公开(公告)号：US4293963A

公开(公告)日：1981-10-13

申请号：US121559

申请日：1980-02-14

Applicant: Barry L. Gold ,  Richard C. Bolesky

Inventor： Barry L. Gold ,  Richard C. Bolesky

IPC: A61F2/38 ,  A61F1/03

CPC classification number: A61F2/3804 ,  A61F2002/3813 ,  A61F2002/3822 ,  A61F2002/3831

Abstract: The prosthesis disclosed is an unrestrained or hingeless elbow prosthesis including a humeral implant component and an ulnar implant component. The metal humeral component is comprised of an elongated stem with a substantially cylindrical articulating surface on the distal end of said stem wherein said cylindrical articulating surface is convex such that the diameters of the end surfaces of the cylindrical shape are smaller than the diameter about the midportion of the cylindrical shape. The ulnar component is comprised of a metal retainer and a polyethylene bearing. The metal retainer includes an elongated stem attached to a metal base such that the stem depends from the base and anatomically curves slightly outward or laterally from the base.The polyethylene bearing is slidably engaged to the metal retainer and locks into position on the retainer. The polyethylene bearing contains a concave cylindrical cavity for receiving the convex cylinder of the humeral component.The metal humeral component then rotates about the axis of its cylindrical articulating surface within the cavity of the polyethylene ulnar bearing of the ulnar component.

Abstract translation: 所公开的假体是包括肱骨植入物部件和尺骨植入部件的无限制或无铰链肘假体。 金属肱骨构件由细长的杆构成，其在所述杆的远端上具有基本上圆柱形的关节表面，其中所述圆柱形关节表面是凸形的，使得圆柱形形状的端面的直径小于围绕中间部分的直径 的圆柱形。 尺骨部件由金属保持器和聚乙烯轴承构成。 金属保持器包括附接到金属基座的细长杆，使得杆从基部并且解剖学地从基部稍微向外或侧向地弯曲。 聚乙烯轴承可滑动地接合到金属保持器并锁定在保持器上的位置。 聚乙烯轴承包含用于容纳肱骨组件的凸圆柱的凹形圆柱形空腔。 然后，金属肱骨构件围绕其在尺骨组件的聚乙烯尺骨轴承的空腔内的圆柱形关节表面的轴线旋转。

公开(公告)号：US4285071A

公开(公告)日：1981-08-25

申请号：US54027

申请日：1979-07-02

Applicant: Carl L. Nelson ,  Darrel W. Haynes ,  Michael J. Weber

Inventor： Carl L. Nelson ,  Darrel W. Haynes ,  Michael J. Weber

IPC: A61B17/68 ,  A61F2/00 ,  A61F2/30 ,  A61F2/34 ,  A61F2/46 ,  A61F1/03

CPC classification number: A61F2/30724 ,  A61F2/34 ,  A61B17/68 ,  A61F2/30749 ,  A61F2002/30224 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/4631 ,  A61F2220/0008 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00353

Abstract: A prosthetic cement spacer for controlling the thickness of cement applied between a prosthetic insert and a support member, such as an acetabulum, includes a generally cylindrical standoff body portion fabricated from acrylic bone cement and a pointed wire concentric with said standoff body and outwardly extending from one end a sufficient length to anchor into the acetabulum bone surface. The method of use of these prosthetic cement spacers involves preparation of the acetabulum so that there is sufficient clearance space for the prosthetic cement spacers and then to insert the pointed wires into the acetabulum bone surface in an equilateral triangular arrangement thereby providing three points of contact for the prosthetic insert, such as an acetabular cup. By selecting three prosthetic cement spacers all having substantially the same standoff body height, the clearance region between the acetabulum bone surface and the acetabular cup is controlled and provides a uniform cement thickness throughout thereby providing an improved bonding arrangement.

Abstract translation: 用于控制施加在假体插入件和支撑构件（例如髋臼）之间的水泥的厚度的假体水泥间隔件包括由丙烯酸骨水泥制成的大致圆柱形的支撑主体部分和与所述支座主体同心的尖头线，并且向外延伸 一端具有足够的长度以锚定到髋臼骨表面。 使用这些假体水泥间隔物的方法包括制备髋臼，使得假体水泥间隔物具有足够的间隙，然后以等边三角形布置将尖的线插入髋臼骨表面，从而提供三个接触点 假体插入物，例如髋臼杯。 通过选择三个具有基本上相同的间隔体高度的假体水泥垫片，控制髋臼骨表面与髋臼杯之间的间隙区域，并提供均匀的粘合剂厚度，由此提供改进的粘合装置。

公开(公告)号：US4279042A

公开(公告)日：1981-07-21

申请号：US97410

申请日：1979-11-26

Applicant: Thomas P. Andriacchi ,  Jorge O. Galante ,  Steven J. Hampton

Inventor： Thomas P. Andriacchi ,  Jorge O. Galante ,  Steven J. Hampton

IPC: A61F2/36 ,  A61F2/46 ,  A61F1/03

CPC classification number: A61F2/36 ,  A61F2/367 ,  A61F2/3672 ,  A61F2/3676 ,  A61F2002/30112 ,  A61F2002/30153 ,  A61F2002/30154 ,  A61F2002/30616 ,  A61F2002/3686 ,  A61F2002/4631 ,  A61F2230/0004 ,  A61F2230/0019 ,  A61F2230/0021

Abstract: A femoral insert for a hip joint prosthesis wherein the proximal and distal portions are angularly joined to define a lateral apex, the apical height of which has a particular ratio to the medial length of the insert.

Abstract translation: 用于髋关节假体的股骨插入物，其中所述近端部分和远端部分成角度地连接以限定侧向顶点，其顶端高度与插入件的内侧长度具有特定的比例。

公开(公告)号：US4257128A

公开(公告)日：1981-03-24

申请号：US37514

申请日：1979-05-09

Applicant: John T. Scales ,  Keith W. J. Wright

Inventor： John T. Scales ,  Keith W. J. Wright

IPC: A61F2/38 ,  A61F1/03

CPC classification number: A61F2/3854

Abstract: An endoprosthetic knee joint device has femoral and tibial components respectively adapted for connection to the femur and tibia, and respective bearing surfaces for mutual articulatory engagement to simulate natural joint movements. It is now proposed that the femoral component has two transversely spaced sockets as bearing surfaces, and that the tibial component has two upstanding ball parts for respective articulation in the sockets. The ball parts can be separable, by the provision of stems engageable in apertures in the base part. Preferably, the sockets are enlarged relative to the balls to allow mutual rotation about the axis of the leg. Also, the sockets and balls can be of different material from their respective base parts, the latter suitably being of metal.

Abstract translation: 假体内膝关节装置具有分别适于连接到股骨和胫骨的股骨和胫骨部件以及用于相互铰接的相应的支承表面以模拟自然关节运动。 现在提出股骨部件具有作为支承表面的两个横向间隔开的插座，并且胫骨部件具有用于在插座中相应铰接的两个直立球部件。 通过设置可接合在基部中的孔中的杆，球部件可以是可分离的。 优选地，插座相对于球体增大，以允许围绕腿的轴线相互旋转。 此外，插座和球可以是与它们各自的基部不同的材料，后者适当地是金属的。

公开(公告)号：US4246660A

公开(公告)日：1981-01-27

申请号：US972997

申请日：1978-12-26

Applicant: Henk W. Wevers

Inventor： Henk W. Wevers

IPC: A61F2/08 ,  A61F1/03

CPC classification number: A61F2/0811 ,  A61F2/08 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/087 ,  A61F2002/0888 ,  A61F2250/0007 ,  Y10T403/32541

Abstract: A prosthetic ligament device comprising an elastic element securable to the underlying bone structure by means of a quick release bayonet-type fitting which permits rotational movement during engagement at one end and a length adjusting means at the other end thereof. The elastic element comprises a plurality of parallel, longitudinal, polyester cords which form the warp, interwoven with a plurality of transverse soft silicone or polyurethane tubes which form the weft. Upon extension the soft tubes compress so as to permit a relatively large elongation of the elastic element at low stress, but upon continued extension the elastic element becomes progressively stiffer, simulating a natural ligament.

Abstract translation: 一种假体韧带装置，其包括通过快速卡口型配件固定到下面的骨结构的弹性元件，所述快速卡口式配件允许在一端接合期间的旋转运动和在另一端处的长度调节装置。 弹性元件包括多个平行的，纵向的聚酯帘线，其形成经纱，与形成纬纱的多个横向软硅或聚氨酯管交织在一起。 在延伸时，软管被压缩以便在低应力下允许弹性元件的相对大的伸长，但是当继续延伸时，弹性元件逐渐变硬，模拟天然韧带。

公开(公告)号：US4245360A

公开(公告)日：1981-01-20

申请号：US16962

申请日：1979-03-05

Applicant: Paul Brinckmann ,  Jurgen Polster

Inventor： Paul Brinckmann ,  Jurgen Polster

IPC: A61B17/80 ,  A61F2/02 ,  A61F2/30 ,  A61F2/34 ,  A61F1/03

CPC classification number: A61F2/34 ,  A61F2/30721 ,  A61B17/8066 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2250/0004

Abstract: A partial pelvic prosthesis comprising an implant piece (1) corresponding to that part of the pelvis to be resected, the piece (1) having a receiving space (2) for the acetabular fossa and connecting bores (8), and recess (15) for connecting prosthetic elements (7, 9, 10) whereby the elements can produce the required connection between the implant piece (1) and the pelvis. The piece (1) may contain threaded bores (12), (14) to receive screws (11) for adjustably fixing prosthetic elements (7, 9, 10) in bores (8) and recess (15).

Abstract translation: 一种部分骨盆假体，其包括对应于要切除的骨盆部分的植入件（1），该片（1）具有用于髋臼窝和连接孔（8）的接收空间（2）和凹槽（15） 用于连接假体元件（7,9,10），由此元件可以在植入件（1）和骨盆之间产生所需的连接。 （1）可以包括螺纹孔（12），（14）以接收用于可调节地将假体元件（7,9,10）可调节地固定在孔（8）和凹部（15）中的螺钉（11）。

公开(公告)号：US4242758A

公开(公告)日：1981-01-06

申请号：US911031

申请日：1978-05-30

Applicant: Andrew A. Amis ,  James H. Miller

Inventor： Andrew A. Amis ,  James H. Miller

IPC: A61B17/16 ,  A61B17/17 ,  A61F2/00 ,  A61F2/30 ,  A61F2/38 ,  A61F1/03

CPC classification number: A61F2/3804 ,  A61B17/1604 ,  A61B17/1662 ,  A61B17/1735 ,  A61B17/1739 ,  A61B17/1637 ,  A61F2002/30624 ,  A61F2002/30884 ,  A61F2002/30902 ,  A61F2002/3822 ,  A61F2002/3827 ,  A61F2002/3831 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029

Abstract: An elbow prosthesis having a humeral component having spherical, articular surface portions which together extend over substantially the whole of the length of the component and which are shaped and dimensioned for improved fit with the ulna and radius or with prosthetic components located thereon. The invention also provides a set of instruments suitable for shaping the end of a bone to receive a prosthetic component.

Abstract translation: 具有肱骨成分的肘关节假体具有球形的关节表面部分，其一起在组件的基本上整个长度上延伸，并且其形状和尺寸用于改进与尺骨和半径的配合以及位于其上的假体部件。 本发明还提供了一组适合于成形骨的末端以接收假肢部件的器械。

公开(公告)号：US4433686A

公开(公告)日：1984-02-28

申请号：US307793

申请日：1981-10-02

Applicant: John Charnley

Inventor： John Charnley

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/34 ,  A61F2/46 ,  A61B17/00 ,  A61F1/03

CPC classification number: A61F2/4684 ,  A61F2/34 ,  A61F2/46 ,  A61F2/4609 ,  A61F2002/30118 ,  A61F2002/30378 ,  A61F2002/3082 ,  A61F2002/3096 ,  A61F2002/30963 ,  A61F2002/3429 ,  A61F2220/0033 ,  A61F2230/0006

Abstract: To facilitate the trimming of flange 100 (FIG. 6) of a prosthesis 101 (FIG. 6) to fit closely into reamed out acetabulum 200 in hip bone 201, the aid comprises a body component 11 which corresponds in overall shape to socket member 102 (FIG. 6) of the prosthesis and a separate flange 13 having a protrusion 14 engageable alternatively into socket 12 in the body component 11 and socket 104 of the prothesis. The entire aid is alternately offered into the acetabulum 200 and removed for trimming its flange 13, this being repeated until a good fit of the flange 13 into the acetabulum 200 is achieved. Then, the flange 13, removed from the body component 11, is fitted to the prosthesis 101 (as in FIG. 6) and the flange 100 of the prosthesis can then be trimmed straight away accurately for fitting into the acetabulum 200.

Abstract translation: 为了便于修剪假体101（图6）的凸缘100（图6），以便紧密地配合到髋骨201中的扩张髋臼200中，辅助件包括主体部件11，该主体部件11的整体形状对应于插座构件102 （图6）和具有突出部14的单独的凸缘13，该突出部14可替换地接合到主体部件11中的插座12和假体的插座104中。 整个辅助件交替地被提供到髋臼200中并被移除以修剪其凸缘13，这被重复，直到实现了凸缘13到髋臼200的良好配合。 然后，将从主体部件11移除的凸缘13装配到假体101（如图6所示），然后可以准确地修剪假体的凸缘100以装配到髋臼200中。

公开(公告)号：US4349922A

公开(公告)日：1982-09-21

申请号：US246834

申请日：1981-03-23

Applicant: John M. Agee

Inventor： John M. Agee

IPC: A61F2/38 ,  A61F2/42 ,  A61F1/03

CPC classification number: A61F2/4241 ,  A61F2/384 ,  A61F2/3877 ,  A61F2002/4251

Abstract: A prosthesis for a joint of the human body, such as the metacarpophalangeal, knee, or other joint. The prosthesis includes at least a pair of elongated stem members adapted to be inserted into and bonded to two bones which met to form the joint. The adjacent surfaces of the two stem members form an interface with each other to present the prosthetic joint interface. The two members are interconnected by a pivot mechanism comprised of a rotatable element in a slot in a first of the stem members, and a linking pin pivotally coupled to the element and to the second stem member so that the second stem member can pivot relative to the first stem member about three different axes. The mechanism is made so that the pivotal movement of the second stem member relative to the first stem member about any one of the axes can be accomplished without imparting significant torsional or bending loads to the first stem member. This assures that the first and second stem members remain implanted in the respective bones at all times.

Abstract translation: 用于人体关节的假体，例如掌指，膝盖或其他关节。 假体包括至少一对细长的杆构件，其适于插入并结合到两个骨头上，以形成接头。 两个杆构件的相邻表面形成彼此的界面以呈现假体关节界面。 两个构件通过枢转机构相互连接，该枢转机构包括位于第一杆构件中的槽中的可旋转元件，以及可枢转地联接到元件和第二杆构件的连接销，使得第二杆构件可相对于 关于三个不同轴的第一杆构件。 该机构被制成使得可以在不对第一杆构件施加显着的扭转或弯曲载荷的情况下实现第二杆构件相对于第一杆构件围绕任何一个轴线的枢转运动。 这确保了第一和第二杆构件始终保持植入相应的骨骼中。

公开(公告)号：US4340978A

公开(公告)日：1982-07-27

申请号：US162070

申请日：1980-06-23

Applicant: Frederick F. Buechel ,  Michael J. Pappas

Inventor： Frederick F. Buechel ,  Michael J. Pappas

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/38 ,  A61F2/42 ,  A61F1/03

CPC classification number: A61F2/3868 ,  A61F2/3859 ,  A61F2/4202 ,  A61F2/3877 ,  A61F2002/30176 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30904 ,  A61F2002/3881 ,  A61F2002/3895 ,  A61F2230/0054

Abstract: A prosthesis for the surgical replacement of a dysfunctional knee joint is disclosed. The prosthesis includes a tibial platform, one or two tibial bearing inserts, and a femoral component.In a unicompartmental embodiment of the invention, the tibial platform includes a spike for securing the tibial platform to the tibia. The tibial platform, in the unicompartmental embodiment, includes a track, which may be curved, and which is slidably engaged in dovetail fashion by a tibial bearing insert, typically of high molecular weight polyethylene. The superior surface of the tibial bearing insert is concave spherical, designed to slidably engage the inferior surface of the femoral component. The inferior surface of the femoral component is generally convex spherical, with radius of curvature slightly smaller than the radius of curvature of the tibial bearing insert. In some embodiments the inferior surface of the femoral component may have two or more differing radii of curvature at different points on such surface. Typically the tibial platform and the femoral component are constructed of cobalt-chromium alloy.In a bicompartmental or tricompartmental embodiment of the invention, the tibial platform includes two tracks, each of which may be curved, and each of which slidably engages in dovetail fashion a tibial bearing insert. The two tibial bearing inserts each engage, via their superior concave spherical surfaces, mating inferior convex surfaces of the femoral component. The two curved tracks are in general not concentric; rather, the center of each falls on a line normal to the plane of such curved track and passing through the center of curvature of the concave spherical surface of the tibial bearing insert of the other curved track.

Abstract translation: 公开了一种用于手术置换功能不全的膝关节的假体。 假体包括胫骨平台，一个或两个胫骨支承插入物和股骨部件。 在本发明的单室实施例中，胫骨平台包括用于将胫骨平台固定到胫骨的钉。 在一部分实施例中的胫骨平台包括可以是弯曲的并且通过胫骨承载插入件（通常为高分子量聚乙烯）以燕尾形式可滑动地接合的轨道。 胫骨支承插入件的上表面是凹形球形的，设计用于可滑动地接合股骨部件的下表面。 股骨部件的下表面通常为凸形球形，其曲率半径略小于胫骨支承插入件的曲率半径。 在一些实施例中，股骨部件的下表面可以在该表面上的不同点处具有两个或更多个不同的曲率半径。 通常，胫骨平台和股骨部件由钴 - 铬合金构成。 在本发明的双室或室内实施例中，胫骨平台包括两个轨道，每个轨道可以是弯曲的，并且每个轨道以燕尾形式可滑动地接合胫骨支承插入件。 两个胫骨支承插入件通过其上面的凹形球形表面接合股骨部件的配合的下凸形表面。 两个弯曲的轨道通常不是同心的; 相反，它们的中心落在与这种弯曲轨迹的平面垂直的线上，并穿过另一个弯曲轨道的胫骨承载插入物的凹球面的中心。