Offset Shoulder Prosthesis Base Plate Anchoring
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Solution Overview
Problem
Inverse shoulder prostheses face issues with inferior notching, where the joint socket collides with screws or bone material, leading to wear and potential anchoring failure, and difficulties in precise rotational alignment during implantation.
Innovation Solution
A shoulder prosthesis design featuring a base plate anchored to the scapula using two peg-like projections, allowing for offset positioning and secure anchoring, with a dome-shaped bottom surface and central receptacle for the joint head, enabling correct rotational alignment and minimizing the risk of damage to anchoring elements.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If the joint socket is positioned to avoid inferior notching, then the range of motion is improved, but the joint socket edge may collide with anchoring screws
Solution Approach 1:
The base plate is designed with an offset arrangement relative to the glenoid cavity, positioning the joint head in a different spatial dimension. This offset placement allows the joint socket to clear the glenoid cavity edge during arm adduction while maintaining secure anchoring of the base plate to the scapula, thus resolving the conflict between range of motion and anchoring security.
2Reliability
If additional screws are used to anchor the base plate, then the anchoring security is improved, but the risk of screw damage from inferior notching increases
Solution Approach 1:
The harmful effect of inferior notching is eliminated by extracting the anchoring screws from the danger zone near the glenoid cavity edge. The base plate is designed with anchoring elements positioned away from the inferior notching area, so that even during extreme arm adduction, the joint socket cannot collide with the anchored elements, thus securing them against damage while maintaining anchoring security.
3Adaptability or versatility
If the joint head is offset to prevent inferior notching, then the range of motion is improved, but precise rotational alignment becomes difficult to achieve
Solution Approach 1:
The base plate is designed with predefined orientation features and asymmetric geometry that guide correct rotational alignment during implantation. These preliminary design elements enable the surgeon to achieve precise rotational positioning of the joint head relative to the glenoid cavity, ensuring optimal biomechanical function while maintaining the offset configuration that prevents inferior notching.
Data Source
Figure 1~2
Figure 3~4
Figure 5~6
AI summary
Disclosed is a shoulder prosthesis (2) comprising a socket (4) and a condyle (6) that cooperates with the socket (4). The condyle (6) also cooperates with a base plate (8) facing the scapula similar to a clamping connection (44). The condyle (6) is plugged onto the base plate (8) by means of a receptacle (42) that is embodied on the condyle (6). The base plate (8) can be anchored to the glenoid fossa (102) of the scapula (8) with the aid of two peg-type protrusions (18).