Attachment mechanism for securing an additional portion to an implant

• US 5,080,674 A
• Filed: 09/20/1990
• Issued: 01/14/1992
• Est. Priority Date: 09/08/1988
• Status: Expired due to Term

• Current Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Shetty, H. Ravindranath, Jacobs, Carl H.
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US07/587,489
• Time in Patent Office: 481 Days
• Field of Search: 623/20, 623/18
• US Class Current: 623/20.17
• CPC Class Codes: A61F 2/30734 Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
• CPC Class Codes: A61F 2/30907 Nets or sleeves applied to surface of prostheses or in cement
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30477 using sharp protrusions, e.g. spikes, for anchoring into connecting prosthetic part
• CPC Class Codes: A61F 2002/30736 Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
• 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

Abstract

A prosthetic implant including a base portion and an additional portion which is to be securely attached to the base portion. The additional portion includes at least one post extending therefrom which is adapted to be readily received in a corresponding reverse tapered hole in the base portion. The post is adapted to be mechanically spread out to cause at least a portion of the post to become wider than the opening of the hole, thus resisting subsequent separation of the post from the hole. This secures the additional portion to the base portion of the implant. The post may be a stud-type extension integrally formed with or secured to the additional portion, or the post may be a separate member which is received in a post hole in the additional portion such that the post portion of the separate member extends from the additional portion. The post may be solid or may have a channel therethrough. The additional portion may include a substrate with a porous surface bonded or secured thereto.

Claims

1. A prosthetic implant comprising a first base portion including a receiving surface and a second additional portion which is to be securely attached to the receiving surface, and wherein the receiving surface includes a plurality of holes therein, each hole extending into said first base member and terminating at a bottom surface, and each hole comprising a narrow portion and a widened portion, said widened portion being wider than the narrow portion and said widened portion being closer to the bottom surface than the narrow portion, and wherein the additional portion comprises a substrate with a first surface and a second surface with a plurality of corresponding posts extending from the first surface, with each corresponding post adapted to be received in one of the holes on the receiving surface, each hole including a protruding member therein extending from the bottom surface for being urged into each corresponding post such that upon insertion of each corresponding post into each respective hole, each post is spread out to cause at least a portion of the post to spread into the widened portion to become wider than the narrow portion of each respective hole, thus resisting subsequent separation of each corresponding post from each respective hole to secure the second additional portion to the first base portion of the implant, and wherein the additional portion further includes a porous surface on the second surface of the substrate.

3. The prosthetic implant of claim 1 wherein the substrate includes a plurality of corresponding post holes therethrough, and wherein the plurality of posts are adapted to be received in the corresponding post holes and wherein each post includes an enlarged head which is seated in the substrate and wherein the porous surface is adapted to conceal each head when the porous layer is secured to the substrate.

4. The prosthetic implant of claim 1 wherein the base portion is formed of one metallic material and the substrate and porous surface are each formed of a metallic material different from the one metallic material.

5. The prosthetic implant of claim 4 wherein the base portion is formed of a cobalt-chrome material and the substrate and porous surface are each formed of a titanium material or alloy.

6. The prosthetic implant of claim 1 wherein the protruding member is a pointed cone shape such that the point of the cone is adapted to enter the corresponding post upon insertion of the corresponding post into each respective hole and upon impaction of the corresponding post onto the respective protruding member.

7. The prosthetic implant of claim 1 wherein each post is integrally formed with the substrate.

8. The prosthetic implant of claim 1 wherein each post is a solid stud.

9. The prosthetic implant of claim 1 wherein each post is a hollow post.

10. The prosthetic implant of claim 1 wherein the additional portion includes a plurality of corresponding post holes therethrough, and wherein the plurality of posts are adapted to be received in the corresponding post holes.

11. The prosthetic implant of claim 10 wherein each post is a solid post.

12. The prosthetic implant of claim 10 wherein each post includes a channel therein.

13. The prosthetic implant of claim 1 wherein the receiving surface of the base portion is a recess for accepting the additional portion.

14. The prosthetic implant of claim 1 wherein the additional portion is comprised of an integrally formed, single substrate.

15. The prosthetic implant of claim 1 wherein the base portion is formed of one metallic material and the substrate is formed of a different metallic material.

2. A prosthetic implant comprising a base portion including a receiving surface and an additional portion which is to be securely attached to the receiving surface, the additional portion including an interfacing surface and a surface opposite the interfacing surface, and wherein one of the two of the receiving surface and the interfacing surface includes a plurality of holes therein and the other of the two surfaces includes a plurality of corresponding posts extending therefrom, the plurality of holes each terminating at a bottom surface, and each hole comprising a narrow portion and a widened portion, said widened portion being wider than the narrow portion and said widened portion being closer to the bottom surface than the narrow portion, each corresponding post adapted to be received in each respective hole, each hole including a protruding member therein extending from the bottom surface for being urged into each corresponding post such that upon insertion of each corresponding post into each respective hole each post is spread out to cause at least a portion of the post to spread into the widened portion to become wider than the narrow portion of each respective hole, thus resisting subsequent separation of each corresponding post from each respective hole to secure the additional portion to the base portion of the implant, and wherein the additional portion further includes a porous surface on the surface opposite the interfacing surface.

16. A prosthetic implant comprising a first base portion including a receiving surface and a second additional portion which is to be securely attached to the receiving surface, and wherein the receiving surface includes a plurality of holes therein extending into said first base member, each of said holes terminating at a bottom surface, and comprising a narrow portion and a widened portion, said widened portion being wider than the narrow portion and said widened portion being closer to the bottom surface than the narrow portion, and wherein the additional portion comprises a substrate with a first surface and a second surface, and wherein the additional portion comprises multiple separate segments, each segment including at least one post extending from said first surface and wherein the receiving surface of the base portion is comprised of multiple planes having different orientations, such that each plane includes a corresponding hole for each at least one post for insertion of the post therein, the at least one post adapted to be received in said corresponding hole, said corresponding hole including a protruding member therein extending from the bottom surface for being urged into the at least one post such that upon insertion of the at least one post into said corresponding hole, the post is spread out to cause at least a portion of the post to spread into the widened portion to become wider than the narrow portion of said corresponding hole, thus resisting subsequent separation of the at least one post from said corresponding hole to secure the second additional portion to the first base portion of the implant.

17. A prosthetic implant comprising a first base portion including a receiving surface and a second additional portion which is to be securely attached to the receiving surface, and wherein the receiving surface includes at least one hole therein extending into said first base member and terminating at a bottom surface, the at least one hole comprising a narrow portion and a widened portion, said widened portion being wider than the narrow portion and said widened portion being closer to the bottom surface than the narrow portion, and wherein the additional portion comprises a substrate with a first surface and a second surface with at least one post extending from the first surface, the at least one post adapted to be received in the at least one hole, the at least one hole including a protruding member therein extending from the bottom surface for being urged into the at least one post such that upon insertion of the at least one post into the at least one hole, the post is spread out to cause at least a portion of the post to spread into the widened portion to become wider than the narrow portion of the at least one hole, thus resisting subsequent separation of the at least one post from the at least one hole to secure the second additional portion to the first base portion of the implant, wherein the substrate comprises a porous layer with the at least one post extending from the porous layer.