Endoprosthetic bone joint devices

• US 4,532,660 A
• Filed: 05/17/1983
• Issued: 08/06/1985
• Est. Priority Date: 05/17/1982
• Status: Expired due to Term

• Current Assignee: British Technology Group Ltd.
• Original Assignee: National Research Development Corporation
• Inventors: Field, Richard E.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Isabella, David J.
• Application Number:
  US06/495,553
• Time in Patent Office: 812 Days
• Field of Search: 128/92 C, 128/92 CA, 128/92 B, 128/92 BA, 128/92 BB, 3/1.91, 3/1.912, 3/1.913, 3/1.911
• US Class Current: 623/23.42
• CPC Class Codes: A61B 17/842 Flexible wires, bands or straps A61B17/72, A61B17/82, A61B17/86 take precedence
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• CPC Class Codes: A61F 2/3601 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 non-prosthetic internal fixation devices for the femoral head or neck A61B17/74
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2821 Bone stimulation by electromagnetic fields or electric current for enhancing ossification
• CPC Class Codes: A61F 2002/30118 concentric circles
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30367 with additional means for preventing said rotation
• CPC Class Codes: A61F 2002/30403 Longitudinally-oriented cooperating ribs and grooves on mating lateral surfaces of a mainly longitudinal connection
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/3079 Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30886 externally-threaded
• CPC Class Codes: A61F 2002/3611 Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2002/3625 Necks
• CPC Class Codes: A61F 2002/3647 pierced with a longitudinal bore
• CPC Class Codes: A61F 2002/365 Connections of heads to necks
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0075 : sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures

Abstract

An endoprosthetic bone joint device is secured by filamentary elements driven therethrough into penetrating engagement with bone. These elements will normally exhibit transverse flexibility; they preferably have elastic modulus similar to bone; they can be roughened or barbed for added securement; they can carry material of negative electrochemical potential relative to other parts of the device to induce bone growth intimately therewith; and they can carry material otherwise beneficial to bone growth. The device preferably also has a radiating multi-directional flange formation to engage a corresponding formation cut in the bone.

Claims

1. An endoprosthetic bone joint device comprising:

a first part defining a support surface to engage a complementery surface of a bone of said joint, said first part having a plurality of longitudinal transverse passageways extending completely through said support surface;

a second part defining an articulation surface for said joint, said second part being connectable with said first part remotely from said support surface;

and a multiplicity of transversely flexible filamentary elements, each said element having a diameter in the range 0.25 to 2.0 mm and a length of at leas 3 cm, and each said element having an enlargement at one end thereof captively located between said first and second parts with the remainder of such element passing through a respective one of said passageways to project from said support surface into said bone thereby anchoring said bone joint device to said complementary surface of said joint.

2. A device according to claim 1 wherein said elements number from five to thirty, and each have a thickness in the range of 0.25 to 2.0 mm and a length in the range 3 to 15 cm.

3. A device according to claim 1 wherein said first part has a flange formation projecting from said surface to a lesser order of distance than said elements, said formation including a plurality of flange portions radiating from a central region of said support surfaces towards the periphery thereof.

4. A device according to claim 3 wherein said flange formation comprises an annular portion extending around the periphery of said support surface.

5. A device according to claim 1 wherein said first and second parts have respective mutually-complementary interface surfaces engaged in the connection of said parts, said first part interface surface having said passageways each formed with a countersunk end and located therein, and said second part interface surface having a plurality of recesses therein superposed with said countersunk ends to locate captively said element enlargements.

6. A device according to claim 1 wherein:

said first part includes a plate form portion having one major face thereof defining said support surface, and an opposed major face from which a shaft projects; and

said second part is of two-part construction including a first sub-part of annular form non-rotatably connected around said shaft, and a second sub-part defining said articulatory surface and connected with said first sub-part adjacent the free end of said shaft.

7. A device according to claim 1 wherein said support and articulatory surfaces are each convexly spherically shaped on a common spherical center.

8. A device according to claim 1 wherein each said element has a roughened surface to act against removal when penetrated into bone.

9. A device according to claim 1 wherein each said element carries a material active as a bone growth medium in intimate contact with bone.

10. A device according to claim 1 wherein each said element incorporates material having a negative electrochemical potential with respect to other parts of the device.

11. An endoprosthetic bone joint device comprising:

a first part defining a support surface to engage a complementary surface of a bone of said joint, said first part having a plurality of longitudinal transverse passageways extending completely through said support surface and each said passageway being countersunk at its end remote from said support surface;

a second part defining an articulation surface for said joint, said second part being connected to said first part to cover each said passageway countersunk end;

and a multiplicity of transversely flexible filamentary elements numbering at least five, each said element having a diameter in the range 0.25 to 2.0 mm and a length of at least about 3 cm, and each said element having an enlargement at one end thereof captively located in one of said countersunk passageway end between said first and second parts with the remainder of such element passing through a respective passageway to project from said support surface into said bone thereby anchoring said bone joint device to said complementary surface of said joint.

12. The method of using an endoprosthetic bone joint device, which device comprises:

a base body part defining a support surface;

an outer body part defining an articulatory surface; and

a multiplicity of transversely flexible filamentary elements each having an enlargement at one end;

and which method comprises;

shaping the articular end of a bone of said joint to receive said base body part as a close fit by way of said support surface;

locating said base body party in said close fit;

driving said elements, with said enlargements trailing, maximally through said base body part to penetrate said shaped bone while varyingly orientating said elements to follow the general trabecullar pattern in said bone; and

thereafter connecting said outer body part with said base body part to locate said element enlargements captively therebetween.