Porous coated total hip replacement system
AssigneeTulane University
InventorStephen D. Cook
Life of this patent
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Abstract
Hip joint prosthesis for replacing diseased or defective joints including a femoral stem, vacuum cast of cobalt-chromium-molybdenum and hot isostatically pressed (HIP'd) both before and after porous coating to provide an additional 50% greater strength in high cycle fatigue loading than all comparable porous coated devices of prior art, with optimal porous coating parameters scientifically and clinically determined for 75% greater fixation than all comparable devices of prior art, anatomically shaped and easily constructed in right and left configurations and a range of sizes, a femoral head which attaches to the stem intraoperatively, and an acetabular component consisting of a polymer bearing-type insert mechanically fixed inside a metal shell, the bearing surface articulating with the femoral head.
Claims25
A hip joint prosthesis comprising, in combination:
- an inert metal alloy intramedullary stem having posterior, proximal anterior and distal anterior surfaces defined by respective confluent arcs which enable said stem to anatomically conform to the femoral canal, the stem having a medial collar adjacent an upper end of a proximal portion, the collar extending medially outwardly from the stem for engagement with the calcar region of the femur, said upper end terminating in a tapered shaft adapted to receive a femoral head component, the stem having a smooth distal portion with a lower end flattened to form an anterior stem tip to avoid impingement with the cortices, thereby preventing distal loading and consequent mid-thigh pain;
- a porous coating of metal beads providing a porous surface of interconnected three dimensional pores over the proximal portion of the stem and an underside of said medial collar, said coating adapted to mechanically interlock the proximal stem area with both soft cancellous and hard cortical bone tissue of the femur;
- an inert metal alloy femoral head having a smooth substantially spherical outer bearing surface and adapted to be attached to the tapered shaft of the stem, intraoperatively;
- an inert metal alloy acetabular cup for attachment to the acetabulum having a substantially hemispherical shape and inner and outer surfaces, with a porous coating of metal beads affixed to substantially all of said outer surface to thereby provide a porous surface of interconnected three dimensional pores, said inner surface being substantially smooth;
- and
- an inert high density polymeric bearing having a substantially hemispherical shape and adapted to be attachably received within said cup and to receive the femoral head so as to permit said femoral head to articulate freely therein.
A hip joint prosthesis comprising, in combination:
- an inert metal alloy intramedullary stem having posterior, proximal anterior and distal anterior surfaces defined by respective confluent arcs which enable said stem to anatomically conform to the femoral canal, said stem having a medial collar adjacent an upper end of a proximal portion of the stem, the collar extending medially outwardly from the stem for engagement with the calcar region of the femur, said upper end terminating in a shaft adapted to receive a femoral head component;
- a porous metal coating extending over said proximal portion and an underside of said medial collar, such that said coating extends over about 45 percent of said stem, said coating adapted to mechanically interlock the proximal stem area with both soft cancellous and hard cortical bone tissue of the femur;
- an inert metal alloy femoral head having a smooth substantially spherical outer bearing surface and adapted to be attached to the tapered shaft of the stem;
- an inert metal alloy acetabular cup for attachment to the acetabulum, said cup having a substantially hemispherical shape and inner and outer surfaces, said outer surface having a porous metal coating affixed thereto;
- and
- a substantially hemispherical shaped bearing adapted to fit within the cup and to receive the femoral head.
Dependencies are inferred from the claim text.