Surgically implanted prosthesis

• US 4,871,367 A
• Filed: 09/03/1987
• Issued: 10/03/1989
• Est. Priority Date: 09/03/1987
• Status: Expired due to Fees

• Current Assignee: Avanta Orthopaedics, Inc.
• Original Assignee: Sutter Bio-Medical Incorporated
• Inventors: Christensen, James M., Westerfield, David A.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Isabella, David J.
• Application Number:
  US07/092,415
• Time in Patent Office: 761 Days
• Field of Search: 623/21, 623/18, 623/20
• US Class Current: 623/21.15
• CPC Class Codes: A61F 2/4241 for hands, e.g. fingers
• CPC Class Codes: A61F 2002/30154 square
• CPC Class Codes: A61F 2002/30176 V-shaped
• CPC Class Codes: A61F 2002/30273 pyramidal
• CPC Class Codes: A61F 2002/30276 frustopyramidal
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/3082 Grooves
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/4251 for metacarpo-phalangeal joints, i.e. MCP or MP joints, e.g. knuckle joints
• CPC Class Codes: A61F 2230/0021 square
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0086 Pyramidal, tetrahedral, or wedge-shaped

Abstract

A surgically implantable prosthesis for replacing a bone joint, specifically the knuckle, of an individual is disclosed herein. The prosthesis includes a one-piece main body of flexible, inert material including first and second spaced apart end sections and a narrower web extending between and joining the sections together for flexing movement about a particular flexing axis through the web, whereby the main body functions as a hinge. First and second elongated stems connected to and extend out from these end sections in directions normal to the flexing axis and away from one another. In accordance with one feature of the prosthesis disclosed herein, a specific one of the stems is laterally offset in a specific way with respect to the flexing axis. In accordance with another feature, the end sections and web of the main body together define the key-hole shaped groove across one side of the web between the end sections.

Claims

1. A surgically implantable prosthesis for replacing a knuckle joint, comprising:

(a) a one-piece main body of flexible inert material including first and seoncd spaced-apart end sections and a narrower web extending between and joining said end sections together for flexing movement about a particular flexing axis through the web, whereby the main body functions as a hinge, said end sections and said web together defining a key-hole shaped groove across one side said web between said end sections, said groove including a lowermost through-hole segment having a circular cross-section defining the top of the web and a generally v-shaped segment extending up from and opening into said through-hole between said end sections; and

(b) first and second stems connected to and extending out from the first and second end sections of said main body in directions normal to said flexing axis and away from one another, said first and second stems being implantable within cooperating intramedullary canals of adjacent metacarpal and proximal phalanx bones, respectively, defining said knuckle joint.

2. A prosthesis according to claim 1 wherein said end sections and web of said main body together define a generally V-shaped groove across the side of said web opposite said key-hole shaped groove and between said end sections.

3. A prosthesis according to claim 1 wherein;

said first stem being positioned with respect to said main body such that the flexing axis of said web is laterally offset to the palmar side of the elongation axis of said first stem.

4. A prosthesis according to claim 1 wherein said end sections of said main body are wider and thicker than the width and thickness of said stems in the area where the stems are connected to said end sections.

5. A prosthesis according to claim 4 wherein said web is equal in thickness to said end sections of said main body.

6. A prosthesis according to claim 5 wherein said end sections and web of said main body together define a generally V-shaped groove across the side of said web opposite said key-hole shaped groove and between said end sections.

7. A prosthesis according to claim 1 wherein said second stem is positioned with respect to said main body such that its axis of elongation is in the same plane as said flexing axis.

8. A one-piece surgically implantable prosthesis of flexible inert material for replacing a bone joint formed by adjacent first and second bones, the latter of which is intended to move back and forth in a vertical plane primarily below a second horizontal plane through said first bone, comprising:

(a) a main body including first and second spaced-apart end sections and a narrower web extending between and joining said end sections together for flexing movement about a particular flexing axis through the web, whereby the main body functions as a hinge, said end sections and said web together defining a key-hole shaped groove across one side of the web between said end sections, said groove including a lowermost through-hole segment having a circular cross-section defining the top of the web and a generally V-shaped segment extending up from and opening into said through-hole defining said end section; and

(b) first and second elongated stems connected to and extending out from the first and second end sections of said main body in directions normal to said flexing axis and away from one another, and implantable within cooperating intramedullary canals of said adjacent first and second bones respectively, defining said bone joint, said first stem being positioned with respect to said main body such that its axis of elongation is laterally offset to above the flexing axis of said web in a way which located said flexing axis below said horizontal plane.

9. A prosthesis according to claim 8 wherein said end sections of main body are wider and thicker than the width and thickness of said stems in the area where the stems are connected to said end sections.

10. A prosthesis according to claim 9 wherein said web is equal in thickness to said end sections of said main body.

11. A prosthesis according to claim 8 wherein said end sections and web of said main body together define a generally V-shaped groove across the side of said web opposite said key-hole shaped groove and between said end sections.

12. A prosthesis according to claim 11 wherein said web is equal in thickness to said end sections of said main body.