Hip stem provisional having adjustable neck offsets

• US 5,645,607 A
• Filed: 03/02/1995
• Issued: 07/08/1997
• Est. Priority Date: 03/02/1995
• Status: Expired due to Term

• Current Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Hickey, Paul Francis
• Primary Examiner(s): JONES, MARYBETH O
• Application Number:
  US08/399,107
• Time in Patent Office: 859 Days
• Field of Search: 623/16, 623/18, 623/19, 623/21, 623/22, 623/23
• US Class Current: 623/23.35
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61F 2/3609 Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts A61F2/3601 takes precedence
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• 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 2002/30494 Cooperating protrusions and recesses, e.g. radial serrations, located on abutting end surfaces of a longitudinal connection
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/30553 for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30566 Helical springs
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/3241 having a ring, e.g. for locking the femoral head into the acetabular cup
• CPC Class Codes: A61F 2002/3625 Necks
• CPC Class Codes: A61F 2002/3631 with an integral complete or partial peripheral collar or bearing shoulder at its base
• CPC Class Codes: A61F 2002/365 Connections of heads to necks
• CPC Class Codes: A61F 2002/3652 Connections of necks to shafts
• 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 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2250/0008 : for adjusting a position by translation along an axis or two perpendicular axes

Abstract

A hip stem provisional 10 having adjustable neck offsets is disclosed. Hip stem provisional 10 includes a stem part 12 and an attachable cone provisional 20. Cone provisional 20 includes a base 30 and a neck 40 shiftably connected to the base. Base 30 has a mounting surface 36 upon which neck 40 is shiftably seated. Neck 40 can be positioned along the length of mounting surface 36 at a plurality of discrete positions. In one embodiment of cone provisional 20, base 30 has an arcuate mounting surface 36, which allows neck 40 to be positioned along the length of the mounting surface at a plurality of discrete positions, each having a different neck offset and neck angle. In a second embodiment of the cone provisional 60, the base 70 has a flat mounting surface 76, which allows the neck 80 to be positioned along the length of the mounting surface at a plurality of discrete positions, each having a different neck offset, but having a fixed neck angle.

Claims

1. A hip stem provisional comprising:

.

a base part located on said stem provisional and including an elongated mounting surface,

a neck part extending outwardly from said base part, and

means for shiftably connecting said neck part to said base part for shiftable movement along said mounting surface between a first position and second position to provide at least two different selectable discrete neck offsets, and wherein said neck part is nonrotatably, shiftably connected to said base part along said mounting surface at a first angular orientation when said neck part is in its said first position and at a second angular orientation, different from said first angular orientation, when said neck part is in its said second position.

2. The provisional of claim 1 wherein said mounting surface is arcuate.

3. A hip stem provisional comprising:

a base part located on said stem provisional and including an elongated mounting surface,

a neck part extending outwardly from said base part, and

means for shiftably connecting said neck part to said base part for shiftable movement along said mounting surface between a first position and second position to provide at least two different selectable discrete neck offsets, and wherein said connecting means includes a rod part having one end interconnected to said base part and the other end connected to said neck part to permit transverse movement of said neck part along said mounting surface between its said first position and said second position.

4. The provisional of claim 3 wherein said base part has a slot defined longitudinally in said mounting surface, said rod one end is pivotally connected to said base within said slot for radial movement along the length of said slot.

5. The cone provisional of claim 3 wherein said neck part is connected to said other rod end for extensible movement about said other rod end toward and away from said mounting surface, said connecting means also includes spring means for holding said neck surface against said mounting face.

6. The provisional of claim 3 wherein the base part which is located on the stem provisional is separately formed from the stem provisional, and is connectable thereto.

7. The provisional of claim 6 wherein said neck part is shiftably connected to said base part along said mounting surface at a constant angular orientation with respect to said base part at each said first and second positions.

8. The provisional of claim 7 wherein said mounting surface is substantially planar.

9. A hip stem provisional comprising:

a base part located on said stem provisional and including an elongated mounting surface,

a neck part extending outwardly from said base part, and

means for shiftably connecting said neck part to said base part for shiftable movement along said mounting surface between a first position and second position to provide at least two different selectable discrete neck offsets, and wherein said mounting surface has at least two channels defined therein, said neck part has a surface overlying said mounting surface, said neck surface includes a flange selectively seated within one of said channels to secure said neck part to said base part in one of said first position and said second position.

10. A modular hip joint prosthesis comprising:

a stem part having a longitudinal axis and terminating in opposite proximal and distal ends, said proximal end having an elongated mounting surface,

a neck part extending outwardly from said stem proximal end, and

means for shiftably connecting said neck part to said base part for shiftable movement along said mounting surface between a first position and second position to provide at least two different selectable discrete neck offsets, and wherein said neck part is nonrotatably, shiftably connected to said base part along said mounting surface at a first angular orientation when said neck part is in its said first position and at a second angular orientation, different from said first angular orientation, when said neck part is in its said second position.

11. The prosthesis of claim 10 wherein said mounting surface is arcuate.

12. A modular hip joint prosthesis comprising:

a stem part having a longitudinal axis and terminating in opposite proximal and distal ends, said proximal end having an elongated mounting surface,

a neck part extending outwardly from said stem proximal end, and

means for shiftably connecting said neck part to said base part for shiftable movement along said mounting surface between a first position and second position to provide at least two different selectable discrete neck offsets, and wherein said connecting means includes a rod part having one end interconnected to said base part and the other end connected to said neck part to permit transverse movement of said neck part along said mounting surface between its said first position and said second position.

13. The prosthesis of claim 12 wherein said base part has a slot defined longitudinally in said mounting surface, said rod one end is pivotally connected to said base within said slot for radial movement along the length of said slot.

14. The prosthesis of claim 12 wherein said neck part is connected to said other rod end for extensible movement about said other rod end toward and away from said mounting surface, said connecting means also includes spring means for holding said neck surface against said mounting face.

15. A modular hip joint prosthesis comprising:

a stem part having a longitudinal axis and terminating in opposite proximal and distal ends, said proximal end having an elongated mounting surface,

a neck part extending outwardly from said stem proximal end, and

means for shiftably connecting said neck part to said base part for shiftable movement along said mounting surface between a first position and second position to provide at least two different selectable discrete neck offsets, and wherein said mounting surface has at least two channels defined therein, said neck part has a surface overlying said mounting surface, said neck surface includes a flange selectively seated within one of said channels to secure said neck part to said base part in one of said first position and said second position.

16. The prosthesis of claim 15 wherein said neck part is shiftably connected to said base part along said mounting surface at a constant angular orientation with respect to said base part at each said first and second positions.

17. The prosthesis of claim 16 wherein said mounting surface is substantially planar.