Hip joint prosthesis

• US 5,741,262 A
• Filed: 06/06/1995
• Issued: 04/21/1998
• Est. Priority Date: 02/28/1992
• Status: Expired due to Term

• Current Assignee: Astra AB (Astrazeneca PLC)
• Original Assignee: Astra AB (Astrazeneca PLC)
• Inventors: Wennberg, Stig, Jacobsson, Magnus, Carlsson, Lars, Rostlund, Tord, Albrektsson, Bjorn
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/473,564
• Time in Patent Office: 1,050 Days
• Field of Search: 606/89, 606/86, 606/96, 606/80, 606/79, 623/18, 623/22, 623/23
• US Class Current: 606/80
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 17/746 the longitudinal elements coupled to a plate opposite the femoral head
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• 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 2/3609 Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts A61F2/3601 takes precedence
• CPC Class Codes: A61F 2002/30233 Stepped cylinders, i.e. having discrete diameter changes
• CPC Class Codes: A61F 2002/30327 differing in diameter
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30708 Means for distinguishing between left-sided and right-sided devices, Sets comprising both left-sided and right-sided prosthetic parts
• CPC Class Codes: A61F 2002/30797 internally-threaded
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30863 the entry end surface having flutes, relief grooves, starter notches or bevelled indentations
• 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 2002/369 Stepped shaft, i.e. having discrete diameter changes
• CPC Class Codes: A61F 2002/4635 using minimally invasive surgery
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• 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 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2250/0084 : Means for distinguishing between left-sided and right-sided devices; Sets comprising both left-sided and right-sided prosthetic parts
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

The invention relates to a hip joint prosthesis comprising an attachment part for a ball unit (18) being designed to be anchored in the neck of a human femur (collum femoris), said attachment part, which is intended to be inserted into a channel (5, 14) extending through the femoral collum, being provided with parts for carrying a ball or caput (18) intended to be attached to the collum after removal of the head of the collum. The attachment part also comprises a fixture part comprising two main parts, a first part (1) which is to extend through a bore-hole (5) from the collum femoris towards the outer side of the femur and a second part (2) intended to fit into a cylindrical cavity cut into the cancellous bone of the collum.

Claims

1. A method for permanent anchoring of a fixture for a hip joint prosthesis in the neck of a human femur comprising the steps of:

resecting the head of the femur to expose a section of the femur neck,

drilling into the femur neck through the exposed femur neck section in a predetermined forward direction towards a position below the greater trochanter to form a cylindrical bore in the femur neck which extends in the predetermined forward direction and which is stepped into a rearward portion of a first diameter having an open end in the exposed femur neck section and a coaxial forward portion of a second diameter less than the first diameter extending forwardly from the rearward portion,

providing a fixture having a cylindrical anchoring portion of stepped screw threaded outer surface profile and diameters corresponding essentially to those of the bore, and

anchoring the fixture in the femur neck by inserting the cylindrical anchoring portion of the fixture into the bore by translation of the fixture in the predetermined forward direction.

2. A method according to claim 1, wherein the first diameter of the rearward portion of the bore is so selected that cortical bone from the outer peripheral layer of cortical bone in the femur is presented in the boundary wall of the rearward portion of the bore for screw threads on the outer surface of the cylindrical anchoring portion of the fixture to register in.

3. A method according to claim 2, wherein the first diameter of the rearward portion of the bore is so selected that the circumference of the rearward portion of the bore contacts the outer peripheral layer of cortical bone in the femur in at least three circumferentially spaced locations.

4. A method according to claim 1, wherein the bore is formed by drilling a first bore having the second diameter in the predetermined forward direction through the exposed femur neck section into the femur neck towards a position below the greater trochanter and then drilling a second bore having the first diameter in the predetermined forward direction through the exposed femur neck section coaxially with the first bore to a position between the exposed femur neck section and the forward end of the first bore.

5. A method according to claim 4, wherein the second bore is formed by providing a drill having a cylindrical forward guide section of essentially the second diameter and a coaxial rearward drill section for drilling the second bore, inserting the guide section of the drill into the open end of the first bore in the exposed femur neck section and translating the drill in the predetermined forward direction under the guiding action of the guide section until the drill section of the drill reaches the position between the exposed femur neck section and the forward end of the first bore.

6. A method according to claim 5, wherein the rearward drill section includes grinding means which on translation of the drill in the predetermined forward direction grinds the exposed femur neck section to a plane which is orthogonal to the predetermined forward direction.

7. A method according to claim 1, wherein the bore is formed so as to extend in the predetermined forward direction between the open end in the exposed femur neck section and an open end in the femur outer surface positioned below the greater trochanter.

8. A method according to claim 1, wherein the screw threads on the outer surface of the cylindrical anchoring portion of the fixture are self-tapping.