Femoral hip prosthesis and method of implantation
View Patent ↗Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprising a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.
1. A prosthesis adapted for implantation against a resected surface on a proximal end of a femur and inside of an intramedullary cavity of the femur, the prosthesis comprising:
a femoral head component comprising an external bearing surface; and
a femoral stem component comprising:
a neck portion comprising a proximal portion, engagable with the femoral head component, and a distal neck body;
a flange portion distal and adjacent to the neck portion, the flange portion comprising a bottom surface;
a transitional body region adjacent to the bottom surface of the flange portion and extending from the distal neck body; and
an elongated stem portion extending distally from the transitional body region and having a longitudinal axis oriented at an acute angle from the bottom surface of the flange portion;
wherein the transitional body region is shaped to flex such that, during a normal gait cycle, the bottom surface exerts a significant compressive load on the resected surface of the femur.
2. A prosthesis as is claim 1 , wherein the elongated stem portion comprises a uniform envelope with a substantially constant cross-sectional peripheral shape and size.
3. A prosthesis as in claim 1 , wherein the elongated stem portion comprises a proximal section having a cross sectional shape that is substantially consistent along a longitudinal length of the proximal section, wherein a minimum displacement between the bottom surface of the flange and the proximal section, measured normal to the bottom surface, is less than thirteen millimeters.
4. A prosthesis as in claim 1 , further comprising a rotation-restricting boss, extending from the bottom of the flange portion.
5. A prosthesis as in claim 2 , further comprising a rotation-restricting boss, extending from the bottom of the flange portion.
6. A prosthesis as in claim 5 , wherein the rotation restricting boss has an axis of protrusion with a boss axis origin near the bottom surface of the flange, the elongated stem also has a stem axis origin near the bottom of the flange, the boss axis origin and the stem axis origin are spaced apart by a length more than the maximum cross-section of the elongated stem portion.
7. A prosthesis as in claim 6 , wherein the axis of protrusion and the longitudinal axis are substantially parallel.
8. A prosthesis as in claim 6 , wherein the axis of protrusion and the longitudinal axis are not substantially parallel.
9. A prosthesis as in claim 6 , wherein the axis of protrusion is normal to the bottom surface of the flange portion.
10. A prosthesis as in claim 1 , wherein the elongated stem portion has a distal section with multiple longitudinal flutes, wherein the longitudinal flutes are aligned approximately parallel to the longitudinal axis.
11. A prosthesis as in claim 1 , wherein the neck portion is aligned at an obtuse angle with respect to the bottom surface of the flange portion.
12. A prosthesis as in claim 11 , wherein the obtuse angle is between 100° and 170°.
13. A prosthesis as in claim 1 , wherein the neck portion has a first end and a second end, wherein the first end is connected to the flange portion and extends proximally therefrom and the second end is shaped to press-fit into the femoral head component.
14. A prosthesis as in claim 13 , wherein at least a portion of the outer surface of the femoral head component is hemispherical.
15. A prosthesis as in clam 1 , wherein the acute angle ranges from 15° to 80°.
16. A prosthesis as in claim 2 , wherein the uniform envelope has a maximum cross-section area measured on a plane perpendicular to the longitudinal axis.
17. A prosthesis as in claim 1 , wherein the elongated stem portion has a length of at least one hundred millimeters as measured along the length of its longitudinal axis.
18. A prosthesis as in claim 1 , wherein the elongated stem portion comprises a tapered portion.
19. A prosthesis as in claim 1 , wherein the elongated stem portion comprises a proximal section having a cross sectional shape that is substantially consistent along a longitudinal length of the proximal section, wherein a minimum displacement between the bottom surface of the flange and the proximal section, measured normal to the bottom surface, is less than a maximum cross sectional width of the elongated stem portion, measured perpendicular to the longitudinal axis.
20. A prosthesis as in claim 1 , wherein the transitional body region is shaped to provide a lateral offset between an axis of the neck portion and the longitudinal axis of the elongated stem portion.