Thrust plate hip prosthesis

• US 7,569,075 B2
• Filed: 08/26/2005
• Issued: 08/04/2009
• Est. Priority Date: 08/26/2005
• Status: Expired due to Fees

• Current Assignee: James F. Johnson, James J - S Stone
• Original Assignee: James F. Johnson, James J - S Stone
• Inventors: Johnson, James F., Stone, James J - S
• Primary Examiner(s): Sweet; Thomas J
• Assistant Examiner(s): Sharma; Yashita
• Application Number:
  US11/212,864
• Publication Number:
  US 20070255420A1
• Time in Patent Office: 1,439 Days
• Field of Search: 623/23.14, 623/20.35, 623/20.36, 623/22.44, 623/23.21, 623/23.26, 623/23.29, 606 65- 67
• US Class Current: 623/22.41
• CPC Class Codes: A61B 17/746 the longitudinal elements coupled to a plate opposite the femoral head
• 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 2002/30112 Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2002/30153 rectangular
• 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 2002/30367 with additional means for preventing said rotation
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30514 using a locking washer
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30797 internally-threaded
• CPC Class Codes: A61F 2002/30813 Stepped or enlarged blind bores, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30822 Circumferential grooves
• CPC Class Codes: A61F 2002/30845 with cutting edges
• 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 2002/30894 : inclined obliquely with respect to each other
• 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 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 2220/005 : using adhesives
• CPC Class Codes: A61F 2230/0004 : Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2230/0019 : rectangular
• 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

Abstract

A hip joint prosthesis that has a strap plate and a hollow, tapered femoral neck subassembly. The femoral neck includes a flanged force plate that radiates from a head stem base and abuts the femur. Several longitudinal ridges and/or an annular recess or other surface treatment at the head stem base facilitates retention in the femur. Shaped surfaces of a femoral neck at the strap plate interlock in non-rotational engagement with a bore of the head stem base. A tapered stem projects from the force plate and supports a ball head. The strap plate includes laterally and longitudinally displaced elongated fastener holes and stress relieving recesses and/or channels. Fasteners anchor the strap plate to the femoral shaft. A shouldered bolt mounts through the femoral neck to engage the ball head base and draw the ball head base and ball head toward the strap plate and contain the prosthesis to the femur.

Claims

1. A hip prosthesis comprising:

a) a plate member having integral, rigid strap and tubular neck pieces, wherein said strap piece includes a plurality of through bores adapted to receive and support a plurality of screw fasteners at a dorsal surface to secure said strap piece to a femur, wherein said tubular neck piece rigidly projects at an obtuse angle from said strap piece, and wherein said tubular neck piece includes a longitudinal through bore;

b) a stem base having first and second stem pieces that longitudinally project from an intermediate flange piece, wherein said first stem piece is adapted to mount in a recess of the femur, wherein said first stem piece includes a longitudinal bore adapted to receive and support said tubular neck piece, wherein an outer surface of said first stem piece includes a plurality of longitudinally spaced rigid ridges arranges radially about the stem piece, and wherein said flange piece transversely radiates outward from said first and second stem pieces and is adapted to abut the end of the femur;

c) a ball head, wherein said ball head includes a bore adapted to receive an end of said second stem piece and align said ball head to said flange piece; and

d) a threaded fastener adapted to mount in the bore of said tubular neck piece and couple to said stem base substantially adjacent said flange piece to draw said flange piece into abutment with said femur.

2. A hip prosthesis as set forth in claim 1 wherein said strap piece includes a concave ventral surface that abuts the femur and wherein said ventral surface includes a recessed cavity located adjacent said neck piece and adapted to relieve stress at the juncture of said strap and tubular neck pieces.

3. A hip prosthesis as set forth in claim 1 wherein said neck piece is shaped to longitudinally align with a portion of the bore of said first stem piece and index said neck and first stem piece in non-rotating engagement with one another.

4. A hip prosthesis as set forth in claim 3 wherein an outer surface of said neck piece is flat and the bore of said first stem piece includes a mating flat surface.

5. A hip prosthesis as set forth in claim 1 wherein said longitudinal ridges are tapered and each ridge includes a V-shaped peripheral edge.

6. A hip prosthesis as set forth in claim 1 wherein each of said longitudinal ridges includes a transecting recess and wherein the recesses of said plurality of ridges are collectively aligned to define a channel.

7. A hip prosthesis as set forth in claim 1 wherein said first and second stem pieces project along a longitudinal axis offset from a longitudinal axis that projects through the center of said flange piece, wherein the end of said second stem piece includes a tapered surface and wherein said ball head includes a bore adapted to mount on the tapered surface.

8. A hip prosthesis as set forth in claim 7 wherein said tapered surface is adapted to mount to a plurality of ball heads having bores of differing depths.

9. A hip prosthesis comprising:

a) a plate member having integral, rigid strap and tubular neck pieces, wherein said strap piece includes a plurality of through bores adapted to receive and support a plurality of screw fasteners at a dorsal surface to secure said strap piece to a femur, wherein said strap piece includes a concave ventral surface that abuts the femur, wherein said ventral surface includes a recessed cavity located adjacent said neck piece and adapted to relieve stress at the juncture of said strap and tubular neck pieces, wherein said tubular neck piece rigidly projects at an obtuse angle from said strap piece, wherein said tubular neck piece includes a longitudinal through bore;

b) a stem base having first and second stem pieces that longitudinally project from an intermediate flange piece, wherein said first stem piece is adapted to mount in a recess of the femur, wherein said first stem piece includes a longitudinal bore adapted to receive and support said tubular neck piece, wherein an outer surface of said first stem piece includes a plurality of longitudinally spaced rigid arranged radially about the stem piece, wherein said flange piece transversely radiates outward from said first and second stem pieces and is adapted to abut the end of the femur;

c) a ball head, wherein said ball head includes a bore adapted to receive an end of said second stem piece and align said ball head to said flange piece; and

d) a threaded fastener adapted to mount in the bore of said tubular neck piece and couple to said stem base substantially adjacent said flange piece to draw said flange piece into abutment with said femur.

10. A hip prosthesis as set forth in claim 9 wherein a longitudinal outer surface of said neck piece is shaped to mate with a portion of the longitudinal bore of said first stem piece to prevent rotation of said neck piece within said first stem piece.

11. A hip prosthesis as set forth in claim 9 wherein said longitudinal ridges exhibit a coextensive longitudinal taper.

12. A hip prosthesis as set forth in claim 9 wherein each of said longitudinal ridges includes a recess and wherein the ridge recesses collectively align to define a channel that transects said plurality of longitudinal ridges.

13. A hip prosthesis comprising:

a) a plate member having integral, rigid strap and tubular neck pieces, wherein said strap piece includes a plurality of through bores adapted to receive and support a plurality of screw fasteners at a dorsal surface to secure said strap piece to a femur, wherein said strap piece includes a concave ventral surface that abuts the femur, wherein said ventral surface includes a recessed cavity located adjacent said neck piece and adapted to relieve stress at the juncture of said strap and tubular neck pieces, wherein said tubular neck piece rigidly projects at an obtuse angle from said strap piece, wherein said tubular neck piece includes a longitudinal through bore, and wherein said tubular neck piece includes a flat outer longitudinal surface portion;

b) a stem base having first and second stem pieces that longitudinally project from an intermediate flange piece, wherein said first stem piece is adapted to mount in a recess of the femur, wherein said first stem piece includes a longitudinal bore adapted to receive and support said tubular neck piece, wherein a portion of the longitudinal bore of said first stem piece is flat and mates with the flat surface portion of said neck piece to prevent rotation of said neck piece within said first stem piece, wherein an outer surface of said first stem piece includes a plurality of longitudinal spaced rigid ridges arranged radially about the stem piece, wherein said flange piece transversely radiates outward from said first and second stem pieces and is adapted to abut the end of the femur, and wherein said first and second stem pieces project along a longitudinal axis offset from a longitudinal axis that projects through the center of said flange piece;

c) a ball head, wherein said ball head includes a bore adapted to receive an end of said second stem piece and align said ball head to said flange piece; and

d) a threaded fastener adapted to mount in the bore of said tubular neck piece and couple to said stem base substantially adjacent said flange piece to draw said flange piece into abutment with said femur.

14. A hip prosthesis as set forth in claim 13 wherein said first stem piece includes a channel extending transverse to said plurality of longitudinal ridges.