the head and shank elements being secured to each other rigidly, the shank element comprising a shoulder proximate to the head element and a conical portion extending away from the head element beyond the shoulder, the shank element comprising a tapered portion remote from the head element and extending beyond the conical portion to the end of the shank element, the conical portion comprising lands and grooves alternated circumferentially and extending lengthwise of the shank element, the tapered portion comprising lands and grooves alternated lengthwise and extending transversely of the shank element, the head element being contoured to articulate with its host bone structure of the formation, the shank element being adapted to be projected into the medullary canal 'ofits host bone structure of the formation with its shoulder abutting against the excised end face of its host bone structure and supporting the head element in articulated relationship with its host bone structure of the formation.
2. In an articular replacement as defined in claim 1, the head and shank elements being separate pieces and comprising respective attaching devices companion to each other for securing the head and shank elements to each other rigidly.
3. 'In an articular replacementas defined in claim 1, the head 'elementcomprisingdevices located to be engaged by host musculature having-origin in the host bone formation.
4. In an articular replacement asdefined in claim 2, the head element consisting of a cured methyl methacrylate polymer, and the shank element consisting of a hexamethylene diamine adipate polymer.
5. An articular replacement comprising a head element having a bulbous :portion adapted to be seated for articulation in the cavity of a host bone formation and having a cylindrical portion bearing a plurality of spaced radial fins, a plurality of holes in each of said fins adapted to receive host musculature having origin in said host bone formation, a shank element having a threaded stud extending from an end thereof inserted into a threaded bore in the cylindrical portion of said head element, said shank element having a longitudinally fluted substantially conica'l portion, opposed flats cut in said conical portion and an elongated tapered portion having a multiplicity of annular grooves subtended from said conical portion, said shank element being adapted to be inserted into the medullary canal of a host bone at the excised end face thereof, and a pin threaded through a portion of said shank element and into said head element.
References Cited in the file of this patent FOREIGN PATENTS 837,294 Germany Apr. 21, 1952 989,341 France May 23, 1951 l,O47-,64O France July 22, 1953 OTHER REFERENCES The Journal 'of Bone and Joint Surgery for July 1943, pp. 690-1.
1948 Catalog of Austental Laboratories, Inc., 224 E. 39 street, N. Y. '16, N. Y.; p. 25. Copy in Division 55.
The Journal of Bone and Joint Surgery for October 1951, advertising p. 36.
The Journal of Bone and Joint Surgery for January 195 2, advertising p. 4.
The Journal of the International College of Surgeons, for April 1951, p. 499.
The Journal of Bone and Joint Surgery for October 1952 (paper read at meeting in Chicago on January 20, 1952 pp. 989-90.
Copies of the publications in Scientific Library.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US297742A US2719522A (en) | 1952-07-08 | 1952-07-08 | Articular replacement |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US297742A US2719522A (en) | 1952-07-08 | 1952-07-08 | Articular replacement |
Publications (1)
Publication Number | Publication Date |
---|---|
US2719522A true US2719522A (en) | 1955-10-04 |
Family
ID=23147567
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US297742A Expired - Lifetime US2719522A (en) | 1952-07-08 | 1952-07-08 | Articular replacement |
Country Status (1)
Country | Link |
---|---|
US (1) | US2719522A (en) |
Cited By (89)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2781758A (en) * | 1954-01-29 | 1957-02-19 | Chevalier Michel Jacques | Artificial femoral head |
US3067740A (en) * | 1959-09-08 | 1962-12-11 | Edward J Haboush | Hip joint prosthesis |
US3715763A (en) * | 1971-04-21 | 1973-02-13 | W Link | Artificial limb for the knee joint |
US3740769A (en) * | 1971-02-11 | 1973-06-26 | E Haboush | Prosthesis for hip joints |
US3781917A (en) * | 1970-10-13 | 1974-01-01 | R Mathys | Hip joint prosthesis |
US3803641A (en) * | 1971-12-30 | 1974-04-16 | V Golyakhovsky | Endoprosthesis of shoulder joint |
US3848273A (en) * | 1972-02-02 | 1974-11-19 | Sulzer Ag | Shank for bone implants |
US3874003A (en) * | 1972-04-06 | 1975-04-01 | Oscobal Ag | Artificial hip joint |
US3896505A (en) * | 1970-03-31 | 1975-07-29 | Franz Donatus Timmermans | Endoprosthesis for the hipjoint |
US3918441A (en) * | 1974-09-17 | 1975-11-11 | Philip E Getscher | Intramedullary hip pin |
US3964473A (en) * | 1972-09-21 | 1976-06-22 | Telectronics Pty. Limited | Bone prosthesis |
DE2607315A1 (en) * | 1975-02-28 | 1976-09-02 | United States Surgical Corp | STEM FOR ARTICULATED PROSTHESIS |
DE2462313A1 (en) * | 1973-08-31 | 1976-12-16 | Oscobal Ag | HIP JOINT PROSTHESIS |
US4059854A (en) * | 1977-01-03 | 1977-11-29 | Laure Prosthetics, Inc. | Ribbed finger joint implant |
DE2411617C3 (en) | 1973-08-31 | 1977-12-15 | Ausscheidung in: 24 62 313 Oscobai AG, Selzach (Schweiz) | Cementless implantable prosthesis to replace the acetabulum |
US4115875A (en) * | 1976-04-26 | 1978-09-26 | Andre Rambert | Hip prosthesis |
US4231120A (en) * | 1977-09-22 | 1980-11-04 | National Research Development Corporation | Endoprosthetic orthopaedic devices |
US4292695A (en) * | 1980-06-25 | 1981-10-06 | Lord Corporation | Prosthesis stem |
FR2485367A1 (en) * | 1980-06-25 | 1981-12-31 | Lord Corp | HIP JOINT PROSTHESIS |
WO1983000616A1 (en) * | 1981-08-14 | 1983-03-03 | Tatum, O., Hilt, Jr. | Dental implant |
US4404691A (en) * | 1980-03-11 | 1983-09-20 | Howmedica International Inc. | Modular prosthesis assembly |
DE3216539A1 (en) * | 1982-05-03 | 1983-11-03 | Waldemar Link (Gmbh & Co), 2000 Hamburg | BONE IMPLANT, IN PARTICULAR FEMORAL HIP JOINT PROSTHESIS |
FR2529077A1 (en) * | 1982-06-29 | 1983-12-30 | Lord Gerald | NEW BONE PROSTHESIS AND ITS OBTAINING |
EP0099403A1 (en) * | 1982-01-21 | 1984-02-01 | JOINT MEDICAL PRODUCTS CORPORATION (a Delaware corporation) | Prosthesis fixation to bone |
EP0112423A1 (en) * | 1982-12-17 | 1984-07-04 | Francis Henri Bréard | Joint prosthesis, especially femoral prosthesis with self-blocking, wedge-shaped intramedullary stem |
EP0135755A1 (en) * | 1983-08-29 | 1985-04-03 | Protek AG | Stem for a hip joint prosthesis |
US4511336A (en) * | 1981-12-17 | 1985-04-16 | Asahi Kogaku Kogyo Kabushiki Kaisha | Artificial apatite dental root |
US4516569A (en) * | 1982-05-06 | 1985-05-14 | National Research Development Corporation | Intramedullary orthopaedic devices |
US4520511A (en) * | 1981-10-26 | 1985-06-04 | Paribelli Gianezio | Hip prosthesis with expanding femoral component |
US4531915A (en) * | 1981-08-14 | 1985-07-30 | Tatum Jr O Hilt | Dental implant |
US4549319A (en) * | 1982-08-03 | 1985-10-29 | United States Medical Corporation | Artificial joint fixation to bone |
EP0159462A1 (en) * | 1984-03-23 | 1985-10-30 | Orthoplant Endoprothetik GmbH | Femoral part of a total endoprosthesis for a hip joint |
EP0159510A2 (en) * | 1984-04-14 | 1985-10-30 | HOWMEDICA INTERNATIONAL, INC. Zweigniederlassung Kiel | Hip joint endoprosthesis |
EP0163013A1 (en) * | 1984-04-02 | 1985-12-04 | Emil Schenker AG | Stem for a hip prosthesis |
US4578081A (en) * | 1982-02-17 | 1986-03-25 | Howmedica International, Inc. | Bone prosthesis |
EP0198163A2 (en) * | 1985-04-15 | 1986-10-22 | GebràDer Sulzer Aktiengesellschaft | Connection of two parts of an implant |
USRE32471E (en) * | 1980-04-24 | 1987-08-11 | Waldemar Link Gmbh & Co. | Hip joint prosthesis with a shaft to be fitted into the medullary canal of the femur |
EP0238860A2 (en) * | 1984-03-23 | 1987-09-30 | orthoplant Endoprothetik GmbH | Femoral part of a endoprosthesis for a hip joint |
US4714475A (en) * | 1985-03-01 | 1987-12-22 | S + G Implants Gmbh | Tibial member of a knee joint endoprothesis |
US4784124A (en) * | 1985-07-16 | 1988-11-15 | Vereinigte Edelstahlwerke Aktiengesellschaft (Vew) | Bone implant for prostheses and tool for inserting the implant into a bone |
US4827919A (en) * | 1986-10-27 | 1989-05-09 | Pfizer Hospital Products Group, Inc. | Femoral spacer |
US4846839A (en) * | 1984-02-09 | 1989-07-11 | Joint Medical Products Corporation | Apparatus for affixing a prosthesis to bone |
US4865608A (en) * | 1987-11-20 | 1989-09-12 | Brooker Jr Andrew F | Grooved endoprosthesis |
EP0378044A1 (en) * | 1989-01-10 | 1990-07-18 | GebràDer Sulzer Aktiengesellschaft | Flat stem for a femoral head prosthesis |
US5002580A (en) * | 1988-10-07 | 1991-03-26 | Pfizer Hospital Products Group, Inc. | Prosthetic device and method of implantation |
US5032133A (en) * | 1990-01-23 | 1991-07-16 | Orthovations, Inc. | Method and apparatus for expanding a shaft for use in prosthesis |
US5062854A (en) * | 1988-10-07 | 1991-11-05 | Pfizer Hospital Products Group | Prosthetic device and method of implantation |
US5080685A (en) * | 1986-08-15 | 1992-01-14 | Boehringer Mannheim Corporation | Modular hip prosthesis |
US5089004A (en) * | 1988-01-19 | 1992-02-18 | Osteonics Corp. | Prosthetic implant procedure and femoral broach therefor |
US5147386A (en) * | 1988-08-22 | 1992-09-15 | Techmedica, Inc. | Securable pistoning finger prosthesis |
US5147408A (en) * | 1988-10-07 | 1992-09-15 | Pfizer Hospital Products Group, Inc. | Prosthetic device and method of implantation |
US5181928A (en) * | 1986-08-15 | 1993-01-26 | Boehringer Mannheim Corporation | Modular hip prosthesis |
US5201767A (en) * | 1991-07-15 | 1993-04-13 | Johnson & Johnson Orthopaedics, Inc. | Fluted-wedge osteal prosthetic component |
US5282865A (en) * | 1992-06-22 | 1994-02-01 | Osteonics Corp. | Humeral shoulder prosthesis |
US5314479A (en) * | 1986-08-15 | 1994-05-24 | Depuy Inc. | Modular prosthesis |
US5342366A (en) * | 1992-02-19 | 1994-08-30 | Biomet, Inc. | Surgical instruments for hip revision |
WO1994020046A1 (en) * | 1993-03-12 | 1994-09-15 | Brigham And Women's Hospital | Bone prosthesis and method of implanting the same |
US5480453A (en) * | 1992-11-20 | 1996-01-02 | Burke; Dennis W. | Collar for femoral implant and method and apparatus for installation thereof |
US5480450A (en) * | 1993-02-11 | 1996-01-02 | The General Hospital Corporation | Method and apparatus for reducing interfacial porosity in a cemented femoral prosthesis |
US5489309A (en) * | 1993-01-06 | 1996-02-06 | Smith & Nephew Richards Inc. | Modular humeral component system |
US5591233A (en) * | 1990-06-01 | 1997-01-07 | Depuy Dupont Orthopaedics | Metal/composite hybrid orthopedic implants |
US5653765A (en) * | 1994-07-01 | 1997-08-05 | Ortho Development Corporation | Modular prosthesis |
US5702485A (en) * | 1992-11-20 | 1997-12-30 | Burke; Dennis W. | Collared prosthetic device with centering fins |
US5725594A (en) * | 1994-07-14 | 1998-03-10 | Ortho Development Corporation | Proximal conical stem |
US5755811A (en) * | 1995-08-25 | 1998-05-26 | Zimmer, Inc. | Prosthetic implant with fins |
US5951606A (en) * | 1992-11-20 | 1999-09-14 | Burke; Dennis W. | Centering device for femoral implant and method and apparatus for implementation thereof |
US5961555A (en) * | 1998-03-17 | 1999-10-05 | Huebner; Randall J. | Modular shoulder prosthesis |
US6332896B1 (en) | 1994-07-14 | 2001-12-25 | Ortho Development Corporation | Orthopaedic implant with proximal collar |
US6494913B1 (en) | 1998-03-17 | 2002-12-17 | Acumed, Inc. | Shoulder prosthesis |
US20030074079A1 (en) * | 1998-04-14 | 2003-04-17 | Osteoimplant Technology, Inc. | Differential porosity prosthetic hip system |
US20040010319A1 (en) * | 1998-04-14 | 2004-01-15 | Osteoimplant Technology Inc. | Intrinsic stability in a total hip stem |
US20040015239A1 (en) * | 2002-05-23 | 2004-01-22 | Beguec Pierre Le | Apparatus for the preparation of a femur bone for for the implantation of a prosthesis |
US20040088056A1 (en) * | 2002-11-04 | 2004-05-06 | Lewallen David G. | Prosthetic implant having segmented flexible stem |
US20060041316A1 (en) * | 2003-01-17 | 2006-02-23 | Waldemar Link Gmbh 7 Co. Kg | Hip prosthesis comprising a shaft to be fixed in the medullary canal of the femur |
US7070622B1 (en) | 2002-07-03 | 2006-07-04 | Biomet, Inc. | Prosthesis having a modular soft tissue fixation mechanism |
US7175664B1 (en) | 2002-07-03 | 2007-02-13 | Biomet, Inc. | Prosthetic having a modular soft tissue fixation mechanism |
US20080114461A1 (en) * | 2006-11-13 | 2008-05-15 | Howmedica Osteonics Corp. | Modular humeral head |
US20100318191A1 (en) * | 2009-06-12 | 2010-12-16 | Branovacki George | Joint implant |
US20110009973A1 (en) * | 2007-05-07 | 2011-01-13 | Zimmer, Inc. | Methods and apparatuses for attaching tissue to orthopaedic implants |
US8029573B2 (en) | 2006-12-07 | 2011-10-04 | Ihip Surgical, Llc | Method and apparatus for total hip replacement |
US8110005B2 (en) | 2000-04-10 | 2012-02-07 | Biomet Manufacturing Corp. | Modular prosthesis and use thereof for replacing a radial head |
US20120035733A1 (en) * | 2010-04-13 | 2012-02-09 | Biomet Manufacturing Corp. | Prosthetic having a modular soft tissue fixation mechanism |
US20130204390A1 (en) * | 2006-12-07 | 2013-08-08 | Ihip Surgical, Llc | Method and apparatus for attachment in a modular hip replacement or fracture fixation device |
US8535382B2 (en) | 2000-04-10 | 2013-09-17 | Biomet Manufacturing, Llc | Modular radial head prostheses |
US8579985B2 (en) | 2006-12-07 | 2013-11-12 | Ihip Surgical, Llc | Method and apparatus for hip replacement |
US20140039637A1 (en) * | 2010-07-07 | 2014-02-06 | Zimmer, Inc. | Sleeve for modular revision hip stem |
US8920509B2 (en) | 2000-04-10 | 2014-12-30 | Biomet Manufacturing, Llc | Modular radial head prosthesis |
US8979940B2 (en) * | 2012-12-14 | 2015-03-17 | Biomet Manufacturing, Llc | Modular attachment mechanism in prosthetic implants |
US9427322B1 (en) * | 2012-06-27 | 2016-08-30 | Signal Medical Corporation | Hip implant |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR989341A (en) * | 1949-04-25 | 1951-09-07 | New form of osteo-articular prosthesis | |
DE837294C (en) * | 1949-04-25 | 1952-04-21 | Maison Drapier Van Steenbruggh | Bone Joint Prosthesis |
FR1047640A (en) * | 1952-01-10 | 1953-12-15 | New joint prosthesis for surgical use |
-
1952
- 1952-07-08 US US297742A patent/US2719522A/en not_active Expired - Lifetime
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR989341A (en) * | 1949-04-25 | 1951-09-07 | New form of osteo-articular prosthesis | |
DE837294C (en) * | 1949-04-25 | 1952-04-21 | Maison Drapier Van Steenbruggh | Bone Joint Prosthesis |
FR1047640A (en) * | 1952-01-10 | 1953-12-15 | New joint prosthesis for surgical use |
Cited By (148)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2781758A (en) * | 1954-01-29 | 1957-02-19 | Chevalier Michel Jacques | Artificial femoral head |
US3067740A (en) * | 1959-09-08 | 1962-12-11 | Edward J Haboush | Hip joint prosthesis |
US3896505A (en) * | 1970-03-31 | 1975-07-29 | Franz Donatus Timmermans | Endoprosthesis for the hipjoint |
US3781917A (en) * | 1970-10-13 | 1974-01-01 | R Mathys | Hip joint prosthesis |
US3740769A (en) * | 1971-02-11 | 1973-06-26 | E Haboush | Prosthesis for hip joints |
US3715763A (en) * | 1971-04-21 | 1973-02-13 | W Link | Artificial limb for the knee joint |
US3803641A (en) * | 1971-12-30 | 1974-04-16 | V Golyakhovsky | Endoprosthesis of shoulder joint |
US3848273A (en) * | 1972-02-02 | 1974-11-19 | Sulzer Ag | Shank for bone implants |
US3874003A (en) * | 1972-04-06 | 1975-04-01 | Oscobal Ag | Artificial hip joint |
US3964473A (en) * | 1972-09-21 | 1976-06-22 | Telectronics Pty. Limited | Bone prosthesis |
DE2462313A1 (en) * | 1973-08-31 | 1976-12-16 | Oscobal Ag | HIP JOINT PROSTHESIS |
DE2411617C3 (en) | 1973-08-31 | 1977-12-15 | Ausscheidung in: 24 62 313 Oscobai AG, Selzach (Schweiz) | Cementless implantable prosthesis to replace the acetabulum |
US3918441A (en) * | 1974-09-17 | 1975-11-11 | Philip E Getscher | Intramedullary hip pin |
DE2607315A1 (en) * | 1975-02-28 | 1976-09-02 | United States Surgical Corp | STEM FOR ARTICULATED PROSTHESIS |
US3996625A (en) * | 1975-02-28 | 1976-12-14 | United States Surgical Corporation | Artificial hip joint with novel stem |
US4115875A (en) * | 1976-04-26 | 1978-09-26 | Andre Rambert | Hip prosthesis |
US4059854A (en) * | 1977-01-03 | 1977-11-29 | Laure Prosthetics, Inc. | Ribbed finger joint implant |
US4231120A (en) * | 1977-09-22 | 1980-11-04 | National Research Development Corporation | Endoprosthetic orthopaedic devices |
US4404691A (en) * | 1980-03-11 | 1983-09-20 | Howmedica International Inc. | Modular prosthesis assembly |
USRE32471E (en) * | 1980-04-24 | 1987-08-11 | Waldemar Link Gmbh & Co. | Hip joint prosthesis with a shaft to be fitted into the medullary canal of the femur |
US4292695A (en) * | 1980-06-25 | 1981-10-06 | Lord Corporation | Prosthesis stem |
FR2485367A1 (en) * | 1980-06-25 | 1981-12-31 | Lord Corp | HIP JOINT PROSTHESIS |
FR2485366A1 (en) * | 1980-06-25 | 1981-12-31 | Lord Corp | STEM, FORMING A BRANCH OF A HUMAN JOINT PROSTHESIS, CAPABLE OF SELF-SETTING IN A MEDIUM-BONE CHANNEL |
US4314381A (en) * | 1980-06-25 | 1982-02-09 | Lord Corporation | Hip joint prosthesis |
WO1983000616A1 (en) * | 1981-08-14 | 1983-03-03 | Tatum, O., Hilt, Jr. | Dental implant |
US4531915A (en) * | 1981-08-14 | 1985-07-30 | Tatum Jr O Hilt | Dental implant |
US4520511A (en) * | 1981-10-26 | 1985-06-04 | Paribelli Gianezio | Hip prosthesis with expanding femoral component |
US4511336A (en) * | 1981-12-17 | 1985-04-16 | Asahi Kogaku Kogyo Kabushiki Kaisha | Artificial apatite dental root |
EP0099403A1 (en) * | 1982-01-21 | 1984-02-01 | JOINT MEDICAL PRODUCTS CORPORATION (a Delaware corporation) | Prosthesis fixation to bone |
EP0099403A4 (en) * | 1982-01-21 | 1985-06-26 | Us Medical Corp | Prosthesis fixation to bone. |
US4578081A (en) * | 1982-02-17 | 1986-03-25 | Howmedica International, Inc. | Bone prosthesis |
EP0181586A3 (en) * | 1982-05-03 | 1986-08-20 | Waldemar Link (GmbH & Co.) | Femural hip joint prosthesis |
EP0093378A1 (en) * | 1982-05-03 | 1983-11-09 | Waldemar Link (GmbH & Co.) | Femur hip joint prosthesis |
DE3216539A1 (en) * | 1982-05-03 | 1983-11-03 | Waldemar Link (Gmbh & Co), 2000 Hamburg | BONE IMPLANT, IN PARTICULAR FEMORAL HIP JOINT PROSTHESIS |
EP0181586A2 (en) * | 1982-05-03 | 1986-05-21 | Waldemar Link (GmbH & Co.) | Femural hip joint prosthesis |
US4516569A (en) * | 1982-05-06 | 1985-05-14 | National Research Development Corporation | Intramedullary orthopaedic devices |
EP0098224A1 (en) * | 1982-06-29 | 1984-01-11 | Gérald Lord | Bone prosthesis and its manufacture |
FR2529077A1 (en) * | 1982-06-29 | 1983-12-30 | Lord Gerald | NEW BONE PROSTHESIS AND ITS OBTAINING |
US4549319A (en) * | 1982-08-03 | 1985-10-29 | United States Medical Corporation | Artificial joint fixation to bone |
EP0112423A1 (en) * | 1982-12-17 | 1984-07-04 | Francis Henri Bréard | Joint prosthesis, especially femoral prosthesis with self-blocking, wedge-shaped intramedullary stem |
US4728334A (en) * | 1983-08-29 | 1988-03-01 | Protek Ag | Shaft for hip joint prosthesis |
EP0135755A1 (en) * | 1983-08-29 | 1985-04-03 | Protek AG | Stem for a hip joint prosthesis |
US4846839A (en) * | 1984-02-09 | 1989-07-11 | Joint Medical Products Corporation | Apparatus for affixing a prosthesis to bone |
EP0159462A1 (en) * | 1984-03-23 | 1985-10-30 | Orthoplant Endoprothetik GmbH | Femoral part of a total endoprosthesis for a hip joint |
EP0238860A2 (en) * | 1984-03-23 | 1987-09-30 | orthoplant Endoprothetik GmbH | Femoral part of a endoprosthesis for a hip joint |
EP0238860A3 (en) * | 1984-03-23 | 1988-03-30 | Orthoplant Endoprothetik Gmbh | Femoral part of a endoprosthesis for a hip joint |
EP0163013A1 (en) * | 1984-04-02 | 1985-12-04 | Emil Schenker AG | Stem for a hip prosthesis |
US4657552A (en) * | 1984-04-02 | 1987-04-14 | Emil Schenker Ag | Prosthesis of the hip |
EP0159510A2 (en) * | 1984-04-14 | 1985-10-30 | HOWMEDICA INTERNATIONAL, INC. Zweigniederlassung Kiel | Hip joint endoprosthesis |
EP0159510A3 (en) * | 1984-04-14 | 1987-03-04 | Howmedica International, Inc. Zweigniederlassung Kiel | Hip joint endoprosthesis |
US4714475A (en) * | 1985-03-01 | 1987-12-22 | S + G Implants Gmbh | Tibial member of a knee joint endoprothesis |
EP0198163A3 (en) * | 1985-04-15 | 1987-01-07 | Gebruder Sulzer Aktiengesellschaft | Connection of two parts of an implant |
EP0198163A2 (en) * | 1985-04-15 | 1986-10-22 | GebràDer Sulzer Aktiengesellschaft | Connection of two parts of an implant |
US4784124A (en) * | 1985-07-16 | 1988-11-15 | Vereinigte Edelstahlwerke Aktiengesellschaft (Vew) | Bone implant for prostheses and tool for inserting the implant into a bone |
US5080685A (en) * | 1986-08-15 | 1992-01-14 | Boehringer Mannheim Corporation | Modular hip prosthesis |
US5370706A (en) * | 1986-08-15 | 1994-12-06 | Depuy Inc. | Modular hip prosthesis |
US5314479A (en) * | 1986-08-15 | 1994-05-24 | Depuy Inc. | Modular prosthesis |
US5286260A (en) * | 1986-08-15 | 1994-02-15 | Depuy Inc. | Modular hip prosthesis |
US5181928A (en) * | 1986-08-15 | 1993-01-26 | Boehringer Mannheim Corporation | Modular hip prosthesis |
US4827919A (en) * | 1986-10-27 | 1989-05-09 | Pfizer Hospital Products Group, Inc. | Femoral spacer |
US4865608A (en) * | 1987-11-20 | 1989-09-12 | Brooker Jr Andrew F | Grooved endoprosthesis |
US5089004A (en) * | 1988-01-19 | 1992-02-18 | Osteonics Corp. | Prosthetic implant procedure and femoral broach therefor |
US5147386A (en) * | 1988-08-22 | 1992-09-15 | Techmedica, Inc. | Securable pistoning finger prosthesis |
US5002580A (en) * | 1988-10-07 | 1991-03-26 | Pfizer Hospital Products Group, Inc. | Prosthetic device and method of implantation |
US5062854A (en) * | 1988-10-07 | 1991-11-05 | Pfizer Hospital Products Group | Prosthetic device and method of implantation |
US5147408A (en) * | 1988-10-07 | 1992-09-15 | Pfizer Hospital Products Group, Inc. | Prosthetic device and method of implantation |
US4944761A (en) * | 1989-01-10 | 1990-07-31 | Sulzer Brothers Limited | Blade-like stem for a femoral head prosthesis |
CH676664A5 (en) * | 1989-01-10 | 1991-02-28 | Sulzer Ag | |
EP0378044A1 (en) * | 1989-01-10 | 1990-07-18 | GebràDer Sulzer Aktiengesellschaft | Flat stem for a femoral head prosthesis |
US5032133A (en) * | 1990-01-23 | 1991-07-16 | Orthovations, Inc. | Method and apparatus for expanding a shaft for use in prosthesis |
US5591233A (en) * | 1990-06-01 | 1997-01-07 | Depuy Dupont Orthopaedics | Metal/composite hybrid orthopedic implants |
US5201767A (en) * | 1991-07-15 | 1993-04-13 | Johnson & Johnson Orthopaedics, Inc. | Fluted-wedge osteal prosthetic component |
US5342366A (en) * | 1992-02-19 | 1994-08-30 | Biomet, Inc. | Surgical instruments for hip revision |
US5282865A (en) * | 1992-06-22 | 1994-02-01 | Osteonics Corp. | Humeral shoulder prosthesis |
US5480453A (en) * | 1992-11-20 | 1996-01-02 | Burke; Dennis W. | Collar for femoral implant and method and apparatus for installation thereof |
US5951606A (en) * | 1992-11-20 | 1999-09-14 | Burke; Dennis W. | Centering device for femoral implant and method and apparatus for implementation thereof |
US5569255A (en) * | 1992-11-20 | 1996-10-29 | Burke; Dennis W. | Method for implanting a prosthetic device into a bone |
US5624443A (en) * | 1992-11-20 | 1997-04-29 | Burke; Dennis W. | Clamp for femoral implant |
US5624445A (en) * | 1992-11-20 | 1997-04-29 | Burke; Dennis W. | Apparatus for cutting grooves in a bone |
US5702485A (en) * | 1992-11-20 | 1997-12-30 | Burke; Dennis W. | Collared prosthetic device with centering fins |
US5725596A (en) * | 1992-11-20 | 1998-03-10 | Burke; Dennis W. | Clamp for use with a bone prosthesis |
US6179877B1 (en) | 1992-11-20 | 2001-01-30 | Dennis W. Burke | Centering device for femoral implant and method and apparatus for implementation thereof |
US5489309A (en) * | 1993-01-06 | 1996-02-06 | Smith & Nephew Richards Inc. | Modular humeral component system |
US5480450A (en) * | 1993-02-11 | 1996-01-02 | The General Hospital Corporation | Method and apparatus for reducing interfacial porosity in a cemented femoral prosthesis |
WO1994020046A1 (en) * | 1993-03-12 | 1994-09-15 | Brigham And Women's Hospital | Bone prosthesis and method of implanting the same |
AU687800B2 (en) * | 1993-03-12 | 1998-03-05 | Brigham And Women's Hospital | Bone prosthesis and method of implanting the same |
US5653765A (en) * | 1994-07-01 | 1997-08-05 | Ortho Development Corporation | Modular prosthesis |
US5725594A (en) * | 1994-07-14 | 1998-03-10 | Ortho Development Corporation | Proximal conical stem |
US6332896B1 (en) | 1994-07-14 | 2001-12-25 | Ortho Development Corporation | Orthopaedic implant with proximal collar |
US6913624B2 (en) | 1994-07-14 | 2005-07-05 | Ortho Development Corporation | Orthopaedic implant with proximal collar |
US5755811A (en) * | 1995-08-25 | 1998-05-26 | Zimmer, Inc. | Prosthetic implant with fins |
US5961555A (en) * | 1998-03-17 | 1999-10-05 | Huebner; Randall J. | Modular shoulder prosthesis |
US6102953A (en) * | 1998-03-17 | 2000-08-15 | Acumed, Inc. | Shoulder prosthesis |
US6168628B1 (en) | 1998-03-17 | 2001-01-02 | Acumed, Inc. | Shoulder Prosthesis |
US6168627B1 (en) | 1998-03-17 | 2001-01-02 | Acumed, Inc. | Shoulder prosthesis |
US6193758B1 (en) | 1998-03-17 | 2001-02-27 | Acumed, Inc. | Shoulder prosthesis |
US6494913B1 (en) | 1998-03-17 | 2002-12-17 | Acumed, Inc. | Shoulder prosthesis |
US7918892B2 (en) | 1998-03-17 | 2011-04-05 | Acumed Llc | Shoulder prosthesis |
US7297163B2 (en) | 1998-03-17 | 2007-11-20 | Acumed Llc | Shoulder prosthesis |
US20040010319A1 (en) * | 1998-04-14 | 2004-01-15 | Osteoimplant Technology Inc. | Intrinsic stability in a total hip stem |
US20070043448A1 (en) * | 1998-04-14 | 2007-02-22 | Encore Medical Asset Corporation | Intrinsic stability in a total hip stem |
US20030074079A1 (en) * | 1998-04-14 | 2003-04-17 | Osteoimplant Technology, Inc. | Differential porosity prosthetic hip system |
US7323013B2 (en) | 1998-04-14 | 2008-01-29 | Encore Medical Asset Corporation | Differential porosity prosthetic hip system |
US8535382B2 (en) | 2000-04-10 | 2013-09-17 | Biomet Manufacturing, Llc | Modular radial head prostheses |
US8110005B2 (en) | 2000-04-10 | 2012-02-07 | Biomet Manufacturing Corp. | Modular prosthesis and use thereof for replacing a radial head |
US9579208B2 (en) | 2000-04-10 | 2017-02-28 | Biomet Manufacturing, Llc | Modular radial head prosthesis |
US8114163B2 (en) | 2000-04-10 | 2012-02-14 | Biomet Manufacturing Corp. | Method and apparatus for adjusting height and angle for a radial head |
US8366781B2 (en) | 2000-04-10 | 2013-02-05 | Biomet Manufacturing Corp. | Modular prosthesis and use thereof for replacing a radial head |
US9439784B2 (en) | 2000-04-10 | 2016-09-13 | Biomet Manufacturing, Llc | Modular radial head prosthesis |
US9333084B2 (en) | 2000-04-10 | 2016-05-10 | Biomet Manufacturing, Llc | Modular prosthesis and use thereof for replacing a radial head |
US8920509B2 (en) | 2000-04-10 | 2014-12-30 | Biomet Manufacturing, Llc | Modular radial head prosthesis |
US8425615B2 (en) | 2000-04-10 | 2013-04-23 | Biomet Manufacturing Corp. | Method and apparatus for adjusting height and angle for a radial head |
US7112203B2 (en) * | 2002-05-23 | 2006-09-26 | Centerpulse Orthopedics Ltd. | Apparatus for the preparation of a femur bone for the implantation of a prosthesis |
US20040015239A1 (en) * | 2002-05-23 | 2004-01-22 | Beguec Pierre Le | Apparatus for the preparation of a femur bone for for the implantation of a prosthesis |
US7175664B1 (en) | 2002-07-03 | 2007-02-13 | Biomet, Inc. | Prosthetic having a modular soft tissue fixation mechanism |
US7070622B1 (en) | 2002-07-03 | 2006-07-04 | Biomet, Inc. | Prosthesis having a modular soft tissue fixation mechanism |
US20040088056A1 (en) * | 2002-11-04 | 2004-05-06 | Lewallen David G. | Prosthetic implant having segmented flexible stem |
US6887278B2 (en) * | 2002-11-04 | 2005-05-03 | Mayo Foundation For Medical Education And Research | Prosthetic implant having segmented flexible stem |
US7559950B2 (en) | 2003-01-17 | 2009-07-14 | Waldemar Link Gmbh & Co. Kg | Hip prosthesis including a shaft to be fixed in the medullary canal of the femur |
US20060041316A1 (en) * | 2003-01-17 | 2006-02-23 | Waldemar Link Gmbh 7 Co. Kg | Hip prosthesis comprising a shaft to be fixed in the medullary canal of the femur |
US7537618B2 (en) | 2006-11-13 | 2009-05-26 | Howmedica Osteonics Corp. | Modular humeral head |
US7785370B2 (en) | 2006-11-13 | 2010-08-31 | Howmedica Osteonics Corp. | Modular humeral head |
US20080114461A1 (en) * | 2006-11-13 | 2008-05-15 | Howmedica Osteonics Corp. | Modular humeral head |
US7785371B2 (en) | 2006-11-13 | 2010-08-31 | Howmedica Osteonics Corp. | Modular humeral head |
US8795381B2 (en) | 2006-12-07 | 2014-08-05 | Ihip Surgical, Llc | Methods and systems for hip replacement |
US9237949B2 (en) | 2006-12-07 | 2016-01-19 | Ihip Surgical, Llc | Method and apparatus for hip replacement |
US8211183B2 (en) | 2006-12-07 | 2012-07-03 | Ihip Surgical, Llc | Methods and systems for total hip replacement |
US8029573B2 (en) | 2006-12-07 | 2011-10-04 | Ihip Surgical, Llc | Method and apparatus for total hip replacement |
US20130204390A1 (en) * | 2006-12-07 | 2013-08-08 | Ihip Surgical, Llc | Method and apparatus for attachment in a modular hip replacement or fracture fixation device |
US8974540B2 (en) * | 2006-12-07 | 2015-03-10 | Ihip Surgical, Llc | Method and apparatus for attachment in a modular hip replacement or fracture fixation device |
US8579985B2 (en) | 2006-12-07 | 2013-11-12 | Ihip Surgical, Llc | Method and apparatus for hip replacement |
US9005305B2 (en) | 2007-05-07 | 2015-04-14 | Zimmer, Inc. | Methods and apparatuses for attaching tissue to orthopaedic implants |
US8177849B2 (en) * | 2007-05-07 | 2012-05-15 | Zimmer, Inc. | Methods and apparatuses for attaching tissue to orthopaedic implants |
US20110009973A1 (en) * | 2007-05-07 | 2011-01-13 | Zimmer, Inc. | Methods and apparatuses for attaching tissue to orthopaedic implants |
US8066775B2 (en) | 2009-06-12 | 2011-11-29 | Branovacki George | Joint implant |
KR20120052218A (en) * | 2009-06-12 | 2012-05-23 | 조지 브라노바키 | Joint implant |
US20100318191A1 (en) * | 2009-06-12 | 2010-12-16 | Branovacki George | Joint implant |
JP2012529346A (en) * | 2009-06-12 | 2012-11-22 | ブラノヴァッキ,ジョルジュ | Joint implant |
US20140296986A1 (en) * | 2010-04-13 | 2014-10-02 | Biomet Manufacturing Llc | Prosthetic Having A Modular Soft Tissue Fixation Mechanism |
US20170079802A1 (en) * | 2010-04-13 | 2017-03-23 | Biomet Manufacturing, Llc | Prosthetic having a modular soft tissue fixation mechanism |
US9833326B2 (en) * | 2010-04-13 | 2017-12-05 | Biomet Manufacturing, Llc | Prosthetic having a modular soft tissue fixation mechanism |
US20120035733A1 (en) * | 2010-04-13 | 2012-02-09 | Biomet Manufacturing Corp. | Prosthetic having a modular soft tissue fixation mechanism |
US9345580B2 (en) * | 2010-04-13 | 2016-05-24 | Biomet Manufacturing, Llc | Prosthetic having a modular soft tissue fixation mechanism |
US8715356B2 (en) * | 2010-04-13 | 2014-05-06 | Biomet Manufacturing, Llc | Prosthetic having a modular soft tissue fixation mechanism |
US9216087B2 (en) * | 2010-07-07 | 2015-12-22 | Zimmer, Inc. | Sleeve for modular revision hip stem |
US20140039637A1 (en) * | 2010-07-07 | 2014-02-06 | Zimmer, Inc. | Sleeve for modular revision hip stem |
US9427322B1 (en) * | 2012-06-27 | 2016-08-30 | Signal Medical Corporation | Hip implant |
US8979940B2 (en) * | 2012-12-14 | 2015-03-17 | Biomet Manufacturing, Llc | Modular attachment mechanism in prosthetic implants |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US2719522A (en) | Articular replacement | |
Hartofilakidis et al. | Treatment of high dislocation of the hip in adults with total hip arthroplasty. Operative technique and long-term clinical results | |
SWANSON et al. | Bipolar Implant Shoulder Arthroplasty Long-Term Results | |
Harris et al. | Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults | |
US4314381A (en) | Hip joint prosthesis | |
Helfet | Coracoid transplantation for recurring dislocation of the shoulder | |
Judet et al. | The use of an artificial femoral head for arthroplasty of the hip joint | |
McQUEARY et al. | Coxarthrosis after congenital dysplasia. Treatment by total hip arthroplasty without acetabular bone-grafting. | |
Post et al. | Constrained Total Shoulder Arthroplasty: Long-term Follow-up Observations. | |
AU680400B2 (en) | Reduced stiffness femoral hip implant | |
US5047062A (en) | Femoral stem-type prosthesis | |
Scales | Paper 13: arthroplasty of the hip using foreign materials: a history | |
Holinka et al. | Total hip replacement in congenital high hip dislocation following iliofemoral monotube distraction | |
Petriccioli et al. | Stemless shoulder arthroplasty: a literature review | |
Stevens et al. | Innominate osteotomy for Perthes' disease | |
McBRIDE | A FEMORAL-HEAD PROSTHESIS FOR THE HIP JOINT: Four Years Experience and the Results | |
US20180125667A1 (en) | Prosthetic apparatus and systems for total knee arthroplasty | |
Egidy et al. | Total elbow arthroplasty: outcomes driving the evolution of implant design | |
Wroblewski | Wear of the high-density polyethylene socket in total hip arthroplasty and its role in endosteal cavitation | |
CN211271413U (en) | Structure for increasing prosthesis stability after artificial hip replacement | |
Bombelli et al. | Cementless, isoelastic total hip prosthesis: Preliminary report on the first 215 consecutive cases | |
SE1930116A1 (en) | Hip prosthesis | |
Mok et al. | Ring uncemented plastic on metal hip replacements-results from an independent unit | |
Blazina et al. | Patellofemoral replacement: utilizing a customized femoral groove replacement | |
Abouheif | The effect of transfixing the hip with Kirschner wire during the operative treatment of hip dysplasia in children after the walking age |