[go: up one dir, main page]

WO1993012734A1 - Articulated prosthesis for the cruciate ligament of the human knee - Google Patents

Articulated prosthesis for the cruciate ligament of the human knee Download PDF

Info

Publication number
WO1993012734A1
WO1993012734A1 PCT/FR1991/001085 FR9101085W WO9312734A1 WO 1993012734 A1 WO1993012734 A1 WO 1993012734A1 FR 9101085 W FR9101085 W FR 9101085W WO 9312734 A1 WO9312734 A1 WO 9312734A1
Authority
WO
WIPO (PCT)
Prior art keywords
pivot
cruciate ligament
prosthesis
cable
tibial
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.)
Ceased
Application number
PCT/FR1991/001085
Other languages
French (fr)
Inventor
Louis Joseph Daldosso
Bernard Marcel Jean-Marie Baudet
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to PCT/FR1991/001085 priority Critical patent/WO1993012734A1/en
Publication of WO1993012734A1 publication Critical patent/WO1993012734A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • 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
    • 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
    • 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
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
    • 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
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
    • 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
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/087—Anchor integrated into tendons, e.g. bone blocks, integrated rings
    • 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
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Definitions

  • the present invention is intended to replace a natural cruciate ligament of the human knee, the failure of which provokes a significant handicap and can generate osteoarthritis.
  • the femoral end of the compor ligament has a loop which is articulated around a pivot implanted in the condyle. This articulation makes it possible to avoid abrasion of the condyle and to maintain the isometric functioning of the knee.
  • the tibial end has a screw-nut system that adjusts the length of the ligament.
  • the use of metallic materials minimizes the risk of allergy.
  • FIG. 3 and 4 show, in partial sections respectively in profile and front, a bent knee equipped with the device.
  • the prosthesis consists of a flexible cable (1), one end of which is fixed to the tibia and the other end of which is articulated around a pivot (2).
  • This pivot (2) is implanted in the condyle at a point close to the center of the natural implantation of the cruciate ligament, perpendicular to the sagittal plane of knee flexion. It consists of a threaded rod fully embedded in the bone, extended by a cylindrical part (10) and a head (11) which protrude into the intercondylar space.
  • the articulation of the cable (l) on the pivot (2) is effected by means of a pad (3) adjusted on the cylindrical part (10); the head (11) serves as an axial stop.
  • This bearing '(3) has the shape of a pulley with a single groove, an angular sector of which is hollowed out to allow radial mounting on the pivot (2).
  • a shelving (14) of a blank of the pad (3) allows a misalignment of the cable (1) relative to the groove of the pad (3).
  • a threaded tube (6) is screwed from below, in a tibial tunnel opening into the implantation surface of the natural ligament and ensures the guidance of the cable (1) as well as good bone attachment.
  • a protective tube (4) one end of which is curved and beveled, is placed in the tibial tunnel and in the tube (6) from above at the same time as the cable (1) on which it is threaded. It ensures during flexion of the knee a regular winding of the cable (1) around the curvature (13) without risk of bone wear.
  • the use of a metal cable makes it possible to crimp a threaded or threaded end piece (5) on the end.
  • the length of the ligament is easily adjusted using the screw (7) screwed into the tip (5) and bearing on the underside of the tube (6).
  • the adjusting screw (7) has a small section area (9) which must, during a very violent impact, break before the bone and before the cable. This screw is flush with the skin, it is easily replaceable.
  • this prosthesis is no more traumatic than that of existing prostheses.
  • the work of the surgeon is facilitated by the possibility of correcting the length of the ligament during installation, or after a period of use.
  • the femoral attachment detaches the cable from the condyle well which eliminates interference problems.
  • the use of high performance metallic materials will allow long lifetimes and suggests good results when it comes to biological tolerance and aging in synovial medium.
  • This prosthesis is particularly suitable for high-level sportsmen victims of a cruciate ligament rupture and having to quickly resume their activities.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (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

A cruciate ligament prosthesis which maintains the functional isometrics of the knee while preventing bone problems therein. The prosthesis consists of a flexible cable (1) of which one end is hinged to a pivot (2) implanted in the condylus while its other end is attached to the tibia via a length-adjusting arrangement (5, 6, 7). Said prosthesis is particularly suitable for sportspersons with a torn cruciate ligament who are required to resume their normal activities promptly.

Description

PROTHESE ARTICULEE DE LIGAMENT CROISE DU GENOU HUMAINARTICULATED PROSTHESIS OF HUMAN KNEE CROSS LIGAMENT

La présente invention est destinée à remplacer un ligament croisé naturel du genou humain dont la défaillance provogue un handicap important et peut générer de l'arthrose. II existe actuellement deux voies dans la chirurgie des ligaments croisés.The present invention is intended to replace a natural cruciate ligament of the human knee, the failure of which provokes a significant handicap and can generate osteoarthritis. There are currently two routes in cruciate ligament surgery.

- Les auto-plasties : le ligament est remplacé par une partie d'un des tendons du genou. Si cette technique . pose pas de problème de biocompatibi- lité, i* 'ameure des risques d'étirement et une fragilisation du tendon sur lequel est prélevé l'implant.- Self-plasty: the ligament is replaced by part of one of the knee tendons. If this technique. not a problem of biocompatibi- ity, i * 'ameure risks stretching and weakening of the tendon which is taken the implant.

- Les ligaments prothétiques : ils sont réalisés à l'aide de fibres flexibles synthétiques. Si la fixation sur le tibia ne pose pas de gros problèmes,1a fixation fémorale plus délicate, s'oriente sur deux voies :- Prosthetic ligaments: they are made using flexible synthetic fibers. If the fixation on the tibia does not pose big problems, the more delicate femoral fixation is oriented in two ways:

- dans un tunnel trans-osseux condylien, ce qui respecte l'isométrie mais pose des problèmes d'usure du tunnel et d'interférence avec le bord du condyle.- in a condylar transosseous tunnel, which respects the isometry but poses problems of wear of the tunnel and interference with the edge of the condyle.

- en "over the top" où l'isométrie n'est plus respectée ce qui peut donner des limitations en flexion ou en extension. Ces ligaments peuvent poser des problèmes de tolérance; de plus, la tenue au vieillissement en milieu synovial es\ mal connue.- in "over the top" where the isometry is no longer respected which can give limitations in flexion or extension. These ligaments can cause tolerance problems; moreover, the resistance to aging in a synovial environment is poorly understood.

Par la présente invention, on se propose de remédier aux principaux inconvénients des solutions actuelles.By the present invention, it is proposed to remedy the main drawbacks of current solutions.

L'extrémité fémorale du ligament compor a une boucle qui vient s'articuler autour d'un pivot implanté dans le condyle. Cette articulation permet d éviter l'abrasion du condyle et de conserver l'isométrie de fonctionnement du genou.The femoral end of the compor ligament has a loop which is articulated around a pivot implanted in the condyle. This articulation makes it possible to avoid abrasion of the condyle and to maintain the isometric functioning of the knee.

L'extrémité tibiale comporte un système vis-écrou qui permet de régler la longueur du ligament. L'utilisation de matériaux métalliques permet de minimiser les risques d'allergie.The tibial end has a screw-nut system that adjusts the length of the ligament. The use of metallic materials minimizes the risk of allergy.

Dans la description qui suit, on se réfère aux dessins annexés, dans lesquels : - les figures 1 et 2 représentent, en coupes partielles respectivement de profil et de face, un genou en extension équipé du dispositif.In the description which follows, reference is made to the appended drawings, in which: - Figures 1 and 2 show, in partial sections respectively in profile and in front, a knee in extension equipped with the device.

— Les figures 3 et 4 représentent, en coupes partielles respectivement de profil et de face, un genou fléchi équipé du dispositif.- Figures 3 and 4 show, in partial sections respectively in profile and front, a bent knee equipped with the device.

- Les figures 5, 6, 7 et 8 sont des vues et des coupes agrandies de. la prothèse.- Figures 5, 6, 7 and 8 are views and enlarged sections of. the prosthesis.

La prothèse est constituée d'un cable souple (1) dont une extrémité est fixée au tibia et dont l'autre extrémité est articulée autour d'un pivot (2) .The prosthesis consists of a flexible cable (1), one end of which is fixed to the tibia and the other end of which is articulated around a pivot (2).

Ce pivot (2) est implanté dans le condyle en un point proche du centre de l'implantation naturelle du ligament croisé, perpendiculairement au plan sagittal de flexion du genou. Il est constitué d'une tige filetée entièrement noyée dans l'os, prolongée par une partie cylindrique (10) et une tête (11) qui dépassent dans l'espace intercondylien.This pivot (2) is implanted in the condyle at a point close to the center of the natural implantation of the cruciate ligament, perpendicular to the sagittal plane of knee flexion. It consists of a threaded rod fully embedded in the bone, extended by a cylindrical part (10) and a head (11) which protrude into the intercondylar space.

L'articulation du cable (l) sur le pivot (2) s'effectue par l'intermédiaire d'un coussinet (3) ajusté sur la partie cylindrique (10) ; la tête (11) sert de butée axiale.The articulation of the cable (l) on the pivot (2) is effected by means of a pad (3) adjusted on the cylindrical part (10); the head (11) serves as an axial stop.

Ce coussinet '(3) a la forme d'une poulie à gorge unique dont un secteur angulaire est évidê pour permettre un montage radial sur le pivot (2) .This bearing '(3) has the shape of a pulley with a single groove, an angular sector of which is hollowed out to allow radial mounting on the pivot (2).

Une boucle (8) formée par l'extrémité du cable s'accroche dans la gorge et y est retenue par un sertissage (12) .A loop (8) formed by the end of the cable hooks into the groove and is retained there by a crimp (12).

Un rayonnage (14) d'un flan du coussinet (3) permet d'admettre un désalignement du cable (1) par rapport à la gorge du coussinet (3) . Un aimant non représenté placé à proximité, récupère les produits de l'usure de l'articulation et évite ainsi leur circulation dans l'organisme.A shelving (14) of a blank of the pad (3) allows a misalignment of the cable (1) relative to the groove of the pad (3). A not shown magnet placed nearby, collects the products of wear and tear from the joint and thus prevents their circulation in the body.

Un tube fileté (6) est vissé par le bas, dans un tunnel tibial débouchant dans la surface d'implantation du ligament naturel et assure le guidage du cable (1) ainsi qu'un bon accrochage osseux.A threaded tube (6) is screwed from below, in a tibial tunnel opening into the implantation surface of the natural ligament and ensures the guidance of the cable (1) as well as good bone attachment.

Un tube protecteur (4) dont une extrémité est courbée et bisautée est placé dans le tunnel tibial et dans le tube (6) par le haut en même temps que le cable (1) sur lequel il est enfilé. Il assure lors de flexion du genou un enroulement régulier du cable (1) autour de la courbure (13) sans risque d'usure de l'os. L'utilisation d'un cable métallique permet de sertir sur l'extrémité un embout taraudé ou fileté (5).A protective tube (4), one end of which is curved and beveled, is placed in the tibial tunnel and in the tube (6) from above at the same time as the cable (1) on which it is threaded. It ensures during flexion of the knee a regular winding of the cable (1) around the curvature (13) without risk of bone wear. The use of a metal cable makes it possible to crimp a threaded or threaded end piece (5) on the end.

La longueur du ligament est facilement ajustée à l'aide de la vis (7) vissée dans l'embout (5) et prenant appui sur la face inférieure du tube (6) .The length of the ligament is easily adjusted using the screw (7) screwed into the tip (5) and bearing on the underside of the tube (6).

La vis de réglage (7) comporte une zone de faible section (9) qui doit, lors d'un choc très violent, casser avant l'os et avant le cable. Cette vis étant à fleur de peau, elle est facilement remplaçable.The adjusting screw (7) has a small section area (9) which must, during a very violent impact, break before the bone and before the cable. This screw is flush with the skin, it is easily replaceable.

La pose de cette prothèse n'est pas plus traumatisante que celle de prothèses existantes. Le travail du chirrurgien est facilité par la possibilité de corriger la longueur du ligament lors de la pose, ou après une période d'utilisation. L'attache fémorale détache bien le cable du condyle ce qui élimine les problèmes d'interférence. L'utilisation de matériaux métalliques à hautes performances permettra d'avoir des durées de vie importantes et laisse présager de bons résultats quand à la tolérance biologique et au vieillissement en milieu synovial.The placement of this prosthesis is no more traumatic than that of existing prostheses. The work of the surgeon is facilitated by the possibility of correcting the length of the ligament during installation, or after a period of use. The femoral attachment detaches the cable from the condyle well which eliminates interference problems. The use of high performance metallic materials will allow long lifetimes and suggests good results when it comes to biological tolerance and aging in synovial medium.

Cette prothèse est particulièrement adaptée aux sportifs de haut niveau victimes d'une rupture de ligament croisé et devant reprendre rapidement leurs activités. This prosthesis is particularly suitable for high-level sportsmen victims of a cruciate ligament rupture and having to quickly resume their activities.

Claims

REVENDICATIONS 1) Prothèse du ligament croisé du genou humain, dont la partie courante est un cable souple (1) dont l'extrémité fémorale est articulée sur un pivot (2) implanté dans le condyle, caractérisé en ce que l'axe du pivot (2) est perpendiculaire au plan sagittal de flexion du genou, à la précision de pose près, et passe par un point proche de l'implantation fémorale du ligament croisé naturel. 1) Prosthesis of the cruciate ligament of the human knee, the current part of which is a flexible cable (1) whose femoral end is articulated on a pivot (2) implanted in the condyle, characterized in that the axis of the pivot ( 2) is perpendicular to the sagittal plane of flexion of the knee, to within the accuracy of the pose, and passes through a point close to the femoral implantation of the natural cruciate ligament. 2) Dispositif selon la revendication 1, dont le pivot (2) est constitué d'une tige filetée prolongée par une partie cylindrique (10) et une tête (11) , caractérisée en ce que la partie cylindrique (10) et la tête (11) dépassent dans l'espace intercondylien.2) Device according to claim 1, whose pivot (2) consists of a threaded rod extended by a cylindrical part (10) and a head (11), characterized in that the cylindrical part (10) and the head ( 11) protrude into the intercondylar space. 3) Dispositif selon les revendications 1 et 2 caractérisé en ce qu'un coussinet (3) , ayant la forme d'une poulie à gorge unique dont un secteur angulaire est évidé, est monté sur la partie cylindrique (11) du pivot (2) .3) Device according to claims 1 and 2 characterized in that a bearing (3), having the shape of a pulley with a single groove whose angular sector is hollowed out, is mounted on the cylindrical part (11) of the pivot (2 ). 4) Dispositif selon les revendications l, 2 et 3 caractérisé en ce qu'une boucle (8) formée par l'extrémité du cable (1) est accrochée dans la gorge du coussinet (3) et y est retenue par un sertissage (12).4) Device according to claims l, 2 and 3 characterized in that a loop (8) formed by the end of the cable (1) is hung in the groove of the bearing (3) and is retained there by a crimping (12 ). 5) Dispositif selon la revendication 1 caractérisé en ce qu'un aimant est placé à proximité de l'articulation du cable (1) autour du pivot (2).5) Device according to claim 1 characterized in that a magnet is placed near the articulation of the cable (1) around the pivot (2). 6) Dispositif selon les revendications 1, dont la partie courante, (l) passe dans un tunnel tibial classique débouchant dans la surface d'implantation tibiale du ligament croisé naturel, caractérisée en ce qu'un tube (4) , dont une extrémité est courbée et bisautée, est enfilée sur la partie courante (l) et se monte avec elle dans le tunnel tibial par le haut.6) Device according to claims 1, the main part of which (l) passes through a conventional tibial tunnel opening into the tibial implantation surface of the natural cruciate ligament, characterized in that a tube (4), one end of which is curved and bevelled, is threaded onto the running part (l) and is mounted with it in the tibial tunnel from above. 7) Dispositif selon les revendications 1 et 6, caractérisé en ce que la fixation de l'extrémité tibiale au bas du tunnel comporte une zone de faible section (9) constituant un point faible sur la prothèse. 7) Device according to claims 1 and 6, characterized in that the fixing of the tibial end to the bottom of the tunnel comprises an area of small section (9) constituting a weak point on the prosthesis.
PCT/FR1991/001085 1991-12-31 1991-12-31 Articulated prosthesis for the cruciate ligament of the human knee Ceased WO1993012734A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/FR1991/001085 WO1993012734A1 (en) 1991-12-31 1991-12-31 Articulated prosthesis for the cruciate ligament of the human knee

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/FR1991/001085 WO1993012734A1 (en) 1991-12-31 1991-12-31 Articulated prosthesis for the cruciate ligament of the human knee

Publications (1)

Publication Number Publication Date
WO1993012734A1 true WO1993012734A1 (en) 1993-07-08

Family

ID=9409226

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/FR1991/001085 Ceased WO1993012734A1 (en) 1991-12-31 1991-12-31 Articulated prosthesis for the cruciate ligament of the human knee

Country Status (1)

Country Link
WO (1) WO1993012734A1 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998033448A1 (en) * 1997-01-31 1998-08-06 Surgical Technology (Uk) Limited Surgical fixation peg
GB2454251A (en) * 2007-11-02 2009-05-06 Biomet Uk Ltd Artificial ligament with spring biasing and tension adjustment
EP2508138A1 (en) * 2011-04-04 2012-10-10 Karl Storz GmbH & Co. KG Instrument set for lump-free attachment of tissue to a bone
US8470048B2 (en) 2007-11-02 2013-06-25 Biomet Uk Limited Prosthesis for simulating natural kinematics
WO2015059415A1 (en) * 2013-10-25 2015-04-30 Lca Fixation device for fixing soft tissue to a bone, and fixation assembly comprising such fixation devices
GB2532005A (en) * 2014-10-31 2016-05-11 Biomet Uk Ltd Improved ligament fixing and a method of attaching a ligament

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2283661A1 (en) * 1974-09-06 1976-04-02 Richards Manufacturing Co Inc PROTHETIC LIGAMENT
US3988783A (en) * 1976-01-21 1976-11-02 Richards Manufacturing Company, Inc. Prosthetic collateral ligament
US4301551A (en) * 1979-05-24 1981-11-24 Ecole Polythechnique Deformable high energy storage tension spring
FR2483772A1 (en) * 1980-06-04 1981-12-11 Rambert Andre Joint ligament restoration prosthesis - comprises rope with screwed thimbles accommodated in tapped bushes in holes in bones
EP0279129A1 (en) * 1986-10-28 1988-08-24 Cerol Bandeira, Maria de Lourdes Device for attaching ligament or tendon prostheses having end loops to the bone, and a complete prostheses containing such a device
DE3710587A1 (en) * 1987-03-31 1988-10-20 Witzel Ulrich Substitute for the patellar ligament

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2283661A1 (en) * 1974-09-06 1976-04-02 Richards Manufacturing Co Inc PROTHETIC LIGAMENT
US3988783A (en) * 1976-01-21 1976-11-02 Richards Manufacturing Company, Inc. Prosthetic collateral ligament
US4301551A (en) * 1979-05-24 1981-11-24 Ecole Polythechnique Deformable high energy storage tension spring
FR2483772A1 (en) * 1980-06-04 1981-12-11 Rambert Andre Joint ligament restoration prosthesis - comprises rope with screwed thimbles accommodated in tapped bushes in holes in bones
EP0279129A1 (en) * 1986-10-28 1988-08-24 Cerol Bandeira, Maria de Lourdes Device for attaching ligament or tendon prostheses having end loops to the bone, and a complete prostheses containing such a device
DE3710587A1 (en) * 1987-03-31 1988-10-20 Witzel Ulrich Substitute for the patellar ligament

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998033448A1 (en) * 1997-01-31 1998-08-06 Surgical Technology (Uk) Limited Surgical fixation peg
US8470048B2 (en) 2007-11-02 2013-06-25 Biomet Uk Limited Prosthesis for simulating natural kinematics
US9381079B2 (en) 2007-11-02 2016-07-05 Biomet Uk Limited Prosthesis for stimulating natural kinematics
GB2464639B (en) * 2007-11-02 2010-10-27 Biomet Uk Ltd Prosthesis comprising an artificial ligament
GB2454251B (en) * 2007-11-02 2011-04-06 Biomet Uk Ltd Prosthesis comprising an artificial ligament
GB2464639A (en) * 2007-11-02 2010-04-28 Biomet Uk Ltd Endoprosthetic knee joint with ligament secured in the tibial stem
GB2454251A (en) * 2007-11-02 2009-05-06 Biomet Uk Ltd Artificial ligament with spring biasing and tension adjustment
US8998993B2 (en) 2007-11-02 2015-04-07 Biomet Uk Limited Prosthesis for stimulating natural kinematics
US10531948B2 (en) 2007-11-02 2020-01-14 Biomet Uk Limited Prosthesis for simulating natural kinematics
US9675441B2 (en) 2007-11-02 2017-06-13 Biomet Uk Limited Prosthesis for simulating natural kinematics
US9433494B2 (en) 2007-11-02 2016-09-06 Biomet Uk Limited Prosthesis for simulating natural kinematics
EP2508138A1 (en) * 2011-04-04 2012-10-10 Karl Storz GmbH & Co. KG Instrument set for lump-free attachment of tissue to a bone
FR3012320A1 (en) * 2013-10-25 2015-05-01 Agissant Au Nom Et Pour Le Compte De La Soci Potel FIXING DEVICE FOR ATTACHING TO BONE A SOFT TISSUE AND FASTENING ASSEMBLY COMPRISING SUCH FIXING DEVICES
WO2015059415A1 (en) * 2013-10-25 2015-04-30 Lca Fixation device for fixing soft tissue to a bone, and fixation assembly comprising such fixation devices
GB2532005A (en) * 2014-10-31 2016-05-11 Biomet Uk Ltd Improved ligament fixing and a method of attaching a ligament

Similar Documents

Publication Publication Date Title
FR2663837A1 (en) Articulated prosthesis for the anterior cruciate ligament of the human knee
CA1277453C (en) Fixation device for a ligament or tendon prosthesis
US5507812A (en) Modular prosthetic ligament
US4955910A (en) Fixation system for an elongated prosthesis
US5062843A (en) Interference fixation screw with integral instrumentation
US3953896A (en) Prosthetic ligament
EP0364507B1 (en) Synthetic ligament for knees
AU632268B2 (en) Extramedullary femoral prosthesis and method of implanting
US7172595B1 (en) Bone fixation systems and related methods
US6656185B2 (en) Tension band clip
AU643833B2 (en) Surgical screw
US6752830B1 (en) Apparatus and method for reconstructing a ligament
EP1330214B1 (en) Joint prostheses
EP1946722B1 (en) Apparatus for reconstructing a ligament
WO1993012734A1 (en) Articulated prosthesis for the cruciate ligament of the human knee
FR2684543A1 (en) Artificial ligament, especially for the ankles
US20190201186A1 (en) Ligament assembly
US7235074B1 (en) Ligament shim
HU223454B1 (en) Strain-setting device for tendonrekonstruction or replacement and introductionspipe for implant a tension-adjusting device
FR2738142A1 (en) Surgical blind rivet fastener for attaching tissue to bone
EP1397093B1 (en) Ligament shim
FR2706287A1 (en) Finger prosthesis
RU2088177C1 (en) Knee joint prosthesis
FR2865628A1 (en) Anterior cruciate ligament reconstructing system for knee, has screwdriver with oblong end with one part having cylindrical shape whose cross section has value lesser than that of another part to define shoulder
KR20050022572A (en) System for fixing tendon and method thereof

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): US

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): AT BE CH DE DK ES FR GB GR IT LU MC NL SE

122 Ep: pct application non-entry in european phase