Glenoid defect-filling component

• US 10,517,736 B2
• Filed: 11/22/2016
• Issued: 12/31/2019
• Est. Priority Date: 03/27/2012
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Lappin, Kyle E., Chavarria, Jason M.
• Primary Examiner(s): Stewart, Alvin J
• Application Number:
  US15/358,333
• Publication Number:
  US 20170071749A1
• Time in Patent Office: 1,134 Days
• CPC Class Codes: A61F 2/30734 Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
• CPC Class Codes: A61F 2/4081 Glenoid components, e.g. cups
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30367 with additional means for preventing said rotation
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30736 Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
• CPC Class Codes: A61F 2002/30769 madreporic
• CPC Class Codes: A61F 2002/30784 Plurality of holes
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts

Abstract

An orthopaedic shoulder prosthesis includes glenoid defect-filling component configured to be implanted within a defect in a glenoid of a patient. The glenoid defect-filling component includes a porous metallic body and a plurality of holes formed in the porous metallic body, the plurality of holes being arranged in a pattern to receive a number of pegs of a discrete polymer glenoid component.

Claims

1. An orthopaedic glenoid prosthesis for implantation into a glenoid of a scapula and configured for use with a discrete polymer glenoid component so as to provide a bearing surface for a natural or prosthetic head of a humerus, the glenoid prosthesis comprising:

a glenoid defect-filling component sized and shaped to fit and be implanted within a defect in a natural concave surface of the glenoid of a patient, the glenoid defect-filling component having;

(i) a porous metallic body, (ii) a plurality of holes formed in the porous metallic body, the plurality of holes being arranged in a pattern to receive a number of pegs of the discrete polymer glenoid component, and (iii) a concave surface that sits flush with the natural concave surface of the glenoid of the patient when the component is implanted in the natural concave surface of the glenoid of the patient.

2. The orthopaedic shoulder prosthesis of claim 1, wherein the plurality of holes includes (i) a first hole positioned in a center of the porous metallic body, the first hole being sized and shaped to receive an anchor peg of the polymer glenoid component and (ii) a second hole positioned between the center and an edge of the glenoid defect-filling component, the second hole being sized and shaped to receive a stabilizing peg of the polymer glenoid component.

3. The orthopaedic shoulder prosthesis of claim 2, wherein the plurality of holes further includes (iii) a third hole positioned between the center and the edge of the polymer glenoid component, the third hole being sized and shaped to receive a second stabilizing peg of the polymer glenoid component, and (iv) a fourth hole positioned between the center and the edge of the polymer glenoid component, the fourth hole being sized and shaped to receive a third stabilizing peg of the polymer glenoid component.

4. The orthopaedic shoulder prosthesis of claim 1, wherein the porous metallic body comprises a solid metal core with a porous metal coating thereon.

5. The orthopaedic shoulder prosthesis of claim 1, wherein the porous metallic body comprises a porous metal core.

6. An orthopaedic glenoid prosthesis for implantation into a glenoid surface of a scapula so as to provide a bearing surface for a natural or prosthetic head of a humerus, the glenoid prosthesis comprising:

a metallic defect-filling component sized and shaped to fit and be implanted within a defect in a natural concave surface of the glenoid surface, the metallic defect-filling component having a plurality of holes extending therethrough, the plurality of holes being arranged in a hole pattern, the metallic defect-filling component also having a concave surface that sits flush with the natural concave surface of the glenoid of the patient when the component is implanted in the natural concave surface of the glenoid of the patient, and

a polymer glenoid component, the polymer glenoid component being discrete from the metallic defect-filling component and having (i) a bearing surface configured to articulate with the head of the humerus, and (ii) an engaging surface that is opposite the bearing surface, the engaging surface comprising a plurality of pegs arranged in a peg pattern that corresponds to the hole pattern of the metallic defect-filling component.

7. The orthopaedic glenoid prosthesis of claim 6, wherein the plurality of pegs in the polymer glenoid component includes (i) an anchor peg positioned in a center of the polymer glenoid component, and (ii) at least one stabilizing peg positioned between the center and an edge of the polymer glenoid component.

8. The orthopaedic glenoid prosthesis of claim 7, wherein the plurality of holes in the metallic defect-filling component includes (i) an anchor hole positioned in a center of the porous metallic body, the anchor hole being sized and shaped to receive the anchor peg of the polymer glenoid component and (ii) at least one stabilizing hole positioned between the center and an edge of the metallic defect-filling component, the stabilizing hole being sized and shaped to receive the at least one stabilizing peg of the polymer glenoid component.

9. The orthopaedic glenoid prosthesis of claim 8, wherein the metallic defect-filling component includes three stabilizing holes and the polymer glenoid component includes three stabilizing pegs configured to be received within the three stabilizing holes.

10. The orthopaedic glenoid prosthesis of claim 6, wherein the metallic defect-filling component comprises a solid metal core with a porous metal coating thereon.

11. The orthopaedic glenoid prosthesis of claim 6, wherein the metallic defect-filling component comprises a porous metal core.

12. The orthopaedic glenoid prosthesis of claim 6, wherein a surface of the metallic defect-filling component in contact with the polymer glenoid component is generally planar.

13. The orthopaedic glenoid prosthesis of claim 6, wherein a surface of the metallic defect-filling component that is in contact with the polymer glenoid component has a size and shape that conforms to a size and shape of a surface of the polymer glenoid in contact with the metallic defect-filling component.

14. The orthopaedic glenoid prosthesis of claim 6, wherein a surface of the metallic defect-filling component in contact with the polymer glenoid component is generally planar.

15. The orthopaedic glenoid prosthesis of claim 6, wherein a surface of the metallic defect-filling component in contact with the polymer glenoid component has a size and shape that conforms to a size and shape of a surface of the polymer glenoid in contact with the metallic defect-filling component.

16. An orthopaedic glenoid prosthesis for implantation into a glenoid surface of a scapula so as to provide a bearing surface for a natural or prosthetic head of a humerus, the glenoid prosthesis comprising:

a metallic defect-filling component sized and shaped to fit and be implanted within a defect in a natural concave surface of the glenoid surface, the metallic defect-filling component having (i) a first hole positioned in the center of the metallic defect-filling component, (ii) a second hole positioned between the center and an edge of the metallic defect-filling component, and (iii) a concave surface that sits flush with the natural concave surface of the glenoid of the patient when the component is implanted in the natural concave surface of the glenoid of the patient; and

a polymer glenoid component configured to be secured to the metallic defect-filling component, the polymer glenoid component being discrete from the metallic defect-filling component and having (i) a bearing surface configured to articulate with the head of the humerus, and (ii) an engaging surface that is opposite the bearing surface, the engaging surface comprising (a) an anchor peg positioned in a center of the polymer glenoid component and extending into the first hole of the metallic defect-filling component so as to secure the polymer glenoid component to the metallic defect-filling component, and (b) a stabilizing peg positioned between the center and an edge of the polymer glenoid component and extending into the second hole of the metallic defect-filling component to prevent rotation of the polymer glenoid component.

17. The orthopaedic glenoid prosthesis of claim 16, wherein the metallic defect-filling component includes three stabilizing holes positioned between the center and the edge of the metallic defect-filling component and the polymer glenoid component includes three stabilizing pegs positioned for insertion into the three stabilizing holes of the metallic defect-filling component.

18. The orthopaedic glenoid prosthesis of claim 16, wherein the metallic defect-filling component includes a porous metallic body comprising a solid metal core with a porous metal coating thereon.

19. The orthopaedic glenoid prosthesis of claim 16, wherein the metallic defect-filling component includes a porous metallic body comprising a porous metal core.

20. An orthopaedic glenoid prosthesis for implantation into a glenoid of a scapula and configured for use with a discrete polymer glenoid component so as to provide a bearing surface for a natural or prosthetic head of a humerus, the glenoid prosthesis comprising:

a glenoid defect-filling component sized and shaped to fit and be implanted within a defect in a natural concave surface of the glenoid of a patient, the glenoid defect-filling component having;

(i) a porous metallic body, (ii) a hole formed in the porous metallic body, the hole being shaped, sized, and positioned to receive a peg of the discrete polymer glenoid component, and (iii) a concave surface that sits flush with the natural concave surface of the glenoid of the patient when the component is implanted in the natural concave surface of the glenoid of the patient.