Method and apparatus for hip prosthesis

• US 5,951,605 A
• Filed: 07/01/1996
• Issued: 09/14/1999
• Est. Priority Date: 07/01/1996
• Status: Expired due to Fees

• Current Assignee: Rose Biomedical Research
• Original Assignee: Rose Biomedical Research
• Inventors: Komistek, Richard D., Dennis, Douglas A.
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US08/672,994
• Time in Patent Office: 1,170 Days
• Field of Search: 623/13, 623/18, 623/19, 623/21, 623/22, 623/23
• US Class Current: 623/13.11
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2/367 Proximal or metaphyseal parts of shafts trochanteric devices connected to said proximal parts A61F2/30739
• CPC Class Codes: A61F 2/40 for shoulders
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30688 Means for allowing passage or sliding of tendons or ligaments
• CPC Class Codes: A61F 2002/3233 having anti-luxation means for preventing complete dislocation of the femoral head from the acetabular cup
• CPC Class Codes: A61F 2002/3403 Polar aperture
• CPC Class Codes: A61F 2002/3621 pierced with a longitudinal bore
• CPC Class Codes: A61F 2002/3647 pierced with a longitudinal bore
• CPC Class Codes: A61F 2002/365 Connections of heads to necks
• CPC Class Codes: A61F 2002/368 with lateral apertures, bores, holes or openings, e.g. for reducing the mass, for receiving fixation screws or for communicating with the inside of a hollow shaft
• CPC Class Codes: A61F 2002/4631 the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• 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 2310/00203 : containing alumina or aluminium oxide
• CPC Class Codes: A61F 2310/00239 : containing zirconia or zirconium oxide ZrO2

Abstract

An prosthesis for allowing natural ball and socket type movement, as in a hip or shoulder. A femoral component having a ball at one extremity is engaged with an acetabular component having a hemispherical cup to receive the ball. A ligamentous material extends from a port in the hemispherical cup to a port in the ball to apply a resistive force to resist any dislocating force, the resistive force varying in proportion to the movement of the femoral component from a natural and relaxed position in relation to the acetabular component.

Claims

1. A hip prosthesis for implantation into a natural acetabulum and natural femur of a patient, comprising:

a femoral component having a hemispherical portion and a femoral component hole in the hemispherical portion;

an acetabulum component having a cup-shaped receptacle to receive the hemispherical portion to allow universal movement between the femoral component and acetabulum component, the acetabulum component having an acetabulum component hole in the cup-shaped receptacle; and

a ligamentous material extending through the femoral component hole and the acetabulum component hole and adapted for attachment to at least the natural acetabulum to maintain engagement between the femoral component and acetabulum component.

2. The prosthesis of claim 1, wherein said femoral component hole includes a femoral component hole first port in the hemispherical portion and a femoral component hole second port not in the hemispherical portion, the femoral component hole extending from the femoral component hole first port to the femoral component hole second port.

3. The prosthesis of claim 2, wherein the femoral component hole is substantially straight.

4. The prosthesis of claim 3, wherein the ligamentous material extends through said femoral component hole and is engaged with femoral bone of the patient outside the femoral component hole.

5. The prosthesis of claim 2, wherein the acetabulum component hole includes an acetabulum component hole first port in the cup-shaped receptacle and an acetabulum component hole second port not in the cup-shaped receptacle, the acetabulum component hold extending from the acetabulum component hole first port to the acetabulum component hole second port.

6. The prosthesis of claim 5, wherein the ligamentous material extends through said acetabulum component hole and is engaged with acetabulum bone of the patient outside the acetabulum component hole.

7. The prosthesis of claim 1, wherein the femoral component hole includes a femoral component hole end in the hemispherical portion through which the ligamentous material extends, the femoral component hole end having a cross section larger than a cross section of the ligamentous material to allow lateral movement of the ligamentous material in the femoral component hole end.

8. The prosthesis of claim 7, wherein the femoral component hole end is chamfered.

9. The prosthesis of claim 1, wherein the acetabulum component hole includes an acetabulum component hole end in the cup-shaped portion through which the ligamentous material extends, the acetabulum component hole end having a cross section larger than a cross section of the ligamentous material to allow lateral movement of the ligamentous material in the acetabulum component hole end.

10. The prosthesis of claim 9, wherein the femoral component hole includes a femoral component hole end in the hemispherical portion through which the ligamentous material extends, the femoral component hole end having a cross section larger than a cross section of the ligamentous material to allow lateral movement of the ligamentous material in the femoral component hole end.

11. The prosthesis of claim 10, wherein at least one of the acetabulum component hole end and acetabulum component hole end is chamfered.

12. A hip prosthesis for implantation into an acetabulum and femur of a patient, comprising a femoral component having a hemispherical portion;

an acetabulum component having a cup-shaped receptacle to receive the hemispherical portion;

a femoral component hole in the femoral component, the femoral component hole having a port opening toward the acetabulum component, the port of the femoral component hole being chamfered to a diameter greater than a diameter of the femoral component hole;

an acetabulum component hole in the acetabulum component; and

a ligamentous material extending from the femoral component hole and out the femoral component hole port and into the acetabulum component to maintain engagement between the femoral component and the acetabulum component.

13. The prosthesis of claim 12, wherein the acetabulum component hole has a port opening toward the femoral component, the port of the acetabulum component hole being chamfered to a diameter greater than a diameter of the acetabulum component hole.

14. A hip prosthesis for implantation into an acetabulum and femur of a patient, comprising:

a femoral component having a hemispherical portion;

an acetabulum component having a cup-shaped receptacle to receive the hemispherical portion;

an acetabulum component hole having a port opening toward the femoral component, the port of the acetabulum component hole being chamfered to a diameter greater than a diameter of the acetabulum component hole;

a femoral component hole in the femoral component; and

a ligamentous material extending from the acetabulum component hole and out the acetabulum component hole port and into the femoral component to maintain engagement between the femoral component and the acetabulum component.