Surgical implant with extracortical support for a ligament...

A - Human Necessities – 61 – F

Patent

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A61F 2/08 (2006.01)

Patent

CA 2637456

The invention relates to a surgical implant (22) which is used to fix a ligament transplant (18) that is intended to replace a ligament connecting two bones on either side of a joint. The ligament transplant is fixed in a tunnel (10, 16) which is pierced from the outer cortical wall of the first bone and which extends through a pre-determined depth of the second bone. The implant includes a first end (24) which is fixed to the transplant and a second end in the form of a hook (26) which rests on the outer periphery (28) of the cortical part of the first bone at the inlet to the tunnel. The aforementioned hook comprises two lugs (30 and 32) which are intended to be disposed on either side of the tunnel inlet such that the hook rests on solid parts of the bone and not on the part having a reduced thickness at the position of the tunnel, the axes of said lugs preferably being orthogonal to the plane of the hook. One such implant is particularly suitable for replacing the anterior cruciate ligament of the knee.

Implant chirurgical destiné (22) à être utilisé pour fixer un transplant ligamentaire (18) destiné à remplacer un ligament reliant deux os de part et d'autre d'une articulation. Le transplant ligamentaire est fixé dans un tunnel (10, 16) percé à partir de la paroi extérieure corticale du premier os et s'étendant sur une profondeur déterminée du deuxième os. L'implant comporte une première extrémité (24) fixée au transplant et une seconde extrémité en forme de crochet (26) s'appuyant sur le pourtour extérieur (28) de la partie corticale du premier os se trouvant à l'entrée du tunnel. Le crochet comporte deux oreilles (30 et 32) destinées à être situées de part et d'autre de l'entrée du tunnel de manière à ce que l'appui du crochet se fasse sur des parties pleines de l'os et non pas sur la partie d'épaisseur réduite à l'endroit du tunnel, l'axe des oreilles étant de préférence orthogonal au plan du crochet. Un tel implant est particulièrement adapté pour le remplacement d'un ligament croisé antérieur du genou.

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