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FR2868688A1 - Femoral rod for hip prosthesis, has impaction lunula with opening having edge defined by spheroid that is generated by rotation of ellipse around one of transversal or longitudinal axes - Google Patents

Femoral rod for hip prosthesis, has impaction lunula with opening having edge defined by spheroid that is generated by rotation of ellipse around one of transversal or longitudinal axes Download PDF

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Publication number
FR2868688A1
FR2868688A1 FR0403771A FR0403771A FR2868688A1 FR 2868688 A1 FR2868688 A1 FR 2868688A1 FR 0403771 A FR0403771 A FR 0403771A FR 0403771 A FR0403771 A FR 0403771A FR 2868688 A1 FR2868688 A1 FR 2868688A1
Authority
FR
France
Prior art keywords
lunula
impaction
femoral stem
impactor
opening
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.)
Pending
Application number
FR0403771A
Other languages
French (fr)
Inventor
Jean Pierre Bouraly
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.)
Ct Pulse France SA SA
Zimmer France SAS
Original Assignee
Ct Pulse France SA SA
Zimmer France SAS
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 Ct Pulse France SA SA, Zimmer France SAS filed Critical Ct Pulse France SA SA
Priority to FR0403771A priority Critical patent/FR2868688A1/en
Publication of FR2868688A1 publication Critical patent/FR2868688A1/en
Pending legal-status Critical Current

Links

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
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3662Femoral shafts
    • A61F2/367Proximal or metaphyseal parts of 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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4603Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4607Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
    • 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
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30242Three-dimensional shapes spherical
    • A61F2002/30245Partial spheres
    • 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
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30252Three-dimensional shapes quadric-shaped
    • A61F2002/30253Three-dimensional shapes quadric-shaped ellipsoidal or ovoid
    • 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
    • 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
    • A61F2002/30795Blind bores, e.g. of circular cross-section
    • A61F2002/30797Blind bores, e.g. of circular cross-section internally-threaded
    • 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
    • A61F2002/30795Blind bores, e.g. of circular cross-section
    • A61F2002/308Blind bores, e.g. of circular cross-section oblong
    • 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
    • A61F2002/30795Blind bores, e.g. of circular cross-section
    • A61F2002/30813Stepped or enlarged blind bores, e.g. having discrete diameter changes
    • 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
    • A61F2002/3625Necks
    • 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
    • A61F2002/365Connections of heads to necks
    • 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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4603Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4619Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction
    • 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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4603Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4629Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof connected to the endoprosthesis or implant via a threaded connection
    • 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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2002/4681Special tools for implanting artificial joints by applying mechanical shocks, e.g. by hammering
    • 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections 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
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0071Three-dimensional shapes spherical
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0073Quadric-shaped
    • A61F2230/0076Quadric-shaped ellipsoidal or ovoid

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

The rod has an impaction hole that is provided in the form of an impaction lunula (5) that is placed on a distal side (4) of a cervix (2) of the rod. The lunula has an opening (6) for the introduction of an impactor. The opening has an elongated shape and has an edge (7) which is defined by a spheroid that is generated by the rotation of an ellipse around one of transversal or longitudinal axes.

Description

2868688 TIGE FÉMORALE IMPACTABLE POUR PROTHÈSE DE LA HANCHE2868688 IMPACTABLE FEMALE ROD FOR HIP PROSTHESIS

La présente invention concerne une tige fémorale pour prothèse totale ou partielle de la hanche destinée à être implantée dans la cavité médullaire d'un fémur avec ou sans ciment.  The present invention relates to a femoral stem for total or partial prosthesis of the hip to be implanted in the medullary cavity of a femur with or without cement.

Plus particulièrement, l'invention concerne une tige fémorale du type comportant un trou d'impaction directionnelle, en forme de lunule réalisée sur la face proximale du col de la tige fémorale.  More particularly, the invention relates to a femoral stem of the type comprising a directional impaction hole, in the form of a lunula made on the proximal face of the neck of the femoral stem.

La réalisation de cette lunule a pour objectif de constituer un siège de percussions produites par un impacteur lors de la mise en place définitive de la tige.  The purpose of this lunula is to provide a percussion seat produced by an impactor during the final establishment of the rod.

De cette manière, il est possible de produire des percussions sur l'impacteur sans risque de glissement de celui-ci et cela avec une certaine précision d'impact.  In this way, it is possible to produce percussion on the impactor without risk of slipping it and this with some impact accuracy.

Néanmoins, la présence de la lunule d'impaction entraîne certaines conséquences néfastes sur la résistance mécanique de la tige fémorale prothétique au niveau de son col, non pas tant par l'absence de matière provoquée par la réalisation de la lunule, mais par les amorces de fissuration du fait de la présence d'arêtes formées aux angles des différentes surfaces planes ou arrondies définissant ladite lunule.  Nevertheless, the presence of the impaction lunula has certain detrimental consequences on the mechanical strength of the prosthetic femoral stem at its neck, not so much by the absence of material caused by the realization of the lunula, but by the primers. cracking due to the presence of edges formed at the corners of the different flat or rounded surfaces defining said lunula.

En effet, de manière connue, la lunule est définie par un fond incurvé dans le sens 2868688 2 longitudinal de la tige lui même délimité par deux parois latérales droites, parallèles entre elles, formant avec les bords d'extrémité de la lunule, un rectangle.  Indeed, in known manner, the lunula is defined by a curved bottom in the longitudinal direction of the rod itself delimited by two straight side walls parallel to each other, forming with the end edges of the lunula, a rectangle .

On comprend bien que le fond étant dans le sens transversal, il forme avec les parois droites, deux angles générant deux arêtes.  It is understandable that the bottom being in the transverse direction, it forms with the straight walls, two angles generating two edges.

La présence de ces arêtes présente un certain nombre d'inconvénients dont le principal est de fragiliser et donc de risquer une rupture du col de la tige du fait de la présence des points doubles voire des points triples formés au niveau des arêtes qui génèrent des contraintes et à terme des amorces de fissuration.  The presence of these ridges has a certain number of disadvantages, the main one of which is to weaken and thus to risk a rupture of the neck of the stem because of the presence of double points or even triple points formed at the edges which generate constraints. and eventually cracking primers.

Le but de la présente invention est précisément de réaliser une lunule sur une tige fémorale prothétique offrant une répartition harmonieuse des contraintes tout en permettant aux praticiens, lors de l'intervention, de pouvoir prendre appui dans la lunule pour impliquer une rotation sur la tige.  The purpose of the present invention is precisely to make a lunette on a prosthetic femoral stem providing a harmonious distribution of constraints while allowing practitioners, during the intervention, to be able to take support in the lunula to involve a rotation on the rod.

Egalement, le but recherché est celui de pouvoir permettre une prise d'appui dans cette lunule en exerçant une pression verticale ou légèrement angulaire fixe avec un pointeau, le temps de la prise du ciment.  Also, the aim is to be able to support this lunula by exerting a vertical or slightly angular pressure fixed with a needle, the time of setting the cement.

La présente invention permet de remédier aux inconvénients précités, tout en atteignant les objectifs définis et concerne à cet effet, une tige fémorale pour prothèse totale ou partielle de hanche destinée à être implantée dans la cavité 2868688 3 médullaire d'un fémur, du type comportant un trou d'impaction directionnelle en forme de lunule réalisée sur la face distale du col, constituant le siège de percussions F, F' produites par un impacteur, caractérisée en ce que la lunule d'impaction présente une ouverture d'introduction de l'impacteur, de forme allongée et dont le fond est défini par un ellipsoïde de révolution engendré par la rotation d'une ellipse autour de l'un de ses axes longitudinal X, X' ou transversal Y, Y' .  The present invention overcomes the aforementioned drawbacks, while achieving the objectives defined and concerns for this purpose, a femoral stem for total or partial hip prosthesis intended to be implanted in the medullary cavity of a femur, of the type comprising a lunette-shaped directional impaction hole made on the distal face of the neck, constituting the seat of percussion F, F 'produced by an impactor, characterized in that the impaction lunula has an opening for introducing the impactor, of elongated shape and whose bottom is defined by an ellipsoid of revolution generated by the rotation of an ellipse around one of its longitudinal axes X, X 'or transverse Y, Y'.

Un tel profil donné à la lunule tant dans le sens longitudinal que transversal permet selon le but recherché d'optimiser la réduction des contraintes exercées sur le col de la tige en traction et/ou en compression en évitant donc les points doubles, voire les points triples.  Such a profile given to the lunula in both the longitudinal and transverse direction allows, according to the desired aim, to optimize the reduction of the stresses exerted on the neck of the rod in tension and / or in compression, thereby avoiding double points, or even points. triplets.

Egalement, l'avantage offert aux praticiens avec une telle conformation de la lunule réside dans le fait qu'il pourra exercer des forces sur la tige en prenant appui dans sa lunule dans un sens antéro postérieur et dans un sens interne/externe.  Also, the advantage offered to practitioners with such a conformation of the lunula lies in the fact that it can exert forces on the stem by resting in its lunula in an anteroposterior sense and in an internal / external sense.

La présente invention concerne également les caractéristiques qui ressortiront au cours de la description qui va suivre, et qui devront être considérées isolément ou selon toutes leurs combinaisons techniques possibles.  The present invention also relates to the features which will emerge during the following description, which should be considered in isolation or in all their possible technical combinations.

Cette description donnée à titre d'exemple non limitatif, fera mieux comprendre comment l'invention peut être réalisée en référence aux dessins annexés sur lesquels: 2868688 4 La figure 1 représente une vue de face partielle d'une tige fémorale prothétique conforme à l'invention.  This description given by way of nonlimiting example, will better understand how the invention can be made with reference to the accompanying drawings in which: FIG. 1 represents a partial front view of a prosthetic femoral stem conforming to FIG. invention.

La figure 2 représente à échelle amoindrie une vue de dessus de la face distale du col la tige fémorale représentée à la figure 1.  FIG. 2 represents on a reduced scale a view from above of the distal face of the neck of the femoral stem represented in FIG.

La figure 3 est une vue en coupe transversale selon la ligne III, III de la figure 2.  FIG. 3 is a cross-sectional view along line III, III of FIG. 2.

La figure 4 est une vue en coupe longitudinale selon la ligne IV, IV de la figure 2.  FIG. 4 is a view in longitudinal section along the line IV, IV of FIG.

La tige fémorale 1 globalement désignée sur les figures est destinée à être implantée dans la cavité médullaire d'un fémur (non représenté) pour prothèse totale ou partielle de la hanche.  The femoral stem 1 generally designated in the figures is intended to be implanted in the medullary cavity of a femur (not shown) for total or partial prosthesis of the hip.

Cette tige fémorale 1 comporte de manière connue, un col 2 à l'extrémité duquel est réalisé un cône destiné à recevoir une tête sphérique.  This femoral stem 1 comprises in known manner, a neck 2 at the end of which is formed a cone for receiving a spherical head.

La face distale 4 du col 2 de la tige 1 comporte un trou d'impaction directionnelle formé par une lunule 5, constituant le siège de percussions produites par un impacteur, selon un sens F, F' variable tant angulairement dans le sens longitudinal que transversal.  The distal face 4 of the neck 2 of the rod 1 comprises a directional impaction hole formed by a lunula 5 constituting the seat of percussion produced by an impactor, in a direction F, F 'variable both angularly in the longitudinal direction and transverse .

Selon l'invention, la lunule d'impaction 5 représentée sur les figures présente une ouverture 6 d'introduction de l'impacteur, de forme allongée et dont le fond 7 est défini par un ellipsoïde de 2868688 5 révolution engendré par la rotation d'une ellipse autour de l'un de ses axes longitudinal X, X' ou transversal Y, Y'.  According to the invention, the impaction lunula 5 shown in the figures has an opening 6 for introducing the impactor, of elongate shape, the bottom 7 of which is defined by a spherical ellipsoid 2868688 generated by the rotation of an ellipse around one of its longitudinal axes X, X 'or transverse Y, Y'.

Selon une variante de réalisation non représentée, la lunule d'impaction 5 présente une ouverture d'introduction 6 de l'impacteur, de forme allongée et dont le fond 7 est défini par un segment sphérique engendré par la rotation d'un cercle autour de l'un de ses axes diamétral.  According to an alternative embodiment not shown, the impaction lunula 5 has an introduction opening 6 of the impactor, of elongated shape and whose bottom 7 is defined by a spherical segment generated by the rotation of a circle around one of its diametrical axes.

Selon une forme de réalisation non représentée, l'ouverture d'introduction 6 de l'impacteur dans la lunule d'impaction 5 est de forme elle-même ellipsoïdale.  According to an embodiment not shown, the opening 6 of the introduction of the impactor in the impaction lunula 5 is shaped itself ellipsoidal.

Ainsi, non seulement les contraintes générées par les points doubles et les points triples sont supprimés, car la lunule ne présente aucune arête de jonction entre ces différents plans, mais de plus, le praticien pourra impacter selon des angles différents dans le sens longitudinal et transversal par des impactions respectivemenet F ou F' tout en conservant la possibilité de prendre appui sur des parois latérales droites 8a, 8b pour orienter la tige fémorale en cours d'intervention.  Thus, not only the stresses generated by the double points and the triple points are removed, because the lunula has no junction edge between these different planes, but moreover, the practitioner will be able to impact at different angles in the longitudinal and transverse directions. by impactions respectivemenet F or F 'while maintaining the ability to bear on straight sidewalls 8a, 8b to guide the femoral stem during surgery.

Egalement, le fond 7 de la lunule 5 est percé d'un trou borgne central 9 permettant l'introduction d'un outil formant un pointeau. (non représenté) Selon une forme de réalisation préférée, représentée sur les figures, le fond 7 de la lunule 35 5 est percé d'un trou central fileté 10 de manière 2868688 6 à permettre le vissage d'un outil d'extraction de ladite tige fémorale 1. (non représenté) Bien entendu, les deux caractéristiques précitées pourront être associées de manière à ce que le trou borgne central de la lunule soit prolongé par un trou fileté également central de plus petit diamètre.  Also, the bottom 7 of the lunula 5 is pierced with a central blind hole 9 allowing the introduction of a tool forming a needle. (not shown) According to a preferred embodiment, shown in the figures, the bottom 7 of the lunula 35 5 is pierced with a threaded central hole 10 so as to allow the screwing of an extraction tool of said Femoral stem 1. (not shown) Of course, the two aforementioned features may be associated so that the central blind hole of the lunula is extended by a threaded hole also central smaller diameter.

Claims (1)

7 REVENDICATIONS7 CLAIMS 1. Tige fémorale pour prothèse totale ou partielle de hanche destinée à être implantée dans la cavité médullaire d'un fémur, du type comportant un trou d'impaction directionnelle en forme de lunule (5) réalisée sur la face distale (4) du col (2), constituant le siège de percussions (F, F') produites par un impacteur, caractérisée en ce que la lunule d'impaction (5) présente une ouverture (6) d'introduction de l'impacteur, de forme allongée et dont le fond (7) est défini par un ellipsoïde de révolution engendré par la rotation d'une ellipse autour de l'un de ses axes longitudinal (X, X') ou transversal (Y, Y').  1. Femoral stem for total or partial hip prosthesis intended to be implanted in the medullary cavity of a femur, of the type comprising a lunette shaped directional impaction hole (5) made on the distal face (4) of the cervix (2), constituting the percussion seat (F, F ') produced by an impactor, characterized in that the impaction lunula (5) has an opening (6) for introducing the impactor, of elongated shape and whose bottom (7) is defined by an ellipsoid of revolution generated by the rotation of an ellipse around one of its longitudinal axes (X, X ') or transverse (Y, Y'). 2. Tige fémorale pour prothèse totale ou partielle de hanche destinée à être implantée dans la cavité médullaire d'un fémur, du type comportant un trou d'impaction directionnelle en forme de lunule (5) réalisée sur la 20 (2), constituant le siège produites par un impacteur la lunule d'impaction (5)face distale (4) du col de percussions (F, F') caractérisée en ce que présente une ouverture d'introduction (6) de l'impacteur, de forme allongée et dont le fond (7) est défini par un segment sphérique engendré par la rotation d'un cercle autour de l'un de ses axes diamétral.  2. Femoral stem for total or partial hip prosthesis for implantation in the medullary cavity of a femur, of the type having a lunula-shaped directional impaction hole (5) formed on the 20 (2), constituting the seat produced by an impactor the impaction horn (5) distal face (4) of the percussion neck (F, F ') characterized in that has an introduction opening (6) of the impactor, elongate and whose bottom (7) is defined by a spherical segment generated by the rotation of a circle around one of its diametral axes. 3. Tige fémorale selon l'une des3. Femoral stem according to one of the revendications 1 ou 2, caractérisée en ce que  claims 1 or 2, characterized in that l'ouverture d'introduction (6) de l'impacteur dans 2868688 8 la lunule d'impaction (5) est de forme elle-même ellipsoïdale.  the insertion opening (6) of the impactor 2868688 8 the impaction lunule (5) is shaped ellipsoidal itself. 4. Tige fémorale selon l'une des revendications 1 à 3, caractérisée en ce que le fond (7) de la lunule (5) est percé d'un trou borgne central (9) permettant l'introduction d'un outil formant un pointeau.  4. femoral stem according to one of claims 1 to 3, characterized in that the bottom (7) of the lunula (5) is pierced with a central blind hole (9) for the introduction of a tool forming a needle. 5. Tige fémorale selon l'une des revendications 1 à 4, caractérisée en ce que le fond (7) de la lunule (5) est percé d'un trou central fileté (10) de manière à permettre le vissage d'un outil d'extraction de ladite tige fémorale (1).  5. femoral stem according to one of claims 1 to 4, characterized in that the bottom (7) of the lunula (5) is pierced with a threaded central hole (10) so as to allow the screwing of a tool extraction of said femoral stem (1). 6. Tige fémorale selon les revendications 4 et 5, caractérisée en ce que le trou borgne central de la lunule est prolongé par un trou fileté également central de plus petit diamètre.  6. femoral stem according to claims 4 and 5, characterized in that the central blind hole of the lunula is extended by a threaded hole also central smaller diameter.
FR0403771A 2004-04-09 2004-04-09 Femoral rod for hip prosthesis, has impaction lunula with opening having edge defined by spheroid that is generated by rotation of ellipse around one of transversal or longitudinal axes Pending FR2868688A1 (en)

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FR0403771A FR2868688A1 (en) 2004-04-09 2004-04-09 Femoral rod for hip prosthesis, has impaction lunula with opening having edge defined by spheroid that is generated by rotation of ellipse around one of transversal or longitudinal axes

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FR0403771A FR2868688A1 (en) 2004-04-09 2004-04-09 Femoral rod for hip prosthesis, has impaction lunula with opening having edge defined by spheroid that is generated by rotation of ellipse around one of transversal or longitudinal axes

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022073074A1 (en) * 2020-10-08 2022-04-14 Signature Orthopaedics Europe Ltd An orthopaedic implant tool interfacing socket

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE8909886U1 (en) * 1989-08-18 1989-09-28 Moser, Heinz, 6905 Schriesheim Femoral hip joint endoprosthesis
FR2660855A1 (en) * 1990-04-13 1991-10-18 Orthocogit Hip prosthesis
EP0601223A1 (en) * 1992-12-07 1994-06-15 Plus Endoprothetik Ag Shaft for femoral hip joint endoprosthesis
FR2751528A1 (en) * 1996-07-24 1998-01-30 Merck Biomaterial France Artificial hip joint prosthesis
US5755805A (en) * 1996-07-25 1998-05-26 Whiteside; Leo A. Tapered prosthesis component
WO2000051530A1 (en) * 1999-03-03 2000-09-08 Smith & Nephew, Inc. Methods, systems, and instruments for inserting prosthetic implants
FR2797762A1 (en) * 1999-08-27 2001-03-02 Cottin Philippe Femoral implant for artificial hip joint has frustoconical projection which accommodates ball, standing on conical base and has curved tapered projection extending from shoulder
FR2839641A1 (en) * 2002-05-17 2003-11-21 Jean Claude Cartillier Fe mural component of hip prosthesis has truncated conical tip on neck with oblong or rectangular cross-section

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE8909886U1 (en) * 1989-08-18 1989-09-28 Moser, Heinz, 6905 Schriesheim Femoral hip joint endoprosthesis
FR2660855A1 (en) * 1990-04-13 1991-10-18 Orthocogit Hip prosthesis
EP0601223A1 (en) * 1992-12-07 1994-06-15 Plus Endoprothetik Ag Shaft for femoral hip joint endoprosthesis
FR2751528A1 (en) * 1996-07-24 1998-01-30 Merck Biomaterial France Artificial hip joint prosthesis
US5755805A (en) * 1996-07-25 1998-05-26 Whiteside; Leo A. Tapered prosthesis component
WO2000051530A1 (en) * 1999-03-03 2000-09-08 Smith & Nephew, Inc. Methods, systems, and instruments for inserting prosthetic implants
FR2797762A1 (en) * 1999-08-27 2001-03-02 Cottin Philippe Femoral implant for artificial hip joint has frustoconical projection which accommodates ball, standing on conical base and has curved tapered projection extending from shoulder
FR2839641A1 (en) * 2002-05-17 2003-11-21 Jean Claude Cartillier Fe mural component of hip prosthesis has truncated conical tip on neck with oblong or rectangular cross-section

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022073074A1 (en) * 2020-10-08 2022-04-14 Signature Orthopaedics Europe Ltd An orthopaedic implant tool interfacing socket
AU2021356330B2 (en) * 2020-10-08 2023-05-18 Signature Orthopaedics Europe Ltd An orthopaedic implant tool interfacing socket

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