Pubic catch

• US 7,670,383 B1
• Filed: 05/04/2004
• Issued: 03/02/2010
• Est. Priority Date: 05/04/2004
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Bollinger, Mark A, Brown, David R, May, Brian M
• Primary Examiner(s): RAMANA, ANURADHA
• Application Number:
  US10/838,885
• Time in Patent Office: 2,128 Days
• Field of Search: 623/16.11, 623/18.11, 623/22.11, 623/22.21, 623/22.22
• US Class Current: 623/22.22
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30721 Accessories
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30339 Double cones, i.e. connecting element having two conical connections, one at each of its opposite ends
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30505 spring biased
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30525 Worm gears
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• 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 2002/30878 : with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/30894 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30948 : using computerized tomography, i.e. CT scans
• CPC Class Codes: A61F 2002/30952 : using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/3412 : with pins or protrusions, e.g. non-sharp pins or protrusions projecting from a shell surface
• CPC Class Codes: A61F 2002/3611 : Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• 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 2250/0006 : for adjusting angular orientation
• 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 prosthetic device for replacement of a hip bone that includes an acetabular component configured to connect to a femoral implant and a pubis member. The pubis member connects to the acetabular component and includes a clamping portion that is configured to attach to an opposed healthy pubis bone. The pubis member further includes a worm or other clamping method drive that is configured to tighten the clamping portion against the opposed healthy pubis bone thereby providing stability to the prosthetic hip bone and avoiding the use of bone screws in the opposed healthy pubis bone.

Claims

1. A prosthetic device for replacement of at least an acetabulum of a first hemi-pelvis of a pelvis of a patient that defines a sagittal plane through the pelvis so a second hemi-pelvis is on a side of the sagittal plane opposite the first hemi-pelvis, the prosthetic device comprising:

an acetabular component operable to replace at least the acetabulum of the first hemi-pelvis; and

a pubis member connected to said acetabular component, said pubis member including a clamping portion and a catch plate that is moveable relative to the clamping portion, said clamping portion and said catch plate operable to attach to an opposed pubis bone of the second hemi-pelvis on the side of the sagittal plane that is opposite said acetabular component by holding said opposed pubis bone between said catch plate and said clamping portion.

2. The prosthetic device of claim 1, wherein said clamping portion includes a worm drive that advances said catch plate toward said clamping portion of said pubis member with rotation of a threaded rod.

3. The prosthetic device of claim 2, wherein said clamping portion extends a length to enable said catch plate and said clamping portion to fixedly connect said pubis member of the prosthetic device to the opposed pubis bone of the second hemi-pelvis of the pelvis.

4. The prosthetic device of claim 1, wherein said acetabular component is adapted to connect to a femoral implant.

5. The prosthetic device of claim 4 wherein the prosthetic device includes an ilium member and an ischium member connected to said acetabular component and operable to at least partially replace the first hemi-pelvis.

6. The prosthetic device of claim 5, wherein said ilium member is configured to connect to a remaining portion of a healthy ilium of the first hemi-pelvis with at least one of bone screws, threaded fasteners and bone cement.

7. The prosthetic device of claim 5, wherein said ilium member is configured to connect to a sacrum with at least one of bone screws, threaded fasteners and bone cement.

8. The prosthetic device of claim 1, further comprising a plurality of anatomical connections points formed on at least one of said pubis member, an ilium member and an ischium member, wherein said plurality of anatomical connections points is operable to connect with a plurality of remaining bone portions and connective tissue from the first hemi-pelvis.

9. The prosthetic device of claim 1, wherein the catch plate slides relative to the clamping portion and holds the pubis bone of the second hemi-pelvis between said catch plate and said clamping portion.

10. A prosthetic device for at least partial replacement of a first hemi-pelvis of a pelvis of a patient that defines a sagittal plane through the pelvis so a second hemi-pelvis is on a side of the sagittal plane opposite the first hemi-pelvis, the prosthetic device comprising:

an acetabular component operable to replace at least a portion of the first hemi-pelvis;

an ilium member attached to said acetabular component and operable to attach to remaining portions of a healthy ilium associated with the first hemi-pelvis; and

a pubis member connected to said acetabular component, said pubis member including a clamping portion and a catch plate that is moveable relative to the clamping portion, said clamping portion and said catch plate being operable to directly connect to an opposed pubis bone of the second hemi-pelvis on the side of the sagittal plane that is opposite said acetabular component by holding said opposed pubis bone between said catch plate and said clamping portion.

11. The prosthetic device of claim 10, wherein said pubis member includes a worm drive that advances said catch plate toward said clamping portion to hold the opposed pubis bone of the second hemi-pelvis.

12. The prosthetic device of claim 10, wherein said acetabular component is configured to connect to a prosthetic femoral head.

13. The prosthetic device of claim 10, wherein said acetabular component is configured to connect to a natural femoral head.

14. The prosthetic device of claim 10, further comprising an acetabular cup configured to connect to said acetabular component.

15. The prosthetic device of claim 10, wherein the catch plate slides relative to the clamping portion and holds the pubis bone of the second hemi-pelvis between said catch plate and said clamping portion.

16. A method of replacing at least a portion of a first hemi-pelvis of a pelvis that defines a sagittal plane with a prosthetic device by connecting to a second hemi-pelvis that is on an opposite side of the sagittal plane from the first hemi-pelvis, of the method comprising:

imaging at least a first portion of the first hemi-pelvis of the pelvis;

constructing the prosthetic device based on said imaging of at least the first portion of the first hemi-pelvis;

resecting a second portion of the first hemi-pelvis such that connective tissues are still attached to a remainder of the first hemi-pelvis;

forming anatomical connection points on said prosthetic device to substantially match said remainder of the first hemi-pelvis;

implanting said prosthetic device that is operable to replace at least the portion of the first hemi-pelvis but not any portion of the second hemi-pelvis;

connecting a pubis member of said prosthetic device to an opposed pubis bone of the second hemi-pelvis on the opposite side of the sagittal plane from the first hemi-pelvis;

connecting said connection points on said prosthetic device to said remainder of the first hemi-pelvis on a side of the sagittal plane opposite the second hemi-pelvis.

17. A method of replacing at least a portion of a first hemi-pelvis of a pelvis with a prosthetic device comprising:

making an incision;

removing at least a portion of a first hemi-pelvis of the pelvis from the patient that defines a sagittal plane;

implanting the prosthetic device to replace at least the portion of the first hemi-pelvis but not a portion of a second hemi-pelvis;

connecting a pubis member of the prosthetic device to an opposed pubis bone of the second hemi-pelvis of the pelvis on a side of the sagittal plane opposite the first hemi-pelvis; and

rotating a worm drive to clamp said pubis member of the prosthetic device to said opposed pubis bone of the second hemi-pelvis.

18. The method of claim 17 further comprising securing an acetabular cup in an acetabular component operable to provide an acetabulum for the first hemi-pelvis.

19. The method of claim 18 further comprising connecting a prosthetic femoral head to said acetabular cup.

20. The method of claim 17 further comprising securing a connecting flange on the prosthetic device to the first hemi-pelvis of the pelvis with one of bone screws and bone cement.

21. A prosthetic device for replacement of at least a portion of a first hemi-pelvis of a pelvis defining a sagittal plane by connecting to a second hemi-pelvis of the pelvis on a side of the sagittal plane opposite the first hemi-pelvis, the prosthetic device comprising:

a pubis member connected to an acetabular component, said acetabular component operable to provide a replacement for an acetabulum of the first hemi-pelvis;

a clamping portion connected to said pubis member and configured to connect to an opposed pubis bone of the second hemi-pelvis on the side of the sagittal plane opposite the first hemi-pelvis; and

a catch plate opposite said clamping portion, said catch plate is operable to slide toward the clamping portion and hold the pubis bone of the second hemi-pelvis between said catch plate and said clamping portion to fixedly connect the prosthetic device that at least partially replaces the first hemi-pelvis to the second hemi-pelvis on the side of the sagittal plane opposite where the prosthetic device provides the replacement of the acetabulum of the first hemi-pelvis.