Hip joint device and method
A medical device for implantation in a hip joint of a human patient is provided. The natural hip joint having a ball shaped caput femur as the proximal part of the femoral bone with a convex hip joint surface towards the centre of the hip joint and a bowl shaped acetabulum as part of the pelvic bone with a concave hip joint surface towards the centre of the hip joint. The caput femur has a centrally placed longitudinal extension, extending through the center of the caput and collum femur, aligned with the collum femur, defined as the caput and collum femur center axis. The medical device comprising; an artificial acetabulum, comprising a concave surface towards the centre of the hip joint. The artificial concave acetabulum is adapted to, when implanted, be fixated to the femoral bone of the human patient, and be in movable connection with an artificial caput femur fixated to the pelvic bone of the patient.
1. A medical device for implantation in a hip joint of a human patient, the hip joint having a ball shaped caput femur as a proximal part of a femoral bone with a convex hip joint surface towards a centre of the hip joint and an acetabulum as part of a pelvic bone with a concave hip joint surface towards the centre of the hip joint, the medical device comprising; an artificial caput femur, comprising a convex surface towards the centre of the hip joint, wherein said artificial caput femur is adapted to, when implanted:
a. be fixated to the pelvic bone of the human patient, and
b. be in movable connection with an artificial acetabulum surface fixated to the femoral bone of the patient, thereby forming a ball and socket joint, wherein
the medical device further comprises a fixation element comprising a fixation surface adapted to be in contact with a surface of the acetabulum or its surroundings and adapted to fixate the artificial caput femur to at least acetabulum of the pelvic bone, such that there is a gap at least a portion of the artifical caput femur and the acetabulum.
2. The medical device according to claim 1 , wherein said fixation element is at least one of:
a. comprising at least one hole adapted to receive a mechanical fixation element, or
b. adapted to fixate to the pelvic bone using an adhesive placed between said fixation surface and said surface of the acetabulum, when said medical device is implanted in the hip joint.
3. The medical device according to claim 1 , wherein further comprising an elongated member is adapted to:
a. be inserted through a hole in the pelvic bone, such that said elongated member is partially placed at least one of:
i. inside of the pelvic bone, or
ii. on an abdominal side of the pelvic bone opposite the acetabulum, and
b. adapted to be structurally changed inside of the pelvic bone or on the abdominal side of the pelvic bone, such that said elongated member fixates the fixation element to the pelvic bone and at least a portion of said elongated member contacts the pelvic bone on the inside or abdominal side thereof, when implanted.
4. The medical device according to claim 3 , wherein said elongated member comprises an expandable portion, wherein said expandable portion is adapted to:
a. in a first, non-expanded state, be inserted through the hole in the pelvic bone, substantially along a length axis of said elongated member,
b. expand in a direction non-parallel relative to said length axis, such that said elongated member is placed in an expanded state, which fixates the fixation element to the pelvic bone, on the inside or abdominal side thereof.
5. The medical device according to claim 4 , wherein said expandable portion comprises two or more expanding elements in connection with an anvil member, wherein said anvil member is adapted to press on the expanding elements following an action performed from the acetabulum side of the pelvic bone, such that said two or more expanding elements expands in at least one direction substantially perpendicular to the length axis of the elongated member.
6. The medical device according to claim 5 , wherein said anvil member is in connection with a threaded portion of the elongated member, the threaded portion extending substantially along the length axis of the elongated member, and wherein said artificial caput femur further comprises a threaded part with cooperating threads, such that rotating said artificial caput femor results in said threaded portion being pulled in the direction of the acetabulum side of the pelvic bone, which by the connection with the anvil member presses said two or more expanding elements.
7. The medical device according to claim 4 , wherein said expandable portion of said elongated member is adapted to expand at least in one direction away from said length axis, when a rotational movement is performed from the acetabulum side of the pelvic bone, when said device is implanted.
8. The medical device according to claim 3 , wherein said elongated member comprises a movable locking portion adapted to have a first and second state, wherein said movable locking portion, in said first state is adapted to be inserted into a hole in the pelvic bone, and in said second state is adapted to hinder the elongated member from passing through said hole in the pelvic bone by said movable locking portion contacting the surface of the pelvic bone on the abdominal side thereof.
9. The medical device according to claim 8 , wherein said movable locking portion is pivotally arranged to said elongated member.
10. The medical device according to claim 1 , wherein the artificial caput femur comprises a threaded part adapted to engage a corresponding threaded member, and wherein said artificial convex caput femur is adapted to be further fixated to the pelvic bone by a relative rotating movement of the artificial convex caput femur in relation to said threaded member.
11. The medical device according to claim 1 , wherein said fixation element comprises at least one hole adapted to receive an an elongated member adapted to be placed in said hole, wherein said elongated member is further adapted to:
a. be inserted through a hole in the pelvic bone, such that said elongated member is partially placed on the an abdominal side of the pelvic bone opposite the acetabulum, and
b. be structurally changed on the abdominal side of the pelvic bone, such that said elongated member fixates the fixation element to the pelvic bone.
12. The medical device according to claim 1 , further comprising said artificial acetabulum surface, comprising a concave surface towards the centre of the hip joint, adapted to, when implanted, be fixated to the femoral bone of the human patient, and be in movable connection with the convex surface of the artificial caput femur.
13. The medical device according to claim 12 , wherein said medical device further comprises a second fixation element comprising a fixation surface adapted to be in contact with a surface of the caput femur or collum femur, wherein said second fixation element is adapted to fixate the concave surface of the artificial acetabulum to the femoral bone.
14. The medical device according to claim 12 , further comprising an elongated member comprising an expandable portion adapted to:
a. in a first, non-expanded state, be inserted through a hole in the femoral bone, substantially along a length axis of the elongated member, and
b. expand at least in one direction away from said length axis, such that said elongated member is placed in an expanded state, which fixates the fixation element to the femoral bone, from the inside thereof.
15. The medical device according to claim 12 , wherein said artificial acetabulum surface comprises at least one beyond part adapted to pass beyond the equator of the artificial caput femur, clasping said artificial caput femur for fixating said artificial caput femur in said artificial acetabulum surface.
16. A medical device for implantation in a hip joint of a human patient, the hip joint having a ball shaped caput femur as a proximal part of a femoral bone with a convex hip joint surface towards a central location of the hip joint between the caput femur and an acetabulum and a bowl shaped acetabulum as part of a pelvic bone with a concave hip joint surface, the medical device comprising; an artificial caput femur, comprising a convex surface, wherein said artificial caput femur is adapted to, when implanted,
be immovably fixated to the pelvic bone of the human patient, and
be in movable connection with an artificial acetabulum surface fixated to the femoral bone of the patient, thereby forming a ball and socket joint, wherein
the medical device further comprises a fixation element connected to said artificial caput femur and configured to be in contact with a surface opposite acetabulum on an abdominal side of the pelvic bone, for fixating the artificial caput femur to the pelvic bone.
17. The medical device according to claim 16 , wherein said artificial acetabulum comprises a concave surface towards the center of rotation of the hip joint, adapted to, when implanted, be fixated to the femoral bone of the human patient, and be in movable connection with the convex surface of the artificial caput femure and wherein the medical device further comprises a fixating portion comprising a fixation surface adapted to be in contact with the caput femur or collum femur, wherein said fixating portion is adapted to fixate the artificial acetabulum to the femoral bone.
18. The medical device according to claim 16 , wherein said fixation element comprises at least one hole adapted to receive a mechanical fixation element.
19. The medical device according to claim 16 , wherein said fixation element further comprises a convex fixation surface adapted to be in contact with, and fixate to-a surface of the acetabulum and to fixate said medical device to the pelvic bone using an adhesive placed between said convex fixation surface and said surface of the acetabulum, when said device is implanted in the hip joint.
20. The medical device according to claim 16 , wherein said fixation element comprises an elongated member, and wherein said elongated member is adapted to:
a. be inserted through a hole in the pelvic bone, such that said elongated member is adapted to be partially placed at least one of:
i. inside of the pelvic bone, or
ii. on the abdominal side of the pelvic bone, and
b. be structurally changed such that said elongated member is adapted to fixate the fixation element to the pelvic bone, and adapted to be contacting the pelvic bone on the inside thereof, when implanted.