U.S. patent number 3,715,763 [Application Number 05/136,082] was granted by the patent office on 1973-02-13 for artificial limb for the knee joint.
Invention is credited to Waldemar Link.
United States Patent |
3,715,763 |
Link |
February 13, 1973 |
ARTIFICIAL LIMB FOR THE KNEE JOINT
Abstract
An artificial limb particularly suitable for the knee joint of a
human being consisting of at least two coacting inserts or
implants, which are anchored to the end of the thigh bone and the
shin bone. The insert on the thigh bone is a cup-shaped surface and
the insert on the shin bone is formed like a block to provide a
free supporting face for contact by the surface of the cup-shaped
insert.
Inventors: |
Link; Waldemar (Hamburg,
DT) |
Family
ID: |
22471201 |
Appl.
No.: |
05/136,082 |
Filed: |
April 21, 1971 |
Current U.S.
Class: |
623/20.3 |
Current CPC
Class: |
A61F
2/38 (20130101); A61F 2002/3895 (20130101) |
Current International
Class: |
A61F
2/38 (20060101); A61f 001/24 () |
Field of
Search: |
;3/1
;128/92C,92CA,92R |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Frinks; Ronald L.
Claims
What is claimed is:
1. An artificial limb for the knee joint of a human being,
comprising:
a first rigid member, including a curved strip of material, having
a plurality of radially inwardly extending fastening members
integrally formed therewith disposed on the inside surface of said
strip of material, at least two of said fastening members having a
tapered rectangular shape and a plurality of parallel peripheral
grooves spaced apart along the length thereof; and
a second rigid member, comprising a tapered block of material
having a planar upper surface engaging the outer surface of said
curved strip of material, and a peripheral groove disposed between
the upper and lower surfaces thereof,
whereby at least one first rigid member is adapted to be fastened
to the condyl of the thigh bone, and at least one second rigid
member is adapted to be fastened to the tibia of the shin bone, so
that said curved strip of material of said first rigid member
engages the top planar surface of said second rigid member in point
contact therewith.
2. The artificial limb as recited in claim 1, wherein said
fastening members disposed on the inside surface of said strip of
material include a plurality of elongated parallel rib members,
integrally formed with said strip of material.
3. The artificial limb as recited in claim 2, wherein said curved
strip of material is constructed of metal, and said second rigid
member is constructed of plastic material.
Description
The present invention relates to a prosthesis and in particular to
a partial prosthesis or artificial limb for the knee joint of a
human being.
Different sicknesses in the region of the knee joint, like
osteoprosis, polyarthritis, and sickness which usually follows
single or double fractures of the shin bone (tibia), or fractures
of the condyles, may cause chronic changes and destruction, or
partial destruction of the bone tissue, thus requiring the usage of
a prosthesis or artificial limb. When complicated fractures occur,
for instance, when the medial and/or the lateral tibia plateau is
substantially destroyed, that is, the inner or outer bearing face
of the shin bone is damaged, the knee joint is usually amputated
and replaced by an artificial knee joint. This total amputation of
the knee joint is used also in cases of arthrosis or polyarthritis,
that is, in cases where a total amputation of the knee joint is not
usually required, but is carried out nonetheless, because of lack
of a better solution. It should be noted that in such cases the
shape of the joint heads are substantially or completely intact.
When there is a total replacement of the human knee joint, the
artificial joint has a lot of disadvantages. An artificial
replacement of the natural knee joint constitutes a rather large
implant with respect to the surrounding natural soft tissue which
encompass the implant, and may cause injuries after the healing
process. Furthermore, experience has shown that wound infections
easily occur. Moreover, conventional artificial knee joints do not
accommodate the normal anatomic structure of a natural knee joint.
It should be noted that the known artificial knee joints are
constructed like hinges and do not permit a lateral movement of the
knee joint.
Thin intermediary metal bodies between the joint faces of the bones
have been implanted to permit better freedom of movement in cases
of arthrosis. However, these implants of metal bodies or plates in
the bones cannot be secured satisfactorily. On the one hand, it is
preferable to implant such intermediary bodies, due to the minor
operation required, opposite to a total replacement of the natural
knee joint. However, the degree of success in these types of
operations is rather low.
Accordingly, the subject invention provides a prosthesis or
artificial limb for the natural knee joint in a human being wherein
the aforementioned disadvantages do not occur. The prosthesis to be
implanted should be as small as possible in its measurements, so
that only a comparatively low amount of bone tissue substance has
to be removed, so as to prevent the above mentioned disadvantages
associated with a larger implant. It should be noted that the
smaller implant of the artificial knee joint should be designed so
that it does not cause a loss in stability and function. Moreover,
the stability and function of the knee joint is improved so that
the natural construction of a knee joint is substantially
maintained.
In the invention, the subject prosthesis consists of at least two
cooperating inserts or implants. One of the inserts or implants is
mounted on the head of one of the shin bones in the form of a cup
which assumes the curve of the head of the joint. The other insert
or implant is mounted on the head of the other shin bone having a
freely exposed support face to receive the first mentioned cup
shaped insert or implant. It is to be understood that if one of the
inserts or implants is referred to as cup shaped, it does not
necessarily mean that this insert must be completely curved on its
outside surface, which is directed towards and engages the
supporting face of the other insert. However, such a cup shaped
form is preferable, because it permits a point or linear engagement
with the other insert to provide a favorable rolling action
corresponding to the formation of the natural shin bone condyles.
In contrast to the conventional artificial knee joints, wherein the
artificial joint heads are linked together by means of hinges, the
two opposite inserts or implants of the subject invention are not
positively locked, but are independent of each other.
In order to obtain satisfactory walking conditions and favorable
friction conditions, the inserts or implants are produced of
alloplastic material, in accordance with the invention. In
practice, it has been shown that it is rather advantageous if one
of the inserts consists of a suitable metal, and the other insert
is made of a suitable plastic. Such a combination has a favorable
effect on the natural surrounding tissue and a minimum of abrasion.
A further advantage is that the plastic material insert is
relatively elastic which enables it to conserve the kinetic or
pressure energy which acts on the joint as potential energy.
In a preferred embodiment of the invention, the cup shaped insert
consists of metal, and the block-like insert consists of an
elastic, plastic material. A suitable metal material is a refined
steel with, for example, a chrome or nickel on a molybdenium base.
A suitable plastic material is, for example, a high molecular
polyethylene material. However, it is to be understood that other
equivalent suitable materials may be used. In order to obtain a
favorable friction and abrasion factor, it is recommended that one
of the insert surfaces be highly polished. In order to fixedly
anchor the insert in the bones, protrusions are provided on the
inside of these inserts. The securing of the inserts is carried out
by using a suitable bone cement. A number of certain acrylic resins
are commercially available for use as bone cement.
It is therefore an object of the present invention to provide an
artificial limb having two coacting inserts secured to the thigh
bone and the shin bone which permit greater freedom of movement
than conventional devices.
It is another object of the invention to provide an artificial limb
which is simple in design, easy to manufacture, and reliable in
operation.
Other objects and features of the present invention will become
apparent from the following detailed description considered in
connection with the accompanying drawing which discloses the
embodiments of the invention. It is to be understood, however, that
the drawing is designed for the purpose of illustration only, and
not as a definition of the limits of the invention.
In the drawing, wherein similar reference characters denote similar
elements throughout the several views:
FIG. 1 is a perspective view of a cup shaped insert or implant for
the thigh bone according to the invention,
FIG. 2 is a perspective view of a block-like insert made of plastic
material for a shin bone,
FIG. 3 is a schematic side view of the joint heads of the thigh
bone and the shin bone with the implanted artificial inserts;
and,
FIG. 4 shows a schematic front view of the arrangement shown in
FIG. 3.
Referring to the drawings, there is shown a thigh bone (femur) 1,
and a shin bone (tibia) 2, and the associated condyles 3 and 4 and
the condyles 5 and 6 of the thigh bone (femur) and shin bone
(tibia), respectively. As can be seen in FIG. 1, an insert or
implant 7 is anchored in the joint head of thigh bone (femur) 1 in
the medial condyl 3, as well as in the lateral condyl 4.
Accordingly, as can be seen from FIG. 2, an insert or implant 8 is
anchored in the joint head of the shin bone (tibia) in the medial
condyl 5 and the lateral condyl 6. The cast cup shaped insert or
implant 7 consist of high austenic refined steel which is highly
polished on its outside surface. The cup is about 20-mm wide and
3-mm thick. The curve of the cup shaped insert or implant conforms
to the natural curve of condyls 3 and 4. While the outside 9 of cup
shaped implant 7 is curved at all sides, forming almost an arc,
because the cup is bent in a right angle with respect to the
aforementioned curve, the inside 11 of the cup shaped implant has
only a curve corresponding to the natural bone. Protruding
shoulders 12, 13, and 13' are provided on inside 11 for fixedly
anchoring implant 7 to the natural bone. Grooves 14 are provided on
the rod like shoulders 12 facilitating the anchoring of the
shoulders to the natural bone, whereby the grooves are arranged
laterally with respect to the longitudinal axis of the rod-like
shoulders. The low shoulders are formed as either ribs 13 or cams
13'.
The implant 8 shown in FIG. 2 consists of high polymer
polyethylene. The supporting face 16 is flat and coacts with the
outer surface 9 of implant 7. The supporting face is about 4 cm
long and 2 cm wide, and corresponds to about the half of the load
face of a shin bone condyl of a large knee joint. If these
dimensions are too big for a smaller knee joint, the block may be
reduced, intraoperative, without any difficulties. The side faces
17 of the implant 8 are in an acute angle with respect to
supporting face 16. An anchoring bar 18 is mounted on the inside of
implant 8, which is directed toward the shin bone (tibia) 2. To
facilitate the anchoring, anchoring bar 18 is provided with grooves
19. A groove 21 is provided between anchoring bar 18 and the
supporting face 16 which guarantees a secure mechanical
anchoring.
Implants 7 and 8 are cemented into the natural bones with acrylic
resin bone cement, after the knee joint is opened and the cartilage
is removed, and the anchoring holes are milled into the natural
bones for shoulders 12, 13, 13' and 18. This operation should be
carried out in the extreme bending position of the knee joint.
Before the bone cement hardens, the knee should be brought into its
extreme horizontal position, in order to take care of eventual
corrections, and to check the relative position of implants 7 and
8, with respect to each other.
It should be understood that if there is a lesser degree of damage
to the knee joint, only one implant 7 or 8 may be implanted
together with its associated condyl 3, 5, or 4, 6, respectively.
The inventive prosthesis may also be used in so called crushed
fractures of the knee joint, as long as the ligaments are still
intact. The particular advantage of subject invention resides in
the fact that the implant is rather small and light, and that the
implant is not surrounded by soft tissue, but is maintained in the
bone tissue.
In accordance with the invention, the prosthesis permits not only a
bending and stretching movement of the knee joint, but also permits
the slight turning and lateral movements which are possible with a
natural knee joint. It should be noted that different materials may
be used, however the above described embodiment is the preferred
embodiment of subject invention.
While only a few embodiments of the present invention have been
shown and described, it will be obvious that many changes and
modifications may be made thereunto without departing from the
spirit and scope of the invention.
* * * * *