Hip implant assembly

• US 6,616,697 B2
• Filed: 03/13/2001
• Issued: 09/09/2003
• Est. Priority Date: 03/13/2001
• Status: Expired due to Fees

• Current Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Sotereanos, Nicholas G.
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Priddy, Michael B.
• Application Number:
  US09/805,323
• Publication Number:
  US 20020133234A1
• Time in Patent Office: 910 Days
• Field of Search: 623/22.11, 623/22.4, 623/22-2-, 623/23.15, 623/23.21, 623/23.22, 623/23.26, 623/23.29, 623/23.3, 623/23.36, 623/23.37, 623/23.39, 623/23.4, 623/23.42, 623/23-4-
• US Class Current: 623/23.26
• CPC Class Codes: A61B 17/1721 for applying pins along or parallel to the axis of the femoral neck
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/175 for preparing the femur for hip prosthesis insertion
• CPC Class Codes: A61B 17/1753 for fixing pins through femoral hip prostheses
• CPC Class Codes: A61B 17/744 the longitudinal elements coupled to an intramedullary nail
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• 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 2002/30011 differing in porosity
• CPC Class Codes: A61F 2002/30113 circular
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30171 rosette- or star-shaped
• CPC Class Codes: A61F 2002/3021 frustoconical
• CPC Class Codes: A61F 2002/30217 hollow cones, e.g. tubular-like cones
• CPC Class Codes: A61F 2002/30324 differing in thickness
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30474 using an intermediate sleeve interposed between both prosthetic parts to be coupled
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/3054 about a connection axis or implantation axis for selecting any one of a plurality of radial orientations between two modular parts, e.g. Morse taper connections, at discrete positions, angular positions or continuous positions
• CPC Class Codes: A61F 2002/30604 : modular
• CPC Class Codes: A61F 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30706 : specially designed for children, e.g. having means for adjusting to their growth
• CPC Class Codes: A61F 2002/30769 : madreporic
• CPC Class Codes: A61F 2002/30774 : internally-threaded
• CPC Class Codes: A61F 2002/30782 : inclined obliquely
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30787 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30827 : Plurality of grooves
• CPC Class Codes: A61F 2002/30878 : with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/30879 : Ribs
• CPC Class Codes: A61F 2002/30891 : Plurality of protrusions
• CPC Class Codes: A61F 2002/30906 : shot- sand- or grit-blasted
• CPC Class Codes: A61F 2002/30929 : having at least two superposed coatings
• CPC Class Codes: A61F 2002/30968 : Sintering
• 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 2002/3652 : Connections of necks to shafts
• 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 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2002/4667 : for measuring torque
• 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 2230/0006 : circular
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2230/005 : Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2250/0023 : differing in porosity
• CPC Class Codes: A61F 2250/0036 : differing in thickness
• CPC Class Codes: A61F 2250/0082 : specially designed for children, e.g. having means for adjusting to their growth
• 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 2310/00407 : Coating made of titanium or of Ti-based alloys
• CPC Class Codes: A61F 2310/00413 : Coating made of cobalt or of Co-based alloys
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

An implant and method for replacement of the proximal portion of a femur, and specifically for replacement of the natural femoral head is provided. The implant includes a body member for insertion, in use, through the natural femoral neck and in substantial alignment therewith; a head member with a spherical portion for engagement with a natural or a prosthetic hip socket; a joining portion for joining the head member to the body member; and a rod for insertion, in use, through the transverse passage of the body member. The rod is designed such that it has a cross-sectional configuration that contacts the cortical surfaces in the bone and inhibits micro-motion within the bone. In addition, the transverse passage of the body member is configured to complement the configuration of the rod such that the need for stabilizing screws toward the distal end of the rod is eliminated when the implant is assembled within the patient.

Claims

1. An implant for replacing the proximal portion of a femur having a substantially intact natural femoral neck, medial side, lateral side, greater trochanter and lesser trochanter, the implant comprising:

a body member having a longitudinal axis, a distal end and a proximal end and being configured for positioning, in use, in the natural femoral neck,

wherein the body member has a transverse passage through at least a portion of the distal end in a direction transverse to the longitudinal axis of the body member;

a head member having a distal end and a proximal spherical portion configured for positioning in a natural or prosthetic hip socket;

a joining portion positioned between the distal end of the head member and the proximal end of the body member; and

a rod having a longitudinal axis, a proximal end and a distal end and being configured for positioning, in use, through the transverse passage of the body member and for extension, in use, into the natural medullary canal of the femur in engagement with the cortical surface of the natural medullary canal.

2. The implant recited in claim 1 wherein the body member is configured for positioning, in use, in the natural femoral neck without passage of the distal end through the lateral side of the femur.

3. The implant recited in claim 1 further comprising a collar positioned at the proximal end of the body member and configured for abutting contact, in use, with a proximal surface of the resected femoral neck.

4. The implant recited in claim 1 wherein the body member and the head member are integrally attached at the joining portion.

5. The implant recited in claim 4 wherein the joining portion extends outwardly from the body member at an acute angle relative to the longitudinal axis of the body member.

6. The implant recited in claim 4 wherein the joining portion extends outwardly from the body member in substantial coaxial alignment relative to the longitudinal axis of the body member.

7. The implant recited in claim 4 further comprising a collar positioned at the proximal end of the body member and configured for abutting contact, in use, with a proximal surface of the resected femoral neck.

8. The implant recited in claim 1 wherein the body member and the head member are separable modular components.

9. The implant recited in claim 8 wherein the joining portion comprises a first engagement portion and a second engagement portion, said engagement portions being configured for complementary engagement with each other.

10. The implant recited in claim 9 wherein the first engagement portion is a recess for receiving the second engagement portion and the second engagement portion comprises a protrusion configured for insertion into the recess.

11. The implant recited in claim 10 wherein the protrusion has an axis which, in use, is at an acute angle relative to the longitudinal axis of the body member.

12. The implant recited in claim 10 wherein the protrusion has an axis which, in use, is in substantial co-axial alignment to the longitudinal axis of the body member.

13. The implant recited in claim 10 wherein the protrusion extends from the distal end of the head member and the recess is within the proximal end of the body member.

14. The implant recited in claim 10 wherein the recess is within the distal end of the head member and the protrusion extends from the proximal end of the body member.

15. The implant recited in claim 10 further comprising a sleeve for altering the position of the spherical portion of the head member relative to the body member.

16. The implant recited in claim 15 wherein the sleeve is longer than the protrusion for extending the distance between the spherical portion and the body member.

17. The implant recited in claim 15 wherein the sleeve has an inner surface and an outer surface and is mountable, in use, such that the inner surface slides over the protrusion and the outer surface is received within the recess.

18. The implant recited in claim 17 wherein the sleeve defines a wall between the inner surface and the outer surface, the wall having non-uniform, gradual thickness changes such that, in use, the central axis of the sleeve is at an acute angle relative to the longitudinal axis of the body member.

19. The implant recited in claim 8 further comprising a collar positioned at the proximal end of the body member and configured for abutting contact, in use, with a proximal surface of the resected femoral neck.

20. The implant recited in claim 1 further comprising a first surface coating on at least a portion of the body member for promoting bone ingrowth into the coating following implantation.

21. The implant recited in claim 20 further comprising a second surface coating on at least a portion of the first surface coating.

22. The implant recited in claim 1 further comprising a first surface coating on at least a portion of the rod for promoting bone ingrowth into the coating following implantation.

23. The implant recited in claim 22 further comprising a second surface coating on at least a portion of the first surface coating.

24. The implant recited in claim 1 wherein the body member is configured in cross-section to inhibit rotational motion of the body member following implantation.

25. The implant recited in claim 24 wherein the body member is triangular in cross-section.

26. The implant recited in claim 24 wherein the body member is fluted in cross-section.

27. The implant recited in claim 24 wherein the body member is scalloped in cross-section.

28. The implant recited in claim 1 wherein the body member is circular in cross-section.

29. The implant recited in claim 1 wherein the distal end of the body member is closed.

30. The implant recited in claim 1 further comprising a locking passage through at least a portion of the body member in a direction substantially coaxial to the longitudinal axis of the body member.

31. The implant recited in claim 30 further comprising a locking screw for passage into the locking passage.

32. An implant for replacing the proximal portion of a femur having a substantially intact natural femoral neck, medial side, lateral side, greater trochanter and lesser trochanter, the implant comprising:

a body member having a longitudinal axis, a distal end and a proximal end and being configured for positioning, in use, in the natural femoral neck,

wherein the body member has a transverse passage through at least a portion of the distal end in a direction transverse to the longitudinal axis of the body member;

a head member having a distal end and a proximal spherical portion configured for positioning in a natural or prosthetic hip socket;

a joining portion positioned between the distal end of the head member and the proximal end of the body member; and

a rod having a longitudinal axis, a proximal end and a distal end and being configured for positioning, in use, through the transverse passage of the body member,

the rod having a stabilizing passage through at least a portion of the rod in a direction transverse to the longitudinal axis of the rod.

33. The implant recited in claim 32 wherein the rod, in use, extends in substantially coaxial alignment relative to the longitudinal axis of the femur.

34. An implant for replacing the proximal portion of a femur having a substantially intact natural femoral neck, medial side, lateral side, greater trochanter and lesser trochanter, the implant comprising:

a body member having a longitudinal axis, a distal end and a proximal end and being configured for positioning, in use, in the natural femoral neck,

wherein the body member has a transverse passage through at least a portion of the distal end in a direction transverse to the longitudinal axis of the body member;

a head member having a distal end and a proximal spherical portion configured for positioning in a natural or prosthetic hip socket;

a joining portion positioned between the distal end of the head member and the proximal end of the body member; and

a rod having a longitudinal axis, a proximal end and a distal end and being configured for positioning, in use, through the transverse passage of the body member, wherein the rod, in use, extends in substantially coaxial alignment relative to the longitudinal axis of the femur and the rod and the body member are slidably and lockingly engaged.

35. The implant recited in claim 34 wherein the locking engagement is a taper lock.

36. The implant recited in claim 34 further comprising a stabilizing passage through at least a portion of the rod in a direction transverse to the longitudinal axis of the rod.

37. The implant recited in claim 36 further comprising a bone screw for passage through the stabilizing passage.

38. The implant of claim 34 wherein the rod is a dual wedge in cross-section, wherein the dual wedge gradually tapers from the proximal end to the distal end, and wherein the transverse passage is configured to complement said dual wedge.

39. The implant recited in claim 38 further comprising a locking passage through at least a portion of the body member in a direction substantially coaxial to the longitudinal axis of the body member.

40. The implant recited in claim 39 further comprising a locking screw for passage into the locking passage.

41. An implant for replacing the proximal portion of a femur having a substantially intact natural femoral neck, medial side, lateral side, greater trochanter and lesser trochanter, the implant comprising:

a plurality of modular components of varying sizes within anatomical ranges for accommodating varying patient body dimensions, the components comprising;

a body member having a longitudinal axis, a distal end having a transverse passage in a direction transverse to the longitudinal axis of the body member and a locking passage in a direction substantially coaxial to the longitudinal axis of the body member, a proximal end having an engagement surface thereon, the body member being coated on at least a portion thereof with at least one layer of a material for promoting bone ingrowth and being configured for positioning, in use, in the natural femoral neck;

a head member having a distal end and a proximal spherical portion configured for positioning in a natural or prosthetic hip socket, the distal end of the head member having an engagement surface configured for complementary engagement with the engagement surface of the proximal end of the body member for joining the distal end of the head member to the proximal end of the body member;

a member for optionally altering the position of the spherical potion of the head member relative to the body member; and

a rod having a proximal end and a distal end, wherein the rod extends through the transverse passage of the body member and is in substantially coaxial alignment relative to the longitudinal axis of the femur.

42. The implant recited in claim 41 wherein the engagement surface of the distal end of the head member is a recess and the engagement surface of the proximal end of the body member is a protrusion configured for insertion into the recess.

43. The implant recited in claim 42 wherein the protrusion has an axis which, when in engagement with the recess, is at an acute angle relative to the longitudinal axis of the body member.

44. The implant recited in claim 42 wherein the protrusion has an axis which, when in engagement with the recess, is in substantial co-axial alignment to the longitudinal axis of the body member.

45. The implant recited in claim 42 wherein the member for optionally altering the position of the spherical portion of the head member relative to the body member is a sleeve having an inner surface and an outer surface and being mountable, in use, such that the inner surface slides over the protrusion and the outer surface is received within the recess.

46. The implant recited in claim 45 wherein the sleeve is longer than the protrusion for extending the distance between the spherical member and the body member.

47. The implant recited in claim 46 wherein the sleeve defines a wall between the inner surface and the outer surface, the wall having non-uniform, gradual thickness changes such that, in use, the central axis of the sleeve is at an acute angle relative to the longitudinal axis of the body member.

48. The implant recited in claim 41 wherein the engagement surface of the distal end of the head member is a protrusion and the engagement surface of the proximal end of the body member is a recess configured for receiving the protrusion.

49. The implant recited in claim 48 wherein the protrusion has an axis which, when in engagement with the recess, is at an acute angle relative to the longitudinal axis of the body member.

50. The implant recited in claim 48 wherein the protrusion has an axis which, when in engagement with the recess, is in substantial co-axial alignment to the longitudinal axis of the body member.

51. The implant recited in claim 44 wherein the distal end of the rod further comprises a stabilizing passage that is in transverse alignment to the longitudinal axis of the femur.

52. The implant recited in claim 41 wherein the rod is a dual wedge in cross-section, wherein the dual wedge gradually tapers from the proximal end to the distal end, and wherein the transverse passage is configured to complement said dual wedge.