US2650588A - Artificial femoral head having an x-ray marker - Google Patents

Artificial femoral head having an x-ray marker Download PDF

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US2650588A
US2650588A US209876A US20987651A US2650588A US 2650588 A US2650588 A US 2650588A US 209876 A US209876 A US 209876A US 20987651 A US20987651 A US 20987651A US 2650588 A US2650588 A US 2650588A
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stem
femoral head
artificial femoral
ball
femur
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US209876A
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Drew Harry Guy Radcliffe
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    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3601Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • A61F2/3603Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
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    • A61F2/3601Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
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    • A61F2/00Filters 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
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30448Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • A61F2002/30449Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives the adhesive being cement
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    • A61F2/00Filters 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
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30492Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking pin
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    • A61F2/00Filters 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
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    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/3082Grooves
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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
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    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
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Definitions

  • This invention relates to an artificial femoral head to replace the head of the femur, which has been cut away owing to disease.
  • Artificial femoral heads of this kind which comprise a ball portion which replaces the head of the femur, and a stem portion which is placed firmly in position in the femur, which has previously been hollowed, so as to secure the ball portion in the position normally occupied by the head of the femur.
  • An object of the present invention is to provide in an artificial femoral head of the above kind X-ray contrast indicator means which enable an X-ray photograph to show whether or not the artificial femoral head has shifted from its original position after being in use for a period of time.
  • the artificial femoral head comprises a ball portion ti replace the head of the femur and a stem portion for insertion 1ongitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and X-ray contrast indicator means within the ball portion comprising at least one indicator element located laterally remote from the longitudinal axis of the ball portion.
  • the hard transparent artificial plastic material of which the ball and stem portions are made is preferably polymerized methyl methacrylate, for example, the artificial resin solder under the registered trade-mark Perspex.
  • the stem is made hollow, and a metal pin is firmly inserted in it.
  • This pin serves a dual purpose, namely to give strength to the stem, and to provide a visual image on an X-ray photograph.
  • the exterior of the stem is fluted or grooved to prevent rotation.
  • Fig. 1 is a perspective view of the device as a whole
  • Fig. 2 is an elevation of the stem
  • Fig. 3 is a perspective view of the ball
  • Fig. 4 is a perspective view of the indicator.
  • a is the ball, which is formed from a solid block of polymerized methyl methacrylate, and is bowl-shaped.
  • a hollow stem b is also formed from a solid block of perspex, one end of this stem being embedded in the cap by means of a dough of polymerized methyl methacrylate.
  • a metal pin is inserted in the stem 12, and is held rigidly in place by means of a cement of polymerized methyl methacrylate in the form of dough.
  • the exterior of the stem b is provided with a number of flutings e or shaped for the purpose as previously explained.
  • the indicator mentioned is in the form of a wire frame I of umbrella-like shape, some of the radiating wires being longer than the others as can be seen from the drawings.
  • This frame is welded into the cap by means of a dough of polymerized methyl methacrylate. If an X-ray photograph is taken when the device is placed in position in the human hip, and should a further photograph be taken at a later date, any shifting of position of the device would be indicated by the positions of the wires of the frame.
  • the frame could be moulded in position.
  • the indicator is not necessarily of the form described, but might have any one of various other forms. It might, for example, be in the form of a strip of metal gauze.
  • An artificial femoral head which comprises a ball portion to replace the head of the femur and a stem portion for insertion longitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and X-ray contrast indicator means within the ball portion comprising at least one indicator element located laterally remote from the longitudinal axis of the ball portion.
  • An artificial femoral head which comprises a ball portion to replace the head of the femur and a stem portion for insertion longitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and an X-ray contrast indicator device within the ball portion comprising at least one projecting element extending radially outwards from the longitudinal axis of the ball portion and downwards towards the stem portion.
  • An artificial femoral head which comprises a ball portion to replace the head of the femur and a stem portion for insertion longitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and a frame within the ball portion consisting of X-ray contrast material and having a plurality of arms extending radially outwards from the longitudinal axis of the ball portion and downwards towards the stem portion, at least one of the said arms having a length different from that of at least one of the other arms.

Description

p 1, 1953 v H. G. R. DREW 2,650,588
ARTIFICIAL FEMORAL HEAD HAVING AN X-RAY MARKER 7 Filed Feb. 7, 1951 m vs, rim
H. 6-. R. DRE.
Patented Sept. l,
UNITED STATES ii' ATENT OFFICE ARTIFICIAL FEMORAL HEAD HAVING AN X-RAY MARKER Harry Guy Radcliffe Drew, Thornton Heath, England 3 Claims.
This invention relates to an artificial femoral head to replace the head of the femur, which has been cut away owing to disease.
Artificial femoral heads of this kind are known which comprise a ball portion which replaces the head of the femur, and a stem portion which is placed firmly in position in the femur, which has previously been hollowed, so as to secure the ball portion in the position normally occupied by the head of the femur.
An object of the present invention is to provide in an artificial femoral head of the above kind X-ray contrast indicator means which enable an X-ray photograph to show whether or not the artificial femoral head has shifted from its original position after being in use for a period of time.
According to the present invention, the artificial femoral head comprises a ball portion ti replace the head of the femur and a stem portion for insertion 1ongitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and X-ray contrast indicator means within the ball portion comprising at least one indicator element located laterally remote from the longitudinal axis of the ball portion.
The hard transparent artificial plastic material of which the ball and stem portions are made is preferably polymerized methyl methacrylate, for example, the artificial resin solder under the registered trade-mark Perspex.
The stem is made hollow, and a metal pin is firmly inserted in it. This pin serves a dual purpose, namely to give strength to the stem, and to provide a visual image on an X-ray photograph.
The exterior of the stem is fluted or grooved to prevent rotation.
One form of construction of the invention is illustrated in the annexed drawings, in which,
Fig. 1 is a perspective view of the device as a whole,
Fig. 2 is an elevation of the stem,
Fig. 3 is a perspective view of the ball, and
Fig. 4 is a perspective view of the indicator.
In these drawings a is the ball, which is formed from a solid block of polymerized methyl methacrylate, and is bowl-shaped. A hollow stem b is also formed from a solid block of perspex, one end of this stem being embedded in the cap by means of a dough of polymerized methyl methacrylate. A metal pin is inserted in the stem 12, and is held rigidly in place by means of a cement of polymerized methyl methacrylate in the form of dough. The exterior of the stem b is provided with a number of flutings e or shaped for the purpose as previously explained.
The indicator mentioned is in the form of a wire frame I of umbrella-like shape, some of the radiating wires being longer than the others as can be seen from the drawings. This frame is welded into the cap by means of a dough of polymerized methyl methacrylate. If an X-ray photograph is taken when the device is placed in position in the human hip, and should a further photograph be taken at a later date, any shifting of position of the device would be indicated by the positions of the wires of the frame.
In an alternative method the frame could be moulded in position.
The indicator is not necessarily of the form described, but might have any one of various other forms. It might, for example, be in the form of a strip of metal gauze.
I claim:
1. An artificial femoral head, which comprises a ball portion to replace the head of the femur and a stem portion for insertion longitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and X-ray contrast indicator means within the ball portion comprising at least one indicator element located laterally remote from the longitudinal axis of the ball portion.
2. An artificial femoral head, which comprises a ball portion to replace the head of the femur and a stem portion for insertion longitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and an X-ray contrast indicator device within the ball portion comprising at least one projecting element extending radially outwards from the longitudinal axis of the ball portion and downwards towards the stem portion.
3. An artificial femoral head, which comprises a ball portion to replace the head of the femur and a stem portion for insertion longitudinally within the femur, the ball and stem portions being made of a hard transparent artificial plastic material, and a frame within the ball portion consisting of X-ray contrast material and having a plurality of arms extending radially outwards from the longitudinal axis of the ball portion and downwards towards the stem portion, at least one of the said arms having a length different from that of at least one of the other arms.
HARRY GUY RADCLIFFE DREW.
References Cited in the file of this patent The Journal of Bone and Joint Surgery for May 1950, vol. 32B, No. 2, p 167. (Copy in Scientific Library.)
La Presse Medicale for May 3, 1947, pg. 302. (Copy in Div. 55.)
The Journal of Bone and Joint Surgery for Nov. 1950, vol. 32B, No. 4, advertising pg. 24. (Copy in Scientific Library.)
US209876A 1950-12-29 1951-02-07 Artificial femoral head having an x-ray marker Expired - Lifetime US2650588A (en)

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