160 results about "Humeral Heads" patented technology

A two piece humeral component for use in joint arthroplasty which is adapted to be implanted into a joint and engaged by a socket component of the joint. The joint component includes a body having a first articulating surface and a second medial surface opposite the first articulating surface. The first articulating surface is adapted to be engaged by the socket and the second medial surface is adapted to be secured to mounting portion. The mounting portion has a first surface and a second medial surface. The first surface is adapted to be fixably engaged to the second mounting portion of the humeral component. The second medial surface is adapted to be secured to the humerus. A peg which has a first end adapted to engage a cavity found in the humerus is disposed on the mounting portion's second medial surface.

The present invention provides compositions and methods for attaching tendon to bone. The present invention provides compositions and methods for treating rotator cuff injuries. In one embodiment, a method for treating rotator cuff injuries comprises providing a composition comprising PDGF disposed in a biocompatible matrix and applying the composition to at least one site of tendon reattachment on the humeral head.

A two piece humeral component for use in joint arthroplasty which is adapted to be implanted into a joint and engaged by a socket component of the joint. The joint component includes a body having a first articulating surface and a second medial surface opposite the first articulating surface. The first articulating surface is adapted to be engaged by the socket and the second medial surface is adapted to be secured to mounting portion. The mounting portion has a first surface and a second medial surface. The first surface is adapted to be fixably engaged to the second mounting portion of the humeral component. The second medial surface is adapted to be secured to the humerus. A peg which has a first end adapted to engage a cavity found in the humerus is disposed on the mounting portion's second medial surface.

In a first aspect the present invention provides a glenoid prosthesis assembly for use in shoulder joint arthroplasty to address conditions where deterioration of the rotator cuff mechanism of the shoulder joint is severe, the assembly comprising a first shell component to be affixed to a scapula by fixing means, and a smaller second component adapted to nest within the first component and having an articulation surface for articulating with a humeral head, the first component being over-sized relative to the glenoid surface of a scapula whereby the first component may be first affixed to at least two of the glenoid, acromion and coracoid processes of the scapula in use by the fixing means and the second component may be cemented in place within the first component allowing initial adjustability in the poise of the second component relative to the first component. Amongst other aspects the invention also provides a modular proximal humeral prosthesis system for use in shoulder joint arthroplasty which enables the proximal humeral prosthesis to be changed between anatomical and reverse of anatomical configurations to address differing degrees of shoulder joint deterioration.

An orthopedic device and method of use are provided that incorporate complex, non-spherical articulating surfaces to allow a greater available range of motion compared with existing artificial shoulder joint and artificial hip joints. According to some embodiments, complex, non-spherical articulating surfaces can be incorporated on a humeral head and / or glenoid of a shoulder prosthesis. In other embodiments, complex, non-spherical articulating surfaces can be incorporated on the acetabulum and / or femoral head of a hip prosthesis. These non-spherical surfaces can be used to adjust constraint, joint thickness, soft tissue tension, moment and arc of motion, and in doing so, influence motion.

Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.

A glenoid component used for shoulder arthroplasty is adapted to be implanted into a scapula and engaged by a head of a humeral component. The glenoid component includes a body having a first articulating surface and a second medial surface opposite to the first articulating surface. The first articulating surface is adapted to engage with a humeral head. A plurality of fixed pegs each have a first end adapted to engage a cavity formed in the scapula and a second end extending from the medial surface. A central peg fixation mechanism is provided that is configured to couple an optional central fixation peg to the medial surface.

Various embodiments of the present invention relate to an apparatus and method for reverse shoulder arthroplasty (e.g., reverse total shoulder arthroplasty). In one specific example, a glenoid component used to resurface the scapula may be provided. Of note, unlike traditional total shoulder arthroplasty the glenoid component in a reverse shoulder is convex rather than concave; it acts as a physical stop to prevent the superior migration of the humeral head—a typical occurrence in patients suffering from rotator cuff tear arthropathy (CTA).

A glenoid component used for shoulder arthroplasty is adapted to be implanted into a scapula and engaged by a head of a humeral component. The glenoid component includes a body having a first articulating surface and a second medial surface opposite to the first articulating surface. The first articulating surface is adapted to engage with a humeral head. A plurality of fixed pegs each have a first end adapted to engage a cavity formed in the scapula and a second end extending from the medial surface. A central peg fixation mechanism is provided that is configured to couple an optional central fixation peg to the medial surface.

A prosthetic glenoid component for attachment to a scapula to provide a bearing for a humeral head in a shoulder prosthesis has a one-piece bearing element having a concave lateral bearing surface for contact with the humeral head with which it is to be used. An opposing relatively hard medial surface of the bearing element is provided for attachment to a scapula. The lateral surface is a soft low modulus concave lateral bearing surface extends around the periphery of the bearing element and increases its thickness to provide a deformable rim to simulate the labrum in an anatomical glenoid. The bearing element preferably has two affixation pegs which project from the medial face thereof, one at a superior position which projects in a superior direction and the other which is located in an inferior position and which projects in an inferior direction which is angled in relation to the medial-lateral direction.

Various embodiments of the present invention relate to an apparatus and method for reverse shoulder arthroplasty (e.g., reverse total shoulder arthroplasty). In one specific example, a glenoid component used to resurface the scapula may be provided. Of note, unlike traditional total shoulder arthroplasty the glenoid component in a reverse shoulder is convex rather than concave; it acts as a physical stop to prevent the superior migration of the humeral head—a typical occurrence in patients suffering from rotator cuff tear arthropathy (CTA).

A humeral prosthesis allows a surgeon to adjust humeral head position thereof in three-dimensional space with respect to a humeral component of the humeral prosthesis that has been either previously implanted into a humerus of a patient or not. The humeral prosthesis includes a conjoining component that is configured to releasably mate with the humeral component and to releasably mate with a humeral head. The conjoining component allows the humeral head to be selectively positionable from continuously infinite positions about two orthographic axes with respect to the conjoining component. The selected spatial position of the head is locked by a locking member of the conjoining component. The conjoining component allows the use of various sized heads, allow in vivo head trialing and / or exchange, and retrofit of heads for previously implanted shoulder prosthesis in need of revision.

Glenoid prosthesis with a hybrid design (combining both peg and keel designs), and surgical methods for reconstitution of a shoulder joint. The hybrid design combines both peg and keel components into one device. The hybrid glenoid component of a shoulder prosthesis includes an oval body having a concave lateral articulating surface and an opposing convex medial surface. The medial surface is provided with a plurality of pegs and a single inferior protrusion. The pegs are used to attain both a superior location as well as a central location. The inferior protrusion provides stability in the superior-to-inferior translation of the humeral head, as well as rotational articulation of the same.

A system and method for installing a shoulder prosthesis. The method includes removing the original humeral head and shaping the proximal end of the humerus with one or more implements to prepare the humerus to receive the shoulder prosthesis.

A humeral prosthesis allows a surgeon to adjust humeral head position thereof in three-dimensional space with respect to a humeral component of the humeral prosthesis that has been either previously implanted into a humerus of a patient or not. The humeral prosthesis includes a conjoining component that is configured to releasably mate with the humeral component and to releasably mate with a humeral head. The conjoining component allows the humeral head to be selectively positionable from continuously infinite positions about two orthographic axes with respect to the conjoining component. The selected spatial position of the head is locked by a locking member of the conjoining component. The conjoining component allows the use of various sized heads, allow in vivo head trialing and / or exchange, and retrofit of heads for previously implanted shoulder prosthesis in need of revision.

Disclosed is a kit having a set of humeral components used in partial and total joint replacement surgeries. The set of humeral components has a plurality of stems having varying stem diameters and a set of humeral heads having hemispheric surfaces with varying radiuses. Each stem defines a platform having a hole which is a fixed distance from the proximal end of the stem. The distance of the hole from the proximal end of the stem is a function of the stem diameter.

A device includes an elongated body configured to be coupled to a bone stabilization implant so that, when the bone stabilization implant is mounted to a target bone, the body extends away from the bone stabilization implant at an angle selected so that the elongated body passes into a target portion of bone. The body defines a lumen therein extending to an opening in a distal end of the body. The device also includes a deploying member housed within the lumen of body for movement between a first position and a second position. In addition, the device includes a plurality of wires coupled to the deploying member so that movement of the deploying member through the lumen moves the wires between an insertion position and a deployed position in which the distal ends of the wires penetrate a portion of bone adjacent to the distal end of the body.

A joint prosthesis includes a bone engaging portion, such as a stem, and articulating component, such as a humeral head, and an insert component that supports the articulating component and is removable from the stem. A mating component mates with the humeral head and is configured to engage the insert component at adjustable angles according to the anatomy of the patient's joint. In a revision surgery, the stem remains within the patient's bone while the insert component is removed with the mating component and humeral head fixed to the insert component. A new insert component may be prepared with the mating component and humeral head oriented to replicate the angular orientation of the previous prosthesis. The new insert component is then mounted within an insert cavity in the implanted stem and rigidly fastened to complete the revision.

A kit and associated method is for implanting a prosthetic device in a resected bone such as a humerus. The kit includes a trial assembly including a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trail head member which includes a trial offset indicia, and (ii) an eccentrically located trial stem extending from the trial head member, the trial head stem being configured to be received within the trial bore. The kit also includes a final prosthesis assembly including a final body portion having a final bore defined therein, and a final head portion having (i) a final head member which includes a final offset indicia, and (ii) an eccentrically located final head stem extending from the final head portion, the final head stem being configured to be received within the final bore.

The present invention is directed to a modular shoulder prosthesis measuring device having an adjustable radial offset provided by relative rotation of an adapter interdisposed between the stem and the head. Specifically, the interface configuration between the stem and the adapter, as well as between the adapter and the head are designed such that relative positioning of these components provides a continuous adjustment in the radial offset. Indicia are provided to precisely determine the magnitude and direction of the adjustment being made.

Glenoid prosthesis with a hybrid design (combining both peg and keel designs), and surgical methods for reconstitution of a shoulder joint. The hybrid design combines both peg and keel components into one device. The hybrid glenoid component of a shoulder prosthesis includes an oval body having a concave lateral articulating surface and an opposing convex medial surface. The medial surface is provided with a plurality of pegs and a single inferior protrusion. The pegs are used to attain both a superior location as well as a central location. The inferior protrusion provides stability in the superior-to-inferior translation of the humeral head, as well as rotational articulation of the same.

A jig for trialing a head and conjoining portion of a humeral (shoulder) prosthesis and transferring the spatial positioning to a final implant allows a surgeon to adjust humeral head position thereof in three-dimensional space with respect to a humeral component of the humeral prosthesis that has been either previously implanted into a humerus of a patient or not. The jig utilizes a rotatable body such as a sphere that is non-translatable relative to a jig body. A trial implant construct, having a head and neck that is fixed relative to one another (is spatially positioned), is placed in the jig with the neck thereof in contact with the rotatable sphere. As the head is caused to align with markings on the jig and situated flush with the jig, the rotatable sphere replicates the angular position of the neck with respect to a fixed position head. A final implant construct whose components are not fixed relative to one another, is placed in the jig which automatically transfers the spatial positioning of the trial implant construct to the final implant construct.

A two piece humeral component for use in joint arthroplasty which is adapted to be implanted into a joint and engaged by a socket component of the joint. The joint component includes a body having a first articulating surface and a second medial surface opposite the first articulating surface. The first articulating surface is adapted to be engaged by the socket and the second medial surface is adapted to be secured to mounting portion. The mounting portion has a first surface and a second medial surface. The first surface is adapted to be fixably engaged to the second mounting portion of the humeral component. The second medial surface is adapted to be secured to the humerus. A peg which has a first end adapted to engage a cavity found in the humerus is disposed on the mounting portion's second medial surface.

A system and a method for reducing a proximal fractured humerus includes a fracture reduction plate and an elongated pin including a plurality of threads. The elongated pin is configured to be inserted through the fracture reduction plate and engage with a humeral head. The fracture reduction plate is placed on the fractured humerus and provisionally secured. Sutures may be used to guide the fracture reduction plate into place on the fractured humerus. Next, the elongated pin is engaged with the humeral head at a superior angle relative to the humerus and the fracture is reduced. The elongated pin may be used to push the humeral head in a superior direction while pulling on the humeral head using the sutures. The fracture reduction plate can then be secured to the humerus and the elongated pin removed. Bone graft material may be applied to the fracture reduction site.

Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.

The invention features a monoblock (non-modular) humeral head (shoulder) resurfacing implant designed to replace a portion of the patient's humeral head. The humeral head may need replacing due to trauma, osteonecrosis, infection, arthritis, or other causes. The implant of the invention is designed to be performed either as a hemiarthroplasty or as a component of a total shoulder replacement along with a standard glenoid or inset glenoid implant.

A bone stabilizing apparatus includes a stem member and an extension member, the stem member having a distal end for insertion within the intramedullary canal of a human humerus and the proximal end connected to the extension member. The extension member has radially directed threaded holes either pre-formed or created after the bone stabilizing apparatus is installed into the humerus. The threaded holes allow fixation of stabilizing screws with suture posts, or a washer structure to grip the surface of the bone and / or surrounding ligaments or muscle. A prosthetic or the natural humeral head can be attached to the extension member. In a preferred embodiment a guide structure directs the drill and stabilizing screws radially through the central axis of the extension member.

A humeral head resurfacing implant (11) that has a modulus of elasticity close to that of human cortical bone as a result of its design from an integral substrate of isotropic graphite covered completely with a reinforcing layer of dense isotropic pyrolytic carbon. A carefully engineered cruciform stem (15) extends from the axial center of a flat distal circular surface (23) of a spherical cap portion (19) of the implant head located within the confines of a surrounding skirt portion (21).

A device for repairing a rotator cuff tendon injury provides a robust means for reattaching the rotator cuff tendon to the underlying humeral head. The device includes a suture-retaining device and an anchor that is mechanically coupled to a cortex of the humerus and the suture-retaining device. The anchor is attached to the cortex of the humerus to provide a robust means of holding the rotator cuff tendon in the desired position against the humeral head. The suture-retaining device, which is positioned in the intramedullary cavity of the humerus, allows a plurality of sutures that are sewn into the rotator cuff tendon to be tied thereto, and allows any suture knots to be located inside the intramedullary cavity.