Hip joint prosthesis to be permanently anchored within a femur of a patient

• US 5,800,553 A
• Filed: 05/02/1994
• Issued: 09/01/1998
• Est. Priority Date: 07/23/1991
• Status: Expired due to Fees

• Current Assignee: ABet Astra
• Original Assignee: ABet Astra
• Inventors: Wennberg, Stig, Jacobsson, Magnus, Carlsson, Lars, Rostlund, Tord, Albrektsson, Bjorn
• Primary Examiner(s): Willse, David H.
• Application Number:
  US08/185,814
• Time in Patent Office: 1,583 Days
• Field of Search: 623/23, 623/16, 623/18, 623/22, 623/19, 606/65, 606/66, 606/63
• US Class Current: 623/22.4
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/1721 for applying pins along or parallel to the axis of the femoral neck
• CPC Class Codes: A61B 17/175 for preparing the femur for hip prosthesis insertion
• CPC Class Codes: A61B 17/746 the longitudinal elements coupled to a plate opposite the femoral head
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• 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 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• 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 2002/4635 using minimally invasive surgery
• 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 hip joint prosthesis to be permanently anchored in a patient'"'"'s hip is disclosed. The prosthesis comprises an attachment part for a ball unit designed to be anchored in the neck of a human femur. The attachment part comprises a primary fixture which may be an elongate anchoring element which is intended to be inserted into a channel extending through the femoral collum. The prosthesis also includes a secondary fixture for carrying a ball intended to be attached to the collum after removal of the head of the collum. The primary fixture and the secondary fixture are connected to each other. The prosthesis is preferably designed so that the length of the primary fixture terminates close to the head of the collum. The secondary fixture preferably comprises a plug-like part which is intended to be inserted in a cylindrical countersunk recess that is cut into the cancellous bone of the collum and which extends to the cortical bone in at least three locations.

Claims

1. A fixture for a hip joint prosthesis adapted in use to be permanently anchored in a channel provided in a human femur which extends forwardly into the femur neck from an opening in a femur neck section exposed by resection of the femur head towards a position below the greater trochanter of the femur and comprising a rearward section which extends forwardly from the opening and transversely to the outer surface layer of cortical bone of the femur in at least three locations and a co-axial forward section which extends forwardly from the rearward section, the fixture comprising:

a rearward fixture component part for anchorage in the rearward section of the channel which is of such transverse dimensions as to extend to at least three cortical bone locations when anchored in the rearward section of the channel; and

a forward fixture component part for anchorage in the forward section of the channel;

wherein a forward end of the rearward fixture component part and a rearward end of the forward fixture component part are adapted to interlock when the fixture component parts are anchored in their respective sections of the channel and wherein securing means are provided for biasing the interlocking end of one of the fixture component parts transversely against the interlocking end of the other fixture component part to secure the forward and rearward fixture component parts together when the fixture component parts are anchored in their respective sections of the channel.

2. The fixture according to claim 1, wherein a recess is provided in the forward end of the rearward fixture component part for receipt of the rearward end of the forward fixture component part and wherein the securing means is adapted to bias the rearward end of the forward fixture component part transversely against a boundary wall of the recess when the fixture component parts are anchored in their respective sections of the channel.

3. The fixture according to claim 2, wherein the recess in the forward end of the rearward fixture component part is a first recess, wherein a second recess is provided in the rearward end of the forward fixture component part and wherein the securing means comprises a securing element which is adapted to be received in the second recess and to act on a boundary wall of the second recess so as to bias the rearward end of the forward fixture component part transversely against the boundary wall of the first recess when the fixture component parts are anchored in their respective sections of the channel.

4. The fixture according to claim 3, wherein the second recess comprises a rearward section which flares inwardly in the forward direction, wherein the securing element comprises a rearward section which flares inwardly in the forward direction for co-operation with the rearward section of the second recess such that displacement of the securing element in the forward direction causes the rearward section of the securing element to apply a transverse force on the boundary wall of the rearward section of the second recess which biases the rearward end of the forward fixture component part transversely against the boundary wall of the first recess when the fixture component parts are anchored in their respective sections of the channel.

5. The fixture according to claim 4, wherein the first recess is a forward section of a through bore provided in the rearward fixture component part and aligned with the second recess whereby access is provided to the securing element to displace the securing element forwardly when the forward and rearward fixture component parts are anchored in their respective sections of the channel.

6. The fixture according to claim 4 or 5, wherein at least two slits are provided in the rearward section of the second recess, the slits extending forwardly from the opening of the second recess and transversely from the boundary wall of the rearward section of the second recess to a outer surface of the forward fixture component part.

7. The fixture according to claim 4 or 5, wherein the second recess further comprises a threaded forward section and the securing element comprises a threaded forward section for co-operation with the threaded forward section of the second recess.

8. The fixture according to claim 1, wherein a rearward end of rearward fixture component part is adapted for carrying a ball unit of the hip joint prosthesis.

9. The fixture according to claim 1, wherein the rearward fixture component part has a transverse dimension which is greater than that of the forward fixture component part.

10. The fixture according to claim 1, wherein the forward and rearward fixture component parts are provided with an external screw thread profile adapted to register in the bone tissue presenting the boundary wall of the channel when the fixture component parts are anchored in their respective sections of the channel.

11. The fixture according to claim 1, wherein the opening of the channel in the femur neck section is a first opening, wherein the channel extends forwardly from the first opening to a second opening positioned below the greater trochanter and a forward end of the forward fixture component part is adapted to project forwardly from the second opening when anchored in the forward section of the channel.

12. A hip joint prosthesis including a femur fixture according to claim 1.