Joint surface replacement system

• US 5,683,466 A
• Filed: 03/26/1996
• Issued: 11/04/1997
• Est. Priority Date: 03/26/1996
• Status: Expired due to Term

• Current Assignee: Glenn C. Vitale
• Original Assignee: Glenn C. Vitale
• Inventors: Vitale, Glenn C.
• Primary Examiner(s): ISABELLA, DAVID J
• Application Number:
  US08/622,031
• Time in Patent Office: 588 Days
• Field of Search: 623/16, 623/18, 623/20, 623/22, 623/23, 606/72, 606/75
• US Class Current: 623/21.15
• CPC Class Codes: A61F 2/30756 Cartilage endoprostheses A61F2/3603 takes precedence
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• 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 2/4003 Replacing only the epiphyseal or metaphyseal parts of the humerus, i.e. endoprosthesis not comprising an entire humeral shaft replacing only the epiphyseal or metaphyseal parts of the femur A61F2/3601
• CPC Class Codes: A61F 2/4225 for feet, e.g. toes
• CPC Class Codes: A61F 2/4241 for hands, e.g. fingers
• CPC Class Codes: A61F 2/4606 of wrists or ankles; of hands, e.g. fingers; of feet, e.g. toes
• CPC Class Codes: A61F 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30214 having tapered sections of different conicities
• CPC Class Codes: A61F 2002/30324 differing in thickness
• CPC Class Codes: A61F 2002/30326 differing in height or in length
• CPC Class Codes: A61F 2002/30652 Special cut-outs, e.g. flat or grooved cut-outs
• CPC Class Codes: A61F 2002/3066 having a central non-conforming area surrounded by a peripheral annular conforming area
• CPC Class Codes: A61F 2002/30685 Means for reducing or preventing the generation of wear particulates
• CPC Class Codes: A61F 2002/30795 Blind bores, e.g. of circular cross-section
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30894 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30934 Special articulating surfaces
• CPC Class Codes: A61F 2002/30937 with cut-outs
• CPC Class Codes: A61F 2002/4233 : for metatarso-phalangeal joints, i.e. MTP joints
• CPC Class Codes: A61F 2002/4619 : for extraction
• CPC Class Codes: A61F 2230/0017 : Angular shapes
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2250/0036 : differing in thickness
• CPC Class Codes: A61F 2250/0037 : differing in height or in length
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• 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

The present invention relates to an articular joint replacement system. The system has first and second components. Each component has a tapered head piece for covering the end of a bone and for acting as an articular surface, an integrally formed screw stem having a length sufficient to extend into the medullary canal, and inwardly angled bone grips affixed to the underside of the head piece to allow solid fixation to the bone by compression press fit. The head piece of the first component is provided with a shaped exterior surface which complements the shaped exterior surface of the head piece of the second component and which allows motion in three planes.

Claims

1. An articular surface replacement system comprising:

a first component implanted into a first bone;

said first component having a partially spherical head piece dimensioned to cover an end of said first bone;

said first component having an integral, centrally located screw means for joining said first component to said bone, said screw means being affixed to an interior surface of said head piece and having a tapered threaded portion for allowing said first component to be anchored to the first bone;

said first component further having means for gripping said end of said bone and for allowing solid fixation by a compression press fit, said bone gripping means being integrally formed with said head piece and being radially spaced from the center of said head piece.

2. The system of claim 1 wherein said screw means has a non-threaded head portion adjacent said tapered threaded portion and said tapered threaded portion has a length sufficient to extend through intact sub-chondral bone and into the medullary canal in said first bone.

3. The system of claim 1 wherein said bone gripping means comprises a plurality of inwardly angled, radially spaced bone grips affixed to an interior surface of said head piece, each of said bone grips being located within the inner two-thirds of said bone and each of said bone grips having a coarsely finished surface which abuts said bone and which allows for ingrowth of said bone to further solidify fixation to the bone.

4. The system of claim 1 wherein said bone gripping means comprises at least three, tapered pin-shaped bone grips spaced about said interior surface of said head piece, said bone grips being equi-spaced from the center of said head piece and being angled inwardly toward an axis which passes through the center of said head piece.

5. The system of claim 1 wherein the head piece has an outer surface which forms a cartilaginous spherical articular surface and a coarsely finished interior surface for promoting boney ingrowth and thereby facilitating fixation.

6. The system of claim 1 wherein the head piece is tapered and is formed by an exterior surface having a radius of curvature different from a radius of curvature of an interior surface.

7. The system of claim 1 wherein said first component is formed from a material selected from the group consisting of titanium, a titanium alloy, stainless steel and a chromium alloy.

8. The system of claim 1 wherein said head piece has an outer surface covered by a ceramic material.

9. The system of claim 1 further comprising a second component implanted into a second bone, said second component having a partially spherically shaped head piece dimensioned to cover an end of said second bone, said head piece having an exterior surface shaped to mate with an exterior surface of said head piece of said first component and an interior surface which conforms to the shape of the end of said second bone.

10. The system of claim 9 wherein said head piece of said second component is concavely shaped and said head piece of said first component is convexly shaped so as to facilitate movement in three planes.

11. The system of claim 9 wherein said head piece of said second component has a tapered shape formed by said exterior surface having a radius of curvature and by an interior surface having a radius of curvature different from that of said exterior surface.

12. The system of claim 9 wherein said second component has a screw integrally formed with said head piece, said screw having a tapered threaded portion, and said tapered threaded portion having a length sufficient to extend through intact sub-chondral bone and into the medullary canal.

13. The system of claim 9 wherein said second component has means for gripping said second bone and for allowing solid fixation by a compression press fit.

14. The system of claim 13 wherein said bone gripping means comprises a plurality of radially spaced, pin-shaped bone grips affixed to an interior surface of said head piece, each of said bone grips being equally spaced from the center of said head piece and angled inwardly toward an axis which passes through the center of said head piece.

15. The system of claim 9 wherein said second component is formed from a material selected from the group consisting of titanium, titanium alloy, stainless steel and a chromium alloy.

16. The system of claim 9 wherein the head piece of said second component is covered by a ceramic material.

17. The system of claim 3 wherein said bone grips are designed to have a thread angle identical to a thread angle of said tapered threaded portion.

18. The system of claim 1 wherein said head piece has an outer surface covered by a high density polyethylene.

19. The system of claim 1 wherein said head piece, screw means and bone gripping means form a uni-body structure.

20. The system of claim 9 wherein the head piece of said second component is covered by a high density polyethylene material.

21. The system of claim 9 further comprising:

each of said head pieces having a centrally located bore for receiving a tool for inserting said components into and for removing said components from respective ones of said first and second bones without any destruction or resection of bone of any nature.

23. The system of claim 1 further comprising:

said head piece of said first component covering only worn end areas of said first bone.

22. An articular surface replacement system comprising:

a first component to be inserted into a pre-drilled hole in a first bone;

a second component to be inserted into a pre-drilled hole in a second bone;

each of said first and second components comprising a uni-body construction having a head piece dimensioned to cover only an end of one of said first and second bones, an integrally formed centrally located screw having a tapered threaded portion for insertion into one of said pre-drilled holes in said first and second bones, and integrally formed inwardly angled, radially spaced, pin-shaped bone grips which penetrate into said end of one of first and second bones to anchor said respective one of said first and second components thereto; and

said head piece of said first component having an arcuate shape and said head piece of said second component having a mating arcuate shape so that said components form a joint and permit motion in three planes.

24. The articular surface replacement system of claim 22 further comprising:

said head piece of at least one of said first and second components covering only worn end areas of a respective one of said first and second bones.