Femoral neck endoprosthesis for an artificial hip joint

• US 6,383,227 B1
• Filed: 03/20/2001
• Issued: 05/07/2002
• Est. Priority Date: 07/30/1998
• Status: Expired due to Fees

• Current Assignee: Aap Implantate Ag
• Original Assignee: AAP Implanters AG
• Inventors: Kreissig, Reiner, Brämer, Klaus, Baroud, Gamal
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/744,843
• Time in Patent Office: 413 Days
• Field of Search: 623/22.11, 623/23.15, 623/23.21, 623/23.22, 623/23.26, 623/23.27, 623/23.11, 623/22.15, 623/22.4, 623/22.43, 623/22.44, 623/22.46, 623/23.12, 623/23.14
• US Class Current: 623/23.22
• CPC Class Codes: A61B 17/742 having one or more longitudinal elements oriented along or parallel to the axis of the neck
• CPC Class Codes: A61B 17/8695 Washers surrounding screw head in plate hole A61B17/8047, between bone plate and bone A61B17/8028
• 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 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 2002/30349 the male and female complementary cones being of different conicities, i.e. for reducing the contact area
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30372 with additional means for limiting said translation
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30652 Special cut-outs, e.g. flat or grooved cut-outs
• CPC Class Codes: A61F 2002/30729 Separate collars
• CPC Class Codes: A61F 2002/30886 externally-threaded
• CPC Class Codes: A61F 2002/3611 Heads or epiphyseal parts of femur
• 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 2002/4638 : Tools for performing screwing, e.g. nut or screwdrivers, or particular adaptations therefor
• 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 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2250/0039 : differing in diameter

Abstract

A femoral neck endoprosthesis for an artificial hip joint, having an adapter for accommodating the joint ball, a support ring for guiding the adapter on the proximal side of the femur, and a support bearing for guiding the adapter on the lateral side of the femur. The aim of the invention is to increase the strength of the bone tissue for a prosthesis. To this end, the prosthesis is configured in such a way that the adapter is provided with a support shoulder and with a shaft which penetrates the femur approximately along the extended axis of the femoral neck. The support ring is mounted on the proximal side of the femur only with its support surface. An axial stop for the support shoulder and a bore for the shaft are arranged on the support ring for guiding the adapter. The bore is laterally offset in relation to the support surface. The support bearing is fixed only on the lateral side of the femur and the guide bore for the shaft can be aligned with the axis of the adapter.

Claims

1. A femoral neck endoprosthesis for an artificial hip joint having a ball joint, comprising:

an adapter for accommodating the joint ball;

a support ring for axially and radially guiding the adapter on a proximal side of the femur; and

a support bearing for guiding the adapter on a lateral side of the femur, the adapter having a support shoulder directed toward the femur and a shaft for penetrating the femur approximately along an extended axis of the femoral neck, the support ring for being mounted only on the proximal side of the femur, said support ring having a flange support surface for being mounted on a worked bearing surface of proximal cortical substance of the femur and a hub for being mounted inside the femur, the support ring further having an axial stop for the support shoulder of the adapter and a bore for the shaft of the adapter so as to guide the adapter, the bore being laterally offset in relation to the support surface, the support bearing for being fixed only on the lateral side of the femur, substantially on the lateral cortical substance, the support bearing having a guide bore for the shaft of the adapter, which guide bore has an active axis adjustable with the axis of the adapter.

2. A femoral neck endoprosthesis as defined in claim 1, wherein the adapter has a conical support shoulder which matches a conical stop surface on the flange of the support ring, the shaft of the adapter being guided in the bore of the support ring with play.

3. A femoral neck endoprosthesis as defined in claim 1, wherein the support surface of the support ring has, with respect to the axis of the adapter, a central cone angle of between 120°

and 160°

opening in a proximal direction.

4. A femoral neck endoprosthesis as defined in claim 1, wherein the support ring, between bearing surfaces of the support shoulder and the support surface, is designed with limited elasticity toward the bearing surface of the proximal cortical substance.

5. A femoral neck endoprosthesis as defined in claim 1, wherein the flange of the support ring has at least one slit on its circumference.

6. A femoral neck endoprosthesis as defined in claim 5, wherein the slit is a radial slit.

7. A femoral neck endoprosthesis as defined in claim 1, wherein the support ring has a substantially nonelastic inner conical flange, and further comprising an at least axially elastic spring ring arranged between the support shoulder of the adapter and an inner cone of the conical flange.

8. A femoral neck endoprosthesis as defined in claim 1, wherein the support bearing is configured to penetrate the lateral cortical substance of the femur substantially perpendicular to a surface of the lateral cortical substance and with a form-fit, the bore of the support bearing having an axis inclined in relation to an axis of the support bearing by an angle of between 5°

and 30°

.

9. A femoral neck endoprosthesis as defined in claim 1, wherein the support bearing has profiles for turning the support bearing in the cortical substance, the bore being aligned with a probable position of the axis of the shaft of the adapter and having a dome shape.

10. A femoral neck endoprosthesis as defined in claim 1, Wherein the support bearing has an outer guide ring with a spherical inner guide surface and a spherical slide ring fittable in the guide ring and has the bore for the shaft of the adapter.

11. A femoral neck endoprosthesis as defined in claim 1, and further comprising:

a detachable axial bearing assigned to an outer end of the shaft.

12. A femoral neck endoprosthesis as defined in claim 11, wherein the axial bearing is a threaded bushing having an external diameter that penetrates the bore in the support bearing with play, the threaded bushing having axially directed stops on an outer side and having a screw connection at the outer end of the shaft so that the threaded bushing is axially adjustable, the threaded bushing being fixable in an adjusted position.