WO1998004216A1 - Endoprothese totale de l'epaule - Google Patents

Endoprothese totale de l'epaule Download PDF

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Publication number
WO1998004216A1
WO1998004216A1 PCT/EP1997/004079 EP9704079W WO9804216A1 WO 1998004216 A1 WO1998004216 A1 WO 1998004216A1 EP 9704079 W EP9704079 W EP 9704079W WO 9804216 A1 WO9804216 A1 WO 9804216A1
Authority
WO
WIPO (PCT)
Prior art keywords
head
shaft
central axis
connection side
underside
Prior art date
Application number
PCT/EP1997/004079
Other languages
German (de)
English (en)
Inventor
Basim A. Fleega
Original Assignee
Fleega Basim A
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 Fleega Basim A filed Critical Fleega Basim A
Publication of WO1998004216A1 publication Critical patent/WO1998004216A1/fr

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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
    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4059—Humeral shafts
    • 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
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30224—Three-dimensional shapes cylindrical
    • A61F2002/3023—Three-dimensional shapes cylindrical wedge-shaped cylinders
    • 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
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    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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    • A61F2002/30299—Three-dimensional shapes umbrella-shaped or mushroom-shaped
    • 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
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    • 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
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    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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    • A61F2002/30332—Conically- or frustoconically-shaped protrusion and recess
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    • A61F2/02—Prostheses implantable into the body
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    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • 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
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    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • A61F2002/3054—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation about a connection axis or implantation axis for selecting any one of a plurality of radial orientations between two modular parts, e.g. Morse taper connections, at discrete positions, angular positions or continuous positions
    • 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • 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
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    • 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
    • A61F2002/30574—Special structural features of bone or joint prostheses not otherwise provided for with an integral complete or partial collar or flange
    • A—HUMAN NECESSITIES
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    • 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
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    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
    • 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
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    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • A61F2002/4018—Heads or epiphyseal parts of humerus
    • 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
    • A61F2/40—Joints for shoulders
    • A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
    • A61F2002/4029—Necks
    • A—HUMAN NECESSITIES
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    • 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
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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
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    • A—HUMAN NECESSITIES
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    • 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
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    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
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Definitions

  • the object of the invention relates to a total shoulder endoprosthesis with a shaft and a head which can be exchangeably fastened to the shaft, with a mushroom-shaped shape symmetrical to a central axis M and with a connection side for the shaft formed on the underside of the head.
  • the total shoulder arthroplasty was developed by C.S. Neer developed.
  • the head which replaces the removed part of the humeral head of the humerus has approximately the shape of a spherical section, also referred to as a mushroom-shaped shape.
  • the known head which has a symmetrical shape, is fastened on a shaft which has an insertion part for insertion into the upper arm leg and at the end a usually plate-shaped connecting side on which the head is fastened.
  • the heads can be made of a material that is compatible with the body, such as titanium, cobalt-chrome, ceramics with or without a coating. Heads and shafts with different dimensions of the same shape are available for different body sizes.
  • the invention has for its object to enable the correction of the fit of implanted shoulder prostheses with shaft and head without removing the entire prosthesis and also to achieve an improved possibility of compensating for imperfections in the region of the shoulder joint by means of an implanted head.
  • the invention proposes that
  • the underside of the head is asymmetrical with respect to the central axis M of the head, so that the central axis M of the head is inclined at an acute angle with respect to the mounting axis of the head on the shaft.
  • the axis of symmetry namely the central axis of the head, moves on a conical surface around the fastening axis when the head rotates.
  • the head viewed in plan view, assumes an asymmetrical position on the shaft with respect to the fastening axis and can therefore be displaced accordingly by rotation and in this way is able to fill different spaces in the shoulder joint area.
  • the underside which forms the connection side of the head to the shaft, be inclined at an acute angle ⁇ with respect to the perpendicular position to the central axis M of the head, the angle preferably being between 5 and 20 °.
  • heads with different angles ⁇ as a modular system, for example, on the one hand, a series of mushroom-shaped heads of different sizes as a series, these being formed with an angle of 5 °, 10 ° or 15 ° inclined connection side.
  • the head is formed with a protruding wedge-shaped neck part, the underside of which forms the connection side which is inclined with respect to the central axis M of the head.
  • the head and neck part are preferably made from one part, but it is also possible to produce the head and neck part in two parts and then to connect them during assembly or beforehand.
  • the head be formed with a neck part in the form of a crooked circular cylinder, the crooked cross-sectional area of which forms the underside and connection side of the head towards the shaft.
  • the head for fastening to a pin formed on the connection side of the shaft has a blind hole corresponding to the pin, the central axis of the pin and the central axis of the blind hole being the fastening axis of the head on the shaft form, such that when the head is placed on the shaft, the central axis of the head is inclined at an acute angle to the fastening axis of the head.
  • the head with the neck part can be fastened on the shaft in various positions rotated about its fastening axis, and since it is designed asymmetrically, it fills the space differently with respect to its constantly constant fastening axis.
  • the invention also makes it possible, in the case of an implanted shoulder prosthesis which has a symmetrical head, to replace said head, if necessary, and to replace it with a head according to the invention.
  • only minimal intervention is required and no removal of the entire prosthesis, in particular not the prosthetic shaft inserted into the humerus.
  • the positions are proposed in each case to be arranged at an angle of 90 ° to one another around the fastening axis.
  • the head according to the invention can have on its inclined connection side a positioning pin projecting beyond the connection side, and a number of position holes corresponding to the number of positions of the head on the shaft can be provided on the connection side of the shaft for inserting the positioning pin of the head.
  • the angle between the fastening axis and the central axis of the head is preferably the same as the angle at which the connecting side of the head is inclined with respect to the perpendicular position to the central axis, and is preferably in the range from 5 to 20 °.
  • the neck part tapers towards zero towards an edge side of the mushroom-shaped head part, i.e. in Cross-section considered forms a long pointed triangle.
  • the head according to the invention it is possible to correct in the case of shoulder prostheses implanted at a wrong angle in a simple manner with minimal intervention, either by replacing a normal head without asymmetry with a head according to the invention in an asymmetrical form or by replacing an already existing asymmetrical head into a other position is placed on the shaft.
  • the head according to the invention in the case of a high implantation of the head makes it possible to enlarge the space between the glenoid and the attachment of the rotator cuff in the shoulder area and at the same time to reduce the space between the acromyon and the humeral head.
  • This is achieved in that the neck part forms an elevation of the head in the wedge-shaped area, so that in the end, a tension on the rotator cuff is achieved by the head according to the invention in the corresponding position in order to simultaneously reduce the space between the acromyon and the head. Changing these two levels is not possible with the previously known symmetrical heads of shoulder prostheses.
  • a further possibility when using the asymmetrical head according to the invention for the correction consists in that the version angle of the head in the case of an implanted shaft can be changed, in particular reduced, forwards and backwards by changing the position of the head on the shaft.
  • Rotator cuff compressed between the head and the shoulder joint socket because the erosion of the shoulder joint socket creates a large space between the upper part of the head and the upper part of the shoulder joint socket. This can be corrected by the head according to the invention by inserting it into the corresponding position on the shaft, since the head in the upper part can be raised in the corresponding position by the asymmetrical design of the head according to the invention.
  • Fig. 3 is a side view of a shoulder prosthesis with shaft and head according to the prior art
  • the shaft and head according to the invention are fastened in different positions on the shaft
  • Fig. 8 is a schematic representation of the top view for the different positions of the head according to the invention on the shaft
  • La to lc a commercially available symmetrical head for a shoulder prosthesis (total shoulder endoprosthesis) is shown, which essentially has a mushroom-shaped shape and is symmetrical to the central axis M.
  • the height H and the diameter E of the head 20 can be chosen differently for different head sizes.
  • the head 20 On its connection side 201 for attachment to the shaft, the head 20 is flat and has the slightly conical blind hole 202 in the center. Further centering holes 203a, b, c, d can be formed around the blind hole on the connection side 201.
  • the attachment of the head 20 according to FIGS. 1 a, b, c takes place, as can be seen in FIG. 3, on the top plate 101 of a shaft 10.
  • a pin 102 with a pin axis is formed on the top plate 101 of the shaft 10 which defines the mounting axis W.
  • the head 20 is plugged onto the pin 102 with its blind hole and fixed, for example, by the taper of the fits.
  • FIG. 2a, b, c shows a head 20 designed according to the invention, which has a mushroom-shaped symmetrical head part 20a and has an asymmetrical neck part 21 on its underside, namely the connection side to the shaft, for example in the form of a crooked circular cylinder.
  • the obliquely cut surface of the neck part 21 forms the connection side 211.
  • the angle ⁇ of the inclined connection side 211 with respect to the vertical plane 201a to the central axis M of the mushroom-shaped head part 20a of the head is between 5 to 15 °, in the example shown it is 10 ° .
  • the fastening axis W of the head 20 corresponds to the underside of the head 20, which is inclined with respect to the central axis M and forms the connection side 211, the fastening axis W of the head 20 according to FIGS. 2a, 2b, 2c also extends at an appropriate angle ⁇ to the central axis M.
  • the dimensions, namely the diameter E of the mushroom-shaped part 20a, which is symmetrical to the central axis M, and the height H can also be varied.
  • the angle of inclination ⁇ can be varied, for example, by appropriately designing the maximum height G of the wedge-shaped neck part 21.
  • the neck part 21 is preferably designed such that it extends from a maximum height G on one side to zero, ie to the lower edge of the symmetrical mushroom-shaped part 20a.
  • a conical blind hole 202 is again formed in the center, starting from the connection side 211, the central axis of which is perpendicular to the connection side 211 and at the same time represents the fastening axis W.
  • the head 20 according to FIGS. 2a, 2b, 2c is in turn placed on the shaft 10, which is formed with a projecting pin 102 for fitting the head, as described in FIG. 3.
  • the central axis M of the head 20 and the fastening axis W of the head 20 do not coincide, but are inclined towards one another in accordance with the wedge-shaped angle of the neck 21 attached.
  • the lifting of the head in the lower region ensures that it is arranged in position C in the direction of the humeral head, as can also be seen from the schematic illustration according to FIG. 8.
  • Positions B and D show the corresponding displacements of the head 20 to the front and to the rear depending on the arrangement of the head on the head plate 101 of the shaft 10, as can also be seen from FIG. 8.
  • FIG. 9a A total shoulder prosthesis in the implanted state is shown schematically in FIG. 9a.
  • the upper arm leg 1 with the humerus head 1 a has the cut surface 1 b, via which the shaft 10 is inserted into the upper arm leg.
  • the head plate 101 delimits the cutting area 1b.
  • the shoulder blade 2 with the shoulder joint socket 2a (glenoid) forms the joint space with the humeral head la.
  • the rotator cuff is labeled 3.
  • the head 20 according to the invention with the neck 21 is fastened in the corresponding position on the shaft plate 101 of the shaft 10 in accordance with the course of the cut surface 1b, glenoid 2a and the required angular position of the humerus.
  • the position of the head 20 by rotation to change the fastening axis W and thus achieve a different space filling and improved joint function.
  • the corrections described at the outset can be carried out with the head 20 with the neck 21 according to the invention.

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

Endoprothèse totale de l'épaule, comprenant une tige (10) et une tête (20) interchangeable pouvant être fixée sur la tige (10), en forme générale de tête de champignon agencée symétriquement par rapport à un axe médian (M) et présentant, à sa partie inférieure, une face de raccordement (211) pour la tige (10). La partie inférieure formant la face de raccordement (211) est réalisée oblique par rapport à l'axe médian (M) de la tête (20). La tête (20) peut être fixée sur la tige (10) en différentes positions de rotation (A, B, C, D) autour de son axe de fixation (W).
PCT/EP1997/004079 1996-07-26 1997-07-28 Endoprothese totale de l'epaule WO1998004216A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19630298.6 1996-07-26
DE19630298A DE19630298A1 (de) 1996-07-26 1996-07-26 Schulter-Totalendoprothese

Publications (1)

Publication Number Publication Date
WO1998004216A1 true WO1998004216A1 (fr) 1998-02-05

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PCT/EP1997/004079 WO1998004216A1 (fr) 1996-07-26 1997-07-28 Endoprothese totale de l'epaule

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DE (2) DE29623435U1 (fr)
WO (1) WO1998004216A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6719799B1 (en) 1998-09-11 2004-04-13 Argomedical Ag Implantable prosthesis having at least two sections which can be displaced in relation to one another, and the use of displaceable sections
DE19841611B4 (de) * 1998-09-11 2004-12-02 Argomedical Ag Implantierbare Prothese mit zumindest zwei gegeneinander verstellbaren Abschnitten sowie Verwendung verstellbarer Abschnitte

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JP2003504153A (ja) * 1999-07-14 2003-02-04 エスカ インプランツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー エキソプロテーゼ用の大腿断端エンドプロテーゼ
US7887544B2 (en) 2003-03-10 2011-02-15 Tornier Sas Ancillary tool for positioning a glenoid implant
US8303665B2 (en) 2004-06-15 2012-11-06 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
US7678150B2 (en) 2004-06-15 2010-03-16 Tornier Sas Total shoulder prosthesis of an inverted type
FR2871369B1 (fr) * 2004-06-15 2006-08-25 Tornier Sas Composant glenoidien, jeu de tels composants et prothese d'epaule incorporant un tel composant glenoidien
EP1996124B1 (fr) 2006-03-21 2019-10-30 Tornier, Inc. Système de composants de tiges fémorales et humérales pour la reconstruction orthopédique d'articulation
WO2007109319A2 (fr) 2006-03-21 2007-09-27 Axiom Orthopaedics, Inc. Élément glénoïde à stabilité de fixation améliorée
WO2007109291A2 (fr) 2006-03-21 2007-09-27 Axiom Orthopaedics, Inc. Surfaces complexes non sphériques d'articulations pour prothèses de l'épaule et de la hanche
FR2899790B1 (fr) 2006-04-13 2008-06-13 Tornier Sas Composant glenoidien pour prothese totale d'epaule, jeu de tels composants, et prothese totale d'epaule comprenant un tel composant
FR2900045B1 (fr) 2006-04-21 2009-01-16 Tornier Sas Prothese d'epaule ou de hanche
FR2911773B1 (fr) 2007-01-30 2009-03-27 Tornier Sas Methode et ensemble d'instrumentation chirurgicale pour poser une prothese totale d'epaule inversee,et prothese correspondante
US20090287309A1 (en) 2007-01-30 2009-11-19 Tornier Sas Intra-articular joint replacement
US9408652B2 (en) 2010-04-27 2016-08-09 Tornier Sas Intra-articular joint replacement and method
FR2966343B1 (fr) 2010-10-22 2012-12-07 Tornier Sa Jeu de composants glenoidiens d'une prothese d'epaule

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FR2579454A1 (fr) * 1985-03-28 1986-10-03 Rambert Andre Prothese gleno-humerale
EP0339530A2 (fr) * 1988-04-26 1989-11-02 S + G Implants Gmbh Endoprothèse pour une articulation
EP0549480A1 (fr) * 1991-12-27 1993-06-30 Etablissements TORNIER Prothèse huméralemodulaire
EP0617934A1 (fr) * 1993-03-30 1994-10-05 LANDANGER-LANDOS, Société Anonyme Tête pour prothèse modulaire d'épaule
US5549682A (en) * 1994-06-16 1996-08-27 Roy; Stephen C. Shoulder joint prosthesis with angular adjustment
WO1997025943A1 (fr) * 1996-01-15 1997-07-24 Depuy France Jeu de protheses de tete humerale

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DE9211250U1 (de) * 1992-08-17 1992-10-22 ESKA Implants GmbH & Co., 23556 Lübeck Kugelkopfendoprothese

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FR2579454A1 (fr) * 1985-03-28 1986-10-03 Rambert Andre Prothese gleno-humerale
EP0339530A2 (fr) * 1988-04-26 1989-11-02 S + G Implants Gmbh Endoprothèse pour une articulation
EP0549480A1 (fr) * 1991-12-27 1993-06-30 Etablissements TORNIER Prothèse huméralemodulaire
EP0617934A1 (fr) * 1993-03-30 1994-10-05 LANDANGER-LANDOS, Société Anonyme Tête pour prothèse modulaire d'épaule
US5549682A (en) * 1994-06-16 1996-08-27 Roy; Stephen C. Shoulder joint prosthesis with angular adjustment
WO1997025943A1 (fr) * 1996-01-15 1997-07-24 Depuy France Jeu de protheses de tete humerale

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6719799B1 (en) 1998-09-11 2004-04-13 Argomedical Ag Implantable prosthesis having at least two sections which can be displaced in relation to one another, and the use of displaceable sections
DE19841611B4 (de) * 1998-09-11 2004-12-02 Argomedical Ag Implantierbare Prothese mit zumindest zwei gegeneinander verstellbaren Abschnitten sowie Verwendung verstellbarer Abschnitte

Also Published As

Publication number Publication date
DE19630298A1 (de) 1998-01-29
DE29623435U1 (de) 1998-05-14

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