Prosthesis system and method of implanting

• US 6,228,121 B1
• Filed: 06/21/1999
• Issued: 05/08/2001
• Est. Priority Date: 06/21/1999
• Status: Expired due to Term

• Current Assignee: DePuy Orthopaedics Incorporated (Johnson & Johnson)
• Original Assignee: DePuy Orthopaedics Incorporated (Johnson & Johnson)
• Inventors: Khalili, Farid Bruce
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/337,101
• Time in Patent Office: 687 Days
• Field of Search: 623/22.11, 623/22.15, 623/22.21, 623/22.35, 623/22.36, 623/22.37, 623/22.39, 623/22.4, 623/22.43, 623/16.11, 623/18.11, 623/22.17 , 623/22.24, 623/22.34
• US Class Current: 623/22.36
• CPC Class Codes: A61B 17/8047 wherein the additional element surrounds the screw head in the plate hole A61B17/8052 takes precedence
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/30721 Accessories
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• 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 2/34 Acetabular cups
• 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 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30322 differing in surface structures
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30378 Spherically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30685 Means for reducing or preventing the generation of wear particulates
• CPC Class Codes: A61F 2002/30738 Sleeves
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3079 : Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30894 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30919 : Sleeves
• CPC Class Codes: A61F 2002/3401 : with radial apertures, e.g. radial bores for receiving fixation screws
• CPC Class Codes: A61F 2002/3412 : with pins or protrusions, e.g. non-sharp pins or protrusions projecting from a shell surface
• CPC Class Codes: A61F 2002/3625 : Necks
• CPC Class Codes: A61F 2002/365 : Connections of heads to necks
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• 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 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2250/0026 : differing in surface structures

Abstract

A prosthetic joint system includes a body having at least one aperture into which an elongate sleeve component is engageable. A screw for securing the body to bone is insertable into the bone via a bore in the sleeve. The bore has a length that is sufficient to accommodate movement of the screw as the prosthesis subsides over time. More particularly, the sleeve allows the screw head to move longitudinally such that the screw is prevented from damaging an inner member of the prosthesis system that provides an articulation surface for a corresponding prosthetic joint component. In one embodiment, a prosthesis system includes an acetabular cup for a prosthetic hip joint.

Claims

1. An implantable prosthesis system, comprising:

a body having an inner surface and an outer, mounting surface with at least one aperture extending therebetween;

an inner member having a first surface matable against the inner surface of the body and a second, opposed bearing surface;

at least one sleeve having a substantially elongate shape and being matable with the at least one aperture of the body, the at least one sleeve having an outer surface with a proximal end, a distal end, and a cylindrically shaped intermediate region between the proximal end and distal end, the at least one sleeve further including a longitudinally oriented bore extending therethrough from a proximal opening to a distal opening, and being matable with the at least one aperture such that the distal opening of the at least one sleeve is spaced from the outer, mounting surface of the body; and

at least one elongate fixation element mountable within the at least one sleeve to secure the body to bone, the at least one fixation element having a proximal head portion seatable within the at least one sleeve adjacent the distal opening of the at least one sleeve and a shaft portion extending distally from the head portion.

2. The system according to claim 1, wherein the sleeve is matable within the at least one aperture of the body at a selected angle relative to a central axis of the at least one aperture.

3. The system according to claim 1, wherein the body is an acetabular cup.

4. The system according to claim 1, wherein an outer wall of the at least one sleeve defines a proximal end having a flared mating surface.

5. The system according to claim 4, wherein the at least one aperture is defined by an aperture wall having a tapered surface effective to seat the flared mating surface of the at least one sleeve.

6. The system according to claim 1, wherein a distal end of the bore of the at least one sleeve is tapered to form a fixation element seating surface.

7. The system according to claim 1, wherein the distal opening of the at least one sleeve is spaced from the outer surface of the body by a distance in the range from about five millimeters to about fifteen millimeters.

8. The system according to claim 1, wherein the at least one fixation element is a bone screw.

9. An acetabular cup system, comprising:

a first member having a convex outer surface and a concave inner surface with at least one aperture extending between the inner and outer surfaces of the first member;

a convex bearing member having an outer surface matable against the inner surface of the first member and an inner, bearing surface; and

at least one sleeve component having a substantially elongate shape and being matable within the at least one aperture of the first member, the at least one sleeve component having an outer surface with a flared proximal end adapted to seat within the at least one aperture of the first member, a distal end, a cylindrically shaped intermediate region between the proximal end and distal end, and a longitudinal bore extending through the at least one sleeve component from the proximal end to the distal end thereof, the longitudinal bore defining a screw head-seating surface at the distal end of the bore.

10. The system according to claim 9, further comprising at least one bone screw member having a proximal head adapted to seat on the screw head-seating surface of the at least one sleeve component.

11. The system according to claim 9, wherein the at least one sleeve component is matable within the at least one aperture of the first member at a selectable angle relative to a central axis of the at least one aperture, wherein the angle ranges from about zero degrees to about twenty degrees.

12. The system according to claim 9, wherein the screw head seating surface of the at least one sleeve component is formed by a distally tapered portion of the longitudinal bore.

13. The system according to claim 9, wherein the at least one sleeve component has a length that ranges from about eleven millimeters to about twenty millimeters.

14. The system according to claim 9, wherein the distal opening of the at least one sleeve component protrudes from the outer surface of the first member a distance of between about seven millimeters and about sixteen millimeters.

15. A method of implanting a prosthesis system, comprising:

reaming a cavity in bone;

implanting a prosthetic component in the cavity, the prosthetic component having an aperture;

forming a hole in the bone via the aperture, the hole having a first diameter;

enlarging the diameter of a selected portion of the hole so as to form an enlarged portion and an unenlarged portion;

inserting a sleeve component into the enlarged portion of the hole;

inserting a fixation screw into the unenlarged portion of the hole; and

rotating the fixation screw to affix the prosthetic component to the bone.

16. The method according to claim 15, wherein the hole can be formed in the bone at a selected angle.

17. The method according to claim 16, wherein the angle of the hole with respect to the prosthetic component can range from ninety degrees to about plus or minus seventy degrees.