Surgical method for implanting a stemless humeral component to the humerus of a patient

Patent metadata

Field	Value
Publication number	US-9943419-B2
Application number	US-201514885594-A
Country	US
Kind code	B2
Filing date	Oct 16, 2015
Priority date	Mar 30, 2012
Publication date	Apr 17, 2018
Grant date	Apr 17, 2018

Abstract

A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

First claim

The invention claimed is:

1. A method of performing a surgical procedure to replace the humeral head of a patient's humerus, comprising:
resecting the humeral head of the patient's humerus so as to create a generally planar resected humeral surface comprising cancellous bone tissue surrounded by cortical bone tissue,
forming a plurality of holes in the cancellous bone tissue of the resected humeral surface, and
implanting a stemless humeral component into the resected humeral surface such that (i) a plurality of cantilevered legs of the stemless humeral component are positioned in the holes formed in the cancellous bone tissue of the resected humeral surface, and (ii) a circular-shaped flange of the stemless humeral component is positioned on top of the cortical bone tissue of the resected humeral surface.

2. The method of claim 1 , wherein implanting the stemless humeral component comprises positioning a bottom surface of the circular-shaped flange in contact with the cortical bone tissue of the resected humeral surface.

3. The method of claim 1 , wherein forming a plurality of holes in the cancellous bone tissue comprises punching the plurality of holes in the cancellous bone tissue with a surgical punch.

4. The method of claim 1 , wherein forming a plurality of holes in the cancellous bone tissue comprises:
securing a sizing instrument to the resected humeral surface, the sizing instrument having a number of punch guide holes formed therein, and
advancing a surgical punch through the punch guide holes formed in the sizing instrument to create the plurality of holes in the cancellous bone tissue of the resected humeral surface.

5. The method of claim 1 , further comprising operating a center drill to create a drilled hole in the cancellous bone tissue of the resected humeral surface, wherein:
implanting the stemless humeral component comprises implanting the stemless humeral component into the resected humeral surface such that an elongated sleeve of the stemless humeral component is positioned in the drilled hole formed in the cancellous bone tissue of the resected humeral surface.

6. The method of claim 1 , further comprising:
inserting a tapered post of a humeral head component into a tapered bore of the implanted stemless humeral component, and
impacting the humeral head component to taper lock the humeral head component to the implanted stemless humeral component.

7. The method of claim 1 , wherein implanting the stemless humeral component comprises:
securing the stemless humeral component to an implant insertion tool,
positioning the implant insertion tool such that the ends of the plurality cantilevered legs of the stemless humeral component are advanced into the holes formed in the cancellous bone tissue of the resected humeral surface, and
impacting the implant insertion tool to drive the plurality of cantilevered legs of the stemless humeral component into the holes formed in the cancellous bone tissue of the resected humeral surface.

8. The method of claim 7 , wherein impacting the implant insertion tool comprises impacting the implant insertion tool to drive a bottom surface of the circular-shaped flange into contact with the cortical bone tissue of the resected humeral surface.

9. A method of performing a surgical procedure to replace the humeral head of a patient's humerus, comprising:
resecting the humeral head of the patient's humerus so as to create a generally planar resected humeral surface comprising cancellous bone tissue surrounded by cortical bone tissue,
securing a sizing instrument to the resected humeral surface, the sizing instrument having a number of punch guide holes formed therein,
advancing a surgical punch through the punch guide holes formed in the sizing instrument to create a number of punched holes in the cancellous bone tissue of the resected humeral surface, and
implanting a stemless humeral component into the resected humeral surface such that (i) a plurality of cantilevered legs of the stemless humeral component are positioned in the holes punched in the cancellous bone tissue of the resected humeral surface, and (ii) a circular-shaped flange of the stemless humeral component is positioned on top of the cortical bone tissue of the resected humeral surface.

10. The method of claim 9 , wherein implanting the stemless humeral component comprises positioning a bottom surface of the circular-shaped flange in contact with the cortical bone tissue of the resected humeral surface.

11. The method of claim 9 , further comprising advancing a center drill through a guide bore formed in the sizing instrument to create a drilled hole in the cancellous bone tissue of the resected humeral surface, wherein:
implanting the stemless humeral component comprises implanting the stemless humeral component into the resected humeral surface such that an elongated sleeve of the stemless humeral component is positioned in the drilled hole formed in the cancellous bone tissue of the resected humeral surface.

12. The method of claim 9 , further comprising:
securing a trial head component to the sizing instrument prior to advancing the surgical punch, and
trialing the shoulder joint of the patient with the trial head component.

13. The method of claim 9 , wherein securing the humeral head component to the implanted stemless humeral component comprises:
inserting a tapered post of the humeral head component into a tapered bore of the implanted stemless humeral component, and
impacting the humeral head component to taper lock the humeral head component to the implanted stemless humeral component.

14. The method of claim 9 , wherein implanting the stemless humeral component comprises:
securing the stemless humeral component to an implant insertion tool,
positioning the implant insertion tool such that the ends of the plurality of cantilevered legs of the stemless humeral component are advanced into the punched holes formed in the cancellous bone tissue of the resected humeral surface, and
impacting the implant insertion tool to drive the cantilevered legs of the stemless humeral component into the punched holes formed in the cancellous bone tissue of the resected humeral surface.

15. The method of claim 14 , wherein impacting the implant insertion tool comprises impacting the implant insertion tool to drive a bottom surface of the circular-shaped flange into contact with the cortical bone tissue of the resected humeral surface.

16. The method of claim 9 , wherein securing the sizing instrument to the resected humeral surface comprises driving a number of spikes of the sizing instrument into the cancellous bone tissue of the resected humeral surface.

Assignees

• Depuy Synthes Products Inc

Inventors

• Anthony Sarah
• Lubensky Scott
• Poncet Didier
• Lawrence Chad
• Warlop David M

Classifications

• A61F2/4603

  for insertion or extraction of endoprosthetic joints or of accessories thereof · CPC title

• A61B17/842

  Flexible wires, bands or straps (A61B17/72, A61B17/82, A61B17/86 take precedence) · CPC title

• A61F2002/30904

  serrated profile, i.e. saw-toothed · CPC title

• A61F2002/30579

  with mechanically expandable devices, e.g. fixation devices · CPC title

• A61F2/4684 Primary

  Trial or dummy prostheses · CPC title