摘要:
The improved glenoid fossa prosthesis for repair of a scapular deficient patient includes a base with a fixed flange, and a separable flange. A conical taper on the base and a complimentary locator edge positively orient the separable flange when joined with the base for affixation by screw. A plurality of flange fixation screws penetrates the scapular tissue between the flanges for affixation of the flanges thereto. The flange thickness is variable to approximate the topography of the scapular tissue in the affixation area to minimize tissue trimming during fitment. A cutting mask attaches to the deficient scapula in the glenoid fossa area to guide the physician in trimming scapular tissue for fitment. A cortical screw further fixates the base to the scapular tissue. A second conical taper on the base serves as a mount for a glenoid sphere (reverse shoulder) or socket (standard shoulder) repair configuration.
摘要:
A glenosphere includes a body, a first surface, and a cavity defined with the body. The body defines a center and an engagement axis, the engagement axis spaced by an offset from the center. The first surface includes a first rim positioned radially outward from a second rim, a base surface portion, and a hood surface portion extending from the base surface portion and oriented at an obtuse angle relative to the base surface portion. The body defines a hood portion extending from the hood surface portion to a plane including the base surface portion. The cavity has a perimeter defined by the second rim, and includes a first cavity portion configured to receive an attachment structure attachable to a bone, and a second cavity portion configured to engage an engagement member of the attachment structure and oriented along the engagement axis.
摘要:
This set comprising: an anatomic articulating member, having a concave articulating surface intended to articulate with a complementary humeral implant and having an anatomic coupling feature, a reversed articulating member, having a convex articulating surface intended to articulate with a complementary humeral implant and having a reversed coupling feature that is shaped differently from the anatomic coupling feature, and an anchorage member intended to be anchored in a human glenoid, the anchorage member including a body which defines a proximodistal axis and has inner bore extending along the proximodistal axis, the body being provided within the inner bore with both an inner first feature that is designed to cooperate with the anatomic coupling feature when the anatomic coupling feature is introduced within the inner bore, so as to fixedly couple the anchorage member with the anatomic articulating member, and an inner second feature that is designed to cooperate with the reversed coupling feature when the reversed coupling feature is introduced within the inner bore, so as to fixedly couple the anchorage member with the reversed articulating member, the first feature and the second feature being distinct from each other. The body is operable to be axially introduced into the glenoid before being coupled indifferently with one or the other of the anatomic and reversed articulating members.
摘要:
An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and “reverse” total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or “reverse” total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.
摘要:
A reverse modular humeral implant for implantation into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.
摘要:
An implant assembly comprising a bone augment and an articulating member. The bone augment includes a bone-engaging surface and a coupling surface. The articulating member is configured to couple with the bone augment.
摘要:
An implant includes a fixed bearing, a floating bearing, and a coupling member. The fixed bearing defines a generally first spherical articulating surface and a stop. The floating bearing includes a second spherical articulating surface and a planar articulating bearing surface. The coupling member defines a bearing surface that translates relative to the planar articulating bearing surface.
摘要:
A glenoid trial and implant assembly for use in reverse total shoulder arthroplasty is provided along with a method for using the same. The glenoid trial and implant assembly includes a baseplate assembly, an adapter assembly, a glenoid trial, a glenoid implant, a humeral cup, and a positioning guide. The glenoid trial is coupled to the adapter assembly when the glenoid trial and implant assembly is assembled in a trialing configuration. The glenoid implant is coupled to the adapter assembly when the glenoid trial and implant assembly is assembled in an installed configuration. A temporary connection, which may be magnetic, releasably couples the glenoid trial to the adapter assembly and provides separation of the glenoid trial and the adapter assembly without requiring disassembly of the adapter assembly. A permanent connection fixes the glenoid implant to the adapter assembly.
摘要:
Methods and systems for installing a glenosphere using a patient specific instrument within a joint are discussed. For example, a method for implanting a glenosphere comprises installing first and second pins in a glenoid cavity using a patient specific instrument that sets a distance between the guide pins, installing an implant at the location of the second guide pin, and guiding a glenosphere onto the implant using a helper connected to the first pin. In another example, a glenosphere helper comprises a cup shaped body having an interior surface for engaging at least a portion of an outer surface of the glenosphere, and a flange extending from the cup to receive a guide pin at a point, the flange extending from the cup shaped body such that the point is positioned outside a periphery of the glenosphere.
摘要:
Apparatus for repairing a shoulder joint, including a baseplate having a base portion having a medially-facing surface and a laterally-facing surface, and an opening passing through the medially-facing and laterally-facing surfaces for receiving a screw; and an anterior flange having an anteriorly-facing surface and a posteriorly-facing surface, the anterior flange extending away from, and perpendicular to, the medially-facing surface, the anterior flange having an opening passing through the anteriorly-facing and posteriorly-facing surfaces for accepting a screw; an articulating surface component for mounting to the laterally-facing surface for covering the laterally-facing surface; and an anterior cover for mounting to the anteriorly-facing surface and configured to lock the articulating surface component to the base portion, such that when the anterior cover is mounted to the anterior flange, the articulating surface component is locked to the base portion.