Movatterモバイル変換


[0]ホーム

URL:


CN111467090B - Unicondylar femoral prosthesis system and unicondylar femoral prosthesis - Google Patents

Unicondylar femoral prosthesis system and unicondylar femoral prosthesis

Info

Publication number
CN111467090B
CN111467090BCN202010429962.4ACN202010429962ACN111467090BCN 111467090 BCN111467090 BCN 111467090BCN 202010429962 ACN202010429962 ACN 202010429962ACN 111467090 BCN111467090 BCN 111467090B
Authority
CN
China
Prior art keywords
femoral prosthesis
unicondylar femoral
posterior
anterior
height
Prior art date
Legal status (The legal status 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 status listed.)
Active
Application number
CN202010429962.4A
Other languages
Chinese (zh)
Other versions
CN111467090A (en
Inventor
鄢正清
赵开宇
孙延东
史忠兵
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suzhou Microport Orthorecon Co Ltd
Original Assignee
Suzhou Microport Orthorecon Co Ltd
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 Suzhou Microport Orthorecon Co LtdfiledCriticalSuzhou Microport Orthorecon Co Ltd
Priority to CN202010429962.4ApriorityCriticalpatent/CN111467090B/en
Publication of CN111467090ApublicationCriticalpatent/CN111467090A/en
Priority to PCT/CN2021/087183prioritypatent/WO2021233023A1/en
Application grantedgrantedCritical
Publication of CN111467090BpublicationCriticalpatent/CN111467090B/en
Activelegal-statusCriticalCurrent
Anticipated expirationlegal-statusCritical

Links

Classifications

Landscapes

Abstract

Translated fromChinese

本发明涉及一种单髁股骨假体系统及单髁股骨假体,单髁股骨假体系统包括N个尺寸逐渐增大的单髁股骨假体,其中N≥2,并且每个单髁股骨假体的前后径与单髁股骨假体的后髁高度的比值随单髁股骨假体的尺寸增大而增大。其中,所述前后径为所述单髁股骨假体在水平方向上的最大长度,所述后髁高度为所述单髁股骨假体在竖直方向上的最大高度。上述单髁股骨假体系统更加符合人体解剖结构,减少股骨远端或股骨后髁的覆盖不足以及不稳定性问题,降低患者术后疼痛的风险,使患者术后感受更好。

The present invention relates to a unicompartmental femoral prosthesis system and a unicompartmental femoral prosthesis. The unicompartmental femoral prosthesis system includes N unicompartmental femoral prostheses of gradually increasing size, wherein N ≥ 2, and the ratio of the anteroposterior diameter of each unicompartmental femoral prosthesis to the posterior condyle height of the unicompartmental femoral prosthesis increases as the size of the unicompartmental femoral prosthesis increases. The anteroposterior diameter is the maximum length of the unicompartmental femoral prosthesis in the horizontal direction, and the posterior condyle height is the maximum height of the unicompartmental femoral prosthesis in the vertical direction. The above-mentioned unicompartmental femoral prosthesis system is more in line with the human anatomical structure, reduces the problem of insufficient coverage and instability of the distal femur or the posterior femoral condyle, reduces the risk of postoperative pain in patients, and makes patients feel better after surgery.

Description

Unicondylar femoral prosthesis system and unicondylar femoral prosthesis
Technical Field
The invention relates to the technical field of medical equipment, in particular to a unicondylar femoral prosthesis system and a unicondylar femoral prosthesis.
Background
The unicondylar replacement adopts a tiny incision, can simultaneously reserve anterior and posterior cruciate ligaments of knee joints of patients, has the advantages of small wound, quick recovery, good physiological activity of patients after operation and the like, so the unicondylar replacement is widely applied to the treatment of the osteoarthritis of a unicompartment. The unicondylar replacement procedure requires replacing the patient's diseased femoral articular surface with a femoral prosthesis and replacing the patient's diseased tibial articular surface with a tibial insert, thereby allowing the patient to obtain a new knee joint.
Generally, the design of the unicondylar femoral prosthesis includes parameters such as the anterior-posterior diameter AP, the left-right diameter ML, the posterior condyle height H, the fixing post position, the curvature radius of the articular surface, etc., and a plurality of unicondylar femoral prostheses with gradually increasing sizes can be formed by combining the parameters from small to large according to a certain relation. In the traditional design of a group of unicondylar femoral prostheses, parameters such as the anterior and posterior femoral diameter AP, the left and right femoral diameter ML, the posterior condylar height H and the like can be increased along with the increase of the size of the unicondylar femoral prostheses, so that patients with different body types can be satisfied. However, the traditional unicondylar femoral prosthesis cannot fully consider the anatomical features of the human body, and the situation of insufficient coverage or instability of the distal femur or the posterior femur condyle is easily caused.
Disclosure of Invention
Based on this, it is necessary to provide a unicondylar femoral prosthesis system and a unicondylar femoral prosthesis that better conform to the anatomy of the human body and avoid situations where the distal femur or the posterior femur is not adequately covered or is unstable.
The unicondylar femoral prosthesis system comprises N unicondylar femoral prostheses with gradually increased sizes, wherein N is more than or equal to 2, the ratio of the anterior-posterior diameter of each unicondylar femoral prosthesis to the posterior condyle height of the unicondylar femoral prosthesis is increased along with the increase of the sizes of the unicondylar femoral prostheses, the anterior-posterior diameter is the maximum length of the unicondylar femoral prosthesis in the horizontal direction, and the posterior condyle height is the maximum height of the unicondylar femoral prosthesis in the vertical direction.
In one embodiment, the ratio of the anterior-posterior diameter to the posterior condyle height ranges from 1.2 to 1.6.
In one embodiment, the unicondylar femoral prosthesis further comprises a overhang protruding from the posterior condylar cortical bone of the human femur, the ratio of the anterior-posterior diameter ratio to the difference between the height of the posterior condylar and the height of the overhang increasing as the size of the unicondylar femoral prosthesis increases.
In one embodiment, the ratio of the difference between the posterior condylar height and the overhang height over the anterior-posterior aspect ratio is in the range of 1.2-1.6.
In one embodiment, the ratio of the anterior-posterior diameter to the posterior condylar height, or the ratio of the difference between the posterior condylar height and the height of the overhang over the anterior-posterior diameter, satisfies the following condition:
The value range of the unicondylar femoral prosthesis is 1.28-1.34 for the unicondylar femoral prosthesis with the anterior-posterior diameter of 40mm less than or equal to AP less than or equal to 50mm, the value range of the unicondylar femoral prosthesis with the anterior-posterior diameter of 50mm less than or equal to AP less than or equal to 55mm is 1.34-1.40, and the value range of the unicondylar femoral prosthesis with the anterior-posterior diameter of 55mm less than or equal to AP less than or equal to 65mm is 1.40-1.46.
In one embodiment, the unicondylar femoral prosthesis comprises an articular surface for cooperation with the tibial insert, the articular surface comprising a distal articular surface, a posterior condylar articular surface, and a posterior epicondylar articular surface connected in sequence, the distal articular surface having a first radius of curvature in the sagittal plane, the posterior condylar articular surface having a second radius of curvature in the sagittal plane, the posterior epicondylar articular surface having a third radius of curvature in the sagittal plane, and the first radius of curvature being greater than the second radius of curvature, the second radius of curvature being greater than the third radius of curvature.
In one embodiment, the ratio of the first radius of curvature to the second radius of curvature of the unicondylar femoral prosthesis is a constant value.
In one embodiment, the ratio of the first radius of curvature to the second radius of curvature of the unicondylar femoral prosthesis is in the range of 1.65-1.95.
In one embodiment, the radius of curvature of the articular surface on the coronal plane is a fourth radius of curvature, the fourth radius of curvature being equal to the second radius of curvature.
In one embodiment, the anterior end of the unicondylar femoral prosthesis has a medial height in the coronal plane direction that is less than a lateral height of the anterior end of the unicondylar femoral prosthesis.
In one embodiment, the anterior end of the unicondylar femoral prosthesis includes a first articular surface proximate a medial side of the unicondylar femoral prosthesis and a second articular surface proximate a lateral side of the unicondylar femoral prosthesis, an intersection of the first articular surface and the second articular surface on the coronal surface forming a lowest point of the unicondylar femoral prosthesis on the coronal surface that coincides with a centerline of the unicondylar femoral prosthesis, and a radius of curvature of the first articular surface on the coronal surface that is less than a radius of curvature of the second articular surface on the coronal surface.
In one embodiment, the anterior end of the unicondylar femoral prosthesis includes a first articular surface proximate a medial side of the unicondylar femoral prosthesis and a second articular surface proximate a lateral side of the unicondylar femoral prosthesis, an intersection of the first articular surface and the second articular surface on the coronal surface forming a nadir of the unicondylar femoral prosthesis on the coronal surface that is offset a first distance relative to a centerline of the unicondylar femoral prosthesis in a direction proximate the lateral side of the unicondylar femoral prosthesis, and a radius of curvature of the first articular surface on the coronal surface is equal to a radius of curvature of the second articular surface on the coronal surface.
In one embodiment, the anterior end of the unicondylar femoral prosthesis includes a first articular surface proximate a medial side of the unicondylar femoral prosthesis and a second articular surface proximate a lateral side of the unicondylar femoral prosthesis, an intersection of the first articular surface and the second articular surface on the coronal surface forming a nadir of the unicondylar femoral prosthesis that is offset a second distance relative to a centerline of the unicondylar femoral prosthesis in a direction proximate the lateral side of the unicondylar femoral prosthesis, and a radius of curvature of the first articular surface on the coronal surface is less than a radius of curvature of the second articular surface on the coronal surface.
The unicondylar femoral prosthesis comprises an anterior-posterior diameter and a posterior-condyle height, wherein the anterior-posterior diameter is the maximum length of the unicondylar femoral prosthesis in the horizontal direction, the posterior-condyle height is the maximum height of the unicondylar femoral prosthesis in the vertical direction, the ratio of the anterior-posterior diameter to the posterior-condyle height ranges from 1.28 to 1.34 for the unicondylar femoral prosthesis with the anterior-posterior diameter of 40mm less than or equal to AP <50mm, the ratio of the anterior-posterior diameter to the posterior-condyle height ranges from 1.34 to 1.40 for the unicondylar femoral prosthesis with the anterior-posterior diameter of 50mm less than or equal to AP <55mm, and the ratio of the anterior-posterior diameter to the posterior-condyle height ranges from 1.40 to 1.46 for the unicondylar femoral prosthesis with the anterior-posterior diameter of 55mm less than or equal to 65 mm.
The unicondylar femoral prosthesis system is based on a human knee joint anatomical structure, and the ratio of the front diameter to the rear diameter to the height of the unicondylar femoral prosthesis is increased along with the increase of the size of the unicondylar femoral prosthesis by designing the unicondylar femoral prosthesis, so that the unicondylar femoral prosthesis is more in line with the human anatomical structure, the problems of insufficient coverage and instability of the distal femur or the rear femur condyle are reduced, the risk of postoperative pain of a patient is reduced, and the postoperative feeling of the patient is better.
Drawings
The accompanying drawings, which are included to provide a further understanding of the application and are incorporated in and constitute a part of this specification, illustrate embodiments of the application and together with the description serve to explain the application.
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of the structure of a unicondylar femoral prosthesis in the sagittal plane direction according to an embodiment;
FIG. 2 is a schematic cross-sectional view of the unicondylar femoral prosthesis shown in FIG. 1;
FIG. 3 is an exemplary table of anterior-posterior diameter, posterior condyle height, and aspect ratio for each unicondylar femoral prosthesis of a unicondylar femoral prosthesis system in one embodiment;
FIG. 4 is a graph of the fit of a unicondylar femoral prosthesis to a femur in another embodiment;
FIG. 5 is an exemplary table of anterior-posterior diameter, posterior condyle height, and aspect ratio of each unicondylar femoral prosthesis of a unicondylar femoral prosthesis system in another embodiment;
FIG. 6 is an exemplary table of radii of curvature for articular surfaces of a unicondylar femoral prosthesis according to one embodiment;
FIG. 7 is an exemplary table of radii of curvature for articular surfaces of a unicondylar femoral prosthesis according to another embodiment;
FIG. 8 is a cross-sectional view of the unicondylar femoral prosthesis shown in FIG. 1, taken at section A-A;
FIG. 9 is a cross-sectional view of another embodiment of a unicondylar femoral prosthesis at section A-A;
FIG. 10 is a cross-sectional view of yet another embodiment unicondylar femoral prosthesis at section A-A.
Reference numerals illustrate:
10. Articular surface, 11, distal articular surface, 12, posterior condylar articular surface, 13, posterior epicondylar articular surface, 14, overhang portion, 15, first articular surface, 16, second articular surface, 20, osteotomy surface, 21, distal osteotomy surface, 22, posterior condylar osteotomy surface, 23, posterior epicondylitis osteotomy surface, P1, nadir, P2, nadir, P3, posterior end point, P4, anterior end point.
Detailed Description
In order that the above objects, features and advantages of the invention will be readily understood, a more particular description of the invention will be rendered by reference to the appended drawings. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. The present invention may be embodied in many other forms than described herein and similarly modified by those skilled in the art without departing from the spirit of the invention, whereby the invention is not limited to the specific embodiments disclosed below.
In order to better explain the technical solution of the present invention, first, the azimuth names involved in each embodiment are explained:
The sagittal plane refers to a longitudinal section dividing the human body or the prosthesis into a left part and a right part in the front-back direction, wherein the sagittal plane passing through the middle of the human body or the prosthesis is the middle sagittal plane, and the sagittal plane divides the human body or the prosthesis into two parts with the same left and right parts.
The coronal plane refers to a longitudinal section from left to right, dividing the body or prosthesis into front and rear parts, which is perpendicular to the sagittal plane.
The cross section, also called the horizontal plane, is a plane parallel to the ground plane that divides the body or prosthesis into upper and lower parts, the plane being perpendicular to the coronal and sagittal planes.
Medial side is the side relatively close to the median sagittal plane of the human body.
Outside, the side relatively far from the median sagittal plane of the human body.
Anterior, the side on the sagittal plane that is relatively close to the abdomen.
Posterior-sagittal-side relatively close to the back.
Referring to fig. 1-3, fig. 1 shows a schematic view of a unicondylar femoral prosthesis according to an embodiment of the present application in a sagittal plane direction, and fig. 2 shows a schematic view of a unicondylar femoral prosthesis according to an embodiment of the present application in a transverse plane direction. Fig. 3 is a table comparing the anterior-posterior diameter AP, the posterior condyle height H, and the ratio thereof for each unicondylar femoral prosthesis of the unicondylar femoral prosthesis system in one embodiment of the present application. Specifically, as shown in fig. 3, the unicondylar femoral prosthesis system according to an embodiment of the present application includes a set of unicondylar femoral prostheses with gradually increasing sizes, and the number of unicondylar femoral prostheses in the set of unicondylar femoral prostheses is N, n+.2. Herein, the "size" of the unicondylar femoral prosthesis refers to the anterior-posterior diameter AP of the unicondylar femoral prosthesis. As shown in fig. 3, in the unicondylar femoral prosthesis system, the ratio AP/H of the anterior-posterior diameter AP of each unicondylar femoral prosthesis to the posterior condyle height H of the unicondylar femoral prosthesis increases as the size of the unicondylar femoral prosthesis increases.
Specifically, referring to fig. 1, the unicondylar femoral prosthesis includes a articular surface 10 for mating with the tibial insert, the articular surface 10 including a distal articular surface 11, a posterior condylar articular surface 12, and a posterior epicondylar articular surface 13 that are connected in sequence from anterior to posterior. The back of the joint surface 10 is an osteotomy surface 20 for contacting the femur of a human body, the osteotomy surface 20 comprises a distal osteotomy surface 21, a posterior condylar osteotomy surface 22 and a posterior epicondylitis osteotomy surface 23 which are sequentially connected from the anterior side to the posterior side, wherein the distal osteotomy surface 21 is opposite to the distal joint surface 11, the posterior condylar osteotomy surface 22 is opposite to the posterior condylar articular surface 12, the posterior epicondylitis osteotomy surface 23 is opposite to the posterior epicondylitis articular surface 13, the osteotomies 20 are all planes, and the osteotomies 20 are all straight lines when viewed from the sagittal plane. The point of the distal joint surface 11 which is the farthest from the perpendicular distance of the distal osteotomy surface 21 is the lowest point P1 of the prosthesis, and this lowest point P1 corresponds to the lowest point of the prosthesis when the prosthesis is implanted in a human body. The posterior epicondylar articular surface 13 terminates at the highest point P2 of the prosthesis. The point on the posterior epicondylar articular surface 13 that is furthest from the perpendicular to the posterior epicondylar osteotomy surface 23 is the posterior endpoint P3 of the prosthesis. The end point of the distal articular surface 11 is the anterior end point P4 of the prosthesis.
The circle center corresponding to the circular arc of the distal joint surface 11 is point C, the direction in which the straight line connecting the lowest point P1 of the prosthesis and the point C of the circle center is located is the vertical direction of the prosthesis, and the direction perpendicular to the vertical direction is the horizontal direction. The posterior condyle height H of the prosthesis refers to the maximum height of the prosthesis in the vertical direction, i.e., the distance from the lowest point P1 to the highest point P2 of the prosthesis in the vertical direction. The anterior-posterior diameter AP of the prosthesis refers to the maximum length of the prosthesis in the horizontal direction, i.e., the distance from the posterior end point P3 to the anterior end point P4 of the prosthesis in the horizontal direction.
The anatomical characteristics of the ratio of the anterior-posterior diameter to the posterior condylar height of the unicondylar femoral prosthesis are not fully considered in the design of the traditional unicondylar femoral prosthesis, and generally, the ratio of the anterior-posterior diameter to the posterior condylar height of the unicondylar femoral prosthesis is reduced with the size of the unicondylar femoral prosthesis or the ratio of the anterior-posterior diameter to the posterior condylar height of the unicondylar femoral prosthesis is almost unchanged with the size of the unicondylar femoral prosthesis. The applicant of the present application, through extensive studies on human femur anatomical data, found that the ratio of the anterior-posterior diameter to the posterior condylar height of the femur after the surgical resection actually increased as the femur size increased. The unicondylar femoral prosthesis system is based on a human knee joint anatomical structure, and the ratio AP/H of the front diameter AP and the rear diameter AP of the unicondylar femoral prosthesis to the rear height H is increased along with the increase of the size of the unicondylar femoral prosthesis, so that the unicondylar femoral prosthesis is more in line with the human anatomical structure, the problems of insufficient coverage and instability of the distal femur or the rear femur condyle of the femur are reduced, the risk of postoperative pain of a patient is reduced, and the postoperative feeling of the patient is better.
Further, referring to fig. 3, the anterior-posterior diameter AP and the posterior condyle height H of the unicondylar femoral prosthesis are both in mm in the table of fig. 3. The ratio of anterior-posterior diameter AP to posterior condylar height H of the unicondylar femoral prosthesis, AP/H (hereinafter referred to as the aspect ratio), ranges from 1.2 to 1.6, preferably from 1.3 to 1.45. Further, for small-sized unicondylar femoral prostheses (40 mm. Ltoreq. AP <50 mm), the range of values for the length to height ratio AP/H is 1.28-1.34, for medium-sized unicondylar femoral prostheses (50 mm. Ltoreq. AP <55 mm), the range of values for the length to height ratio AP/H is 1.34-1.40, and for large-sized prostheses (55 mm. Ltoreq. AP. Ltoreq.65 mm), the range of values for the length to height ratio AP/H is 1.40-1.46. Further, if there is a number or a greater number of sizes for the unicondylar femoral prosthesis of the unicondylar femoral prosthesis system, the ratio of the aspect ratio AP/H of the adjacent size unicondylar femoral prosthesis should be greater than or equal to the aspect ratio AP/H of the small size unicondylar femoral prosthesis and less than or equal to the aspect ratio AP/H of the large size unicondylar femoral prosthesis.
Further, referring to fig. 4, in another embodiment, the unicondylar femoral prosthesis further comprises a overhanging portion 14, wherein the overhanging portion 14 protrudes from the posterior condylar cortical bone of the human femur, i.e., the height thereof exceeds the contact point of the posterior condylar cortical bone of the human femur with the unicondylar femoral prosthesis, so that the top of the unicondylar femoral prosthesis is suspended from contact with the femur. Specifically, the overhang portion 14 of the unicondylar femoral prosthesis is the portion of the unicondylar femoral prosthesis that protrudes above the posterior condylar cortical bone of the human femur after the unicondylar femoral prosthesis is installed on the human joint. Further, referring to fig. 5, the ratio of anterior-posterior diameter AP to the difference between the superior-posterior condylar height H and the height L of the overhang 14 increases as the size of the unicondylar femoral prosthesis increases. As shown in fig. 4, the height L of the overhang portion 14 is the height of the posterior condylar portion of the unicondylar femoral prosthesis beyond the posterior condylar cortical bone of the human femur on the sagittal plane, and preferably the height L of the overhang portion 14 increases with the size of the unicondylar femoral prosthesis. In this embodiment, the ratio of the anterior-posterior diameter AP to the difference between the superior-posterior condyle height H and the height L of the overhang 14 is AP/(H-L), and the value of AP/(H-L) increases as the size of the unicondylar femoral prosthesis increases.
As shown in FIG. 5, in this embodiment, the relationship AP/(H-L) between anterior-posterior diameter AP and posterior condylar height H ranges from 1.2 to 1.6, and this ratio increases as the size of the unicondylar femoral prosthesis increases. Further, in the present embodiment, the height L of the overhang 14 of the unicondylar femoral prosthesis ranges from 1mm to 3mm. The back condyle height of the unicondylar femoral prosthesis is properly suspended by 1mm-3mm, and the suspension height L is increased along with the increase of the size of the unicondylar femoral prosthesis, so that the better connection between the back condyle of the unicondylar femoral prosthesis and the soft tissue can be ensured, and the stability of the unicondylar femoral prosthesis is improved. Preferably, the ratio of AP/(H-L) is in the range of 1.3 to 1.45. Further, the value of AP/(H-L) ranges from 1.28 to 1.34 for small-sized unicondylar femoral prosthesis (AP <50mm, height L=1 mm of overhang 14) and from 1.34 to 1.40 for medium-sized unicondylar femoral prosthesis (AP <55mm, height L=2 mm of overhang 14), and from 1.40 to 1.46 for large-sized prosthesis (AP < 65mm, height L=3 mm of overhang 14).
Further, referring to fig. 1, the distal articular surface 11 has a first radius of curvature R1 in the sagittal plane, the posterior condylar articular surface 12 has a second radius of curvature R2 in the sagittal plane, the posterior epicondylar articular surface 13 has a third radius of curvature R3 in the sagittal plane, and the first radius of curvature R1 is greater than the second radius of curvature R2 and the second radius of curvature R2 is greater than the third radius of curvature R3. By having the second radius of curvature R2 greater than the third radius of curvature R3 in the unicondylar femoral prosthesis, the posterior condyles of the unicondylar femoral prosthesis can be tucked inwardly, and the posterior condyle flexion angle of the unicondylar femoral prosthesis can be made greater, which can improve joint mobility. In addition, the posterior condylar height H may be adjusted by adjusting the third radius of curvature R3, which may make the aspect ratio AP/H of the unicondylar femoral prosthesis more consistent with the recommended aspect ratio.
Further, as shown in fig. 6-7, the ratio of the first radius of curvature R1 to the second radius of curvature R2 of the unicondylar femoral prosthesis is a constant value, i.e., the ratio of the first radius of curvature R1 to the second radius of curvature R2 of the unicondylar femoral prosthesis does not change with the size of the unicondylar femoral prosthesis. Preferably, the ratio of the first radius of curvature R1 to the second radius of curvature R2 of the unicondylar femoral prosthesis ranges from 1.65 to 1.95. The applicant found that the anatomical feature of the femoral condyle of the human body is that the ratio of the distal radius of curvature of the femur in the sagittal plane to the posterior radius of curvature of the femur in the sagittal plane is in the range of 1.45-2.1, and that the ratio of the distal radius of curvature of the femur in the sagittal plane to the posterior radius of curvature of the femur in the sagittal plane has poor dimensional correlation with the femoral condyle. Therefore, the ratio of the first curvature radius R1 to the second curvature radius R2 of the unicondylar femoral prosthesis adopts a fixed value, so that the unicondylar femoral prosthesis is more suitable for most patients, and compared with a floating ratio, the unicondylar femoral prosthesis with the fixed value ratio is less prone to the situation that the matching difference is overlarge after being implanted into the patients.
Further, referring to fig. 2, the articular surface 10 has a fourth radius of curvature R4 on the coronal plane, and the fourth radius of curvature R4 is equal to the second radius of curvature R2, i.e., the posterior condylar articular surface 12 of the unicondylar femoral prosthesis has a spherical configuration. Because the femoral posterior condyle of the natural knee is approximately spherical, the posterior condylar articular surface 12 condyle of the designed unicondylar femoral prosthesis has the same radius of curvature on the sagittal plane and the coronal plane, i.e., r2=r4, thereby realizing the anatomical reconstruction of the natural knee and improving the stability of the articular surface.
Referring to fig. 8-10, in the coronal direction, the medial height h1 of the anterior end of the unicondylar femoral prosthesis is less than the lateral height h2 of the anterior end of the unicondylar femoral prosthesis. By reducing the medial height h1 of the anterior end of the condylar femoral prosthesis. Therefore, the front end of the condylar femoral prosthesis is lower than the soft tissue of the joint surface, and the collision between the single-condylar femoral prosthesis and the patella after being implanted into a human body is avoided, so that the postoperative feeling of a patient is improved. Preferably, the medial height h1 of the anterior end of the unicondylar femoral prosthesis is less than 2mm, preferably 1.5mm-1.6mm.
Referring specifically to fig. 8-10, an arbitrary cross-section A-A of the anterior end of a unicondylar femoral prosthesis (i.e., a cross-section of an arbitrary coronal plane) is illustrated. In one embodiment, the anterior end of the unicondylar femoral prosthesis includes a first articular surface 15 proximal to the medial side of the unicondylar femoral prosthesis and a second articular surface 16 proximal to the lateral side of the unicondylar femoral prosthesis, the intersection of the first articular surface 15 and the second articular surface 16 on the coronal plane forming the lowest point O of the unicondylar femoral prosthesis on the A-A cross-section. Further, there are many ways to reduce the medial height h1 of the anterior end of the condylar femoral prosthesis, such as shown in fig. 6 and 8, in one embodiment, the lowest point O coincides with the centerline m of the unicondylar femoral prosthesis, i.e., the offset of the lowest point O from the centerline m of the unicondylar femoral prosthesis toward the lateral side of the unicondylar femoral prosthesis is 0. And the radius of curvature R5 of the first articular surface 15 on the coronal plane is smaller than the radius of curvature R4 of the second articular surface 16 on the coronal plane, i.e., the medial height h1 of the anterior end of the unicondylar femoral prosthesis is reduced by reducing the radius of curvature of the first articular surface 15 on the coronal plane.
Referring to fig. 7 and 9, in another embodiment, the radius of curvature R5 of the first articular surface 15 on the coronal plane is equal to the radius of curvature R4 of the second articular surface 16 on the coronal plane, and the nadir O is offset from the centerline m of the unicondylar femoral prosthesis by a first distance n1 in a direction toward the lateral side of the unicondylar femoral prosthesis, preferably the first distance n1 decreases as the size of the unicondylar femoral prosthesis increases. Preferably, the first distance n1 ranges from 1mm to 1.4mm. Reducing the medial height of the anterior end of the unicondylar femoral prosthesis is achieved by offsetting the nadir O a first distance n1 relative to the centerline m of the unicondylar femoral prosthesis in a direction toward the lateral side of the unicondylar femoral prosthesis.
It should be noted that, in other embodiments, the two embodiments described above may be combined such that the medial height h1 of the anterior end of the condylar femoral prosthesis is reduced. Specifically, as shown in fig. 10, in one embodiment, the nadir is offset from the centerline of the unicondylar femoral prosthesis toward a direction approaching the lateral side of the unicondylar femoral prosthesis by a second distance n2, and the radius of curvature R5 of the first articular surface 15 on the coronal plane is smaller than the radius of curvature R4 of the second articular surface 16 on the coronal plane, thereby achieving a reduction in the medial height h1 of the anterior end of the unicondylar femoral prosthesis.
The technical features of the above-described embodiments may be arbitrarily combined, and all possible combinations of the technical features in the above-described embodiments are not described for brevity of description, however, as long as there is no contradiction between the combinations of the technical features, they should be considered as the scope of the description.
The above examples illustrate only a few embodiments of the invention, which are described in detail and are not to be construed as limiting the scope of the invention. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the invention, which are all within the scope of the invention. Accordingly, the scope of protection of the present invention is to be determined by the appended claims.
In the description of the present invention, it should be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", "axial", "radial", "circumferential", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element being referred to must have a specific orientation, be configured and operated in a specific orientation, and therefore should not be construed as limiting the present invention.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include at least one such feature. In the description of the present invention, the meaning of "plurality" means at least two, for example, two, three, etc., unless specifically defined otherwise.
In the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally formed, mechanically connected, electrically connected, directly connected, indirectly connected through an intervening medium, or in communication between two elements or in an interaction relationship between two elements, unless otherwise explicitly specified. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
In the present invention, unless expressly stated or limited otherwise, a first feature "up" or "down" a second feature may be the first and second features in direct contact, or the first and second features in indirect contact via an intervening medium. Moreover, a first feature being "above," "over" and "on" a second feature may be a first feature being directly above or obliquely above the second feature, or simply indicating that the first feature is level higher than the second feature. The first feature being "under", "below" and "beneath" the second feature may be the first feature being directly under or obliquely below the second feature, or simply indicating that the first feature is less level than the second feature.
It will be understood that when an element is referred to as being "fixed" or "disposed" on another element, it can be directly on the other element or intervening elements may also be present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "upper," "lower," "left," "right," and the like are used herein for illustrative purposes only and are not meant to be the only embodiment.

Claims (13)

11. The unicondylar femoral prosthesis system of claim 9, wherein the anterior end of the unicondylar femoral prosthesis comprises a first articular surface proximal to a medial side of the unicondylar femoral prosthesis and a second articular surface proximal to a lateral side of the unicondylar femoral prosthesis, wherein on a coronal plane an intersection of the first articular surface and the second articular surface on the coronal plane forms a nadir of the unicondylar femoral prosthesis on the coronal plane that is offset a first distance relative to a centerline of the unicondylar femoral prosthesis in a direction proximal to the lateral side of the unicondylar femoral prosthesis, and wherein a radius of curvature of the first articular surface on the coronal plane is equal to a radius of curvature of the second articular surface on the coronal plane.
12. The unicondylar femoral prosthesis system of claim 9, wherein the anterior end of the unicondylar femoral prosthesis comprises a first articular surface proximal to a medial side of the unicondylar femoral prosthesis and a second articular surface proximal to a lateral side of the unicondylar femoral prosthesis, wherein on a coronal plane an intersection of the first articular surface and the second articular surface on the coronal plane forms a nadir of the unicondylar femoral prosthesis on the coronal plane that is offset a second distance relative to a centerline of the unicondylar femoral prosthesis in a direction proximal to the lateral side of the unicondylar femoral prosthesis, and wherein a radius of curvature of the first articular surface on the coronal plane is less than a radius of curvature of the second articular surface on the coronal plane.
13. The unicondylar femoral prosthesis is characterized by comprising an anterior-posterior diameter and a posterior condylar height, wherein the anterior-posterior diameter is the maximum length of the unicondylar femoral prosthesis in the horizontal direction, the posterior condylar height is the maximum height of the unicondylar femoral prosthesis in the vertical direction, the ratio of the anterior-posterior diameter to the posterior condylar height is 1.28-1.34 for the unicondylar femoral prosthesis with the anterior-posterior diameter being 40mm less than or equal to AP <50mm, the ratio of the anterior-posterior diameter to the posterior condylar height is 1.34-1.40 for the unicondylar femoral prosthesis with the anterior-posterior diameter being 55mm less than or equal to 65mm, the ratio of the anterior-posterior condylar diameter to the posterior condylar height is 1.40-1.46 for the unicondylar femoral prosthesis with the anterior-posterior condylar height being 40mm less than or equal to AP <50mm, the ratio of the anterior-posterior condylar height to the unicondylar femoral prosthesis with the anterior-posterior condylar height being 1.40-1.46, the ratio of the anterior condylar height to the anterior condylar height of the femoral prosthesis with the anterior condylar height being 3mm greater than the extension height.
CN202010429962.4A2020-05-202020-05-20Unicondylar femoral prosthesis system and unicondylar femoral prosthesisActiveCN111467090B (en)

Priority Applications (2)

Application NumberPriority DateFiling DateTitle
CN202010429962.4ACN111467090B (en)2020-05-202020-05-20Unicondylar femoral prosthesis system and unicondylar femoral prosthesis
PCT/CN2021/087183WO2021233023A1 (en)2020-05-202021-04-14Unicompartmental femoral prosthesis system and unicompartmental femoral prosthesis

Applications Claiming Priority (1)

Application NumberPriority DateFiling DateTitle
CN202010429962.4ACN111467090B (en)2020-05-202020-05-20Unicondylar femoral prosthesis system and unicondylar femoral prosthesis

Publications (2)

Publication NumberPublication Date
CN111467090A CN111467090A (en)2020-07-31
CN111467090Btrue CN111467090B (en)2025-09-16

Family

ID=71763390

Family Applications (1)

Application NumberTitlePriority DateFiling Date
CN202010429962.4AActiveCN111467090B (en)2020-05-202020-05-20Unicondylar femoral prosthesis system and unicondylar femoral prosthesis

Country Status (2)

CountryLink
CN (1)CN111467090B (en)
WO (1)WO2021233023A1 (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN111467090B (en)*2020-05-202025-09-16苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis system and unicondylar femoral prosthesis
CN116059015A (en)*2023-01-132023-05-05北京纳通医疗科技控股有限公司Knee joint spacer and knee joint prosthesis having the same
CN117814963B (en)*2024-03-042024-05-28北京爱康宜诚医疗器材有限公司Lumbosacral fusion device
CN119837681B (en)*2025-03-182025-08-29北京纳通医疗科技控股有限公司 Knee pads and knee prostheses

Citations (3)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN106214293A (en)*2011-06-162016-12-14捷迈有限公司The femur part with improvement joint characteristic for knee-joint prosthesis
CN209790099U (en)*2019-01-312019-12-17苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis and tibial insert
CN213156734U (en)*2020-05-202021-05-11苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis system and unicondylar femoral prosthesis

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
EP0611559A1 (en)*1993-02-181994-08-24Societe Civile EssorUnicondylar knee prostheses
JP2009529954A (en)*2006-03-142009-08-27マコ サージカル コーポレーション Prosthetic device and system and method for implanting a prosthetic device
US8828086B2 (en)*2008-06-302014-09-09Depuy (Ireland)Orthopaedic femoral component having controlled condylar curvature
US8192498B2 (en)*2008-06-302012-06-05Depuy Products, Inc.Posterior cructiate-retaining orthopaedic knee prosthesis having controlled condylar curvature
WO2012126497A1 (en)*2011-03-182012-09-27Smith & Nephew Orthopaedics AgA floating insert for a knee joint prosthesis and a knee joint prosthesis including same
WO2013007747A1 (en)*2011-07-132013-01-17Zimmer GmbhFemoral knee prosthesis with diverging lateral condyle
US9649195B2 (en)*2011-12-292017-05-16Mako Surgical Corp.Femoral implant for preserving cruciate ligaments
CN207220907U (en)*2017-01-232018-04-13北京华康天怡生物科技有限公司Femoral condyle prosthesis and artificial knee joint
CN107753156A (en)*2017-10-162018-03-06刘方Patient-specific knee-joint prosthesis
US10827971B2 (en)*2017-12-202020-11-10Howmedica Osteonics Corp.Virtual ligament balancing
CN109620480B (en)*2019-01-312024-11-29苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis
CN111467090B (en)*2020-05-202025-09-16苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis system and unicondylar femoral prosthesis

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN106214293A (en)*2011-06-162016-12-14捷迈有限公司The femur part with improvement joint characteristic for knee-joint prosthesis
CN209790099U (en)*2019-01-312019-12-17苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis and tibial insert
CN213156734U (en)*2020-05-202021-05-11苏州微创关节医疗科技有限公司Unicondylar femoral prosthesis system and unicondylar femoral prosthesis

Also Published As

Publication numberPublication date
WO2021233023A1 (en)2021-11-25
CN111467090A (en)2020-07-31

Similar Documents

PublicationPublication DateTitle
CN111467090B (en)Unicondylar femoral prosthesis system and unicondylar femoral prosthesis
CN109620480B (en)Unicondylar femoral prosthesis
US9642711B2 (en)High flexion articular insert
JP5208116B2 (en) Posterior stable knee prosthesis
CN102917670B (en)Implant for restoring normal range of flexion and knee joint kinematics
CA2602262C (en)Femoral trochlea prostheses
CN105228558B (en)Prosthetic knee implant
WO2003045287A2 (en)Knee joint prostheses
JP2018015571A (en)Total Knee Implant Prosthesis Assembly and Method
CN113180891B (en)Tibia pad
CN213156734U (en)Unicondylar femoral prosthesis system and unicondylar femoral prosthesis
CN209790099U (en)Unicondylar femoral prosthesis and tibial insert
CN212438952U (en)Tibial tray prosthesis
CN212438950U (en)Interchangeable type single-condyle femoral prosthesis system and knee joint system
CN113710208A (en)Orthopaedic system with medial pivoting femoral component and insert
WO2020185912A1 (en)Orthopaedic system with insert having a post for medial pivoting of a femoral component
JP7618583B2 (en) Orthopedic implant system with bone preservation function
CN216090943U (en)Femoral prosthesis
CN217430267U (en)Femoral prosthesis
US20240366392A1 (en)Knee arthroplasty devices, systems, and methods
CN113796998A (en)Femoral prosthesis and knee joint prosthesis with same
BR102014018781A2 (en) systems and methods for the provision of a femoral component

Legal Events

DateCodeTitleDescription
PB01Publication
PB01Publication
SE01Entry into force of request for substantive examination
SE01Entry into force of request for substantive examination
GR01Patent grant
GR01Patent grant

[8]ページ先頭

©2009-2025 Movatter.jp