WO1991007932A1 - Prothese de l'articulation de la hanche - Google Patents
Prothese de l'articulation de la hanche Download PDFInfo
- Publication number
- WO1991007932A1 WO1991007932A1 PCT/SE1990/000794 SE9000794W WO9107932A1 WO 1991007932 A1 WO1991007932 A1 WO 1991007932A1 SE 9000794 W SE9000794 W SE 9000794W WO 9107932 A1 WO9107932 A1 WO 9107932A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- ball
- socket
- joint
- femur
- titanium
- Prior art date
Links
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- 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
- A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
-
- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
-
- 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
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- 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
- A61F2/30721—Accessories
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- A—HUMAN NECESSITIES
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- 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
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- 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
- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
- A61F2002/30224—Three-dimensional shapes cylindrical
- A61F2002/3023—Three-dimensional shapes cylindrical wedge-shaped cylinders
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- 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
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- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- 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
- A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61F2/30721—Accessories
- A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
- A61F2002/30736—Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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- 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
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- A61F2002/30784—Plurality of holes
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- 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
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- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
Definitions
- the present invention relates to a hip joint or coxa prosthesis, comprising a joint socket with anchoring means for fixing the joint socket to a pelvic bone and a joint ball with anchoring means for fixing the ball to a sec-
- the joint ball is joined to a long nail or a long ° pin of stainless steel or vitallium, inserted far into the central femural cavity and fixed therein by means of a two-component cement.
- the nail or pin is subjected to great mechanical stress and fatigue fractures of the nail or pin are not uncommon. The fracture often occurs so far down in the central femoral cavity that it is not possible to reach the remaining portion of the pin from the end of the femur, in such a situation, the surgical method used to remove the pin end is to drill a hole from the side through the femur and partially into the pin.
- the pin is thereafter chiselled upwards a short distance, whereafter a new hole is drilled into the pin, which is chiselled up another short distance. This procedure is repeated until the pin has been forced up sufficiently far to be able to be extracted from the exposed end of the femur. Surgical procedures of this type are time-consuming, taking up to five hours, and consequently involve severe stress on the patient and the surgical team. They are of course also costly.
- the purpose of- the present invention is to provide a hip joint prosthesis, which is less susceptible to fracture due to fatigue, which makes it possible to more quickly and more simply than previously replace broken and worn components, and which also makes it possible to achieve in a simple manner exact fitting of the socket and ball to each other.
- the anchoring means of the ball joint comprise a tubular element made of titanium designed to be received in a bone in the femur and be integrated with the femur, that the tubular element has an internally threaded bore and that when the element has been surgical ⁇ ly implanted, a screw is screwed into the bore and fixes the joint ball to the tubular element.
- the basic difference between the invention and the pre- vious known technology is that the latter is based on cementing an anchoring element of a material which is not biocompatible, e.g. vitallium, in the femural cavity, while the present invention is based on the idea of using a biocompatible material such as titanium in the anchoring element and inserting the element into a bore axially to the neck of the femur, so that the anchoring element becomes integrated with the femur by new growth of bone tissue.
- the tubular anchoring element which is preferably provided with internal threads, can then be used to fix the joint ball quite simply by screwing the ball or an intermediate wedge shaped element joined to the ball into the tubular element which is integral with the femur.
- the wedge shaped element serves as a gauge block, and by vary ⁇ ing the wedge angle, the angle between the ball and the tubular anchoring means can be varied.
- the socket can also be made with a socket-shaped carrier of titanium which is allowed to become embedded through bone growth in the pelvis, and the socket proper is then fixed therein.
- Figure 2 shows a view corresponding to that in Figure 1 of a prosthesis in a simpler embodiment
- Figure 3 shows a fixture for cutting off the ball of the femur.
- the numeral l in Figure l generally designates a portion of a pelvic bone and 2 designates the upper portion of a femur whih has been cut so that a flat sectional surface 3 has been formed.
- the joint prosthesis has a socket 4 consisting of a bowl-shaped carrier 5 of titanium and a bowl-shaped polyethylene element 6 which forms the socket proper.
- the carrier 5 is screwed into a cavity made in the pelvis by means of five titanium screws 7 (three shown). it has external grooves 8 on its surface facing the bone for integration therewith.
- the ball 9 of the joint pros ⁇ thesis consists of a hemisphere 10 of titanium or stain ⁇ less steel and a titanium plate 11 which is wedge-shaped in longitudinal section.
- an externally and internally threaded tube 12 is used to ⁇ gether with a screw 13 screwed into the tube, which screw is also screwed into a threaded bore 14 in the wedge shaped plate 11, which is made in one piece with a thread ⁇ ed stud 15, which is in turn screwed into a threaded bore in the hemisphere 10.
- the wedge shaped plate 11 and the hemisphere 10 have interengaging grooves 16 and ridges 17 arranged coaxially with the stud 15 and being designed to remove some of the shear load from the screw fastening between the hemisphere 10 and the wedge plate 11.
- Implantation of the joint described here is done by two operations at an interval between them of about four months, in the first surgical procedure, the bowl shaped titanium carrier 5 is screwed in place by means of screws 7 into the pelvis.
- the socket 6 is replaced by a 2 to 3 mm thick polyethylene bowl in order to allow the screws 7 to become embedded.
- a 16 mm diameter hole is also drilled in along the axis of the femoral head and the tube 12 is screwed into the hole.
- the tube 12 has an internal thread along its entire length and perfora ⁇ tions 12a along approximately half its length, i.e. the portion which, when the components are assembled, lies beyond the screw 13.
- the perforations are designed to provide the best possible anchoring in the femur through bone growth.
- the 2 to 3 mm thick provisional polyethylene socket is replaced by the socket proper 6, which can consist of porous polyethylene with open pores and be impregnated with HEALON.
- the bowl-shaped carrier 5 has an inwardly directed peripheral edge 5a, and the socket 6 is mounted in place by simply snapping it in behind the edge 5a.
- a fixture 20 is used of the type shown in Figure 2.
- the fixture consists of an arm 21 which is screwed into the lower end of the tube 12, a threaded stud bolt 22 screwed into the arm 21 and a plate 23 with a surface 24 parallel to the end 12b of the tube to be exposed by the cut, this surface 24 forming a reference plane in which the cut is made.
- the threaded stud bolt 22 permits adjustment of the plate 23 to various distances from the arm 21, thus adapting it to tubes 12 of different lengths.
- a wedge plate 11 is selected appropriate to the particular anatomy of the patient.
- an assortment of wedge plates is available with wedge angles of at least between 15° and 25°.
- the wedge angle is 20°.
- Other parameters than the wedge angle can be varied to achieve optimum fit between the ball and the socket, e.g. the central axis of the stud 15 and the thickness of the wedge plate 11.
- the wedge plate 11 is screwed securely against the cut surface 3 of the bone by means of the screw 13, which has a screwdriver groove at its lower end to permit final tightening of the wedge plate 11 against the bone surface 3.
- the underside of the plate 11 in con ⁇ tact with the surface 3 is provided with teeth or grooves to promote integration with the bone.
- the hemisphere 10 can be screwed onto the wedge plate 11 prior to or after the latter has been fixed to the tube.
- the wedge plate has on one side a spherically curved surface lla, which forms a continuation of the surface of the hemisphere and provides an increased range of articulation.
- Figure 2 shows a simpler model of a hip joint prosthesis. Details corresponding to those in Figure l have been given the same reference numerals as in Figure 1.
- the prosthesis in Figure 2 differs from that described above in that there is no wedge. Instead, the ball 10 and the screw 13 are made in one piece. At the transition between the ball and the screw 13, there is a plate 30 with a smooth transition via a neck 31 to the ball 10. This embodiment ensures sufficient articulation.
- the invention provides very secure anchoring of all of the components in the hip joint and at the same time provides easy replacement of components subject to wear, e.g. the polyethylene socket and the ball.
Abstract
Prothèse de l'articulation coxo-fémorale ou de la hanche composée d'un logement (5) et d'une rotule (10). Le premier est bouterollé dans un support de titane de forme creuse (5) solidement vissé au pelvis (3). La deuxième est fixée par une plaque cunéiforme (11) à un tube de titane fileté à l'intérieur et à l'extérieur (12) et vissé dans un trou situé dans l'axe de la tête et du col du fémur (2).
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE8904053-9 | 1989-11-30 | ||
SE8904053A SE8904053L (sv) | 1989-11-30 | 1989-11-30 | Hoeftledsprotes |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1991007932A1 true WO1991007932A1 (fr) | 1991-06-13 |
Family
ID=20377655
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/SE1990/000794 WO1991007932A1 (fr) | 1989-11-30 | 1990-11-30 | Prothese de l'articulation de la hanche |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0502086A1 (fr) |
JP (1) | JPH04503181A (fr) |
SE (1) | SE8904053L (fr) |
WO (1) | WO1991007932A1 (fr) |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5310408A (en) * | 1991-02-14 | 1994-05-10 | Smith & Nephew Richards Inc. | Acetabular cup body prosthesis |
WO1997047257A1 (fr) * | 1996-06-14 | 1997-12-18 | Mosseri Raphael | Prothese totale de hanche destinee a etre posee par voie endo-articulaire et son dispositif ancillaire |
US5741262A (en) * | 1992-02-28 | 1998-04-21 | Astra Aktiebolag | Hip joint prosthesis |
US6120544A (en) * | 1997-05-16 | 2000-09-19 | Eska Implants Gmbh & Co. | Femur endoprosthesis for articial hip joint |
WO2000062718A1 (fr) * | 1999-04-15 | 2000-10-26 | Franz Sutter | Prothese de tete d'articulation et pieces necessaires a sa realisation |
WO2001005335A1 (fr) * | 1999-07-14 | 2001-01-25 | Eska Implants Gmbh & Co. | Endoprothese de moignon de cuisse pour exoprothese |
EP1388329A1 (fr) * | 2002-08-05 | 2004-02-11 | LIMA Lto SpA | Prothèse fémorale pour l'articulation de la hanche |
FR2871369A1 (fr) * | 2004-06-15 | 2005-12-16 | Tornier Sas | Composant glenoidien, jeu de tels composants et prothese d'epaule incorporant un tel composant glenoidien |
EP1607067A1 (fr) * | 2004-06-15 | 2005-12-21 | Tornier | Composant glénoïdien, jeu de tels composants et prothèse d'épaule incorporant un tel composant glénoïdien |
ITMC20090168A1 (it) * | 2009-07-17 | 2011-01-18 | Alessandro Melozzi | Protesi d'anca di nuova concezione. |
WO2012163435A1 (fr) * | 2011-06-03 | 2012-12-06 | Bourse Philippe | Prothese de hanche |
US8679187B2 (en) | 2006-03-20 | 2014-03-25 | Smith & Nephew, Inc. | Acetabular cup assembly for multiple bearing materials |
US8864834B2 (en) | 2007-01-30 | 2014-10-21 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US8974536B2 (en) | 2007-01-30 | 2015-03-10 | Tornier Sas | Intra-articular joint replacement |
US9408652B2 (en) | 2010-04-27 | 2016-08-09 | Tornier Sas | Intra-articular joint replacement and method |
EP3053547A1 (fr) | 2015-02-04 | 2016-08-10 | Alessandro Melozzi | Prothèse de la hanche améliorée |
US9433507B2 (en) | 2006-03-21 | 2016-09-06 | Tornier, Inc. | Non-spherical articulating surfaces in shoulder and hip replacement |
US9474619B2 (en) | 2006-03-21 | 2016-10-25 | Tornier, Inc. | Glenoid component with improved fixation stability |
US10631993B2 (en) | 2010-10-22 | 2020-04-28 | Tornier, Inc. | Set of glenoid components for a shoulder prosthesis |
US10898336B2 (en) | 2006-03-21 | 2021-01-26 | Tornier, Inc. | Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CH568753A5 (fr) * | 1973-08-31 | 1975-11-14 | Oscobal Ag | |
US4051559A (en) * | 1974-12-27 | 1977-10-04 | Mahay & Cie | Total prosthesis of the hip |
EP0010527A1 (fr) * | 1978-10-06 | 1980-04-30 | L.I.M.A. Lualdi Industrie MeccanicheAnduis Srl. | Prothèse pour membres |
US4332036A (en) * | 1979-12-22 | 1982-06-01 | Institut Straumann Ag | Universal joint prosthesis with cap |
US4650491A (en) * | 1986-02-14 | 1987-03-17 | Pfizer Hospital Products Group, Inc. | Locking mechanism for prosthesis components |
US4693724A (en) * | 1985-01-31 | 1987-09-15 | Rhenter Jean L | Total hip prosthesis with primary fixation |
-
1989
- 1989-11-30 SE SE8904053A patent/SE8904053L/xx not_active Application Discontinuation
-
1990
- 1990-11-30 JP JP3501015A patent/JPH04503181A/ja active Pending
- 1990-11-30 EP EP91900393A patent/EP0502086A1/fr not_active Withdrawn
- 1990-11-30 WO PCT/SE1990/000794 patent/WO1991007932A1/fr not_active Application Discontinuation
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CH568753A5 (fr) * | 1973-08-31 | 1975-11-14 | Oscobal Ag | |
US4051559A (en) * | 1974-12-27 | 1977-10-04 | Mahay & Cie | Total prosthesis of the hip |
EP0010527A1 (fr) * | 1978-10-06 | 1980-04-30 | L.I.M.A. Lualdi Industrie MeccanicheAnduis Srl. | Prothèse pour membres |
US4332036A (en) * | 1979-12-22 | 1982-06-01 | Institut Straumann Ag | Universal joint prosthesis with cap |
US4693724A (en) * | 1985-01-31 | 1987-09-15 | Rhenter Jean L | Total hip prosthesis with primary fixation |
US4650491A (en) * | 1986-02-14 | 1987-03-17 | Pfizer Hospital Products Group, Inc. | Locking mechanism for prosthesis components |
Cited By (40)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5314487A (en) * | 1991-02-14 | 1994-05-24 | Smith & Nephew Richards Inc. | Acetabular prosthesis with anchoring pegs |
US5310408A (en) * | 1991-02-14 | 1994-05-10 | Smith & Nephew Richards Inc. | Acetabular cup body prosthesis |
US5741262A (en) * | 1992-02-28 | 1998-04-21 | Astra Aktiebolag | Hip joint prosthesis |
US5980575A (en) * | 1992-02-28 | 1999-11-09 | Astra Aktiebolag | Hip joint prosthesis |
US6482237B2 (en) | 1996-06-14 | 2002-11-19 | Raphael Mosseri | Total hip prosthesis adapted to be implanted endo-articularly and its auxiliary device and method of implantation |
FR2749753A1 (fr) * | 1996-06-14 | 1997-12-19 | Mosseri Raphael | Prothese totale de hanche destinee a etre posee par voie endo-articulaire et son dispositif ancillaire |
US6231611B1 (en) | 1996-06-14 | 2001-05-15 | Raphael Mosseri | Total hip prosthesis for endo-articular implantation, and ancillary device therefor |
WO1997047257A1 (fr) * | 1996-06-14 | 1997-12-18 | Mosseri Raphael | Prothese totale de hanche destinee a etre posee par voie endo-articulaire et son dispositif ancillaire |
US6120544A (en) * | 1997-05-16 | 2000-09-19 | Eska Implants Gmbh & Co. | Femur endoprosthesis for articial hip joint |
WO2000062718A1 (fr) * | 1999-04-15 | 2000-10-26 | Franz Sutter | Prothese de tete d'articulation et pieces necessaires a sa realisation |
WO2001005335A1 (fr) * | 1999-07-14 | 2001-01-25 | Eska Implants Gmbh & Co. | Endoprothese de moignon de cuisse pour exoprothese |
US6709466B1 (en) | 1999-07-14 | 2004-03-23 | Eska Implants Gmbh & Co. | Thigh stump endoprosthesis for an exoprosthetic treatment |
EP1388329A1 (fr) * | 2002-08-05 | 2004-02-11 | LIMA Lto SpA | Prothèse fémorale pour l'articulation de la hanche |
FR2871369A1 (fr) * | 2004-06-15 | 2005-12-16 | Tornier Sas | Composant glenoidien, jeu de tels composants et prothese d'epaule incorporant un tel composant glenoidien |
EP1607067A1 (fr) * | 2004-06-15 | 2005-12-21 | Tornier | Composant glénoïdien, jeu de tels composants et prothèse d'épaule incorporant un tel composant glénoïdien |
US11523907B2 (en) | 2004-06-15 | 2022-12-13 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
US10610363B2 (en) | 2004-06-15 | 2020-04-07 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
US20170095336A1 (en) * | 2004-06-15 | 2017-04-06 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
US9545312B2 (en) | 2004-06-15 | 2017-01-17 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
US8679187B2 (en) | 2006-03-20 | 2014-03-25 | Smith & Nephew, Inc. | Acetabular cup assembly for multiple bearing materials |
US10898336B2 (en) | 2006-03-21 | 2021-01-26 | Tornier, Inc. | Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction |
US9433507B2 (en) | 2006-03-21 | 2016-09-06 | Tornier, Inc. | Non-spherical articulating surfaces in shoulder and hip replacement |
US9474619B2 (en) | 2006-03-21 | 2016-10-25 | Tornier, Inc. | Glenoid component with improved fixation stability |
US8974536B2 (en) | 2007-01-30 | 2015-03-10 | Tornier Sas | Intra-articular joint replacement |
US11185417B2 (en) | 2007-01-30 | 2021-11-30 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US9089435B2 (en) | 2007-01-30 | 2015-07-28 | Tornier Sas | Intra-articular joint replacement |
US8864834B2 (en) | 2007-01-30 | 2014-10-21 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US10251755B2 (en) | 2007-01-30 | 2019-04-09 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US10413416B2 (en) | 2007-01-30 | 2019-09-17 | Tornier Sas | Method and apparatus for fitting a shoulder prosthesis |
US11547572B2 (en) | 2007-01-30 | 2023-01-10 | Tornier Sas | Intra-articular joint replacement |
ITMC20090168A1 (it) * | 2009-07-17 | 2011-01-18 | Alessandro Melozzi | Protesi d'anca di nuova concezione. |
WO2011006852A1 (fr) | 2009-07-17 | 2011-01-20 | Alessandro Melozzi | Prothèse de hanche |
US9408652B2 (en) | 2010-04-27 | 2016-08-09 | Tornier Sas | Intra-articular joint replacement and method |
US11771568B2 (en) | 2010-04-27 | 2023-10-03 | Tornier Sas | Intra-articular joint replacement and method |
US10695195B2 (en) | 2010-04-27 | 2020-06-30 | Tornier Sas | Intra-articular joint replacement and method |
US11304815B2 (en) | 2010-10-22 | 2022-04-19 | Howmedica Osteonics Corp. | Set of glenoid components for a shoulder prosthesis |
US10631993B2 (en) | 2010-10-22 | 2020-04-28 | Tornier, Inc. | Set of glenoid components for a shoulder prosthesis |
WO2012163435A1 (fr) * | 2011-06-03 | 2012-12-06 | Bourse Philippe | Prothese de hanche |
EP3053547A1 (fr) | 2015-02-04 | 2016-08-10 | Alessandro Melozzi | Prothèse de la hanche améliorée |
US9700418B2 (en) | 2015-02-04 | 2017-07-11 | Alessandro MELOZZI | Hip prosthesis |
Also Published As
Publication number | Publication date |
---|---|
SE8904053L (sv) | 1991-05-31 |
SE8904053D0 (sv) | 1989-11-30 |
JPH04503181A (ja) | 1992-06-11 |
EP0502086A1 (fr) | 1992-09-09 |
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