CA1231203A - Hip joint socket for cement-free anchoring in the pelvis - Google Patents

Hip joint socket for cement-free anchoring in the pelvis

Info

Publication number
CA1231203A
CA1231203A CA000467909A CA467909A CA1231203A CA 1231203 A CA1231203 A CA 1231203A CA 000467909 A CA000467909 A CA 000467909A CA 467909 A CA467909 A CA 467909A CA 1231203 A CA1231203 A CA 1231203A
Authority
CA
Canada
Prior art keywords
socket
hip joint
exterior surface
arcs
equatorial plane
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA000467909A
Other languages
French (fr)
Inventor
Reinhold Ganz
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Protek AG
Original Assignee
Protek AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Protek AG filed Critical Protek AG
Application granted granted Critical
Publication of CA1231203A publication Critical patent/CA1231203A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30621Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30649Ball-and-socket joints
    • A61F2002/30662Ball-and-socket joints with rotation-limiting means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30879Ribs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • A61F2002/3453Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped
    • A61F2002/3456Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped ellipsoidal or having a flattened polar region
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • A61F2002/3453Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped
    • A61F2002/3459Acetabular cups having a non-hemispherical convex outer surface, e.g. quadric-shaped made of different partially-spherical portions

Abstract

ABSTRACT OF THE DISCLOSURE

A hip joint socket for cement-free anchoring in the pelvis includes a socket member with a hemispherical exterior sur-face which is flattened at its apex region and a socket which is sherical-symmetrical relative to the rotational axis of symmetry of the exterior surface.

The exterior surface of the socket member projects rimless above the equatorial plane of the socket and has the form of a regular cylinder beyond the equatorial plane.

Description

3~ 3 Tlle present invention is directed to a hip joint socket for cement-free anchoring in the pelvis,made of plastic material and it includes a socket member with a hemispherical exte-rior surface which is flattened at its apex region and a socl<et which is spherical-symmetrical relative to the ro-tational axis of symmetry of said exterior surface.

For artificial hip joint sockets there is the general re-quirement for dimensioning the socket to be implanted as a foreign body into the pelvis as small as possible for two reasons. First for limiting the inevitable losses of bone substance and second for reducing the volume of the artifical foreign body to the absolute minimum.

Tal<ing into account these arguments sockets with an appro-ximatively hemispherical shape are to be preferred to those with a conical or cylindrical (note German Offenlegungs-schrift 23 14 175) basic shape.Ilip joint socl<ets of the aforementioned type are there-fore known for implantation into small, shallow acetabula (note the leaflets from ALLO PRO 'IDie Huftgelenk-Endopro-these,System Weber-Stuhmer'l of 1977 and from AESCULAP 113-C
10 77/4, page 12 IlTotal-Endoprothesen fur das ~luftgelenkl').

All these sockets are designed for anchoring with the aid of bone cement. They are not suitable for cement-free im-plantation having neither an adequate structure of the outer surface, e.g. an exterior thread, nor anchoring pegs or screws for a cement-free fixation, nor can they be clam-ped into the pelvis.

'~3~ 3 With a cement-free anchoring the implanted socket is held wi-th a certain prestress in the pelvls. The clamping of the socket member occurs thereby at the lateral surface, i.e. at the equatorial regions. With the aforementioned prior art sockets the clamping eEfect is prevented due to the flange type rim of the socket.

Furthermore, the fixation by clamping is insufficient with these known socke-ts because theoretically it takes place only along a line in the equatorial plane.

Therefore the present invention provides a hip joint socket with a flattened apex region suitable for cement-free anchoring by equatorial clamping.
In accordance with one aspect of thereof the present invention provides in a hip joint socket for cement-free pre-stressed anchoring in a prepared cavity in the pelvis, made of plastic material, comprising a socket member with a hemispherical exterior surface which is flattened at its apex region and a socket which is spherical-symmetrical relative to the rotational axis of symmetry of said exterior surface, the improvement in which said exterior surface of said socket member projects rlm-less beyond the equatorial plane of said socket with extending tangent lines forming a regular cylinder beyond said equatorial plane thereby increasing the clamping effect of said socket within the pelvls by the enlarged area of surface contact of the exterior surface near the equatorial plane of said socket and said flattened apex region is restorable at least approximately to a hemisphere by pre-stressing the equatorial region of said socket member upon insertion into said cavity, said cavity having a slightly smaller diameter than said socket.

In one embodiment of the present invention the profile of said exterior surface of said socket member is formed by at least two types of arcs of circles of which a first of said arcs \ - 3 -
2~3 consti-tutes said profile of said exterior surface ln said apex region of said socket member with second arcs of the other type extending to opposite sides thereoE, said first arc having lts center on said rotational axis of symmetry of said outer surface with a radius which i5 at least 2 times longer than the radii of said second arcs, said second arcs having centers located on both sides of said rotational axis of symmetry in said equatorial plane of said socket and spaced a distance apart. Suitably said radius of the said first arc of said circle forming said apex region of said profile of said outer surface is 2 to 4 times longer than said radii of said second arcs. Desirably said radius of the said first arc of said circle forming said apex region of said profile of said outer surface is 2.5 to 3.5 times longer than said radii of said second arcs.

In ano-ther aspect thereof the present invention pro-vides in a hip joint socket for cement-free pre-stressed anchor-ing in a prepared cavity in the pelvis, made of plastic material, comprising a socket member with a hemispherical exterior surface which is flattened at its apex region and a socket which is spherical-symmetrical relative to the rotational axis of symmetry of said exterior surface, the improvement in which said exterior surface of said socket member pro;ects rimless beyond the equato-rial plane of said socket thereby increasing the clamping effect of said socket within the pelvis by the enlarged area of surface contact of the ex-terior surface near the equatorial plane of said socket and said flattened apex region is restorable at least approximately to a hemisphere by pre-stressing the equatorial region of said socket member upon insertion into said cavity, said cavity having a slightly smaller diameter than said socket.
Thus, in accordance with the present invention the exterior surface of the socket member pro;ects rimless above the equatorial plane of the socket and has the form of a regular cylinder beyond the equatorial plane.

\ _ 4 _ ~.~233L203 The flattening in the apex region and the rimless shape of the ex-terior surface of the socke-t member made of a plastics material allow to implant the socket "deeply" into the prepared pelvis, whereby the cylindrical projection increases the clamping effect by enlarging the contact line -to a contact area, because the spherical cutter (grater) produces a cylindrical contour of the cut-ting as soon as it penetrates into the bone beyond its equatorial plane.

If necessary, the exterior surface of the socket member may be provided with a structure, preferably with a ribbed struc-ture which enhances the ingrowth of bone substance. The socket member is made of a plastics material preferably of polyethylene of the classification HDPE (high density polyethylene) and UHMW
(ultra-high molecular weight).
The present invention will be further illustrated by way of the accompanying drawing, in which:-The sole Fig is a section through -the rotational axis of symmetry of -the hip joint socket according to one embodiment of the present invention.

As illustrated in the Fig. the exterior shape of the socket member 1 of the hip joint socket is formed as a rotational solid generated by rotation of the profile 2 around the rota-tional axis of symmetry 3; the socket 5 is formed by a hemlspher-ical cavity which is also symmetrical with regard to the rota-tional axis of symmetry 3.

The rimless socket member 1 has a diameter D measured in its equatorial plane 4. This diameter D is also the generat-ing diameter of the exterior surface of the socket, which is located beyond the equatorial plane 4.

The basis for the exterior surface of the socket member - 4a -f~3~2C~3 1 is formed by a sphere with the radius R' = D/2; this semispher-ical surface is flattened at its apex region by the amount d R' - h.

Therefore the profile 2 of the socket member 1 is com-posed by at least three different curves. Adjacent to the afore-mentioned regular cylindrical portion beyond the equatorial plane 4 the profile 2 is formed - from the equatorial plane -- 4b -~LZ3~3 by two arcs of circles Kl and K2 of which one has the radius Rl which can be calculated in a first approximation o e Symmetrical to the mirror plane of the socket member 1,con-taining the rotational axis of symmetry 3, the centers Mlof the arcs of circles Kl for the equatorial regions of the profile 2 are located in the equatorial plane 4.
The clistance between the two centers Ml is a and may vary, according to the preferred embodiment shown in the Fig., from l to 5 mm.
In the preferred embodiment the profile 2 extends from the equatorial plane 4 to the points S according to the arcs of circles Kl. The arc between the two points S is formed by a second arc of circle K2 with the radius R2 which is approximately 3 times longer than the radius Rl. The cen-ter M2 of the arc of circle Kl is located on the rotational axis of symmetry 3.

For the dimensioning of the hip joint socket the diameter D and the"flattening" d are given as basic parameters, allowing within certain limits to choose the radii Rl and R2, determining the distance a.

Claims (9)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. In a hip joint socket for cement-free pre-stressed anchoring in a prepared cavity in the pelvis, made of plastic material, comprising a socket member with a hemispherical exte-rior surface which is flattened at its apex region and a socket which is spherical-symmetrical relative to the rotational axis of symmetry of said exterior surface, the improvement in which said exterior surface of said socket member projects rimless beyond the equatorial plane of said socket with extending tangent lines forming a regular cylinder beyond said equatorial plane thereby increasing the clamping effect of said socket within the pelvis by the enlarged area of surface contact of the exterior surface near the equatorial plane of said socket and said flattened apex region is restorable at least approximately to a hemisphere by pre-stressing the equatorial region of said socket member upon insertion into said cavity, said cavity having a slightly smaller diameter than said socket.
2. A hip joint socket as claimed in claim 1, wherein the profile of said exterior surface of said socket member is formed by at least two types of arcs of circles of which a first of said arcs constitutes said profile of said exterior surface in said apex region of said socket member with second arcs of the other type extending to opposite sides thereof, said first arc having its center on said rotational axis of symmetry of said outer surface with a radius which is at least 2 times longer than the radii of said second arcs, said second arcs having centers located on both sides of said rotational axis of symmetry in said equatorial plane of said socket and spaced a distance apart.
3. A hip joint socket as claimed in claim 2, wherein said radius of said first arc is 3 times longer than said radii of said second arcs.
4. A hip joint socket as claimed in claim 2, wherein said radius of the said first arc of said circle forming said apex region of said profile of said outer surface is 2 to 4 times longer than said radii of said second arcs.
5. A hip joint socket as claimed in claim 2, wherein said radius of the said first arc of said circle forming said apex region of said profile of said outer surface is 2.5 to 3.5 times longer than said radii of said second arcs.
6. A hip joint socket as claimed in claim 2, 4 or 5, wherein the distance of said centers of said second arcs forming said equatorial regions of said profile of said outer surface is between 1 and 5 mm.
7. A hip joint socket as claimed in claim 1, 2 or 3, wherein said exterior surface of said socket member has a ribbed structure.
8. A hip joint socket as claimed in claim 6, wherein said exterior surface of said socket member has a ribbed struc-ture.
9. In a hip joint socket for cement-free pre-stressed anchoring in a prepared cavity in the pelvis, made of plastic material, comprising a socket member with a hemispherical exte-rior surface which is flattened at its apex region and a socket whcih is spherical-symmetrical relative to the rotational axis of symmetry of said exterior surface, the improvement in which said exterior surface of said socket member projects rimless beyond the equatorial plane of said socket thereby increasing the clamp-ing effect of said socket within the pelvis by the enlarged area of surface contact of the exterior surface near the equatorial plane of said socket and said flattened apex region is restorable at least approximately to a hemisphere by pre-stressing the equa-torial region of said socket member upon insertion into said cav-ity, said cavity having a slightly smaller diameter than said socket.
CA000467909A 1983-11-18 1984-11-15 Hip joint socket for cement-free anchoring in the pelvis Expired CA1231203A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3341723A DE3341723C1 (en) 1983-11-18 1983-11-18 Acetabular cup
DEP3341723.1-35 1983-11-18

Publications (1)

Publication Number Publication Date
CA1231203A true CA1231203A (en) 1988-01-12

Family

ID=6214655

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000467909A Expired CA1231203A (en) 1983-11-18 1984-11-15 Hip joint socket for cement-free anchoring in the pelvis

Country Status (6)

Country Link
US (1) US4666448A (en)
CA (1) CA1231203A (en)
CH (1) CH664687A5 (en)
DE (1) DE3341723C1 (en)
FR (1) FR2555043B1 (en)
IT (1) IT1177187B (en)

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US5443519A (en) * 1993-04-22 1995-08-22 Implex Corporation Prosthetic ellipsoidal acetabular cup
DE59308786D1 (en) * 1993-08-30 1998-08-20 Sulzer Orthopaedie Ag Multi-part artificial socket and hip prosthesis with such a socket
NL9302200A (en) * 1993-12-16 1995-07-17 Endocare Ag Elliptical acetabulum component for a hip prosthesis.
DE4408527B4 (en) * 1994-03-14 2006-11-30 Hörmansdörfer, Gerd Screw-in acetabulum with curved outer contour
US5676704A (en) * 1995-11-27 1997-10-14 Smith & Nephew, Inc. Acetabular cup body prosthesis
US5782928A (en) * 1995-11-27 1998-07-21 Smith & Nephew, Inc. Acetabular cup body prosthesis
US5931870A (en) 1996-10-09 1999-08-03 Smith & Nephew, Inc. Acetabular ring prosthesis with reinforcement buttress
DE69727953T2 (en) 1996-10-23 2005-03-31 Smith & Nephew, Inc., Memphis PAN FOR HIP JOINT PROSTHESIS
DE19731442A1 (en) * 1997-07-22 1999-02-11 Plus Endoprothetik Ag Cup for a joint endoprosthesis
CH692650A5 (en) * 1998-02-26 2002-09-13 Intraplant Ag The outer shell of a hip endoprosthesis.
CA2270861C (en) 1998-05-22 2006-08-29 Michael B. Sheldon Acetabular cup assembly with selected bearing
AUPQ070399A0 (en) * 1999-06-02 1999-06-24 Cryptych Pty Ltd Acetabular component of total hip replacement assembly
FR2887136B1 (en) * 2005-06-17 2007-09-07 C2M Implants COTILOID IMPLANT OF HIP PROSTHESIS
US20070106392A1 (en) * 2005-11-08 2007-05-10 Howmedica Osteonics Corp. Acetabular cup locking mechanism
JP5296667B2 (en) 2006-03-20 2013-09-25 スミス アンド ネフュー インコーポレーテッド Acetabular cup assembly for multiple bearing elements
US20070260256A1 (en) * 2006-05-05 2007-11-08 Beaule Paul E Surgical instrument tray, hip resurfacing kit, and method of resurfacing a femoral head to preserve femoral head vascularity
US8123815B2 (en) 2008-11-24 2012-02-28 Biomet Manufacturing Corp. Multiple bearing acetabular prosthesis
US8308810B2 (en) 2009-07-14 2012-11-13 Biomet Manufacturing Corp. Multiple bearing acetabular prosthesis
FR2958533B1 (en) * 2010-04-08 2012-03-23 Jean Claude Cartillier RANGE OF COTYLOID IMPLANTS OF DIFFERENT SIZES

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CH648747A5 (en) * 1981-02-20 1985-04-15 Sulzer Ag JOINT PAN, ANCHORABLE IN THE POOL.

Also Published As

Publication number Publication date
FR2555043B1 (en) 1991-11-08
CH664687A5 (en) 1988-03-31
US4666448A (en) 1987-05-19
IT1177187B (en) 1987-08-26
FR2555043A1 (en) 1985-05-24
IT8423567A1 (en) 1986-05-14
IT8423567A0 (en) 1984-11-14
DE3341723C1 (en) 1985-03-21

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