Patient-Specific Glenoid Pin Guide for Precise Screw Trajectories
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Solution Overview
Problem
The challenge in shoulder replacement surgery involves accurately positioning glenoid implants and securing them to the scapula without damaging surrounding soft tissues, particularly due to the thinness of the scapula and the need for precise screw placement.
Innovation Solution
The use of patient-specific instrumentation (PSI) with customized pin placement, drill guides, and reaming tools to ensure accurate implant positioning and screw placement, guided by pre-operative imaging data, allowing for precise alignment and depth control.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Strength
If screws are placed deep within the bone material to securely fix the implant, then fixation strength is improved, but risk of damaging soft tissue increases
Solution Approach 1:
The surgical plan is created in advance using pre-operative imaging data (CT or MRI scans), allowing the surgeon to precisely determine screw trajectories, depths, and positions before surgery. This preliminary planning enables optimal screw placement that maximizes fixation strength while avoiding soft tissue structures, as the exact bone geometry and surrounding tissues are known beforehand.
Solution Approach 2:
Patient-specific instruments are manufactured as physical copies or replicas based on the patient's unique bone anatomy derived from imaging data. These instruments include guides and templates that replicate the pre-planned screw trajectories, allowing the surgeon to transfer the virtual surgical plan into the actual surgery with high precision, ensuring screws follow the optimal paths determined during planning.
2Manufacturing precision
If patient-specific instrumentation is used to achieve precise implant positioning, then manufacturing precision is improved, but device complexity increases
Solution Approach 1:
Patient-specific instruments are created as customized copies based on the patient's unique anatomy obtained from pre-operative imaging. These instruments include patient-specific guides, templates, and positioning devices that are manufactured to match the individual patient's bone geometry, enabling precise implant placement that accounts for anatomical variations specific to each patient.
Solution Approach 2:
All customization and planning are performed in advance before surgery. The patient-specific instruments are manufactured beforehand based on imaging data, and the surgical plan is finalized prior to the procedure. This preliminary preparation eliminates the need for complex intraoperative adjustments and simplifies the actual surgical execution despite the customized nature of the instruments.
Data Source
AI summary
A pin placement instrument for placing a pin in a bone comprises an anatomical interface with a hook-like portion being opened in a lateral direction of the instrument to receive a bone therein in a planned position. A drill guide is connected to the anatomical interface and defining at least one guide slot in a longitudinal direction of the instrument. The guide slot has a lateral opening over its full length in the drill guide to allow lateral withdrawal of the instrument in said lateral direction with the pin placed in the bone passing through the lateral opening. A bushing is removably placed in said guide slot via said longitudinal direction in a planned fit, the bushing defining a throughbore aligned with the guide slot and adapted to receive the pin extending in said longitudinal direction when the bushing is in the guide slot for pin placement.


