WO2006074503A1 - Prosthetic knee - Google Patents

Prosthetic knee Download PDF

Info

Publication number
WO2006074503A1
WO2006074503A1 PCT/AU2005/001974 AU2005001974W WO2006074503A1 WO 2006074503 A1 WO2006074503 A1 WO 2006074503A1 AU 2005001974 W AU2005001974 W AU 2005001974W WO 2006074503 A1 WO2006074503 A1 WO 2006074503A1
Authority
WO
WIPO (PCT)
Prior art keywords
articular surface
insert
prosthetic knee
tibial component
component
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/AU2005/001974
Other languages
English (en)
French (fr)
Inventor
Rodney Ian Walter RICHARDSON
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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
Priority claimed from AU2005900132A external-priority patent/AU2005900132A0/en
Application filed by Individual filed Critical Individual
Priority to AU2005325056A priority Critical patent/AU2005325056B2/en
Priority to CA002596776A priority patent/CA2596776A1/en
Publication of WO2006074503A1 publication Critical patent/WO2006074503A1/en
Priority to US11/776,291 priority patent/US20080009950A1/en
Anticipated expiration legal-status Critical
Priority to GB0715597A priority patent/GB2437680A/en
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/3868Joints for elbows or knees with sliding tibial bearing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30112Rounded shapes, e.g. with rounded corners
    • A61F2002/30131Rounded shapes, e.g. with rounded corners horseshoe- or crescent- or C-shaped or U-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30317The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30327The prosthesis having different structural features at different locations within the same prosthesis differing in diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30879Ribs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0013Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00017Iron- or Fe-based alloys, e.g. stainless steel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00029Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures

Definitions

  • Metal alloys have previously been used for the femoral and tibial components of prosthetic knee joints and polyethelene has been used as a material for the insert arranged therebetween.
  • the bearing surfaces used in any such hard on soft articulation may create wear debris which is a major cause of osteolysis and implant failure. Lack of lubrication on the articulating surfaces of a prosthetic joint may also lead to joint failure.
  • patients with prosthetic knees are often restricted in activity to that of low demand on the prosthetic device. Younger patients sometimes delay having surgery due to the short lifespan of artificial joints. While it may by possible to overcome these difficulties by using harder wearing biomaterials, the design of artificial knee joints may not necessarily facilitate use of such materials.
  • said curved articular surface of the tibial component is adapted to facilitate translation of the insert.
  • the articular surface 56 of the tibial component 14 is adapted to cooperatively engage and move with respect to the matched insert 16.
  • the articular surface 56 retains the convex shape of the apical portion of a sphere, the radius of which approximates that of the distance from the knee to the ankle of the patient.
  • the radius of curvature is, for example, greater than R 1 and R 2 .
  • the lateral articular surface 55 is less than the medial articular surface 57.
  • the articular surface 56 of the tibial component 14 is shaped to cover the entire contact area of the bone.
  • the raised section increases the contact area with the femoral component 12 whilst avoiding soft tissue impingement.
  • the insert also includes:

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
PCT/AU2005/001974 2005-01-12 2005-12-22 Prosthetic knee Ceased WO2006074503A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU2005325056A AU2005325056B2 (en) 2005-01-12 2005-12-22 Prosthetic knee
CA002596776A CA2596776A1 (en) 2005-01-12 2005-12-22 Prosthetic knee
US11/776,291 US20080009950A1 (en) 2005-01-12 2007-07-11 Prosthetic Knee
GB0715597A GB2437680A (en) 2005-01-12 2007-08-09 Prosthetic knee

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AU2005900132A AU2005900132A0 (en) 2005-01-12 Prosthetic knee
AU2005900132 2005-01-12

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/776,291 Continuation US20080009950A1 (en) 2005-01-12 2007-07-11 Prosthetic Knee

Publications (1)

Publication Number Publication Date
WO2006074503A1 true WO2006074503A1 (en) 2006-07-20

Family

ID=36677294

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AU2005/001974 Ceased WO2006074503A1 (en) 2005-01-12 2005-12-22 Prosthetic knee

Country Status (5)

Country Link
US (1) US20080009950A1 (enExample)
CN (1) CN101123928A (enExample)
CA (1) CA2596776A1 (enExample)
GB (1) GB2437680A (enExample)
WO (1) WO2006074503A1 (enExample)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009068951A3 (en) * 2007-11-27 2009-07-23 Mariasal Invest Nv Total knee prosthesis
US8142510B2 (en) 2007-03-30 2012-03-27 Depuy Products, Inc. Mobile bearing assembly having a non-planar interface
US8147557B2 (en) 2007-03-30 2012-04-03 Depuy Products, Inc. Mobile bearing insert having offset dwell point
US8147558B2 (en) 2007-03-30 2012-04-03 Depuy Products, Inc. Mobile bearing assembly having multiple articulation interfaces
US8328874B2 (en) 2007-03-30 2012-12-11 Depuy Products, Inc. Mobile bearing assembly
US8764841B2 (en) 2007-03-30 2014-07-01 DePuy Synthes Products, LLC Mobile bearing assembly having a closed track

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US8771365B2 (en) * 2009-02-25 2014-07-08 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs, and related tools
US8735773B2 (en) 2007-02-14 2014-05-27 Conformis, Inc. Implant device and method for manufacture
US9603711B2 (en) * 2001-05-25 2017-03-28 Conformis, Inc. Patient-adapted and improved articular implants, designs and related guide tools
US20110071645A1 (en) * 2009-02-25 2011-03-24 Ray Bojarski Patient-adapted and improved articular implants, designs and related guide tools
US8882847B2 (en) * 2001-05-25 2014-11-11 Conformis, Inc. Patient selectable knee joint arthroplasty devices
US20070233269A1 (en) * 2001-05-25 2007-10-04 Conformis, Inc. Interpositional Joint Implant
US20110071802A1 (en) * 2009-02-25 2011-03-24 Ray Bojarski Patient-adapted and improved articular implants, designs and related guide tools
US8480754B2 (en) 2001-05-25 2013-07-09 Conformis, Inc. Patient-adapted and improved articular implants, designs and related guide tools
US8545569B2 (en) 2001-05-25 2013-10-01 Conformis, Inc. Patient selectable knee arthroplasty devices
US8556983B2 (en) 2001-05-25 2013-10-15 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs and related tools
US20090222103A1 (en) * 2001-05-25 2009-09-03 Conformis, Inc. Articular Implants Providing Lower Adjacent Cartilage Wear
US9289153B2 (en) * 1998-09-14 2016-03-22 The Board Of Trustees Of The Leland Stanford Junior University Joint and cartilage diagnosis, assessment and modeling
ATE439806T1 (de) * 1998-09-14 2009-09-15 Univ Leland Stanford Junior Zustandsbestimmung eines gelenks und schadenvorsorge
US7239908B1 (en) * 1998-09-14 2007-07-03 The Board Of Trustees Of The Leland Stanford Junior University Assessing the condition of a joint and devising treatment
AU2001290887B2 (en) 2000-09-14 2006-06-08 The Board Of Trustees Of The Leland Stanford Junior University Assessing condition of a joint and cartilage loss
CA2425120A1 (en) 2000-09-14 2002-03-21 The Board Of Trustees Of The Leland Stanford Junior University Assessing the condition of a joint and devising treatment
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EP1951158A4 (en) * 2005-11-21 2010-03-31 Vertegen Inc DEVICES AND METHODS FOR TREATMENT OF FACE CHAINS, UNCOVERTEBRAL JOINTS, COSTOVERTEBRUSK JOINTS AND OTHER JOINTS
US7628817B1 (en) * 2006-12-14 2009-12-08 Howmedica Osteonics Corp. Soft tissue deflection at a prosthetic joint
EP2591756A1 (en) 2007-02-14 2013-05-15 Conformis, Inc. Implant device and method for manufacture
US10213826B2 (en) 2007-08-27 2019-02-26 Connor E Samuelson Systems and methods for providing prosthetic components
US8273133B2 (en) 2007-08-27 2012-09-25 Samuelson Kent M Systems and methods for providing deeper knee flexion capabilities for knee prosthesis patients
US9872774B2 (en) 2007-08-27 2018-01-23 Connor E. Samuelson Systems and methods for providing a femoral component having a modular stem
US9107769B2 (en) 2007-08-27 2015-08-18 Kent M. Samuelson Systems and methods for providing a femoral component
US8382846B2 (en) 2007-08-27 2013-02-26 Kent M. Samuelson Systems and methods for providing deeper knee flexion capabilities for knee prosthesis patients
US8366783B2 (en) 2007-08-27 2013-02-05 Samuelson Kent M Systems and methods for providing deeper knee flexion capabilities for knee prosthesis patients
JP5663118B2 (ja) * 2008-02-18 2015-02-04 マックス オーソピディックス、インク. 高次nurbs曲面を有する全置換人工膝関節
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US8906105B2 (en) 2009-08-11 2014-12-09 Michael D. Ries Systems and methods for mobile bearing prosthetic knee
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JP5948629B2 (ja) * 2012-04-11 2016-07-06 帝人ナカシマメディカル株式会社 人工膝関節
NZ706998A (en) * 2012-11-21 2017-09-29 Krishnachandra Chandrashanker Mehta Knee replacement prosthetic
FR3009492B1 (fr) * 2013-08-06 2015-09-25 Assist Publ Hopitaux De Paris Prothese de genou avec couple de frottement ceramique sur ceramique et plateau mobile en ceramique
JP2017018150A (ja) * 2013-11-21 2017-01-26 経憲 武井 人工膝関節置換術用コンポーネント及び人工膝関節構造
CA2958736A1 (en) * 2014-09-23 2016-03-31 Tecres S.P.A. Constrained spacer device for the knee joint
US11096791B2 (en) * 2016-03-31 2021-08-24 Chen Yang Artificial prosthesis for knee arthroplasty
US20170290669A1 (en) * 2016-04-11 2017-10-12 Zafer Termanini System and method for side insertion of a bicondylar mini knee implant
EP3698761B1 (en) 2019-02-22 2021-11-17 Stryker European Operations Limited Total ankle prosthesis
ES3033097T3 (en) * 2020-02-28 2025-07-30 Beijing Ak Medical Co Ltd Knee prosthesis
EP3991695B1 (en) 2020-10-28 2023-12-20 Howmedica Osteonics Corp. Anthropometric posterior condyle
US12053387B2 (en) 2021-05-17 2024-08-06 Optimotion Implants LLC Knee prosthesis
CN113413249B (zh) * 2021-07-06 2023-01-13 四川大学华西医院 一种解剖仿生型胫骨近端肿瘤半膝关节假体

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DE19529824A1 (de) * 1995-08-14 1997-02-20 Bodo Gnutzmann Bikondyläre Knie-Endoprothese
WO2004066882A1 (en) * 2003-01-27 2004-08-12 Unisearch Limited A mobile bearing knee replacement assembly and a tibial component and a bearing insert therefor

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US4224696A (en) * 1978-09-08 1980-09-30 Hexcel Corporation Prosthetic knee
US5358530A (en) * 1993-03-29 1994-10-25 Zimmer, Inc. Mobile bearing knee
DE19529824A1 (de) * 1995-08-14 1997-02-20 Bodo Gnutzmann Bikondyläre Knie-Endoprothese
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US8142510B2 (en) 2007-03-30 2012-03-27 Depuy Products, Inc. Mobile bearing assembly having a non-planar interface
US8147557B2 (en) 2007-03-30 2012-04-03 Depuy Products, Inc. Mobile bearing insert having offset dwell point
US8147558B2 (en) 2007-03-30 2012-04-03 Depuy Products, Inc. Mobile bearing assembly having multiple articulation interfaces
US8328874B2 (en) 2007-03-30 2012-12-11 Depuy Products, Inc. Mobile bearing assembly
US8764841B2 (en) 2007-03-30 2014-07-01 DePuy Synthes Products, LLC Mobile bearing assembly having a closed track
WO2009068951A3 (en) * 2007-11-27 2009-07-23 Mariasal Invest Nv Total knee prosthesis

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US20080009950A1 (en) 2008-01-10
CN101123928A (zh) 2008-02-13
GB2437680A (en) 2007-10-31
GB2437680A8 (enExample) 2007-11-06
GB0715597D0 (en) 2007-09-19
CA2596776A1 (en) 2006-07-20

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