WO2001013823A3 - Femur head-segment prosthesis and instrument for precise insertion of a segment prosthesis - Google Patents

Femur head-segment prosthesis and instrument for precise insertion of a segment prosthesis Download PDF

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Publication number
WO2001013823A3
WO2001013823A3 PCT/CH2000/000447 CH0000447W WO0113823A3 WO 2001013823 A3 WO2001013823 A3 WO 2001013823A3 CH 0000447 W CH0000447 W CH 0000447W WO 0113823 A3 WO0113823 A3 WO 0113823A3
Authority
WO
WIPO (PCT)
Prior art keywords
prosthesis
calvaria
segment
components
carrier
Prior art date
Application number
PCT/CH2000/000447
Other languages
German (de)
French (fr)
Other versions
WO2001013823A2 (en
Inventor
Emanuel Gautier
Original Assignee
Emanuel Gautier
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 Emanuel Gautier filed Critical Emanuel Gautier
Priority to AT00951181T priority Critical patent/ATE306877T1/en
Priority to EP00951181A priority patent/EP1143883B1/en
Priority to AU64231/00A priority patent/AU6423100A/en
Priority to DE50011376T priority patent/DE50011376D1/en
Publication of WO2001013823A2 publication Critical patent/WO2001013823A2/en
Publication of WO2001013823A3 publication Critical patent/WO2001013823A3/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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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    • A61F2/00Filters 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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    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
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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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    • A61F2/4607Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
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    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
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    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8625Shanks, i.e. parts contacting bone tissue
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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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    • A61F2/30907Nets or sleeves applied to surface of prostheses or in 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4631Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented
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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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    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4658Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
    • A61F2002/4659Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length for measuring a diameter
    • AHUMAN NECESSITIES
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    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
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    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0067Three-dimensional shapes conical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0093Umbrella-shaped, e.g. mushroom-shaped
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063Nested prosthetic parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0064Sets comprising a plurality of prosthetic parts of different sizes
    • AHUMAN NECESSITIES
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    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • AHUMAN NECESSITIES
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    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00017Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00401Coating made of iron, of stainless steel or of other Fe-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00407Coating made of titanium or of Ti-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00964Coating or prosthesis-covering structure made of cartilage

Abstract

The invention relates to a method in which a cartilaginous, osseous or osteocartlaginous lesion in the region of a joint surface of a femur head is repaired by inserting a modularly constructed segment prosthesis (ball segment-, ball segment-prosthesis). The segment prosthesis comprises a carrier component, a prosthesis calvaria and a conical corrective ring system which is placed between the prosthesis calvaria and the support components for the precise vertical and angular positioning of the prosthesis calvaria relative to the carrier components used. Conical insertable-connections located between individual prosthesis components create a modular prosthesis system. The carrier components are produced in two different embodiments: one is suitable for uncemented implantation by radial clamping and/or screwing of the prosthetic component into the bone and the other one is suitable for cemented implantation. The prosthesis calvaria has an opening angle of between 90 DEG and 120 DEG and is produced with a diameter between 38 mm and 60 mm. Alternatively, a prosthesis calvaria with an altered design can be used as a carrier for the direct in vitro culturing of cartilage cell or tissue layers. It has been shown that precise implantation of the prosthesis components increases the life-time of the prosthesis and reduces the incidence of secondary arthritic alterations on the acetabular side. To this end, a guide instrument which can be positionally fixed in the region of the lesion is used. Said guide instrument has a pliers-shape with a ring-shaped opening located on the side of the defect and centered at the opposite side of the defect to enable precise axis-aligned guidance of grinding-, cutting- and insertion instruments.
PCT/CH2000/000447 1999-08-23 2000-08-23 Femur head-segment prosthesis and instrument for precise insertion of a segment prosthesis WO2001013823A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AT00951181T ATE306877T1 (en) 1999-08-23 2000-08-23 FEMORAL HEAD SEGMENT PROSTHESIS FOR PRECISE INSTALLATION OF THE SEGMENT PROSTHESIS
EP00951181A EP1143883B1 (en) 1999-08-23 2000-08-23 Femur head-segment prosthesis for precise insertion of a segment prosthesis
AU64231/00A AU6423100A (en) 1999-08-23 2000-08-23 Femur head-segment prosthesis and instrument for precise insertion of a segment prosthesis
DE50011376T DE50011376D1 (en) 1999-08-23 2000-08-23 FEMURKOPF SEGMENT PROSTHESIS FOR PRECISING INSTALLATION OF SEGMENT PROSTHESIS

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH01522/99A CH690397A5 (en) 1999-08-23 1999-08-23 Modular segmentary prosthesis for partial replacement of head of femur comprises carrier component, cap and correcting rings between them, with modularity of prosthesis safeguarded by conical connections between components
CH1522/99 1999-08-23

Publications (2)

Publication Number Publication Date
WO2001013823A2 WO2001013823A2 (en) 2001-03-01
WO2001013823A3 true WO2001013823A3 (en) 2001-08-23

Family

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Application Number Title Priority Date Filing Date
PCT/CH2000/000447 WO2001013823A2 (en) 1999-08-23 2000-08-23 Femur head-segment prosthesis and instrument for precise insertion of a segment prosthesis

Country Status (6)

Country Link
EP (1) EP1143883B1 (en)
AT (1) ATE306877T1 (en)
AU (1) AU6423100A (en)
CH (1) CH690397A5 (en)
DE (1) DE50011376D1 (en)
WO (1) WO2001013823A2 (en)

Cited By (2)

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US7879042B2 (en) 2004-03-05 2011-02-01 Depuy Products, Inc. Surface replacement extractor device and associated method
US8182541B2 (en) 2003-03-31 2012-05-22 Depuy Products, Inc. Extended articulation orthopaedic implant

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US8105327B2 (en) 2003-03-31 2012-01-31 Depuy Products, Inc. Punch, implant and associated method
US8545506B2 (en) 2003-03-31 2013-10-01 DePuy Synthes Products, LLC Cutting guide for use with an extended articulation orthopaedic implant
US20040193278A1 (en) * 2003-03-31 2004-09-30 Maroney Brian J. Articulating surface replacement prosthesis
US7527631B2 (en) 2003-03-31 2009-05-05 Depuy Products, Inc. Arthroplasty sizing gauge
US8366713B2 (en) 2003-03-31 2013-02-05 Depuy Products, Inc. Arthroplasty instruments and associated method
US7338498B2 (en) 2003-03-31 2008-03-04 Depuy Products, Inc. Prosthetic implant, trial and associated method
DE102011018365A1 (en) * 2011-04-20 2012-10-25 Bernhard Hildebrandt Implantable biological joint replacement for shoulder and hip for treating osteoarthritis, has movement unit comprising support which determines depth of milling process, or bracket which sets pressure of walker
DE102013102541A1 (en) 2013-03-13 2014-09-18 Schweizer Electronic Ag Electronic component, method for its production and printed circuit board with electronic component
CN113367850A (en) * 2021-05-22 2021-09-10 北京力达康科技有限公司 Diseased femur local replacement prosthesis

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FR2578739A1 (en) * 1985-03-12 1986-09-19 Rambert Andre Humeral prosthesis
EP0485326A1 (en) * 1990-11-09 1992-05-13 SULZER Medizinaltechnik AG Shell for a femoral head which can be fixed without cement
EP0505634A1 (en) * 1991-03-29 1992-09-30 Kyocera Corporation A prosthesis
FR2728157A1 (en) * 1994-12-16 1996-06-21 Erami Hip joint prosthesis assembly
EP0773007A1 (en) * 1995-11-07 1997-05-14 Aesculap Ag Endoprosthetic acetabular cup
WO1998007393A1 (en) * 1996-08-21 1998-02-26 Industrial Research Limited A joint replacement prosthesis

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Publication number Priority date Publication date Assignee Title
FR2578739A1 (en) * 1985-03-12 1986-09-19 Rambert Andre Humeral prosthesis
EP0485326A1 (en) * 1990-11-09 1992-05-13 SULZER Medizinaltechnik AG Shell for a femoral head which can be fixed without cement
EP0505634A1 (en) * 1991-03-29 1992-09-30 Kyocera Corporation A prosthesis
FR2728157A1 (en) * 1994-12-16 1996-06-21 Erami Hip joint prosthesis assembly
EP0773007A1 (en) * 1995-11-07 1997-05-14 Aesculap Ag Endoprosthetic acetabular cup
WO1998007393A1 (en) * 1996-08-21 1998-02-26 Industrial Research Limited A joint replacement prosthesis

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8182541B2 (en) 2003-03-31 2012-05-22 Depuy Products, Inc. Extended articulation orthopaedic implant
US8444646B2 (en) 2003-03-31 2013-05-21 Depuy Products, Inc. Bone preparation tool kit and associated method
US8814943B2 (en) 2003-03-31 2014-08-26 DePuy Synthes Products,LLC Bone preparation tool kit and associated method
US7879042B2 (en) 2004-03-05 2011-02-01 Depuy Products, Inc. Surface replacement extractor device and associated method

Also Published As

Publication number Publication date
ATE306877T1 (en) 2005-11-15
DE50011376D1 (en) 2005-11-24
WO2001013823A2 (en) 2001-03-01
CH690397A5 (en) 2000-08-31
EP1143883A2 (en) 2001-10-17
AU6423100A (en) 2001-03-19
EP1143883B1 (en) 2005-10-19

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