# US 5,863,295 A · Prosthetic device and method of implantation

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- Number: US 5,863,295 A
- Document ID: US5863295A
- Status: Granted
- Kind: A
- Application number: 08/844,443
- Filed: 1997-04-18
- Granted: 1999-01-26
- Earliest claimed: 1994-06-01
- Assignees: Implex Corporation
- Inventors: Robert G. Averill; Robert C. Cohen; Rafail Zubok
- Web page: https://patentgrep.com/patent/US5863295A

## CPC

- A61B 17/1668: {for the upper femur (A61B17/164 takes precedence)}
- A61B 17/1659: {Surgical rasps, files, planes, or scrapers}
- A61F 2/367: {Proximal or metaphyseal parts of shafts (trochanteric devices connected to said proximal parts A61F2/30739)}
- A61F 2/4684: {Trial or dummy prostheses}
- A61B 17/16: Instruments for performing osteoclasis; Drills or chisels for bones; Trepans {(arthroscopic bone cutters A61B17/320016)}
- A61B 17/1684: {for the shoulder}
- A61F 2/30734: {Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect}
- A61F 2/30767: {Special external or bone-contacting surface, e.g. coating for improving bone ingrowth}
- A61F 2002/30125: {elliptical or oval}
- A61F 2002/30879: {Ribs}
- A61F 2002/30909: {Nets}
- A61F 2002/30929: {having at least two superposed coatings}
- A61F 2002/3625: {Necks}
- A61F 2002/3631: {with an integral complete or partial peripheral collar or bearing shoulder at its base}
- A61F 2002/365: {Connections of heads to necks}
- A61F 2230/0008: elliptical or oval
- A61F 2310/00023: Titanium or titanium-based alloys, e.g. Ti-Ni alloys
- A61F 2310/00029: Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
- A61F 2310/00413: Coating made of cobalt or of Co-based alloys
- A61F 2310/00796: Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS 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 (dental prosthetics A61C)

## Abstract

A hip prosthesis for implanting into the medullary canal of a femur, which comprises a stem for implanting into the canal of the femur, the stem having a proximal end and a distal end, the stem also including a proximal locking zone substantially adjacent the proximal end, the proximal locking zone including a proximal locking surface which circumferentially press-fits within the canal of the femur and a neck extending at an angle from the proximal end of the stem for receiving the femoral head of the prosthesis.

## Claims

### Claim 1

A method for implanting a prothesis stem having a proximal and a distal end into a medullary canal of a femur, said prothesis stem having a proximal locking zone substantially adjacent said proximal end which presents a geometric profile for press-fit engagement within said canal, said method comprising the steps of:
a) resecting a head and neck portion of said femur;
b) reaming a bore along said medullary canal of said femur;
c) inserting a trial implant into said bore to prepare said bore for said geometric profile of said proximal locking zone of said stem, wherein said proximal locking zone of said stem is substantially adjacent said proximal end of said stem and having a geometric profile substantially similar to and of a size less than said geometric profile of said prosthesis stem, wherein said proximal locking zone includes an outwardly flared circumferential proximal locking surface which extends about said proximal end of said stem, said proximal locking surface circumferentially press-fits within the canal of the femur, wherein said outwardly flared circumferential proximal locking surface includes a first planar locking surface on an anterior side of said prosthesis, a second planar locking surface on a posterior side of said prosthesis, and a convex locking surface extending between and merging into said first and second planar locking surfaces on a lateral side of said prosthesis;
d) removing said trial implant from said bore; and
e) inserting said prosthesis stem into said bore, said proximal locking zone of said prosthesis stem engaging said bore in a press-fit engagement to securely lock said prosthesis stem into said bore in said medullary canal of said femur.

### Claim 2 (depends on 1)

The method according to claim 1, wherein said step of reaming includes a first reaming with a first cylindrical reamer of a given diameter.

### Claim 3 (depends on 2)

The method according to claim 2, wherein said step of reaming further includes a second reaming with a tapered reamer after said first reaming, to prepare said bore for said geometric profile of said prosthesis stem.

### Claim 4 (depends on 2)

The method according to claim 2, wherein said step of reaming includes a second reaming with a second cylindrical reamer having a diameter substantially greater than said diameter of said first cylindrical reamer.

### Claim 5 (depends on 4)

The method according to claim 4, wherein said step of reaming further includes a third reaming with a tapered reamer after said second reaming, to prepare said bore for said geometric profile of said prosthesis stem, and wherein said trial implant includes a proximal locking zone which presents a geometric profile substantially like said geometric profile of said locking zone of said stem, said geometric profile of said trial implant being of a size which is slightly less than a size of said geometric profile of said stem.

### Claim 6 (depends on 1)

The method according to claim 1 wherein said proximal locking surfaces of said trial implant are recessed and bounded by a circumferentially extending proximal ridge and a circumferentially extending distal ridge.