Acromioclavicular joint fixation technique
US-9005245-B2 · Apr 14, 2015 · US
US10624748B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10624748-B2 |
| Application number | US-201615388808-A |
| Country | US |
| Kind code | B2 |
| Filing date | Dec 22, 2016 |
| Priority date | Mar 7, 2014 |
| Publication date | Apr 21, 2020 |
| Grant date | Apr 21, 2020 |
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A joint replacement system for repairing an articular surface of a first bone of a joint includes an anchor portion and an implant portion. The anchor portion includes an anchor to be secured to the bone, and an anchor fixation head including a bone-facing surface (BFS) extending radially outward from the anchor and an implant facing surface (IFS) extending from a periphery of the BFS. The implant portion is formed from a material (e.g., CoCr) more dense than the material of the anchor portion (e.g., Ti) and includes a fixation cavity to receive at least a portion of the anchor fixation head (AFH), the fixation cavity includes an anchor facing surface (AFS) configured to form a frictional connection with the IFS, and a load bearing surface having a contour for articulating against a cooperating articulating surface of a second bone of the joint.
Opening claim text (preview).
What is claimed is: 1. A joint replacement system for repairing at least a first articular surface of a first bone of a joint, said system comprising: a first implant system comprising: an anchor portion formed from at least a first material, said anchor portion comprising: a first anchor configured to be secured to said bone; and an anchor fixation head including a bone-facing surface and an implant facing surface, wherein said bone-facing surface extends radially outward from said anchor, and wherein said implant facing surface extends from a periphery of said bone facing surface and includes a first mating surface; and an implant portion formed from at least a second material more dense than said first material, said implant portion comprising: a fixation cavity configured to receive at least a portion of said anchor fixation head, said fixation cavity including an anchor facing surface extending from an opening thereof, said anchor facing surface including a second mating surface configured to form a frictional connection with said first mating surface; and a first load bearing surface having a contour for articulating against a cooperating, second articulating surface associated with a second bone of said joint; wherein: said fixation cavity defines a volume Vr that is greater than or equal to 50% of a total volume Vi of said implant portion; and/or said anchor fixation head defines a volume Vh that is greater than or equal to 50% of said total volume Vi of said implant portion. 2. The joint replacement system of claim 1 , further comprising: a second implant system comprising: a second implant having a second load bearing surface configured to articulate against said first load bearing surface; and a second anchor configured to be secured into said second bone, wherein said second anchor is configured to be secured to said second implant. 3. The joint replacement system of claim 2 , wherein said second implant and said second anchor include a first and a second fixation element, respectively. 4. The joint replacement system of claim 3 , wherein said first and said second fixation elements are configured to form tapered connection therebetween. 5. The joint replacement system of claim 4 , wherein said first and said second fixation elements comprise a tapered cavity and a tapered protrusion configured to form tapered connection therebetween. 6. The joint replacement system of claim 3 , wherein said first and said second fixation elements are configured to form a snap-fit connection therebetween. 7. The joint replacement system of claim 1 , wherein said first load bearing surface is configured to replace substantially the entire first articular surface of said first bone. 8. The joint replacement system of claim 7 , wherein said second load bearing surface is configured to replace substantially an entire second articular surface of said second bone. 9. The joint replacement system of claim 1 , wherein said first load bearing surface is configured to replace a portion of said first articular surface. 10. The joint replacement system of claim 1 , wherein said first load bearing surface has a contour based on a plurality of overlapping excision sites. 11. The joint replacement system of claim 1 , wherein said first load bearing surface has a contour defining a socket. 12. The joint replacement system of claim 11 , and wherein said second load bearing surface has a contour defining a generally hemispherical ball configured to articulate, at least in part, in said socket. 13. The joint replacement system of claim 1 , and wherein said first load bearing surface has a contour defining a generally hemispherical ball. 14. The joint replacement system of claim 1 , wherein said first material comprises steel, titanium, or an alloy thereof. 15. The joint replacement system of claim 1 , wherein said second material comprises cobalt-chromium (CoCr). 16. The joint replacement system of claim 1 , wherein said volume Vr is greater than or equal to 50% of said total volume Vi of said implant portion. 17. The joint replacement system of claim 1 , wherein said volume Vh is greater than or equal to 50% of said total volume Vi of said implant portion. 18. The joint replacement system of claim 1 , wherein said opening of said fixation cavity has a cross-section that is greater than a cross-section of said anchor. 19. The joint replacement system of claim 18 , wherein said opening includes a maximum radial distance Do from a longitudinal axis of said anchor portion that is larger than a maximum radial distance Da of said anchor. 20. The joint replacement system of claim 1 , wherein a maximum thickness Ti of said implant portion is less than a maximum thickness Th of said anchor fixation head. 21. The joint replacement system of claim 1 , wherein said anchor fixation head has a cross-section that is greater than a cross-section of said anchor. 22. The joint replacement system of claim 21 , wherein said implant portion includes at least one bone-facing surface extending radially outward from at least a portion of said opening of said fixation cavity. 23. The joint replacement system of claim 21 , wherein said anchor facing surface has a generally hemispherical shape. 24. The joint replacement system of claim 1 , wherein said anchor fixation head and said anchor are a unitary structure. 25. The joint replacement system of claim 1 , wherein said implant facing surface of said fixation cavity has a shape that generally corresponds to the shape of implant facing surface of said anchor fixation head. 26. The joint replacement system of claim 1 , wherein said first and said second mating surfaces have a tapered shape. 27. The joint replacement system of claim 1 , wherein said anchor fixation head comprises at least one fixation member opening extending therethrough, said fixation member opening configured to receive a fixation member. 28. The joint replacement system of claim 27 , further comprising said fixation member, and wherein said fixation member comprises a screw. 29. The joint replacement system of claim 1 , wherein said first material comprises steel, titanium, or an alloy thereof, and wherein said second material comprises cobalt-chromium (CoCr). 30. A joint replacement system for repairing at least a first articular surface of a first bone of a joint, said system comprising: a first implant system comprising: an anchor portion formed from at least a first material, said anchor portion comprising: a first anchor configured to be secured to said bone; and an anchor fixation head including a bone-facing surface and an implant facing surface, wherein said bone-facing surface extends radially outward from said anchor, and wherein said implant facing surface extends from a periphery of said bone facing surface and includes a first mating surface; and an implant portion formed from at least a second material more dense than said first material, said implant portion comprising: a fixation cavity configured to receive at least a portion of said anchor fixation head, said fixation cavity including an anchor facing surface extending from an opening thereof, said anchor facing surface including a second mating surface configured to form a frictional connection with said first mating surface and said opening having a cross-s
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