Method and apparatus for implanting an acetabular cup

• US 5,879,402 A
• Filed: 05/22/1996
• Issued: 03/09/1999
• Est. Priority Date: 10/29/1993
• Status: Expired due to Term

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Howmedica International Incorporated
• Inventors: Ling, Robin S. M., Lawes, Peter
• Primary Examiner(s): ISABELLA, DAVID J
• Application Number:
  US08/651,403
• Time in Patent Office: 1,021 Days
• Field of Search: 623/16, 623/18, 623/22, 623/23, 606/91, 606/92, 606/93, 606/94
• US Class Current: 128/898
• CPC Class Codes: A61B 17/7098 wherein the implant is permeable or has openings, e.g. fenestrated screw hollow surgical screws A61B17/864
• CPC Class Codes: A61B 17/8802 Equipment for handling bone cement or other fluid fillers
• CPC Class Codes: A61B 17/8808 with sealing collar for bone cavity
• CPC Class Codes: A61B 17/8816 characterised by the conduit, e.g. tube, along which fluid flows into the body or by conduit connections
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/3429 with an integral peripheral collar or flange, e.g. oriented away from the shell centre line
• CPC Class Codes: A61F 2002/4631 the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: Y10S 623/908 Bone

Abstract

A method of implanting an acetabular cup which includes the step of preparing an acetabular socket to receive a cup, placing cement in the acetabular socket before or after locating a tube in line with the acetabular socket and inserting the acetabular cup through the tube and into the socket.

Claims

1. A method of implanting an acetabular cup prosthesis in an acetabular socket comprising the steps of:

preparing an acetabular socket to receive an acetabular cup, said cup having an outer diameter at a trailing end thereof;

placing cement in said socket;

locating a tube in line with said socket said tube having an inner diameter;

inserting an acetabular cup through the tube and into said socket with said trailing end facing outward; and

pressurizing the bone cement with a means for sealing said inner diameter of said tube, said means located adjacent said trailing end of said cup.

2. The method of implanting an acetabular cup as claimed in claim 1 further including the step of locating a flexible skirt assembly around a rim of said socket, said tube extending from said flexible skirt, and inserting the acetabular cup through the tube and into the socket.

3. The method of implanting an acetabular cup as claimed in claim 2 further including the step of securing the flexible skirt around the rim of the socket to prevent the escape of cement and allowing the cement to be pressurized.

4. The method of implanting an acetabular cup as claimed in claim 3 further including the step of removing the tube and leaving the flexible skirt secured to the rim after the cup has been located.

5. The method of implanting an acetabular cup as claimed in claim 3 which includes removing the skirt after location of the cup and setting of the cement.

6. The method of implanting an acetabular cup as claimed in claim 3 which includes the step of holding the flexible skirt in place by attachment elements.

7. The method of implanting an acetabular cup as claimed in claim 2 further including the step of pressuring the cement and controlling the pressure of the pressurized cement by allowing the cement the escape from the socket and through a controlled orifice in the skirt.

8. The method of implanting an acetabular cup as claimed in claim 2 in which the tube is integral with the flexible skirt.

9. The method of implanting an acetabular cup as claimed in claim 2 in which the flexible skirt is removably connected to the tube.

10. The method of implanting an acetabular cup as claimed in claim 2 in which said flexible skirt is made from a synthetic plastics material.

11. The method of implanting an acetabular cup as claimed in claim 10 in which said flexible skirt is made from polyethylene, polypropylene, or polyurethane.

12. The method of implanting an acetabular cup as claimed in claim 2 in which said flexible skirt is made from a resorbable material.

13. The method of implanting an acetabular cup as claimed in claim 12 in which said flexible skirt is made from polyglycolic acid or polylactic acid.

14. The method of implanting an acetabular cup as claimed in claim 2 which includes the steps of placing the cup inside the tube and locating the cup within the tube in relation to a locating element formed on the tube.

15. The method of implanting an acetabular cup as claimed in claim 14 in which said locating element in said locating step is a projecting collar formed on the inside of the tube, which collar is dimensioned to engage a flange on said cup with which it is to be used.

16. The method of implanting an acetabular cup as claimed in claim 15 which includes the step of using an inserter in the form of a piston insertable within said tube to push cement down the tube.

17. The method of implanting an acetabular cup as claimed in claim 16 which includes using said inserter for pushing said cement to push the cup down the tube.

18. A method of implanting an acetabular cup prosthesis in an acetabular socket comprising the steps of:

preparing an acetabular socket to receive an acetabular cup;

placing cement in said socket;

locating a tube in line with said socket;

locating a flexible skirt assembly around the rim of said socket, said tube extending from said flexible skirt;

inserting the acetabular cup having a gap in a flange thereon through the tube and into said socket; and

placing the cup inside the tube and locating the cup within the tube orienting said gap in said flange in relation to a locating element in the form of an abutment on the inner diameter of the tube.

19. The method of implanting an acetabular cup as claimed in claim 18 in which said locating element is a projecting collar formed on the inside of the tube, which collar is dimensioned to engage a flange on a cup with which it is to be used.

20. The method of implanting an acetabular cup as claimed in claim 19 which includes the step of using an inserter in the form of a piston to push cement down the tube.