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WO2009088238A4 - Artificial knee joint for preventing ligament injury - Google Patents

Artificial knee joint for preventing ligament injury Download PDF

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Publication number
WO2009088238A4
WO2009088238A4 PCT/KR2009/000104 KR2009000104W WO2009088238A4 WO 2009088238 A4 WO2009088238 A4 WO 2009088238A4 KR 2009000104 W KR2009000104 W KR 2009000104W WO 2009088238 A4 WO2009088238 A4 WO 2009088238A4
Authority
WO
WIPO (PCT)
Prior art keywords
femur
joint
ligament
joint member
knee joint
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.)
Ceased
Application number
PCT/KR2009/000104
Other languages
French (fr)
Korean (ko)
Other versions
WO2009088238A2 (en
WO2009088238A3 (en
Inventor
선두훈
김용식
김정성
김병수
서재곤
조우신
정현기
이명철
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.)
Corentec Co Ltd
Original Assignee
Corentec 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 Corentec Co Ltd filed Critical Corentec Co Ltd
Publication of WO2009088238A2 publication Critical patent/WO2009088238A2/en
Publication of WO2009088238A3 publication Critical patent/WO2009088238A3/en
Publication of WO2009088238A4 publication Critical patent/WO2009088238A4/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/3886Joints for elbows or knees for stabilising knees against anterior or lateral dislocations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/389Tibial components

Definitions

  • the present invention relates to an artificial knee joint capable of replacing a knee joint, and more particularly, to an artificial knee joint capable of replacing a knee joint, and more particularly to an artificial knee joint capable of replacing a knee joint, And a bearing member positioned between the tibia joint member and the tibia joint member, wherein a chamfer is formed at an end of a posterior condyle of the femur joint member to prevent a ligament injury when there is movement of the knee, To an artificial knee joint capable of preventing the femur joint member from damaging the ligament due to twisting rotation and the like.
  • the artificial knee joint of the present invention is performed in the CR type when the artificial knee joint maintains the posterior cruciate ligament.
  • the knee joint is the joint between the tibia and the femur, and the number of patients who are in an unrecoverable condition is increasing due to wear of the knee, aging of the bone tissue, and accidents.
  • the knee joint is a joint between the lower part of the femur and the upper part of the tibia and the back of the patella (knee bone). It serves to bend the leg backward from the knee.
  • the back of the patella is covered with cartilage with a thickness of 4 mm to 6 mm.
  • cartilage with a thickness of 4 mm to 6 mm.
  • the pressure applied to the patellar-femur joints when walking on the ground corresponds to half of the weight, and when climbing the stairs, the weight is multiplied by three times, and when squatting occurs, eight times the weight.
  • the joint capsule begins at the lower edge of the femur and is attached to the edge of the upper tibia.
  • strengthening of the bones is strengthened by many durable ligaments, including the medial and lateral collateral ligaments, the sphincter ligaments in the capsular bag, and the direction and range of motion are limited.
  • the symptoms of the meniscus of the knee joint are as follows: The meniscus is located between the femur and the tibia, which is located between the femur and the tibia.
  • the knee joint is located between the joint cartilage to cushion the impact of the knee joint. Provides the stability of the joint, smoothes the movement of the knee joint, and transmits the weight load.
  • the medial meniscus is usually composed of medial meniscus and lateral meniscus cartilage. In Europe and Americans, the medial meniscus is larger and less mobile than the lateral meniscus. However, it is easily damaged and the medial meniscus is damaged. In Korea, however, Are known to be many.
  • the damage to the meniscus is one of the most frequent injuries to the knee joints, often occurring during sports, mountain climbing or everyday life.
  • a rotational motion is applied, that is, when a torsional force is generated in the knee joint, it is good. If severe external force is applied, it may be accompanied with injuries such as cruciate ligament, collateral ligament, tibial fracture.
  • an artificial knee joint is divided into a femur part and a tibial part, and a bearing part which is a part corresponding to a cartilage between a femur part and a tibia part.
  • the femur part and the tibia part are mainly made of a metal alloy, and the cartilage part is made of polyethylene and the like.
  • the tibial part is fixed by an insertion part which is inserted into the knee joint side end of the tibia.
  • the insertion part is fixed by the bone marrow of the tibia.
  • a repeated load is applied to the knee joint, it is difficult to achieve a sufficient effect due to a structural defect of the artificial knee joint, and the femur portion and the tibia portion are damaged by a continuous load, Resulting in a large problem.
  • the femur joint member 10 is allowed to move only in the forward and backward directions when bending the upper surface of the bearing member 50 no. That is, when the artificial knee joint is performed, the knee joint of the human body does not only move forward and backward but also slightly twist the rotation of the tibia. Accordingly, the bearing member 50 50 in the plane of the upper surface. This plane twist rotation causes the end of the posterior condyle of the femur joint member 10 to collide with the ligament present on the side surface, and eventually to damage the lateral ligament.
  • Conventional artificial knee joint procedures include CR type and PS type.
  • the CR type is a type of artificial knee joint when the artificial knee joint is removed without removing the posterior cruciate ligament
  • the PS type is a posterior cruciate ligament
  • the posterior cruciate ligament is replaced with a post of a bearing member.
  • the femur joint member collides with the side ligaments when the femur joint member is twisted and rotated in a plane on the upper surface of the bearing member due to the outer edges of both ends of the rear joint of the femur joint member, .
  • the PS type artificial knee joint is replaced with the posterior cruciate ligament removed due to the cam of the bearing member and the femur joint member, there is no fear of damage to the posterior cruciate ligament in the central part, Type artificial knee joint, the artificial knee joint is performed while maintaining the posterior cruciate ligament. Therefore, when the femur joint member makes a twist rotation on the upper surface of the bearing member, the inner joint edge of the femur joint member The posterior cruciate ligament is damaged.
  • an object of the present invention to provide an artificial knee joint having a femur joint member having an outer edge of a femur joint member,
  • an outer chamfer is included at the outer edge of the end of the rear joint of the femur joint member to prevent collision with the side ligaments, To provide an artificial knee joint.
  • Another object of the present invention is to provide a CR type artificial knee joint having a posterior cruciate ligament in the inside thereof colliding with an inner edge of the femur joint member along the horizontal axis of the femur joint member,
  • the present invention also provides an artificial knee joint which prevents the ligament from being damaged by preventing collision with the posterior cruciate ligament by including an inner chamfer on the inner edge of the distal end of the femur joint member.
  • the present invention provides an artificial knee joint which can prevent ligament damage by including a rear chamfer at a rear protruding portion of the bearing member to prevent the ligament damage.
  • the present invention will be realized by an embodiment having the following configuration, and includes the following configuration.
  • an artificial knee joint includes a femur joint member coupled to a distal end of a femur, a tibia joint member coupled to a distal end of the tibia, and a femur joint member connected between the femur joint member and the tibia joint member
  • the femur joint member includes an outer chamfer chamfered at an outer edge of an end of the rear joint to prevent collision with a lateral ligament to thereby prevent ligament damage .
  • the femur joint member of the artificial knee joint according to the present invention further includes an inner chamfer chamfered at the inner edge of the end of the rear joint to prevent collision with the posterior cruciate ligament, And the like.
  • the artificial knee joint according to the present invention is characterized in that the outer chamfer is chamfered in a gently convex curved shape.
  • the artificial knee joint according to the present invention is characterized in that the inner chamfer is chamfered into a gentle concave curved shape embedded inward.
  • the artificial knee joint according to the present invention includes a rearward protruding portion that protrudes upward from the rear of the bearing member, and the rear protruding portion includes a rear chamfer formed by being chamfered to a certain depth downwardly , And the rear chamfer is capable of preventing collision with the ligament.
  • the artificial knee joint according to the present invention is characterized in that the rear chamfer is chamfered into a gently curved shape recessed and embedded.
  • an artificial knee joint according to the present invention includes a femur joint portion coupled to a distal end of a femur, wherein the femur joint member is chamfered in a gently convex curved shape at an outer edge of an end of a rear joint of the femur joint member It is characterized by preventing the collision of the ligament by preventing collision with the lateral ligament including the outer chamfer.
  • the femur joint member according to the present invention further comprises a chamfered inner chamfer which is gently curved inwardly recessed inwardly from an inner edge of a rear end of the femur joint member And prevents collision with the posterior cruciate ligament, thereby preventing damage to the ligament.
  • an artificial knee joint is a bearing member positioned between a femur joint member and a tibia joint member, the bearing member including a rear protrusion protruding upward from a rear side thereof ,
  • the rear projecting portion includes a rear chamfer chamfered in a gently curved shape embedded in a concave shape, and the rear chamfer is characterized in that collision with the ligament can be prevented.
  • the artificial knee joint according to the present invention further includes a front protruding portion that protrudes upward from the front of the bearing member, and the front protruding portion is formed higher than the height of the rear protruding portion, Knee motion and anterior dislocation can be prevented.
  • the present invention can achieve the following effects according to the above-described problem solving means and the construction and operation to be described later.
  • the lateral ligament collides with the femur joint member by the outer edge of the femur joint member in the conventional artificial knee joint due to the horizontal axis rotation in the plane, and the ligament is damaged.
  • the femur joint member includes an outer chamfer at the outer edge of the distal end of the rear joint to prevent collision with the side ligaments, thereby preventing ligament damage.
  • a pain is caused by a collision with a ligament in a conventional artificial knee joint, and serious diseases are caused by inflammation.
  • a chamfer is provided on the femur joint member and the bearing member, It is possible to achieve a more stable artificial knee joint without involving pain.
  • FIG. 1 is a view showing a state in which a conventional artificial knee joint is practiced
  • FIG. 2 is a rear view of a femur joint member of a conventional PS type artificial knee joint
  • FIG. 3 is a rear view of a femur joint member of a conventional CR type artificial knee joint
  • Fig. 4 is a view showing the horizontal twist rotation on the plane of the artificial knee joint of the related art
  • FIG. 5 is a view showing the horizontal twist rotation of a conventional artificial knee joint on a plane
  • FIG. 6 is a rear view of a femur joint member of a PS type artificial knee joint according to an embodiment of the present invention
  • FIG. 7 is a rear view of a femur joint member of a CR type artificial knee joint according to an embodiment of the present invention.
  • FIG. 8 is a perspective view of a bearing member in an artificial knee joint according to another embodiment of the present invention.
  • FIG. 2 is a rear view of a femur joint member of a conventional PS type artificial knee joint
  • FIG. 3 is a rear view of a femur joint member of a conventional CR type artificial knee joint
  • FIG. 4 is a cross- FIG. 6 is a rear view of a femur joint member of a PS type artificial knee joint according to an embodiment of the present invention
  • FIG. 7 is a cross- FIG. 8 is a perspective view of a bearing member in an artificial knee joint according to another embodiment of the present invention.
  • FIG. 8 is a rear view of a femur joint member of a CR type artificial knee joint according to an embodiment.
  • FIG. 2 shows a PS type femoral component 10 which is removed from a conventional artificial knee joint and is to be performed.
  • the femur joint member 10 includes an outer edge 19a of the rear articulation end 4 and 5, when the femur joint member 10 has a planar abaxial twist rotation of the bearing member 50, the outer joint edge 19a of the rear articulation end protruding from the joint member 10 Collision with the lateral ligament. As a result, the lateral ligament can be damaged by frequent collision and friction, causing pain, and causing serious inflammation.
  • 3 is a perspective view of a femur joint member 10 to be performed without removing the posterior cruciate ligament in the artificial knee joint according to the present invention.
  • the femur joint member 10 has an inner edge 19b.
  • the artificial knee joint according to the present invention forms a chamfer at the end of the rear articulation of the femur joint member to prevent it.
  • the artificial knee joint of the present invention is a knee prosthesis having a femur joint member 100 coupled to the lower end of the tibia of the femur shown in Figs. 6 and 7 and a femur joint member 100 coupled to the femur joint member 100 and the tibia joint member shown in Fig. And a bearing member 500 serving as a bearing member. Accordingly, the femur joint member 100 rubs against the bearing member 500, and the bearing member receives a stress due to the load transmitted from the upper portion of the femur joint member. In addition, the femur joint member and the bearing member are in contact with each other.
  • the contact portion of the femur joint member and the bearing member maintain various contact according to the curvature by the movement of the knee joint, in order to appropriately disperse the stress.
  • the femur joint member 100 is generally U-shaped and made of biocompatible material.
  • the femur joint member 100 has a portion that can accommodate the femur in an upper portion thereof and a curved surface having various curvatures that are slightly spherical in the lower portion .
  • the femur joint member 100 has a femur receiving part formed at an inner side of the U-shaped femur so that a part of the femur can be cut and accommodated in the femur joint member 100, And a fixing protrusion for allowing the fixing member to be firmly coupled.
  • the femur joint member 100 further includes a curved bearing member contact portion 130 which is brought into contact with the bearing member 500 to be described later, And includes a cam 170 connected between both posterior condyles and includes a rear articulation end 190 positioned at the distal end of the articulation on the rear side of the femur joint member.
  • the femur receiving portion is a portion corresponding to the U-shaped upper inside of the femur joint member 100, and is firmly coupled to the lower incision surface of the femur.
  • the surface of the femur receiving part may have a rough surface to be firmly coupled with the femur, or may be made of a porous material.
  • the fixing protrusion is a protrusion formed to be inserted into the femur from the upper side of the femur receiving portion and is inserted into the femur so as to firmly hold the bone tissue of the femur, will be.
  • the bearing member contact portion 130 preferably has a shape that allows the contact area to be maximized when the femur moves in contact with the groove 510 of the bearing member 500 to be described later so that the stress can be naturally dispersed Do. Accordingly, the curvature of the contact portion when viewed from the side of the bearing member contact portion 130 is different from the curvature of the contact portion when viewed from the front portion. The curvature of the contact portion is different from that of the contact portion 130, The stress can be dispersed by increasing the contact area at the same time. Even if the abutment portion is slightly lifted, the stress is concentrated on the other side, To be dispersed.
  • the cam 170 may be replaced with a post (not shown) of the bearing member 500 570 of the femur joint member 100 in order to perform the function thereof.
  • the cam 170 is present in a conventional PS type artificial knee joint, and a detailed description thereof will be omitted below.
  • the rear end of the femur joint member 100 may be a U-shaped end portion of the rear articulation joint member 100.
  • the end of the rear articulation end portion 190 may form a chamfer, The ligament damage can be prevented.
  • the distal end of the posterior joint 190 includes an outer chamfer 191 for preventing damage to the lateral ligament and an inner chamfer 193 for preventing damage to the posterior cruciate ligament in the case of a CR type artificial knee joint do.
  • the outer chamfer 191 has a chamfer formed at the outer edge 19a of the distal end of the conventional articular femur joint member 10 shown in FIG. 2. As shown in FIGS. 4 and 5, And when the femur joint member rotates in the horizontal axis of the bearing member in the horizontal axis, the outer edge 19a of the rear end of the rear joint protrudes to prevent the side ligament from being damaged. 6 and 7, it is preferable that the outer edge of the rear articulation end of the outer articulator 191 is formed in a gently curved shape as shown in FIGS. 6 and 7, The knee joint may be caught by the lateral ligament even though the chamfer is formed, and the smooth flexion of the knee joint may be interrupted. It is possible to prevent the side ligaments from being damaged even when the femur joint member 100 is twisted in the plane of the horizontal axis through the femur joint member 100 including the outer chamfer 191 .
  • the inner chamfer 193 is a chamfer formed at the inner edge of the rear articulation of the femur joint member in the CR type artificial knee joint of the prior art as shown in FIG. 7, and the inner side of the CR type artificial knee joint
  • the femur joint member 100 functions to prevent the ligament damage without colliding with the posterior cruciate ligament in the center even if the femur joint member 100 has a horizontal axis rotation on the plane of the bearing member.
  • the inner chamfer 193 is formed to have a gentle concave curved shape that is embedded inwardly in the groove 510 of the bearing member 500 in a state in which the femur joint member 100 is sufficiently bent Since the inner edge of the end 190 of the rear articular joint may collide with the posterior cruciate ligament when the horizontal twist and rotation of the horizontal plane is rotated, it is preferable that the most ideal shape for preventing the collision due to the twist rotation is closer to the circular shape. That is, the shape of the inner chamfer 193 is shaped to have a concave shape to prevent collision with the posterior cruciate ligament along the horizontal axis about the posterior cruciate ligament.
  • the bearing member 500 plays a role similar to the cartilage of the human body between the femur joint member 100 and the tibia joint member. Unlike the material of the femur joint member and the tibia joint member, It is preferable that the material is made of polyethylene so that the surface is smooth and natural friction contact is possible.
  • the bearing member 500 has grooves 510 as viewed from the front where the contact portions 130 of the femur joint member 100 are in contact with the upper ends of both ends of the bearing member 500 as viewed from the side, The front projection 530 and the rear projection 540, In addition, when the artificial knee joint of the present invention is performed as a PS type, the posterior cruciate ligament may be removed, and the post 570 may be substituted for it.
  • the grooves 510 are depressed portions formed in both directions of the artificial knee joint according to the present invention when viewed from the front of the bearing member 500.
  • the groove 510 is a recessed portion formed in the bearing member contact portion 130 of the femur joint member 100, And is frictioned when the femur joint member 100 rotates. Therefore, it is necessary to prevent the concentration of stress by maximizing the contact area because the load is concentrated on this portion due to the contact. Therefore, it is preferable that the groove 510 has a curvature corresponding to the bearing member contact portion 130 of the femur joint member 100. Accordingly, as described in the structure of the bearing member contacting portion 130, the stress is concentrated only by contacting only one side of the bearing member 130, and the effect of dispersing the stress due to the increase of the contact area can be achieved will be.
  • the front protruding portion 530 and the rear protruding portion 540 may be formed to protrude upward and forward at the front and back of the bearing member 500.
  • the height of the front protruding portion 530 may be different from the height of the rear protruding portion 530, Is formed to be higher than the height of the protrusion 540 in order to prevent natural knee motion and anterior dislocation.
  • the front protruding portion 530 and the rear protruding portion 540 protrude from the front and rear at a predetermined height when viewed from the side of the bearing member 500.
  • the rear protrusion 540 has a height lower than the height of the front protrusion 530 to prevent dislocation when the knee is bent and rolled back at a large angle, thereby enabling a stable movement of the knee joint. Therefore, when the knee is fully extended, the rear protruding portion 540 may bend slightly forward, thereby causing a collision between the rear protruding portion and the ligament on the rear side, thereby damaging the ligament. Therefore, 541).
  • the rear chamfer 541 is a core of the present invention, and even if the rear protrusion of the bearing member protrudes low, the back ligament may be damaged by the contact with the posterior ligament, resulting in pain and inflammation.
  • a chamfer having a gently curved shape embedded in the concave recess as shown in FIG. 8 is formed on the rear protruding portion 540 so that the rear ligament can be prevented from colliding.
  • collision with the posterior ligament can be prevented through the rear chamfer 541, and it is possible to realize the prevention of ligament damage, which is an object to be achieved by the present invention, thereby realizing a more stable artificial knee joint.
  • the post 570 protrudes upward in a central portion of the bearing member 500 to replace the role of the removed posterior cruciate ligament when the artificial knee joint of the present invention is performed as a PS type.
  • the configuration of the post 570 is well known to those of ordinary skill in the art, and a detailed description thereof will be omitted.
  • FIG. 6 is a rear view of a femur joint member of a PS type artificial knee joint according to an embodiment of the present invention
  • FIG. 7 is a rear view of a femur joint member of a CR type artificial knee joint according to an embodiment of the present invention
  • the articulated knee joint according to an embodiment of the present invention includes a femur joint member 100
  • the knee joint 190 includes the outer chamfer 191 to prevent collision with the side ligaments when the artificial knee joint of the present invention is performed to prevent the ligaments from being damaged. This is because the femur joint member in contact with the upper surface of the bearing member rotates in the twist axis of the horizontal axis not only in the back and forth movement of the human body but also in the back of the femur member, And the outer edge of the end is cut to form a chamfer.
  • the outer chamfer 191 has a gently curved shape protruding outwardly. This minimizes the damage of the lateral ligaments when the femur joint member 100 is rotated in the horizontal direction on the plane, So that the knee joint can be flexibly rotated.
  • the femur joint member 100 includes an inner chamfer 193 as well as an outer chamfer 191 at a distal end of a rear joint 190 according to another embodiment of the present invention.
  • the CR type artificial knee joint does not remove the posterior cruciate ligament but collides with the posterior cruciate ligament in the center by the transverse twist rotation of the femur joint member as described above, And the inner edge of the end of the rear joint is cut to form a chamfer.
  • the femur joint member 100 may have a curved surface shape that is recessed and recessed inwardly inside the inner chamfer 193, It is most preferable to form the chamfer of the inner edge of the rear articular end 190 so as to be close to the circular shape about the axis.
  • the bearing member 500 of the present invention includes a rear chamfer 541, which is slightly bent forward when the actual knee is fully extended, There arises a problem that the back protrusion included in the bearing member 500 collides with the back ligament to damage the ligament on the back side.
  • the bearing member 500 of the present invention cuts the conventional rear projection to form the rear chamfer 541 so as not to collide with the ligament on the rear side. Further, it is preferable that the rear chamfer 541 is curved inwardly.
  • the artificial knee joint for preventing the ligament damage of the present invention can be realized.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
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  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)

Abstract

This invention relates to an artificial knee joint which can prevent the injury of a ligament and replace a natural knee joint. More particularly, this invention relates to an artificial knee joint which includes: a femur joint member which is joined to an end portion of a tibia near a femur; a tibia joint member which is joined to an end portion of the femur near the tibia; and a bearing member which is placed between the femur and tibia joint members. A chamber is formed at an end portion of a posterior condyle in the femur joint member to prevent the injury of a ligament caused by the flection of the femur joint member in the case of knee exercise. In addition, a CR type operation is used in the insertion of the artificial knee joint in order to preserve the posterior cruciate ligament. At this time, as there is the possibility that the posterior cruciate ligament may be injured due to the flection of the femur joint member, an additional chamber is formed at an inner side of an end portion in the posterior condyle. Furthermore, a chamber is formed at a posterior protrusion in the bearing member to prevent a ligament from colliding against the bearing. Consequently the injury of the ligament can be prevented. For this purpose, the artificial knee joint includes: the femur joint member that is joined to an end portion of a tibia near a femur; the tibia joint member that is joined to an end portion of the femur near the tibia; and the bearing member that is placed between the femur and tibia joint members, the end portion of the posterior condyle at the femur joint member includes an external chamber to prevent the collision of a lateral ligament against the femur joint member. Provided is an artificial knee joint that is able to prevent injury to a ligament.

Description

인대손상 방지를 위한 인공 슬관절Artificial knee joint to prevent ligament damage

본 발명은 무릎관절을 대체할 수 있는 인공슬관절에 관한 것으로, 보다 상세하게는 대퇴골의 경골측 말단에 결합되는 대퇴골 결합부재와, 경골의 대퇴골측 말단에 결합되는 경골 결합부재와, 상기 대퇴골 결합부재와 경골 결합부재의 사이에 위치하는 베어링 부재로 이루어진 인공슬관절에 있어서, 무릎의 운동이 있는 경우 인대 손상을 방지하기 위하여 상기 대퇴골 결합부재의 후방 관절구(Posterior Condyle)의 끝단에 챔퍼를 형성하여 상기 대퇴골 결합부재가 뒤틀림 회전 등으로 인하여 인대를 손상시키는 것을 방지할 수 있도록 하는 인공 슬관절에 관한 것이다. 또한, 본 발명의 인공슬관절은 상기 인공슬관절이 후방십자인대를 유지하는 경우 CR 타입으로 시술되는데, 이 때 상기 대퇴골 결합부재의 뒤틀림 회전에 따라 후방십자인대를 손상시킬 우려가 있으므로 후방 관절구 끝단의 내측에 별도의 챔퍼를 형성하여 이를 방지할 수 있도록 하며, 또한 베어링 부재에 있어서도 후방 돌출부에 챔퍼를 형성하여 인대가 부딪히는 것을 방지함으로써 인대 손상을 방지할 수 있도록 할 수 있다.The present invention relates to an artificial knee joint capable of replacing a knee joint, and more particularly, to an artificial knee joint capable of replacing a knee joint, and more particularly to an artificial knee joint capable of replacing a knee joint, And a bearing member positioned between the tibia joint member and the tibia joint member, wherein a chamfer is formed at an end of a posterior condyle of the femur joint member to prevent a ligament injury when there is movement of the knee, To an artificial knee joint capable of preventing the femur joint member from damaging the ligament due to twisting rotation and the like. In addition, the artificial knee joint of the present invention is performed in the CR type when the artificial knee joint maintains the posterior cruciate ligament. In this case, there is a possibility of damaging the posterior cruciate ligament due to the twist rotation of the femur joint member. It is possible to prevent the ligament from being damaged by forming a chamfer at the rear protrusion portion of the bearing member to prevent the ligament from being hit.

신체를 이루는 무수한 관절 중, 슬관절은 경골과 대퇴골 사이를 연결하는 관절부위로서, 슬관절의 마모와 뼈조직의 노화 및 사고로 인하여 회복 불가능한 상태에 놓이는 환자가 점차 증가하고 있다. 슬관절이란 무릎관절로서 대퇴골 하단과 경골 상단 및 슬개골(무릎뼈)의 후면 사이에 있는 관절로서 다리를 무릎에서 뒤쪽으로 굽히는 기능을 한다.Among the myriad of joints that make up the body, the knee joint is the joint between the tibia and the femur, and the number of patients who are in an unrecoverable condition is increasing due to wear of the knee, aging of the bone tissue, and accidents. The knee joint is a joint between the lower part of the femur and the upper part of the tibia and the back of the patella (knee bone). It serves to bend the leg backward from the knee.

슬개골의 뒷면은 4mm 내지 6mm 두께의 연골로 덮여 있으며, 무릎을 구부리고 피는 과정에서 허벅지뼈(대퇴골)의 말단부 전방의 관절면을 위 아래로 이동하면서(슬개-대퇴 관절) 대퇴사두근의 무릎을 펴주는 힘을 향상시켜준다. 평지를 걸을 때 슬개-대퇴 관절에 가해지는 압력은 몸무게의 반에 해당하며, 층계를 올라갈 때는 몸무게의 3배, 쪼그리고 앉았다가 일어날 때는 몸무게의 8배의 힘이 가해진다. 관절낭은 대퇴골 하단의 가장자리에서 시작되어 경골 상단의 가장자리에 붙어 있다. 그 밖에 내측 및 외측의 측부인대, 관절낭 안에 있는 슬십자인대를 비롯하여 많은 튼튼한 인대에 의하여 뼈의 결합이 강화됨과 동시에 운동방향과 범위가 제한되어 있다. The back of the patella is covered with cartilage with a thickness of 4 mm to 6 mm. During the bending and bending of the knee, the knee of the thighbone (femur) is moved up and down the joint surface of the thigh bone (femur) Improves strength. The pressure applied to the patellar-femur joints when walking on the ground corresponds to half of the weight, and when climbing the stairs, the weight is multiplied by three times, and when squatting occurs, eight times the weight. The joint capsule begins at the lower edge of the femur and is attached to the edge of the upper tibia. In addition, strengthening of the bones is strengthened by many durable ligaments, including the medial and lateral collateral ligaments, the sphincter ligaments in the capsular bag, and the direction and range of motion are limited.

슬관절의 관절 반월 연골손상의 증상을 살펴보면, 관절 반월연골은 무릎관절을 이루는 대퇴골과 경골 사이에 위치하는 연골조직으로, 관절 연골 사이에 위치하여 무릎 관절의 충격을 완충해주며, 관절 연골에 영양분을 공급하고, 관절의 안정성을 제공하며 동시에 무릎 관절의 움직임을 원활하게 하며, 체중 부하를 전달시키는 역할을 한다.The symptoms of the meniscus of the knee joint are as follows: The meniscus is located between the femur and the tibia, which is located between the femur and the tibia. The knee joint is located between the joint cartilage to cushion the impact of the knee joint. Provides the stability of the joint, smoothes the movement of the knee joint, and transmits the weight load.

보통 관절 반월연골은 내측 반월상 연골판과 외측 반월상 연골판으로 이루어져 있는데, 유럽과 미국인에서는 내측 반월상 연골판이 외측보다 크고 이동성이 적어 쉽게 손상되어 내측 반월상 연골판 손상이 크지만, 우리나라에서는 오히려 외측 손상이 많은 것으로 알려져 있다. The medial meniscus is usually composed of medial meniscus and lateral meniscus cartilage. In Europe and Americans, the medial meniscus is larger and less mobile than the lateral meniscus. However, it is easily damaged and the medial meniscus is damaged. In Korea, however, Are known to be many.

반월연골의 손상은 무릎 관절에 자주 발생하는 손상 중 하나로, 운동경기나 등산 혹은 일상생활 중의 부상시에 흔히 발생한다. 무릎이 굽혀진 상태에서 회전 운동이 가해질 때, 즉 무릎관절에 비틀림 힘이 발생할 때 잘 생기며, 심한 외력이 가해지는 경우에는 십자인대, 측부인대, 경골골절 등의 손상이 동반될 수 있다. The damage to the meniscus is one of the most frequent injuries to the knee joints, often occurring during sports, mountain climbing or everyday life. When the knee is flexed, a rotational motion is applied, that is, when a torsional force is generated in the knee joint, it is good. If severe external force is applied, it may be accompanied with injuries such as cruciate ligament, collateral ligament, tibial fracture.

이러한 슬개골에 발생되는 병증의 대부분은 특별한 외상이 없이 증상이 발생할 수 있으며 그 원인으로는 슬개-대퇴 관절의 구조적 기능적 이상이 있는 경우이다. 다리가 비정상적으로 바깥쪽으로 휜 경우나 발이 심하게 바깥쪽으로 돌아있는 경우에는 슬개-대퇴 관절에 무리한 힘이 반복적으로 가해져 관절연골의 연화증이 발생할 수 있고, 장기간 무릎 관절을 사용하지 않은 경우도 대퇴사두근 약화 및 구축으로 인하여 발생될 수 있다. 슬개-대퇴 관절에 구조적 이상이 있는 경우 슬개골을 안정시켜 주는 보조기를 착용할 수 있고 또한, 그 손상이 극심한 경우 인공 슬관절로 대체해 주는 수술적 치료 방법을 시술할 수도 있다. Most of the pathologies that occur in these patellae can cause symptoms without any special trauma, which is caused by structural defects of patellofemoral joints. When the leg is bent abnormally outward or when the foot is severely turned outward, excessive force is applied to the patellar-femur joint repeatedly, resulting in cartilage softening, and even when the knee joint is not used for a long time, Building. If there is a structural abnormality in the patellar-femoral joint, an orthosis that stabilizes the patella can be worn, and if the damage is severe, a surgical treatment method that replaces it with an artificial knee joint may be performed.

이에 최근 관절부위의 심각한 손상으로 회복 불가능한 환자에게 인공관절을 대치하는 시술이 널리 행해지고 있으며, 이러한 인공관절의 관절 운동부위에는 금속이나 세라믹 또는 폴리에틸렌 등이 사용되어 기계적 특성이 우수하고 마찰계수가 작으며 생체적합성을 높이고 있다. 일반적으로 인공슬관절은 대퇴골부분과 경골부분과, 대퇴골부분과 경골부분 사이에 연골에 해당되는 부분인 베어링부분으로 구분되고 있다. 여기서 대퇴골부분 및 경골부분은 주로 금속 합금을 사용하며, 연골부분은 폴리에틸렌 등으로 제조하고 있다. 경골부분은 경골의 무릎관절측 끝단에 삽입되는 삽입부에 의해 고정된다. 삽입부는 경골의 골수에 의해 고착된다. 그러나, 무릎관절에 반복적으로 하중이 가해질 경우, 상기 인공 슬관절의 구조적 결함에 의해 충분한 효과를 달성하기 어렵고, 지속되는 하중에 의해 상기 대퇴골부분과 경골부분이 손상되거나, 특히 베어링부분이 파손되는 경우가 발생되어 커다란 문제를 야기시킨다.Recently, replacement of artificial joints has been widely performed in patients who are unable to recover due to serious damage to their joints. Metal, ceramic, or polyethylene is used for the articular joints of these artificial joints, Biocompatibility. Generally, an artificial knee joint is divided into a femur part and a tibial part, and a bearing part which is a part corresponding to a cartilage between a femur part and a tibia part. Here, the femur part and the tibia part are mainly made of a metal alloy, and the cartilage part is made of polyethylene and the like. The tibial part is fixed by an insertion part which is inserted into the knee joint side end of the tibia. The insertion part is fixed by the bone marrow of the tibia. However, when a repeated load is applied to the knee joint, it is difficult to achieve a sufficient effect due to a structural defect of the artificial knee joint, and the femur portion and the tibia portion are damaged by a continuous load, Resulting in a large problem.

이러한 종래의 인공 슬관절의 경우 도 1의 종래의 인공슬관절에서 도시된 바와 같이 먼저 대퇴골(1)의 경골측 말단 일부를 절단하여 대퇴골 결합부재(10)가 결합되어 고정된 후, 경골(3)의 대퇴골측 말단 일부가 절단되어 그 부위에 경골 결합부재(30)가 결합 고정된다. 다음 그 사이에 베어링 부재(50)가 위치하여 상기 대퇴골 결합부재(10)의 접촉부(13)와 베어링부재(50)의 상면에 위치한 홈부(51)가 접촉하여 무릎관절의 굴곡운동(Flection)이 가능하도록 한다. 그러나, 이렇게 결합된 종래의 인공슬관절의 경우 도 1에서의 입면도에서 보는 바와 같이 상기 대퇴골 결합부재(10)가 상기 베어링 부재(50)의 상면에서 굴곡운동시 전후 방향으로만 운동을 가능하게 되는 것은 아니다. 즉, 실제 인체의 무릎관절은 경골이 전후운동만을 하는 것이 아니라 약간의 뒤틀림 회전을 하게 되며 이에 따라 인공슬관절이 시술된 경우 상기 베어링 부재(50)와 대퇴골 결합부재(10)의 접촉면에서 베어링 부재(50) 상면의 평면상에서의 회전이 발생하게 된다. 이러한 평면상 뒤틀림 회전으로 인하여 상기 대퇴골 결합부재(10)의 후방 관절구(Posterior Condyle)의 끝단이 측면에 존재하는 인대와 충돌하게 되고 결국에는 측면인대를 손상시키는 결과를 초래하기도 한다.In the case of such a conventional artificial knee joint, as shown in the conventional artificial knee joint shown in FIG. 1, first a part of the tibial side end of the femur 1 is cut and the femur joint member 10 is fixed by being engaged, A part of the distal end of the femur is cut, and the tibia joint member 30 is engaged and fixed to that portion. The bearing member 50 is positioned therebetween so that the contact portion 13 of the femur joint member 10 and the groove portion 51 located on the upper surface of the bearing member 50 come into contact with each other and the flexion of the knee joint . However, in the conventional artificial knee joint thus combined, as shown in the elevation view in FIG. 1, the femur joint member 10 is allowed to move only in the forward and backward directions when bending the upper surface of the bearing member 50 no. That is, when the artificial knee joint is performed, the knee joint of the human body does not only move forward and backward but also slightly twist the rotation of the tibia. Accordingly, the bearing member 50 50 in the plane of the upper surface. This plane twist rotation causes the end of the posterior condyle of the femur joint member 10 to collide with the ligament present on the side surface, and eventually to damage the lateral ligament.

이에 종래의 인공슬관절 시술에는 CR 타입과 PS 타입의 시술이 있는데, 여기서 CR 타입이란 후방 십자인대를 제거하지 아니한 상태에서의 인공슬관절을 시술하는 경우의 인공슬관절의 유형이고, PS 타입이란 후방 십자인대를 제거한 상태에서 상기 후방십자인대를 베어링 부재의 포스트로 대체하는 인공슬관절의 유형을 말한다. 이에 상기 인공슬관절을 시술하는 경우 상기 대퇴골 결합부재의 후방관절구 끝단 양쪽의 외측 모서리에 의해 상기 대퇴골 결합부재가 베어링 부재 상면에서 평면상의 뒤틀림 회전하는 경우 측면의 인대와 충돌하여 손상시키는 문제가 발생된다. 또한 비록 상기 PS 타입의 인공슬관절의 경우에는 상기 베어링부재의 포스트와 대퇴골 결합부재의 캠으로 인하여 제거된 후방십자인대를 대신하게 되므로, 중심부에 있는 후방십자인대의 손상문제의 우려가 없으나, 상기 CR 타입의 인공슬관절의 경우에는 상기 후방십자인대를 유지한 채 인공슬관절을 시술하게 되므로 상기 대퇴골 결합부재가 베어링 부재의 상면에서 뒤틀림 회전을 이루는 경우 대퇴골 결합부재의 후방관절구 끝단의 내측 모서리에 의해 상기 후방십자인대가 손상되는 문제가 발생하게 된다. Conventional artificial knee joint procedures include CR type and PS type. Here, the CR type is a type of artificial knee joint when the artificial knee joint is removed without removing the posterior cruciate ligament, and the PS type is a posterior cruciate ligament And the posterior cruciate ligament is replaced with a post of a bearing member. When the artificial knee joint is operated, the femur joint member collides with the side ligaments when the femur joint member is twisted and rotated in a plane on the upper surface of the bearing member due to the outer edges of both ends of the rear joint of the femur joint member, . Although the PS type artificial knee joint is replaced with the posterior cruciate ligament removed due to the cam of the bearing member and the femur joint member, there is no fear of damage to the posterior cruciate ligament in the central part, Type artificial knee joint, the artificial knee joint is performed while maintaining the posterior cruciate ligament. Therefore, when the femur joint member makes a twist rotation on the upper surface of the bearing member, the inner joint edge of the femur joint member The posterior cruciate ligament is damaged.

또한, 종래의 인공슬관절의 베어링 부재에서 후방 돌출부를 살펴보면, 비록 낮은 높이로 돌출되어 있을지라도, 무릎이 완전히 펴지는 경우 약간의 전방으로의 굽힘이 있으므로 상기 베어링 부재의 후방 돌출부와의 후방 인대가 충돌하는 경우가 발생하게 된다. 이로써 결국 후방 인대는 손상될 수 있고, 이에 따른 통증을 수반하기도 하고, 심각하게는 염증으로 인한 질병을 유발하기도 한다.In addition, in the conventional artificial knee joint bearing member, when the knee is fully extended, there is a slight forward bending even if the knee protrudes at a low height, so that the back ligament of the bearing member, . As a result, the posterior ligaments may be damaged, accompanied by pain, and seriously illness caused by inflammation.

본 발명은 상기 종래기술의 문제점을 해결하기 위하여 안출된 것으로, 본 발명의 목적은, 종래의 인공슬관절에서 대퇴골 결합부재의 외측 모서리에 의해 상기 대퇴골 결합부재가 평면상 가로축 회전에 의해 측면인대가 충돌하게 되어 인대가 손상되는 문제가 발생되었는 바, 본 발명의 인공슬관절에서는 상기 대퇴골 결합부재의 후방관절구 끝단의 외측 모서리에 외측 챔퍼를 포함하여 측면인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 인공 슬관절을 제공하는 것이다.SUMMARY OF THE INVENTION It is an object of the present invention to provide an artificial knee joint having a femur joint member having an outer edge of a femur joint member, In the artificial knee joint according to the present invention, an outer chamfer is included at the outer edge of the end of the rear joint of the femur joint member to prevent collision with the side ligaments, To provide an artificial knee joint.

본 발명의 다른 목적은, 종래의 CR 타입의 인공슬관절에서 내측에 존재하는 후방십자인대가 상기 대퇴골 결합부재의 평면상 가로축 회전에 따라 내측 모서리에 충돌하게 되어 인대가 손상되는 문제가 있었는바, 이에 상기 대퇴골 결합부재의 후방관절구 끝단 내측 모서리에 내측 챔퍼를 포함하여 후방십자인대와의 충돌을 방지하여 인대가 손상되는 것을 예방할 수 있도록 하는 인공 슬관절을 제공하는 것이다.Another object of the present invention is to provide a CR type artificial knee joint having a posterior cruciate ligament in the inside thereof colliding with an inner edge of the femur joint member along the horizontal axis of the femur joint member, The present invention also provides an artificial knee joint which prevents the ligament from being damaged by preventing collision with the posterior cruciate ligament by including an inner chamfer on the inner edge of the distal end of the femur joint member.

본 발명의 또 다른 목적은, 종래의 인공슬관절에서 무릎관절이 완전히 펴지는 경우 약간의 전방으로의 굽힘이 있기 때문에 후방 인대가 베어링 부재의 후방 돌출부에 충돌하여 인대가 손상되는 경우가 발생되었는데, 이러한 것을 방지하기 위해 상기 베어링 부재의 후방 돌출부에 후방 챔퍼를 포함하여 인대손상을 방지할 수 있도록 하는 인공 슬관절을 제공하는 것이다.It is a further object of the present invention to provide a knee prosthesis in which, when the knee joint is fully extended in a conventional artificial knee joint, there is a slight forward bending, so that the ligament of the ligament collides with the rear protrusion of the bearing member, The present invention provides an artificial knee joint which can prevent ligament damage by including a rear chamfer at a rear protruding portion of the bearing member to prevent the ligament damage.

본 발명의 또 다른 목적은, 종래의 인공슬관절에서 인대와의 충돌로 인하여 통증을 수반하기도 하고 심각하게는 염증을 유발하여 질병이 발생되었는 바, 이를 방지하기 위하여 상기 대퇴골 결합부재와 베어링 부재에 챔퍼를 두어 보다 안정적인 인공슬관절을 제공하는 것이다.It is a further object of the present invention to provide a femoral joint member and a bearing member which are capable of preventing pain from being caused by collision with the ligament in a conventional artificial knee joint and causing serious inflammation, To provide a more stable artificial knee joint.

본 발명은 앞서 상술한 목적을 달성하기 위하여 다음과 같은 구성을 가진 실시예에 의하여 구현될 것이며, 하기와 같은 구성을 포함한다.In order to achieve the above-mentioned object, the present invention will be realized by an embodiment having the following configuration, and includes the following configuration.

본 발명의 일 실시예에 따르면, 본 발명에 따른 인공 슬관절은 대퇴골의 말단에 결합되는 대퇴골 결합부재와, 경골의 말단에 결합되는 경골 결합부재와, 상기 대퇴골 결합부재와 상기 경골 결합부재의 사이에 위치하는 베어링 부재를 포함하는 인공슬관절에 있어서, 상기 대퇴골 결합부재는 그 후방관절구 끝단의 외측 모서리에서 챔퍼된 외측 챔퍼를 포함하여 측면인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 것을 특징으로 한다.According to an embodiment of the present invention, an artificial knee joint according to the present invention includes a femur joint member coupled to a distal end of a femur, a tibia joint member coupled to a distal end of the tibia, and a femur joint member connected between the femur joint member and the tibia joint member Wherein the femur joint member includes an outer chamfer chamfered at an outer edge of an end of the rear joint to prevent collision with a lateral ligament to thereby prevent ligament damage .

본 발명의 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 대퇴골 결합부재는 그 후방관절구 끝단의 내측 모서리에서 챔퍼된 내측 챔퍼를 추가로 포함하여 후방십자인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 것을 특징으로 한다.According to another embodiment of the present invention, the femur joint member of the artificial knee joint according to the present invention further includes an inner chamfer chamfered at the inner edge of the end of the rear joint to prevent collision with the posterior cruciate ligament, And the like.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 외측 챔퍼는 완만한 볼록한 곡면형상으로 챔퍼된 것을 특징으로 한다.According to another embodiment of the present invention, the artificial knee joint according to the present invention is characterized in that the outer chamfer is chamfered in a gently convex curved shape.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 내측 챔퍼는 내측으로 함입된 완만한 오목한 곡면형상으로 챔퍼된 것을 특징으로 한다.According to another embodiment of the present invention, the artificial knee joint according to the present invention is characterized in that the inner chamfer is chamfered into a gentle concave curved shape embedded inward.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 베어링 부재는 그 후방에서 상측으로 돌출된 후방돌출부를 포함하며, 상기 후방돌출부는 하방으로 일정 깊이 챔퍼되어 형성된 후방챔퍼를 포함하며, 상기 후방챔퍼는 인대와의 충돌을 방지할 수 있도록 하는 특징으로 한다.According to another embodiment of the present invention, the artificial knee joint according to the present invention includes a rearward protruding portion that protrudes upward from the rear of the bearing member, and the rear protruding portion includes a rear chamfer formed by being chamfered to a certain depth downwardly , And the rear chamfer is capable of preventing collision with the ligament.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 후방 챔퍼는 오목하게 함입된 완만한 곡면 형상으로 챔퍼된 것을 특징으로 한다.According to another embodiment of the present invention, the artificial knee joint according to the present invention is characterized in that the rear chamfer is chamfered into a gently curved shape recessed and embedded.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 대퇴골의 말단에 결합되는 대퇴골 결합부에 있어서, 상기 대퇴골 결합부재의 후방관절구 끝단의 외측 모서리에서 완만한 볼록한 곡면형상으로 챔퍼된 외측 챔퍼를 포함하여 측면인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 것을 특징으로 한다.According to another embodiment of the present invention, an artificial knee joint according to the present invention includes a femur joint portion coupled to a distal end of a femur, wherein the femur joint member is chamfered in a gently convex curved shape at an outer edge of an end of a rear joint of the femur joint member It is characterized by preventing the collision of the ligament by preventing collision with the lateral ligament including the outer chamfer.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 대퇴골 결합부재는 그 후방관절구 끝단의 내측 모서리에서 내측으로 함입된 완만한 오목한 곡면형상으로 챔퍼된 내측 챔퍼를 추가로 포함하여 후방십자인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 것을 특징으로 한다.According to another embodiment of the present invention, the femur joint member according to the present invention further comprises a chamfered inner chamfer which is gently curved inwardly recessed inwardly from an inner edge of a rear end of the femur joint member And prevents collision with the posterior cruciate ligament, thereby preventing damage to the ligament.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 대퇴골 결합부재와 경골 결합부재의 사이에 위치하는 베어링 부재에 있어서, 상기 베어링부재는 그 후방에서 상측으로 돌출된 후방돌출부를 포함하며, 상기 후방돌출부는 오목하게 함입된 완만한 곡면 형상으로 챔퍼된 후방챔퍼를 포함하며, 상기 후방챔퍼는 인대와의 충돌을 방지할 수 있도록 하는 특징으로 한다.According to another embodiment of the present invention, an artificial knee joint according to the present invention is a bearing member positioned between a femur joint member and a tibia joint member, the bearing member including a rear protrusion protruding upward from a rear side thereof , The rear projecting portion includes a rear chamfer chamfered in a gently curved shape embedded in a concave shape, and the rear chamfer is characterized in that collision with the ligament can be prevented.

본 발명의 또 다른 실시예에 따르면, 본 발명에 따른 인공 슬관절은 상기 베어링 부재는 그 전방에서 상측으로 돌출된 전방돌출부를 추가로 포함하며, 상기 전방돌출부는 상기 후방돌출부의 높이보다 높게 형성되어 자연스러운 무릎운동과 전방탈구를 방지할 수 있는 것을 특징으로 한다.According to another embodiment of the present invention, the artificial knee joint according to the present invention further includes a front protruding portion that protrudes upward from the front of the bearing member, and the front protruding portion is formed higher than the height of the rear protruding portion, Knee motion and anterior dislocation can be prevented.

상기에서 살펴본 바와 같이, 본 발명은 전술한 과제 해결 수단 및 후술할 구성과 결합, 작동관계에 의해서 다음과 같은 효과를 도모할 수 있다.INDUSTRIAL APPLICABILITY As described above, the present invention can achieve the following effects according to the above-described problem solving means and the construction and operation to be described later.

본 발명은, 종래의 인공슬관절에서 대퇴골 결합부재의 외측 모서리에 의해 상기 대퇴골 결합부재가 평면상 가로축 회전에 의해 측면인대가 충돌하게 되어 인대가 손상되는 문제가 발생되었는 바, 본 발명의 인공슬관절에서는 상기 대퇴골 결합부재의 후방관절구 끝단의 외측 모서리에 외측 챔퍼를 포함하여 측면인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 효과를 도모할 수 있다.In the present invention, the lateral ligament collides with the femur joint member by the outer edge of the femur joint member in the conventional artificial knee joint due to the horizontal axis rotation in the plane, and the ligament is damaged. In the artificial knee joint according to the present invention The femur joint member includes an outer chamfer at the outer edge of the distal end of the rear joint to prevent collision with the side ligaments, thereby preventing ligament damage.

본 발명은, 종래의 CR 타입의 인공슬관절에서 내측에 존재하는 후방십자인대가 상기 대퇴골 결합부재의 평면상 가로축 회전에 따라 내측 모서리에 충돌하게 되어 인대가 손상되는 문제가 있었는바, 이에 상기 대퇴골 결합부재의 후방관절구 끝단 내측 모서리에 내측 챔퍼를 포함하여 후방십자인대와의 충돌을 방지하여 인대가 손상되는 것을 예방할 수 있도록 하는 효과를 도모할 수 있다.In the present invention, there is a problem that the ligament is damaged because the posterior cruciate ligament existing in the inside of the conventional CR type artificial knee joint collides with the inner edge along the horizontal axis rotation of the femur joint member, An inner chamfer is included in the inner edge of the distal end of the rear joint member to prevent collision with the posterior cruciate ligament, thereby preventing the ligament from being damaged.

본 발명은, 종래의 인공슬관절에서 무릎관절이 완전히 펴지는 경우 약간의 전방으로의 굽힘이 있기 때문에 후방 인대가 베어링 부재의 후방 돌출부에 충돌하여 인대가 손상되는 경우가 발생되었는데, 이러한 것을 방지하기 위해 상기 베어링 부재의 후방 돌출부에 후방 챔퍼를 포함하여 인대손상을 방지할 수 있도록 하는 효과를 도모할 수 있다.In the present invention, when the knee joint is completely extended in the conventional artificial knee joint, there is a slight forward bending, so that the ligament of the ligament is damaged due to the collision of the posterior ligament with the rear projecting portion of the bearing member. It is possible to prevent the ligament damage by including the rear chamfer in the rear protruding portion of the bearing member.

본 발명은, 종래의 인공슬관절에서 인대와의 충돌로 인하여 통증을 수반하기도 하고 심각하게는 염증을 유발하여 질병이 발생되었는 바, 이를 방지하기 위하여 상기 대퇴골 결합부재와 베어링 부재에 챔퍼를 두어 인대에 통증을 수반하지 아니하고, 보다 안정적인 인공슬관절을 형성할 수 있는 효과를 도모할 수 있다.In the present invention, a pain is caused by a collision with a ligament in a conventional artificial knee joint, and serious diseases are caused by inflammation. In order to prevent this disease, a chamfer is provided on the femur joint member and the bearing member, It is possible to achieve a more stable artificial knee joint without involving pain.

도 1은 종래의 인공 슬관절이 시술된 모습을 나타낸 도면1 is a view showing a state in which a conventional artificial knee joint is practiced

도 2는 종래 PS 타입 인공슬관절의 대퇴골 결합부재의 배면도2 is a rear view of a femur joint member of a conventional PS type artificial knee joint;

도 3은 종래 CR 타입 인공슬관절의 대퇴골 결합부재의 배면도3 is a rear view of a femur joint member of a conventional CR type artificial knee joint

도 4는 종래 인공슬관절의 평면상 가로축 뒤틀림 회전을 도시한 도면Fig. 4 is a view showing the horizontal twist rotation on the plane of the artificial knee joint of the related art

도 5는 종래 인공슬관절의 평면상 가로축 뒤틀림 회전을 도시한 도면FIG. 5 is a view showing the horizontal twist rotation of a conventional artificial knee joint on a plane; FIG.

도 6은 본 발명의 일 실시예에 따른 PS 타입 인공슬관절의 대퇴골 결합부재의 배면도6 is a rear view of a femur joint member of a PS type artificial knee joint according to an embodiment of the present invention

도 7은 본 발명의 일 실시예에 따른 CR 타입 인공슬관절의 대퇴골 결합부재의 배면도7 is a rear view of a femur joint member of a CR type artificial knee joint according to an embodiment of the present invention.

도 8은 본 발명의 다른 실시예에 따른 인공슬관절에서 베어링 부재의 사시도8 is a perspective view of a bearing member in an artificial knee joint according to another embodiment of the present invention.

이하에서는 본 발명에 따른 인대손상 방지를 위한 인공슬관절 장치의 구성 및 바람직한 실시예를 첨부된 도면을 참조하여 상세히 설명하기로 한다. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the constitution and preferred embodiments of an artificial knee joint apparatus for preventing ligament damage according to the present invention will be described in detail with reference to the accompanying drawings.

도 2는 종래 PS 타입 인공슬관절의 대퇴골 결합부재의 배면도이고, 도 3은 종래 CR 타입 인공슬관절의 대퇴골 결합부재의 배면도이며, 도 4는 종래 인공슬관절의 평면상 가로축 뒤틀림 회전을 도시한 도면이고, 도 5는 종래 인공슬관절의 평면상 가로축 뒤틀림 회전을 도시한 도면이며, 도 6은 본 발명의 일 실시예에 따른 PS 타입 인공슬관절의 대퇴골 결합부재의 배면도이고, 도 7은 본 발명의 일 실시예에 따른 CR 타입 인공슬관절의 대퇴골 결합부재의 배면도이며, 도 8은 본 발명의 다른 실시예에 따른 인공슬관절에서 베어링 부재의 사시도이다.FIG. 2 is a rear view of a femur joint member of a conventional PS type artificial knee joint, FIG. 3 is a rear view of a femur joint member of a conventional CR type artificial knee joint, and FIG. 4 is a cross- FIG. 6 is a rear view of a femur joint member of a PS type artificial knee joint according to an embodiment of the present invention, and FIG. 7 is a cross- FIG. 8 is a perspective view of a bearing member in an artificial knee joint according to another embodiment of the present invention. FIG. 8 is a rear view of a femur joint member of a CR type artificial knee joint according to an embodiment.

본 발명에 의한 인공 슬관절을 설명하기에 앞서, 도 2 및 도 3의 종래 인공슬관절의 대퇴골 결합부재(10)의 후방 관절구 끝단(19)의 외측 모서리(19a)와 내측 모서리(19b)로 인한 인대손상에 대해 살펴보고, 도 4 및 도 5에 도시된 종래 인공슬관절에서 대퇴골 결합부재(10)와 베어링 부재(50)의 평면상 가로축의 뒤틀림 회전으로 인한 인대손상에 따른 문제점을 살펴보기로 한다. 먼저 도 2는 종래 인공슬관절에서 후방십자인대를 제거하고 시술하는 PS 타입의 대퇴골 부재(10)에 대해 도시한 것으로 이에 상기 대퇴골 결합부재(10)는 후방관절구끝단 외측 모서리(19a)를 포함하고 있기 때문에 도 4 및 도 5에 도시되어 있는 것처럼 상기 대퇴골 결합부재(10)가 상기 베어링 부재(50)의 평면상 가로축 뒤틀림 회전이 있을 때, 튀어나온 상기 후방관절구끝단 외측 모서리(19a)에 의해 측면 인대와 충돌하게 된다. 이로써 상기 측면인대는 잦은 부딪힘과 마찰 등으로 인해 손상될 수 있고, 통증을 유발하며 심각한 경우 염증을 발생시키기도 한다. 다음 도 3은 종래 인공슬관절에서 후방십자인대를 제거하지 않고 시술하는 대퇴골 결합부재(10)에 대해서 도시한 것인데, 이에 따르면 상기 대퇴골 결합부재(10)는 후방 관절구 끝단(19)에 내측 모서리(19b)를 포함하고 있다. 이에 상기 후방관절구끝단 내측 모서리(19b)는 앞서 설명한 것처럼 대퇴골 결합부재(10)가 상기 베어링 부재(50)의 평면 가로축 회전에 따라 뒤틀리는 경우 중간에 있는 후방십자인대와 충돌하게 된다. 이로써 상기 후방십자인대는 손상을 입게 되고, 통증 및 염증을 유발하게 되는 문제가 발생하게 된다. 이러한 상기 문제점들을 해결하기 위해 본 발명의 인공슬관절은 상기 대퇴골 결합부재의 후방 관절구 끝단에 챔퍼를 형성하여 이를 방지할 수 있도록 하는 것이다.Before describing the artificial knee joint according to the present invention, it should be noted that due to the outer edge 19a and the inner edge 19b of the rear articulation end 19 of the femur joint member 10 of the conventional artificial knee joint shown in Figs. 2 and 3 4 and 5, a description will be given of a problem caused by ligament damage due to twist rotation of the femur joint member 10 and the bearing member 50 in the plane abscissa of the conventional artificial knee joint shown in Figs. 4 and 5 . FIG. 2 shows a PS type femoral component 10 which is removed from a conventional artificial knee joint and is to be performed. The femur joint member 10 includes an outer edge 19a of the rear articulation end 4 and 5, when the femur joint member 10 has a planar abaxial twist rotation of the bearing member 50, the outer joint edge 19a of the rear articulation end protruding from the joint member 10 Collision with the lateral ligament. As a result, the lateral ligament can be damaged by frequent collision and friction, causing pain, and causing serious inflammation. 3 is a perspective view of a femur joint member 10 to be performed without removing the posterior cruciate ligament in the artificial knee joint according to the present invention. The femur joint member 10 has an inner edge 19b. As described above, when the femur joint member 10 is twisted according to the horizontal axis rotation of the bearing member 50, the inner side edge 19b of the rear articulation end collides with the intermediate posterior cruciate ligament. As a result, the posterior cruciate ligament is damaged, causing pain and inflammation. In order to solve these problems, the artificial knee joint according to the present invention forms a chamfer at the end of the rear articulation of the femur joint member to prevent it.

이하에서는 본 발명에 따른 인공슬관절을 도 6 내지 도 8을 참조하여 상세히 살펴보기로 한다. 본 발명의 인공 슬관절은 도 6 및 도 7에 도시된 대퇴골의 경골측 말단 하부에 결합되는 대퇴골 결합부재(100)와 도 8에 도시된 상기 대퇴골 결합부재(100) 및 경골 결합부재 사이에서 연골의 역할을 하는 베어링 부재(500)를 포함한다. 이에 상기 대퇴골 결합부재(100)는 상기 베어링 부재(500)와 접촉하여 마찰하며, 베어링 부재는 상기 대퇴골 결합부재의 상부에서 전달되는 하중에 따른 응력을 받게 된다. 또한, 상기 대퇴골 결합부재와 베어링 부재는 접촉되는데, 다리가 인대로 인하여 움직이게 되는 경우, 경골이 전후로 움직이게 되고, 좌우로도 움직이게 될 수 있게 된다. 따라서, 이러한 무릎 관절의 움직임으로써 상기 대퇴골 결합부재와 베어링 부재의 접촉부위가 곡률에 따른 다양한 접촉을 유지하도록 하는 것이 바람직한데, 이는 응력을 적절히 분산시키도록 하기 위함이다.Hereinafter, the artificial knee joint according to the present invention will be described in detail with reference to FIGS. 6 to 8. FIG. The artificial knee joint of the present invention is a knee prosthesis having a femur joint member 100 coupled to the lower end of the tibia of the femur shown in Figs. 6 and 7 and a femur joint member 100 coupled to the femur joint member 100 and the tibia joint member shown in Fig. And a bearing member 500 serving as a bearing member. Accordingly, the femur joint member 100 rubs against the bearing member 500, and the bearing member receives a stress due to the load transmitted from the upper portion of the femur joint member. In addition, the femur joint member and the bearing member are in contact with each other. When the leg is moved due to the ligament, the tibia moves back and forth, and it can move left and right. Therefore, it is preferable that the contact portion of the femur joint member and the bearing member maintain various contact according to the curvature by the movement of the knee joint, in order to appropriately disperse the stress.

상기 대퇴골 결합부재(100)는 전체적으로 U자형을 띠고 생체 적합성의 재질로 이루어지며, 상부에는 대퇴골이 결합될 수 있도록 수용할 수 있는 부위를 가지고, 하부에는 약간 구형에 가까운 다양한 곡률을 가지는 곡면을 가진다. 상기 대퇴골 결합부재(100)는 대퇴골의 일부를 절개하여 상기 대퇴골 결합부재(100)에 수용될 수 있도록 하며 상기 U자형의 안쪽에 위치하는 대퇴골 수용부가 형성되어 있으며, 상기 대퇴골 수용부에서 대퇴골과 더욱 견고하게 결합될 수 있도록 하는 고정돌기를 포함한다. 또한 상기 대퇴골 결합부재(100)는 하면에는 하기에서 설명할 베어링 부재(500)와 접촉하게 되는 곡면 형태의 베어링부재 접촉부(130)를 포함하며, PS 타입의 인공슬관절에서 설계되는 상기 대퇴골 결합부재의 경우 양쪽 후방 관절구(Posterior Condyle) 사이에 연결되는 캠(170)을 포함하고, 상기 대퇴골 결합부재의 후방측의 관절구의 말단에 위치하는 후방 관절구 끝단(190)을 포함한다.The femur joint member 100 is generally U-shaped and made of biocompatible material. The femur joint member 100 has a portion that can accommodate the femur in an upper portion thereof and a curved surface having various curvatures that are slightly spherical in the lower portion . The femur joint member 100 has a femur receiving part formed at an inner side of the U-shaped femur so that a part of the femur can be cut and accommodated in the femur joint member 100, And a fixing protrusion for allowing the fixing member to be firmly coupled. The femur joint member 100 further includes a curved bearing member contact portion 130 which is brought into contact with the bearing member 500 to be described later, And includes a cam 170 connected between both posterior condyles and includes a rear articulation end 190 positioned at the distal end of the articulation on the rear side of the femur joint member.

상기 대퇴골 수용부는 상기 대퇴골 결합부재(100)의 U자형의 상부 안쪽에 해당되는 부위로써 대퇴골의 하부 절개면에 견고하게 결합된다. 이에 상기 대퇴골 수용부의 표면은 상기 대퇴골과 견고히 결합될 수 있도록 거친 표면을 가지거나, 다공성 재질로 이루어짐이 바람직할 것이다. 상기 고정돌기는 상기 대퇴골 수용부의 상측으로 대퇴골에 내입되어 삽입될 수 있도록 형성되는 돌기로써 나사모양이나, 상기 대퇴골에 내입되어 견고히 상기 대퇴골의 골조직을 잡아줄 수 있는 형상의 걸림 등이 있으면 더욱 바람직할 것이다. The femur receiving portion is a portion corresponding to the U-shaped upper inside of the femur joint member 100, and is firmly coupled to the lower incision surface of the femur. The surface of the femur receiving part may have a rough surface to be firmly coupled with the femur, or may be made of a porous material. The fixing protrusion is a protrusion formed to be inserted into the femur from the upper side of the femur receiving portion and is inserted into the femur so as to firmly hold the bone tissue of the femur, will be.

상기 베어링부재 접촉부(130)는 하기에서 설명할 베어링 부재(500)의 홈부(510)와 접촉하여 상기 대퇴골이 움직이는 경우 접촉면적을 최대한으로 넓게 하여 응력을 자연스럽게 분산시킬 수 있도록 하는 형상으로 이루어지는 것이 바람직하다. 이에 상기 베어링부재 접촉부(130)는 측면에서 보았을 때의 접촉부의 곡률과 전면부에서 보았을 때의 접촉부의 곡률이 상이한 바, 이렇게 상이한 곡률을 갖도록 하는 것은 전후의 무릎관절의 이동시에도 자연스러운 운동이 가능함과 동시에 접촉면적을 증가시킴으로써 응력을 분산시킬 수 있도록 하며, 좌우로 약간씩 외전하는 경우에도 상기 접촉부가 한 쪽은 살짝 들리는 경우에도 다른 한 쪽에서 큰 응력이 집중됨으로써 그 부분에서도 접촉면적을 넓게 유지시킴으로써 응력이 분산될 수 있도록 하기 위함이다.The bearing member contact portion 130 preferably has a shape that allows the contact area to be maximized when the femur moves in contact with the groove 510 of the bearing member 500 to be described later so that the stress can be naturally dispersed Do. Accordingly, the curvature of the contact portion when viewed from the side of the bearing member contact portion 130 is different from the curvature of the contact portion when viewed from the front portion. The curvature of the contact portion is different from that of the contact portion 130, The stress can be dispersed by increasing the contact area at the same time. Even if the abutment portion is slightly lifted, the stress is concentrated on the other side, To be dispersed.

상기 캠(170)은 본 발명의 인공슬관절이 후방십자인대를 제거한 상태에서 시술하는 PS 타입의 인공슬관절의 경우 상기 후방십자인대의 역할을 대신하여 하기에서 설명하게 될 베어링 부재(500)의 포스트(570)과 맞물려 그 기능을 할 수 있도록 하는 것으로 상기 대퇴골 결합부재(100)의 후방 관절구에 위치한다. 이러한 상기 캠(170)은 종래의 PS 타입의 인공슬관절에서 존재하는 것으로 이하 그 자세한 설명을 생략하기로 한다.In the case of a PS type artificial knee joint to be performed in a state where the artificial knee joint of the present invention is removed with the posterior cruciate ligament removed, the cam 170 may be replaced with a post (not shown) of the bearing member 500 570 of the femur joint member 100 in order to perform the function thereof. The cam 170 is present in a conventional PS type artificial knee joint, and a detailed description thereof will be omitted below.

상기 후방 관절구 끝단(190)은 상기 대퇴골 결합부재(100)의 U자형 형상에서 후방측의 관절구의 끝단을 지칭하는 부위로 상기 끝단에서 본 발명의 핵심이라고 할 수 있는 챔퍼를 구성할 수 있게 되어 인대손상을 방지할 수 있게 된다. 상기 후방관절구 끝단(190)은 측면인대의 손상을 방지할 수 있도록 하는 외측 챔퍼(191)와 CR 타입의 인공슬관절의 경우 후방십자인대의 손상을 방지할 수 있도록 하는 내측 챔퍼(193)를 포함한다. The rear end of the femur joint member 100 may be a U-shaped end portion of the rear articulation joint member 100. The end of the rear articulation end portion 190 may form a chamfer, The ligament damage can be prevented. The distal end of the posterior joint 190 includes an outer chamfer 191 for preventing damage to the lateral ligament and an inner chamfer 193 for preventing damage to the posterior cruciate ligament in the case of a CR type artificial knee joint do.

상기 외측 챔퍼(191)는 도 6 및 도 7에 도시된 것처럼 도 2의 종래 대퇴골 결합부재(10)에서 후방관절구끝단 외측 모서리(19a)에 챔퍼를 형성한 것으로 도 4 및 도 5에서와 같이 상기 대퇴골 결합부재가 베어링 부재의 평면상 가로축 뒤틀림 회전을 하는 경우 상기 후방관절구끝단 외측 모서리(19a)가 튀어나와 측면인대를 손상시키는 것을 방지하기 위한 구성이다. 이에 상기 외측 챔퍼(191)가 형성되는 후방 관절구 끝단의 외측 모서리는 도 6 및 도 7에 도시되어 있는 것처럼 완만한 곡면 형상으로 형성되는 것이 바람직한데, 이는 상기 후방관절구끝단 외측 모서리(19a)가 각을 가진 상태로 절삭되는 경우 비록 챔퍼를 형성하고 있을지라도 측면인대와 걸리는 경우가 생길 수 있고, 무릎관절의 원활한 굴곡운동(Flection)에 지장을 초래할 수도 있기 때문이다. 상기 외측 챔퍼(191)를 포함하고 있는 대퇴골 결합부재(100)를 통해 상기 대퇴골 결합부재(100)가 가로축의 평면상 뒤틀림 회전을 하는 경우에도 측방의 인대를 손상시키지 않을 수 있도록 하는 것이 가능할 수 있다. 6 and 7, the outer chamfer 191 has a chamfer formed at the outer edge 19a of the distal end of the conventional articular femur joint member 10 shown in FIG. 2. As shown in FIGS. 4 and 5, And when the femur joint member rotates in the horizontal axis of the bearing member in the horizontal axis, the outer edge 19a of the rear end of the rear joint protrudes to prevent the side ligament from being damaged. 6 and 7, it is preferable that the outer edge of the rear articulation end of the outer articulator 191 is formed in a gently curved shape as shown in FIGS. 6 and 7, The knee joint may be caught by the lateral ligament even though the chamfer is formed, and the smooth flexion of the knee joint may be interrupted. It is possible to prevent the side ligaments from being damaged even when the femur joint member 100 is twisted in the plane of the horizontal axis through the femur joint member 100 including the outer chamfer 191 .

상기 내측 챔퍼(193)는 도 7에 도시된 것처럼 종래발명의 CR 타입의 인공슬관절에서 대퇴골 결합부재의 후방 관절구의 내측 모서리에 형성된 챔퍼인데, 이러한 내측 챔퍼(192)로 인해 CR 타입의 인공슬관절의 경우 상기 대퇴골 결합부재(100)가 베어링 부재의 평면상 가로축 회전이 있을지라도 중심부에 있는 후방십자인대와 충돌하지 않고 인대손상을 방지할 수 있도록 하는 기능을 한다. 상기 내측 챔퍼(193)는 내측으로 함입된 완만한 오목한 곡면형상을 가지도록 형성되는 것이 바람직한데, 이는 상기 대퇴골 결합부재(100)가 충분히 굽혀진 상태에서 베어링 부재(500)의 홈부(510)에서 평면상 가로축 뒤틀림 회전하는 경우 후방 관절구 끝단(190)의 내측 모서리가 후방십자인대와 충돌할 우려가 있으므로 상기 뒤틀림 회전에 따른 충돌을 방지하기 위한 가장 이상적인 형상이 원형에 가까울수록 좋기 때문이다. 즉, 후방십자인대를 축으로 가로축 회전에 따른 후방십자인대와의 충돌을 방지하기 위한 형상으로 상기 내측 챔퍼(193)의 형상이 함입된 오목한 형상을 갖도록 하는 것이다.7, the inner chamfer 193 is a chamfer formed at the inner edge of the rear articulation of the femur joint member in the CR type artificial knee joint of the prior art as shown in FIG. 7, and the inner side of the CR type artificial knee joint The femur joint member 100 functions to prevent the ligament damage without colliding with the posterior cruciate ligament in the center even if the femur joint member 100 has a horizontal axis rotation on the plane of the bearing member. It is preferable that the inner chamfer 193 is formed to have a gentle concave curved shape that is embedded inwardly in the groove 510 of the bearing member 500 in a state in which the femur joint member 100 is sufficiently bent Since the inner edge of the end 190 of the rear articular joint may collide with the posterior cruciate ligament when the horizontal twist and rotation of the horizontal plane is rotated, it is preferable that the most ideal shape for preventing the collision due to the twist rotation is closer to the circular shape. That is, the shape of the inner chamfer 193 is shaped to have a concave shape to prevent collision with the posterior cruciate ligament along the horizontal axis about the posterior cruciate ligament.

상기 베어링 부재(500)는 상기 대퇴골 결합부재(100)와 경골 결합부재와의 사이에서 인체의 연골과 비슷한 역할을 하게 되는데, 이에 상기 대퇴골 결합부재 및 경골 결합부재의 재질과는 다르게 마모에 따른 이물질이 나오지 않고 마찰 등에 의해 열이 발생되지 않아 마찰에 강할 수 있으며, 표면이 매끄러워 자연스러운 마찰 접촉이 가능하도록 재질을 폴리에틸렌으로 형성함이 바람직하다. 상기 베어링 부재(500)는 상부에 상기 대퇴골 결합부재(100)의 접촉부(130)가 접촉하는 전면에서 보았을 때의 홈부(Groove, 510)와 측면에서 보았을 때의 상기 베어링 부재(500)의 양 끝단에 형성된 전방 돌출부(530) 및 후방 돌출부(540)를 포함한다. 또한 본 발명의 인공슬관절이 PS 타입으로 시술되는 경우 후방십자인대는 제거되어 시술되므로 이를 대신할 수 있도록 하는 포스트(570)를 포함할 수 있다.The bearing member 500 plays a role similar to the cartilage of the human body between the femur joint member 100 and the tibia joint member. Unlike the material of the femur joint member and the tibia joint member, It is preferable that the material is made of polyethylene so that the surface is smooth and natural friction contact is possible. The bearing member 500 has grooves 510 as viewed from the front where the contact portions 130 of the femur joint member 100 are in contact with the upper ends of both ends of the bearing member 500 as viewed from the side, The front projection 530 and the rear projection 540, In addition, when the artificial knee joint of the present invention is performed as a PS type, the posterior cruciate ligament may be removed, and the post 570 may be substituted for it.

상기 홈부(Groove, 510)는 상기 베어링 부재(500)를 전면에서 보았을 때 본 발명의 인공 슬관절의 양 방향에 형성된 함몰된 부위로써 이 부위는 상기 대퇴골 결합부재(100)의 베어링부재 접촉부(130)와 접촉하여 상기 대퇴골 결합부재(100)가 회전하는 경우 마찰되는 부위이다. 따라서, 상기 접촉에 따라 하중이 이 부위에 집중하게 되므로 접촉면적을 최대한 넓혀 응력이 집중되는 것을 방지할 필요가 있다. 따라서, 상기 홈부(510)는 상기 대퇴골 결합부재(100)의 베어링부재 접촉부(130)와 대응되는 곡률을 갖도록 함이 바람직하다. 이에 따라 상기 베어링부재 접촉부(130)의 구성에서 설명한 바와 같이 약간 좌우로 들리는 경우 한쪽에서만 접촉하게 되어 응력이 집중될 것인데, 접촉면적 증가로 인해 응력이 분산될 수 있도록 하는 효과를 도모할 수 있게 되는 것이다.The grooves 510 are depressed portions formed in both directions of the artificial knee joint according to the present invention when viewed from the front of the bearing member 500. The groove 510 is a recessed portion formed in the bearing member contact portion 130 of the femur joint member 100, And is frictioned when the femur joint member 100 rotates. Therefore, it is necessary to prevent the concentration of stress by maximizing the contact area because the load is concentrated on this portion due to the contact. Therefore, it is preferable that the groove 510 has a curvature corresponding to the bearing member contact portion 130 of the femur joint member 100. Accordingly, as described in the structure of the bearing member contacting portion 130, the stress is concentrated only by contacting only one side of the bearing member 130, and the effect of dispersing the stress due to the increase of the contact area can be achieved will be.

상기 전방 돌출부(530) 및 후방 돌출부(540)는 상기 베어링 부재(500)의 전방 및 후방에 상측으로 돌출된 부위로써 그 높이를 달리하도록 형성될 수 있는데, 상기 전방 돌출부(530)의 높이는 상기 후방 돌출부(540)의 높이보다 더 높도록 형성하고, 이는 자연스러운 무릎운동과 전방탈구를 방지할 수 있도록 하기 위함이다. 상기 전방 돌출부(530) 및 후방 돌출부(540)는 상기 베어링 부재(500)를 측면에서 보았을 때, 전방 및 후방에서 일정 높이 돌출된 부위인데, 특히 상기 전방 돌출부(530)는 그 높이를 상기 후방 돌출부(540)의 높이에 비해 일정부분 높게 하여 본 발명의 인공 슬관절을 시술한 환자가 무릎을 큰 각도로 굽히는 경우 상기 대퇴골 결합부재(100)가 상기 베어링 부재(500)로부터 이탈되는 것을 방지할 수 있도록 하며, 상기 후방 돌출부(540)는 그 높이를 상기 전방 돌출부(530)의 높이에 비해 낮게 형성하여 무릎이 큰 각도로 굽혀 롤백하는 경우 탈구되는 것을 방지하며 안정적인 무릎관절의 운동을 가능하도록 한다. 이에 상기 후방 돌출부(540)는 무릎이 완전히 펴지는 경우 약간 전방으로 굽혀지는 경우가 있는데, 이에 따라 상기 후방 돌출부와 후방의 인대가 부딪혀 인대가 손상되는 경우가 발생되므로 이를 방지할 수 있는 후방 챔퍼(541)를 포함한다.The front protruding portion 530 and the rear protruding portion 540 may be formed to protrude upward and forward at the front and back of the bearing member 500. The height of the front protruding portion 530 may be different from the height of the rear protruding portion 530, Is formed to be higher than the height of the protrusion 540 in order to prevent natural knee motion and anterior dislocation. The front protruding portion 530 and the rear protruding portion 540 protrude from the front and rear at a predetermined height when viewed from the side of the bearing member 500. Particularly, In order to prevent the femur joint member 100 from being detached from the bearing member 500 when the patient who has performed the artificial knee joint according to the present invention is bent at a large angle relative to the height of the knee joint 540, The rear protrusion 540 has a height lower than the height of the front protrusion 530 to prevent dislocation when the knee is bent and rolled back at a large angle, thereby enabling a stable movement of the knee joint. Therefore, when the knee is fully extended, the rear protruding portion 540 may bend slightly forward, thereby causing a collision between the rear protruding portion and the ligament on the rear side, thereby damaging the ligament. Therefore, 541).

상기 후방 챔퍼(541)는 본 발명의 핵심으로써 베어링 부재에서 후방돌출부가 비록 낮게 돌출되어 있을지라도 후방인대와 접촉하여 상기 후방인대가 손상되는 경우가 발생하여 통증 및 염증을 유발할 수 있었다. 이러한 문제점을 해결하기 위하여 상기 후방 돌출부(540)에 도 8에 도시된 것처럼 오목하게 함입된 완만한 곡면 형상을 가진 챔퍼를 형성하여 상기 후방인대가 부딪히는 것을 방지할 수 있도록 하였다. 결국 상기 후방 챔퍼(541)를 통해 후방 인대와의 충돌을 방지할 수 있고 본 발명이 이루고자 하는 목적인 인대손상 방지를 실현할 수 있도록 하여 보다 안정적인 인공슬관절을 실현할 수 있게 된다.The rear chamfer 541 is a core of the present invention, and even if the rear protrusion of the bearing member protrudes low, the back ligament may be damaged by the contact with the posterior ligament, resulting in pain and inflammation. In order to solve such a problem, a chamfer having a gently curved shape embedded in the concave recess as shown in FIG. 8 is formed on the rear protruding portion 540 so that the rear ligament can be prevented from colliding. As a result, collision with the posterior ligament can be prevented through the rear chamfer 541, and it is possible to realize the prevention of ligament damage, which is an object to be achieved by the present invention, thereby realizing a more stable artificial knee joint.

상기 포스트(570)는 상기 베어링 부재(500)의 중앙부분에 상측으로 돌출된 부위로써 본 발명의 인공슬관절이 PS 타입으로 시술되는 경우 제거된 후방십자인대의 역할을 대신하기 위한 구성이다. 이러한 상기 포스트(570)의 구성은 본 발명이 속하는 기술분야에서의 통상의 지식을 가진 자가 충분히 알 수 있는 내용이므로 이하 그 자세한 설명을 생략하기로 한다.The post 570 protrudes upward in a central portion of the bearing member 500 to replace the role of the removed posterior cruciate ligament when the artificial knee joint of the present invention is performed as a PS type. The configuration of the post 570 is well known to those of ordinary skill in the art, and a detailed description thereof will be omitted.

이하에서는 본 발명에 따른 인공슬관절 장치의 작동관계 및 사용상태에 대한 바람직한 실시예를 첨부된 도면을 참고하여 상세히 설명한다.DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, preferred embodiments of the operation and use state of an artificial knee joint device according to the present invention will be described in detail with reference to the accompanying drawings.

도 6은 본 발명의 일 실시예에 따른 PS 타입 인공슬관절의 대퇴골 결합부재의 배면도이고, 도 7은 본 발명의 일 실시예에 따른 CR 타입 인공슬관절의 대퇴골 결합부재의 배면도이며, 도 8은 본 발명의 다른 실시예에 따른 인공슬관절에서 베어링 부재의 사시도이다. FIG. 6 is a rear view of a femur joint member of a PS type artificial knee joint according to an embodiment of the present invention, FIG. 7 is a rear view of a femur joint member of a CR type artificial knee joint according to an embodiment of the present invention, Is a perspective view of a bearing member in an artificial knee joint according to another embodiment of the present invention.

도 6 내지 도 8을 참조하여 본 발명의 인공 슬관절의 작동관계를 살펴보면, 먼저 도 6을 참조하여 본 발명의 일 실시예에 따른 인공슬관절을 설명하면 상기 대퇴골 결합부재(100)는 후방관절구 끝단(190)에 외측 챔퍼(191)를 포함하여 본 발명의 인공슬관절이 시술된 경우 측면의 인대와 충돌을 방지하여 인대가 손상되지 않도록 하는 기능을 한다. 이는 실제로 인체의 무릎이 전후 운동만을 하는 것이 아니라, 베어링 부재의 상면에 접촉한 대퇴골 결합부재가 가로축의 뒤틀림 회전도 하기 때문에 상기 대퇴골 부재의 후방관절구 끝단이 측면인대와 충돌되기 때문에 상기 후방관절구 끝단의 외측 모서리를 절삭하여 챔퍼를 형성하도록 한 것이다. 또한 상기 외측 챔퍼(191)가 외측으로 돌출된 완만한 곡면형상으로 이루어지는 것이 바람직한데, 이는 상기 대퇴골 결합부재(100)의 평면상 가로축 회전이 있는 경우 측면인대의 손상을 극소화시킬 수 있도록 하고, 더 나아가 원활한 무릎관절의 굴곡 회전운동이 가능하도록 하기 위해서이다.6 to 8, an operation of the artificial knee joint according to an embodiment of the present invention will be described with reference to FIG. 6. Referring to FIG. 6, the articulated knee joint according to an embodiment of the present invention includes a femur joint member 100, The knee joint 190 includes the outer chamfer 191 to prevent collision with the side ligaments when the artificial knee joint of the present invention is performed to prevent the ligaments from being damaged. This is because the femur joint member in contact with the upper surface of the bearing member rotates in the twist axis of the horizontal axis not only in the back and forth movement of the human body but also in the back of the femur member, And the outer edge of the end is cut to form a chamfer. In addition, it is preferable that the outer chamfer 191 has a gently curved shape protruding outwardly. This minimizes the damage of the lateral ligaments when the femur joint member 100 is rotated in the horizontal direction on the plane, So that the knee joint can be flexibly rotated.

다음 도 7을 참조하여 본 발명의 다른 실시예에 따른 인공슬관절을 살펴보면 상기 대퇴골 결합부재(100)는 후방관절구 끝단(190)에 외측 챔퍼(191)뿐 아니라 내측 챔퍼(193)를 포함한다. 이는 후방십자인대를 제거하지 아니하고 시술하는 CR 타입의 인공슬관절의 경우 상기에서 설명한 것처럼 대퇴골 결합부재의 가로축 뒤틀림 회전에 의해 중심부에 있는 후방십자인대와 충돌하게 되기 때문에 이를 방지하기 위하여 상기 대퇴골 결합부재의 후방관절구 끝단의 내측 모서리를 절삭하여 챔퍼를 형성하도록 한 것이다. 상기 내측 챔퍼(193) 내측으로 내입 함몰된 완만한 곡면형상으로 이루어질 수 있는데, 이렇게 내입 함몰된 곡면형상을 이루는 것은 상기 대퇴골 결합부재(100)가 상기 베어링부재(500)의 상부에서 평면상 가로축 회전을 하는 경우 중심부의 후방십자인대를 축으로 회전하게 되므로 상기 후방 관절구 끝단(190)의 내측 모서리의 챔퍼를 상기 축을 중심으로 한 원형에 가깝도록 형성하는 것이 가장 바람직하기 때문이다.Referring to FIG. 7, the femur joint member 100 includes an inner chamfer 193 as well as an outer chamfer 191 at a distal end of a rear joint 190 according to another embodiment of the present invention. This is because the CR type artificial knee joint does not remove the posterior cruciate ligament but collides with the posterior cruciate ligament in the center by the transverse twist rotation of the femur joint member as described above, And the inner edge of the end of the rear joint is cut to form a chamfer. The femur joint member 100 may have a curved surface shape that is recessed and recessed inwardly inside the inner chamfer 193, It is most preferable to form the chamfer of the inner edge of the rear articular end 190 so as to be close to the circular shape about the axis.

도 8을 참조하여 본 발명의 또 다른 실시예에 대해 살펴보면, 본 발명의 베어링 부재(500)는 후방 챔퍼(541)을 포함하는데, 이는 실제 무릎이 완전히 펴지는 경우 약간 전방으로 굽혀지므로 이에 따라 상기 베어링 부재(500)에 포함된 후방 돌출부와 후면 인대가 충돌하여 후방측의 인대를 손상시키는 문제가 발생되게 된다. 이를 해결하기 위해 본 발명의 상기 베어링 부재(500)는 종래의 후방 돌출부를 절삭하여 후방 챔퍼(541)를 형성함으로써 후방 측의 인대와 충돌하지 않도록 하였다. 또한, 상기 후방 챔퍼(541)는 내측으로 함몰된 곡면형상으로 이루어지는 것이 바람직하다. 이로써, 본 발명의 인대손상 방지를 위한 인공슬관절을 실현할 수 있게 된다.8, the bearing member 500 of the present invention includes a rear chamfer 541, which is slightly bent forward when the actual knee is fully extended, There arises a problem that the back protrusion included in the bearing member 500 collides with the back ligament to damage the ligament on the back side. In order to solve this problem, the bearing member 500 of the present invention cuts the conventional rear projection to form the rear chamfer 541 so as not to collide with the ligament on the rear side. Further, it is preferable that the rear chamfer 541 is curved inwardly. Thus, the artificial knee joint for preventing the ligament damage of the present invention can be realized.

앞서 살펴본 실시예는 본 발명이 속하는 기술분야에서 통상의 지식을 가진자(이하 '당업자'라 한다)가 본 발명에 따른 인공슬관절을 용이하게 실시할 수 있도록 하는 바람직한 실시예일 뿐, 전술한 실시예 및 첨부된 도면에 한정되는 것은 아니므로 이로 인해 본 발명의 권리범위가 한정되는 것은 아니다. 따라서, 본 발명의 기술적 사상을 벗어나지 않는 범위 내에서 여러가지 치환, 변형 및 변경이 가능하다는 것이 당업자에게 있어 명백할 것이며, 당업자에 의해 용이하게 변경가능한 부분도 본 발명의 권리범위에 포함됨은 자명하다.The embodiments described above are merely preferred embodiments of the artificial knee joint according to the present invention, which are well known to those skilled in the art (hereinafter referred to as " those skilled in the art "), And the scope of the present invention is not limited thereto. It will be apparent to those skilled in the art that various changes, substitutions, and alterations can be made hereto without departing from the spirit of the present invention, and it is obvious that those parts easily changeable by those skilled in the art are also included in the scope of the present invention.

Claims (10)

대퇴골의 말단에 결합되는 대퇴골 결합부재와, 경골의 말단에 결합되는 경골 결합부재와, 상기 대퇴골 결합부재와 상기 경골 결합부재의 사이에 위치하는 베어링 부재를 포함하는 인공슬관절에 있어서,An artificial knee joint comprising: a femur joint member coupled to a distal end of a femur; a tibia joint member coupled to a distal end of the tibia; and a bearing member positioned between the femur joint member and the tibia joint member, 상기 대퇴골 결합부재는 그 후방관절구 끝단의 외측 모서리에서 챔퍼된 외측 챔퍼를 포함하여 측면인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 인공 슬관절.Wherein the femur joint member includes an outer chamfer chamfered at an outer edge of an end of a rear joint to prevent collision with a side ligament, thereby preventing ligament damage. 제 1 항에 있어서,The method according to claim 1, 상기 대퇴골 결합부재는 그 후방관절구 끝단의 내측 모서리에서 챔퍼된 내측 챔퍼를 추가로 포함하여 후방십자인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 인공 슬관절.Wherein the femur joint member further includes a chamfered inner chamfer at an inner edge of a distal end of the posterior joint to prevent collision with the posterior cruciate ligament to thereby prevent ligament damage. 제 1 항에 있어서, 상기 외측 챔퍼는 완만한 볼록한 곡면형상으로 챔퍼된 것을 특징으로 하는 인대손상 방지를 위한 인공 슬관절.The artificial knee joint according to claim 1, wherein the outer chamfer is chamfered in a gently convex curved shape. 제 2 항에 있어서, 상기 내측 챔퍼는 내측으로 함입된 완만한 오목한 곡면형상으로 챔퍼된 것을 특징으로 하는 인대손상 방지를 위한 인공 슬관절.[3] The artificial knee joint according to claim 2, wherein the inner chamfer is chamfered in a gentle concave curved shape embedded inward. 제 1 항 내지 제 4 항 중 어느 한 항에 있어서,5. The method according to any one of claims 1 to 4, 상기 베어링 부재는 그 후방에서 상측으로 돌출된 후방돌출부를 포함하며, 상기 후방돌출부는 하방으로 일정 깊이 챔퍼되어 형성된 후방챔퍼를 포함하며, 상기 후방챔퍼는 인대와의 충돌을 방지할 수 있도록 하는 특징으로 하는 인대손상 방지를 위한 인공 슬관절.The bearing member includes a rear protruding portion protruding upward from a rear side of the bearing member, and the rear protruding portion includes a rear chamfer formed by chamfering the bottom portion to a certain depth, and the rear chamfer is capable of preventing collision with the ligament Artificial knee joint to prevent damage to ligaments. 제 5 항에 있어서,6. The method of claim 5, 상기 후방 챔퍼는 오목하게 함입된 완만한 곡면 형상으로 챔퍼된 것을 특징으로 하는 인대손상 방지를 위한 인공 슬관절.Wherein the rear chamfer is chamfered in a gently curved shape embedded in a concave shape. 대퇴골의 말단에 결합되는 대퇴골 결합부에 있어서,In the femur joint portion which is connected to the distal end of the femur, 상기 대퇴골 결합부재의 후방관절구 끝단의 외측 모서리에서 완만한 볼록한 곡면형상으로 챔퍼된 외측 챔퍼를 포함하여 측면인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 대퇴골 결합부재.A femur joint member for preventing a ligament injury by preventing a collision with a side ligament, including an outer chamfer chamfered in a gently convex curved shape at an outer edge of an end of a rear joint of the femur joint member. 제 7 항에 있어서, 상기 대퇴골 결합부재는 그 후방관절구 끝단의 내측 모서리에서 내측으로 함입된 완만한 오목한 곡면형상으로 챔퍼된 내측 챔퍼를 추가로 포함하여 후방십자인대와의 충돌을 막음으로써 인대손상을 방지할 수 있도록 하는 대퇴골 결합부재.[8] The femur joint according to claim 7, wherein the femur joint member further includes a chamfered inner chamfer in a gentle concave curved shape embedded inward at an inner edge of an end of the rear joint to prevent collision with the posterior cruciate ligament, A femur joint member for preventing the femur joint from being damaged. 대퇴골 결합부재와 경골 결합부재의 사이에 위치하는 베어링 부재에 있어서, 상기 베어링부재는 그 후방에서 상측으로 돌출된 후방돌출부를 포함하며, 상기 후방돌출부는 오목하게 함입된 완만한 곡면 형상으로 챔퍼된 후방챔퍼를 포함하며, 상기 후방챔퍼는 인대와의 충돌을 방지할 수 있도록 하는 특징으로 하는 베어링 부재. A bearing member positioned between a femur joint member and a tibia joint member, wherein the bearing member includes a rearwardly projecting portion projecting upwardly from a rear side thereof, the rearwardly projecting portion including a rearwardly projecting portion Wherein the rear chamfer prevents collision with the ligament. 제 9 항에 있어서, 상기 베어링 부재는 그 전방에서 상측으로 돌출된 전방돌출부를 추가로 포함하며, 상기 전방돌출부는 상기 후방돌출부의 높이보다 높게 형성되어 자연스러운 무릎운동과 전방탈구를 방지할 수 있는 것을 특징으로 하는 베어링 부재. [10] The apparatus according to claim 9, wherein the bearing member further includes a front protruding portion protruding upward from a front side of the bearing member, wherein the front protruding portion is formed higher than a height of the rear protruding portion to prevent natural knee movement and anterior dislocation Characterized by a bearing member.
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