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FR2572277A1 - Anneau elastique cotyle artificiel pour reconstruction totale de la hanche. - Google Patents

Anneau elastique cotyle artificiel pour reconstruction totale de la hanche. Download PDF

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Publication number
FR2572277A1
FR2572277A1 FR8416371A FR8416371A FR2572277A1 FR 2572277 A1 FR2572277 A1 FR 2572277A1 FR 8416371 A FR8416371 A FR 8416371A FR 8416371 A FR8416371 A FR 8416371A FR 2572277 A1 FR2572277 A1 FR 2572277A1
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FR
France
Prior art keywords
ring
elastic ring
hip
artificial
cotyle
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.)
Withdrawn
Application number
FR8416371A
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English (en)
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Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to FR8416371A priority Critical patent/FR2572277A1/fr
Publication of FR2572277A1 publication Critical patent/FR2572277A1/fr
Withdrawn legal-status Critical Current

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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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30317The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30324The prosthesis having different structural features at different locations within the same prosthesis differing in thickness
    • 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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30594Special structural features of bone or joint prostheses not otherwise provided for slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
    • 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
    • A61F2002/3085Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
    • 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
    • A61F2002/3085Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
    • A61F2002/30858Threads interrupted by grooves or sidewalls, e.g. flat sidewalls
    • 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
    • A61F2002/3085Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
    • A61F2002/30861Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface having threads of increasing or decreasing height
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0036Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in thickness

Landscapes

  • 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

L'INVENTION CONCERNE UN DISPOSITIF MECANIQUE PERMETTANT L'ELASTICITE D'UN ANNEAU VISSE. IL EST CONSTITUE DE FENTES1, 2, 3 DE 1MM DE LARGEUR ET 18MM DE LONGUEUR DISPOSEES A 120 PAR RAPPORT AU CENTRE DE L'ANNEAU. LE DISPOSITIF SELON L'INVENTION EST PARTICULIEREMENT DESTINE AUX ANNEAUX VISSES UTILISES COMME COTYLES DANS LES INTERVENTIONS CHIRURGICALES DE LA HANCHE.

Description

L'utilisation d'anneaux vissés comme cotyles artificiels lors d'une reconstruction totale de la hanche se généralise de plus en plus.
L'anneau qui se visse permet un ancrage parfait dans la cavité cotyloidienne sans avoir recours à un ciment de liaison os/implant. Durant les périodes d'activité l'ensemble des os d'unsquelette subissent des déformations proportionnelles aux efforts fournis; chaque activité focalisant une zône du squelette. C'est ici le cas du bassin qui, suivant l'effort accompli, marche par exemple, se déformera de plusieurs dizièmes de millimètres pour, finalement après cessation des efforts, retrouver sa géométrie initiale.
Visser un anneau, rigide de par sa conception, c'est dès le départ associer un ensemble élastique à un ensemble rigide, ce qui à'la longue provoque une mauvaise tenue de l'implant dans la cavité osseuse.
Par contre, l'utilisation d'un anneau vissé élastique absorbant les déformations du bassin durant la période d'effort et retrouvant sa géométrie initiale après cessation de ces efforts atténue les descellements dans le temps.
La présente invention illustrée par les figures I et 2 consiste donc en un anneau vissé élastique comprenant 3 fentes (I, 2, 3) de largeur Imm et de longueur I8mm, disposées à 1200 par rapport au centre de l'anneau (4).
L'anneau dit élastique se place dans la cavité cotyloidienne comme tous les anneaux déjà existants, à l'aide n1 instruments ancillaires prévus à cet effet. La pièce de friction (5) en matière plastique venant s'insérer dans la cavité interne de l'anneau pourra alors remplir correctement son rôle, qui est dtassurer une friction minimum entre elle et la tête fémorale, sans subir les sollicitations dues aux déformations du bassin, celles-ci étant absorbées par l'anneau élastique.
En effet, le rôle des fentes (I,2, 3) situées sur la périphérie de l'anneau, est de permettre aux 3 segments de de se resserer suivant l'intensité de l'effort, puis lorsque l'effort redevient nul de retrouver la forme initiale grâce à l'élasticité du métal. Pendant cette phase de travail la pièce de friction n'a subi aucune contrainte localisée génératrice de dégradation prématurée du plastique; de plus les contraintes de l'interface os/métal ne sont plus différentes mais semblables.
Le nombre des fentes ainsi que leurs dimensions peuvent être modifiés.

Claims (2)

REVENDICATIONS
1- Anneau élastique remplissant la fonction de cotyle artificiel, caractérisé par la présence de fentes en nombre et en dimensions variables, disposées à des endroits et selon des directions variables mais déterminées par le fait qu'elles permettent l'absortion des déformations du bassin du patient de taille et de poids quelconque.
2- Anneau élastique selon la revendication l, caractérisé par une disposition géométrique des fentes (1,2,3) disposées sur la périphérie du dit anneau, ces fentes sont disposées à 1200 par rapport au centre de l'anneau (4).
FR8416371A 1984-10-26 1984-10-26 Anneau elastique cotyle artificiel pour reconstruction totale de la hanche. Withdrawn FR2572277A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR8416371A FR2572277A1 (fr) 1984-10-26 1984-10-26 Anneau elastique cotyle artificiel pour reconstruction totale de la hanche.

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR8416371A FR2572277A1 (fr) 1984-10-26 1984-10-26 Anneau elastique cotyle artificiel pour reconstruction totale de la hanche.

Publications (1)

Publication Number Publication Date
FR2572277A1 true FR2572277A1 (fr) 1986-05-02

Family

ID=9309012

Family Applications (1)

Application Number Title Priority Date Filing Date
FR8416371A Withdrawn FR2572277A1 (fr) 1984-10-26 1984-10-26 Anneau elastique cotyle artificiel pour reconstruction totale de la hanche.

Country Status (1)

Country Link
FR (1) FR2572277A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4894064A (en) * 1987-11-09 1990-01-16 W. Hermann Ag Endoprosthesis for a hip-joint socket

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0083708A1 (fr) * 1982-01-08 1983-07-20 GebràœDer Sulzer Aktiengesellschaft Cuvette acétabulaire se fixant sans ciment dans l'os iliaque
EP0144588A2 (fr) * 1983-12-12 1985-06-19 GebràœDer Sulzer Aktiengesellschaft Cuvette pour l'articulation de la hanche

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0083708A1 (fr) * 1982-01-08 1983-07-20 GebràœDer Sulzer Aktiengesellschaft Cuvette acétabulaire se fixant sans ciment dans l'os iliaque
EP0144588A2 (fr) * 1983-12-12 1985-06-19 GebràœDer Sulzer Aktiengesellschaft Cuvette pour l'articulation de la hanche

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4894064A (en) * 1987-11-09 1990-01-16 W. Hermann Ag Endoprosthesis for a hip-joint socket

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