Hip joint prosthesis

• US 5,980,575 A
• Filed: 08/22/1994
• Issued: 11/09/1999
• Est. Priority Date: 02/28/1992
• Status: Expired due to Fees

• Current Assignee: Astra AB (Astrazeneca PLC)
• Original Assignee: Astra AB (Astrazeneca PLC)
• Inventors: Albrektsson, Bjorn, Wennberg, Stig, Jacobsson, Magnus, Carlsson, Lars, Rostlund, Tord
• Primary Examiner(s): Yu, Mickey
• Assistant Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US08/290,915
• Time in Patent Office: 1,905 Days
• Field of Search: 623/23, 623/18, 623/22, 606/62-63, 606/73, 606/89
• US Class Current: 623/23.11
• 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

Hip joint prostheses are disclosed for permanent anchoring in the human hip joint of a ball unit in the neck of a human femur. The prosthesis include a first cylindrical fixture portion for extending from the collum femoris toward the outer side of the femur and a second cylindrical fixture portion for placement in the cancellus bone of the collum femoris, both of these portions including outer cylindrical surfaces with external self-tapping threads, and in which the first and second cylindrical fixture portions are joined into a single portion for insertion into a bore hole provided in the femur in a single operation.

Claims

1. A fixture for a hip joint prosthesis which is adapted to be permanently anchored in an operational position in the neck of a human femur after resection of the femur head from the neck by translation of the fixture in a predetermined forward direction into a cylindrical bore having an open end in the femur neck outer surface exposed on resection of the femur neck and an axial extent in the predetermined forward direction from the open end towards the opposite outer surface of the femur below the greater trochanter, the fixture comprising:

a forward section which comprises a cylindrical forward portion of a first diameter and a coaxial cylindrical rearward portion of a second diameter greater than the first diameter and which after translation of the fixture to the operational position of the fixture is disposed in the cylindrical bore; and

a rearward section connected to the cylindrical rearward portion of the forward section which is adapted in use to carry a prosthetic ball unit of the hip joint prosthesis and which after translation of the fixture to the operational position of the fixture is disposed outside of the bore in the femur neck,

wherein the forward section is integrally formed such that the cylindrical forward and rearward portions of the forward section are rotatable and translate in unison when the forward section is translated to the operational position, and said portions are provided with external screw threads; and

wherein the first and second diameters and external screw threads of the cylindrical forward and rearward portions of the forward section are adapted such that the fixture is able to be translated to the operational position by screwing of the fixture into the cylindrical bore about the predetermined forward direction with the external screw threads of the cylindrical forward and rearward portions simultaneously turning in the bone tissue forming the boundary wall of the cylindrical bore.

4. A fixture as claimed in claim 1, 2 or 3 wherein the rearward section comprises a rearward portion adapted to carry the prosthetic ball unit and a radially outwardly extending flange forward portion connected to the rearward portion of the cylindrical forward section, the flange forward portion abutting the peripheral edge of the open end of the bore in the femur neck outer surface when the fixture is in the operational position to delimit the translation of the fixture in the predetermined forward direction.

5. A fixture as claimed in claim 4 wherein the rearward portion of the rearward section has an outer surface profile of a truncated cone which tapers outwardly in the predetermined forward direction for sealing engagement in a complementary conical recess in the prosthetic ball unit.

6. A fixture as claimed in claim 1, 2 or 3 wherein the axial length of the cylindrical forward section of the fixture is selected such that when the fixture is in the operational position the forward end of the forward portion of the cylindrical forward section protrudes from an open end of the bore in the outer surface of the femur below the greater trochanter.

9. A fixture as claimed in claim 1, 2 or 3 wherein the cylindrical forward section is provided with self-tapping screw threads.

10. A fixture as claimed in claim 9 wherein the self-tapping screw threads are provided with sharp-edged recesses.

12. A fixture as claimed in claim 1 or 2 wherein the cylindrical forward portion of the forward section is releasably securable to the cylindrical rearward portion of the forward section.

13. A hip joint prosthesis including a fixture according to claim 1, 2 or 3.

14. A hip joint prosthesis including a fixture according to claim 1, 2 or 3 wherein the prosthesis further comprises a ball unit adapted in use to be fitted to the rearward section of the fixture.

2. A fixture for a hip joint prosthesis which is adapted to be permanently anchored in an operational position in the neck of a human femur after resection of the femur head from the neck by translation of the fixture in a predetermined forward direction into a cylindrical bore having an open end in the femur neck outer surface exposed on resection of the femur neck and an axial extent in the predetermined forward direction from the open end towards the opposite outer surface of the femur below the greater trochanter, the fixture comprising:

a forward section which comprises a cylindrical forward portion of a first diameter and a coaxial cylindrical rearward portion of a second diameter greater than the first diameter and which after translation of the fixture to the operational position of the fixture is disposed in the cylindrical bore; and

a rearward section connected to the cylindrical rearward portion of the forward section which is adapted in use to carry a prosthetic ball unit of the hip joint prosthesis and which after translation of the fixture to the operation position of the fixture is disposed outside of the bore in the femur neck,

wherein the forward section is integrally formed such that the cylindrical forward and rearward portions of the forward section are rotatable and translate in unison when the forward section is translated to the operational position, and said portions are provided with external screw threads; and

wherein the first and second diameters and external screw threads of the cylindrical forward and rearward portions of the forward section are adapted such that the fixture is able to be translated to the operational position by screwing of the fixture into the cylindrical bore about the predetermined forward direction with the external screw threads of the cylindrical forward and rearward portions simultaneously turning in the bone tissue forming the boundary wall of the cylindrical bore,

wherein the second diameter is selected such that when the fixture is in the operational position the external screw threads of the cylindrical rearward portion of the forward section register in cortical bone at the outer peripheral surface of the femur neck which forms at least a part of the adjacent boundary wall of the cylindrical bore, and

wherein the first diameter is selected such that when the fixture is in the operation position the external screw threads of the cylindrical forward portion of the forward section register in cancellous bone which forms the adjacent boundary wall of the cylindrical bore.

11. A fixture as claimed in claim 2 wherein the second diameter of the cylindrical forward section is selected such that the screw threads thereof are adapted to register in cortical bone in at least three discrete circumferentially spaced locations of the boundary wall of the bore.

3. A fixture for a hip joint prosthesis which is adapted to be permanently anchored in an operational position in the neck of a human femur after resection of the femur head from the neck by translation of the fixture in a predetermined forward direction into a cylindrical bore having an open end in the femur neck outer surface exposed on resection of the femur neck and an axial extent in the predetermined forward direction from the open end towards the opposite outer surface of the femur below the greater trochanter, the fixture comprising:

a forward section which comprises a cylindrical forward portion of a first diameter and a coaxial cylindrical rearward portion of a second diameter greater than the first diameter and which after translation of the fixture to the operational position of the fixture is disposed in the cylindrical bore; and

a rearward section connected to the cylindrical rearward portion of the forward section which is adapted in use to carry a prosthetic ball unit of the hip joint prosthesis and which after translation of the fixture to the operational position of the fixture is disposed outside of the bore in the femur neck,

wherein the forward section is integrally formed such that the cylindrical forward and rearward portion of the forward section are rotatable and translate in unison when the forward section is translated to the operational position, and said portions are provided with external screw threads; and

wherein the first and second diameters and external screw threads of the cylindrical forward and rearward portion of the forward section are adapted such that the fixture is able to be translated to the operational position by screwing of the fixture into the cylindrical bore about the predetermined forward direction with the external screw threads of the cylindrical forward and rearward portions and simultaneously turning in the bone tissue forming the boundary wall of the cylindrical bore, and

wherein the cylindrical forward portion of the forward section of the fixture is releasably securable to the cylindrical rearward portion of the forward section.

7. A fixture as claimed in claim 3 wherein the length of the forward portion of the cylindrical forward section of the fixture is selected such that when the fixture is in the operational position the forward end of the forward portion of the cylindrical forward section protrudes from an open end of the bore in the outer surface of the femur below the greater trochanter.

8. A fixture as claimed in claim 3, wherein the rearward portion of the cylindrical forward section of the fixture is provided with an internally threaded bore and the forward portion of the cylindrical forward section of the fixture is provided with an externally threaded protrusion for screwing into the internally threaded bore to secure the forward portion to the rearward portion.