WO1991007137A1 - Appareil endoprothetique pour la reconstitution de l'articulation de la hanche - Google Patents

Appareil endoprothetique pour la reconstitution de l'articulation de la hanche Download PDF

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Publication number
WO1991007137A1
WO1991007137A1 PCT/SU1989/000282 SU8900282W WO9107137A1 WO 1991007137 A1 WO1991007137 A1 WO 1991007137A1 SU 8900282 W SU8900282 W SU 8900282W WO 9107137 A1 WO9107137 A1 WO 9107137A1
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WO
WIPO (PCT)
Prior art keywords
joint
restoration
pelvic
axis
angle
Prior art date
Application number
PCT/SU1989/000282
Other languages
English (en)
Russian (ru)
Inventor
Lazar Lvovich Rodnyansky
Viktor Kirillovich Gupalov
Valentina Spiridonovna Lapinskaya
Arnold Viktorovich Potekhin
Larisa Alexandrovna Frolyakina
Jury Stepanovich +Di Kuzovov
Original Assignee
Kuzovova, Ljudmila Ivanovna +Lf
Kuzovova, Nadezhda Jurievna +Lf
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kuzovova, Ljudmila Ivanovna +Lf, Kuzovova, Nadezhda Jurievna +Lf filed Critical Kuzovova, Ljudmila Ivanovna +Lf
Priority to PCT/SU1989/000282 priority Critical patent/WO1991007137A1/fr
Priority to DE3991804A priority patent/DE3991804C2/de
Priority to DE19893991804 priority patent/DE3991804T/de
Publication of WO1991007137A1 publication Critical patent/WO1991007137A1/fr
Priority to GB9115656A priority patent/GB2250919B/en

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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
    • 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
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
    • 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
    • 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
    • A61F2002/3037—Translation along the common longitudinal axis, e.g. piston
    • A61F2002/30373—Translation along the common longitudinal axis, e.g. piston with additional means for preventing said translation
    • 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
    • A61F2002/30492—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking pin
    • 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
    • A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30624—Hinged joint, e.g. with transverse axle restricting the movement
    • 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

Definitions

  • Corner rooms for the head of the health care system are in the convenient range: the bend angle is 120 degrees to 150 degrees, the corner is
  • the angle of bending-unbending is the angle between the axis of the diaphysis and the vertical axis of the body in the sagittal
  • the angle of the introduction-the conduct-this is the angle between the axis of the diaphysis and the vertical body of the body in the eastern area.
  • the angle of rotation is the corner of the production area of the mouth of the vertical axis. In this case, in the original physical setting of the hip, when there is a
  • Exercise is associated with a destructive change in the well-being and causes the person to suffer serious injuries, depriving him of civilian welfare and welfare.
  • All-inclusive methods include medical and physical education without an external load of unloading, unloading
  • the surgical method based on the regenerative method of surgery is a more effective method of treatment, based on the use of a shared tire.
  • the unit 10 on the poor lies in its radial area and is located in a simple corner to the radius.
  • the unit is installed at the last end with the option of a sowing unit located on the plate, which is reserved for storage. At the other end
  • the 25th lazy hip joint has a single bed mounted on the other hand in the nadistablika, and the other on the neck of the ward. Moreover, the bushes and the hub are set in a position close to the vertical, above the epiphysis.
  • An endoscopic device for the restoration of a worn out joint (ov, ⁇ , 1507953) is known, which serves as an accessory device for a lower end-user unit. It does n’t contain any other problems.
  • the other mechanism contributes to the difficult performance and the process of regulating the value of a constant click, and it costs a lot of work.
  • the main task of the invention is to create - 8 - end ⁇ a ⁇ a ⁇ a ⁇ for v ⁇ ss ⁇ an ⁇ vleniya ⁇ az ⁇ bed ⁇ enn ⁇ g ⁇ sus ⁇ ava with ⁇ a ⁇ shl s ⁇ eds ⁇ v ⁇ m ⁇ e ⁇ leniya on bed ⁇ enn ⁇ y ⁇ s ⁇ ⁇ ⁇ a ⁇ im eg ⁇ ⁇ as ⁇ l ⁇ zhenie, ⁇ ye ⁇ a ⁇ iches ⁇ i not ⁇ slablyal ⁇ to 5 ⁇ s ⁇ nuyu ⁇ an bed ⁇ enn ⁇ y ⁇ s ⁇ i and ⁇ i ⁇ y ⁇ ⁇ a ⁇ a ⁇ e ⁇ and value nag ⁇ uz ⁇ , deys ⁇ vuyuschi ⁇ on bed ⁇ ennuyu ⁇ s ⁇ would be bliz ⁇ imi ⁇ ⁇ izi ⁇ l ⁇ giches ⁇ im nag ⁇ uz ⁇ am, by the proposed healthy lower end, in spite of the entire restoration of the hip joint.
  • ch ⁇ by ⁇ a ⁇ iches ⁇ i ⁇ ln ⁇ s ⁇ yu is ⁇ lyuch ⁇ 5 ⁇ n ⁇ a ⁇ g ⁇ l ⁇ v ⁇ i ⁇ az ⁇ bed ⁇ enn ⁇ g ⁇ sus ⁇ ava with ve ⁇ luzhn ⁇ y v ⁇ adin ⁇ y ⁇ i flexion- ⁇ azgibanii nizhne ⁇ ⁇ nechn ⁇ s ⁇ i tse- les ⁇ b ⁇ azn ⁇
  • the angle between the main ball and the optional extended cabinet was up to 76 ° 90.
  • the end product for restoring a healthy 20 joint joint is advantageous to perform in the form of a quick access switch to an external drive.
  • ⁇ ig. 8 is a view of ⁇ line C on ⁇ . 6, with a partial part of the main condition; ⁇ ig. 9 - chas ⁇ ichn ⁇ ⁇ sn ⁇ vn ⁇ and d ⁇ lni ⁇ elny s ⁇ e ⁇ - n ⁇ in mes ⁇ e i ⁇ sha ⁇ ni ⁇ n ⁇ g ⁇ s ⁇ ed ⁇ neniya, vy ⁇ lnenn ⁇ g ⁇ in v ⁇ - de ⁇ dshi ⁇ ni ⁇ a s ⁇ lzheniya with ⁇ niches ⁇ i ⁇ m ⁇ ⁇ n ⁇ y ⁇ ve ⁇ n ⁇ s ⁇ i in uvelichenn ⁇ m massh ⁇ abe ( ⁇ d ⁇ lny ⁇ az ⁇ ez), 20 s ⁇ glasn ⁇ iz ⁇ b ⁇ e ⁇ eniyu. ;
  • the end product for the eastern part of the product contains grade I (section I), the same section is available, which is suitable for loading
  • Grade I may have been made from metal or alloy, and other foreign products are not used as a result of personal injury.
  • the downloads on page I can be up to 5 ⁇ , where ⁇ is the patient’s weight.
  • the usual diameter of the item I is 10 up to 16 mm.
  • Grade I is ultimately associated with a mediastinal attachment to the feminine, as a result of which it is used
  • Section 2 is installed by means of the unit I;
  • the diameter of the bar 2 can be from 9.5 to II mm and is selected depending on the diameter of the medular channel 5.
  • the good end was used on the average part of the diaphragm 4.
  • the length of the part of the part 2 is set to the inside of the middle part 3, but for the same part the length of the third part is 200 How long does it take?
  • Part 7 of page 2, located on the other end of page 2, is made to be easier to alleviate
  • Clause 2 is related to condition I with the possibility of moving the place of I in addition to the selected condition in the selected arrangement, which is essentially facilitated.
  • 5 shows the process of setting the magnitude of the gap component II. This connection may be made by any known method.
  • a variant of the endoscope is used for the restoration of a healthy joint using a threaded joint. the end of buildings I and 2, which provides a transition from 10 to the location of building I along with its 0--. Unit 6 of step 2 was completed and it had a threaded version of 12, which was installed with unit 0 of 0.
  • the other end part I is associated with an attachment of a total of 10 and is connected to it by an indirect connection of 20.
  • the size of the core can be completed by any known method.
  • This Russian medium must - 14 - by ⁇ ⁇ a ⁇ im, ch ⁇ by in is ⁇ dn ⁇ y ⁇ izi ⁇ l ⁇ giches ⁇ y us ⁇ an ⁇ v ⁇ e bed ⁇ enn ⁇ y ⁇ s ⁇ i 3 between g ⁇ l ⁇ v ⁇ y ⁇ bed ⁇ enn ⁇ ⁇ s ⁇ p 3 and 9 ve ⁇ luzhn ⁇ y v ⁇ adin ⁇ y ⁇ az ⁇ v ⁇ ⁇ s ⁇ i 10 ⁇ i za ⁇ e ⁇ le- 5
  • SRI end ⁇ a ⁇ a ⁇ a ⁇ a sus ⁇ avnaya slit II had ⁇ imalnuyu value for ne ⁇ b ⁇ dimuyu ⁇ s ⁇ a ⁇ s ⁇ n ⁇ ⁇ ani and v ⁇ ss ⁇ a- n ⁇ vleniya ⁇ un ⁇ tsii a poor joint.
  • Magnitude b. Joint cousin II in the process of a surgical procedure for implantation of an endoscopic device is installed individually
  • Plate 15 should be such as to ensure that it is possible to have a more flexible surcharge for it at 10 (fig. I).
  • the narrow end 29 of the plate 15 will be displaced to the side of the other 10 and installed in the opposite, performed
  • a surgical procedure for the implantation of an endoscopic device for the restoration of a healthy joint is performed in the following investigation.
  • the length of the episode 24 (Fig. I) is determined and, depending on it, the size of the block I is selected, that is, it is determined. the length and correspondence of its diameter, and also the size of page 2.
  • grade I with the lateral femur 3 is entered into the threaded socket 12.
  • step 23 (FIG. 3) and the ring end 22, the skob 21 is installed.
  • part I is placed along with ⁇ ⁇ in the heading ⁇ of the terms: - 16 - part 10 to the plate 15 in the middle part 10.
  • Plate 15 is sent to a share of 10 (Fig. I). At the location of the openings 27 (Fig. 5), in the open section 10 (Fig. I), an increase in the speed of 28 (Fig. 5) is observed (the distance is 10 °). .
  • the appliance for the restoration of a well-groomed 5 joint works the following way.
  • the partial load of the weight of the product is transferred through the tear-off connection to step I (fig. I) and is not used to pay off through step 2 and is not used.
  • the mobility of the comfortable joint that is, the size of the comfort switch for the femoral compartment 3 is comparable to that of the known endoscopic artifacts.
  • the displacement of the poor area 3 is carried out in terms of the level of poverty and the center of poverty is 8
  • 35 parts 3 may have an angular movement of the center at the same time as the connection between the unit I and the unit are unacceptable - 18 - is around 40 °.
  • the size of the joint II is mainly limited to the long connection of the hip joint. 5 P ⁇ i flexion- ⁇ azgibanii bottom ⁇ nechn ⁇ s ⁇ i ugl ⁇ v ⁇ e ⁇ e ⁇ emeschenie bed ⁇ enn ⁇ y ⁇ s ⁇ i 3 ⁇ susches ⁇ vlyae ⁇ sya in sagi ⁇ al- n ⁇ y ⁇ l ⁇ s ⁇ s ⁇ i v ⁇ ug ⁇ si, ⁇ as ⁇ l ⁇ zhenn ⁇ y ⁇ susches ⁇ vu ⁇ e ⁇ - ⁇ endi ⁇ ulya ⁇ n ⁇ ⁇ n ⁇ aln ⁇ y ⁇ l ⁇ s ⁇ i and ⁇ dyasche ⁇ che ⁇ ez tsen ⁇ of s ⁇ e ⁇ iches ⁇ y g ⁇ l ⁇ v ⁇ i 18 ⁇ arc ⁇ uzhn
  • the size of the quick ball joint is not limited, it can reach 90 ° and only depends on the individual structure of the hip joint. With this, the significant second click is changed only by the second hand 9, and in the middle of the day it remains
  • Another end of the 30th grade is related to the attachment of the femur 3 for angles of the femur 3 for flexion-lowering. ⁇ réelle HOW TO ACCESS THE FEMALE HOSE
  • 30 3 is ⁇ lz ⁇ van s ⁇ e ⁇ zhen 31 ⁇ ednaznachenny for us ⁇ an ⁇ v- ⁇ i vnu ⁇ i bed ⁇ enn ⁇ y ⁇ s ⁇ i 3 ⁇ susches ⁇ vu ⁇ ⁇ si dia ⁇ iza 4 ⁇ ae ⁇ l ⁇ zhenny ⁇ d ugl ⁇ m with ⁇ s ⁇ e ⁇ zhnyu 30, ⁇ susches ⁇ vu ⁇ avnym sheechn ⁇ -dia ⁇ iza ⁇ n ⁇ mu u ⁇ lu and ⁇ vy ⁇ lneniyu anal ⁇ - tech s ⁇ e ⁇ zhnyu 2 ( ⁇ ig. I )
  • the loose 34 is unprotected, for example, by accident.
  • ring 36 outside diameter of larger diameter 33.
  • Bonus 34 is connected to a minimum of 30 spaces with a minimum of 5 places of movement of 30 and a lock in the selected connection.
  • 34 has been threaded out of service 37, but it is located at an angle to the outside of the cylinder.
  • Tina 42 (Fig. 6) is connected with a range of 30 with the possibility of two mutually accelerated gears. There are two ears 43, 44 for this (Fig. 8),
  • the internal part of the drive is partly equipped with two truncated truncated joints with a smaller diameter.
  • the foreign part of the salary 56, installed in this step 55, and the internal part-turn of 55 are corrupted. The invasion of the wallpaper
  • the bonnet 56 is made up of two parts connected between the self-screw 57.
  • ⁇ Medullary channel 5 (Fig. 6) of the feminine sprout 3 of Grade 31 is entered at the reset at 30.
  • it is planned to place the 42 offsets at a throw of 42, at a distance of 44, at a distance of 48, at a distance of 48 ° C. 6) and 53 were soos.
  • Section 31 is reserved for fitting 37 liner 34 to the extreme position in the direction of the distal femoral neck 3.
  • 35 of the proposed endoscopic devices for the restoration of the dis- abled system were a dis- able, degenerative, and disinfecting device.
  • Convenient the range of patients was in the range of 4 to 60 years, which is associated with a third degree of destruction of the constituent factors. 5 By contrast, it is a case of widespread ethics. The entire clinic was divided between a clinical and radiological clinic and a seven-group process:
  • the endoprostat was slanted without a surgical intervention on the ends. In this case, a distance of 25 parts of the healthy joint for the required size of the joint gap was achieved without opening the capsule of the healthy joint.
  • the dosing capacity reached 45–50 minutes, and after delivery - 150–200 ml. - 24 -
  • the post-treatment in the hospital took at 10 wednesday from 15 to 21 days. With this seam removed on the 10th day, the volumetric movements in the living room are available on the 12th day, the closure with the stitches without the cost for the leg - on the 15-16th day.
  • the minimum term for locating the endo-appliance in the tanks at this patient group was I year 5 months, maximum 35 years - 8 years.
  • the bend-bend angle was between 30 and 95 °, the angle of exit was 25 °, and the distance was 15 °;
  • the joint gap was set from 3 to 4 mm.
  • a 13-year-old patient with a left epithelium of the left femoral bed was gradually implanted, and a 130-year-old patient was implanted.
  • the head of the head was just removed, with the exception of a barely visible 25-cm section of 0.2 x 0.3 cm.
  • Pats ⁇ en ⁇ u in v ⁇ z ⁇ as ⁇ e 43 le ⁇ , ele ⁇ u with ⁇ s ⁇ av- ma ⁇ iches ⁇ im ⁇ sa ⁇ z ⁇ m as zas ⁇ a ⁇ el ⁇ g ⁇ nev ⁇ avlen- 5 n ⁇ g ⁇ ve ⁇ ne-zadneg ⁇ vyvi ⁇ a g ⁇ l ⁇ v ⁇ i ⁇ av ⁇ y bed ⁇ enn ⁇ ⁇ s ⁇ i with ⁇ yv ⁇ m ⁇ aya ve ⁇ luzhn ⁇ n v ⁇ ad ⁇ sh s ⁇ e ⁇ eni de s ⁇ u ⁇ tsii P and W s ⁇ e ⁇ enyu b ⁇ lev ⁇ g ⁇ Sind ⁇ ma was im ⁇ lan ⁇ i- ⁇ van end ⁇ a ⁇ a ⁇ a ⁇ , on ⁇ eds ⁇ avleshy fig. 6, 7, b, with angle c 130 °.
  • the proposed endoscopic restoration of the joint is used in the course of treatment and the treatment of 5 methods for the treatment of medical problems. It can be a result of successful treatment of a degenerative-discomfortable disease (chronic obstruction) due to an undesirable outcome.

Abstract

Un appareil endoprothétique permettant de reconstituer l'articulation de la hanche comporte une barre principale (1) apte à supporter un poids sensiblement égal aux charges maximales supportées par l'extrémité inférieure du patient, et qui est reliée de manière articulée par une extrémité à un moyen de fixation à l'os pelvique (10) et par l'autre extrémité à un moyen de fixation au fémur (3), comportant une barre supplémentaire (2) devant être fixée à l'intérieur du fémur (2), sensiblement selon l'axe de la diaphyse (4) et formant un angle d'environ α par rapport à la barre principale (1), qui est sensiblement égale à l'angle cervico-diaphysaire.
PCT/SU1989/000282 1989-11-14 1989-11-14 Appareil endoprothetique pour la reconstitution de l'articulation de la hanche WO1991007137A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
PCT/SU1989/000282 WO1991007137A1 (fr) 1989-11-14 1989-11-14 Appareil endoprothetique pour la reconstitution de l'articulation de la hanche
DE3991804A DE3991804C2 (de) 1989-11-14 1989-11-14 Implantierbarer Hüftgelenkdistraktor
DE19893991804 DE3991804T (fr) 1989-11-14 1989-11-14
GB9115656A GB2250919B (en) 1989-11-14 1991-07-15 Endoappliance for hip joint restoration

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/SU1989/000282 WO1991007137A1 (fr) 1989-11-14 1989-11-14 Appareil endoprothetique pour la reconstitution de l'articulation de la hanche

Publications (1)

Publication Number Publication Date
WO1991007137A1 true WO1991007137A1 (fr) 1991-05-30

Family

ID=21617585

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SU1989/000282 WO1991007137A1 (fr) 1989-11-14 1989-11-14 Appareil endoprothetique pour la reconstitution de l'articulation de la hanche

Country Status (3)

Country Link
DE (2) DE3991804C2 (fr)
GB (1) GB2250919B (fr)
WO (1) WO1991007137A1 (fr)

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US7846211B2 (en) 2007-07-09 2010-12-07 Moximed, Inc. Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus
US8845724B2 (en) 2009-08-27 2014-09-30 Cotera, Inc. Method and apparatus for altering biomechanics of the articular joints
US8894714B2 (en) 2007-05-01 2014-11-25 Moximed, Inc. Unlinked implantable knee unloading device
US9005298B2 (en) 2007-05-01 2015-04-14 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems
US9044270B2 (en) 2011-03-29 2015-06-02 Moximed, Inc. Apparatus for controlling a load on a hip joint
US9125746B2 (en) 2007-05-01 2015-09-08 Moximed, Inc. Methods of implanting extra-articular implantable mechanical energy absorbing systems
US9398957B2 (en) 2007-05-01 2016-07-26 Moximed, Inc. Femoral and tibial bases
US9468466B1 (en) 2012-08-24 2016-10-18 Cotera, Inc. Method and apparatus for altering biomechanics of the spine
US9610103B2 (en) 2001-03-28 2017-04-04 Moximed, Inc. Bone fixated, articulated joint load control device
US9655648B2 (en) 2007-05-01 2017-05-23 Moximed, Inc. Femoral and tibial base components
US9668868B2 (en) 2009-08-27 2017-06-06 Cotera, Inc. Apparatus and methods for treatment of patellofemoral conditions
US9795410B2 (en) 2009-08-27 2017-10-24 Cotera, Inc. Method and apparatus for force redistribution in articular joints
US9861408B2 (en) 2009-08-27 2018-01-09 The Foundry, Llc Method and apparatus for treating canine cruciate ligament disease
US9907645B2 (en) 2007-05-01 2018-03-06 Moximed, Inc. Adjustable absorber designs for implantable device
US10327816B2 (en) 2007-05-01 2019-06-25 Moximed, Inc. Adjustable absorber designs for implantable device
US10349980B2 (en) 2009-08-27 2019-07-16 The Foundry, Llc Method and apparatus for altering biomechanics of the shoulder
US10383736B2 (en) 2007-05-01 2019-08-20 Moximed, Inc. Femoral and tibial base components

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NL1009832C2 (nl) * 1998-08-10 2000-02-11 Novarticulate Bv Heupprothese.
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US8709090B2 (en) 2007-05-01 2014-04-29 Moximed, Inc. Adjustable absorber designs for implantable device
EP2299918B1 (fr) * 2008-04-30 2017-03-22 Moximed, Inc. Supports pour systèmes extra-articulaires implantables
EP2273940A2 (fr) * 2008-04-30 2011-01-19 Moximed, Inc. Composants servant de supports fémoraux et tibiaux
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US9610103B2 (en) 2001-03-28 2017-04-04 Moximed, Inc. Bone fixated, articulated joint load control device
US9943336B2 (en) 2001-03-28 2018-04-17 Moximed, Inc. Bone fixated, articulated joint load control device
CN100420428C (zh) * 2005-07-01 2008-09-24 温中一 多功能大骨盆人工假体
US10327816B2 (en) 2007-05-01 2019-06-25 Moximed, Inc. Adjustable absorber designs for implantable device
US10383736B2 (en) 2007-05-01 2019-08-20 Moximed, Inc. Femoral and tibial base components
US9005298B2 (en) 2007-05-01 2015-04-14 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems
US9814579B2 (en) 2007-05-01 2017-11-14 Moximed, Inc. Unlinked implantable knee unloading device
US10736746B2 (en) 2007-05-01 2020-08-11 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems
US9125746B2 (en) 2007-05-01 2015-09-08 Moximed, Inc. Methods of implanting extra-articular implantable mechanical energy absorbing systems
US9907645B2 (en) 2007-05-01 2018-03-06 Moximed, Inc. Adjustable absorber designs for implantable device
US9398957B2 (en) 2007-05-01 2016-07-26 Moximed, Inc. Femoral and tibial bases
US10639161B2 (en) 2007-05-01 2020-05-05 Moximed, Inc. Extra-articular implantable load sharing systems
US10010421B2 (en) 2007-05-01 2018-07-03 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems
US9655648B2 (en) 2007-05-01 2017-05-23 Moximed, Inc. Femoral and tibial base components
US8894714B2 (en) 2007-05-01 2014-11-25 Moximed, Inc. Unlinked implantable knee unloading device
US9700419B2 (en) 2007-05-01 2017-07-11 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems and implantation method
US11389298B2 (en) 2007-05-01 2022-07-19 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems
US10070964B2 (en) 2007-05-01 2018-09-11 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems and implantation method
US7632310B2 (en) 2007-07-09 2009-12-15 Moximed, Inc. Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus
US7846211B2 (en) 2007-07-09 2010-12-07 Moximed, Inc. Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus
US10349980B2 (en) 2009-08-27 2019-07-16 The Foundry, Llc Method and apparatus for altering biomechanics of the shoulder
US9861408B2 (en) 2009-08-27 2018-01-09 The Foundry, Llc Method and apparatus for treating canine cruciate ligament disease
US9278004B2 (en) 2009-08-27 2016-03-08 Cotera, Inc. Method and apparatus for altering biomechanics of the articular joints
US11730519B2 (en) 2009-08-27 2023-08-22 The Foundry, Llc Method and apparatus for force redistribution in articular joints
US9795410B2 (en) 2009-08-27 2017-10-24 Cotera, Inc. Method and apparatus for force redistribution in articular joints
US9668868B2 (en) 2009-08-27 2017-06-06 Cotera, Inc. Apparatus and methods for treatment of patellofemoral conditions
US8845724B2 (en) 2009-08-27 2014-09-30 Cotera, Inc. Method and apparatus for altering biomechanics of the articular joints
US9931136B2 (en) 2009-08-27 2018-04-03 The Foundry, Llc Method and apparatus for altering biomechanics of articular joints
US10695094B2 (en) 2009-08-27 2020-06-30 The Foundry, Llc Method and apparatus for altering biomechanics of articular joints
US9114016B2 (en) 2009-08-27 2015-08-25 Cotera, Inc. Method and apparatus for altering biomechanics of the articular joints
US11517360B2 (en) 2009-08-27 2022-12-06 The Foundry, Llc Method and apparatus for treating canine cruciate ligament disease
US9044270B2 (en) 2011-03-29 2015-06-02 Moximed, Inc. Apparatus for controlling a load on a hip joint
US9468466B1 (en) 2012-08-24 2016-10-18 Cotera, Inc. Method and apparatus for altering biomechanics of the spine
US10898237B2 (en) 2012-08-24 2021-01-26 The Foundry, Llc Method and apparatus for altering biomechanics of the spine
US11241256B2 (en) 2015-10-15 2022-02-08 The Foundry, Llc Method and apparatus for altering biomechanics of the shoulder

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GB2250919A (en) 1992-06-24
GB2250919B (en) 1993-10-20
DE3991804C2 (de) 1994-12-15
DE3991804T (fr) 1992-01-30
GB9115656D0 (en) 1991-09-04

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