EP0495340A1 - Modular construction kit for the tibial part of a knee joint prosthesis - Google Patents

Modular construction kit for the tibial part of a knee joint prosthesis Download PDF

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Publication number
EP0495340A1
EP0495340A1 EP91810972A EP91810972A EP0495340A1 EP 0495340 A1 EP0495340 A1 EP 0495340A1 EP 91810972 A EP91810972 A EP 91810972A EP 91810972 A EP91810972 A EP 91810972A EP 0495340 A1 EP0495340 A1 EP 0495340A1
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EP
European Patent Office
Prior art keywords
tibial plateau
plane
joint
tibia
snap connection
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.)
Withdrawn
Application number
EP91810972A
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German (de)
French (fr)
Inventor
Walter Moser
Roland Willi
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.)
Sulzer AG
Original Assignee
Sulzer AG
Gebrueder Sulzer AG
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 Sulzer AG, Gebrueder Sulzer AG filed Critical Sulzer AG
Publication of EP0495340A1 publication Critical patent/EP0495340A1/en
Withdrawn legal-status Critical Current

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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
    • A61F2/30—Joints
    • A61F2/38—Joints for elbows or knees
    • A61F2/389—Tibial components
    • 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
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30133—Rounded shapes, e.g. with rounded corners kidney-shaped or bean-shaped
    • 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
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/305—Snap connection
    • 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0015—Kidney-shaped, e.g. bean-shaped

Definitions

  • the invention relates to a modular kit for the tibia part of a knee joint prosthesis consisting of a tibia plateau with pins from a stem protruding into the tibia and from a joint support made of polyethylene.
  • tibia part of a knee prosthesis which consists of a tibial plateau with a peg and a joint support.
  • the installation of these implants requires several individual preparatory work during resection of the tibia bone, which depend on the mechanical skill of the surgeon in order to support the implant over the entire intended area.
  • the object of the invention is to provide the surgeon, who has performed a simple resection according to the bone condition found, with an implant whose fastening and insertion length can be adjusted intraoperatively.
  • This object is achieved with the invention in that logs of different sizes can be inserted into the tibial plateau and in that joint supports of different heights in one plane of the tibial plateau guided on all sides by a swiveling movement can be brought into this plane by protrusions of the joint supports engaging in recesses of the tibial plateau in a tangentially arranged swivel axis and by engaging a snap connection between the joint support and tibial plateau opposite to the swivel axis.
  • the advantage of the invention is that with a flat resection incision made in the correct angular position with respect to the tibia and with the fixing of the drilling pattern in the resection surface, all further functional dimensions are formed by assembling prefabricated components.
  • the dependent claims 2 and 3 relate to advantageous developments of the invention.
  • the figures show a modular kit for the tibia part of a knee joint prosthesis, which consists of a tibial plateau with a peg, a stem protruding into the tibia and a joint support made of polyethylene.
  • Trunks of different sizes can be inserted into the tibial plateau, and joint supports of different heights are guided on all sides in one plane of the tibial plateau and can be brought into this plane by a pivoting movement. This is done by protrusions of the joint supports engaging in recesses of the tibial plateau in a tangentially arranged pivot axis and by snapping a snap connection between the joint support and tibial plateau opposite to the pivot axis.
  • a tibial plateau 1 has a fixed drilling pattern for two pins 2 and a stem 3 lying in between, which is transferred to the flat resection surface 13 of a tibia bone 14.
  • the holes for the pins 2 and the pin dimensions remain unchanged, since the pins mainly serve to prevent rotation in the resection plane, while the size of the interchangeable stem 3 and its associated hole can be gradually adapted to the fastening options in the tibia bone in order to anchor the tibia plateau.
  • the different pins 3 are fastened with a screw 11 in the tibial plateau 1.
  • the joint supports 4 are graded in different heights, while the connecting dimensions to a tibial plateau 1 are the same for all heights.
  • the joint supports 4 lie in a plane 6, which is formed by the raised boundary edge 15 of the tibial plateau, and are guided in this plane by guide elements 10 with their protruding inner part 16, which is shaped to the contour of the upstanding boundary edge 15.
  • the boundary edge 15 has on its inside two recesses 8, which lie on a common tangent to the inner part 16, while the inner part 16 has the projections 7, which by a Pivotal movement can be hooked into the recesses 8.
  • the projections 7 and the cutouts 8 form a pivot axis 5, on which a one-sided securing against falling out of the plane 6 is created by pivoting in the joint support 4.
  • a snap connection 9 is attached between the boundary edge 15 and the inner part 16, which snaps into place when the joint support 4 rests on the plane 6.
  • a recess 12 is shown above the snap connection 9 between the boundary edge 15 and the joint support 4, into which a screwdriver-like tool can be used as a lever in order to release the hooking in the snap connection 9.
  • the joint support 4 is guided independently of the snap connection perpendicular to the pivot axis 5 in the plane 6 through the boundary edge 15, so that no displacement forces in the plane 6 can act on the snap connection 9, ie the snap connection 9 secures perpendicular to the plane 6 and is not caused by changing Centering forces tired.
  • the inner part 16 and the base of the tibial plateau 1 are less than 1/10 mm apart, so that additional load-bearing surfaces are created when the two parts are elastic.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Physical Education & Sports Medicine (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

The figures depict a modular construction kit for the tibial part of a knee joint prosthesis which consists of a tibial plateau (1) having pegs (2), a trunk (3) projecting into the tibia and a joint support (4) of polyethylene. Trunks (3) of different sizes can be inserted in the tibial plateau (1), and joint supports (4) of different heights are guided on all sides in a plane of the tibial plateau and can be inserted in this plane by a pivoting movement. This is done by projections (7) of the joint supports (4) engaging in a tangentially arranged pivot axis (5) in recesses of the tibial plateau and by a snap-in connection (9) engaging between the joint support (4) and the tibial plateau (1) in the opposite direction to the pivot axis. <IMAGE>

Description

Die Erfindung betrifft einen modularen Bausatz für den Tibiateil einer Kniegelenkprothese bestehend aus einem Tibiaplateau mit Zapfen aus einem in die Tibia hineinragenden Stamm und aus einer Gelenkauflage aus Polyäthylen.The invention relates to a modular kit for the tibia part of a knee joint prosthesis consisting of a tibia plateau with pins from a stem protruding into the tibia and from a joint support made of polyethylene.

In der CH-PS 667 383 ist der Tibiateil einer Kniegelenkprothese beschrieben, die aus einem Tibiaplateau mit Zapfen und aus einer Gelenkauflage besteht. Der Einbau dieser Implantate verlangt mehrere individuelle Vorbearbeitungen bei der Resektion des Tibiaknochens, die vom mechanischen Geschick des Operateurs abhängen, um das Implantat auf der ganzen vorgesehenen Fläche abzustützen.In CH-PS 667 383 the tibia part of a knee prosthesis is described, which consists of a tibial plateau with a peg and a joint support. The installation of these implants requires several individual preparatory work during resection of the tibia bone, which depend on the mechanical skill of the surgeon in order to support the implant over the entire intended area.

Aufgabe der Erfindung ist es, dem Operateur, der entsprechend dem vorgefundenen Knochenzustand eine einfache Resektion vorgenommen hat, ein Implantat zur Verfügung zu stellen, dessen Befestigungs- und Einbaulänge intraoperativ einstellbar sind. Diese Aufgabe wird mit der Erfindung dadurch gelöst, dass in das Tibiaplateau unterschiedlich grosse Stämme einsetzbar sind und dass unterschiedlich hohe Gelenkauflagen in einer Ebene des Tibiaplateaus allseitig geführt durch eine Schwenkbewegung in diese Ebene einbringbar sind, indem Vorsprünge der Gelenkauflagen in einer tangential angeordneten Schwenkachse in Aussparungen des Tibiaplateaus eingreifen und indem entgegengesetzt zur Schwenkachse eine Schnappverbindung zwischen Gelenkauflage und Tibiaplateau einrastet.The object of the invention is to provide the surgeon, who has performed a simple resection according to the bone condition found, with an implant whose fastening and insertion length can be adjusted intraoperatively. This object is achieved with the invention in that logs of different sizes can be inserted into the tibial plateau and in that joint supports of different heights in one plane of the tibial plateau guided on all sides by a swiveling movement can be brought into this plane by protrusions of the joint supports engaging in recesses of the tibial plateau in a tangentially arranged swivel axis and by engaging a snap connection between the joint support and tibial plateau opposite to the swivel axis.

Der Vorteil der Erfindung besteht darin, dass mit einem ebenen, in der richtigen Winkellage zur Tibia durchgeführten Resektionsschnitt und mit der Festlegung des Bohrbildes in der Resektionsfläche alle weiteren Funktionsmasse durch Zusammenfügen von vorgefertigten Bauteilen gebildet werden. Die abhängigen Ansprüche 2 und 3 beziehen sich auf vorteilhafte Weiterbildungen der Erfindung.The advantage of the invention is that with a flat resection incision made in the correct angular position with respect to the tibia and with the fixing of the drilling pattern in the resection surface, all further functional dimensions are formed by assembling prefabricated components. The dependent claims 2 and 3 relate to advantageous developments of the invention.

Im folgenden wird die Erfindung anhand eines Ausführungsbeispiels im Zusammenhang mit der Zeichnung näher erläutert. Es zeigen:

Fig. 1
schematisch einen abgesetzten Längsschnitt (I-I, Fig. 2) durch den Tibiateil für eine Kniegelenkprothese;
Fig. 2
schematisch die Draufsicht auf eine Gelenkauflage gemäss Fig. 1, unter der die Lage von Zapfen, Stamm und Schwenkachse angedeutet ist; und
Fig. 3
schematisch den vergrösserten Ausschnitt einer Schnappverbindung gemäss Fig. 1.
The invention is explained in more detail below using an exemplary embodiment in conjunction with the drawing. Show it:
Fig. 1
schematically shows a stepped longitudinal section (II, Fig. 2) through the tibia part for a knee joint prosthesis;
Fig. 2
schematically the top view of a joint support according to Figure 1, under which the position of the pin, stem and pivot axis is indicated. and
Fig. 3
schematically the enlarged section of a snap connection according to FIG. 1.

In den Figuren ist ein modularer Bausatz für den Tibiateil einer Kniegelenkprothese gezeigt, der aus einem Tibiaplateau mit Zapfen, aus einem in die Tibia hineinragenden Stamm und aus einer Gelenkauflage aus Polyäthylen besteht.The figures show a modular kit for the tibia part of a knee joint prosthesis, which consists of a tibial plateau with a peg, a stem protruding into the tibia and a joint support made of polyethylene.

In das Tibiaplateau sind unterschiedlich grosse Stämme einsetzbar und unterschiedlich hohe Gelenkauflagen sind in einer Ebene des Tibiaplateaus allseitig geführt und durch eine Schwenkbewegung in diese Ebene einbringbar. Dies geschieht, indem Vorsprünge der Gelenkauflagen in einer tangential angeordneten Schwenkachse in Aussparungen des Tibiaplateaus eingreifen und indem entgegengesetzt zur Schwenkachse eine Schnappverbindung zwischen Gelenkauflage und Tibiaplateau einrastet.Trunks of different sizes can be inserted into the tibial plateau, and joint supports of different heights are guided on all sides in one plane of the tibial plateau and can be brought into this plane by a pivoting movement. This is done by protrusions of the joint supports engaging in recesses of the tibial plateau in a tangentially arranged pivot axis and by snapping a snap connection between the joint support and tibial plateau opposite to the pivot axis.

Ein Tibiaplateau 1 besitzt ein festes Bohrbild für zwei Zapfen 2 und einen dazwischen liegenden Stamm 3, welches auf die ebene Resektionsfläche 13 eines Tibiaknochens 14 übertragen wird. Die Bohrungen für die Zapfen 2 und die Zapfendimensionen bleiben unverändert, da die Zapfen hauptsächlich der Verdrehsicherung in der Resektionsebene dienen, während der auswechselbare Stamm 3 und seine zugehörige Bohrung in ihrer Grösse stufenweise den Befestigungsmöglichkeiten im Tibiaknochen anpassbar sind, um das Tibiaplateau zu verankern. Die unterschiedlichen Zapfen 3 sind mit einer Verschraubung 11 im Tibiaplateau 1 befestigt.A tibial plateau 1 has a fixed drilling pattern for two pins 2 and a stem 3 lying in between, which is transferred to the flat resection surface 13 of a tibia bone 14. The holes for the pins 2 and the pin dimensions remain unchanged, since the pins mainly serve to prevent rotation in the resection plane, while the size of the interchangeable stem 3 and its associated hole can be gradually adapted to the fastening options in the tibia bone in order to anchor the tibia plateau. The different pins 3 are fastened with a screw 11 in the tibial plateau 1.

Die Gelenkauflagen 4 liegen in unterschiedliche Höhen gestuft vor, während die Anschlussmasse zu einem Tibiaplateau 1 für alle Höhen gleich sind. Die Gelenkauflagen 4 liegen in einer Ebene 6, die durch den hochgezogenen Begrenzungsrand 15 des Tibiaplateaus gebildet wird, auf und sind in dieser Ebene durch Führungselemente 10 mit ihrem vorstehenden Innenteil 16 geführt, das der Kontur des hochstehenden Begrenzungsrandes 15 nachgeformt ist. Posterior weist der Begrenzungsrand 15 auf seiner Innenseite zwei Aussparungen 8 auf, die auf einer gemeinsamen Tangente an den Innenteil 16 liegen, während der Innenteil 16 der Vorsprünge 7 besitzt, die durch eine Schwenkbewegung in die Aussparungen 8 einhängbar sind. Die Vorsprünge 7 und die Aussparungen 8 bilden eine Schwenkachse 5, an der durch Einschwenken der Gelenkauflage 4 eine einseitige Sicherung gegen Herausfallen aus der Ebene 6 entsteht. Auf der Gegenseite zur Schwenkbachse 5 ist eine Schappverbindung 9 zwischen Begrenzungsrand 15 und Innenteil 16 angebracht, die mit dem Aufliegen der Gelenkauflage 4 auf der Ebene 6 einrastet. In Fig. 3 ist über der Schnappverbindung 9 zwischen Begrenzungsrand 15 und Gelenkauflage 4 eine Ausnehmung 12 gezeigt, in die ein schraubenzieherähnliches Werkzeug als Hebel einsetzbar ist, um die Verhakung in der Schnappverbindung 9 zu lösen. Die Gelenkauflage 4 ist unabhängig von der Schnappverbindung senkrecht zur Schwenkachse 5 in der Ebene 6 durch den Begrenzungsrand 15 geführt, damit keine Verschiebekräfte in der Ebene 6 auf die Schnappverbindung 9 wirken können, d.h. die Schnappverbindung 9 sichert senkrecht zur Ebene 6 und wird nicht durch wechselnde Zentrierkräfte ermüdet. Im montierten Zustand sind der Innenteil 16 und der Grund des Tibiaplateaus 1 weniger als 1/10 mm voneinander entfernt, damit im Rahmen der Elastizität der beiden Teile weitere tragende Flächen bei Belastung entstehen.The joint supports 4 are graded in different heights, while the connecting dimensions to a tibial plateau 1 are the same for all heights. The joint supports 4 lie in a plane 6, which is formed by the raised boundary edge 15 of the tibial plateau, and are guided in this plane by guide elements 10 with their protruding inner part 16, which is shaped to the contour of the upstanding boundary edge 15. Posteriorly, the boundary edge 15 has on its inside two recesses 8, which lie on a common tangent to the inner part 16, while the inner part 16 has the projections 7, which by a Pivotal movement can be hooked into the recesses 8. The projections 7 and the cutouts 8 form a pivot axis 5, on which a one-sided securing against falling out of the plane 6 is created by pivoting in the joint support 4. On the opposite side to the swivel axis 5, a snap connection 9 is attached between the boundary edge 15 and the inner part 16, which snaps into place when the joint support 4 rests on the plane 6. In FIG. 3, a recess 12 is shown above the snap connection 9 between the boundary edge 15 and the joint support 4, into which a screwdriver-like tool can be used as a lever in order to release the hooking in the snap connection 9. The joint support 4 is guided independently of the snap connection perpendicular to the pivot axis 5 in the plane 6 through the boundary edge 15, so that no displacement forces in the plane 6 can act on the snap connection 9, ie the snap connection 9 secures perpendicular to the plane 6 and is not caused by changing Centering forces tired. In the assembled state, the inner part 16 and the base of the tibial plateau 1 are less than 1/10 mm apart, so that additional load-bearing surfaces are created when the two parts are elastic.

Interne StücklisteInternal parts list

11
TibiaplateauTibial Plateau
22nd
ZapfenCones
33rd
Stammtribe
44th
GelenkauflageJoint support
55
SchwenkachseSwivel axis
66
Ebenelevel
77
Vorsprunghead Start
88th
AussparungRecess
99
SchnappverbindungSnap connection
1010th
FührungselementeGuide elements
1111
VerschraubungScrew connection
1212
AusnehmungRecess
1313
ResektionsflächeResection area
1414
TibiaknochenTibia bone
1515
BegrenzungsrandBorder
1616
Innenteilinner part

Claims (3)

Modularer Bausatz für den Tibiateil einer Kniegelenkprothese bestehend aus einem Tibiaplateau mit Zapfen aus einem in die Tibia hineinragenden Stamm und aus einer Gelenkauflage aus Polyäthylen, dadurch gekennzeichnet, dass in das Tibiaplateau (1) unterschiedlich grosse Stämme (3) einsetzbar sind und dass unterschiedlich hohe Gelenkauflagen (4) in einer Ebene (6) des Tibiaplateaus (1) allseitig geführt durch eine Schwenkbewegung in diese Ebene (6) einbringbar sind, indem Vorsprünge (7) der Gelenkauflagen (4) in einer tangential angeordneten Schwenkachse (5) in Aussparungen (8) des Tibiaplateaus (1) eingreifen und indem entgegengesetzt zur Schwenkachse (5) eine Schnappverbindung (9) zwischen Gelenkauflage (4) und Tibiaplateau (1) einrastet.Modular kit for the tibia part of a knee joint prosthesis consisting of a tibial plateau with a spigot made from a trunk protruding into the tibia and a joint support made of polyethylene, characterized in that trunks (3) of different sizes can be inserted into the tibial plateau (1) and that differently high joint supports (4) in a plane (6) of the tibial plateau (1) guided on all sides by a pivoting movement into this plane (6) can be introduced by protrusions (7) of the joint supports (4) in a tangentially arranged pivot axis (5) in recesses (8 ) of the tibial plateau (1) and by engaging a snap connection (9) between the joint support (4) and the tibial plateau (1) opposite to the swivel axis (5). Modularer Bausatz nach Anspruch 1, dadurch gekennzeichnet, dass die Schwenkachse (5) zum Einhängen der Vorsprünge (7) posterior und die Schnappverbindung (9) anterior angeordnet ist.Modular kit according to claim 1, characterized in that the pivot axis (5) for hanging the projections (7) is arranged posteriorly and the snap connection (9) anteriorly. Modularer Bausatz nach Anspruch 1, dadurch gekennzeichnet, dass Führungselemente (10) unabhängig von der Schnappverbindung (9) in der Ebene (6), die durch das Einschwenken in die Endlage definiert ist, so angeordnet sind, dass sie beliebig in dieser Ebene (6) orientierte Kräfte zwischen Gelenkauflage (4) und Tibiaplateau (1) übertragen.Modular kit according to claim 1, characterized in that guide elements (10) are arranged independently of the snap connection (9) in the plane (6), which is defined by the pivoting into the end position, in such a way that they are arbitrarily in this plane (6 ) transfer oriented forces between the joint support (4) and the tibial plateau (1).
EP91810972A 1991-01-18 1991-12-13 Modular construction kit for the tibial part of a knee joint prosthesis Withdrawn EP0495340A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH14391 1991-01-18
CH143/91 1991-01-18

Publications (1)

Publication Number Publication Date
EP0495340A1 true EP0495340A1 (en) 1992-07-22

Family

ID=4180231

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EP91810972A Withdrawn EP0495340A1 (en) 1991-01-18 1991-12-13 Modular construction kit for the tibial part of a knee joint prosthesis

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Cited By (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1994009725A1 (en) * 1992-10-30 1994-05-11 Encore Orthopedics, Inc. Prosthesis system
FR2700261A1 (en) * 1993-01-08 1994-07-13 Erato Knee prosthesis for inner or outer lateral fitting
DE4322619C1 (en) * 1993-07-07 1994-09-22 S & G Implants Gmbh Tibial component of a knee-joint endoprosthesis
FR2716619A1 (en) * 1994-02-25 1995-09-01 Lepine Groupe Tibial component for knee joint replacement prosthesis
FR2719213A1 (en) * 1994-04-27 1995-11-03 Fii Knee prosthesis tibial implant
EP0738504A1 (en) * 1995-04-20 1996-10-23 SULZER Medizinaltechnik AG Tibial tray for a knee joint prosthesis
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DE4322619C1 (en) * 1993-07-07 1994-09-22 S & G Implants Gmbh Tibial component of a knee-joint endoprosthesis
FR2716619A1 (en) * 1994-02-25 1995-09-01 Lepine Groupe Tibial component for knee joint replacement prosthesis
FR2719213A1 (en) * 1994-04-27 1995-11-03 Fii Knee prosthesis tibial implant
US5645604A (en) * 1995-04-20 1997-07-08 Sulzer Medizinaltechnik Ag Tibia platform for a knee joint prosthesis
EP0738504A1 (en) * 1995-04-20 1996-10-23 SULZER Medizinaltechnik AG Tibial tray for a knee joint prosthesis
FR2733411A1 (en) * 1995-04-28 1996-10-31 Howmedica France Tibial prosthesis for knee joint
US5911758A (en) * 1995-06-21 1999-06-15 Sulzer Orthopaedie Ag Tibia platform for a knee joint prosthesis and knee joint prosthesis with such a tibia platform
EP0749733A1 (en) * 1995-06-21 1996-12-27 Sulzer Orthopädie AG Tibialplatform for a knee-joint prosthesis and knee-joint prosthesis with such a tibialplatform
FR2738739A1 (en) * 1995-09-15 1997-03-21 Rousseau Jacques Marie UNICONDYLAR KNEE PROSTHESIS OF THE TYPE SAID "SLIDING"
EP0776636A1 (en) * 1995-11-30 1997-06-04 Tornier Sa Fixing device for a prosthesis, especially for a glenoid prosthesis of a shoulder blade
FR2741796A1 (en) * 1995-11-30 1997-06-06 Tornier Sa DEVICE FOR FIXING A PROSTHESIS AND PARTICULARLY A GLENOIDAL PROSTHESIS OF OMOPLATE
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GB2312377A (en) * 1996-04-24 1997-10-29 Roozbeh Shirandami Three part prosthetic knee joint with anterior posterior sliding action
GB2312377B (en) * 1996-04-24 2000-04-26 Roozbeh Shirandami Prosthetic knee joint with anterior posterior sliding action
FR2771281A1 (en) * 1997-11-24 1999-05-28 Implants & Instr Chirurg Tibial implant, used as knee joint prosthesis
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US8241367B2 (en) 2002-04-25 2012-08-14 Zimmer, Inc. Modular bone implant, tool, and method
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