This application claims priority to Chinese Patent Application No. 201910098530.7, entitled “UNICONDYLAR FEMORAL PROSTHESIS AND TIBIAL PAD” and filed on Jan. 31, 2019, the entire contents of which are incorporated herein by reference.
The present disclosure relates to the fields of medical equipment technologies, more particularly, to a unicondylar femoral prosthesis, a tibial pad and a unicondylar replacement prosthesis.
Unicondylar replacement surgery has been widely used in the treatment of single-compartment bone and joint due to its advantages of small wound and quick recovery. Types of unicondylar prostheses used in the unicondylar replacement surgery may include a medial femoral prosthesis and a medial tibial prosthesis that are configured to replace a medial compartment, and a lateral femoral prosthesis and a lateral tibial prosthesis that are configured to replace a lateral compartment.
In order to ensure that a contact area between a femoral component and a tibial component remains unchanged throughout a flexion and extension range, an articular surface of a conventional unicondylar femoral prosthesis is mostly a single-radius spherical design. Since a shape of an articular surface of a posterior condyle of a femur is closer to a spherical surface, the single-radius spherical design mainly covers the posterior condyle of the femur; that is, the single-radius spherical design performs fitting based on the contour of the articular surface of the posterior condyle. Therefore, the single-radius spherical design cannot match a distal femur well. At the same time, a recessed region may be formed in the distal femur during osteotomy, resulting in excessive osteotomy at the distal femur. Since the distal femur is a main load-bearing surface of a joint during daily physiological activities, walking and standing, such mismatch may increase a risk of loosening of a femoral condyle prosthesis after implantation. In addition, some unicondylar femoral prostheses use a multi-center design with a gradually decreasing curvature radius from a distal articular surface to a posterior condyle articular surface. However, such femoral prostheses may loosen ligament tissues during flexion of a knee joint, resulting in decreased joint stability, poor postoperative proprioception, and a high risk of prosthetic dislocation.
Various embodiment disclosed in the present disclosure provide a unicondylar femoral prosthesis, a tibial pad and a unicondylar replacement prosthesis.
One aspect of the present disclosure provides a unicondylar femoral prosthesis, including an osteotomy surface configured to connect with a femur and an articular surface configured to abut a tibial pad, the articular surface including a distal articular surface and a posterior condyle articular surface, the distal articular surface having a first curvature radius on a sagittal plane, and the posterior condyle articular surface having a second curvature radius on the sagittal plane, wherein a ratio of the first curvature radius to the second curvature radius ranges from 1.4 to 2.1, the articular surface has a third curvature radius on a coronal plane, and the third curvature radius is equal to the first curvature radius.
The unicondylar femoral prosthesis uses an articular surface with double radii on the sagittal plane, that is, the distal articular surface with the first curvature radius and the posterior condyle articular surface with the second curvature radius on the sagittal plane, and the first curvature radius is greater than the second curvature radius, so that the unicondylar femoral prosthesis is better matched with the anatomical structure of the human femoral articular surface, which solves the problems of insufficient coverage and excessive osteotomy of the femoral distal surface by the conventional spherical single-radius prosthesis.
In one embodiment, the osteotomy surface includes a posterior condyle osteotomy surface, a posterior oblique osteotomy surface and a distal osteotomy surface that are sequentially connected, the posterior condyle osteotomy surface, the posterior oblique osteotomy surface and the distal osteotomy surfaces are all flat surfaces, and the posterior condyle osteotomy surface and the distal osteotomy surface are perpendicular to each other.
In one embodiment, the osteotomy surface includes a posterior condyle osteotomy surface and a distal osteotomy surface, the posterior condyle osteotomy surface is a flat surface, the distal osteotomy surface is a spherical surface, and the distal osteotomy surface is concentric with the distal articular surface.
In one embodiment, a curvature radius of the distal osteotomy surface is 4 mm to 7 mm less than the first curvature radius.
In one embodiment, a curved surface deviating from a direction of a knee joint center is formed on one side of the unicondylar femoral prosthesis close to the knee joint center.
In one embodiment, the curved surface extends from a point located on a first half part of one side of the unicondylar femoral prosthesis close to the knee joint center to a point located at an anterior end of the unicondylar femoral prosthesis.
In one embodiment, the osteotomy surface is provided with at least one fixing post for assisting the fixation of the unicondylar femoral prosthesis.
In one embodiment, a transition angle between the distal articular surface and the posterior condyle articular surface ranges from 10° to 25°. The transition angle is an angle formed, on the sagittal plane, by a straight line passing through a center of curvature of the distal articular surface and passing through a farthest point of the distal articular surface and a straight line passing through a center of curvature of the posterior condyle articular surface and passing through an intersection point between the distal articular surface and the posterior condyle articular surface.
In one embodiment, the unicondylar femoral prosthesis is a medial femoral prosthesis configured to replace a medial compartment of a femur, and a first curvature radius of the medial femoral prosthesis ranges from 30 mm to 55 mm.
In one embodiment, the medial femoral prosthesis has a lateral surface and a medial surface, and both the lateral surface and the medial surface include a curved surface curved toward the knee joint center.
In one embodiment, a projection of the lateral surface on a horizontal plane forms an arc, and an angle between a tangent at a midpoint of the arc and the sagittal plane ranges from 15° to 30°.
In one embodiment, the unicondylar femoral prosthesis is a lateral femoral prosthesis configured to replace a lateral compartment of a femur, and a first curvature radius of the lateral femoral prosthesis ranges from 30 mm to 60 mm.
In one embodiment, the lateral femoral prosthesis has a lateral surface and a medial surface, the lateral surface including a first straight surface and a second straight surface that are toward the knee joint center. The medial surface includes a third straight surface and a fourth straight surface that are toward the knee joint center.
In one embodiment, the first straight surface is parallel to the third straight surface, and an angle between the first straight surface or the third straight surface and the sagittal plane ranges from 0° to 6°; and the second straight surface is parallel to the fourth straight surface, and an angle between the second straight surface or the fourth straight surface and the sagittal plane ranges from 7° to 14°.
Another aspect of the present disclosure provides a tibial pad for mating with the unicondylar femoral prosthesis described above, wherein the tibial pad has a proximal articular surface abutting the distal articular surface, the proximal articular surface is a spherical surface, and a ratio of the first curvature radius to a curvature radius of the proximal articular surface ranges from 0.95 to 1.
The tibial pad can be matched with the unicondylar femoral prosthesis, thereby reducing the wear of the unicondylar femoral prosthesis and prolonging the service life of the unicondylar femoral prosthesis.
Still another aspect of the present disclosure provides a unicondylar replacement prosthesis, including the unicondylar femoral prosthesis according to any one of the above embodiments and the tibial pad according to any one of the above embodiments.
In order to make the above objectives, features and advantages of the present disclosure more obvious and understandable, specific implementations of the present disclosure are described in detail below with reference to the accompanying drawings. In the following description, many specific details are set forth in order to fully understand the present disclosure. However, the present disclosure can be implemented in many other ways different from those described herein, and those skilled in the art can make similar improvements without departing from the connotation of the present disclosure. Therefore, the present disclosure is not limited by the specific implementation disclosed below.
It should be noted that when one element is referred to as “fixed to” another element, it may be directly on the other element or an intermediate element may exist. When one element is considered to be “connected to” another element, it may be directly connected to the other element or an intermediate element may co-exist.
Unless defined otherwise, all technical and scientific terms used herein have the same meanings as are commonly understood by those skilled in the art. The terms used herein in the specification of the present disclosure are for the purpose of describing specific embodiments only but not intended to limit the present disclosure.
In order to better explain the technical solutions of the present disclosure, firstly, orientation names involved in each embodiment are explained, as shown in
Sagittal plane 101: it refers to a longitudinal section that divides a human body or joint into left and right parts from an anterior-posterior direction. A sagittal plane passing through the middle of the human body is a median sagittal plane which divides the human body into left and right parts equal to each other.
Coronal plane 102: it refers to a longitudinal section that divides the human body or joint into anterior and posterior parts from a left-right direction. The section is perpendicular to the sagittal plane.
Horizontal plane 103: it is also known as a transverse section, and is a plane parallel to the ground plane and dividing the human body or joint into upper and lower parts. The plane is perpendicular to the coronal plane and the sagittal plane.
Distal: the end of the human body or joint relatively far away from the head.
Proximal: the end of the human body or joint relatively close to the head.
Medial: the side relatively close to the median sagittal plane of the human body.
Lateral: the side relatively far away from the median sagittal plane of the human body.
Anterior: the side relatively close to the abdomen in the sagittal plane.
Posterior: the side relatively close to the back in the sagittal plane.
Referring to
The unicondylar femoral prosthesis 100 uses an articular surface 110 with double radii on the sagittal plane, that is, the distal articular surface 111 with the first curvature radius Rd and the posterior condyle articular surface 112 with the second curvature radius Rp on the sagittal plane. Since the distal articular surface 111 of the human femur has a greater curvature radius than the posterior condyle articular surface 112, the first curvature radius Rd is set to be greater than the second curvature radius Rp, so that the articular surface 110 is better matched with the anatomical structure of the human femoral articular surface, which solves the problems of insufficient coverage and excessive osteotomy of the femoral distal surface by the conventional spherical single-radius prosthesis. Further, the third curvature radius Rc of the articular surface 110 of the unicondylar femoral prosthesis 100 on the coronal plane is equal to the first curvature radius Rd, so that the distal articular surface 111 forms a spherical surface, avoiding the instability of flexion of the knee joint caused by the conventional multi-center femoral prosthesis, and improving the load-bearing performance of the distal articular surface 111 and the joint stability.
The osteotomy surface 120 of the unicondylar femoral prosthesis 100 matches a femoral osteotomy surface formed in the unicondylar replacement surgery. In one embodiment, the osteotomy surface 120 includes a posterior condyle osteotomy surface 121, a posterior oblique osteotomy surface 122, and a distal osteotomy surface 123 that are sequentially connected. The posterior condyle osteotomy surface 121, the posterior oblique osteotomy surface 122 and the distal osteotomy surface 123 are all flat surfaces, and the posterior condyle osteotomy surface 121 and the distal osteotomy surface 123 are perpendicular to each other. Further, angles among the posterior oblique osteotomy surface 122, the posterior condyle osteotomy surface 121 and the distal osteotomy surface 123 range from 130° to 140°, preferably 135°. The posterior condyle osteotomy surface 121, the posterior oblique osteotomy surface 122 and the distal osteotomy surface 123 are set to flat surfaces, which makes the processing of the osteotomy surface 120 simple and reduces the process difficulty.
Referring to
In one embodiment, the osteotomy surface 120 of the unicondylar femoral prosthesis 100 is provided with at least one fixing post 124. Specifically, referring to
According to different replacement positions, types of the unicondylar femoral prosthesis 100 may include a medial femoral prosthesis configured to replace a medial femoral compartment and a lateral femoral prosthesis configured to replace a lateral femoral compartment. When the unicondylar femoral prosthesis 100 is a medial femoral prosthesis, the first curvature radius Rd ranges from 30 mm to 55 mm, preferably 36 mm to 46 mm, more preferably 41 mm. If the first curvature radius Rd is within this numerical range, the shape of the distal articular surface of the prosthesis is better matched with an original physiological structure of the distal articular surface of the femur of the human body. The ratio of the first curvature radius Rd to the second curvature radius Rp ranges from 1.4 to 2.1, preferably 1.6 to 2.0, more preferably 1.7, so that the medial femoral prosthesis better matches the medial femoral compartment. Further, the transition angle β between the distal articular surface 111 and the posterior condyle articular surface 112 ranges from 10° to 25°, preferably 15° to 20°, and more preferably 20°. The transition angle within this range can better balance the joint range of motion and friction performance. The transition angle β is defined as an angle formed, on the sagittal plane as shown in
When the unicondylar femoral prosthesis 100 is a lateral femoral prosthesis, the first curvature radius Rd ranges from 30 mm to 60 mm, preferably 41 mm to 51 mm, more preferably 46 mm. If the first curvature radius Rd is within this numerical range, the shape of the distal articular surface of the prosthesis is better matched with an original physiological structure of the distal articular surface of the femur of the human body. The ratio of the first curvature radius Rd to the second curvature radius Rp ranges from 1.4 to 2.1, preferably 1.6 to 2.0, more preferably 1.7, so that the lateral femoral prosthesis better matches the lateral femoral compartment. Further, the transition angle β between the distal articular surface 111 and the posterior condyle articular surface 112 ranges from 10° to 25°, and the transition angle β within this range can better balance the joint range of motion and friction performance.
Exemplary embodiments of the present disclosure also provide an asymmetric unicondylar femoral prosthesis. Specifically, referring to
Referring to
In one embodiment, the various embodiments of the present disclosure also make further improvements to the medial surface 231 and the lateral surface 232 of the medial femoral prosthesis 200. Specifically, referring to
In another embodiment, the exemplary embodiments of the present disclosure also make further improvements to the medial surface 331 and the lateral surface 332 of the lateral femoral prosthesis 300. Specifically, referring to
The embodiments of the present disclosure further provide a tibial pad 400 for use with the unicondylar femoral prosthesis 100, 200, 300 according to any one of the above embodiments. Specifically, referring to
When the tibial pad 400 is in a state where the knee joint is straightened, that is, when the tibial pad 400 is in contact with the distal articular surface 111 of the unicondylar femoral prosthesis 100, due to the curvature radius SR of the proximal articular surface 420 being substantially the same as the curvature radius Rd of the distal articular surface 111 on the sagittal plane of 111 and a curvature radius Rc on the coronal plane, and the proximal articular surface 420 and the distal articular surface 111 can be highly matched. In this case, the posture of the human body is a posture where the knee joint is under greater pressure such as standing and walking. Therefore, heights of the tibial pad 400 and the unicondylar femoral prosthesis 100 can be matched, so that the tibial pad 400 and the unicondylar femoral prosthesis 100 can have better contact and friction performance, thereby reducing the wear of the unicondylar femoral prosthesis 100 and prolonging the service life of the unicondylar femoral prosthesis 100.
When the knee joint is in a flexed state, that is, when the tibial pad 400 is in contact with the posterior condyle articular surface 112 of the unicondylar femoral prosthesis 100, although the curvature radius SR of the proximal articular surface 420 is not substantially the same as a sagittal-plane curvature radius (i.e., the third curvature radius Rp) of the posterior condyle articular surface 112, the proximal articular surface 420 and the posterior condyle articular surface 112 can also be highly of matched on the coronal plane because the curvature radius SR of the proximal articular surface 420 is similar to a coronal-plane curvature radius (i.e., the third curvature radius Rc) of the posterior condyle articular surface 112. When the knee joint is in the flexed state, the human body is mostly sitting. In this case, the knee joint bears little pressure, and the height matching of the coronal plane is sufficient to ensure better contact friction performance, thereby reducing the wear of the unicondylar femoral prosthesis 100 and prolonging the service life of the unicondylar femoral prosthesis 100.
Technical features of the above embodiments may be combined randomly. To make descriptions brief, not all possible combinations of the technical features in the embodiments are described. Therefore, as long as there is no contradiction between the combinations of the technical features, they should all be considered as scopes disclosed in the specification.
The above embodiments only describe several implementations of the present disclosure, and their description is specific and detailed, but cannot therefore be understood as a limitation on the patent scope of the present disclosure. It should be noted that those of ordinary skill in the art may further make variations and improvements without departing from the conception of the present disclosure, and these all fall within the protection scope of the present disclosure. Therefore, the patent protection scope of the present disclosure should be subject to the appended claims.
Number | Date | Country | Kind |
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201910098530.7 | Jan 2019 | CN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CN2019/127558 | 12/23/2019 | WO | 00 |