GLENOID IMPLANT SYSTEMS AND METHODS OF USING THE SAME
A glenoid implant system includes an anchoring structure and a glenoid liner. The anchoring structure includes a base, a wall, and a ledge. The wall extends from a first surface of the base. The ledge extends generally along at least a portion of a first side of the wall, thereby forming an undercut. The wall has a slot formed in a second opposing side of the wall. The glenoid liner is configured to be removably coupled to the anchoring structure. The glenoid liner has a cap portion, a main body, and a deflectable finger. The main body extends from the cap portion and includes a lip configured to engage the undercut of the anchoring structure. The deflectable finger extends from the cap portion. The deflectable finger has a protrusion configured to engage the slot of the anchoring structure to aid in securing the glenoid liner to the anchoring structure.
This application claims priority to and the benefit of U.S. Provisional Patent Application No. 62/838,792, filed on Apr. 25, 2019, which is hereby incorporated by reference herein in its entirety.
TECHNICAL FIELDThis disclosure relates generally to shoulder implants, and more particularly, to glenoid implants.
BACKGROUNDShoulder arthroplasty is used to treat acute osteoarthritis or a shoulder joint fracture. There are two common forms of shoulder arthroplasty: total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA). TSA uses a metal ball component at the humeral head, which mates into a polyethylene cup on the glenoid. RSA switches the locations between the head and the cup, such that the humerus becomes the cup and the glenoid becomes the head. RSA can be performed as a revision to TSA, allowing greater functionality for patients with rotator cuff tears. RSA utilizes the patient's deltoid to control the movements of the shoulder.
Thus, a need exists for a shoulder implant that is bone conserving and also versatile for revision. The present disclosure is directed to solving these problems and addressing other needs.
SUMMARYAccording to some implementations of the present disclosure, a glenoid implant system includes an anchoring structure and a glenoid liner. The anchoring structure includes a base, a wall, and a ledge. The wall extends from a first surface of the base. The ledge extends generally along at least a portion of a first side of the wall, thereby forming an undercut. The wall has a slot formed in a second opposing side of the wall. The glenoid liner is configured to be removably coupled to the anchoring structure. The glenoid liner has a cap portion, a main body, and a deflectable finger. The cap portion has a first surface and a second opposing surface. The main body extends from the second opposing surface of the cap portion and includes a lip configured to engage the undercut of the anchoring structure. The deflectable finger extends from the second opposing surface of the cap portion. The deflectable finger has a protrusion configured to engage the slot of the anchoring structure to aid in securing the glenoid liner to the anchoring structure.
The foregoing and additional aspects and implementations of the present disclosure will be apparent to those of ordinary skill in the art in view of the detailed description of various embodiments and/or implementations, which is made with reference to the drawings, a brief description of which is provided next.
The foregoing and other advantages of the present disclosure will become apparent upon reading the following detailed description and upon reference to the drawings.
While the present disclosure is susceptible to various modifications and alternative forms, specific implementations have been shown by way of example in the drawings and will be described in further detail herein. It should be understood, however, that the present disclosure is not intended to be limited to the particular forms disclosed. Rather, the present disclosure is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the present disclosure as defined by the appended claims.
DETAILED DESCRIPTIONThe present disclosure is described with reference to the attached figures, where like reference numerals are used throughout the figures to designate similar or equivalent elements. The figures are not drawn to scale, and are provided merely to illustrate the instant disclosure. Several aspects of the disclosure are described below with reference to example applications for illustration.
Referring generally to
The anchoring structure 110 includes a base 120, a wall 130, and a ledge 140. The wall 130 extends from a first surface 122 of the base 120. For example, in some implementations, the wall 130 of the anchoring structure 110 extends generally perpendicularly from the first surface 122 of the base 120. The ledge 140 of the anchoring structure 110 extends from an inside surface of the wall 130 as opposed to an outside surface of the wall 130. Further, the ledge 140 extends generally along at least a portion of a first side 132 of the wall 130, thereby forming an undercut 136. In some implementations, the transition from the ledge 140 to the undercut 136 includes a straight edge, a bevel, a chamfer, or any combination thereof. The wall 130 includes a slot 138 formed in a second opposing side 134 of the wall 130. Additionally, in some implementations, the anchoring structure 110 can include a porous coating, for example, around the wall 130 of the anchoring structure 110. The porous coating can aid in osseointegration with the bone of a patient having the glenoid implant system installed and/or implanted.
The glenoid liner 170 includes a cap portion 172, a main body 180, and a plurality of deflectable fingers 190. The main body 180 extends from the second opposing surface of the cap portion 172. Each deflectable finger 190 also extends from the second opposing surface 176 of the cap portion 172. In some implementations, the glenoid liner 170 is one monolithic part. In some other implementations, one or more components of the glenoid liner 170 is separate and distinct from the remaining components of the glenoid liner 170. The cap portion 172 includes a first surface 174, and a second opposing surface 176. In some implementations, the first surface 174 of the cap portion 172 is generally concave. For example, in some implementations, the first surface 174 of the cap portion 172 is rounded and may resemble the shape of a healthy human glenoid bone. In some implementations, the second opposing surface 176 of the cap portion 172 is generally planar.
The glenoid liner 170 is configured to be removably coupled to the anchoring structure 110. There are several components that aid in securing the glenoid liner 170 to the anchoring structure 110. First, in some implementations, the main body 180 includes a lip 186 configured to engage the undercut 136 of the anchoring structure 110.
Second, in some implementations, each deflectable finger 190 includes a protrusion 198, which is configured to engage the slot 138 of the anchoring structure 110 to aid in securing the glenoid liner 170 to the anchoring structure 110. For example, in some implementations, the protrusion 198 of the deflectable finger 190 includes an elongated rib, a ball, a hook, or any combination thereof. Further, in some implementations, each deflectable finger 190 is snap-locked into the corresponding slot 138 of the anchoring structure 110 via the protrusion 198. Additionally, or alternatively, in some implementations, the glenoid liner 170 includes a plurality of snap fasteners that are configured to engage one or more of the slots 138 of the anchoring structure 110 to aid in securing the glenoid liner 170 to the anchoring structure 110.
Third, in some implementations, the ledge 140 of the anchoring structure 110 includes a first protrusion 142. The first protrusion 142 is configured to engage a first corresponding notch 182 formed in the main body 180 of the glenoid liner 170. As best shown in
Fourth, in some implementations, the anchoring structure 110 further includes a second protrusion 144, which is positioned generally between the first protrusion 142 of the ledge 140 and the base 120 of the anchoring structure 110. The second protrusion 144 is configured to engage a second corresponding notch 184 formed in the lip 186 of the main body 180 of the glenoid liner 170 (as best shown in
In some implementations, the first protrusion 142 extends a first distance from the wall 130. The second protrusion 144 extends a second distance from the wall 130 that is less than the first distance. Additionally, or alternatively, in some implementations, the first protrusion 142 is stacked on the second protrusion 144 in a stepped fashion.
While the glenoid implant system 100 is shown in
As an example, in some implementations, a first alternative glenoid implant system can include the lip 186 of the main body 180 configured to engage the undercut 136 of the anchoring structure 110; and the protrusion 198 of each deflectable finger 190 configured to engage the corresponding slot 138 of the anchoring structure 110.
As another example, in some implementations, a second alternative glenoid implant system can include the protrusion 198 of each deflectable finger 190 configured to engage the corresponding slot 138 of the anchoring structure 110; the first protrusion 142 of the ledge 140 of the anchoring structure 110 configured to engage the first corresponding notch 182 formed in the main body 180 of the glenoid liner 170; and the second protrusion 144 of the anchoring structure 110 configured to engage the second corresponding notch 184 formed in the lip 186 of the main body 180 of the glenoid liner 170.
As a further example, in some implementations, a third alternative glenoid implant system can include the lip 186 of the main body 180 configured to engage the undercut 136 of the anchoring structure 110; the protrusion 198 of each deflectable finger 190 configured to engage the corresponding slot 138 of the anchoring structure 110; and the second protrusion 144 of the anchoring structure 110 configured to engage the second corresponding notch 184 formed in the lip 186 of the main body 180 of the glenoid liner 170.
As yet another example, in some implementations, a fourth alternative glenoid implant system can include the lip 186 of the main body 180 configured to engage the undercut 136 of the anchoring structure 110; the protrusion 198 of each deflectable finger 190 configured to engage the corresponding slot 138 of the anchoring structure 110; and the first protrusion 142 of the ledge 140 of the anchoring structure 110 configured to engage the first corresponding notch 182 formed in the main body 180 of the glenoid liner 170.
As an additional example, in some implementations, a fifth alternative glenoid implant system can include a dovetail locking mechanism on the first side 132 of the wall 130 that is configured to engage a mating dovetail locking mechanism on the main body 180; and the protrusion 198 of each deflectable finger 190 configured to engage the corresponding slot 138 of the anchoring structure 110.
While it is shown in
Still referring to
In some implementations, the first anchoring peg 150 and the second anchoring peg 152 are the same, and have ridges that flex when press fit into the bone (e.g., the glenoid cavity) of the patient. In some implementations, the ridges aid in the osseointegration of the anchoring peg 150 to the bone of the patient. Alternatively, in some implementations, in place of the first anchoring peg 150, the anchoring structure 110 includes a first screw hole for a center screw to attach the anchoring structure 110 to the bone (e.g., the glenoid cavity) of the patient. Additionally, or alternatively, in some implementations, in place of the second anchoring peg 152, the anchoring structure 110 includes a second screw hole for a side screw to attach the anchoring structure 110 to the bone (e.g., the glenoid cavity) of the patient.
Furthermore, in some implementations, to aid in securing the anchoring structure 110 to a glenoid fossa of a patient, the base 120 of the anchoring structure 110 further includes a plurality of through-holes 160 for receiving one or more respective fasteners therethrough. The plurality of through-holes 160 can be straight, angled, or both.
In some implementations, the second opposing surface 124 of the base 120 is generally planar for coupling to a corresponding generally planar surface of the glenoid fossa of the patient. For example, in some implementations, the generally planar second opposing surface 124 of the base 120 can be more bone-conserving, which sits on the reamed surface of the glenoid focca. In some other implementations, the second opposing surface 124 of the base 120 is generally convex for coupling to a corresponding generally concave surface of the glenoid fossa of the patient.
As disclosed herein, the glenoid liner 170 is configured to be removably coupled to the anchoring structure 110. Some examples of the steps for coupling the glenoid liner 170 to the anchoring structure 110 are illustrated in
Referring to
Referring to
Further, in some implementations, the plurality of deflectable fingers 190 of the glenoid liner 170 is pushed inward and downward relative to the wall 130 of the anchoring structure 110, so that the protrusion 198 of each deflectable finger 190 can move past a portion of the wall 130 that is above the corresponding slot 138.
Referring to
Further, the protrusion 198 of each deflectable finger 190 has almost moved past the portion of the wall 130 that is above the corresponding slot 138. In some implementations, the plurality of deflectable fingers 190 of the glenoid liner 170 is further pushed downward (e.g., toward the base 120 of the anchoring structure 110), so that the plurality of deflectable fingers 190 can spring back (e.g., deflect back to its original position) to allow the protrusion 198 of each deflectable finger 190 to engage the corresponding slot 138 of the anchoring structure 110.
Referring to
Further, the plurality of deflectable fingers 190 of the glenoid liner 170 has snapped down and into the corresponding slots 138 of the anchoring structure 110, and the protrusion 198 of each deflectable finger 190 is engaged with the corresponding slot 138 of the anchoring structure 110. In addition, the wall 130 extends about an entire perimeter of the base 120 (as best shown in
Turning now to
In some implementations, the glenoid implant system 200 (including, for example, the baseplate 216, the glenoid liner adapter 212, and the glenoid liner 270) can be used for TSA (e.g., an anatomic procedure). The anatomic procedure can involve the repair and/or replacement of the affected extremity's ball and socket joint after years of degeneration. This surgery involves replacing the ball portion of the shoulder, which is also referred to as the humeral head, with a metal sphere while a plastic or other synthetic apparatus is used for the socket replacement. This type of procedure is most helpful for patients with arthritis and other related conditions, which result in joint problems and missing cartilage.
As shown in
The glenoid liner adapter 212 is configured to be coupled to the baseplate 216. The glenoid liner adapter 212 includes stacked protuberances 213 and 214 extending from the base 220. The stacked protuberances 213 and 214 are spaced from the second anchoring peg 252. The baseplate 216 includes a wall (e.g., a shell, a peripheral rim) 215 configured to receive the first protuberance 213. In some implementations, the coupling mechanism between the wall 215 and the first protuberance 213 includes an interference fit, a spring fit, a Morse Taper lock, or any combination thereof. Additionally, or alternatively, in some implementations, the baseplate 216 includes a cavity 217 configured to receive the second protuberance 214. The coupling mechanism between the cavity 217 and the second protuberance 214 can include an interference fit, a spring fit, a Morse Taper lock, or any combination thereof. Additionally, or alternatively, in some implementations, the glenoid liner adapter 212 is configured to be coupled to the baseplate 216 via a center screw.
In some implementations, the baseplate 216 includes peripheral screw holes 260 located around the cavity 217. The peripheral screw holes 260 can be used for straight and/or angled screws. Further, in some implementations, the wall 215 of the baseplate 216 provides added stability against edge loading. Additionally, in some implementations, the baseplate 216 can include a porous coating, for example, around the wall 215 of the baseplate 216.
As disclosed herein, TSA uses a metal ball component at the humeral head, which mates into a polyethylene cup on the glenoid. RSA switches the locations between the head and the cup, such that the humerus becomes the cup and the glenoid becomes the head. RSA can be performed as a revision to TSA, allowing greater functionality for patients with rotator cuff tears. RSA utilizes the patient's deltoid to control the movements of the shoulder. The revision from TSA to RSA involves the replacement of both the glenoid component and the humeral component. On the glenoid side, the cemented glenoid component is replaced by a metal baseplate and screws. On the humeral side, the stem and the head are removed and replaced with new RSA components. The conversion shoulder arthroplasty corrects the failure of the TSA due to loosened implants, wear, infection, and/or shoulder dislocation or misalignment.
Thus, in some implementations, the present disclosure provides for a shoulder arthroplasty implant that allows easily accessible conversion from a TSA system to a RSA system. Referring to
In some implementations, the glenoid implant system 300 (including, for example, the baseplate 316, the glenosphere adapter 312, and the glenosphere 370) can be used for RSA (e.g., a reverse procedure). For patients with large rotator cuff tears, shoulder arthritis, and/or shoulder arthropathy, reverse total shoulder replacement is a better option because the rotator cuff muscles no longer function. The reverse total shoulder replacement relies on the deltoid muscle, instead of the rotator cuff, to position and power the arm.
In some implementations, the baseplate 316 of the glenoid implant system 300 is the same as the baseplate 216 of the glenoid implant system 200. As such, when RSA is performed as a revision to TSA, the baseplate can stay in the patient, where the glenoid liner adapter 212 and the glenoid liner 270 can be replaced by the to the glenosphere adapter 312 and the glenosphere 370.
The glenosphere 370 is configured to be coupled to the glenosphere adapter 312. In turn, the glenosphere adapter 312 is configured to be coupled to the baseplate 316. The glenosphere adapter 312 includes stacked protuberances 313 and 314. The baseplate 316 includes a wall (e.g., a shell, a peripheral rim) configured to receive the first protuberance 313, similar to the coupling mechanism between the wall 215 and the first protuberance 213 of the glenoid implant system 200 (
In some implementations, the glenoid implant system of the present disclosure allows easily accessible conversion from a TSA system to a RSA system. For example, a glenoid implant assembly can include the following components: a baseplate (e.g., the baseplate 216 or the baseplate 316), a glenoid liner adapter (e.g., the glenoid liner adapter 212), a glenoid liner (e.g., the glenoid liner 170 or the glenoid liner 270), a glenosphere adapter (e.g., the glenosphere adapter 312), and a glenosphere (e.g., the glenosphere 370). Because RSA switches the locations between the head and the cup, RSA can be performed as a revision to TSA. As such, using the example glenoid implant assembly, the baseplate can remain in place during the revision to TSA, while the glenoid liner adapter and the glenoid liner can be replaed by the glenosphere adapter and the glenosphere.
One or more elements or aspects or steps, or any portion(s) thereof, from one or more of any of claims 1-25 below can be combined with one or more elements or aspects or steps, or any portion(s) thereof, from one or more of any of the other claims 1-25 or combinations thereof, to form one or more additional implementations and/or claims of the present disclosure.
While various examples of the present disclosure have been described above, it should be understood that they have been presented by way of example only, and not limitation. Numerous changes to the disclosed examples can be made in accordance with the disclosure herein without departing from the spirit or scope of the disclosure. Thus, the breadth and scope of the present disclosure should not be limited by any of the above described examples. Rather, the scope of the disclosure should be defined in accordance with the following claims and their equivalents.
Claims
1. A glenoid implant system comprising:
- an anchoring structure having a base, a wall, and a ledge, the wall extending from a first surface of the base, the ledge extending generally along at least a portion of a first side of the wall thereby forming an undercut, the wall having a slot formed in a second opposing side of the wall; and
- a glenoid liner configured to be removably coupled to the anchoring structure, the glenoid liner having a cap portion, a main body, and a deflectable finger, the cap portion having a first surface and a second opposing surface, the main body extending from the second opposing surface of the cap portion and including a lip configured to engage the undercut of the anchoring structure, the deflectable finger extending from the second opposing surface of the cap portion, the deflectable finger having a protrusion configured to engage the slot of the anchoring structure to aid in securing the glenoid liner to the anchoring structure.
2-25. (canceled)
Type: Application
Filed: Jul 7, 2022
Publication Date: Oct 27, 2022
Inventors: Stuart L. Axelson, Jr. (Succasunna, NJ), Christina Marie Risley (West Barnstable, MA), Samantha Jorge Rogers (Somerset, MA), Frank Joseph Arturi (West Harrison, NY), Erik Richard Kareliussen (Clinton, CT), Austin Marek Salkind (Rochester, MA)
Application Number: 17/859,905