Modular Bone Joint Implant with Dual Articulation Points
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Solution Overview
Problem
Current bone joint implants for the carpometacarpal joint, particularly those designed for hemiarthroplasty, face high failure rates due to complex biomechanics and significant forces transmitted during thumb movements, leading to issues like subsidence, loosening, and dislocation, as they often require modification of the trapezium bone and fail to provide concurrent and independent articulation points.
Innovation Solution
A modular bone joint implant with a distal part for intramedullary engagement and a proximal part for non-engaging abutment, featuring an articulating coupling that allows for translational and rotational movements without dynamic reconfiguration, enabling two points of articulation to function concurrently and independently, thus reducing the need for trapezium modification and enhancing stability.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Device complexity
If a single-point articulation implant is used in the CMC joint, then the implant structure is simple, but the implant fails due to subsidence and loosening because it cannot accommodate the shifting axis of rotation
Solution Approach 1:
The implant is divided into two separate articulation points: a first articulation point for abduction-adduction movements and a second articulation point for flexion-extension movements. This segmentation allows each point to handle specific movement types, accommodating the natural shifting axis of rotation in the CMC joint and preventing subsidence and loosening that occur with single-point articulation.
2Ease of manufacture
If the trapezium bone is resected to accommodate the implant, then the implant can be placed, but the viable bone stock is decreased leading to poor quality bone for rotation point placement
Solution Approach 1:
The design extracts the articulation function from the trapezium bone by placing both articulation points within the metacarpal bone. The first articulation point uses a spherical component and the second uses a convex surface that articulates with a concave surface, both contained within the metacarpal. This eliminates the need for trapezium resection and preserves the viable bone stock.
3Device complexity
If a fixed rotation point is used in the implant, then the implant structure is simplified, but the implant cannot accommodate the dynamic shifting axis of rotation during different thumb movements
Solution Approach 1:
The implant provides dynamic adaptability through two independent articulation points that allow the axis of rotation to shift naturally during different movements. The spherical first articulation point handles abduction-adduction while the convex-concave second articulation point handles flexion-extension, enabling the rotation axis to dynamically adjust according to the movement type without requiring complex active control mechanisms.
4Reliability
If concurrent and independent articulation points are implemented, then the implant accommodates natural joint biomechanics, but the device complexity increases
Solution Approach 1:
The implant segments the articulation function into two distinct points with specific geometries: a spherical first articulation point for abduction-adduction and a convex-concave second articulation point for flexion-extension. This segmentation provides complex joint functionality while maintaining relatively simple individual component designs that can be manufactured and assembled.
Data Source
AI summary
An implant (30) for a mammalian bone joint (3) for spacing a first bone (2) of the joint from a second bone (1) of the joint while allowing translational movement of the second bone in relation to the first bone is described. The implant comprises (a) a distal part (31) configured for intramedullary engagement with an end of the second bone, (b) a proximal part (34) having a platform (15) configured for non-engaging abutment of an end of the first bone and translational movement thereon, and (c) an articulating coupling (10, 16) provided between the distal and proximal ends allowing controlled articulation of the first and second bones. The bone-abutting platform is shaped to conform to and translate upon the end of the first bone. A kit for assembly to form the implant of the invention, and the use of the implant to treat osteoarthritis in a bone joint, are also described.


