Allograft prosthetic joints and method

• US 6,156,070 A
• Filed: 03/26/1999
• Issued: 12/05/2000
• Est. Priority Date: 03/26/1999
• Status: Expired due to Term

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Inventors: Coyne, Martin M. III, Incavo, Stephen J., Nedilsky, Andrij J.
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US09/277,672
• Time in Patent Office: 620 Days
• Field of Search: 623/16.11, 623/18.11, 623/20.16, 623/20.17, 623/20.35, 623/23.15, 623/23.23, 623/23.26, 623/23.28, 623/23.29, 623/23.36, 623/23.51 , 623/23.52, 623/23.6, 623/23.61
• US Class Current: 623/23.52
• CPC Class Codes: A61F 2/30734 Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30326 differing in height or in length
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30738 Sleeves
• CPC Class Codes: A61F 2002/3631 with an integral complete or partial peripheral collar or bearing shoulder at its base
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/0037 differing in height or in length

Abstract

A prosthetic implant for replacing an element of a natural joint includes an elongate core for securing the implant within natural bone at an implant site adjacent the natural joint, the implant including a allograft affixed to the core for interposition between the core and the natural bone at the implant site. A kit of component parts enables a surgeon to select allograft component parts for assembly with the core, interoperatively, for accommodating conditions encountered at the implant site.

Claims

1. An improvement in a prosthetic implant having a proximal portion for enabling replacement of an element of a natural joint, and a distal portion for securement within a recess in the natural bone adjacent the natural joint, the recess including an internal surface having a transverse extent, the improvement comprising:

an elongate core extending axially along the distal portion of the prosthetic implant for reception within the recess in the natural bone, the core having an external surface with a transverse dimension less than the transverse extent of the internal surface of the recess for confronting the internal surface of the recess in the natural bone with the external surface spaced from the internal surface when the core is located within the recess; and

at least one allograft body along the core, over the external surface of the core, for interposition between the core and the internal surface of the recess, the allograft body having a generally tubular configuration including an inner securement surface gripping the core to secure the allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the recess.

2. The invention of claim 1 wherein the core has a generally cylindrical configuration and the allograft body has an annular configuration, with the inner securement surface and the outer locator surface being generally cylindrical surfaces.

3. The invention of claim 1 including a plurality of allograft bodies for placement along the core.

4. The invention of claim 1 wherein the outer locator surface includes a textured structure.

5. The invention of claim 1 including projections on the external surface of the core, the projections extending transversely for engaging the allograft body to secure the allograft body against movement relative to the core when the allograft body is in place upon the core.

6. The invention of claim 5 wherein the projections comprise splines extending axially along the core.

7. The invention of claim 1 wherein the recess is in the natural bone of a femur and the prosthetic implant is a femoral hip prosthesis having a stem for placement in the recess, the proximal portion enables replacement of a femoral heads the distal portion includes the stem, and the elongate core extends along the stem.

8. A kit of component parts for assembling a prosthetic implant, the prosthetic implant having a proximal portion for enabling replacement of an element of a natural joint, and a distal portion for securement within a recess in the natural bone adjacent the natural joint, the recess including an internal surface having a transverse extent, the kit of component parts comprising:

a first component part having an elongate core extending axially to establish the distal portion of the prosthetic implant for reception within the recess in the natural bone, the core having an external surface with a transverse dimension less than the transverse extent of the internal surface of the recess for confronting the internal surface of the recess in the natural bone with the external surface spaced from the internal surface when the core is located within the recess; and

at least one second component part in the form of an allograft body to be placed on the core, over the external surface of the core, for interposition between the core and the internal surface of the recess, the allograft body having a generally tubular configuration including an inner securement surface for gripping the core to secure the allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the recess.

9. The invention of claim 8 wherein the core has a generally cylindrical configuration and the allograft body has an annular configuration, with the inner securement surface and the outer locator surface being generally cylindrical surfaces.

10. The invention of claim 8 including a plurality of second component parts comprising a plurality of allograft bodies for selective placement upon the core.

11. The invention of claim 10 wherein the relative transverse location of the inner and outer surfaces of at least one of the plurality of allograft bodies differs from the relative transverse location of the inner and outer surfaces of another of the plurality of allograft bodies for enabling selection of one or another of the plurality of allograft bodies for placement on the core.

12. The invention of claim 8 wherein the outer locator surface includes a textured structure.

13. The invention of claim 8 including projections on the external surface of the core, the projections extending transversely for engaging the allograft body to secure the allograft against movement relative to the core when the allograft body is in place upon the core.

14. The invention of claim 13 wherein the projections comprise splines extending axially along the core.

15. The invention of claim 8 wherein the recess is in the natural bone of a femur and the prosthetic implant is a femoral hip prosthesis having a stem for placement in the recess, the proximal portion enables replacement of a femoral heads the distal portion includes a stem, and the elongate core extends along the stem.

16. In a method for implanting a prosthetic implant having a proximal portion for enabling replacement of an element of a natural joint, and a distal portion for securement within a recess in the natural bone adjacent the natural joint, the recess including an internal surface having a transverse extent, the steps comprising:

providing an elongate core extending axially along the distal portion of the prosthetic implant for reception within the recess in the natural bone, the core having an external surface with a transverse dimension less than the transverse extent of the internal surface of the recess for confronting the internal surface of the recess in the natural bone with the external surface spaced from the internal surface when the core is located within the recess;

providing at least one allograft body for placement along the core, over the external surface of the core; and

placing at least the one allograft body for interposition between the core and the internal surface of the recess, the allograft body having a generally tubular configuration including an inner securement surface for gripping the core to secure the allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the recess.

17. The invention of claim 16 including placing at least the one allograft body on the core, and then engaging the outer locator surface with the internal surface of the recess to locate the core transversely within the recess.

18. The invention of claim 16 including:

providing a plurality of allograft bodies capable of placement along the core, over the external surface of the core; and

selecting at least one of the plurality of allograft bodies for placement along the core; and

placing the selected one of the plurality of allograft bodies for interposition between the core and the internal surface of the recess, the allograft bodies each having a generally tubular configuration including an inner securement surface for gripping the core to secure the selected allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the recess.

19. The invention of claim 18 including placing the selected one of the plurality of allograft bodies on the core, and then engaging the outer locator surface with the internal surface of the recess to locate the core transversely within the recess.

20. The invention of claim 18 wherein the relative transverse location of the inner and outer surfaces of at least one of the plurality of allograft bodies differs from the relative transverse location of the inner and outer surfaces of another of the plurality of allograft bodies , the invention including:

inserting the core into the recess subsequent to placing the selected one of the plurality of allograft bodies on the core; and

selecting the transverse location of the core within the recess by selecting at least one of the plurality of allograft bodies and placing the selected allograft body on the core prior to insertion of the core into the recess.

21. In a method for implanting a femoral hip prosthesis within a recess in the natural bone of a natural femur, the femoral hip prosthesis having a proximal portion for enabling replacement of a femoral head, and a distal portion for securement within the recess, the recess including an internal surface having a transverse extent, the steps comprising:

providing an elongate core extending axially along the distal portion of the femoral hip prosthesis for reception within the recess in the natural bone, the core having an external surface with a transverse dimension less than the transverse extent of the internal surface for confronting the internal surface of the recess in the natural bone with the external surface spaced from the internal surface when the core is located within the recess;

providing at least one allograft body for placement along the core, over the external surface of the core; and

placing at least the one allograft body for interposition between the core and the internal surface of the recess, the allograft body having a generally tubular configuration including an inner securement surface for gripping the core to secure the allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the femur.

22. The invention of claim 21 including placing at least the one allograft body on the core, and then engaging the outer locator surface with the internal surface of the recess to locate the core transversely within the femur.

23. The invention of claim 21 including:

providing a plurality of allograft bodies capable of placement along the core, over the external surface of the core; and

selecting at least one of the plurality of allograft bodies for placement along the core; and

placing the selected one of the plurality of allograft bodies for interposition between the core and the internal surface of the recess, the allograft bodies each having a generally tubular configuration including an inner securement surface for gripping the core to secure the selected allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the femur.

24. The invention of claim 23 including placing the selected one of the plurality of allograft bodies on the core, and then engaging the outer locator surface with the internal surface of the recess to locate the core transversely within the femur.

25. The invention of claim 23 wherein the relative transverse location of the inner and outer surfaces of at least one of the plurality of allograft bodies differs from the relative transverse location of the inner and outer surfaces of another of the plurality of allograft bodies , the invention including:

inserting the core into the recess in the femur subsequent to placing the selected one of the plurality of allograft bodies on the core; and

selecting the transverse location of the core within the recess by selecting at least one of the plurality of allograft bodies and placing the selected allograft body on the core prior to insertion of the core into the femur.

26. A method for assembling a prosthetic implant having a proximal portion for enabling replacement of an element of a natural joint, and a distal portion for securement within a recess in the natural bone adjacent the natural joint, the recess including an internal surface having a transverse extent, the method comprising:

providing an elongate core extending axially along the distal portion of the prosthetic implant for reception within the recess in the natural bone, the core having an external surface with a transverse dimension less than the transverse extent of the internal surface for confronting the internal surface of the recess in the natural bone with the external surface spaced from the internal surface when the core is located within the recess;

providing at least one allograft body for placement on the core, over the external surface of the core;

placing at least the one allograft body on the core for interposition between the core and the internal surface of the recess, the allograft body having a generally tubular configuration including an inner securement surface for confronting the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the recess; and

affixing the selected allograft body to the core.

27. The invention of claim 26 including:

providing a plurality of allograft bodies capable of placement on the core, over the external surface of the core; and

selecting at least one of the plurality of allograft bodies for placement on the core; and

placing the selected one of the plurality of allograft bodies on the core for subsequent interposition between the core and the internal surface of the recess, the allograft bodies each having a generally tubular configuration including an inner securement surface for gripping the core to secure the selected allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the recess.

28. A method for assembling a femoral hip prosthesis having a proximal portion for enabling replacement of a femoral head, and a distal portion for securement within a recess in the natural bone of a natural femur, the recess including an internal surface having a transverse extent, the method comprising:

providing an elongate core extending axially along the distal portion of the femoral hip prosthesis for reception within the recess in the natural bone, the core having an external surface with a transverse dimension less than the transverse extent of the internal surface of the recess for confronting the internal surface of the recess in the natural bone with the external surface spaced from the internal surface when the core is located within the recess;

providing at least one allograft body for placement on the core, over the external surface of the core;

placing at least the one allograft body on the core for interposition between the core and the internal surface of the recess, the allograft body having a generally tubular configuration including an inner securement surface for confronting the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the femur; and

affixing the selected allograft body to the core. the above amendments and the following discussion.

29. The invention of claim 28 including:

providing a plurality of allografts capable of placement on the core, over the external surface of the core; and

selecting at least one of the plurality of allograft bodies for placement on the core; and

placing the selected one of the plurality of allograft bodies on the core for subsequent interposition between the core and the internal surface of the recess, the allograft bodies each having a generally tubular configuration including an inner securement surface for gripping the core to secure the selected allograft body in place upon the core and an outer locator surface for engaging the internal surface of the recess to locate the core transversely within the femur.