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JP2746969B2 - 関節補綴 - Google Patents

関節補綴

Info

Publication number
JP2746969B2
JP2746969B2 JP63508898A JP50889888A JP2746969B2 JP 2746969 B2 JP2746969 B2 JP 2746969B2 JP 63508898 A JP63508898 A JP 63508898A JP 50889888 A JP50889888 A JP 50889888A JP 2746969 B2 JP2746969 B2 JP 2746969B2
Authority
JP
Japan
Prior art keywords
joint prosthesis
pin
screw
joint
pins
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 - Lifetime
Application number
JP63508898A
Other languages
English (en)
Other versions
JPH03501810A (ja
Inventor
ペルソン，ヤン‐ウーベ
ブローネマルク，ペル‐イングバル
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.)
ATOSU MEDEIKARU AB
INSUCHI FUEERU TEIREEMUPADO BIOTEKUNOROGI
Original Assignee
ATOSU MEDEIKARU AB
INSUCHI FUEERU TEIREEMUPADO BIOTEKUNOROGI
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 ATOSU MEDEIKARU AB, INSUCHI FUEERU TEIREEMUPADO BIOTEKUNOROGI filed Critical ATOSU MEDEIKARU AB
Publication of JPH03501810A publication Critical patent/JPH03501810A/ja
Application granted granted Critical
Publication of JP2746969B2 publication Critical patent/JP2746969B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4241—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30069—Properties of materials and coating materials elastomeric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30131—Rounded shapes, e.g. with rounded corners horseshoe- or crescent- or C-shaped or U-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30138—Convex polygonal shapes
    • A61F2002/30143—Convex polygonal shapes hexagonal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30159—Concave polygonal shapes
    • A61F2002/30177—W-shaped, M-shaped or sigma shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30354—Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364—Rotation about the common longitudinal axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364—Rotation about the common longitudinal axis
    • A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
    • A61F2002/30571—Leaf springs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30721—Accessories
    • A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • A61F2002/30738—Sleeves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/3085—Special 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878—Special 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4241—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers
    • A61F2002/4243—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers for interphalangeal joints, i.e. IP joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0017—Angular shapes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0056—W-shaped, e.g. M-shaped, sigma-shaped

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)
  • Materials For Medical Uses (AREA)

Description

【発明の詳細な説明】 本発明は関節補綴を設置する骨間に固定する２つの栓
の各々に挿入された２つのピン間の関節部から成る関節
補綴に関する。
この種の指関節補綴は米国特許4,352,212に開示され
ている。開示された態様において、関節部は相互に滑っ
て係合する２要素から成り、その１は関節球を形成し、
他の１は該関節球を介して関節式に連結される連結ピン
を形成している。該関節部の２要素上のピンは関節補綴
により相互連結される骨の管に導入されるプラスチック
栓に受けられている。
他の従来関節補綴（米国特許3,875,594）は全体は弾
性材で構成され、関節補綴の一体部を形成するピンによ
り骨管内に固定される。かかる補綴はピンと骨との間に
存在する関節式連結部で磨耗し、その結果、弾性材微粒
子が人体器管に侵入して他の器官で感染、その他トラブ
ルの原因になる。
本発明の目的は上記と同種の関節を提供するものであ
り、米国特許4,352,212のものより相当に簡単な構造で
あり、相互を滑って係合する要素を含まず、かつ該特許
により提案された連結骨に連結できる利点および弾性関
節部により提供される利点を有する。特に、本発明の関
節補綴は構造上、簡単であり、耐久性があり、容易に関
節連結でき、磨耗がなく、安全、永久的、無害の骨連結
を達成する。また、本発明の関節補綴は簡単に交換がで
きる。
上記目的は請求項１の特徴部に記載された関節補綴に
関する本発明により達成される。
本発明の詳細および利点を添付図面を参照して以下に
説明する。
第１図は本発明による指関節補綴の縦部分断面を含む
側面図であり、 第２図は第１図の指関節補綴の横部分断面を含む側面
図であり、 第３図は２骨間に手術により挿入される指関節部を示
す断面図であり、 第４図は１態様のピン取り付け板の端面図であり、 第５図は他の態様のピン取り付け板の端面図であり、
かつ 第６図は第１図と同様の弾性関節部の１態様図であ
る。
第１から５図において、図示された指関節補綴はシリ
コンゴムまたはポリウレタン等の弾性材による関節部10
を有する。この関節部は生物適合材料、好ましくはチタ
ン、で形成された２つのピン11に連結されている。ピン
11は該ピン上の端フランジ12のまわりに射出成形された
関節部を介して該関節部に固定されていて、該端フラン
ジが該弾性材中に完全に埋入されるようになっている。
該ピンを充分に連結するために該端フランジは第３図の
長孔13または第４図の孔14を形成して射出成形中に弾性
材がそれら開口部へ侵入できるようになっている。該関
節部は該端フランジのまわりに２つの板状矩形拡大部15
を形成するとともに該端フランジ間に相対的に薄く、僅
かに湾曲したウェブ16を形成している。
各ピン11は管状ねじ17へ挿入され、該ねじは生物適合
材料で形成され、好ましくは該ピンと同一材料、チタン
等で形成されるのがよい。該ねじは端フランジ18を有
し、かつ該端フランジが骨に係合するまで第３図のごと
く骨管内へねじ込んで固定される。該ねじは骨に大きく
影響を与える、即ち、これは骨が不均一な荷量により劣
化せず、かつ有効寿命の長い若者が従来態様の補綴より
も長期間より良く機能する補綴を使用できるように該関
節補綴は長時間の大きな荷重に耐えることのできること
を意味する。ねじ内のボアは充分に長く、該ピンが完全
に該ボアに挿入されたときにその底部に接触しないよう
になっている。該関節補綴の取り付けは骨にねじ17を固
定した後該ねじにピン11を押し込む。この取り付け後、
該ねじ間に設けた弾性関節部10を介して該ピンを該ねじ
内に保持する。該ピンは取り付け後ねじ内に係止されて
よい。関節補綴を使用しているとき該ピンおよび該ねじ
間で移動は生じない。該関節補綴の磨耗最小限に維持さ
れる。つまり、寿命は長く人体組織へ侵入する粒子によ
る感染または刺激の危険は実際に完全に解消されること
を意味する。他の利点はピンに連結された関節部が、例
えば関節補綴がなんらかの理由で満足できる機能をしな
い場合には骨の中に残っているねじを用いて簡単な操作
で容易に交換できる点である。該ピンはねじ内で回転す
るように円筒状であってよく、この場合関節補綴は容易
に調整できるが、使用中に関節補綴が回転する危険もあ
る。仮に回転自在の態様の関節補綴が回転防止手段を有
する態様の関節補綴より安価であったとしても、ピンは
ボア内で回転できないようにボアに誘導されるのが好ま
しい。これはピン上またはボア内で該ピンまたはボアの
溝に転置自在に受けられる突起を設けるまたは該ピンま
たはボアを非丸形にすることにより可能になる。例え
ば、ピンまたはボアを６角形断面形状にすれば、ねじを
該ねじのボアに係合するピンスパナにより締め付けるこ
とができる。または、ねじ内にネジドライバ孔を設ける
か、またはねじを把持して締め付けることのできる６角
形フランジをねじ上に設ける必要がある。
弾性関節部10により、上記関節補綴はばね弾力を有す
る。これはリューマチ患者を治療する場合に重要であ
る。ばね弾性のない場合患者の指は曲折部位で硬直しや
すい。更に、弾性関節部はショクを吸収し、その結果と
して振動が減衰され、関節補綴およびその取り付け部材
の強度を増す。
関節部10は第６図のごとくウェブが薄く該ウェブの下
側をアーチ状に高くした形状であってもよい。この関節
部の方が上記第１態様のものより指関節を形成する自然
の指関節の骨のその部分の交換に適切であるが、組織が
上記下側のアーチ内へ成長し、該組織が該関節部の下に
挟まれて関節と低触すると同時に該ウェブの上側が大き
な緊張ストレスに曝される。しかし該ウェブは指関節補
綴を挿入する部位の条件に適した最良の方法で適用する
ために異なる形状にすることが可能である。
上記関節補綴は相互に滑らせて係合す要素を含む補綴
よりも安価かつ簡単な方法で製造できる。このことは該
補綴が高価な関節部よりも色々なタイプの患者に使用で
きることを意味する。
本発明は指関節補綴について説明されたが手関節、肘
関節、および足関節等の蝶番型の他の関節に適用でき
る。
───────────────────────────────────────────────────── フロントページの続き (72)発明者 ブローネマルク，ペル‐イングバル スウェーデン国，エス‐431 66 モェ ールンダル，オンデルガタン ３

Claims (8)

    (57)【特許請求の範囲】
  1. 【請求項１】関節補綴を装着する骨間に固定されるべき
    ２つのピン（11）間の関節部（10）、および上記ピン
    （11）間の関節部（10）を形成する弾性ウェブ（16）か
    ら成り、上記ピン（11）が上記弾性ウェブへ埋め込まれ
    て該ウェブ内に固定されている関節補綴において、上記
    各ピン（11）は１端部に上記弾性ウェブ内に埋め込まれ
    た横フランジ（12）を有し、かつ上記各ピン（11）には
    骨内に固定できる管状ねじ（17）が設けられ、上記ピン
    は上記ねじ内に挿入されていて、上記ピンと上記ねじは
    生物適合材料から成ることを特徴とする関節補綴。
  2. 【請求項２】上記ウェブ（16）は湾曲している、請求項
    １の関節補綴。
  3. 【請求項３】上記フランジ（12）は穿孔を有する、請求
    項１または２の関節補綴。
  4. 【請求項４】上記関節部（10）は上記フランジのまわり
    に射出成形されている、請求項１から３のいずれか１の
    関節補綴。
  5. 【請求項５】上記ピン（11）は上記ねじ（17）内に回転
    自在に設置されている、請求項１から４のいずれか１の
    関節補綴。
  6. 【請求項６】上記ピン（11）は上記ねじ（17）内に回転
    しない状態で導入されている、請求項１から４のいずれ
    か１の関節補綴。
  7. 【請求項７】上記ピン（11）および上記ピンを受ける上
    記ねじ（17）内のボアは非円形断面形状である、請求項
    ６の関節補綴。
  8. 【請求項８】上記ピン（11）および上記ねじ（17）はチ
    タン製である、請求項１から７のいずれか１の関節補
    綴。
JP63508898A 1987-10-29 1988-10-28 関節補綴 Expired - Lifetime JP2746969B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE8704211-5 1987-10-29
SE8704211A SE466732B (sv) 1987-10-29 1987-10-29 Ledprotes, innefattande en ledkropp mellan ett par tappar foer infaestning i ben

Publications (2)

Publication Number Publication Date
JPH03501810A JPH03501810A (ja) 1991-04-25
JP2746969B2 true JP2746969B2 (ja) 1998-05-06

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Application Number Title Priority Date Filing Date
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US (1) US5011497A (ja)
EP (1) EP0391932B1 (ja)
JP (1) JP2746969B2 (ja)
DE (1) DE3874754T2 (ja)
SE (1) SE466732B (ja)
WO (1) WO1989003663A1 (ja)

Families Citing this family (118)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5108443A (en) * 1989-04-25 1992-04-28 Medevelop Ab Anchoring element for supporting a joint mechanism of a finger or other reconstructed joint
SE466936B (sv) * 1989-04-25 1992-05-04 Branemark Per Ingvar Foerankringselement foer uppbaerande av proteser
AU630183B2 (en) * 1989-04-25 1992-10-22 Per-Ingvar Branemark Anchoring element for supporting a joint mechanism of a finger or other reconstructed joint
US5151104A (en) * 1989-10-26 1992-09-29 Pfizer Hospital Products Group, Inc. Self-locking joint connector
SE9001521D0 (sv) * 1990-04-26 1990-04-26 Per Ingvar Branemark System och metod foer rekonstruktion av leder, i synnerhet handleder
CA2070586C (en) * 1991-06-10 1995-11-28 Barry Eppley Prosthetic implant
FR2679440A1 (fr) * 1991-07-24 1993-01-29 Hades Prothese articulaire, notamment trapezo-metacarpienne et digitale.
US5702472A (en) * 1996-12-26 1997-12-30 Huebner; Randall J. Phalangeal finger joint prosthesis and method
US5491882A (en) * 1993-12-28 1996-02-20 Walston; D. Kenneth Method of making joint prosthesis having PTFE cushion
US5879396A (en) * 1993-12-28 1999-03-09 Walston; D. Kenneth Joint prosthesis having PTFE cushion
FR2717071B1 (fr) * 1994-03-11 1996-05-31 Procerati Prothèse d'articulation.
FR2734150B1 (fr) * 1995-05-17 1997-07-18 Smith And Nephew Richards Fran Protheses articulaires interphalangiennes et metacarpo-phalangiennes
US5554194A (en) * 1995-06-07 1996-09-10 United States Surgical Corporation Modular surgical implant
FI101933B (fi) * 1995-06-13 1998-09-30 Biocon Oy Nivelproteesi
US20020143402A1 (en) * 1995-09-04 2002-10-03 Limber Ltd. Hip joint prostheses
US5984970A (en) * 1996-03-13 1999-11-16 Bramlet; Dale G. Arthroplasty joint assembly
DE19650816B9 (de) * 1996-12-09 2005-02-17 Eska Implants Gmbh & Co. Künstliches Fingergelenk
US7255712B1 (en) * 1997-04-15 2007-08-14 Active Implants Corporation Bone growth promoting implant
US6113640A (en) * 1997-06-11 2000-09-05 Bionx Implants Oy Reconstructive bioabsorbable joint prosthesis
US6692499B2 (en) 1997-07-02 2004-02-17 Linvatec Biomaterials Oy Surgical fastener for tissue treatment
US8366785B1 (en) * 1999-07-14 2013-02-05 Biopro, Inc. Basal thumb joint implant
FR2812185B1 (fr) * 2000-07-25 2003-02-28 Spine Next Sa Piece de liaison semi-rigide pour la stabilisation du rachis
FR2812186B1 (fr) * 2000-07-25 2003-02-28 Spine Next Sa Piece de liaison souple pour la stabilisation du rachis
GB0107708D0 (en) * 2001-03-28 2001-05-16 Imp College Innovations Ltd Bone fixated,articulated joint load control device
US20070173858A1 (en) * 2001-06-14 2007-07-26 Alexandria Research Technologies, Llc Apparatus and Method for Sculpting the Surface of a Joint
JP3614802B2 (ja) * 2001-08-27 2005-01-26 有限会社エイド−ル 人工関節
US6869449B2 (en) 2001-10-05 2005-03-22 Depuy Orthopaedics, Inc. Prosthetic joint component having multiple arcuate bending portions
ATE457707T1 (de) 2001-12-04 2010-03-15 Active Implants Corp Kissenlagerungsimplantate für lasttragende anwendungen
DE10206627A1 (de) * 2002-02-15 2003-08-28 Diocom B V Körpergelenk ersetzendes Titanimplantat mit einem oder mehreren Grundkörpern
EP1509161B1 (en) * 2002-05-23 2009-05-13 Active Implants Corporation Joint and dental implants
GB0219758D0 (en) * 2002-08-24 2002-10-02 Grampian Univ Hospitals Device
US7763052B2 (en) * 2003-12-05 2010-07-27 N Spine, Inc. Method and apparatus for flexible fixation of a spine
US20050203513A1 (en) * 2003-09-24 2005-09-15 Tae-Ahn Jahng Spinal stabilization device
US20050065516A1 (en) * 2003-09-24 2005-03-24 Tae-Ahn Jahng Method and apparatus for flexible fixation of a spine
US8979900B2 (en) 2003-09-24 2015-03-17 DePuy Synthes Products, LLC Spinal stabilization device
US7815665B2 (en) * 2003-09-24 2010-10-19 N Spine, Inc. Adjustable spinal stabilization system
AU2003264226A1 (en) * 2003-09-29 2005-04-14 Synthes Gmbh Dynamic damping element for two bones
FR2870718B1 (fr) * 2004-05-25 2006-09-22 Spine Next Sa Ensemble de traitement de la degenerescence d'un disque intervertebral
SE528323C2 (sv) * 2004-06-01 2006-10-17 Medvelop Ab Ledprotes
US20060015183A1 (en) * 2004-07-09 2006-01-19 Pioneer Laboratories, Inc. Skeletal reconstruction device
WO2006012370A2 (en) * 2004-07-20 2006-02-02 Alexandria Research Technologies, Llc Modular apparatus for sculpting the surface of a joint
US7740661B2 (en) * 2004-08-23 2010-06-22 Integra Lifesciences Corporation Radial head implant apparatuses and methods
DE102004048938B4 (de) * 2004-10-07 2015-04-02 Synthes Gmbh Vorrichtung zur dynamischen Stabilisierung von Rückenwirbelkörpern
EP1838249B1 (en) 2005-01-19 2012-03-14 Nexgen Spine, Inc. Fixation of elastomer to rigid structures
ATE537785T1 (de) 2005-01-19 2012-01-15 Nexgen Spine Inc Elastomere bandscheibenprothese
FR2884406B1 (fr) 2005-04-14 2008-10-17 Memometal Technologies Soc Par Dispositif d'osteosynthese intramedullaire de deux parties d'os, notamment de la main et/ou du pied
US7951198B2 (en) * 2005-05-10 2011-05-31 Acumed Llc Bone connector with pivotable joint
US20070055373A1 (en) 2005-09-08 2007-03-08 Zimmer Spine, Inc. Facet replacement/spacing and flexible spinal stabilization
EP1948041A2 (en) 2005-10-24 2008-07-30 Nexgen Spine, Inc. Intervertebral disc replacement and associated instrumentation
DE102005061265A1 (de) * 2005-12-20 2007-06-21 Otto Bock Healthcare Ip Gmbh & Co. Kg Fingerprothese sowie Handprothese
US20070270838A1 (en) * 2006-05-08 2007-11-22 Sdgi Holdings, Inc. Dynamic spinal stabilization device with dampener
EP2032055A2 (en) * 2006-06-28 2009-03-11 Synthes GmbH Dynamic fixation system
US8425601B2 (en) * 2006-09-11 2013-04-23 Warsaw Orthopedic, Inc. Spinal stabilization devices and methods of use
EP2076217B1 (en) 2006-09-26 2015-04-15 Nexgen Spine, Inc. Intervertebral prosthesis endplate having double dome
FR2913876B1 (fr) 2007-03-20 2009-06-05 Memometal Technologies Soc Par Dispositif d'osteosynthese
US7678147B2 (en) * 2007-05-01 2010-03-16 Moximed, Inc. Extra-articular implantable mechanical energy absorbing systems and implantation method
US8123805B2 (en) 2007-05-01 2012-02-28 Moximed, Inc. Adjustable absorber designs for implantable device
US20110245928A1 (en) 2010-04-06 2011-10-06 Moximed, Inc. Femoral and Tibial Bases
US20080275567A1 (en) 2007-05-01 2008-11-06 Exploramed Nc4, Inc. Extra-Articular Implantable Mechanical Energy Absorbing Systems
US8709090B2 (en) 2007-05-01 2014-04-29 Moximed, Inc. Adjustable absorber designs for implantable device
US8100967B2 (en) * 2007-05-01 2012-01-24 Moximed, Inc. Adjustable absorber designs for implantable device
US8894714B2 (en) 2007-05-01 2014-11-25 Moximed, Inc. Unlinked implantable knee unloading device
US9907645B2 (en) * 2007-05-01 2018-03-06 Moximed, Inc. Adjustable absorber designs for implantable device
US20100137996A1 (en) * 2007-05-01 2010-06-03 Moximed, Inc. Femoral and tibial base components
US9655648B2 (en) 2007-05-01 2017-05-23 Moximed, Inc. Femoral and tibial base components
US20080312694A1 (en) * 2007-06-15 2008-12-18 Peterman Marc M Dynamic stabilization rod for spinal implants and methods for manufacturing the same
CA2693540A1 (en) * 2007-08-07 2009-02-12 Synthes Usa, Llc Dynamic cable system
CN101854872B (zh) * 2007-09-14 2014-04-30 新特斯有限责任公司 椎间间隔器
US20090093843A1 (en) * 2007-10-05 2009-04-09 Lemoine Jeremy J Dynamic spine stabilization system
US20090093819A1 (en) * 2007-10-05 2009-04-09 Abhijeet Joshi Anisotropic spinal stabilization rod
FR2927529B1 (fr) * 2008-02-14 2011-02-11 Pfaifer Patrick Prothese d'articulation pour articulation inter-phalangienne ou phalango-metacarpienne ou phalango-metatarsienne
FR2935601B1 (fr) 2008-09-09 2010-10-01 Memometal Technologies Implant intramedullaire resorbable entre deux os ou deux fragments osseux
US20100114165A1 (en) * 2008-11-04 2010-05-06 Abbott Spine, Inc. Posterior dynamic stabilization system with pivoting collars
WO2010078029A1 (en) * 2008-12-17 2010-07-08 Synthes Usa, Llc Posterior spine dynamic stabilizer
US20100160968A1 (en) * 2008-12-19 2010-06-24 Abbott Spine Inc. Systems and methods for pedicle screw-based spine stabilization using flexible bands
FR2940760B1 (fr) 2009-01-08 2010-12-31 Memometal Technologies Implant orthopedique pour arthroplastie digitale
US20120150309A1 (en) * 2009-04-29 2012-06-14 Roelof Marissen Hinge structure
US20120158153A1 (en) * 2009-06-23 2012-06-21 Replication Medical Inc. Trapezium prosthesis
US9795410B2 (en) * 2009-08-27 2017-10-24 Cotera, Inc. Method and apparatus for force redistribution in articular joints
US10349980B2 (en) 2009-08-27 2019-07-16 The Foundry, Llc Method and apparatus for altering biomechanics of the shoulder
US9861408B2 (en) 2009-08-27 2018-01-09 The Foundry, Llc Method and apparatus for treating canine cruciate ligament disease
US9668868B2 (en) 2009-08-27 2017-06-06 Cotera, Inc. Apparatus and methods for treatment of patellofemoral conditions
US9278004B2 (en) 2009-08-27 2016-03-08 Cotera, Inc. Method and apparatus for altering biomechanics of the articular joints
US8715326B2 (en) * 2009-08-28 2014-05-06 Competitive Global Medical, Llc Distal interphalangeal fusion device and method of use
EP2477578B1 (en) 2009-09-23 2015-08-19 Zimmer Spine, Inc. Composite implant
US8679178B2 (en) 2009-10-20 2014-03-25 Moximed, Inc. Extra-articular implantable mechanical energy absorbing assemblies having two deflecting members and compliance member
FR2954691A1 (fr) * 2009-12-29 2011-07-01 Xavier Renard Prothese pour le remplacement d'une articulation de la main
EP2538889A1 (en) * 2010-02-22 2013-01-02 Synthes GmbH Total disc replacement with w-shaped spring elements
US8529611B2 (en) 2010-03-16 2013-09-10 Competitive Global Medical, Llc Distal interphalangeal fusion method and device
US8608785B2 (en) 2010-06-02 2013-12-17 Wright Medical Technology, Inc. Hammer toe implant with expansion portion for retrograde approach
US9724140B2 (en) 2010-06-02 2017-08-08 Wright Medical Technology, Inc. Tapered, cylindrical cruciform hammer toe implant and method
US9498273B2 (en) 2010-06-02 2016-11-22 Wright Medical Technology, Inc. Orthopedic implant kit
US9072564B2 (en) 2010-06-02 2015-07-07 Wright Medical Technology, Inc. Hammer toe implant and method
EP2627286B1 (en) * 2010-10-13 2019-08-14 Synthes GmbH Intervertebral implant fixation assembly
SE535961C2 (sv) * 2010-10-29 2013-03-05 Gs Dev Ab Artificiell led
US8685067B2 (en) 2010-12-21 2014-04-01 Competitive Global Medical, Llc Compression plate apparatus
US9044270B2 (en) * 2011-03-29 2015-06-02 Moximed, Inc. Apparatus for controlling a load on a hip joint
US9468466B1 (en) 2012-08-24 2016-10-18 Cotera, Inc. Method and apparatus for altering biomechanics of the spine
FR2994830B1 (fr) * 2012-08-29 2014-09-19 Biover Prothese pour la restauration d'une articulation entre deux os et ancillaire pour son assemblage
US8945232B2 (en) 2012-12-31 2015-02-03 Wright Medical Technology, Inc. Ball and socket implants for correction of hammer toes and claw toes
US9724139B2 (en) 2013-10-01 2017-08-08 Wright Medical Technology, Inc. Hammer toe implant and method
US9474561B2 (en) * 2013-11-19 2016-10-25 Wright Medical Technology, Inc. Two-wire technique for installing hammertoe implant
US9545274B2 (en) 2014-02-12 2017-01-17 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US9498266B2 (en) 2014-02-12 2016-11-22 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
CN105142575A (zh) * 2014-03-28 2015-12-09 瑞特医疗技术公司 锤状趾植入件
FR3021524A1 (fr) 2014-06-02 2015-12-04 Small Bone Innovations Internat Tige d'ancrage metacarpien, notamment pour une prothese trapezo-metacarpienne
US9808296B2 (en) 2014-09-18 2017-11-07 Wright Medical Technology, Inc. Hammertoe implant and instrument
WO2016099550A1 (en) 2014-12-19 2016-06-23 Wright Medical Technology, Inc. Intramedullary anchor for interphalangeal arthrodesis
US9757168B2 (en) 2015-03-03 2017-09-12 Howmedica Osteonics Corp. Orthopedic implant and methods of implanting and removing same
US10098749B2 (en) 2015-07-31 2018-10-16 Ryan A. Jefferis Proximal interphalangeal joint prothesis
WO2017037686A1 (en) * 2015-09-03 2017-03-09 Cmc Sert Ltd. Prosthesis for replacing joint in a human hand or foot
EP3195833B1 (en) 2016-01-19 2022-01-12 K2M, Inc. Surgical instrument
US10470807B2 (en) 2016-06-03 2019-11-12 Stryker European Holdings I, Llc Intramedullary implant and method of use
US11071630B2 (en) * 2017-11-09 2021-07-27 DePuy Synthes Products, Inc. Orthopaedic prosthesis for an interphalangeal joint and associated method
TR201800343A2 (tr) * 2018-01-10 2018-03-21 Tobb Ekonomi Ve Teknoloji Ueniversitesi Bi̇r akromi̇yoklavi̇küler eklem i̇mplanti
WO2019169319A1 (en) * 2018-03-01 2019-09-06 Paragon 28, Inc. Implants and methods of use and assembly
US11246712B2 (en) * 2018-03-01 2022-02-15 Paragon 28, Inc. Implants, systems, and methods of use and assembly
DE102019005770A1 (de) * 2019-08-16 2021-02-18 Alfons Erdmann Operations- Kit zur Ergänzung eines Gelenkes

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3593342A (en) * 1969-01-27 1971-07-20 Cutter Lab Prosthetic joint
GB1306027A (ja) * 1970-08-04 1973-02-07
US3886600A (en) * 1971-07-15 1975-06-03 Cutter Lab Joint prosthesis
US4158893A (en) * 1976-10-12 1979-06-26 Swanson Alfred B Protective sleeve for implantable prosthesis and method of protecting the prosthesis
US4204284A (en) * 1977-11-16 1980-05-27 Lord Corporation Joint prosthesis with contoured pin
US4229839A (en) * 1977-11-16 1980-10-28 Lord Corporation Joint prosthesis
DE2808740A1 (de) * 1978-03-01 1979-09-06 Omar Pacha Nabil Dr Gelenkprothese
US4229840A (en) * 1978-08-01 1980-10-28 Pfizer Inc. Total trispherical wrist prosthesis
FR2450600B1 (fr) * 1979-03-05 1985-09-27 Howmedica Prothese d'articulation, notamment d'articulation metacarpo-phalangienne
US4352212A (en) * 1979-03-05 1982-10-05 Howmedica, Inc. Joint prosthesis
FR2484826B1 (fr) * 1980-06-19 1985-10-04 Gauthier Georges Perfectionnement aux protheses articulaires
EP0278184A1 (fr) * 1987-02-11 1988-08-17 Thierry Hermann Prothèse d'articulation, en particulier pour articulation de doigt
JPH01136655A (ja) * 1987-11-24 1989-05-29 Asahi Optical Co Ltd 人工椎間板

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WO1989003663A1 (en) 1989-05-05
DE3874754D1 (de) 1992-10-22
SE8704211L (sv) 1989-04-30
EP0391932B1 (en) 1992-09-16
US5011497A (en) 1991-04-30
JPH03501810A (ja) 1991-04-25
SE466732B (sv) 1992-03-30
EP0391932A1 (en) 1990-10-17
SE8704211D0 (sv) 1987-10-29
DE3874754T2 (de) 1993-03-04

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