| 摘要 |
The invention relates to an expandable acetabular cup (46) which is designed to eliminate the difficulties associated with positioning in the acetabulum of the patient. The inventive device comprises a hemispherical acetabular cup (46) which is partially slotted at six points to facilitate the expansion of a core with conical fitting. The expandable acetabular cup (46) is designed such that it can be introduced freely, or with slight pressure, into a preformed bone cavity. The conical core (16) is designed to be fixed to a guide/impacteur graduated in degrees to maximize the desired position. The implantation is performed gradually. The inclination and anteversion can be checked at all times during the implantation. The retaining mechanism of the guide/impacteur can be used to remove the conical core (16) to re-position the acetabular cup (46) if necessary. The expandable acetabular cup (46) can receive a conical auto-blocking core (85A, 85C) or, according to the patient' condition, a conical core (16) and a supporting auto-blocking ring (26), preferably pre-assembled to facilitate the chirgien's task. The device is secured in final position thereof using the thongs (86A, 96C) of the conical core (85A, 85C), which are disposed in the ribs (20) of a compressed expandable acetabular cup (46) in the acetabulum of the patient. It is recommended to use a femoral head (36) whose diameter is a function of the exterior diameter of the expandable acetabular cup, to therefore obtain the optimal thickness of the conical core (16) and to conserve the required thickness of the acetabular cup (46).
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