WO1995003746A1 - Reticulated orthopaedic element to exploit the medullary canal of the long bones - Google Patents

Reticulated orthopaedic element to exploit the medullary canal of the long bones Download PDF

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Publication number
WO1995003746A1
WO1995003746A1 PCT/IT1994/000021 IT9400021W WO9503746A1 WO 1995003746 A1 WO1995003746 A1 WO 1995003746A1 IT 9400021 W IT9400021 W IT 9400021W WO 9503746 A1 WO9503746 A1 WO 9503746A1
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WO
WIPO (PCT)
Prior art keywords
osteosynthesis according
reticulate
osteosynthesis
prosthesis
stem
Prior art date
Application number
PCT/IT1994/000021
Other languages
French (fr)
Inventor
Gideon Raphael Tock
Original Assignee
Gideon Raphael Tock
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 Gideon Raphael Tock filed Critical Gideon Raphael Tock
Priority to DE69415810T priority Critical patent/DE69415810T2/en
Priority to US08/586,839 priority patent/US5713901A/en
Priority to EP94910515A priority patent/EP0710091B1/en
Priority to AU62906/94A priority patent/AU6290694A/en
Publication of WO1995003746A1 publication Critical patent/WO1995003746A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30907—Nets or sleeves applied to surface of prostheses or in cement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • 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
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
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    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3662—Femoral shafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A—HUMAN NECESSITIES
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    • 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
    • A61F2/3804—Joints for elbows or knees for elbows
    • 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
    • A61F2/40—Joints for shoulders
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/3008—Properties of materials and coating materials radio-opaque, e.g. radio-opaque markers
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30907—Nets or sleeves applied to surface of prostheses or in cement
    • A61F2002/30909—Nets
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30907—Nets or sleeves applied to surface of prostheses or in cement
    • A61F2002/30917—Nets or sleeves applied to surface of prostheses or in cement for avoiding direct contact between bone and implant, e.g. extensible membrane for preventing contamination or for easy removal
    • 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
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3652—Connections of necks to shafts
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

The invention concerns a new reticulated orthopaedic element to exploit the endomedullary canal of the long bones, characterized in that it provides at least a part made up of a reticulate of titanium or other biocompatible material. The reticulated structure allows the prosthetic transverse locking without the use of an image intensifier and/or other ionizing diagnostic apparatuses. The prostheses according to the invention can be used for the reduction of long bone fractures to support poweral, femural or knee articulations or to revise previously implanted prostheses that were origins of complications.

Description

RETICULATED ORTHOPAEDIC ELEMENT TO EXPLOIT THE MEDULLARY CANAL OF THE LONG BONES
The present invention relates to reticulated orthopaedic elements to exploit the medullary canal of the long bones.
More particularly, the invention concerns an element of the above mentioned kind, totally or partially reticulate, that, in order to be applied and transversely blocked, allows to operate without employing ray apparatuses. As it is well known, every bone is modelled, as far as shape and mass are concerned, to satisfy to the particular mechanical necessity for the specific situation in the skeleton.
At the skeleton functional level, the bones satisfy the static and locomotion necessity. With respect to the shape, bones are divided in long bones, bones having a mainly cylindrical extension with respect to the diameter, flat bones and short bones.
The long bones have an extended body, called diaphysis, and two terminal ends, more or less broadened, called epiphysis. The long bones at the diaphysial level, if seen along a sagittal section, or by a radiographic examination, have a long and large lumen called medullary canal, surrounded by an osseous compact casing. At the epiphysial level the long bone has spongy osseous zones.
Object of the present invention is that of finding a new application technique for the reparation and rehabilitation of traumas of long bones and of articulations, exploiting the medullary canal as bearing and support either of the prosthetic manufacture for the reparation and of the arthro - prosthetic manufacture.
At present, the orthopaedic prostheses can be classified as a) endoprostheses, arthro-prostheses ( hip joint, knee, elbow, humero- shoulder prostheses, etc.): they allow to replace one or both the articulation heads with a metal prosthesis; b) revision endoprosteses arthro-prostheses (hip joint, knee, elbow, humero-shoulder prostheses, etc.): they allow to replace, in the second or subsequent intervention after the failure of the preceding prosthesis, only one or both the articulation heads with a metal prosthesis.
There are also the trauma prostheses for long bones used to obtain the endomedullary osteosynthesis. In the prostheses for the articulations, the prosthetic stem is introduced by friction within the lumen of the medullary canal to obtain a immediate primary stability.
Often, lacking this primary stability, an "orthopaedic cement" is used in order to compensate the lacking of precision in the coupling between the prosthetic stem and the medullary lumen: in this way an immediate stability is obtained, but afterwards great problems for the osseous resorption are present: in some cases even the lost of the prosthetic manufacture can occur. The osteosynthesis technique provides the union of two or more fractured bone segments by metallic parts.
An endomedullary nail is defined as the ostesynthesis element exploiting the endomedullary lumen of the long bones. It is indicated as a locked nail an endomedullary nail crossed by transverse or diagonal screws in correspondence of its distal and proximal ends.
At present, all the endomedullary nail requires for they distal locking the use of the image intensifier and/or other apparatuses irradiating ionizing rays during their application.
The main drawback that the present invention aims to solve is that of avoiding the necessity of using the above apparatuses to transversely introduce and lock the abovementioned implants.
Particularly, the innovative solution according to the invention consists in the exploitation for the bearing and the support of the arthro- prosthesys, of the revision artho-prosthesys or of the endomedullary nail, of the endomedullary lumen by a reticulate metallic structure made up by titanium or another biocompatible material that assumes the shape and the total or partial length of the medullary lumen.
The tubular reticulate shape allows to obtain a transverse anchoring in each point chosen by the operator to apply a transverse screw/clip/wire without the necessity of any control by an irradiant diagnostic apparatuses.
Simply, using the suitable mill a hole is realized. The mill in each spatial position will centre a mesh of the reticulate and will allow to screw the transverse screw. All the systems now available unavoidably necessity the utilization of the ray apparatus, The surgeon must find by the image intensifier the preholed seat on the prosthetic manufacture and then mill in the corresponding point through the bone to realize the transverse locking.
As it is well known, the simple endomedullary nail alone cannot guarantee the control of rotations and cannot maintain the length of the bone in case of metaphyseal fractures and in case of plurifragmentary fractures. The traditional locked nail solves both the situations, but it is absolutely necessary to introduce and lock it to use the image intensifier.
On the contrary, an endomedullary nail realized according to the technical teachings according to the invention allows to immobilize the complex diaphysial fractures transverse locked in every suitable position without the use of ray and in a simple and sure way.
A reticulated endomedullary nail realized according to the invention allows to transform the stabilization from static into dynamic, is able to promote the axial stresses on the focus thanks to the load, thus obtaining an optimum stiffening.
The solution proposed according to the present invention allows to have a wide possibilities of applications for the treatment of the fractures of the long bones since it can be produced with every length and diameter that varies with the varying of the different ratios medullary lumen/ osseous diameter in the various anatomical zones (femur, shinbone, humerus, radium, cubitus, etc.).
The solution according to the invention allows to make the treatment of the subtrochanteric fractures, of the fractures of the tertius distal, of the multiple, spiroidal and segmental fractures, of the comminuted fractures, of the fractures involving the loose of the osseous substance, of the pathologic fractures, of the pseudarthrosis, of the defective consolidations, of the elongation and shortening osteotomias, of the osteosynthesis in closed air.
Still according to the invention, it is possible to transform all the endomedullary nails and the primal arthroprosthesis and/or revision endomedullary stems in reticulate stems, increasing the contact surface prosthesis-bone so that a better primary and secondary coupling are obtained.
Further, according to the invention, a special advantage is obtained eliminating the orthopaedic cement.
A further advantage is that of having the opportunity of obtaining a manufacture remarkably lighter than the prosthetic manufacture already available. The reticulate in the distal or proximal ends allows to realize the most suitable transverse/diagonal/sagittal/oblique locking without the necessity of using a specific instrument or irradiating diagnostic apparatuses and thus guaranteeing to the patient a better primary and secondary stability.
It is therefore a specific object of the present invention a reticulate orthopaedic element to exploit the endomedullary canal of the long bones, characterized in that it provides at least a part made up of a reticulate of titanium or other biocompatible material. Particularly, according to the invention, said element can have one or both the ends reticulate, or can be completely reticulate, or can have only the stem reticulate.
Still according to the invention, the element is made up as a unique piece, or by separated coupable parts. In case the element according to the invention is made up of coupable parts, the connections are realized by male-female threads and/or welds, or other kind of fixed joints.
In order to allow the easy removal from the patient of the element according to the invention, said reticulate parts can be covered with a sheath made up of biocompatible plastics, e.g. Teflon, polyethylene, or of a biocompatible thin lamina. In this case, the transverse locking is to be considered indispensable to increase the stability of the element.
Obviously, the dimensions, the thickness, the diameter and the meshes of the reticulation vary in function of the specific application, of the kind of operation and of the patient.
Further, according to the invention, particularly in case of the realization of endomidullary nails, said prosthesis will be realized innerly hollow, and provided with longitudinal grooves along all or part of the extension of the prosthesis. Said grooves increase the elasticity and the flexibility of the element according to the invention, making easier both the insertion and the removal of the same.
In a preferred embodiment of the reticulate element according to the invention, it is realized in three parts, the central one being not- reticulate and having variable length and diameter, and the end ones being reticulate and standardized, coupable with each kind of central part is employed. Further, according to the invention, the proximal end of the reticulate can be provided with male or female mechanical coupling means, for the temporaneous coupling with the introduction instrument.
When a prosthesis for the collum femoris is realized, the stem part of the prosthesis that is introduced within the medullary canal of the diaphysis is made up of a very strong reticulated part that allows to absorb the stem, to increase the contact surface for the osteosynthesis, and to have the opportunity of transverse blocking, this opportunuty not existing with the prior art solutions. The reticulate according to the invention will preferably have a thickness in the range between 0.05 mm and 7.0 mm.
Further, it can be made with a closely-woven or not closely- woven weft, or with a crossed weft.
The elements according to the invention can have any tridimensional shape is desired, e.g. undulated, pressed, with a loosen mesh, electrowelded, with a square or rectangular mesh, S-shaped, V- shaped, O-shaped, with a right or left spiral mesh, with a plate bent at an angle between 5° and 90°, with an expanded metal, etc.
The wire constituting the reticulate can have any shape, also if observed in section.
The present invention will be now described, in an illustrative and not limitative way, according to its preferred embodiments, with particular reference to the figures of the enclosed drawings, wherein: figure 1 shows a preferred embodiment of an endomedullary nail according to the invention; figure 2 shows a particular of the nail of figure 1 ; figure 3 shows the application of the nail according to figures 1 and 2; figure 4 is a diagrammatic view of a hip joint prosthesis according to the invention; figure 5 is a diagrammatic view of a revision hip joint prosthesis according to the invention; figure 6 is a diagrammatic view of a knee prosthesis according to the invention; figure 7 diagramatically shows a different shape of a stem for a knee prosthesis according to figure 6; figure 8 shows the prosthesis of figure 6 in place; figure 9 is a diagrammatic view of a revision knee prosthesis according to the invention; figure 10 shows the prosthesis of figure 9 in place; figure 11 is a diagrammatic view of a humero-scapular prosthesis according to the invention; and figure 12 is a diagrammatic view of an elbow prosthesis according to the invention.
The nail 1 of figure 1 has a central stem 2 and two end parts 3.
Being an endomedullary prosthesis, both the stem 2 and the end parts 3 will be centrally hollow.
The three parts 2 and 3 are coupled each other, see particularly figure 2, by a thread 4, that obviously can be replaced by any other kind of standard coupling.
The two end parts 3 are realized by a titanium reticulate, even if a different suitable material can be used.
The meshes of the reticulation will obviously vary in function of the specific application of the prosthesis.
For example, in case of an adult of remarkable dimensions, it can have a stem having a diameter of 16 mm, wire of the reticulation having a diameter of 2.5 mm and meshes having a side comprised between 2 and 6 mm, while in case of a child, the stem can have a thickness of 10 mm, the wire of the mesh a thickness of 0.5 mm and the meshes a side of 2-3 mm.
As it can be particularly seen in figure 2, the reticulate parts 3 are covered with a sheath 4 realized with a biocompatible plastic material, that avoids the direct contact between bone and reticulate, easing the removal at the end of the treatment.
At the proximal end of the reticulate part 3 a coupling 5 is provided for a plug 6, that allows the coupling with the insertion instrument for the prosthesis, or with centring or measuring instruments.
Coming now to observe the figure 3, the application of the transverse self-threading screws 7 that are introduced through the reticulate part 3, previously drilled by a mill can be observed.
The transverse locking on both the ends allows to neutralize the torsion stresses, and to maintain the same length of the segment.
Coming back to observe figure 1 , it can be noted the global composition of the endomedullary nail realized according to the teachings of the present invention, placed within the fractured femoral medullary lumen.
The transverse locking is realized without employing the image intensifier since the orthopaedic surgeon knows that in a zone corresponding to the end parts 3 is in any case possible to realize the hole by the mill, and therefore it is sufficient that the mill centres the parts
3 to have a hole useful for the transverse locking.
Coming now to particularly see figures 4 and 5, and beginning from the figure 4, it is shown a hip joint prosthesis 8. It has a reticulate stem 9 that allows to obtain the following advantages with respect to the already known systems:
• application of the prosthesis with the growing of the medullary bone within the medullary lumen in the reticulation of the implant stem with a remarkable increasing of the prosthetic stability, and of the osseous-implant contact surface;
• it can be avoided the use of the orthopaedic cement, and its serious drawbacks;
• it can be transversely blocked the hip joint prosthesis to the surrounding bone by the transverse fixing screws 10, without employing irradiant diagnostic apparatuses;
• the shape and the length of the reticulate stem and the shape and the thickness of the reticulation can vary according to the specific clinical and operative necessitys;
• by the cemented or not cemented prosthetic stem a primary stability of very high quality is obtained, and moreover a secondary stability having an unusual osseous-implant contact ratio is obtained.
In figure 5 a revision hip joint prosthesis 11 is shown: it is necessary since with the development of the clinical experience with respect to the application of the cemented or not cemented hip joint prostheses, a noticeable number of patients that after a certain period has clinical problems requiring the removal of the implant has been noticed. The lost of the implant has also the consequence that the surrounding bone is damaged and is compromised in such a way not to be more able to sustain the static/dynamic load of the patient and/or not to be more possible to be a suitable seat for the new implant. To this compensation of the loose of the surrounding bone, the invention asks the total or partial exploiting of the femoral medullary lumen applying a long stem 12 transversely locked by the transverse screws 13.
The advantages obtained are those already mentioned herein before. Moreover, a further increasing of the prosthetic stability and a structural compensation for the bone are obtained as a consequence of the lost of the implant.
Coming now to observe figures 6-8, a knee joint prosthesis 14 is shown.
In the prosthetic articulation of the knee, the longitudinal vertical part that is introduced in the femoral medullary lumen and in the tibial medullary lumen is realized by a tubular reticulate cylinder 15: in this way higher primary and secondary stability are guaranteed, with the opportunity and the easy of transversely locking the prosthesis 14 without image intensifier by the screws 16. In figure 7 a stem 15' is shown having different shape and length.
It can also be realized a revision prosthesis 17 (see figure 9 and 10), introducing a reticulate tubular cylindrical stem 18 longer than the main stem so that it is possible to compensate the osseous lost and to noticeably increase the ratio between the support osseous surface and the reticulate surface of the stem, either the tibial or the femoral stem or both.
Further, since the stem is reticulate, it is possible the transverse locking of the same in every point of its extension by transverse screw 19.
Coming now to observe figure 11 , a humero-scapular prosthesis 20 is shown comprising a reticulate stem 21 introduced within a medullary lumen, allowing thus the transverse locking of the prosthetic manufacture by the screw 22 and further to lighten in a conclusive manner the weight of the prosthetic manufacture.
Finally, observing figure 12, an elbow-humero-cubitus prosthesis 23 is shown providing a reticulate humero stem 24 and a reticulate cubitus stem 25 allowing a best performance and prosthetic stability with respect to the traction and rotation movements ahead and backward stressing the elbow articulation.
Both the stem 24 and the stem 25 are fixed by the screws 26 and 27. The present invention has been described in an illustrative and not limitative way, according to its preferred embodiments, but it is to be understood that changes and/or modifications can be introduced by those skilled in the art without departing from the scope of the invention as defined by the enclosed claims.

Claims

I . Element for osteosynthesis, characterized in that it provides at least a part made up of a reticulate of titanium or other biocompatible material.
2. Element for osteosynthesis according to claim 1 , characterized in that said element has one or both the ends reticulate.
3. Element for osteosynthesis according to claim 1 , characterized in that said element is completely reticulate.
4. Element for osteosynthesis according to claim 1, characterized in that said element has only the stem reticulate.
5. Element for osteosynthesis according to one of the preceding claims, characterized in that it is made up as a unique piece.
6. Element for osteosynthesis according to one of claims 1 -4, characterized in that it is made by separated coupable parts.
7. Element for osteosynthesis according to claim 6, characterized in that said connections are realized by male-female threads, welds, or other kind of fixed joints.
8. Element for osteosynthesis according to one of the preceding claims, characterized in that said reticulate parts are covered with a sheath made up of biocompatible plastics, e.g. Teflon or polyethylene, or of a biocompatible metal, thin titanium lamina, etc.
9. Element for osteosynthesis according to one of the preceding claims, characterized in that, the dimensions, the thickness, the diameter and the meshes of the reticulation vary in function of the specific application, of the kind of operation and of the patient.
10. Element for osteosynthesis according to one of the preceding claims, characterized in that, particularly in case of the realization of endomidullary nails, said element is innerly hollow.
I I . Element for osteosynthesis according to claim 10, characterized in that it is provided with longitudinal grooves along all or part of the extension of the prosthesis.
12. Element for osteosynthesis according to one of the preceding claims, characterized in that it is realized in three parts, the central one being not-reticulate and having variable length and thickness, and the end ones being reticulate and standardized, coupable with each central part is employed.
13. Element for osteosynthesis according to one of the preceding claims, characterized in that the proximal end of the reticulate is provided with male or female mechanical coupling means, for the temporaneous coupling to the introduction instrument.
14. Element for osteosynthesis according to one of the preceding claims, characterized in that when an element for the collum femoris is realized, the stem part of the prosthesis that is introduced within the medullary canal of the diaphysis is made up of a very strong reticulated part that allows to absorb the stem and to increase the contact surface for the osteosynthesis, and to have the opportunity of transverse blocking of the stem.
15. Element for osteosynthesis according to one of the preceding claims, characterized in that the reticulate has a thickness in the range between 0.05 mm and 7.0 mm.
16. Element for osteosynthesis according to one of the preceding claims, characterized in that said reticulate is made with a closely-woven or not closely-woven weft, or with a crossed weft.
17. Element for osteosynthesis according to one of the preceding claims, characterized in that it is used to realize an endomedullary nail.
18. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize a hip joint prosthesis.
19. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize a revision hip joint prosthesis.
20. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize a knee prosthesis.
21. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize a revision knee prosthesis.
22. Element for osteosynthesis according to one of the claims
1-16, characterized in that it is used to realize a scapolo-humero prosthesis.
23. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize a revision scapolo-humero prosthesis.
24. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize an elbow (humero-cubitus) prosthesis.
25. Element for osteosynthesis according to one of the claims 1-16, characterized in that it is used to realize a revision elbow (humero- cubitus) prosthesis.
26. Element for osteosynthesis according to anyone of the preceding claims, substantially as illustrated and described.
PCT/IT1994/000021 1993-07-30 1994-03-09 Reticulated orthopaedic element to exploit the medullary canal of the long bones WO1995003746A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
DE69415810T DE69415810T2 (en) 1993-07-30 1994-03-09 NET-SHAPED, ORTHOPEDIC ELEMENT THAT FILLS THE MEDALAR CANAL OF LONG BONE
US08/586,839 US5713901A (en) 1993-07-30 1994-03-09 Reticulated orthopaedic element to exploit the medullary canal of the long bones
EP94910515A EP0710091B1 (en) 1993-07-30 1994-03-09 Reticulated orthopaedic element to exploit the medullary canal of the long bones
AU62906/94A AU6290694A (en) 1993-07-30 1994-03-09 Reticulated orthopaedic element to exploit the medullary canal of the long bones

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITRM930513A IT1261494B (en) 1993-07-30 1993-07-30 ENDOMIDOLLAR NAIL AND CROSS-LINKED OSTEOSYNTHESIS, MODULAR FOR APPLICATION IN ORTHOPEDICS WITHOUT EXPOSURE TO IONIZING RAYS.
ITRM39A000513 1993-07-30

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EP (1) EP0710091B1 (en)
AT (1) ATE175336T1 (en)
AU (1) AU6290694A (en)
CA (1) CA2168228A1 (en)
DE (1) DE69415810T2 (en)
ES (1) ES2129121T3 (en)
IT (1) IT1261494B (en)
WO (1) WO1995003746A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008044011A2 (en) * 2006-10-09 2008-04-17 Mohamed Khalid Intramedulleray fixation device
US8684544B2 (en) 2007-06-19 2014-04-01 Marujin Co., Ltd. Retroreflective member producing iridescent reflected light

Families Citing this family (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6068630A (en) * 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction implant
DE19700225A1 (en) * 1997-01-07 1998-07-09 Augustin Prof Dr Betz Distraction device for moving two parts of a bone apart
US6033407A (en) * 1998-01-27 2000-03-07 Behrens; Alfred F. Apparatus and method for intramedullary nailing and intramedullary nail therefor
US6494913B1 (en) * 1998-03-17 2002-12-17 Acumed, Inc. Shoulder prosthesis
RU2296526C2 (en) 1998-10-26 2007-04-10 Икспэндинг Ортопедикс Инк. Expandable orthopedic device
US6019761A (en) * 1998-12-23 2000-02-01 Gustilo; Ramon B. Intramedullary nail and method of use
EP1139892B1 (en) * 1998-12-23 2006-12-20 Sesic, Nenard Axial intramedullary screw for the osteosynthesis of long bones
EP1033111B1 (en) * 1999-03-01 2004-05-06 Centerpulse Orthopedics Ltd. Bone screw for the anchoring of an intramedullary nail
US6355043B1 (en) 1999-03-01 2002-03-12 Sulzer Orthopedics Ltd. Bone screw for anchoring a marrow nail
ATE321497T1 (en) * 1999-05-21 2006-04-15 I T S Implantat Technologie Sy TIBIAL MARKET NAIL
US8920509B2 (en) * 2000-04-10 2014-12-30 Biomet Manufacturing, Llc Modular radial head prosthesis
US8114163B2 (en) 2000-04-10 2012-02-14 Biomet Manufacturing Corp. Method and apparatus for adjusting height and angle for a radial head
US8535382B2 (en) 2000-04-10 2013-09-17 Biomet Manufacturing, Llc Modular radial head prostheses
US6527775B1 (en) * 2000-09-22 2003-03-04 Piper Medical, Inc. Intramedullary interlocking fixation device for the distal radius
DE10246386B4 (en) * 2002-10-04 2008-08-07 Biedermann Motech Gmbh Bone screw, bone fixation device and retaining element
JP4579697B2 (en) * 2003-03-07 2010-11-10 ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング Set screw for intramedullary nail
WO2004110290A1 (en) * 2003-06-12 2004-12-23 Synthes Ag Chur Surgical nail
CA2531541C (en) * 2003-06-12 2011-05-10 Synthes (U.S.A.) Surgical nail
DE20309399U1 (en) * 2003-06-18 2003-08-28 Stryker Trauma Gmbh Bone nail, especially proximal femoral nail
DE50311031D1 (en) * 2003-07-30 2009-02-12 Synthes Gmbh SURGICAL NAIL
WO2005020830A1 (en) * 2003-08-29 2005-03-10 Synthes Gmbh Intramedullary nail
NZ546545A (en) * 2003-10-21 2008-11-28 Synthes Gmbh Intramedullary nail
AU2004294998B2 (en) 2003-12-01 2011-03-24 Smith & Nephew, Inc. Humeral nail with insert for fixing a screw
US7828802B2 (en) 2004-01-16 2010-11-09 Expanding Orthopedics, Inc. Bone fracture treatment devices and methods of their use
AU2004320725A1 (en) * 2004-06-22 2005-12-29 Synthes Gmbh Intramedullary nail
CA2571672C (en) * 2004-06-24 2012-08-28 Synthes (U.S.A.) Intramedullary nail
ATE504251T1 (en) * 2004-06-30 2011-04-15 Synthes Gmbh SURGICAL NAIL
US7410488B2 (en) 2005-02-18 2008-08-12 Smith & Nephew, Inc. Hindfoot nail
EP1861047B1 (en) * 2005-03-14 2017-05-31 Inbone Acquisition Corp. Ankle replacement system
EP1948049B1 (en) * 2005-10-21 2012-05-30 Acumed LLC Orthopedic rod with locking aperture
KR100851642B1 (en) 2005-12-09 2008-08-13 신세스 게엠바하 Surgical nail
US7806900B2 (en) 2006-04-26 2010-10-05 Illuminoss Medical, Inc. Apparatus and methods for delivery of reinforcing materials to bone
US7811284B2 (en) 2006-11-10 2010-10-12 Illuminoss Medical, Inc. Systems and methods for internal bone fixation
US7879041B2 (en) 2006-11-10 2011-02-01 Illuminoss Medical, Inc. Systems and methods for internal bone fixation
WO2009059090A1 (en) * 2007-10-31 2009-05-07 Illuminoss Medical, Inc. Light source
US8403968B2 (en) 2007-12-26 2013-03-26 Illuminoss Medical, Inc. Apparatus and methods for repairing craniomaxillofacial bones using customized bone plates
ES2751997T3 (en) 2008-01-14 2020-04-02 Conventus Orthopaedics Inc Fracture repair apparatus
DE102008037201A1 (en) * 2008-08-11 2010-04-15 Alfred Buck Artificial joint
US8210729B2 (en) 2009-04-06 2012-07-03 Illuminoss Medical, Inc. Attachment system for light-conducting fibers
AU2010234448A1 (en) * 2009-04-07 2011-10-27 Illuminoss Medical, Inc. Photodynamic bone stabilization systems and methods for treating spine conditions
US8512338B2 (en) 2009-04-07 2013-08-20 Illuminoss Medical, Inc. Photodynamic bone stabilization systems and methods for reinforcing bone
US8870965B2 (en) * 2009-08-19 2014-10-28 Illuminoss Medical, Inc. Devices and methods for bone alignment, stabilization and distraction
EP2498700A4 (en) * 2009-11-10 2016-03-30 Illuminoss Medical Inc Intramedullary implants having variable fastener placement
US8684965B2 (en) 2010-06-21 2014-04-01 Illuminoss Medical, Inc. Photodynamic bone stabilization and drug delivery systems
US9179959B2 (en) 2010-12-22 2015-11-10 Illuminoss Medical, Inc. Systems and methods for treating conditions and diseases of the spine
US9775661B2 (en) 2011-07-19 2017-10-03 Illuminoss Medical, Inc. Devices and methods for bone restructure and stabilization
US8936644B2 (en) 2011-07-19 2015-01-20 Illuminoss Medical, Inc. Systems and methods for joint stabilization
US8668692B1 (en) 2012-05-01 2014-03-11 Eric M. Lindvall Intramedullary linkage device, system, and method for implantation
US8939977B2 (en) 2012-07-10 2015-01-27 Illuminoss Medical, Inc. Systems and methods for separating bone fixation devices from introducer
US9687281B2 (en) 2012-12-20 2017-06-27 Illuminoss Medical, Inc. Distal tip for bone fixation devices
US9480516B2 (en) * 2013-09-09 2016-11-01 Globus Medical, Inc. Percutaneous bone screw device and method
DE102014009774B4 (en) 2014-07-02 2018-06-14 Ehrhardt Weiß Orthopedic trauma implant
US11298102B2 (en) 2016-01-11 2022-04-12 Kambiz Behzadi Quantitative assessment of prosthesis press-fit fixation
US11241248B2 (en) 2016-01-11 2022-02-08 Kambiz Behzadi Bone preparation apparatus and method
US10251663B2 (en) 2016-01-11 2019-04-09 Kambiz Behzadi Bone preparation apparatus and method
US11751807B2 (en) 2016-01-11 2023-09-12 Kambiz Behzadi Invasive sense measurement in prosthesis installation and bone preparation
US11534314B2 (en) 2016-01-11 2022-12-27 Kambiz Behzadi Quantitative assessment of prosthesis press-fit fixation
US11375975B2 (en) 2016-01-11 2022-07-05 Kambiz Behzadi Quantitative assessment of implant installation
US11458028B2 (en) 2016-01-11 2022-10-04 Kambiz Behzadi Prosthesis installation and assembly
US11331069B2 (en) 2016-01-11 2022-05-17 Kambiz Behzadi Invasive sense measurement in prosthesis installation
US11234840B2 (en) 2016-01-11 2022-02-01 Kambiz Behzadi Bone preparation apparatus and method
US11399946B2 (en) 2016-01-11 2022-08-02 Kambiz Behzadi Prosthesis installation and assembly
US11109802B2 (en) 2016-01-11 2021-09-07 Kambiz Behzadi Invasive sense measurement in prosthesis installation and bone preparation
US20170290667A1 (en) * 2016-04-07 2017-10-12 Kambiz Behzadi Mechanical assembly including exterior surface preparation
US11458021B2 (en) 2016-04-07 2022-10-04 Kambiz Behzadi Anisotropic materials in medical devices
US11406504B2 (en) 2016-06-12 2022-08-09 Kambiz Behzadi Mechanical assembly including exterior surface preparation
US11839549B2 (en) 2016-04-07 2023-12-12 Kambiz Behzadi Materials in orthopedics and fracture fixation
US10864083B2 (en) 2016-04-07 2020-12-15 Kambiz Behzadi Mechanical assembly including exterior surface preparation
US10136998B2 (en) 2016-08-30 2018-11-27 Wright Medical Technology, Inc. Revision total ankle implants
US10631881B2 (en) 2017-03-09 2020-04-28 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
WO2019010252A2 (en) 2017-07-04 2019-01-10 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US11071572B2 (en) 2018-06-27 2021-07-27 Illuminoss Medical, Inc. Systems and methods for bone stabilization and fixation

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US460271A (en) * 1891-09-29 Process of
US4016874A (en) * 1976-05-19 1977-04-12 Maffei Ernest J Three-part intramedullary bone-setting pin
US4064567A (en) * 1976-09-15 1977-12-27 The Sampson Corporation Prosthesis-to-bone interface system
US4089071A (en) * 1976-09-08 1978-05-16 Kalnberz Viktor Konstantinovic Material for making bone endoprosthesis and endoprosthesis made of said material
GB2024631A (en) * 1978-06-29 1980-01-16 Ceraver Titanium or tatinium alloy pin to be fixed in long bones
EP0268115A1 (en) * 1986-11-03 1988-05-25 Lutz Biedermann Space keeping device, especially for a vertebra
GB2198356A (en) * 1986-12-05 1988-06-15 Haruyuki Kawahara Endosseous implants
EP0526682A1 (en) * 1991-08-07 1993-02-10 Oscobal Ag Endoprosthesis with a metal wire mesh

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3662405A (en) * 1969-03-12 1972-05-16 Iit Res Inst Reinforced porous ceramic bone prosthesis
US3893196A (en) * 1970-08-06 1975-07-08 Robert F Hochman Body implant material
FR2215927B1 (en) * 1973-01-31 1976-05-14 Louyot Comptoir Lyon Alemand
GB1386572A (en) * 1973-01-31 1975-03-12 Seiko Instr & Electronics Apparatus for effecting oscillatory movement of a driven member
US3868730A (en) * 1973-09-24 1975-03-04 Howmedica Knee or elbow prosthesis
US3906550A (en) * 1973-12-27 1975-09-23 William Rostoker Prosthetic device having a porous fiber metal structure
US3986212A (en) * 1975-04-11 1976-10-19 Glasrock Products, Inc. Composite prosthetic device with porous polymeric coating
US4045825A (en) * 1976-01-28 1977-09-06 Stroot Jerome H Humerus prosthesis
US4156943A (en) * 1977-08-24 1979-06-05 Collier John P High-strength porous prosthetic device and process for making the same
US4990161A (en) * 1984-03-16 1991-02-05 Kampner Stanley L Implant with resorbable stem
US4640271A (en) * 1985-11-07 1987-02-03 Zimmer, Inc. Bone screw
DE3840798A1 (en) * 1988-12-01 1990-06-21 Mecron Med Prod Gmbh MARKING NAIL
SU1648421A1 (en) * 1989-01-10 1991-05-15 Латвийский Научно-Исследовательский Институт Травматологии И Ортопедии Intramedullar fixing member for osteosynthesis
US5169597A (en) * 1989-12-21 1992-12-08 Davidson James A Biocompatible low modulus titanium alloy for medical implants
DK0532582T3 (en) * 1990-06-01 1996-01-29 Du Pont Composite orthopedic implant with varying modulus of elasticity

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US460271A (en) * 1891-09-29 Process of
US4016874A (en) * 1976-05-19 1977-04-12 Maffei Ernest J Three-part intramedullary bone-setting pin
US4089071A (en) * 1976-09-08 1978-05-16 Kalnberz Viktor Konstantinovic Material for making bone endoprosthesis and endoprosthesis made of said material
US4064567A (en) * 1976-09-15 1977-12-27 The Sampson Corporation Prosthesis-to-bone interface system
GB2024631A (en) * 1978-06-29 1980-01-16 Ceraver Titanium or tatinium alloy pin to be fixed in long bones
EP0268115A1 (en) * 1986-11-03 1988-05-25 Lutz Biedermann Space keeping device, especially for a vertebra
GB2198356A (en) * 1986-12-05 1988-06-15 Haruyuki Kawahara Endosseous implants
EP0526682A1 (en) * 1991-08-07 1993-02-10 Oscobal Ag Endoprosthesis with a metal wire mesh

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008044011A2 (en) * 2006-10-09 2008-04-17 Mohamed Khalid Intramedulleray fixation device
WO2008044011A3 (en) * 2006-10-09 2008-07-17 Mohamed Khalid Intramedulleray fixation device
US8684544B2 (en) 2007-06-19 2014-04-01 Marujin Co., Ltd. Retroreflective member producing iridescent reflected light
US9239412B2 (en) 2007-06-19 2016-01-19 Marujin Co., Ltd. Retroreflective member producing iridescent reflected light

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AU6290694A (en) 1995-02-28
EP0710091B1 (en) 1999-01-07
DE69415810D1 (en) 1999-02-18
ATE175336T1 (en) 1999-01-15
ITRM930513A0 (en) 1993-07-30
CA2168228A1 (en) 1995-02-09
DE69415810T2 (en) 1999-08-12
ES2129121T3 (en) 1999-06-01
IT1261494B (en) 1996-05-23
ITRM930513A1 (en) 1995-01-30
US5713901A (en) 1998-02-03
EP0710091A1 (en) 1996-05-08

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