|Publication number||US4878919 A|
|Application number||US 06/939,643|
|Publication date||7 Nov 1989|
|Filing date||9 Dec 1986|
|Priority date||30 Nov 1983|
|Also published as||DE3442845A1|
|Publication number||06939643, 939643, US 4878919 A, US 4878919A, US-A-4878919, US4878919 A, US4878919A|
|Inventors||Rudolf Pavlansky, Miroslay Petrtyl|
|Original Assignee||Ceske Vysoke Uceni Technicke|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (5), Referenced by (29), Classifications (9), Legal Events (4)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This application is a continuation-in-part of U.S. application Ser. No. 676,573, filed Nov. 30, 1984, now abandoned.
This invention relates to an artificial hip endo-limb, for use is orthopedic surgery and in cases of motion system trauma.
Artificial hip endo-limbs are known in the art, and a variety of polymethylmethacrylate compounds may be used to fasten the artificial limb to the marrow bone of the femur. However, these known bone cements have biological and mechanical drawbacks that frequently result in a loosening of the endo-limb. This in turn results in additional corrective surgical procedures.
Bioceramics are also known, and have been applied to the shafts of artificial hip endo-limbs. Ceramic materials are used for joints or hip pits, because of their high modulus of elasticity, their high degree of hardness, and their ability to transmit high-pressure stresses. However, the material properties of ceramics often result in breakage, even when massive implants are used.
Artificial endo-limbs are described in Heinke (U.S. Pat. No. 4,407,022); Rostoker et al. (U.S. Pat. No. 3,906,550); Koeneman '695 (U.S. Pat. No. 4,292,695); Koeneman '381 (U.S. Pat. No. 4,314,381); Batelle et al. (Dutch Pat. No. 2,242,867) and Noiles et al. (U.S. Pat. No. 3,996,625).
It is an object of this invention to improve the design of known artificial hip endo-limbs, and particularly their attachment to the narrow bone of the femur.
The artificial hip endo-limb comprises a spherical joint supported by a shaft. According to the invention, a porous shell is provided on the surface of the shaft. The porous shell can be a metal, synthetic material, or ceramic material. The porosity is obtained either by exploiting the properties of the material directly, or by working the material accordingly. For example, a porous metal shell may be achieved by fashioning a sieve-like layer, with chambers in the metal. In a preferred embodiment, a porous ceramic shell is applied to a metallic shaft, and it is advantageous to divide the shell transversely or longitudinally, and to insert spacing elements between individual parts of the shell. In this manner, the attachment of the endo-limb to the marrow channel is further improved.
The artificial limb of the invention represents an improvement over known artificial limbs. It is compatible with living tissue, it does not deteriorate due to chemical and mechanical influences, and the shaft does not loosen. The shaft is free from rupture, and it can be permanently retained by the bone and connecting tissues. The improved endo-limb is biomechanically stable, so that inflammation does not occur and no pathological bone transformations are experienced. After boring or preparation of the bedding by a suitable rasp, the endo-limb can be introduced without complications, and the living tissues are not thermally effected. Undesirable toxic reactions are also eliminated.
FIG. 1 shows the introduction of the present artificial hip endo-limb into the marrow channel of the tight bone.
FIG. 2 is a longitudinal sectional view with two cross-sectional views.
FIG. 3 is a view of the endo-limb with parts in section showing a transverse division of the shell.
FIG. 4 shows one longitudinal and a number of cross-sectional views of transversely and longitudinally divided porous shells of the shaft of the artificial endo-limb, with spacing elements inserted between shell divisions.
The invention is described according to a number of preferred embodiments. It will be understood by those in the art that the embodiments described are merely illustrative, and do not serve to limit the scope of the invention.
The artificial hip endo-limb of the present invention is a composite stiff isoelastic adaptable artificial endo-limb comprising an elastic metallic shaft 1 provided on top with a spherical joint. The shaft 1 is typically constructed of rustless steel, titanium or the like, and is provided on its circumference with a porous shell 2 in the shape of a sieve grid. The grid may have a multiplicity of grid and/or sieve layers, with porous chambers that may be chaotically arranged.
FIG. 1 shows an arrangement where the shell consists of an anticorrosive metal sieve, so that it can be elastically compressed. After introduction into the hollow of tight bone 3, the compressed shell generates a transverse pre-stress pressure, thus mechanically securing the shaft. The porous shell 2 can be divided transversely or longitudinally, and can be in one or more parts.
FIG. 2 shows a porous shell 2 of porous polyamide material. FIGS. 3 and 4 show a porous shell 2 of ceramic material. The shell is transversely divided, and in the embodiment of FIG. 4 is provided with grooves on its external surface. Also as shown in FIG. 4, the cross-section of a metal shaft 1 can be any suitable shape such as circular or oval. The shell can also be longitudinally divided, particularly in cases where no transverse division is provided. If the porous shell 2 is transversely divided, its individual parts can be fixed and stationary on shaft 1, or in the alternative, distancing and fixing elements 4 can be inserted between the parts. The spacing elements 4 can be made of any suitable material such as ceramics, metal, thermoplastic materials, or the like and the insertion of said spacing elements between the basic ceramic elements further improves the ability of scar tissue to grow between the basic ceramic elements which consequently improves the fixation of the stem in the bone cavity as well as allowing it to adapt the elasticity of the stem to the elasticity of the bone.
The present invention permits the use of ceramics, the most suitable material for use in producing a stem combination for an artificial hip endo-limb. However, the invention eliminates the heretofore most serious disadvantage of ceramics: the fragility of the endo-limb stem when subjected to a bending and torsional stress.
According to the invention, the shell may be firmly attached to the metallic shaft, i.e. by welding or via friction, in which case there is an imperceptible overhang. In an alternative embodiment, the shell may be loosly connected to the shaft, in which case the shell is affixed at the lower end, for example by means of an overlay on the end of the shank, and is held in place by pressure.
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|US4292695 *||25 Jun 1980||6 Oct 1981||Lord Corporation||Prosthesis stem|
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|Citing Patent||Filing date||Publication date||Applicant||Title|
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|US5370698 *||18 May 1993||6 Dec 1994||Clemson University||Isoelastic implants with improved anchorage means|
|US6443992 *||4 Apr 2001||3 Sep 2002||Philipp Lubinus||Milling tool for emptying the femoral medullary space and hip prosthesis to be inserted in the space created|
|US6770100 *||30 Jul 2001||3 Aug 2004||Klaus Draenert||Modular revision prosthesis|
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|US8506645||20 Sep 2010||13 Aug 2013||Zimmer, Inc.||Tibial augments for use with knee joint prostheses|
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|US9044326||14 Jan 2011||2 Jun 2015||Zimmer, Inc.||Femoral augments for use with knee joint prosthesis|
|US9132013 *||18 Dec 2013||15 Sep 2015||DePuy Synthes Products, Inc.||Dual modulus hip stem|
|US9265614||17 Jul 2013||23 Feb 2016||Zimmer, Inc.||Method of implanting the tibial augment|
|US20030157460 *||3 Apr 2001||21 Aug 2003||Jan Hall||Implant having attacment and hole-insert parts, and method for producing such an implant|
|US20030158554 *||3 Apr 2001||21 Aug 2003||Jan Hall||Implant provided with attachment and hole-insert parts, and a method for producing such an implant|
|US20040088056 *||4 Nov 2002||6 May 2004||Lewallen David G.||Prosthetic implant having segmented flexible stem|
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|US20080200990 *||1 May 2007||21 Aug 2008||Mctighe Timothy||Tissue sparing implant|
|US20140081418 *||20 Nov 2013||20 Mar 2014||Zimmer, LLC.||Prosthetic implant support structure|
|US20140107801 *||18 Dec 2013||17 Apr 2014||John M. Armacost||Dual modulus hip stem and method of making the same|
|USD684693||18 Jun 2013||Zimmer, Inc.||Prosthetic implant support structure|
|CN103120604A *||14 Dec 2012||29 May 2013||山东省文登市整骨科技开发有限公司||Implant artificial hip joint stem|
|CN103120605A *||14 Dec 2012||29 May 2013||山东省文登市整骨科技开发有限公司||Physiological type implant hip joint stem|
|DE19530531A1 *||19 Aug 1995||20 Feb 1997||Frank Dr Med Lampe||Prosthesis for hip joint|
|International Classification||A61F2/30, A61F2/36|
|Cooperative Classification||A61F2/30907, A61F2/3662, A61F2002/3082, A61F2002/3631|
|European Classification||A61F2/36D, A61F2/30L4|
|17 Feb 1987||AS||Assignment|
Owner name: CESKE VYSOKE UCENI TECHNICKE, PRAHA, CZECHOSLOVAKI
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNORS:PAVLANSKY, RUDOLF;PETRTYL, MIROSLAV;REEL/FRAME:004692/0685
Effective date: 19870106
|8 Jun 1993||REMI||Maintenance fee reminder mailed|
|7 Nov 1993||LAPS||Lapse for failure to pay maintenance fees|
|18 Jan 1994||FP||Expired due to failure to pay maintenance fee|
Effective date: 19891107