Ankle Prosthesis In Vivo Adjustment Mechanism
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Solution Overview
Problem
Existing ankle prostheses face limitations in adaptability to individual anatomy, leading to mechanical stresses, discomfort, and premature wear, with current adjustment methods being cumbersome and requiring multiple test implants, increasing surgical time and trauma.
Innovation Solution
An ankle prosthesis with a talar, tibial, and intermediate implant, featuring embedded adjustment means that allow for independent movement in multiple degrees of freedom, controlled post-implantation to achieve a neutral configuration, minimizing stress and optimizing comfort, and eliminating the need for pre-implantation testing.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Stability of the object's composition
If the intermediate implant is held stationary against the tibial implant, then the prosthesis stability is improved, but mechanical stresses increase causing premature wear and patient discomfort
Solution Approach 1:
The intermediate implant is designed with dynamic adjustment capabilities, allowing it to transition between stationary and mobile states. The adjustment means enable the implant to adapt its configuration based on functional requirements, optimizing both stability and stress distribution during different phases of movement and loading.
2Adaptability or versatility
If adjustment means are provided to modify the assembly configuration, then the adaptability to patient anatomy is improved, but the device complexity increases
Solution Approach 1:
The adjustment means are integrated directly into the intermediate implant structure, merging the adjustment functionality with the implant itself. This integration eliminates the need for separate adjustment devices or multiple test implants, reducing overall system complexity while maintaining full adaptability to patient anatomy.
Solution Approach 2:
The intermediate implant incorporates self-contained adjustment means that enable modification of its own assembly configuration. The implant can be adjusted in vivo without requiring external adjustment devices or additional surgical interventions, making the system self-sufficient and simplifying the overall device architecture.
3Manufacturing precision
If prior test prostheses are used for measurements, then the manufacturing precision is improved, but the surgical time and patient trauma increase
Solution Approach 1:
The intermediate implant incorporates self-contained adjustment means that enable modification of its own assembly configuration. The implant can be adjusted in vivo without requiring external adjustment devices or additional surgical interventions, making the system self-sufficient and simplifying the overall device architecture.
Solution Approach 2:
The adjustment means are pre-integrated into the intermediate implant design, allowing all necessary configuration adjustments to be made during the primary implantation surgery. This eliminates the need for preliminary test prostheses and subsequent adjustment surgeries, consolidating all configuration work into a single surgical procedure.
4Stress or pressure
If the intermediate implant is allowed considerable freedom of movement, then the mechanical stress is reduced, but the prosthesis stability deteriorates
Solution Approach 1:
The intermediate implant is designed with dynamic adjustment capabilities, allowing it to transition between stationary and mobile states. The adjustment means enable the implant to adapt its configuration based on functional requirements, optimizing both stability and stress distribution during different phases of movement and loading.
Data Source
AI summary
The invention relates to an ankle prosthesis including a talar implant, a tibial implant, and an intermediate implant designed to be mounted to move relative to said talar implant in order to impart mobility to the ankle, said prosthesis further including embedded adjustment structure designed to alternate between a releasing state, in which they allow the intermediate implant to move relative to the tibial implant, and a locking state, in which they hold the prosthesis in the chosen assembly configuration, said prosthesis being characterized in that said adjustment structure can be controlled to be operable while the prosthesis is in the assembled state in vivo.

