U.S. patent number 3,871,031 [Application Number 05/314,461] was granted by the patent office on 1975-03-18 for total hip prosthetic apparatus made of non-porous alumina.
This patent grant is currently assigned to Ceraver. Invention is credited to Pierre Boutin.
United States Patent |
3,871,031 |
Boutin |
March 18, 1975 |
TOTAL HIP PROSTHETIC APPARATUS MADE OF NON-POROUS ALUMINA
Abstract
A prosthetic apparatus designed to replace a natural
articulation between bones including a first hemispherical piece
having a plurality of discontinuities on the outer convex surface
thereof for attachment to a first bone and having an anchoring
projection extending therefrom having an axis offset from the axis
of the hemispherical piece, and a second elongated piece attached
to a second bone and having a head portion providing the
cooperating surface with the hemispherical piece.
Inventors: |
Boutin; Pierre (Pau,
FR) |
Assignee: |
Ceraver (Paris,
FR)
|
Family
ID: |
27249716 |
Appl.
No.: |
05/314,461 |
Filed: |
December 12, 1972 |
Current U.S.
Class: |
623/22.23;
623/22.15 |
Current CPC
Class: |
A61F
2/34 (20130101); A61F 2/32 (20130101); A61F
2002/3686 (20130101); A61F 2310/00203 (20130101); A61F
2002/30968 (20130101); A61F 2002/3412 (20130101); A61F
2002/3414 (20130101); A61F 2002/3631 (20130101); A61F
2002/30879 (20130101); A61F 2/36 (20130101); A61F
2002/30827 (20130101) |
Current International
Class: |
A61F
2/32 (20060101); A61F 2/34 (20060101); A61F
2/00 (20060101); A61F 2/30 (20060101); A61F
2/36 (20060101); A61f 001/22 () |
Field of
Search: |
;3/1
;128/92C,92CA,92R |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
1,448,955 |
|
Jul 1966 |
|
FR |
|
426,096 |
|
Jun 1967 |
|
CH |
|
Other References
"Arthroplasty of the Hip" by J. Charnley, The Lancet, May 27, 1961,
pages 1129-1132..
|
Primary Examiner: Frinks; Ronald L.
Attorney, Agent or Firm: Craig & Antonelli
Claims
What is claimed is:
1. A prosthetic apparatus designed to replace a natural
articulation between two bones, comprising a first hemispherical
piece consisting of non-porous alumina to be attached to a first
bone by reossification, a second elongated piece to be attached to
a second bone, cooperating surfaces on said first and second pieces
being formed from non-porous smoothed and ground alumina, the
second piece consisting of two portions, one portion of which is a
metallic rod and the other portion of which is a head consisting of
non-porous alumina secured to the metallic rod, said head providing
the cooperating surface of said second piece, the outer convex
portion of said hemispherical first piece which is to come into
contact with an osseous part of the bone to which it must be
secured by reossification including a plurality of anfractuosities
of a size sufficient to permit ingrowth of osseous cells, and means
for anchoring said first piece to said first bone including a first
anchoring projection extending from said outer convex portion along
the axis of symmetry of said first piece and a second anchoring
projection extending along an axis different from and parallel to
the axis of symmetry of said first piece, so that the second
anchoring projection will extend into an area of the bone to which
it is to be attached which is thicker than the area through which
the axis of said first anchoring projection extends.
2. A total prosthetic apparatus of the hip according to claim 1,
characterized in that the first and second anchoring projections
are provided with anfractuosities analogous to those of the convex
face of said first piece.
3. A total prosthetic apparatus of the hip according to claim 1,
wherein at least two dimensions of said anfractuosities are in the
order of a millimeter.
4. A total prosthetic apparatus of the hip, comprising a first
hemispherical piece consisting of non-porous alumina to be attached
to the hip bone by reossification, a second elongated piece to be
attached to the femur, cooperating surfaces on said first and
second pieces being formed from non-porous smoothed and ground
alumina, the second piece comprising two portions, one portion of
which is a metallic rod and the other portion of which is a
spherical head consisting of non-porous alumina secured to the
metallic rod, said spherical head providing the cooperating surface
of said second piece, the outer convex portion of said
hemispherical first piece which is to come into contact with the
osseous part of the hip bone to which it must be secured by
reossification including a plurality of anfractuosities of a size
sufficient to permit ingrowth of osseous cells, a first anchoring
portion extending from the top of said hemispherical first piece
and coaxial therewith, and at least another anchoring portion
extending also from said other convex portion and having an axis
parallel to the axis of symmetry of the first piece, and adapted to
be fitted into an area of the hip bone which is thicker than the
area through which the axis of symmetry of the first piece
extends.
5. A total prosthetic apparatus of the hip according to claim 4,
wherein the anchoring projections are provided with anfractuosities
analogous to those of the convex face of said first piece.
6. A total prosthetic apparatus of the hip according to claim 4,
wherein at least two dimensions of said anfractuosities are in the
order of a millimeter.
Description
The present invention relates to improvements in a prosthetic
device designed for replacing a natural articulation between two
bones, including a first piece attached to the first bone, a second
piece attached to the second bone, the cooperating surfaces being
made from non-porous alumina, the second piece consisting of two
elements, one of which is a metallic rod, and the other a head
which is secured to the metallic rod and which comprises the
cooperating surface of this second piece. It is concerned more
particularly with a prosthetic device for coxo-femoral
articulation.
The attachment of each of the pieces onto the corresponding osseous
portion may be effected either with the aid of a cement, or by
ossification inside pores or striae.
Actually, the use of a cement, which is generally an acrylic
cement, presents disadvantages by reason of its nature as an
organic synthetic resin which is more or less well tolerated by the
organism. This is the reason why the attachment by ossification
within pores or striae is preferable. Nevertheless, the usual
porosity of fritted alumina (pores with a dimension in the order of
20 microns) involves the risk of not allowing for a sufficient
penetration of the pores by the osseous cells, because of their
dimensions, and consequently producing too fragile an attachment of
the piece on the corresponding osseous part.
The present invention aims at remedying the above-mentioned
disadvantages and at attaining a solid attachment of the piece of
the prosthetic device on the corresponding osseous part by
ossification.
The prosthetic device according to the present invention is
characterized in that the part of at least one of the two pieces
which comes into contact with the osseous portion to which it must
be attached comprises anfractuosities, at least two dimensions of
which are in the order of a millimeter. Tests carried out by
applicant have shown, in fact, that the natural ossification
completely fills up anfractuosities in the order of a millimeter,
thus assuring a solid and homogeneous attachment of the piece
joined to the corresponding bone.
In the case of a total prosthetic device of the hip comprising a
first piece attached to the hipbone, this acetabular piece and a
second piece attached to the femur. The convex face of the first
piece comprises preferably anfractuosities consisting of grooves
whose width and depth are in the order of a millimeter.
The convex face of the first piece comprises preferably, along with
these grooves, or independently of the latter, at least one
anchoring projection for reinforcing the mechanical anchoring which
is provided. The presence of the anchoring projection or stud
facilitates the placement of the acetabular piece into a milled
portion of the acetabulum. This anchoring projection is placed in
position in a previously bored seat in the acetabulum and assures
the guidance of the milling tool. It contributes furthermore to the
mechanical bond by reossification.
It might appear advantageous to dispose the anchoring projection
coaxially to the remainder of the acetabular piece. Nevertheless,
the bottom of the acetabulum or socket has a relatively small
thickness in the axis of the acetabular piece and it is not very
spongy relatively speaking, which is in turn not very favorable for
the desired reossification process.
In accordance with another characteristic of the present invention,
the anchoring projection, or at least one of these in case the
acetabular piece comprises several of them, has an axis different
from that of the rest of this piece, traversing an area of the
acetabulum having a thickness greater than that traversed by the
axis of the rest of the piece. Furthermore, the area of the
acetabulum in which the anchoring projection will come to be
positioned is in that case of a spongy nature, which is favorable
for the reossification process.
According to a first embodiment of the present invention, the axis
of the anchoring projection forms an angle of about 10.degree. with
that of the rest of the acetabular piece.
According to another embodiment of the present invention, the axis
of the anchoring projection is parallel to that of the rest of the
acetabular piece.
The acetabular piece may, however, comprise a second anchoring
projection whose axis coincides with its natural axis in the case
where an axial centering of the acetabular piece at the moment of
its positioning appears advantageous.
The anchoring projection and/or projections are preferably provided
with anfractuosities analogous to those of the convex surface of
the acetabular piece with a view toward facilitating the
reossification process at the contact surfaces.
Described hereinafter by way of example and with reference to the
accompanying drawings are acetabular pieces according to the
present invention.
FIG. 1 is a profile view, partially in section, of an acetabular
piece comprising a coaxial anchoring projection;
FIG. 2 is a plan view of the piece shown in FIG. 1;
FIG. 3 is a cross-sectional view of a coxo-femoral prosthesis
comprising an acetabular piece, such as that shown in FIG. 1;
FIG. 4 is a cross-sectional view of a coxo-femoral prosthesis
comprising an acetabular piece with an anchoring projection whose
axis is angularly shifted with respect to the axis of the
acetabular piece and intersects the latter in the center of the
spherical envelope of the exterior surface of the acetabular
piece;
FIG. 5 is a schematic view of an acetabular piece with an anchoring
projection having the axis thereof angularly shifted with respect
to its proper one, but intersecting the latter beyond the center of
the spherical envelope of its exterior surface;
FIG. 6 is a schematic view of an acetabular piece with an anchoring
projection having the axis thereof angularly shifted with respect
to its proper one, but intersecting the latter on this side of the
center of the spherical envelope of its exterior surface; and
FIG. 7 is a schematic view of an acetabular piece with an anchoring
projection having the axis parallel to the normal one thereof.
The acetabular piece shown in FIGS. 1 and 2, the female portion of
the coxo-femoral articulation, is made from alumina obtained by
fritting. It is made essentially with a hemispherical form or shape
and comprises notably a concave face 4 smoothed and ground. This
face is the one which assures the contact between the two pieces of
the articulation. The convex face 1 which serves for the attachment
to the osseous matter comprises anfractuosities consisting of
grooves 2 and 3 which are respectively disposed along parallel
meridian lines of the sphere.
Furthermore, this piece comprises an anchoring projection 5 which
is located substantially at the top of the hemisphere. This
projection improves the mechanical linkage or connection between
the aforementioned piece and the osseous part to which it is
attached. Moreover, the projection may in turn also be provided
with anfractuosities, and the total length of the latter will thus
be increased.
By way of example, the grooves 2 and 3 may have a width of 1.2 mm
and a depth of 1 mm. In the example illustrated, the grooves, such
as grooves 2, are 12 in number, and those such grooves 3 are eight
in number. But this may not be necessarily so. Likewise, the shape
and arrangement or provision of these grooves may also be
different.
Other modifications with respect to detail may also be applied to
the present invention without departing from the spirit and scope
thereof. Nevertheless, the rod which serves for the implantation
thereof may also comprise, in the same manner as the acetabular
piece described, anfractuosities which assure its fixation, or
attachment, by means of natural ossification. Moreover, these
anfractuosities, at least two dimensions of which are in the order
of a millimeter, do not necessarily constitute a network of
grooves; they may instead be detached and distributed more or less
regularly. They can be obtained by pressing, for example.
As is shown in and apparent from FIG. 3, it is not possible to
embed an acetabular piece of this type unless the bottom of the
acetabulum or socket 6 has a sufficient thickness. Furthermore, any
possible displacing force or stress on the piece in the housing
thereof automatically results in a reaction in the peripheral zone
or area of the acetabulum or socket in the vicinity of the
acetabular piece, in the new osseous cells of reossification.
In FIG. 4 the prosthetic device for the articulation of the hip
according to the present invention consists of an acetabular piece
1, of a femoral piece 12 equipped with a spherical head 13 forming
a ball-and-socket joint with a spherical housing 14 arranged in the
piece 1. The metallic piece 12 is fixed or secured in the femur and
the piece 1 is fixed or secured to the acetabulum or socket, but
the anchoring projection 15 is not disposed according to the axis
OO' of the acetabular piece and the axis XY thereof forms a certain
angle, for example about 25.degree., with the axis of symmetry 00'.
The axis XY intersects the latter at the center 16 of the spherical
envelope of the exterior surface 17 of the acetabular piece. This
provision allows for placing or embedding the anchoring projection
15 in an osseous portion that is more solid and thicker, and whose
spongy nature is more favorable than that of the bottom 6 of the
socket (FIG. 3) for the reossification process.
In FIG. 5 the axis XY of the projection 15 will come to intersect
the axis of symmetry 00' of the acetabular piece beyond the center
16 of the spherical envelope of the exterior surface thereof. The
axis XY thus forms a certain angle with the radius of the spherical
envelope of the acetabular piece.
In FIG. 6 the axis XY of the projection 15 will come to intersect
the axis of symmetry 00' of the piece in a point 18 on this side of
the center 16.
In FIG. 7 the axis XY of the projection 15 is parallel to the axis
of symmetry 00' of the acetabular piece.
In these different cases, as seen in FIGS. 5-7, the lack of axial
symmetry of the acetabular piece, by virtue of the position of the
anchoring projection thereof, opposes any possible displacing force
or stress of this piece in the housing thereof, a positive reaction
in a solid and healthy part of the socket.
It is understood, moreover, that, in the case where the axial
centering of the anchoring projection with respect to the axis 00'
appears advantageous, the acetabular piece may have two
projections, one of which is on the axis 00'. This piece may also
have several projections, and the form or shape of the latter may
be different from that of a cylinder (conical, in the form of a
truncated cone, or parallelepipedal, for example). These
projections may constitute an integral part of the acetabular piece
or they may be added thereto. For reasons of facilitating the
placement or positioning of the acetabular piece, one or several
projections may quite possibly not be integral with the acetabular
piece, but instead may be disposed in housings arranged in the
latter.
The acetabular piece may have a cross section different from that
of a portion of the sphere, with preferably an axial symmetry, not
taking into account the anchoring projection and/or projections. It
may have, moreover, like the complete prosthetic device or
apparatus, either one or several of the secondary characteristics
defined or set forth herein.
* * * * *