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CN112842627A - Trans-hip joint prosthesis aiming at severe acetabular defects - Google Patents

Trans-hip joint prosthesis aiming at severe acetabular defects Download PDF

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Publication number
CN112842627A
CN112842627A CN202110164356.9A CN202110164356A CN112842627A CN 112842627 A CN112842627 A CN 112842627A CN 202110164356 A CN202110164356 A CN 202110164356A CN 112842627 A CN112842627 A CN 112842627A
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CN
China
Prior art keywords
acetabular
trans
femoral
hip joint
ball head
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Pending
Application number
CN202110164356.9A
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Chinese (zh)
Inventor
朱戈
李笑帅
李朔
王一鸣
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Individual
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Individual
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Publication date
Application filed by Individual filed Critical Individual
Priority to CN202110164356.9A priority Critical patent/CN112842627A/en
Publication of CN112842627A publication Critical patent/CN112842627A/en
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    • 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
    • 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
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • 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
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3652Connections of necks to shafts

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

本发明涉及医疗器械领域,特别是涉及一种针对严重髋臼缺损的反式髋关节假体。本发明提供一种反式髋关节假体,包括股骨侧假体和髋臼侧假体,所述股骨侧假体包括股骨杯和股骨柄,所述股骨杯和股骨柄之间通过连接颈连接,所述髋臼侧假体包括髋臼球头和骨体贴合部,所述髋臼球头和骨体贴合部之间通过球头支撑件连接,所述股骨杯和髋臼球头相配合。本发明所提供的反式髋关节假体,使用反式髋关节假体用以帮助受试者达到最佳的手术效果。The invention relates to the field of medical devices, in particular to a trans hip joint prosthesis for severe acetabular defect. The invention provides a trans hip joint prosthesis, including a femoral side prosthesis and an acetabular side prosthesis, the femoral side prosthesis includes a femoral cup and a femoral stem, and the femoral cup and the femoral stem are connected by a connecting neck , the acetabular side prosthesis includes an acetabular ball head and a bone body fitting part, the acetabular ball head and the bone body fitting part are connected by a ball head support, and the femoral cup and the acetabular ball head are matched . The trans hip joint prosthesis provided by the present invention uses the trans hip joint prosthesis to help the subject achieve the best surgical effect.

Description

Trans-hip joint prosthesis aiming at severe acetabular defects
Technical Field
The invention relates to the field of medical instruments, in particular to a trans-hip prosthesis aiming at severe acetabular defects.
Background
At present, a treatment strategy aiming at acetabular defects in hip revision is mainly based on Paprosky typing, and the key point of treatment is to obtain stable fixation of a acetabular cup and residual acetabular bone again. Depending on the extent and location of acetabular defects, common acetabular reconstruction strategies include: the cup comprises a cup body. For extremely severe bone defects, there are also 3D printed semi-pelvic prostheses, etc. The purpose of the above various technologies is to restore the acetabulum structure close to the human body structure, which requires a very rich experience to select a proper operation strategy and has high requirements on operation technology.
The problems of the prior art for reconstructing acetabulum are as follows:
(1) the acetabulum reconstruction at the pelvis side has great difficulty and high technical requirements:
reconstruction of the acetabulum on the pelvic side, where the bone defect is severe, requires a large number of implants, such as autologous bone, allogeneic bone, bone cement or metal implants, to achieve a hemispherical surface with relative strength. Has extremely high requirements on the experience of operators and the operation technique, increases the infection risk and increases the operation cost.
(2) Poor stability of the reconstructed hip joint:
the size and direction of the acetabulum are limited under the influence of residual bone, and the acetabulum position after limited compromise often cannot provide enough stability; secondly, the reconstructed acetabulum is often large in size, even a jumbo cup is used, so that the diameter ratio of the ball to the acetabulum is overlarge, the movement range of the hip joint is limited, and the risk of dislocation caused by impact is relatively increased.
Disclosure of Invention
In view of the above-mentioned drawbacks of the prior art, it is an object of the present invention to provide a trans-hip prosthesis for severe acetabular defects that solves the problems of the prior art.
In order to achieve the above and other related objects, the present invention provides a trans-hip prosthesis, including a femur side prosthesis and an acetabulum side prosthesis, where the femur side prosthesis includes a femur cup and a femur handle, the femur cup and the femur handle are connected by a connecting neck, the acetabulum side prosthesis includes an acetabulum ball head and a bone body fitting part, the acetabulum ball head and the bone body fitting part are connected by a ball head support, and the femur cup and the acetabulum ball head are matched.
In some embodiments of the present invention, the surface of the bone body attaching part is a rough surface.
In some embodiments of the invention, the acetabular lateral prosthesis comprises a plurality of bone abutment portions, at least some of which are configured to abut one or more of an acetabular bone in an ischial branch direction, an acetabular bone in a pubic branch direction, or an acetabular bone in an iliac direction.
In some embodiments of the invention, the shaft engaging portion further comprises an engaging extension.
In some embodiments of the present invention, the bone body attaching part is provided with a through hole.
In some embodiments of the invention, the acetabular lateral prosthesis further comprises a pelvic fixation member, the pelvic fixation member cooperating with the through hole.
In some embodiments of the invention, the ball head support includes a central portion to which the acetabular ball head and each bone engaging portion are respectively connected.
In some embodiments of the invention, the angle of the shaft angle between the connecting neck and the femoral stem is 125-140 degrees, the distance between the center of the acetabulum ball head and the perpendicular line of the axis of the femoral stem is 30-40 mm, and the center of the femoral cup is positioned on the extension line of the connecting neck.
In some embodiments of the invention, a spacer is further provided in the femoral cup.
In some embodiments of the invention, when the trans-hip prosthesis is fitted to the corresponding human body part, the projection of the center of the acetabular ball head on the vertical axis does not fall outside the femoral cup in flexion of 110-120 °, in abduction of 45 ° to adduction of 15 °, in thigh internal rotation of 30 ° to external rotation of 30 ° in flexion of 90 °, and in extension of hip external rotation to 90 °.
Drawings
Fig. 1 shows a schematic overall structure diagram of a trans-hip prosthesis provided by the invention.
Fig. 2 shows an exploded view of a trans hip prosthesis provided in accordance with the present invention.
Fig. 3 shows a partial structure diagram of a femoral side prosthesis in the trans-hip prosthesis provided by the invention.
Fig. 4 shows a partial structure diagram of a femoral side prosthesis in the trans-hip prosthesis provided by the invention.
Fig. 5 shows a schematic structural diagram of an acetabular lateral prosthesis in the trans-hip prosthesis provided by the invention.
Fig. 6 shows a schematic representation of the use of a trans hip prosthesis according to the invention.
Description of the element reference numerals
1 femoral lateral prosthesis
11 femoral cup
12 femoral stem
13 connecting neck
14 shim
2 acetabular lateral prosthesis
21 acetabulum ball head
22 bone body jointing part
221 bonding expansion part
23 bulb support
231 center part
24 pelvis bone fixing member
3 femur
4 pelvic bone
Detailed Description
The embodiments of the present invention are described below with reference to specific embodiments, and other advantages and effects of the present invention will be easily understood by those skilled in the art from the disclosure of the present specification. The invention is capable of other and different embodiments and of being practiced or of being carried out in various ways, and its several details are capable of modification in various respects, all without departing from the spirit and scope of the present invention.
Please refer to fig. 1 to 6. It should be noted that the drawings provided in the present embodiment are only for illustrating the basic idea of the present invention, and the components related to the present invention are only shown in the drawings rather than drawn according to the number, shape and size of the components in actual implementation, and the type, quantity and proportion of the components in actual implementation may be changed at will, and the layout of the components may be more complex.
Referring to fig. 1 to 5, the invention provides a trans-hip prosthesis, which comprises a femoral side prosthesis 1 and an acetabular side prosthesis 2, wherein the femoral side prosthesis 1 comprises a femoral cup 11 and a femoral stem 12, the femoral cup 11 and the femoral stem 12 are connected through a connecting neck 13, the acetabular side prosthesis 2 comprises an acetabular ball head 21 and a bone body fitting part 22, the acetabular ball head 21 and the bone body fitting part 22 are connected through a ball head support 23, and the femoral cup 11 and the acetabular ball head 21 are matched. As shown in fig. 6, the trans-hip prosthesis provided by the invention can be tightly connected with the acetabulum of a human body through a bone body fitting part 22, the femoral cup 11 and the acetabulum ball head 21 can be matched, and the femoral stem 12 is usually matched with the medullary cavity of the femur of the human body.
The trans-hip joint prosthesis provided by the invention can comprise a femur side prosthesis 1, and the femur side prosthesis 1 is integrally used for being matched and installed with a human femoral medullary cavity. The femoral side prosthesis 1 can be produced individually through a 3D printing technology, so that the femoral side prosthesis can be better matched with human femoral medullary cavities of different patients and the like, and the fit at a proper angle among all the parts can be met.
The femoral side prosthesis 1 may include a femoral stem 12. The femoral stem 12 is generally intended to cooperate with the medullary cavity of the human femur and serves primarily to fixedly support the femoral cup 11. The femoral stem 12 generally has a rounded outer surface with a suitable cross-sectional shape to ensure that the femoral stem 12 has a suitable fit with the medullary cavity. For example, the femoral stem 12 may be a frustum with a taper, and the cross section thereof may be an ellipse, and the like.
The femoral prosthesis 1 may include a connecting neck 13. The angle of connection between the connecting neck 13 and the femoral cup 11 and the femoral stem 12, and its length itself, is largely dependent on the position of the femoral cup 11 relative to the femoral stem 12. Generally, the connecting neck 13 has a rounded outer surface and a suitable cross-sectional shape to ensure that the angle of the femoral cup is constant and does not change during movement. For example, the connecting neck 13 may be a cylinder, a truncated cone with a certain taper, or the like, and the cross section thereof may be an ellipse or the like.
The femoral prosthesis 1 may include a femoral cup 11. The femoral cup 11 may be generally connected to and may form an integral part of a hip replacement, which is a reverse-mount prosthetic cup, connected to the femoral stem 12 by the neck 13, as compared to a conventional hip replacement. The orientation of the femoral cup 11 corresponds to the orientation of the acetabular ball head 21 and is required to meet the constraint of no dislocation over a range of angles of rotation for normal human movement to the greatest extent possible. Generally, the anteversion angle of the femoral cup 11 needs to be matched to the femoral anteversion angle to improve hip joint stability and to avoid misalignment between the acetabular ball head 21 and the femoral cup 11 when the subject receives external forces (e.g., impact during exercise). For example, the angle of the shaft neck angle between the connecting neck 13 and the femoral stem 12 may be 125-140 °, 125-130 °, 130-135 °, or 135-140 °. For another example, the distance between the center of the acetabulum ball head 21 and the perpendicular line of the axis of the femoral stem 12 may be 30-40 mm, 30-32 mm, 32-34 mm, 34-36 mm, 36-38 mm, or 38-40 mm. As another example, the center of the femoral cup 11 is generally located on the extension of the connective neck 13. For example, when the trans-hip prosthesis is fitted to a corresponding part of a human body, under the conditions of 110 to 120 degrees of flexion (an angle formed by a thigh and a vertical axis when the affected thigh is bent along a sagittal plane to be close to the chest in a normal lying state of the human body), 45 degrees of abduction to 15 degrees of adduction (an angle formed by a thigh and a vertical axis when the affected thigh is rotated on a coronal plane to the outer side and the inner side of the human body, respectively in a normal lying state of the human body), 30 degrees of internal rotation to 30 degrees of external rotation (an angle formed by a calf on the affected side rotated along the coronal plane to the outer side and the inner side of the human body and a vertical axis when the affected calf is rotated along the coronal plane in a normal sitting posture) when the hip is flexed 90 degrees, and when the hip is extended to 90 degrees (an angle formed by a calf on the sagittal axis when the affected calf is rotated along the horizontal plane to the inner side of the human body in a normal prone state), the projection of the center of the acetabular ball head 21 in the direction of the (human) vertical axis does not fall outside the femoral cup 11.
In the above-mentioned femoral prosthesis 1, the femoral cup 11 may further include a spacer 14. The spacer 14 is primarily used to cushion the acetabular ball 21 and the cup of the femoral cup 11 to improve the fit between the two. The gasket 14 may be made of a polymer polyethylene material, a ceramic material, or the like.
In the femoral prosthesis 1, the components of the femoral prosthesis 1 can be assembled in a suitable manner, so as to facilitate preparation, carrying and the like. For example, the femoral cup 11 and the connecting neck 13 may be in an interference fit, a sleeve fit, or the like, or may be in a press fit connection, so as to achieve locking in all directions.
The trans-hip joint prosthesis provided by the invention can comprise an acetabulum side prosthesis 2, and the acetabulum side prosthesis 2 is integrally used for being matched and installed with serious acetabular defects. The acetabulum side prosthesis 2 can be produced individually through a 3D printing technology, so that the acetabulum side prosthesis can be better matched with defective acetabulums of different patients, and can meet the angle matching with a femoral cup 11.
The acetabular lateral prosthesis 2 may include an acetabular ball head 21. The acetabular ball head 21 may be generally spherical in shape to fit the femoral cup 11. In the invention, the installation position of the acetabulum ball head 21 is opposite to the position of the traditional ball head, and the reverse matching of the acetabulum ball head 21 and the femoral cup 11 is mainly realized.
The acetabulum-side prosthesis 2 may include a bone body attaching part 22, and the bone body attaching part 22 may be mainly used as a base of the acetabulum-side prosthesis 2 and is used for being in force fit connection with a severely defected acetabulum. The mating surface of the shaft engaging portion 22 is generally a rough surface that is generally shaped to mate with the acetabulum to ensure a tight fit therebetween. Bone engaging portion 22 is generally configured to engage a good bony portion of the subject for purchase attachment, for example, at least a portion of bone engaging portion 22 may be configured to engage a bony prominence, and in particular may engage an acetabular bone in the ischial branch direction, an acetabular bone in the pubic branch direction, or a combination of one or more of acetabular bones in the iliac direction. Generally speaking, the bone engaging portion 22 may be provided with suitable structure to facilitate connection of the bone engaging portion 22 to the acetabulum. For example, the bone engaging portion 22 may include a through hole, and the acetabular component 2 may further include a pelvic fastener 24 (e.g., a set screw, etc.), the pelvic fastener 24 generally cooperating with the through hole to attach the bone engaging portion 22 to the acetabulum. For another example, the bone engaging portion 22 may further include an engaging extension 221, and the engaging extension 221 may further enlarge the engaging area between the bone engaging portion 22 and the acetabulum to reinforce the connection. The apposition extension 221 may be formed integrally with the shaft apposition portion 22.
The acetabular lateral prosthesis 2 may include a ball head support 23, and the ball head support 23 is primarily used to connect the force-receiving locations (e.g., the acetabular ball head 21 and the bone body abutment 22) in the acetabular lateral prosthesis 2 to form a suitable support. For example, the ball head support 23 may include a central portion 231, the central portion 231 may be the intersection of the connection between the acetabular ball head 21 and each of the body engaging portions 22, the body engaging portions 22 may be connected to the central portion 231 to provide the ball head support 23 with a suitable force receiving location, the acetabular ball head 21 may be connected to the central portion 231 for mating with the acetabular ball head 21, and the relative position of the ball head support 23 as a whole may be adjusted depending on the angular relationship of the connection between the acetabular ball head 21 and the central portion 231 to the femoral cup 11. Each portion of the ball bearing 23 generally has a rounded outer surface, for example, the central portion 231 may be spherical, and the connection between the acetabular ball head 21 and/or bone body engaging portion 22 and the central portion 231 may be a cylinder, a truncated cone with a constant taper, or the like, which may be circular or elliptical in cross-section.
In the above-mentioned acetabulum side prosthesis 2, the components of the acetabulum side prosthesis 2 can be assembled in a proper manner, so as to be convenient for preparation, carrying and the like. For example, there may be an interference connection or socket between the acetabular ball 21 and the ball support 23 to achieve locking in all degrees of freedom.
When a patient with serious acetabulum defect undergoes total hip replacement or revision surgery, the bone retention state of the acetabulum cannot meet the placement requirement of a acetabular cup prosthesis, the acetabulum can be used for placing the acetabular cup under poor conditions, and the final surgical effect is difficult to achieve. The trans-hip prosthesis provided by the invention is used for helping a subject to achieve the best operation effect. In addition, according to the trans-hip prosthesis provided by the invention, the position of the femoral cup is confirmed by a determined position which ensures that the acetabular ball head does not fall off in the normal posture of the hip joint, so that the position of the femoral cup is unique, and the femoral cup and the femoral stem can be produced in batch by the traditional metal processing technology and become standard components with different sizes and models for selective use. The acetabular ball head in the acetabular side prosthesis usually corresponds to the femoral cup, and the rest parts can be produced individually by the subject, so that the only orientation of the acetabular ball head is ensured, and the forcible connection between the acetabular side prosthesis and the proper position of the acetabulum of the subject can be ensured. Overall, the trans-hip prosthesis provided by the invention can avoid various problems when a stable cup is reconstructed on the pelvis side with serious acetabular defect, so that the cup and ball head size more suitable for a patient can be obtained, the limitation of angles such as the anterior inclination angle and the abduction angle of the trans-hip is broken through, the degree of freedom is relatively higher, the operation difficulty and cost can be effectively reduced, the operation structure is improved, and the trans-hip prosthesis has a good industrialization prospect.
In conclusion, the present invention effectively overcomes various disadvantages of the prior art and has high industrial utilization value.
The foregoing embodiments are merely illustrative of the principles and utilities of the present invention and are not intended to limit the invention. Any person skilled in the art can modify or change the above-mentioned embodiments without departing from the spirit and scope of the present invention. Accordingly, it is intended that all equivalent modifications or changes which may be accomplished by those skilled in the art without departing from the spirit and scope of the present invention as set forth in the appended claims.

Claims (10)

1.一种反式髋关节假体,其特征在于,包括股骨侧假体(1)和髋臼侧假体(2),所述股骨侧假体(1)包括股骨杯(11)和股骨柄(12),所述股骨杯(11)和股骨柄(12)之间通过连接颈(13)连接,所述髋臼侧假体(2)包括髋臼球头(21)和骨体贴合部(22),所述髋臼球头(21)和骨体贴合部(22)之间通过球头支撑件(23)连接,所述股骨杯(11)和髋臼球头(21)相配合。1. A trans hip joint prosthesis, characterized in that, comprising a femoral side prosthesis (1) and an acetabular side prosthesis (2), the femoral side prosthesis (1) comprising a femoral cup (11) and a femur A stem (12), the femoral cup (11) and the femoral stem (12) are connected by a connecting neck (13), and the acetabular side prosthesis (2) includes an acetabular ball head (21) and a bone fit part (22), the acetabular ball head (21) and the bone fitting part (22) are connected by a ball head support (23), the femoral cup (11) and the acetabular ball head (21) are connected Cooperate. 2.如权利要求1所述的反式髋关节假体,其特征在于,所述骨体贴合部(22)的贴合面为粗糙表面。2 . The trans hip joint prosthesis according to claim 1 , wherein the fitting surface of the bone body fitting portion ( 22 ) is a rough surface. 3 . 3.如权利要求1所述的反式髋关节假体,其特征在于,所述髋臼侧假体(2)包括多个骨体贴合部(22),至少部分的骨体贴合部(22)用于贴合坐骨支方向的髋臼骨体、耻骨支方向的髋臼骨体、或髂骨方向的髋臼骨体中的一个或多个的组合。3. The trans hip joint prosthesis according to claim 1, characterized in that, the acetabular side prosthesis (2) comprises a plurality of bone body fitting parts (22), at least part of the bone body fitting parts (22) ) is used to fit the combination of one or more of the acetabular body in the ischial ramus direction, the acetabular body in the pubic ramus direction, or the acetabular body in the iliac direction. 4.如权利要求1所述的反式髋关节假体,其特征在于,所述骨体贴合部(22)还包括贴合扩展部(221)。4. The trans hip joint prosthesis according to claim 1, wherein the bone body fitting portion (22) further comprises a fitting extension portion (221). 5.如权利要求1所述的反式髋关节假体,其特征在于,所述骨体贴合部(22)上设有通孔。5 . The trans hip joint prosthesis according to claim 1 , wherein a through hole is provided on the bone body fitting portion ( 22 ). 6 . 6.如权利要求5所述的反式髋关节假体,其特征在于,所述髋臼侧假体(2)还包括盆骨固定件(24),所述盆骨固定件(24)与所述通孔相配合。6. The trans hip joint prosthesis according to claim 5, wherein the acetabular side prosthesis (2) further comprises a pelvic bone fixing member (24), and the pelvic bone fixing member (24) is connected to The through holes are matched with each other. 7.如权利要求1所述的反式髋关节假体,其特征在于,所述球头支撑件(23)包括中心部(231),所述髋臼球头(21)和各骨体贴合部(22)分别与中心部(231)连接。7. The trans hip joint prosthesis according to claim 1, wherein the ball head support (23) comprises a central part (231), and the acetabular ball head (21) fits with each bone body The parts (22) are respectively connected to the central part (231). 8.如权利要求7所述的反式髋关节假体,其特征在于,连接颈(13)与股骨柄(12)之间的颈干角角度为125~140°,髋臼球头(21)中心至股骨柄(12)轴线的垂线距离为30~40mm,股骨杯(11)的中心位于连接颈(13)的延长线上。8. The trans hip joint prosthesis according to claim 7, wherein the angle of the neck shaft between the connecting neck (13) and the femoral stem (12) is 125-140°, and the acetabular ball head (21 The vertical distance from the center of the femoral stem (12) to the axis of the femoral stem (12) is 30-40 mm, and the center of the femoral cup (11) is located on the extension line of the connecting neck (13). 9.如权利要求1所述的反式髋关节假体,其特征在于,所述股骨杯(11)中还设有垫片(14)。9 . The trans hip joint prosthesis according to claim 1 , wherein a spacer ( 14 ) is further provided in the femoral cup ( 11 ). 10 . 10.如权利要求1所述的反式髋关节假体,其特征在于,当反式髋关节假体匹配至对应的人体部位时,在屈曲110~120°的情况下、在外展45°至内收15°的情况下、在屈髋90°时大腿内旋30°至外旋30°的情况下、以及在伸髋外旋至90°的情况下,髋臼球头(21)的中心在垂直轴上的投影不落于股骨杯(11)之外。10 . The trans hip joint prosthesis according to claim 1 , wherein when the trans hip joint prosthesis is matched to the corresponding body part, under the condition of flexion of 110-120°, the abduction of 45° to Center of the acetabular ball head (21) with 15° adduction, 30° internal rotation to 30° external rotation of the thigh with 90° hip flexion, and 90° external rotation with hip extension The projection on the vertical axis does not fall outside the femoral cup (11).
CN202110164356.9A 2021-02-05 2021-02-05 Trans-hip joint prosthesis aiming at severe acetabular defects Pending CN112842627A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102905649A (en) * 2010-03-08 2013-01-30 Hip创新科技有限责任公司 Interlocking reverse hip and revision prosthesis
CN103945794A (en) * 2011-09-01 2014-07-23 Hip创新科技有限责任公司 Lined femoral cup
US20170035571A1 (en) * 2015-08-03 2017-02-09 Nicholas John Loffredo Reverse total hip replacement
US20180193156A1 (en) * 2017-01-10 2018-07-12 Tyler J. ZAJAC Reverse hip system and method
CN215349763U (en) * 2021-02-05 2021-12-31 朱戈 Trans-hip joint prosthesis aiming at severe acetabular defects

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102905649A (en) * 2010-03-08 2013-01-30 Hip创新科技有限责任公司 Interlocking reverse hip and revision prosthesis
CN103945794A (en) * 2011-09-01 2014-07-23 Hip创新科技有限责任公司 Lined femoral cup
US20170035571A1 (en) * 2015-08-03 2017-02-09 Nicholas John Loffredo Reverse total hip replacement
US20180193156A1 (en) * 2017-01-10 2018-07-12 Tyler J. ZAJAC Reverse hip system and method
CN215349763U (en) * 2021-02-05 2021-12-31 朱戈 Trans-hip joint prosthesis aiming at severe acetabular defects

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