Anchored femoral dome

• US 4,976,740 A
• Filed: 07/14/1989
• Issued: 12/11/1990
• Est. Priority Date: 07/14/1989
• Status: Expired due to Fees

• Current Assignee: Jeffrey B. Kleiner
• Original Assignee: Jeffrey B. Kleiner
• Inventors: Kleiner, Jeffrey B.
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US07/380,141
• Time in Patent Office: 515 Days
• Field of Search: 623/16, 623/18, 623/20, 623/19, 623/22, 623/23, 128/924, 128/924 K, 128/924 W, 128/924 V, 128/924 T, 128/924 S, 128/924 P
• US Class Current: 623/23.14
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 17/742 having one or more longitudinal elements oriented along or parallel to the axis of the neck
• CPC Class Codes: A61B 17/8665 Nuts
• CPC Class Codes: A61B 17/8695 Washers surrounding screw head in plate hole A61B17/8047, between bone plate and bone A61B17/8028
• 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 2/3603 implanted without ablation of the whole natural femoral head endoprosthetic cartilage A61F2/30756
• CPC Class Codes: A61F 2/4607 of hip femoral endoprostheses
• CPC Class Codes: A61F 2002/30337 Inverted concave conical connections, e.g. for opposing disconnection
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/3621 pierced with a longitudinal bore
• CPC Class Codes: A61F 2002/4635 using minimally invasive surgery
• CPC Class Codes: A61F 2002/4681 by applying mechanical shocks, e.g. by hammering
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Abstract

A prosthetic implant for the head of a femur comprises a substantially hemispherical-shaped dome formed with a hole, and having a relatively flat surface, for abutting a sculpted femoral head having a channel prepared through the bone. A compression bolt is insertable through the hole in the dome and through the prepared channel, with the bolt having a first end engageable with the dome and a second end engageable with a nut and washer to hold the dome firmly in position on the femoral head. The hole in the dome is tapered, and the first end of the compression bolt is correspondingly tapered, for fixed engagement of the bolt with the dome. The dome may include anchoring spikes extending from the bottom surface for embedding the dome in the femoral head to secure the dome on the femoral head. In addition, the bottom surface of the dome is textured to prevent slipping, and skirts may also be provided to form a partial ball-shaped dome. A method is also disclosed for attaching the prosthetic implant to the head of the femur.

Claims

1. An implant, engageable with a sculpted femoral head having a prepared channel therethrough, for use as a body joint element which comprises:

a dome, shaped as a solid hemisphere, defining an outer hemispherical bearing surface terminating in a flat lower bone-engaging surface, said dome being formed with a hole, said flat surface of said dome for abutting against said femoral head, said flat surface being textured and having a plurality of spikes extending outwardly therefrom to hold said dome to said sculpted surface; and

an elongated compression bolt terminating at opposite first and second ends and insertable through said hole and through said prepared channel, said first end including engaging means for attachment to said dome, said second end adapted to be engageable with a fixation means coupled to said second end for holding said flat surface against said sculpted head.

2. An implant as recited in claim 1 wherein said hole in said dome is tapered and said first end of said compression bolt is complimentarily tapered for a fixed engagement of said bolt with said dome.

3. An implant as recited in claim 1 wherein said second end of said compression bolt is threaded and said engageable means comprises a washer having a hole for receiving said second end therethrough and a nut engageable with said second end for holding said washer against said femoral head opposite said dome.

4. An implant as recited in claim 1 further comprising a skirt, said flat surface defining a perimeter, said skirt extending circumferentially around said perimeter and extending distally from said flat surface to extend said dome beyond said hemispherical shape and form a partial ball-shaped dome.

5. A prosthetic extension for the head of a femur which comprises:

an elongated compression bolt terminating in opposite first and second ends, said bolt being adapted for insertion through a prepared channel in said femur with said first and second ends extending oppositely therefrom;

a dome shaped as a solid hemisphere defining an outer hemispherical-shaped bearing surface terminating in a flat lower bone-engaging surface, said flat surface of said dome being engageable with said first end to position said dome over said femoral head, said flat surface being textured, said flat surface also being formed with a plurality of spikes extending outwardly from said flat surface, said spikes being embedable in said head of said femur to hold said dome on said head, said first end of said bolt including engaging means for attachment to said dome, said second end adapted to be engageable with a fixation means coupled to said second end for holding said flat surface against said sculpted surface.

6. A prosthetic extension as recited in claim 5 wherein said dome is formed with a tapered hole and said first end of said bolt is complimentarily tapered for a fixed engagement of said bolt with said dome.

7. A prosthetic extension as recited in claim 5 wherein said second end of said compression bolt is threaded and said engaging means comprises a washer having a hole for receiving said second end therethrough and a nut engageable with said second end for holding said washer against said femoral head opposite said dome.

8. A prosthetic extension as recited in claim 5 wherein said dome is made of a material selected from the group comprising cobalt-chromium and titanium.

9. A prosthetic extension as recited in claim 8, wherein said compression bolt and said engageable means are made of a material selected from the group comprising stainless steel and titanium.

10. A method for attaching a prosthetic extension to the femur which comprises the steps of:

preparing a channel through the femur, said channel being oriented with an exit on the femoral head;

sculpting the head of the femur to form an abutment substantially centered on said channel;

engaging a dome shaped as a solid hemisphere defining an outer hemispherical bearing surface terminating in a flat lower bone-engaging surface with an elongated bolt having a first end and a second end to fixedly hold said dome on said first end;

mounting a plurality of spikes on said flat surface of said dome;

impacting said dome to embed said spikes in said femoral head for securing said dome to said femoral head;

inserting said bolt through said channel to position the flat surface of said dome over said sculpted femoral head; and

engaging an attachment with said second end to hold said dome into fixed engagement with said femoral head.

11. A method for attaching a prosthetic extension to the femur as recited in claim 10 further comprising the step of tightening said attachment to said bolt to draw said dome toward said femoral head and fixedly hold said dome on said femoral head.

12. A method for attaching a prosthetic extension to the femur as recited in claim 10 further comprising the step of forming said bolt, said dome and said attachment from stainless steel.