104 results about "Shoulder Prosthesis" patented technology

A method for implanting an intra-articular shoulder prosthesis is provided. The method includes removing a proximal portion of a humerus. The proximal portion of the humerus preferably forms a resected portion. The resected portion has a convex outer surface and an inner surface. The method further includes engaging the convex outer surface of the resected portion with a cut surface of the proximal portion of the humerus. The cut surface of the proximal portion of the humerus and / or the inner surface of the resected portion are optionally processed to form a generally concave surface, such as by impacting. In one embodiment, the inner surface of the resected portion is impacted into engagement with the cut surface of the proximal portion of the humerus. The generally concave inner surface of the resected portion forms a concave articular surface to receive an interpositional implant.

The present invention is directed to a modular shoulder prosthesis having an adjustable radial offset and / or angular inclination 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 and / or angular inclination. Indicia are provided at the interface between the adapter and the head to precisely determine the magnitude and direction of the adjustment being made.

The invention concerns a shoulder prosthesis assembly comprising a meta-glenoid element (7) formed by a plate (13) provided with a central tubular block (14) an anchoring members in the glenoid cavity (3), and a glenoid sphere (9) designed to top the metaglenoid element and provided with an axial screw (35) screwed into said pin; the glenoid sphere has an articulated surface (11) designed to co-operate with a cup of an associated humeral prosthesis (2); said assembly comprises means (16, 45, 46; 51, 50, 49) guiding the glenoid sphere adapted to facilitate its being fixed on the meta-glenoid element; said means comprise a pin (46) adapted to be slotted into the tubular block (14) and into an axial passage of the screw (35); the glenoid sphere (9) is thus guided by being slid on the pin (46) until the screw (35) is inserted precisely into the axis of the tubular block (14), wherein it can be screwed without any risk of damaging the thread on the screw and the internal thread of the block. Advantageously, the free end (48) of the screw (35) can likewise be bevelled to facilitate its being inserted in the block (14) without damaging the threads. The inventive arrangement is particular useful considering the difficulties encountered by the surgeon for correctly positioning the glenoid sphere (9) relative to the meta-glenoid element (7) owing to lack of visibility.

The glenoid component according to the invention comprises a metal body of which the inner face is adapted to be immobilized on the glenoid cavity of a shoulder and of which the outer face bears a concave articulating surface adapted to cooperate with a humeral component. This articulating surface extends on the periphery by a convex surface forming, at least in part, the edge of the body.

A humeral component of a shoulder prosthesis includes a stem configured for implantation within the humerus. A reverse articulating component is mounted to the stem by a connection mechanism. The reverse component defines a substantially concave bearing surface. The bearing surface is part of a bearing member that is engaged to a support member that is associated with the connection mechanism. A kit is provided which includes differently configured bearing members and support members to allow intraoperative selection and assembly of an optimum articulating component.

This glenoidal component for a shoulder prosthesis comprises a base which may be immobilized on the glenoid cavity of a shoulder, and an element provided to be mounted on this base and forming a convex surface of articulation centred on an axis of symmetry. This axis of symmetry is non perpendicular to a rear face of the base intended to abut against the glenoid cavity, this making it possible to compensate a defect in parallelism between the resectioned surface of the glenoid cavity and the axis of the patient's spinal column. A surgeon can select the component most adapted to the orientation of the resectioned surface from a set of components in which the axes of symmetry of the components are oriented differently with respect to their rear faces.

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.

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.

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.

The humeral portion of a shoulder prosthesis includes a diaphyseal component configured for fixation within the humerus, a metaphyseal component, configured for removable implantation within the metaphysis of the humerus, and an engagement mechanism for removably engaging the two components. The metaphyseal component can initially include a convex articulating surface that can be replaced with a concave surface during the shoulder arthroplasty procedure or in a subsequent revision surgery. The metaphyseal component can also include a feature to facilitate removal of the component from the bone once it has been disengaged from the diaphyseal component.

The present invention is directed to a modular shoulder prosthesis having an adjustable radial offset and / or angular inclination 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 and / or angular inclination. Indicia are provided at the interface between the adapter and the head 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 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 glenoid component for a shoulder prosthesis adapted to be mounted in a glenoid cavity of a shoulder. An elongated keel adapted to engage with the glenoid cavity is attached to the internal surface of the base. The keel extends along a longitudinal axis of the base. The keel includes various configurations of transverse members extending away from the longitudinal axis. The surgeon selects a glenoid component with a keel and transverse member configuration that is anatomically optimized for the patient. Glenoid components properly optimized provide mechanical strength and stability superior to prior art devices. The glenoid components disclosed herein are particularly well suited for use in an anatomical total shoulder prosthesis, but may are also suited to partial shoulder prostheses and reverse shoulder prostheses.

A humeral prosthesis features improved anatomic attachment areas for tendon or bone. In the preferred embodiment, in contrast to existing devices, at least one set of tendon / bone attachment points are provided along a line, at least a portion of which is divergent with respect to the axis of the stem. One or more sets of attachment points may be further be provided along a line which is substantially parallel to the axis of the stem, resulting in a “T”“L” or “U” shape. Alternatively, attachment points having a changing degree of diversion with respect to the axis of the stem may be provided along a common, curved line. The attachment points may simply be apertures formed through the body of the implant though, in the preferred embodiment, the apertures are provided on raised tabs. An area of bone-ingrowth material may be provided adjacent the attachment points, and may include a separate fastening mechanism such as a threaded hole to receive a screw. A groove may also be provided in any embodiment to receive the biceps tendon. Particularly with respect to fractures, including multi- and ‘four-part’ fractures, means specifically intended for the rigid reattachment of the greater or lesser tuberosities may be provided separately or in conjunction with other sets of reattachment configurations.

In this set of humeral components for a total shoulder prosthesis, each component is formed by an anchoring stem and a metaphyseal part which defines a concave surface of articulation globally in the form of a portion of sphere. The offset between the axis of symmetry of this surface and the central axis of the metaphyseal part of the different components is variable. This makes it possible to limit or to avoid, by a reasoned choice of the humeral component used, an interference with the pillar of the scapula during the movement of adduction.

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.

This total shoulder prosthesis comprises a glenoidal component, defining a substantially hemispherical convex articular surface and of which the centre of curvature is located in the glenoid cavity or in the immediate vicinity thereof, and a humeral component defining a concave articular surface adapted to cooperate with the convex articular surface of the glenoidal component. The concave humeral articular surface is defined by a metallic part of the humeral component, this avoiding having to resort to a part made of plastics material which would increase the space requirement of the prosthesis.

Method and set of surgical instruments for fitting a shoulder prosthesis, and the shoulder prosthesis. The proposed method seeks to interpose a bone graft between the previously prepared glenoid surface (G) of a scapula (S) of a patient's shoulder and the face of a glenoid prosthetic component opposite the articular surface. The set of instruments permit the bone graft to be taken from the upper epiphysis of the humerus (H), either in situ or ex vivo.

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.

A total shoulder prosthesis includes a glenoidal component a substantially hemispherical convex articular surface and of which a center of curvature is adapted, when the prosthesis is implanted, to be located in the glenoid cavity or in the immediate vicinity thereof, and a humeral component defining a concave articular surface adapted to cooperate with the convex articular surface of the glenoidal component. The concave humeral articular surface is defined by a metallic part of the humeral component to thereby reduce a space requirement of the prosthesis.

The invention discloses a support element for humeral implant comprising a central body extending along an axis and at least three arms extending outwardly from the central body, the arms being transversal to said axis and bearing a ring element at their ends opposite to said central body, wherein at least a first and a second pair of arms form different angles.

A shoulder prosthesis of a modular type adapted to changing from a direct configuration to an inverted configuration. The prosthesis is particularly non-invasive and has a large modular capacity, permitting full recovery of the articular function following the implant thereof.

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.