Method of performing shoulder surgery

• US 20050119531A1
• Filed: 01/05/2005
• Published: 06/02/2005
• Est. Priority Date: 09/01/2000
• Status: Abandoned Application

• Current Assignee: Minnesota Scientific Incorporated (Integra LifeSciences Holdings Corporation)
• Original Assignee: Minnesota Scientific Incorporated (Integra LifeSciences Holdings Corporation)
• Inventors: Sharratt, Todd William
• Application Number:
  US11/029,263
• Publication Number:
  US 20050119531A1
• Time in Patent Office: Days
• US Class Current: 600/227
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61F 2/40 for shoulders
• CPC Class Codes: A61F 2/4059 Humeral shafts
• CPC Class Codes: A61F 2/4081 Glenoid components, e.g. cups
• CPC Class Codes: A61F 2002/30691 Drainage means, e.g. for evacuating blood or other fluids
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/4018 Heads or epiphyseal parts of humerus
• CPC Class Codes: A61F 2310/00017 Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

A method of performing a shoulder joint surgery involving a scapula having a glenoid cavity, a humerus and a humeral ball on a surgical table includes mounting a retractor support to the surgical table and positioning the retractor support about the shoulder joint. The skin and flesh layers proximate the shoulder joint are incised and the skin and flesh layers are manually retracted with a retractor. The retractor is secured in a selected position by attaching the retractor to the retractor support.

Claims

1. A method of performing a shoulder joint surgery involving a scapula having a glenoid cavity, a humerus and a humeral ball on a surgical table, the method comprising:

mounting a retractor support to the surgical table;

positioning the retractor support about the shoulder joint;

incising skin and flesh layers proximate the shoulder joint;

manually retracting the skin and flesh layers proximate the shoulder joint with a retractor; and

securing the retractor in a selected retracting position by attaching the retractor to the retractor support.

2. The method of claim 1 and wherein the retractor support is mounted to a rail of the surgical table.

3. The method of claim 1 and wherein the shoulder joint surgery comprises a shoulder joint replacement surgery wherein an insert is secured within the glenoid cavity and a humeral insert is secured to the humerus.

4. The method of claim 1 and wherein the shoulder joint surgery comprises a partial shoulder joint surgery wherein a humeral insert is secured to the humerus.

5. The method of claim 1 and further comprising:

dislocating the humeral ball from the glenoid cavity;

positioning a humerus retractor about the humerus;

manually retracting the humeral ball from the glenoid cavity; and

securing the humerus retractor to the retractor support.

6. The method of claim 1 and further comprising separating the humeral ball from the humerus with the humeral ball remaining in the glenoid cavity.

7. The method of claim 6 and further comprising removing the humeral ball from the humerus and exposing a freshly cut surface.

8. The method of claim 6 and further comprising:

reaming a cavity into the freshly cut surface of the humerus;

disposing a stem of humeral insert into the cavity in the humerus and wherein a ball is attached to the stem; and

securing the stem within the cavity such that the ball is fixed into a selected position on the humerus.

9. The method of claim 6 and further comprising:

dislocating the humeral ball from the glenoid cavity;

preparing the scapula within the glenoid cavity to accept an insert; and

securing an insert within the glenoid cavity to the scapula.

10. The method of claim 9 and further comprising disposing the ball attached to the humerus within the insert secured within the glenoid cavity.

11. A method of preparing a surgical site for a surgical procedure on a shoulder joint, the method comprising:

mounting a retractor support to the surgical table;

positioning the retractor support about the shoulder joint;

incising skin and flesh layers proximate the shoulder joint;

manually retracting the skin and flesh layers proximate the shoulder joint with a retractor to expose a surgical site; and

attaching the retractor to the retractor support.

12. The method of claim 11 and wherein the retractor support is mounted to a rail of the surgical table.

13. The method of claim 11 and wherein the surgical procedure comprises a shoulder joint replacement surgery wherein an insert is secured within a glenoid cavity of a scapula and a humeral insert is secured to a humerus.

14. The method of claim 11 and wherein the surgical procedure comprises a partial shoulder joint surgery wherein a humeral insert is secured to a humerus.

15. The method of claim 11 and wherein the surgical procedure comprises repairing a damaged muscle, tendon or ligament.

16. The method of claim 11 and wherein the retractor support comprises a generally “

J”

shaped support.

17. The method of claim 16 and wherein the retractor support further comprises a rod clamped to the “

J”

shaped support and wherein the rod and the “

J”

shaped support are positioned on opposite sides of the shoulder.