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    • 10. 发明授权
    • Total hip joint replacement
    • 全髋关节置换
    • US4123806A
    • 1978-11-07
    • US764184
    • 1977-01-31
    • Harlan C. AmstutzIan C. Clarke
    • Harlan C. AmstutzIan C. Clarke
    • A61F2/00A61F2/30A61F2/32A61F2/34A61F2/36A61F2/46A61F1/24
    • A61F2/32A61F2/3603A61F2002/3008A61F2002/30324A61F2002/30617A61F2002/30733A61F2002/30795A61F2002/30828A61F2002/3083A61F2002/3266A61F2002/3424A61F2002/344A61F2002/3446A61F2002/4631A61F2250/0036A61F2250/0097A61F2250/0098
    • In the replacement of the hip joint, full access to the hip joint is obtained by separating the trochanter, a large protruberance on the upper portion of the upper leg bone, or femur, from the remainder of the femur, and the subsequent dislocation of the hip joint. Following dislocation, a minimum amount of bone is removed from the femoral ball and sufficient bone is removed from the socket to accommodate the minimum thickness surface replacement elements. A thin hollow inert metal ball or shell member having an outer diameter close to that of the original hip joint is then cemented onto the upper end of the femur, and an ultra high molecular weight polyethylene cup is cemented into the hip bone socket, with acrylic bone cement. To achieve maximum strength with minimum thickness, both the metal and plastic surface elements, although spherical at their mating surfaces, are thicker at their maximum load bearing points toward the top, and are of lesser thickness elsewhere. The two joint surface elements which are both generally hemispherical, have inner and outer surfaces which are both eccentric and asymmetric, with the thicker portion of the plastic liner being about 45.degree. off the central hemispherical axis, and the thicker portion of the metal shell being its upper portion.
    • 在更换髋关节时,通过将股骨的其余部分将转子,大腿骨的上部或股骨上的大的隆起分离出来,获得对髋关节的完全通路,并且随后的脱位 髋关节。 脱位后,从股骨球中除去最少量的骨,并且从插座中移除足够的骨以适应最小厚度的表面置换元件。 然后将具有接近原始髋关节的外径的细中空惰性金属球或外壳构件胶合到股骨的上端,并且将超高分子量聚乙烯杯粘合到髋骨窝中,用丙烯酸 骨水泥 为了获得最小厚度的最大强度,金属和塑料表面元件(尽管它们的配合表面是球形的)在其最大承载点朝向顶部较厚,并且在其他地方具有较小的厚度。 两个大致半球形的接合表面元件具有偏心和不对称的内表面和外表面,塑料衬垫的较厚部分离中心半球轴线约45°,金属外壳的较厚部分为 其上部。