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Author|PowerPointtitlegoeshere|AprilXX,2012CORAILSYSTEMAuthor|PowerPointtitlegoeshere|AprilXX,2012CORAILSYSTEMDESIGNERSARTROGROUPFOUNTEDIN1981Author|PowerPointtitlegoeshere|AprilXX,2012•1984TITANstemlaunched钛合金柄上市•1985ClinicaltrailsofTITAN/HA临床试验•19861stimplantationoftheCORAIL®stem第一个假体柄植入体内•1996FDAapprovalFDA通过•2005CorailAMTHISTORICALRECORD历史回顾Author|PowerPointtitlegoeshere|AprilXX,2012CORAILDESIGNPRINCIPL设计原理•SURFACETREATMENT•表面处理•RANGEOFIMPLANTS•假体尺寸•SURGICALTECHNIQUE•外科技术•CLINICALRESULTS•临床结果Author|PowerPointtitlegoeshere|AprilXX,2012•RELIABLEPRIMARYSTABILITY•可靠的初始稳定性•LONGTERMBIOLOGICALFIXATION•长期的生物固定•PROXIMALLOADTRANSFER•近端负荷传导CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,20120102030405060708090100FatigueresistanceForgedTitaniumCoCrStainlesssteelCORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012FEMORALHEADS股骨头•Alumina(BioloxForte)氧化铝•Tribologicalproperties摩擦学属性•Compatiblewithaluminaorcobaltchromeliners•与氧化铝或钴铬内衬匹配CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•Straightstem•直柄•Thindistaltip•远端较细CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•135°neckangle颈干角•12/14Morsetaper锥度•Progressiveoffset偏心距逐渐扩大CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•四边形横截面•轴向及旋转稳定性CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•Doubletapergeometrygivesstero-stability双锥度设计提供立体稳定性CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•Progressivehorizontalmacrostructureontheproximalstem•柄的近端逐渐扩大的横行结构CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012Horizontalproximalmacrostructure近端横行结构•Size9=11grooves沟•Size20=21grooves沟CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•Verticaldistalmacrostructre•远端垂直结构CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012•Optionalcollarforcalcarloading•股骨距负荷-带领,不带领CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012HYDROXYAPATITE•Bioactivecoating•生物活性涂层CORAILDESIGNPRINCIPLES设计原理Author|PowerPointtitlegoeshere|AprilXX,2012BONECOMPOSITION骨组成•ORGANICPHASE有机期30%collagen胶元,specificproteins特殊蛋白质•MINERALPHASE矿物质期60%carbonatedapatite碳酸磷灰石•WATER水10%Author|PowerPointtitlegoeshere|AprilXX,2012HYDROXYAPATITE羟基磷灰石•ChemicalFormula化学分子式Ca10(PO4)6(OH)2•Similartothemineralphaseofhumanbone•与人类骨的矿物质期相似•Biocompatible,nonresorbable•生物相容,不可吸收•Osteo-conductiveproperties•骨传导性Author|PowerPointtitlegoeshere|AprilXX,2012•NONTOXIC无毒•NONINFLAMMATORY不引起炎症反应•NONALLERGIC无过敏反应•NONCARCINOGENIC•不引起癌症HYDROXYAPATITEAuthor|PowerPointtitlegoeshere|AprilXX,2012•Coatingthickness涂层厚度=150µm•Coatings75µmearlyresorbtion早期吸收•Coatings200µmriskofdelamination脱层的危险HYDROXYAPATITEAuthor|PowerPointtitlegoeshere|AprilXX,2012ADVANTAGES优点Increasedboneingrowth增加骨内生•Nofibroustissueinterposition•无纤维组织插入•Gapfilling•孔隙充填HYDROXYAPATITEAuthor|PowerPointtitlegoeshere|AprilXX,2012•Newboneformation•新骨形成•HAcoating•HA涂层•Metal•金属HYDROXYAPATITENOFIBROUSTISSUEINTERPOSITION•无纤维组织插入Author|PowerPointtitlegoeshere|AprilXX,2012HYDROXYAPATITE•WhyisCorail®fullycoated?为何全涂层?•Longtermstability长期的稳定性•Biologicalsealagainstweardebris生物性封闭,以抵抗磨屑•Nodistalgranulomas没有远端肉芽肿Author|PowerPointtitlegoeshere|AprilXX,2012LONGTERMSTABILITY长期稳定性“Thecompleteabsenceoffemoralendostealcorticalosteolysisinspiteoftheabundanceofparticlesisreassuring.TheexplanationmaybethattheextensiveHAcoatingofthestemsealsthewholeinterfaceandblocksthepassageofparticles.”虽然有大量的磨损颗粒,但没有股骨骨内膜的皮质骨溶解。原因可能是广泛的HA涂层封闭了所有的交界面阻止了微粒的通道。RokkumetalJBJSVol81B,1999HYDROXYAPATITEAuthor|PowerPointtitlegoeshere|AprilXX,2012Preventionofthighpain大腿痛的防止•Nofibroustissuedistally远端没有纤维组织•Nodistalmicromotion没有远端微动•Minimisethighpain•最小化大腿痛NewboneformationHYDROXYAPATITEAuthor|PowerPointtitlegoeshere|AprilXX,2012FromCorailtoCorailAMTAuthor|PowerPointtitlegoeshere|AprilXX,2012Articul/ezeMiniTaper:AMTThinnerneck更薄的颈部设计=Improvedrangeofmotion更大的活动度Author|PowerPointtitlegoeshere|AprilXX,2012Polishedtaper抛光的锥部•BetterresistancetoPEwear•减少PE磨损Articul/ezeMiniTaper:AMTAuthor|PowerPointtitlegoeshere|AprilXX,2012AMTtaperOldtaperMinitaper短小的锥部•12/14•Improvedrangeofmotion更大的ROM•Noskirteffect无假裙现象Articul/ezeMiniTaper:AMTAuthor|PowerPointtitlegoeshere|AprilXX,2012Thinnerneck更薄的颈部设计•Elliptico-trapezoidalshape•2flatsurfaces•Frontal(向位):12mm•Sagittal(矢向位):9.15mmArticul/ezeMiniTaper:AMTAuthor|PowerPointtitlegoeshere|AprilXX,2012Newimpactionhole新打入孔Articul/ezeMiniTaper:AMTAuthor|PowerPointtitlegoeshere|AprilXX,2012Standardrange:KS•Availablesizes:(new)8;9;10;11;12;13;14;15;16;18;20•WithoutcollaroutsideofFrance•NSA:135˚•Indications:PrimaryTHR;Revisionstage1and2Author|PowerPointtitlegoeshere|AprilXX,2012Articul/ezeHeadsCobaltchrome-22.225mm:+4medium+7longAuthor|PowerPointtitlegoeshere|AprilXX,2012Cobaltchrome:•28mm:+1.5shortneck+5medium(standard)+8.5long+12extralongArticul/ezeHeadsAuthor|PowerPointtitlegoeshere|AprilXX,2012Articul/ezeRangeCeramic:•28mm,36mm:+1.5shortneck+5medium(Standard)+8.5long•32mm:+1shortneck+5medium(Standard)+
本文标题:强生 狂关节置换与假体设计
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