US3859669A - Artificial hip-joint and a method for its installation - Google Patents

Artificial hip-joint and a method for its installation Download PDF

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Publication number
US3859669A
US3859669A US355298A US35529873A US3859669A US 3859669 A US3859669 A US 3859669A US 355298 A US355298 A US 355298A US 35529873 A US35529873 A US 35529873A US 3859669 A US3859669 A US 3859669A
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United States
Prior art keywords
intertrochanteric
endoprosthesis
section
joint
femur
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US355298A
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English (en)
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Yakov Isaevich Shersher
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Individual
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Priority claimed from SU1776054A external-priority patent/SU428624A1/ru
Priority claimed from SU1776055A external-priority patent/SU448663A1/ru
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    • 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
    • A61F2310/00029Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium

Definitions

  • the endoprosthesis of the proximal portion of the femur is formed by a head passing into a neck, then into an intertrochantric section and ending in a shaft inserted into the femoral medullary canal.
  • the intertrochanteric section of the prosthesis is similar in shape to the inner canal of thefen oral intertrochanteric region and is boii rided in its proximal portion by two planes, with one roughly perpendicular to the intertrochanteric axis and the other roughly perpendicular to the femoral neck axis.
  • the present invention relates to artificial joints employed in intra-articular prosthetic replacement, and more particularly to an artificial hip-joint for arthroplasty. It is designed as a means of regaining mobility in the hip-joint after such mobility has been lost due to such diseases an ankylosing spondylitis, arthritis deformans, arthritis infectiosa and aceptic necrosis of the femoral head, as well as femoral neck fractures in the aged.
  • the known artificial hip-joint is installed in the following manner: I
  • the upper end of the femur is exposed by a lateral incision.
  • the trochanter major is cut off and drawn up together with the muscles attached thereto.
  • the femur is cut off at the level of the lower end of the trochanter minor. Then the femoral head together with the neck is removed and the femoral medullary canal and the depressions in the acetabulum are prepared for arthroplasty.
  • the shaft of the endoprosthesis is immersed in the femur.
  • the endoprosthesis ofthe acetabulum is impacted in the prepared actabulum.
  • the trochanter major is impacted to the outer surface of the upper end of the femur. Finally the wound is tightly sutured in layers.
  • the prosthetic replacement employing the known artifical hip-joint provides for the removal of the intertrochanteric region with the result that the affected limb loses in length, and the bearing pad is disposed on the cortical layer of the transverse section in the upper third of the femoral diaphysis.
  • the trochanter major is attached to the prosthesis on the outer surface of the femur, rather than at its normal site.
  • the endoprosthesis is not totally secure from swivelling.
  • One more object of the invention is to provide a method for the installation of, the aforementioned artificial hip-joint. 7
  • an artificial hip-joint comprising an endoprosthesis of the acetabulum connected by a hinged joint with an endoprosthesis of the proximal portion of the femur formed by a head passing into a neck passing into an intertrochanteric section and ending in a shaft, of which the intertrochanteric section has a shape similar to that of the inner canal of the femoral intertrochanteric region and is bounded by two planes, with one roughly perpendicular to the intertrochanteric axis of the femur and the other roughly perpendicular to the axis of the femoral neck.
  • the bearing pad of such artificial hip-joint should serve as an extension of the plane roughly perpendicular to the axis of the femoral neck.
  • An orifice for the fixation of the: lock of the trochanter major should be preferably provided in the plane roughly perpendicular to the intertrochanteric axis.
  • a method for the installation of said artificial hip-joint comprises exposing and cutting off the trochanter major, cutting off the femoral neck at the base thereof at right angles to the axis thereof and removing said neck together with the femoral head, reaming the medullary canal of the femur to a specified size; milling the acetabulum to the specified size, inserting part of the endoprosthesis of the proximal portion of the femur comprising the shaft and the intertrochanteric section into the prepared medullary canal along the axis thereof, inserting part of the endoprosthesis of the acetabulum into the prepared depression of the acetabulum, and finally impacting the trochanter major to the intertrochanteric section of the endoprosthesis of the proximal portion of the femur.
  • the artificial hip-joint of this invention does not call for the removal of the intertrochanteric region to be installed.
  • the trochanter major is immobilized at its normal site; the function of the affected limb is not disturbed, what with all the muscles attached at their normal points; the cavity in which blood can accumulate is substantially reduced; the limb dloes not lose in length and the need to wear orthopaedic shoes is obviated.
  • the endoprosthesis is secure against swivelling in the hip; in case of failure, arthrodesis is feasible, as well as any other subsequent plastic surgery.
  • the present artificial hip-joint provides for the impaction of the endoprosthesis to the femur and pelvis without recourse to cementing agents.
  • FIG. 1 is a view partly in elevation and partly in crosssection of an artificial hip-joint in accordance with the invention
  • FIG. 2 is a sectional view taken along line II-II of FIG. 1, the view looking in the direction of the arrows.
  • FIG. 1 shows an artificial hip-joint, comprising an endoprosthesis l of the acetabulum connected by a hinge with an endoprosthesis 2 of the proximal portion of the femur.
  • the endoprosthesis 1 of the acetabulum is formed as a seat, of which the exterior surface is defined by tiered blades 3 with sharp edges and orifices 4 formed therein for the advancement of burgeoning bony tissue therethrough.
  • the interior surface of the endoprosthesis l of the acetabulum has an irregular through hole to receive two split bushings 5 enveloping more than half of a head 6 of the endoprosthesis 2 of the proximal portion of the femur, thereby forming a hinged joint for the endoprostheses 1 and 2.
  • the endoprosthesis-2 of the proximal portion of the femur comprises a neck 7 on which the head 6 is securely fitted.
  • the neck 7 directly passes into an intertrochanteric section 8 which in turn passes into a conical shaft 9 with fenestras 10 through which burgeoning bony tissue can advance, with the shaft 9 having a shape similar to that of the femoral medullary canal (not shown).
  • the intertrochanteric section 8 is similar in shape to the inner canal of the femoral intertrochanteric region and is bounded in its proximal part by two planes 1] and 12, with the plane 11 perpendicular (or roughly perpendicular) to an intertrochanteric axis 13 and the plane 12 perpendicular (or roughly perpendicular) to an axis 14 of the neck 7.
  • the endoprosthesis 2 of the proximal portion of the femur also has a bearing pad 19 which is an extension of the plane 12.
  • FIG. 2 which is a section of FIG. 1 taken in the plane IIII shows the bearing pad 19 in plan comprising openings or orifices 21 provided to help regeneration processes.
  • lugs 22 are provided to strengthen the endoprosthesis 2 at the point of passage of the neck 7 into the intertrochanteric section 8.
  • the artificial hip-joint is made of titanium, while the hinged joint, the head 6 (FIG. 1) and the bushing S, of an alloy comprising cobalt, chromium and molybdenum.
  • the proposed artificial hip-joint may be manufactured by several methods, for example precision casting, pressing or machining.
  • the method of installing the proposed artificial hipjoint is as follows:
  • the trochanter major is exposed by a lateral incision, cut off at the base thereof at right angles to the intertrochanteric axis and together with the muscles attached thereto drawn up, thereby exposing the joint.
  • the femoral neck is sawed off at the base at right angles to the axis thereof and the head and neck of the patients femur are removed.
  • the medullary canal of the femur is reamed to a required size and shape conforming to the size and shape of the proximal part of the endoprosthesis 2 (FIG. 1), and the patients acetabulum is prepared by milling.
  • the shaft 9 of the endoprosthesis 2 is inserted into the medullary canal of the femur strictly along the axis thereof until the endoprosthesis 2 has been firmly immobilized in the prepared inner femoral canal, with the bearing pad 19 abutted against the femoral plane formed after the neck has been sawn off.
  • the endoprosthesis 2 is secure against turning about the longitudinal axis thereof.
  • the endoprosthesis l of the acetabulum is installed with the help of special guides, and the diameter of the endoprosthesis l is slightly larger than the prepared depression in the acetabulum.
  • the trochanter major together with the muscles attached thereto is installed on the plane 11 and immobilized thereon with the lock 16 of the trochanter major.
  • the wound is rinsed with a solution of antibiotics and tightly sutured in layers.
  • An artificial hip-joint comprising, in combination:
  • an intertrochanteric section provided as an extension corresponding to the like axis of a femur of the neck and defining an intertrochanteric axis, the section being similar in shape to an inner canal of a femoral intertrochanteric region and bounded in a proximal part thereof by two planes, a first of the planes arranged substantially perpendicularly to the intertrochanteric axis, and a second of the planes being substantially perpendicular to the axis of the neck.
  • a rod is provided as the intertrochanteric section, the rod being a direct extension of the intertrochanteric section and arranged for insertion into the medullary canal of a patients femur, and a bearing pad in the form of an extension of the second of the planes, the pad provided with a plurality of openings arranged for helping regeneration processes and lugs arranged for strengthening the endoprosthesis at the point of passage of the neck into the intertrochanteric section.
  • a rod is provided as the intertrochanteric section, the rod being a direct extension of the intertochanteric section and arranged for insertion into the medullary canal of a patients femur, and a bearing pad in the form of an extension of the second of the planes, the pad provided with a plurality of openings arranged for helping regeneration processes and lugs arranged same along a plane at the base roughly perpendicular to the axis of the neck;
  • step (d) g. installing an endoprosthesis of the acetabulum into the cavity prepared in step (d);
  • step (a) affixing the trochanter cut out in step (a) in the proper position thereof by locking the trochanter to the intertrochanteric section;

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
US355298A 1972-05-04 1973-04-27 Artificial hip-joint and a method for its installation Expired - Lifetime US3859669A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SU1776054A SU428624A1 (ru) 1972-05-04 1972-05-04 Способ аллопластики тазобедренного сустава
SU1776055A SU448663A1 (ru) 1972-05-04 1972-05-04 Искусственный тазобедренный сустав

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US3859669A true US3859669A (en) 1975-01-14

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Country Status (6)

Country Link
US (1) US3859669A (xx)
CH (1) CH564939A5 (xx)
DE (1) DE2322101C3 (xx)
FR (1) FR2183232B1 (xx)
GB (1) GB1421366A (xx)
SE (1) SE402051B (xx)

Cited By (27)

* Cited by examiner, † Cited by third party
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US3939498A (en) * 1974-05-29 1976-02-24 National Research Development Corporation Endoprosthetic femoral head
US4045825A (en) * 1976-01-28 1977-09-06 Stroot Jerome H Humerus prosthesis
US4153953A (en) * 1977-04-21 1979-05-15 Grobbelaar Charl J Prosthetic hip joint
US4986834A (en) * 1988-08-31 1991-01-22 Boehringer Mannheim Corporation Load sharing femoral hip implant
US5163964A (en) * 1991-06-26 1992-11-17 Zimmer, Inc. Orthopaedic prosthesis with access in collar
US5358532A (en) * 1992-06-16 1994-10-25 Smith & Nephew Richards Inc. Cementless acetabular cup
US5961555A (en) * 1998-03-17 1999-10-05 Huebner; Randall J. Modular shoulder prosthesis
US6132469A (en) * 1997-11-07 2000-10-17 Biomet, Inc. Acetabular liner extractor
US20020133234A1 (en) * 2001-03-13 2002-09-19 Sotereanos Nicholas G. Hip implant assembly
US6494913B1 (en) 1998-03-17 2002-12-17 Acumed, Inc. Shoulder prosthesis
US20060030947A1 (en) * 2000-04-26 2006-02-09 Dana Mears Method and apparatus for performing a minimally invasive total hip arthroplasty
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
AU2006201044B2 (en) * 2001-03-13 2009-06-18 Nicholas G. Sotereanos Hip implant assembly
US20100030339A1 (en) * 2000-04-10 2010-02-04 Biomet Manufacturing Corp. Method and apparatus for adjusting height and angle for a radial head
US20100131073A1 (en) * 2008-11-24 2010-05-27 Biomet Manufacturing Corp. Multiple Bearing Acetabular Prosthesis
US20100241236A1 (en) * 2000-04-10 2010-09-23 Biomet Manufacturing Corp. Modular Radial Head Prosthesis
US20100331992A1 (en) * 2006-12-07 2010-12-30 Anatol Podolsky Method and apparatus for total hip replacement
US8308810B2 (en) 2009-07-14 2012-11-13 Biomet Manufacturing Corp. Multiple bearing acetabular prosthesis
US8535382B2 (en) 2000-04-10 2013-09-17 Biomet Manufacturing, Llc Modular radial head prostheses
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
US9237949B2 (en) 2006-12-07 2016-01-19 Ihip Surgical, Llc Method and apparatus for hip replacement
US9427322B1 (en) * 2012-06-27 2016-08-30 Signal Medical Corporation Hip implant
USRE47149E1 (en) 2011-12-09 2018-12-04 Howmedica Osteonics Corp. Surgical reaming instrument for shaping a bone cavity
US10149763B2 (en) 2015-01-12 2018-12-11 Howmedica Osteonics Corp. Multipurpose void filling prosthesis
US11172940B2 (en) 2011-12-30 2021-11-16 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis

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SU517194A1 (ru) * 1973-11-19 1977-03-05 Саратовский Научно-Исследовательский Институт Травматологии И Ортопедии Министерства Здравоохранения Рсфср Искусственный тазобедренный сустав
SU545343A1 (ru) * 1974-10-31 1977-02-05 Саратовский Государственный Научно-Исследовательский Институт Травматологии И Ортопедии Способ получени модели эндопротеза кости
FR2429009A1 (fr) * 1978-06-21 1980-01-18 Roux Christiane Prothese pour articulation, en particulier coxo-femorale, artificielle
USRE32488E (en) * 1982-09-28 1987-09-01 Hip prosthesis
US4546501A (en) * 1982-09-28 1985-10-15 Gustilo Ramon B Hip prosthesis
IE55654B1 (en) * 1983-08-18 1990-12-05 Arthroplasty Res & Dev Ltd Apparatus for hip arthroplasty
FR2579454A1 (fr) * 1985-03-28 1986-10-03 Rambert Andre Prothese gleno-humerale
CH667587A5 (de) * 1985-10-03 1988-10-31 Sulzer Ag Schaft fuer eine femurkopfprothese.
GB2197204B (en) * 1986-11-10 1990-08-15 Joint Replacement Instrumentat Femoral prosthesis

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Cited By (61)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3939498A (en) * 1974-05-29 1976-02-24 National Research Development Corporation Endoprosthetic femoral head
US4045825A (en) * 1976-01-28 1977-09-06 Stroot Jerome H Humerus prosthesis
US4153953A (en) * 1977-04-21 1979-05-15 Grobbelaar Charl J Prosthetic hip joint
US4986834A (en) * 1988-08-31 1991-01-22 Boehringer Mannheim Corporation Load sharing femoral hip implant
US5163964A (en) * 1991-06-26 1992-11-17 Zimmer, Inc. Orthopaedic prosthesis with access in collar
US5358532A (en) * 1992-06-16 1994-10-25 Smith & Nephew Richards Inc. Cementless acetabular cup
US6132469A (en) * 1997-11-07 2000-10-17 Biomet, Inc. Acetabular liner extractor
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
US6168627B1 (en) 1998-03-17 2001-01-02 Acumed, Inc. Shoulder prosthesis
US6168628B1 (en) 1998-03-17 2001-01-02 Acumed, Inc. Shoulder Prosthesis
US6193758B1 (en) 1998-03-17 2001-02-27 Acumed, Inc. Shoulder prosthesis
US7297163B2 (en) 1998-03-17 2007-11-20 Acumed Llc Shoulder prosthesis
US6494913B1 (en) 1998-03-17 2002-12-17 Acumed, Inc. Shoulder prosthesis
US20110196491A1 (en) * 1998-03-17 2011-08-11 Acumed Llc Bone prosthesis
US7918892B2 (en) 1998-03-17 2011-04-05 Acumed Llc Shoulder prosthesis
US20080306600A1 (en) * 1998-03-17 2008-12-11 Huebner Randall J Shoulder prosthesis
US8535382B2 (en) 2000-04-10 2013-09-17 Biomet Manufacturing, Llc Modular radial head prostheses
US20110144759A1 (en) * 2000-04-10 2011-06-16 Biomet Manufacturing Corp. Modular prosthesis and use thereof for replacing a radial head
US8425615B2 (en) 2000-04-10 2013-04-23 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
US8920509B2 (en) 2000-04-10 2014-12-30 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
US8114163B2 (en) 2000-04-10 2012-02-14 Biomet Manufacturing Corp. Method and apparatus for adjusting height and angle for a radial head
US8110005B2 (en) 2000-04-10 2012-02-07 Biomet Manufacturing Corp. Modular prosthesis and use thereof for replacing a radial head
US20100030339A1 (en) * 2000-04-10 2010-02-04 Biomet Manufacturing Corp. Method and apparatus for adjusting height and angle for a radial head
US9579208B2 (en) 2000-04-10 2017-02-28 Biomet Manufacturing, Llc Modular radial head prosthesis
US20110125276A1 (en) * 2000-04-10 2011-05-26 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
US20100241236A1 (en) * 2000-04-10 2010-09-23 Biomet Manufacturing Corp. Modular Radial Head Prosthesis
US20100262252A1 (en) * 2000-04-10 2010-10-14 Biomet Manufacturing Corp. Modular prosthesis and use thereof for replacing a radial head
US20100312349A1 (en) * 2000-04-10 2010-12-09 Biomet Manufacturing Corp. Modular prosthesis and use thereof for replacing a radial head
US20060030947A1 (en) * 2000-04-26 2006-02-09 Dana Mears Method and apparatus for performing a minimally invasive total hip arthroplasty
US7833275B2 (en) * 2000-04-26 2010-11-16 Zimmer Technology, Inc. Method and apparatus for performing a minimally invasive total hip arthroplasty
US6616697B2 (en) * 2001-03-13 2003-09-09 Nicholas G. Sotereanos Hip implant assembly
AU2006201044B2 (en) * 2001-03-13 2009-06-18 Nicholas G. Sotereanos Hip implant assembly
US20020133234A1 (en) * 2001-03-13 2002-09-19 Sotereanos Nicholas G. Hip implant assembly
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
US7785371B2 (en) 2006-11-13 2010-08-31 Howmedica Osteonics Corp. Modular humeral head
US20090192624A1 (en) * 2006-11-13 2009-07-30 Howmedica Osteonics Corp. Modular humeral head
US20090192623A1 (en) * 2006-11-13 2009-07-30 Howmedica Osteonics Corp. Modular humeral head
US7785370B2 (en) 2006-11-13 2010-08-31 Howmedica Osteonics Corp. Modular humeral head
US7537618B2 (en) 2006-11-13 2009-05-26 Howmedica Osteonics Corp. Modular humeral head
US20080114461A1 (en) * 2006-11-13 2008-05-15 Howmedica Osteonics Corp. Modular humeral head
US8029573B2 (en) * 2006-12-07 2011-10-04 Ihip Surgical, Llc Method and apparatus for total hip replacement
US20100331992A1 (en) * 2006-12-07 2010-12-30 Anatol Podolsky Method and apparatus for total hip replacement
US8795381B2 (en) 2006-12-07 2014-08-05 Ihip Surgical, Llc Methods and systems for hip replacement
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
US9237949B2 (en) 2006-12-07 2016-01-19 Ihip Surgical, Llc Method and apparatus for hip replacement
US8123815B2 (en) 2008-11-24 2012-02-28 Biomet Manufacturing Corp. Multiple bearing acetabular prosthesis
US9445903B2 (en) 2008-11-24 2016-09-20 Biomet Manufacturing, Llc Multi-bearing acetabular prosthesis
US20100131073A1 (en) * 2008-11-24 2010-05-27 Biomet Manufacturing Corp. Multiple Bearing Acetabular Prosthesis
US8308810B2 (en) 2009-07-14 2012-11-13 Biomet Manufacturing Corp. Multiple bearing acetabular prosthesis
US9445904B2 (en) 2009-07-14 2016-09-20 Biomet Manufacturing, Llc Multiple bearing acetabular prosthesis
USRE47149E1 (en) 2011-12-09 2018-12-04 Howmedica Osteonics Corp. Surgical reaming instrument for shaping a bone cavity
USRE48163E1 (en) 2011-12-09 2020-08-18 Howmedica Osteonics Corp. Surgical reaming instrument for shaping a bone cavity
US11172940B2 (en) 2011-12-30 2021-11-16 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis
US11877757B2 (en) 2011-12-30 2024-01-23 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis
US9427322B1 (en) * 2012-06-27 2016-08-30 Signal Medical Corporation Hip implant
US10149763B2 (en) 2015-01-12 2018-12-11 Howmedica Osteonics Corp. Multipurpose void filling prosthesis

Also Published As

Publication number Publication date
SE402051B (sv) 1978-06-19
DE2322101C3 (de) 1981-07-16
GB1421366A (en) 1976-01-14
DE2322101A1 (de) 1973-11-15
FR2183232A1 (xx) 1973-12-14
DE2322101B2 (de) 1980-09-25
FR2183232B1 (xx) 1976-06-11
CH564939A5 (xx) 1975-08-15

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