Patent Application
20080009953
This invention relates to a prosthetic acetabular cup which has a peripheral outwardly projecting flange. Flanged cups are known, the flange being provided to prevent the escape of cement around the upper periphery of the cup when it is fitted. The flange also allows for the cement to be pressurized. The typical diametric width of such flanges which project from the outer surface of the cup is usually about 18 to 25 mm. Such cups are shown in U.S. Pat. Nos. 4,324,006, 4,327,449 and 6,019,766. The disclosure of U.S. Pat. No. 6,019,766 is incorporated herein by reference.
It has been found that if an accurate acetabular rim cutter is used on the bone then the outer edges of an acetabulum can be machined to provide an annular seating surface or cavity against which a flanged acetabular cup can seat. The use of such an accurate rim cutter can allow for the use of a flange of much smaller overall diameter than those which have been used previously.
A rim cutter of the kind referred to above is shown in U.S. Patent Publication No. 20060079906, the disclosure of which is incorporated herein by reference.
According to the present invention a prosthetic acetabular cup has a peripheral outwardly projecting flange, the diametrical width of which is between 4 and 6 mm. Such a flange is of a width considerably smaller than those which have been used previously. In a preferred embodiment the diametric width is 5 mm. Preferably the flange extends away from the mouth of the cup in a proximal direction at an angle of approximately 30°. The outer circumference of the flange can be spaced away from the outer rim of the mouth of the cup by approximately 1.8 mm. Preferably the flange is circular.
The outer surface of the cup can be provided with indentations to assist in adhesion with the cement and the cup can incorporate an x-ray marker. The flange can have a thickness of approximately 1.0 mm. The cup can be made from any suitable material, for example a synthetic plastics material, composite material, metal or a combination thereof.
The invention also includes a kit of parts comprising a prosthetic acetabular cup as set forth above and a trial cup, the dimensions of the flange of which are similar to the prosthetic acetabular cup and which include a projection or projections on its outer surface to represent a cement level in the acetabulum with which the cup is to be used. In a preferred construction the projection is provided by an annular abutment around an outer circumference of the cup in a plane perpendicular to a polar axis of the cup.
As used herein when referring to bones or other parts of the body, the term “proximal” means closer to the heart and the term “distal” means more distant from the heart. The term “inferior” means toward the feet and the term “superior” means toward the head. The term “anterior” means toward the front part or the face and the term “posterior” means toward the back of the body. The term “medial” means toward the midline of the body and the term “lateral” means away from the midline of the body.
A method and a kit for implanting a prosthetic acetabular cup in an acetabulum includes providing a prosthetic acetabular cup having an open end for receiving a head of a prosthetic femoral component. The cup has a flange extending outwardly around the circumference thereof from a surface thereof adjacent the open end. The flange is angled toward the acetabulum. The acetabulum is prepared to receive the prosthetic acetabular cup with the preparation including forming a circumferential rim shaped seat in the bone surrounding the acetabulum. The cup flange has a maximum outer diameter greater than the opening in the acetabulum and less than the diameter of the circumferential rim formed in the bone. The angle of the flange extending from the open end of the acetabular cup extends at an angle of less than 60° and preferably 30° towards the rim formed around the acetabular opening. Preferably the outer diameter of the cup flange is about 1 mm less than the diameter of the circumferential rim. Preferably the flange has an inner circumference adjacent the outer cup surface which is 1.8 to 2 mm from the mouth of the acetabulum so that the outer circumference of the cup may be spaced a sufficient distance to form a bone cement mantle. In addition, the flange is approximately 1 mm thick and is made of ultrahigh molecular weight polyethylene.
A kit may be provided which includes a trial acetabular cup also having an open end for receiving the head of a prosthetic femoral component and having a flange extending outwardly from a part-spherical outer surface thereof adjacent the open end. Again the flange is angled towards the acetabulum. A series of different sized trial inserts can be utilized each having different dimensions for engaging different sized acetabulums.
The invention can be performed in various ways but one embodiment will now be described by way of example and with references to the accompanying drawings in which:
As shown in FIGS. 1 to 4 the prosthetic acetabular cup 1 according to the invention has a part-spherical inner bearing surface 2 and an outer surface 3 which is provided with a series of indentations 4 and projections to assist in anchoring it in the cement. The cup is provided with an X-ray marker 5, as shown in
The mouth of the bearing surface 2 has a chamfer 8 over part of its circumference.
Cup 1 is provided with a peripheral outwardly projecting flange 10, the diametric width, which is indicated by reference letter W, is between 4 and 6 mm. In a preferred construction the width is 5 mm. The flange extends away from the mount of the cup in a proximal direction at an angle of less than 60° and preferably approximately 30° and the inner circumference of the flange is spaced away from the outer rim of the mouth of the acetabular cup by approximately 1.8 mm to 2.0 mm.
The flange is circular, as will be seen from
A gap 13 is left between the outer surface of the cup and the inner surface of the acetabulum to accept the cement. If required, spacers in the form of projections 14 could also be provided on the cup to maintain gap 13.
The use of the rim cutter, as described above, enables an annular flange on the cup to be of much reduced diameter compared with those which have been used previously and ensures that the edge of the flange can also be located on annular seating surface 12 which, as shown in
The invention also includes a kit of parts which comprises the cup as set forth above and a trial cup. The trial cup has dimensions and flanges similar to that in the cup described above and also include a projection or projections 14 on its outer surface to represent a cement level 13 in acetabulum 11 with which cup 1 is to be used.
As will be seen from
The use of the small flange guarantees a homogeneous cement mantle and it is possible to perform a reduction trial because the rim cavity ensures good stability of the cup.
Thanks to the precisely shaped flange surgeons do not need any cutting step and the diameter of the flange can correspond precisely with the rim cavity (see
Although the invention herein has been described with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present invention. It is therefore to be understood that numerous modifications may be made to the illustrative embodiments and that other arrangements may be devised without departing from the spirit and scope of the present invention as defined by the appended claims.
| Number | Date | Country | Kind |
|---|---|---|---|
| 0608756.3 | May 2006 | GB | national |
