Neck-slip-prosthesis

• US 6,706,073 B2
• Filed: 07/30/2001
• Issued: 03/16/2004
• Est. Priority Date: 07/29/2000
• Status: Expired due to Fees

• Current Assignee: Thurgauer Kantonalbank
• Original Assignee: Klaus Draenert
• Inventors: Draenert, Klaus, Walker, Norbert
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US09/919,180
• Publication Number:
  US 20030050706A1
• Time in Patent Office: 960 Days
• Field of Search: 623/22.11, 623/22.14, 623/22.4, 623/22.43, 623/22.44, 623/22.45, 623/22.46, 623/23.26, 623/23.12, 623/23.13, 623/23.14
• US Class Current: 623/22.46
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• 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 2/4607 of hip femoral endoprostheses
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30233 Stepped cylinders, i.e. having discrete diameter changes
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• 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 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/3079 Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30797 internally-threaded
• CPC Class Codes: A61F 2002/3611 Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2002/3625 Necks
• CPC Class Codes: A61F 2002/3647 pierced with a longitudinal bore
• CPC Class Codes: A61F 2002/365 Connections of heads to necks
• 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 2002/3694 : with longitudinal bores
• 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 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2230/0069 : cylindrical
• 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 2310/00131 : Tantalum or Ta-based alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures

Abstract

A hip prosthesis constructed to transfer forces to the femur without relative movements that cause failures. The prosthesis stem has an open sided central bore. The proximal end of the prosthesis is configured to seat against interior surfaces of the femoral canal and support a femur head on a prosthesis shoulder that seats on the stem proximal end while maintaining the neck of the femur intact.

Claims

1. A femoral component for an artificial hip joint for uncemented implementation characterized by:

a prosthesis comprising a stem having a proximal end, a remote tip end, a dorsal side, a ventral side, a medial side, and a lateral side, the stem having a central axis configured to be substantially coaxial with a femoral canal in which the stem is placed;

the stem having a concave indentation on the dorsal side extending axially from the proximal end toward the tip and engaging the bone structure of a femoral neck at a transition region to a greater trochanter of the femur;

the stem concave indentation being symmetrical right to left from a center;

the proximal end of the stem having a stem section medial side configured to mate with internal structures of the femoral neck of the femur;

a cone for mounting a replacement femur head on the proximal stem section;

the proximal stem section having a support surface for the cone and the stem proximal section joining a lateral stem section that fits into the femoral canal of the femur;

the length of the stem along the central axis being between 4.5 cm and 11 cm; and

the stem proximal section having an outer surface configured to contact the inside of the femoral neck dorsally, medially and ventrally through its concave shape.

2. The femoral component of claim 1 wherein the stem has a central bore along the central axis, and the bore being open on a lateral side along at least a portion of the length of the stem.

3. The femoral component of claim 1, and a tension anchor extending through a portion of the femur, through a bore in the proximal end of the stem and engaging the cone to secure the stem to the femur.

4. The femoral component of claim 3, wherein the tension anchor comprises a thrust rod insertable from the lateral side of the femur, and through a bore in the stem to engage the cone, the cone comprising a nut having a thread, and the thrust rod having a head on the exterior of the femur and a thread to mate with the thread in the nut.

5. The femoral component of claim 1, wherein the cone is mounted on a shoulder portion, a stem support surface at the proximal end seating the shoulder portion, and the cone being adapted for supporting a prosthetic head.

6. The femoral component of claim 1, wherein the stem is made from one of the materials in the group consisting of titanium, tantalum, stainless steel or alloys thereof.

7. A femoral component for an artificial hip joint for transferring forces to a femur in which the prosthesis is mounted, the prosthesis comprising:

a stem having a lateral portion and a proximal portion, said lateral portion having a central axis configured to be substantially coaxial with and to fit within a femoral canal in which the stem is placed;

the proximal portion having a surface configuration to seat against interior surfaces of the femur adjacent an osteotomy across the femoral neck and to an extension of the greater and lesser trochanters, the femur neck being left substantially intact when the femur head is removed for insertion of the prosthesis into the femoral canal, the prosthesis stem having a bore with a central axis substantially coinciding in with the axis of the femoral canal, said bore being open to an exterior of the stem along a lateral side thereof such that the stem can flex when inserted in the femoral canal.

8. The femoral component of claim 7, wherein the proximal end has a surface for supporting an attachment cone having a shoulder, the tension anchor extending generally along the collum-centrum axis of the femur, and holding the cone against the proximal end of the prosthesis.