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DE102007031664B4 - Structured surface of a ball head or a socket insert of an artificial hip joint to prevent dry running - Google Patents

Structured surface of a ball head or a socket insert of an artificial hip joint to prevent dry running Download PDF

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Publication number
DE102007031664B4
DE102007031664B4 DE102007031664.1A DE102007031664A DE102007031664B4 DE 102007031664 B4 DE102007031664 B4 DE 102007031664B4 DE 102007031664 A DE102007031664 A DE 102007031664A DE 102007031664 B4 DE102007031664 B4 DE 102007031664B4
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DE
Germany
Prior art keywords
ball head
socket insert
socket
recesses
kalottenoberfläche
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Expired - Fee Related
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DE102007031664.1A
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German (de)
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DE102007031664A1 (en
Inventor
Dr. Dietrich Martin
Dr. Indink Heike
Dr. Pandorf Thomas
Roman Preuss
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Ceramtec GmbH
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Ceramtec GmbH
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Priority to DE102007031664.1A priority Critical patent/DE102007031664B4/en
Priority to PCT/EP2007/058126 priority patent/WO2008015288A1/en
Publication of DE102007031664A1 publication Critical patent/DE102007031664A1/en
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Publication of DE102007031664B4 publication Critical patent/DE102007031664B4/en
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    • 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; 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
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3662Femoral 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30112Rounded shapes, e.g. with rounded corners
    • A61F2002/30136Rounded shapes, e.g. with rounded corners undulated or wavy, e.g. serpentine-shaped or zigzag-shaped
    • 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
    • A61F2002/30621Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30649Ball-and-socket joints
    • A61F2002/3065Details of the ball-shaped head
    • A61F2002/30652Special cut-outs, e.g. flat or grooved cut-outs
    • 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
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30673Lubricating means, e.g. synovial pocket
    • 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
    • A61F2002/3082Grooves
    • A61F2002/30822Circumferential grooves
    • 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
    • A61F2002/3082Grooves
    • A61F2002/30827Plurality of grooves
    • A61F2002/30828Plurality of grooves parallel
    • 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
    • A61F2002/30838Microstructures
    • 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
    • A61F2002/30934Special articulating surfaces
    • A61F2002/30937Special articulating surfaces with cut-outs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • A61F2002/348Additional features
    • A61F2002/3493Spherical shell significantly greater than a hemisphere, e.g. extending over more than 200 degrees
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures

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  • 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

Kugelkopf (2) mit einer konvexen Kugelkopfoberfläche und/oder Pfanneneinsatz (3) mit einer Kalotte (5) und einer konkaven Kalottenoberfläche zur Verwendung für eine Hüftgelenkprothese, die aus einem Schaft (1) besteht, auf dem der Kugelkopf (2) befestigbar ist, der Kugelkopf (2) mit seiner Kugelkopfoberfläche (6) auf einer Gleitzone auf der Kalottenoberfläche (7) in der Kalotte (5) des Pfanneneinsatzes (3) drehbar einsetzbar ist, und der Pfanneneinsatz (3) mit einer Hüftpfanne (4) koppelbar ist, wobei der Schaft (1) in den Oberschenkelknochen (20) und die Hüftpfanne (4) in den Beckenknochen (21) implantierbar sind, wobei auf der Kugelkopfoberfläche (6) und/oder auf der Kalottenoberfläche (7) zumindest im Bereich der Gleitzone Vertiefungen angeordnet sind, dadurch gekennzeichnet, dass die Vertiefungen in unregelmäßigen Abständen (13) auf der Kugelkopfoberfläche (6) und/oder der Kalottenoberfläche (7) angeordnet sind.A ball head (2) having a convex spherical head surface and / or cup insert (3) with a cap (5) and a concave cup surface for use in a hip joint prosthesis consisting of a shaft (1) on which the ball head (2) is mountable, the ball head (2) with its ball head surface (6) is rotatably insertable on a sliding zone on the dome surface (7) in the dome (5) of the socket insert (3), and the socket insert (3) can be coupled to a hip socket (4), wherein the shaft (1) in the femur (20) and the acetabulum (4) in the pelvic bone (21) are implanted, wherein on the ball head surface (6) and / or on the Kalottenoberfläche (7) at least in the region of the sliding zone recesses arranged are, characterized in that the recesses at irregular intervals (13) on the ball head surface (6) and / or the Kalottenoberfläche (7) are arranged.

Description

Die Erfindung betrifft einen Kugelkopf nach dem Oberbegriff des Anspruchs 1.The invention relates to a ball head according to the preamble of the claim 1 ,

Im Markt existiert eine Vielzahl von Prothesen-Systemen zum Ersatz des natürlichen Hüftgelenkes. Diese bestehen in der Regel aus einem Schaft mit Kugelkopf und einer Hüftpfanne mit Pfanneneinsatz. Schaft und Hüftpfanne sind mit dem Körper durch Einwachsen in den Oberschenkel- bzw. Beckenknochen verbunden und sind Träger für den Kugelkopf bzw. Pfanneneinsatz. Der Kugelkopf ist in der Kalotte des Pfanneneinsatzes drehbar gelagert - Freiheitsgrad: 1.The market has a variety of prosthetic systems for the replacement of the natural hip joint. These usually consist of a shaft with a ball head and a hip socket with pan insert. The stem and acetabulum are connected to the body by ingrowth into the femoral or pelvic bones and are carriers for the ball head or cup insert. The ball head is rotatably mounted in the cup of the socket insert - Degree of freedom: 1.

Für die Artikulation des Kugelkopfes im Pfanneneinsatz ist das Auftreten hydrodynamischer Reibung erwünscht, um die wirkenden Reibmomente und infolgedessen auftretenden Belastungen der Gelenkskomponenten sowie den Verschleiß der gleitenden Kugelflächen so gering wie möglich zu halten. Zu diesem Zweck ist es notwendig, dass sich immer ein geschlossener Fluidfilm zwischen Kugelkopf und Kalotte des Pfanneneinsatzes im Bereich der Gleitzone befindet. Dieser bildet sich aus der vorhandenen Gelenkflüssigkeit und wird durch die im Gelenkspalt wirkenden Kapillarkräfte aufrechterhalten.For the articulation of the ball head in the socket insert, the occurrence of hydrodynamic friction is desirable in order to keep the acting friction moments and consequently occurring loads on the joint components as well as the wear of the sliding spherical surfaces as small as possible. For this purpose, it is necessary that there is always a closed fluid film between the ball head and the cup of the socket insert in the region of the sliding zone. This forms from the existing synovial fluid and is maintained by the capillary forces acting in the joint space.

Nun kann es aufgrund verschiedener Indikationen zu einem Abreißen des Fluidfilms kommen, wodurch ein unerwünschter Trockenlauf und damit Trockenreibung auftritt. Mögliche Ursachen bestehen z. B. in einem Mangel an Fluid oder einem zu langen Gelenkspalt, der durch die wirkenden Kapillarkräfte nicht vollständig überbrückt werden kann.Now, due to various indications, a tearing off of the fluid film can occur, as a result of which unwanted dry running and thus dry friction occur. Possible causes exist z. As in a lack of fluid or too long joint gap, which can not be completely bridged by the acting capillary forces.

DE 103 18 374 B3 zeigt einen Kugelkopf mit einer konvexen Kugelkopfoberfläche und/oder Pfanneneinsatz mit einer Kalotte und einer konkaven Kalottenoberfläche zur Verwendung für eine Hüftgelenkprothese, die aus einem Schaft besteht, auf dem der Kugelkopf befestigbar ist, der Kugelkopf mit seiner Kugelkopfoberfläche auf einer Gleitzone auf der Kalottenoberfläche in der Kalotte des Pfanneneinsatzes drehbar einsetzbar ist, und der Pfanneneinsatz mit einer Hüftpfanne koppelbar ist, wobei der Schaft in den Oberschenkelknochen und die Hüftpfanne in den Beckenknochen implantierbar sind, wobei auf der Kugelkopfoberfläche (6) und/oder auf der Kalottenoberfläche zumindest im Bereich der Gleitzone Vertiefungen angeordnet sind. DE 103 18 374 B3 shows a ball head with a convex spherical head surface and / or socket insert with a dome and a concave dome surface for use in a hip joint prosthesis, which consists of a shaft on which the ball head is fastened, the ball head with its ball head surface on a sliding zone on the dome surface in the The cup insert of the socket insert is rotatably insertable, and the socket insert can be coupled to a hip socket, wherein the socket can be implanted in the femur and the acetabulum in the pelvic bone, wherein on the ball head surface ( 6 ) and / or on the Kalottenoberfläche recesses are arranged at least in the region of the sliding zone.

Der Erfindung liegt die Aufgabe zugrunde, einen derartigen Kugelkopf so zu verbessern, dass die Erregung von Schwingungen beim Gleiten der Kugelkopfoberfläche auf der Kalottenoberfläche verhindert ist.The invention has for its object to improve such a ball head so that the excitation of vibrations during sliding of the ball head surface is prevented on the Kalottenoberfläche.

Erfindungsgemäß wird diese Aufgabe dadurch gelöst, dass die Vertiefungen in unregelmäßigen Abständen auf der Kugelkopfoberfläche und/oder der Kalottenoberfläche angeordnet sind.According to the invention this object is achieved in that the recesses are arranged at irregular intervals on the ball head surface and / or the Kalottenoberfläche.

Auf der Kugelkopfoberfläche und/oder auf der Kalottenoberfläche zumindest im Bereich der Gleitzone sind Vertiefungen angeordnet. Durch Einbringen von Vertiefungen in die Kugeloberfläche und/oder Kalottenoberfläche bilden sich Flüssigkeitsreservoirs innerhalb der Gleitzone, da die eingebrachten Vertiefungen ein Freivolumen zur Ansammlung von Gelenkflüssigkeit bilden. Zudem wird die Strecke deutlich verkürzt, über die die Kapillarkräfte die Ausbildung des Fluidfilms treiben müssen - faktisch nur noch zwischen zwei Flüssigkeitsreservoirs. Dies begünstigt die Ausbildung des Fluidfilms zusätzlich. Durch diese Maßnahme ist ein Trockenlauf verhindert.Recesses are arranged on the ball head surface and / or on the calotte surface at least in the region of the sliding zone. By introducing depressions into the spherical surface and / or Kalottenoberfläche liquid reservoirs form within the sliding zone, since the introduced wells form a free volume for accumulation of synovial fluid. In addition, the distance over which the capillary forces have to drive the formation of the fluid film is significantly shortened - in fact only between two liquid reservoirs. This additionally favors the formation of the fluid film. This measure prevents dry running.

In einer erfindungsgemäßen Ausgestaltung sind die Vertiefungen Rillen. Rillen sind einfach in die Kugelkopfoberfläche und/oder in der Kalottenoberfläche einzubringen.In an embodiment according to the invention, the depressions are grooves. Grooves are easy to insert into the ball head surface and / or in the dome surface.

Die Rillen sind bevorzugt auf der Kugelkopfoberfläche parallel zum Äquator und/oder auf der Kalottenoberfläche parallel zur Stirnfläche des Pfanneneinsatzes angeordnet. In Ausgestaltung der Erfindung bilden diese Rillen umlaufende ringförmige Vertiefungen. Die Gelenkflüssigkeit kann sich dadurch auf die gesamte Umfangsfläche verteilen.The grooves are preferably arranged on the ball head surface parallel to the equator and / or on the Kalottenoberfläche parallel to the end face of the socket insert. In an embodiment of the invention, these grooves form circumferential annular recesses. The synovial fluid can thereby spread over the entire peripheral surface.

In einer anderen Ausgestaltung sind die Vertiefungen als Formabweichungen von der Kugelkopfoberfläche und/oder der Kalottenoberfläche ausgebildet. Auch hierdurch bilden sich Flüssigkeitsreservoirs innerhalb der Gleitzone.In another embodiment, the recesses are formed as shape deviations of the ball head surface and / or the Kalottenoberfläche. This also forms liquid reservoirs within the sliding zone.

Zur Unterbindung der Erregung von Schwingungen beim Gleiten der Kugelkopfoberfläche auf der Kalottenoberfläche sind erfindungsgemäß die Vertiefungen in unregelmäßigen Abständen auf der Kugelkopfoberfläche und/oder der Kalottenoberfläche angeordnet.To prevent the excitation of vibrations when sliding the ball head surface on the Kalottenoberfläche the recesses are arranged according to the invention at irregular intervals on the ball head surface and / or the Kalottenoberfläche.

Vorteilhaft weisen die Vertiefungen eine maximale Tiefe T im Bereich von 0,05 < T < 1,0 mm, besonders bevorzugt von 0,1 < T < 0,5 mm auf.Advantageously, the depressions have a maximum depth T in the range of 0.05 <T <1.0 mm, particularly preferably 0.1 <T <0.5 mm.

In erfindungsgemäßer Ausgestaltung sind der Kugelkopf und/oder der Pfanneneinsatz aus Keramik.In an embodiment according to the invention, the ball head and / or the socket insert are made of ceramic.

Die eingebrachten Vertiefungen bieten somit ein Volumen zur Ansammlung von Gelenkflüssigkeit zur Versorgung der Gleitpaarung mit Fluid. Die Vertiefungen können dabei makroskopisch als Rillen oder nur mikroskopisch als Formabweichungen von der Kugelgeometrie eingebracht werden. Im zweiten Fall können sie nur eine Art regelmäßiges, welliges Oberflächenprofil darstellen.The introduced recesses thus provide a volume for the collection of synovial fluid to supply the sliding pair with fluid. The depressions can be introduced macroscopically as grooves or only microscopically as shape deviations from the spherical geometry. In the second case, they can only represent one kind of regular, wavy surface profile.

Zur Unterbindung der Erregung von Schwingungen, beim Gleiten der durch Rillen oder Wellenvertiefungen unterbrochenen Kugelkopfoberfläche auf der Kalottenoberfläche erfolgt eine Anordnung der Rillen oder Wellenvertiefungen unregelmäßig auf der Oberfläche.To prevent the excitation of vibrations, when sliding the interrupted by grooves or wave recesses spherical surface on the Kalottenoberfläche an arrangement of the grooves or wave recesses takes place irregularly on the surface.

Nachfolgend werden der Stand der Technik und die Erfindung anhand von Figuren näher erläutert. Hereinafter, the prior art and the invention will be explained in more detail with reference to figures.

1 zeigt den Stand der Technik. Eine Hüftgelenkprothese besteht in der Regel aus einem Schaft 1 gekoppelt mit einem Kugelkopf 2 und einer Hüftpfanne 4 gekoppelt mit einem Pfanneneinsatz 3. Schaft 1 und Hüftpfanne 4 sind mit dem Körper des Patienten durch Einwachsen in den Oberschenkel- 20 bzw. Beckenknochen 21 verbunden und sind Träger für den Kugelkopf 2 bzw. Pfanneneinsatz 3. Der Kugelkopf 2 ist in der Kalotte 5 des Pfanneneinsatzes 3 drehbar gelagert. 1 shows the state of the art. A hip joint prosthesis usually consists of a shaft 1 coupled with a ball head 2 and a hip socket 4 coupled with a pan insert 3 , shaft 1 and acetabulum 4 are with the body of the patient by ingrowth in the thigh 20 or pelvic bone 21 connected and are carriers for the ball head 2 or pan insert 3 , The ball head 2 is in the dome 5 of the socket insert 3 rotatably mounted.

2 zeigt einen Kugelkopf 2, der in einem Pfanneneinsatz 3 beweglich artikuliert bzw. eingesetzt ist. Die anderen Teile der Hüftgelenkprothese sind einfachheitshalber nicht gezeigt. Der Kugelkopf 2 weist auf der Kugelkopfoberfläche 6 Rillen 8 auf, die alle parallel zum Äquator 9 verlaufen und auf der Kugelkopfoberfläche 6 umlaufend ausgebildet sind. Diese Rillen 8 dienen als Flüssigkeitsreservoirs für die Gelenkflüssigkeit, so dass kein Trockenlauf der Gleitpaarung Kugelkopf/Pfanneneinsatz 3 auftreten kann. 2 shows a ball head 2 in a pan insert 3 articulated or used articulated. The other parts of the hip joint prosthesis are not shown for the sake of simplicity. The ball head 2 points to the ball head surface 6 grooves 8th on, all parallel to the equator 9 run and on the ball head surface 6 are formed circumferentially. These grooves 8th serve as liquid reservoir for the synovial fluid, so that no dry running of the sliding ball / socket insert 3 can occur.

In der gezeigten Ausführungsform sind die Rillen 8 in regelmäßigen Abständen 13 voneinander angeordnet bzw. beabstandet und nicht erfindungsgemäß in unregelmäßigen Abständen.In the embodiment shown, the grooves are 8th periodically 13 arranged or spaced from each other and not according to the invention at irregular intervals.

In den 3a und 3b ist jeweils ein Ausschnitt eines Schnitts durch einen Kugelkopf 2 (3a) und durch einen Pfanneneinsatz 7 (3b) gezeigt. Auf der Kugelkopfoberfläche 6 des Kugelkopfes 2 sind Formabweichungen 11 angeordnet, die als Flüssigkeitsreservoirs dienen. Diese Formabweichungen 11 können mikroskopisch klein ausgebildet sein und zum Beispiel wie bei einem Golfball auf der Oberfläche verteilt sein. Ebenso können diese Formabweichungen 11 auch auf der Kalottenoberfläche 7 der Kalotte 5 eingebracht sein. Es können diese Formabweichungen 11 oder auch die Rillen 8 gemäß 2 auf der Kugelkopfoberfläche 6 und/oder der Kalottenoberfläche 7 angeordnet sein.In the 3a and 3b is in each case a section of a section through a ball head 2 ( 3a ) and by a pan insert 7 ( 3b ). On the ball head surface 6 of the ball head 2 are form deviations 11 arranged, which serve as liquid reservoirs. These form deviations 11 may be formed microscopically small and distributed, for example, as in a golf ball on the surface. Likewise, these form deviations 11 also on the dome surface 7 the dome 5 be introduced. It may be these form deviations 11 or the grooves 8th according to 2 on the ball head surface 6 and / or the dome surface 7 be arranged.

4 zeigt einen Ausschnitt aus der Kugelkopfoberfläche 6 und/oder der Kalottenoberfläche 7, wobei diese Oberflächen ein welliges Oberflächenprofil 12 aufweisen. Die Täler 14 dieses welligen Oberflächenprofils 12 dienen als Flüssigkeitsreservoirs. 4 shows a section of the ball head surface 6 and / or the dome surface 7 These surfaces have a wavy surface profile 12 exhibit. The valleys 14 this wavy surface profile 12 serve as liquid reservoirs.

5 zeigt einen Ausschnitt aus der Kugelkopfoberfläche 6 und/oder der Kalottenoberfläche 7. Die Tiefe T der hier gezeigten Rillen liegt im Bereich von < 0,5 mm. 5 shows a section of the ball head surface 6 and / or the dome surface 7 , The depth T of the grooves shown here is in the range of <0.5 mm.

Alle in den Figuren gezeigten Kugelköpfe 2 und Pfanneneinsätze 3 bestehen aus einem keramischen Material.All ball heads shown in the figures 2 and pan inserts 3 consist of a ceramic material.

Claims (7)

Kugelkopf (2) mit einer konvexen Kugelkopfoberfläche und/oder Pfanneneinsatz (3) mit einer Kalotte (5) und einer konkaven Kalottenoberfläche zur Verwendung für eine Hüftgelenkprothese, die aus einem Schaft (1) besteht, auf dem der Kugelkopf (2) befestigbar ist, der Kugelkopf (2) mit seiner Kugelkopfoberfläche (6) auf einer Gleitzone auf der Kalottenoberfläche (7) in der Kalotte (5) des Pfanneneinsatzes (3) drehbar einsetzbar ist, und der Pfanneneinsatz (3) mit einer Hüftpfanne (4) koppelbar ist, wobei der Schaft (1) in den Oberschenkelknochen (20) und die Hüftpfanne (4) in den Beckenknochen (21) implantierbar sind, wobei auf der Kugelkopfoberfläche (6) und/oder auf der Kalottenoberfläche (7) zumindest im Bereich der Gleitzone Vertiefungen angeordnet sind, dadurch gekennzeichnet, dass die Vertiefungen in unregelmäßigen Abständen (13) auf der Kugelkopfoberfläche (6) und/oder der Kalottenoberfläche (7) angeordnet sind.A ball head (2) having a convex spherical head surface and / or cup insert (3) with a cap (5) and a concave cup surface for use in a hip joint prosthesis consisting of a shaft (1) on which the ball head (2) is mountable, the ball head (2) with its ball head surface (6) is rotatably insertable on a sliding zone on the dome surface (7) in the dome (5) of the socket insert (3), and the socket insert (3) can be coupled to a hip socket (4), wherein the shaft (1) in the femur (20) and the acetabulum (4) in the pelvic bone (21) are implanted, wherein on the ball head surface (6) and / or on the Kalottenoberfläche (7) at least in the region of the sliding zone recesses arranged are, characterized in that the recesses at irregular intervals (13) on the ball head surface (6) and / or the Kalottenoberfläche (7) are arranged. Kugelkopf oder Pfanneneinsatz nach Anspruch 1, dadurch gekennzeichnet, dass die Vertiefungen Rillen (8) sind.Ball head or socket insert after Claim 1 , characterized in that the recesses are grooves (8). Kugelkopf oder Pfanneneinsatz nach Anspruch 2, dadurch gekennzeichnet, dass die Rillen (8) auf der Kugelkopfoberfläche (6) parallel zum Äquator (9) und/oder auf der Kalottenoberfläche (7) parallel zur Stirnfläche (10) des Pfanneneinsatzes (3) angeordnet sind.Ball head or socket insert after Claim 2 , characterized in that the grooves (8) on the ball head surface (6) parallel to the equator (9) and / or on the Kalottenoberfläche (7) parallel to the end face (10) of the socket insert (3) are arranged. Kugelkopf oder Pfanneneinsatz nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass die Vertiefungen als Formabweichungen (11) von der Kugelkopfoberfläche (6) und/oder der Kalottenoberfläche (7) ausgebildet sind.Ball head or socket insert according to one of Claims 1 to 3 , characterized in that the depressions as shape deviations (11) of the ball head surface (6) and / or the Kalottenoberfläche (7) are formed. Kugelkopf oder Pfanneneinsatz nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, dass die Vertiefungen ein welliges Oberflächenprofil (12) bilden.Ball head or socket insert according to one of Claims 1 to 4 , characterized in that the recesses form a wavy surface profile (12). Kugelkopf oder Pfanneneinsatz nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass die Vertiefungen eine maximale Tiefe (T) im Bereich von 0,05 < T < 1,0 mm, bevorzugt von 0,1 < T < 0,5 mm aufweisen.Ball head or socket insert according to one of Claims 1 to 5 , characterized in that the recesses have a maximum depth (T) in the range of 0.05 <T <1.0 mm, preferably of 0.1 <T <0.5 mm. Kugelkopf oder Pfanneneinsatz nach einem der Ansprüche 1 bis 6, dadurch gekennzeichnet, dass der Kugelkopf (2) und/oder der Pfanneneinsatz (3) aus einer Keramik bestehen.Ball head or socket insert according to one of Claims 1 to 6 , characterized in that the ball head (2) and / or the socket insert (3) consist of a ceramic.
DE102007031664.1A 2006-08-04 2007-07-06 Structured surface of a ball head or a socket insert of an artificial hip joint to prevent dry running Expired - Fee Related DE102007031664B4 (en)

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DE102007031664.1A DE102007031664B4 (en) 2006-08-04 2007-07-06 Structured surface of a ball head or a socket insert of an artificial hip joint to prevent dry running
PCT/EP2007/058126 WO2008015288A1 (en) 2006-08-04 2007-08-06 Structured surface of a ball head or a socket insert of an artificial hip joint for avoiding running dry

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