Femur fixture and set of femur fixtures

• US 7,156,879 B1
• Filed: 10/06/2000
• Issued: 01/02/2007
• Est. Priority Date: 10/06/1999
• Status: Expired due to Fees

• Current Assignee: Aktiebolaget Hip
• Original Assignee: Astra Tech AB
• Inventors: Albrektsson, Tomas, Wennberg, Stig, Jacobsson, Magnus, Carlsson, Lars, MacDonald, Warren
• Primary Examiner(s): McDermott; Corrine
• Assistant Examiner(s): Blanco; Javier G.
• Application Number:
  US10/089,848
• Time in Patent Office: 2,279 Days
• Field of Search: 623/23.11, 623/23.12, 623/23.14, 623/23.15, 623/23.18, 623 2321- 2329, 623/23.31, 623/23.35, 623/23.44, 606/65, 606/73, 433/174
• US Class Current: 623/23.14
• 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: 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 2002/30113 circular
• CPC Class Codes: A61F 2002/30118 concentric circles
• CPC Class Codes: A61F 2002/30171 rosette- or star-shaped
• CPC Class Codes: A61F 2002/3021 frustoconical
• CPC Class Codes: A61F 2002/30215 Stepped cones, i.e. having discrete diameter changes
• 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 2002/30795 Blind bores, e.g. of circular cross-section
• CPC Class Codes: A61F 2002/30827 Plurality of grooves
• CPC Class Codes: A61F 2002/30828 parallel
• CPC Class Codes: A61F 2002/30858 Threads interrupted by grooves or sidewalls, e.g. flat sidewalls
• CPC Class Codes: A61F 2002/30859 having threaded portions of different pitches
• CPC Class Codes: A61F 2002/30864 Microthreads
• CPC Class Codes: A61F 2002/30871 Trapezoidal threads
• CPC Class Codes: A61F 2002/30873 Threadings machined on non-cylindrical external surfaces
• 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 2002/30906 : shot- sand- or grit-blasted
• 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 2002/369 : Stepped shaft, i.e. having discrete diameter changes
• 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 2230/005 : Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

A femur fixture for a hip-joint prosthesis comprising an intraosseous anchoring structure of a generally circular cross-section for screwing laterally into a complementary bore drilled laterally into the neck of a femur after resection of the femur head to an anchored position. The intraosseous anchoring structure has a proximal end, a distal end, a relatively short frusto-conical proximal section at the proximal end, and a proximal cylindrical section having a screw thread profile thereon. The proximal cylindrical section extends from the frusto-conical proximal section towards the distal end of the anchoring structure. The frusto-conical proximal section and the proximal cylindrical section each being dimensioned so as to bear against the cortex of the femur neck when the intraosseous anchoring structure is in the anchored position. The invention also relates to a set of such femur fixtures, wherein the frusto-conical proximal section and the proximal cylindrical section of each fixture in the set have different dimensions, whereby the fixture in the set having the frusto-conical proximal section and the proximal cylindrical section of correct size for abutting the cortex of the femur neck of a particular patient can be selected for use in that patient.

Claims

1. A femur fixture for a hip-joint prosthesis, comprising:

an intraosseous anchoring structure of a generally circular cross-section for screwing laterally into a complementary bore drilled laterally into the neck of a femur after resection of the femur head to an anchored position, the intraosseous anchoring structure being formed from a single, one-piece member and having a proximal end, a distal end, a frusto-conical proximal section at the proximal end, and a proximal cylindrical section having a screw thread profile thereon and extending towards the distal end from the frusto-conical proximal section, the screw thread profile extending from said frusto-conical proximal section towards the distal end, said frusto-conical proximal section being shorter than said proximal cylindrical section, the frusto-conical proximal section and the proximal cylindrical section each being dimensioned so as to bear against the cortex of the femur neck when the intraosseous anchoring structure is in the anchored position; and

a collar section having a distal surface abutting and extending outwardly from the frusto-conical proximal section, said collar section extending generally radially outwardly from the intraosseous anchoring structure,

wherein the intraosseous anchoring structure further has a distal cylindrical section having a screw thread profile thereon and extending towards the proximal cylindrical section from the distal end of the intraosseous anchoring structure, the diameter of said distal cylindrical section being less than the diameter of said proximal cylindrical section.

2. The femur fixture as claimed in claim 1, wherein the intraosseous anchoring structure is so dimensioned that its distal end projects through the lateral cortex of the femur when the intraosseous anchoring structure is in the anchored position.

3. The femur fixture as claimed in claim 1, wherein the screw thread profiles of said proximal and distal cylindrical sections are essentially the same.

4. The femur fixture as claimed in claim 1, wherein said intraosseous anchoring structure further comprises a tapered connecting section provided between and interconnecting said proximal and distal cylindrical sections.

5. The femur fixture as claimed in claim 4, wherein said connecting section has a frusto-conical shape which at one end has a proximal diameter essentially equal to the diameter of said proximal cylindrical section, and at the other end has a distal diameter essentially equal to the diameter of said distal cylindrical section.

6. The femur fixture as claimed in claim 4, wherein said connecting section has a flank angle in the range of 15°

–

45°

.

7. The femur fixture as claimed in claim 4, wherein said connecting section is at least partly provided with a blasted surface.

8. The femur fixture as claimed in claim 4, wherein said connecting section is at least partly provided with a circumferentially oriented roughness.

9. The femur fixture as claimed in claim 8, wherein said circumferentially oriented roughness has a height less than that of the screw thread profiles of said proximal and distal cylindrical sections.

10. The femur fixture as claimed in claim 8, wherein a height of said circumferentially oriented roughness is no greater than 0.3 mm.

11. The femur fixture as claimed in claim 4, wherein said connecting section is at least partly provided with a smooth surface.

12. The femur fixture as claimed in claim 4, wherein the entire surface of said connecting section is smooth.

13. The femur fixture as claimed in claim 4, wherein one or more self-tapping cutting recesses are provided at least in part on said connecting section.

14. The femur fixture as claimed in claim 1, wherein said frusto-conical proximal section at an end thereof interfacing said proximal cylindrical section presents a diameter essentially equal to the diameter of said proximal cylindrical section.

15. The femur fixture as claimed in claim 1, wherein said frusto-conical proximal section has a flank angle in the range of 8–

15°

.

16. The femur fixture as claimed in claim 1, wherein the frusto-conical proximal section has an axial extent in the range of 5–

10 mm.

17. The femur fixture as claimed in claim 1, wherein the frusto-conical proximal section has a proximal diameter in the range of 18–

30 mm.

18. The femur fixture as claimed in claim 1, wherein the frusto-conical proximal section is at least partly provided with a roughened surface.

19. The femur fixture as claimed in claim 18, wherein said roughened surface is at least partly a blasted surface.

20. The femur fixture as claimed in claim 18, wherein said roughened surface is at least partly provided with a circumferentially oriented roughness.

21. The femur fixture as claimed in claim 20, wherein said circumferentially oriented roughness is in the shape of a screw thread profile.

22. The femur fixture as claimed in claim 21, wherein the screw thread profile of said frusto-conical proximal section differs from the screw thread profile of said proximal cylindrical section.

23. The femur fixture as claimed in claim 22, wherein the screw thread profile of said frusto-conical proximal section has a height less than the screw thread profile of said proximal cylindrical section.

24. The femur fixture as claimed in claim 21, wherein the height of the screw thread profile on the frusto-conical proximal section is no greater than 0.3 mm.

25. The femur fixture as claimed in claim 21, wherein the screw thread profile on the frusto-conical proximal section is formed by the turns of one or more screw threads.

26. The femur fixture as claimed in claim 20, wherein said circumferentially oriented roughness is in the form of circumferential beads.

27. The femur fixture as claimed in claim 26, wherein said circumferential beads has a height less than that of the screw thread profile of said proximal cylindrical section.

28. The femur fixture as claimed in claim 26, wherein the height of said circumferential beads is no greater than 0.3 mm.

29. The femur fixture as claimed in claim 1, further comprising a head section for supporting a ball component of the hip-joint prosthesis, said head section comprising said collar section.

30. The femur fixture as claimed in claim 29, wherein said distal surface of said collar section is inclined inwardly towards a body of the collar section.

31. The femur fixture as claimed in claim 30, wherein said distal surface of said collar section is inclined inwardly at an inclination angle within the range of 10°

–

20.

32. The femur fixture as claimed in claim 29, wherein said distal surface of said collar section is concave.

33. The femur fixture as claimed in claim 29, wherein said distal surface of said collar section is provided with radially spaced circular beads.

34. The femur fixture as claimed in claim 33, wherein said circular beads have a height in the range of 0.1–

0.5 mm.

35. A set of femur fixtures according to claim 1, wherein the frusto-conical proximal section and the proximal cylindrical section of each fixture in the set have different dimensions, whereby the fixture in the set having the frusto-conical proximal section and the proximal cylindrical section of correct size for abutting the cortex of the femur neck of a particular patient can be selected for use in that patient.

36. A set of femur fixtures according to claim 1, wherein the distal cylindrical sections of all fixtures in the set have the same dimension, and the frusto-conical proximal section and the proximal cylindrical section of each fixture in the set have different dimensions, whereby the fixture in the set having the frusto-conical proximal section and the proximal cylindrical section of correct size for abutting the cortex of the femur neck of a particular patient can be selected for use in that patient.

37. The femur fixture as claimed in claim 1, further comprising a tapered mounting section, said tapered mounting section extending from a proximal end of said collar section to a proximal end of the femur fixture.