DE3522196A1 - Method of producing joint endoprostheses and osteosynthesis material or other bone substitute adapted to the patient's bone dimensions - Google Patents
Method of producing joint endoprostheses and osteosynthesis material or other bone substitute adapted to the patient's bone dimensionsInfo
- Publication number
- DE3522196A1 DE3522196A1 DE19853522196 DE3522196A DE3522196A1 DE 3522196 A1 DE3522196 A1 DE 3522196A1 DE 19853522196 DE19853522196 DE 19853522196 DE 3522196 A DE3522196 A DE 3522196A DE 3522196 A1 DE3522196 A1 DE 3522196A1
- Authority
- DE
- Germany
- Prior art keywords
- bone
- patient
- dimensions
- computer
- joint endoprostheses
- 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.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30948—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30952—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using CAD-CAM techniques or NC-techniques
Abstract
Description
Verfahren zur Fertigung von Gelenkendoprothesen und Osteosyn-Process for the production of joint endoprostheses and osteosyn-
thesematerial oder anderem Knochenersatz nach den Knochendi -mensionen des Patienten.thesis material or other bone substitute according to the bone dimensions of the patient.
Der Ersatz von Hüft-und Kniegelenken hat in- den letzten Dezennien eine explosionsartige Entwicklung genommen Trotzdem ist der Kompromiß gegenüber dem natürlichen Gelenk noch erheblich.The replacement of hip and knee joints has taken place in the last few decades Nevertheless, the compromise is up against the natural joint still considerably.
Bei den mit sogen. Knochenzement am Knochen verankerten Prothesenschäften hat sich die Rate der septischen Implantatlocker -ungen stark vermindert. Dadurch wurde die relativ große Rate der infektfreien Tjockerungen recht augenfällig, die durch folgende Ursachen entstehen: der am geringsten tragfähige Partner des Verbundes Knochen - Knochenzement - Metall, nämlich der Hnochenzement, ist den auftretenden Last- und Spannungssp durch den hohen Unterschied der Elastizitätsmoduli beeinflußt) auf Dauer nicht gewachsen und zerrüttet. Hierdurch korim- es .s-z unphysiologisch hohen oder niedrigen Beanspruchungen des Knochens der mit Resorption darauf reagiert. Ebenso kann es auch zur k£-scr -tion durch Stoffwechselstörungen im Knochen kommen, die dadurch ausgelöst werden, daß der Knochenzement und Implantatschaft den Markraum verstopfen. In diesem Zusammenhang muß angefügt erden, daß die Ernährung des Knochens größtenteils durch den Markraiiir erfolgt. Diese Probleme führten zur Entwicklung der zementfreien Prothesen mit Tragrippen oder einer Oberflächenstruktur, in die der Knochen hineinwachsen soll. Im Zuge dieser Entwicklung id dem Operateur jetzt zementfreie Prothesen verschiedeiier Formen und Dimensionen anhand gegeben. Allerdings muß der Markraum je -weils durch umfangreiche Knochenresektionen dem Implantat a^^e -paßt werden. Oftmals gelingt dies nur in einer Ebene, sodaC Lo nen mit unphysiologischer Beanspruchung des Knochens infolge @@ spitzen entstehen, in denen der Knochen dann resorbiert. Die le erdung des Prothesenschaftes ist die Folge.With the so-called Prosthetic shafts anchored to the bone by bone cement the rate of septic implant loosening has decreased significantly. Through this the relatively high rate of infection-free jokers became quite obvious caused by the following causes: the least sustainable partner in the network Bone - bone cement - metal, namely the bone cement, is the occurring Load and tension sp influenced by the large difference in the moduli of elasticity) not grown in the long run and shattered. As a result, korim- es .s-z is unphysiological high or low stresses on the bone, which reacts to it with resorption. It can also lead to k £ -scr -tion due to metabolic disorders in the bones, which are triggered by the fact that the bone cement and implant shaft enter the medullary canal clog. In this connection it must be added that the nutrition of the bones largely done through the Markraiiir. These problems led to the development of cementless prostheses with support ribs or a surface structure into which the bone should grow into it. In the course of this development, the surgeon id now cement-free prostheses based on various shapes and dimensions. However the medullary canal must be attached to the implant a ^^ e -be adjusted. Often this only works on one level, so that it is unphysiological Stress on the bone as a result of @@ sharp points, in which the bone then absorbed. The result is that the prosthesis stem becomes empty.
Der Erfindung liegt die Aufgabe zugrunde, diese Nachteile größtmöglichst zu vermeiden. Die Lösung dieser Aufgabe besteht in der dem Patienten individuell angepaßten Prothese.The invention is based on the task of addressing these disadvantages as much as possible to avoid. The solution to this task consists in the individual patient adapted prosthesis.
Nach einem Stereoröntgenbild oder dem Röntgenbild der Beckenübersicht und Computertomographien des coxalen Femurendes wird.After a stereo x-ray or the x-ray of the pelvic overview and computed tomography of the coxal end of the femur.
kannter Weise, computerunterstützt das Netz scjmtlicher geometri ist der Koordinatenpunkte (ähnlich wie bei der Vermessung der Erdobenff in der erforderlichen Dichte für die jeweilige Zone, augenorrer und gespeichert. Diese Daten werden vom Computer mit deren der vohandenen oder vom Handel bereitgehaltenen Prothesen verglichen.As is known, the network of all geometries is computer-aided of the coordinate points (similar to the measurement of the earth in the required Density for the respective zone, augenorrer and saved. These data are from Computer with their existing or kept by the trade Prostheses compared.
Ist keine passende Prothese verfügbar, übernimmt eine numerisch gesteuerte rräs- oder Schleifmaschine die Daten und fertigt nach diesen ein modells nach dem eine Negativform aus Ton oder der£leicnen oder anderem Material hergestellt werden kann. Unter Berficksichtigung der Ausschußquote bei der Fertigung (Materialprüfung, Fertigungstoleranzen) können dann beliebig viele Kokillen maßgeau für die Produktion der Prothese, die in bekannter Weise erfolgt.If no suitable prosthesis is available, a numerically controlled one takes over milling or grinding machine takes the data and produces a model according to the a negative mold can be made from clay or the leicnen or other material can. Taking into account the reject rate in production (material testing, Manufacturing tolerances), any number of molds can be made to measure for production the prosthesis, which is done in a known manner.
hergestellt werden.getting produced.
Eine Nachbearbeitung vorhandener Prothesen, zwecks Anpassung Knochendimensionen, ist nach dieser Methode ebenfalls möglich.Post-processing of existing prostheses for the purpose of adapting bone dimensions, is also possible using this method.
Bas gleiche Verfahren, mit dem die Kokillen für patientenindivi -duel angepaßte metallische Gelenkprothesen gefertigt werden, kann auch zur Herstellung von Formen für biokeramische oder Faserver -bundprothesen eingesetzt werden. Ebenso sind mit dem gleichen Verfahren Osteosyntheseplatten und anderer Knochenersatz nach den Knochendimensionen nachzubearbeiten.Bas the same process with which the molds for patient-specific duel Customized metallic joint prostheses can also be used to manufacture of forms for bio-ceramic or fiber composite prostheses are used. as well osteosynthesis plates and other bone substitutes are done using the same procedure rework the bone dimensions.
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19853522196 DE3522196A1 (en) | 1985-06-21 | 1985-06-21 | Method of producing joint endoprostheses and osteosynthesis material or other bone substitute adapted to the patient's bone dimensions |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19853522196 DE3522196A1 (en) | 1985-06-21 | 1985-06-21 | Method of producing joint endoprostheses and osteosynthesis material or other bone substitute adapted to the patient's bone dimensions |
Publications (1)
Publication Number | Publication Date |
---|---|
DE3522196A1 true DE3522196A1 (en) | 1986-02-20 |
Family
ID=6273808
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19853522196 Withdrawn DE3522196A1 (en) | 1985-06-21 | 1985-06-21 | Method of producing joint endoprostheses and osteosynthesis material or other bone substitute adapted to the patient's bone dimensions |
Country Status (1)
Country | Link |
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DE (1) | DE3522196A1 (en) |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4800639A (en) * | 1985-02-07 | 1989-01-31 | Sulzer Brothers Limited | Method of making a metal bone implant |
DE3844592A1 (en) * | 1988-05-28 | 1990-04-05 | Marc Amler | Artificial joint element for attachment to a bone section of a hinge joint |
EP0479257A1 (en) * | 1990-10-03 | 1992-04-08 | Board Of Regents, The University Of Texas System | Process for making custom joint replacements |
WO1992006654A1 (en) * | 1990-10-23 | 1992-04-30 | Ian Leonard | Prostheses and methods and apparatus for making same |
EP0574098A1 (en) * | 1992-06-10 | 1993-12-15 | AMEI TECHNOLOGIES Inc. | Method and apparatus for making customized fixation devices |
EP0669115A1 (en) * | 1994-02-25 | 1995-08-30 | Fehling Medical Ag | Total hip endoprothesis |
DE4434539A1 (en) * | 1994-09-27 | 1996-04-25 | Luis Dr Med Schuster | Process for the production of an endoprosthesis as a joint replacement for knee joints |
DE19952550A1 (en) * | 1999-11-02 | 2001-05-03 | Tutogen Medical Gmbh | Bone implant |
DE19936682C1 (en) * | 1999-08-04 | 2001-05-10 | Luis Schuster | Process for the production of an endoprosthesis as a joint replacement for knee joints |
FR2813780A1 (en) * | 2000-09-08 | 2002-03-15 | Biomet Merck France | Procedure and instrument for determining theoretical articulation interline of knee joint for prosthesis |
US6510334B1 (en) | 2000-11-14 | 2003-01-21 | Luis Schuster | Method of producing an endoprosthesis as a joint substitute for a knee joint |
WO2003059211A1 (en) * | 2001-12-20 | 2003-07-24 | Matts Andersson | Method and arrangement at implants preferably for a human intervertebral and such implant |
DE10341187A1 (en) * | 2003-09-06 | 2005-03-31 | Bernhard Linnekogel | Human or animal artificial bone or cartilage joint substitute production procedure uses three dimensional virtual computer model from infrared or tomography imaging |
EP1982652A1 (en) * | 2007-04-20 | 2008-10-22 | Medicim NV | Method for deriving shape information |
US8419741B2 (en) | 2000-03-17 | 2013-04-16 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
US8521492B2 (en) | 2008-09-19 | 2013-08-27 | Smith & Nephew, Inc. | Tuning implants for increased performance |
-
1985
- 1985-06-21 DE DE19853522196 patent/DE3522196A1/en not_active Withdrawn
Cited By (34)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4800639A (en) * | 1985-02-07 | 1989-01-31 | Sulzer Brothers Limited | Method of making a metal bone implant |
DE3844592A1 (en) * | 1988-05-28 | 1990-04-05 | Marc Amler | Artificial joint element for attachment to a bone section of a hinge joint |
EP0479257A1 (en) * | 1990-10-03 | 1992-04-08 | Board Of Regents, The University Of Texas System | Process for making custom joint replacements |
US5274565A (en) * | 1990-10-03 | 1993-12-28 | Board Of Regents, The University Of Texas System | Process for making custom joint replacements |
US5448489A (en) * | 1990-10-03 | 1995-09-05 | Board Of Regents, The University Of Texas System | Process for making custom joint replacements |
WO1992006654A1 (en) * | 1990-10-23 | 1992-04-30 | Ian Leonard | Prostheses and methods and apparatus for making same |
EP0574098A1 (en) * | 1992-06-10 | 1993-12-15 | AMEI TECHNOLOGIES Inc. | Method and apparatus for making customized fixation devices |
US5365996A (en) * | 1992-06-10 | 1994-11-22 | Amei Technologies Inc. | Method and apparatus for making customized fixation devices |
EP0669115A1 (en) * | 1994-02-25 | 1995-08-30 | Fehling Medical Ag | Total hip endoprothesis |
US5735277A (en) * | 1994-09-27 | 1998-04-07 | Schuster; Luis | Method of producing an endoprosthesis as a joint substitute for knee-joints |
DE4434539A1 (en) * | 1994-09-27 | 1996-04-25 | Luis Dr Med Schuster | Process for the production of an endoprosthesis as a joint replacement for knee joints |
DE4434539C2 (en) * | 1994-09-27 | 1998-06-04 | Luis Dr Med Schuster | Process for the production of an endoprosthesis as a joint replacement for knee joints |
DE19936682C1 (en) * | 1999-08-04 | 2001-05-10 | Luis Schuster | Process for the production of an endoprosthesis as a joint replacement for knee joints |
DE19952550A1 (en) * | 1999-11-02 | 2001-05-03 | Tutogen Medical Gmbh | Bone implant |
US6988015B1 (en) | 1999-11-02 | 2006-01-17 | Tutogen Medical Gmbh | Bone implant |
US8419741B2 (en) | 2000-03-17 | 2013-04-16 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
US9393032B2 (en) | 2000-03-17 | 2016-07-19 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
US8961529B2 (en) | 2000-03-17 | 2015-02-24 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
US8936602B2 (en) | 2000-03-17 | 2015-01-20 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
US8936601B2 (en) | 2000-03-17 | 2015-01-20 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
US8771281B2 (en) | 2000-03-17 | 2014-07-08 | Kinamed, Inc. | Marking template for installing a custom replacement device for resurfacing a femur and associated installation method |
FR2813780A1 (en) * | 2000-09-08 | 2002-03-15 | Biomet Merck France | Procedure and instrument for determining theoretical articulation interline of knee joint for prosthesis |
US6510334B1 (en) | 2000-11-14 | 2003-01-21 | Luis Schuster | Method of producing an endoprosthesis as a joint substitute for a knee joint |
WO2003059211A1 (en) * | 2001-12-20 | 2003-07-24 | Matts Andersson | Method and arrangement at implants preferably for a human intervertebral and such implant |
DE10341187A1 (en) * | 2003-09-06 | 2005-03-31 | Bernhard Linnekogel | Human or animal artificial bone or cartilage joint substitute production procedure uses three dimensional virtual computer model from infrared or tomography imaging |
CN101720204B (en) * | 2007-04-20 | 2013-11-06 | 麦迪西姆有限公司 | Method for deriving shape information |
CN101720204A (en) * | 2007-04-20 | 2010-06-02 | 麦迪西姆有限公司 | Method for deriving shape information |
WO2008128720A3 (en) * | 2007-04-20 | 2009-03-19 | Medicim Nv | Method for deriving shape information |
WO2008128720A2 (en) * | 2007-04-20 | 2008-10-30 | Medicim Nv | Method for deriving shape information |
EP1982652A1 (en) * | 2007-04-20 | 2008-10-22 | Medicim NV | Method for deriving shape information |
US9439608B2 (en) | 2007-04-20 | 2016-09-13 | Medicim Nv | Method for deriving shape information |
US8521492B2 (en) | 2008-09-19 | 2013-08-27 | Smith & Nephew, Inc. | Tuning implants for increased performance |
US10600515B2 (en) | 2008-09-19 | 2020-03-24 | Smith & Nephew, Inc. | Operatively tuning implants for increased performance |
US11488721B2 (en) | 2008-09-19 | 2022-11-01 | Smith & Nephew, Inc. | Operatively tuning implants for increased performance |
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Legal Events
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OAV | Applicant agreed to the publication of the unexamined application as to paragraph 31 lit. 2 z1 | ||
8139 | Disposal/non-payment of the annual fee |