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GR1000872B - The anchorage of hip and knee protheses with the use of prestressing and the insertion of joint (an articulation) - Google Patents

The anchorage of hip and knee protheses with the use of prestressing and the insertion of joint (an articulation)

Info

Publication number
GR1000872B
GR1000872B GR890100704A GR890100704A GR1000872B GR 1000872 B GR1000872 B GR 1000872B GR 890100704 A GR890100704 A GR 890100704A GR 890100704 A GR890100704 A GR 890100704A GR 1000872 B GR1000872 B GR 1000872B
Authority
GR
Greece
Prior art keywords
bone
prosthesis
prostheses
pretension
articulation
Prior art date
Application number
GR890100704A
Other languages
Greek (el)
Other versions
GR890100704A (en
Inventor
Konstantinos Protogirou
Original Assignee
Konstantinos Protogirou
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 Konstantinos Protogirou filed Critical Konstantinos Protogirou
Publication of GR890100704A publication Critical patent/GR890100704A/en
Publication of GR1000872B publication Critical patent/GR1000872B/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/38—Joints for elbows or knees
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B35/00—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws
    • F16B35/04—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws with specially-shaped head or shaft in order to fix the bolt on or in an object
    • F16B35/041—Specially-shaped shafts
    • F16B35/042—Specially-shaped shafts for retention or rotation by a tool, e.g. of polygonal cross-section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • General Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rheumatology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)

Abstract

Τα στοιχεία (τμήματα) προθέσεων τεχνητών αρθρώσεων ισχίου και γόνατος αγκυρούνται εις το οστούν, δι'εφαρμογής προεντάσεως. Η παρεμβολή αρθρώσεως μεταξύ προθέσεως και φορέως εφελκυσμού συμβάλλει εις την ελαστικότητα και διάρκειαν του συστήματος. Η αγκύρωσις των προθέσεων εις μεγάλην απόστασιν εξ αυτών δημιουργεί τάσεις θλίψεως εις το οστούν οι οποίες είναι οστεογεννετικές, και μειώνει την διαφοράν μέτρου ελαστικότητος προθέσεως και οστού. Με την εφαρμογήν προεντάσεως ελαχιστοποιούνται αι μεταξύ προθέσεως και οστού μικροκινήσεις και αποφεύγεται η εκ της αποξορτίσεως των οστικών δοκίδων οστεοπόρωση, που είναι αιτία χαλαρώσεως των αρθρώσεων. Η τεχνική τοποθετήσεως των προθέσεων αυτών, σύμφωνα με τις αξιώσεις 1-10, είναι απλή και δεν δημιουργεί τεχνικά χειρουργικά προβλήματα. Δια της εφαρμογής της προεντάσεως μειούται ο χρόνος βιολογικής προσαρμογής της προθέσεως με το οστούν και επιτρέπεται η πρώιμος φόρτισις των τεχνητών αρθρώσεων. Εξ άλλου, το οστούν προσαρμοζόμενο εις τας τάσεις θλίψεως της προθέσεως εκ της προεντάσεως, αντιδρά δι' οστεογεννέσεως και έτσι λειτουργεί το σύστημα και όταν παύση να υπάρχη η αρχικώς εφρμοσθείσα προέντασις. Η ελαχιστοποίησις των μικροκινήσεων μεταξύ προθέσεως και οστού, συμβάλλει εις την επί μακρόν παραμονήν των προθέσεων. Η ονομασία των προθέσεων αυτών είναι προθέσεις προεντεταμένες. ωThe elements (parts) of artificial hip and knee joint prostheses are anchored to the bone, by applying pretension. The interposition of articulation between the prosthesis and the tension carrier contributes to the flexibility and durability of the system. The anchoring of the prostheses at a long distance from them creates compressive stresses in the bone which are osteogenic, and reduces the difference in elasticity measure of the prosthesis and bone. By applying pre-tensioning, the micro-movements between the prosthesis and the bone are minimized and osteoporosis, which is the cause of loosening of the joints, is avoided due to the detachment of the bone trabeculae. The technique of placing these prostheses, according to claims 1-10, is simple and does not create technical surgical problems. Through the application of pretensioning, the time for biological adaptation of the prosthesis to the bone is reduced and early loading of the artificial joints is allowed. On the other hand, the bone adapting to the compressive stresses of the prosthesis from the pretension, reacts by ossification and this is how the system works even when the initially applied pretension ceases to exist. The minimization of the micro-movements between the prosthesis and the bone contributes to the long-term stay of the prostheses. The name of these prepositions are pre-tense prepositions. oh

GR890100704A 1989-10-31 1989-10-31 The anchorage of hip and knee protheses with the use of prestressing and the insertion of joint (an articulation) GR1000872B (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GR89100704 1989-10-31

Publications (2)

Publication Number Publication Date
GR890100704A GR890100704A (en) 1992-03-20
GR1000872B true GR1000872B (en) 1993-03-16

Family

ID=10939516

Family Applications (1)

Application Number Title Priority Date Filing Date
GR890100704A GR1000872B (en) 1989-10-31 1989-10-31 The anchorage of hip and knee protheses with the use of prestressing and the insertion of joint (an articulation)

Country Status (4)

Country Link
EP (1) EP0458914A1 (en)
AU (1) AU6541790A (en)
GR (1) GR1000872B (en)
WO (1) WO1991006260A1 (en)

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DE59309210D1 (en) * 1993-10-21 1999-01-21 Sulzer Orthopaedie Ag Kit for a modular femoral head prosthesis, in particular a reoperative prosthesis, and femoral head prosthesis from such a kit
US6994725B1 (en) 2000-10-03 2006-02-07 Medicinelodge, Inc. Method and apparatus for reconstructing a ligament
CA2650862A1 (en) 2002-02-20 2003-08-28 Donald M. Smucker Knee arthroplasty prosthesis and method
US7150761B2 (en) 2002-05-24 2006-12-19 Medicinelodge, Inc. Modular femoral components for knee arthroplasty
US7615081B2 (en) 2002-05-24 2009-11-10 Zimmer, Inc. Femoral components for knee arthroplasty
US7771483B2 (en) 2003-12-30 2010-08-10 Zimmer, Inc. Tibial condylar hemiplasty implants, anchor assemblies, and related methods
US20040102852A1 (en) 2002-11-22 2004-05-27 Johnson Erin M. Modular knee prosthesis
US7578824B2 (en) 2003-12-30 2009-08-25 Zimmer, Inc. Methods and apparatus for forming a tunnel through a proximal end of a tibia
US7819878B2 (en) 2003-12-30 2010-10-26 Zimmer, Inc. Tibial condylar hemiplasty tissue preparation instruments and methods
US7867236B2 (en) * 2003-12-30 2011-01-11 Zimmer, Inc. Instruments and methods for preparing a joint articulation surface for an implant
EP1732482A2 (en) * 2004-03-16 2006-12-20 Tensegrity Prosthetics, Inc. Tensegrity joints for prosthetic, orthotic, and robotic devices
US7806898B2 (en) 2004-07-09 2010-10-05 Zimmer, Inc. Modular guide systems and related rasps and methods for resecting a joint articulation surface
US8157867B2 (en) 2004-07-09 2012-04-17 Zimmer, Inc. Trochlear groove implants and related methods and instruments
WO2006078864A1 (en) * 2004-07-28 2006-07-27 Medicinelodge, Inc. Trochlear groove implants and related methods and instruments
US7695477B2 (en) 2005-05-26 2010-04-13 Zimmer, Inc. Milling system and methods for resecting a joint articulation surface
US7727239B2 (en) 2005-06-10 2010-06-01 Zimmer Technology, Inc. Milling system with guide paths and related methods for resecting a joint articulation surface
US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US8821589B2 (en) 2008-05-13 2014-09-02 Jerome R. Rifkin Joints for prosthetic, orthotic and/or robotic devices
US8562608B2 (en) 2008-09-19 2013-10-22 Zimmer, Inc. Patello-femoral milling system
EP2523614A4 (en) 2010-01-15 2017-02-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
CN102821707B (en) 2010-01-20 2016-02-03 康文图斯整形外科公司 Devices and methods for bone approximation and bone cavity preparation
CN107569279A (en) 2010-03-08 2018-01-12 康文图斯整形外科公司 Device and method for Bone Defect Repari
US20140277530A1 (en) 2013-03-15 2014-09-18 Smed-Ta/Td, Llc Fixation of bone implants
CA2969316A1 (en) 2013-12-12 2015-06-18 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone

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FR2184159A5 (en) * 1972-05-09 1973-12-21 Teinturier Pierre Artificial hip joint - incorporating a ball and socket movement with anti-friction surfaces
US4080666A (en) * 1976-09-13 1978-03-28 Fixel Irving E Implantable prosthetic bone device
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US4456005A (en) * 1982-09-30 1984-06-26 Lichty Terry K External compression bone fixation device
DE3330062A1 (en) * 1983-08-19 1985-02-28 Waldemar Link (Gmbh & Co), 2000 Hamburg TIE ROD FOR TUBE BONES
DE3417609A1 (en) * 1984-05-11 1985-11-14 Waldemar Link (Gmbh & Co), 2000 Hamburg ARRANGEMENT FOR PRODUCING ANATOMICALLY APPROPRIATE ENDOPROTHESIS
US4673407A (en) * 1985-02-20 1987-06-16 Martin Daniel L Joint-replacement prosthetic device
DE8611697U1 (en) * 1986-04-25 1986-06-19 Mecron Medizinische Produkte Gmbh, 1000 Berlin Kit for a stem prosthesis
DE3722853A1 (en) * 1987-07-10 1989-01-19 Kernforschungsz Karlsruhe Endoprosthesis for a femoral joint

Also Published As

Publication number Publication date
EP0458914A1 (en) 1991-12-04
AU6541790A (en) 1991-05-31
WO1991006260A1 (en) 1991-05-16
GR890100704A (en) 1992-03-20

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