Arthroplasty component

• US 5,344,458 A
• Filed: 08/06/1992
• Issued: 09/06/1994
• Est. Priority Date: 08/06/1992
• Status: Expired due to Term

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Peter M. Bonutti
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): ISABELLA, DAVID J
• Application Number:
  US07/926,481
• Time in Patent Office: 761 Days
• Field of Search: 623/16, 623/18, 623/19, 623/20
• US Class Current: 623/20.32
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: A61F 2/30 Joints
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4081 Glenoid components, e.g. cups
• CPC Class Codes: A61F 2002/30112 Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30576 with extending fixation tabs
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30782 inclined obliquely
• CPC Class Codes: A61F 2002/3079 Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30808 parallel
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/30902 laterally or radially
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/0004 : Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61L 27/443 : with carbon fillers
• CPC Class Codes: A61L 27/48 : with macromolecular fillers
• CPC Class Codes: C08L 71/12 : Polyphenylene oxides

Abstract

A glenoid component affixed to a glenoid bone having an end surface and an outer side surface, the glenoid component being engageable by a humeral part. The glenoid component includes a tray portion for overlying the end surface (articulating surface) of the glenoid bone. The tray portion has an outer major side surface for engagement with the humeral part and an outer periphery. A first tab extends axially from the outer periphery of the tray portion for engagement with the posterior outer side surface of the glenoid bone. A second tab extends axially from the outer periphery of the tray portion for engagement with the anterior outer side surface of the glenoid bone. The tabs fix the glenoid component in place on the glenoid bone.

Claims

1. An implant for affixation to a first bone part having an outer end surface and an outer side surface, said implant being engageable by a second part, said implant comprising:

a tray for overlying an end surface of the first bone part, said tray having an outer peripheral portion extending along an outer periphery of said tray,

said tray being generally oval-shaped and having first and second straight non-parallel minor sides, a first curved minor side extending between and interconnecting first ends of said first and second straight minor sides, and a second curved minor side extending between and interconnecting second ends of said first and second straight minor sides,

said implant having a first tab extending from said outer peripheral portion of said tray for engaging the outer side surface of the first bone part to block movement of said tray in a first direction along the outer end surface of the first bone part, said first tab being disposed along said first straight minor side of said implant,

said first tab having a major tab portion connected with said outer peripheral portion and extending from said outer peripheral portion in a direction transverse to said tray, said first tab having a hook portion connected with said major tab portion and extending from said major tab portion in a direction transverse to said major tab portion and parallel to said tray at a location spaced from said tray and in facing relationship with said inner major side surface of said tray, said hook portion extending inwardly of said outer peripheral portion of said tray in a direction toward said second straight minor side of said tray,

said implant having a second tab connected with said outer peripheral portion and extending from said outer peripheral portion in a direction transverse to said tray for engaging the outer side surface of the first bone part to block movement of said tray in a second direction along the outer end surface of the first bone part, said second tab being disposed along said second straight minor side of said implant,

said implant having a third tab connected with said outer peripheral portion and extending from said outer peripheral portion in a direction transverse to said tray for engaging the outer side surface of the first bone part to block movement of said tray in a third direction along the outer end surface of the first bone part, said third tab being disposed along said second curved minor side of said implant at a location along the outer peripheral portion of said implant spaced from said first tab and from said second tab.

2. An arthroplasty component for affixation between a first bone having a relatively soft inner cancellous portion and a relatively hard outer cortical portion and a second bone, said arthroplasty component comprising tray means for overlying the cortical portion on an axial end of the first bone and for engaging the second bone, said tray means having outer major side surface means for engaging the second bone and inner major side surface means for overlying the cortical portion on the axial end of the first bone, said tray means having a peripheral edge which extends along an edge of said inner major side surface means, said arthroplasty component having first and second tabs which extend from said peripheral edge of said tray means in a direction away from said outer major side surface means and transverse to said inner major side surface means, said first tab having a support portion which extends from said peripheral edge of said tray means and a hook portion extending transversely to said support portion in a direction toward said second tab, said hook portion having end surface means for engaging the cortical portion on a first side of the first bone, said second tab having a support portion which extends from said peripheral edge of said tray means, said support portion of said second tab having surface means for engaging the cortical portion on a second side of the first bone.

3. An arthroplasty component as set forth in claim 2 further including fastener means extending through said support portion of said second tab into engagement with the cortical portion on the second side of the first bone.

4. An arthroplasty component as set forth in claim 2 further including fastener means extending through said support portion of said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with the cortical portion on the second side of the first bone.

5. An arthroplasty component as set forth in claim 4 wherein said fastener means includes a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion the second side of the first bone.

6. An arthroplasty component as set forth in claim 2, further including a third tab which extends from said peripheral edge of said tray means in a direction away from said first major side surface means and transverse to said inner major side surface means, said third tab having a support portion which extends from the peripheral edge of said tray means, said support portion of said third tab having surface means for engaging the cortical portion of the first bone at a location between the first and second sides of the first bone.

7. An arthroplasty component as set forth in claim 6 wherein said surface means on said third tab faced toward said surface means on at least one of said first and second tabs.

8. An arthroplasty component as set forth in claim 6 wherein only said first tab has a hook portion, said second and third tabs being free of projections which extend from said support portions of said second and third tabs into engagement with the cortical portion of the first bone.

9. An arthroplasty component as set forth in claim 2 wherein said hook portion of said first tab includes a side surface facing toward said inner major side surface means on said tray means, said support portion of said first tab including a side surface which faces toward said second tab, said side surface on said hook portion of said first tab and said side surface on said support portion of said first tab cooperating with said inner major side surface means on said tray means to at least partially define a space in which a portion of the cortical portion on the axial end of the first bone is received.

10. An arthroplasty component as set forth in claim 2 wherein said inner major side surface means includes surface means for defining a plurality of discrete openings filled with bone cement.

11. An arthroplasty component as set forth in claim 2 further including fastener means extending from said second tab into the cortical portion on the second side of the first bone, said fastener means having a central axis which is skewed at an acute angle to a plane extending perpendicular to a central axis of said arthroplasty component.

12. An arthroplasty component as set forth in claim 2 further including an intramedullary keel extending from said inner major side surface means of said tray means for embedding in the relatively soft inner cancellous bone portion of the first bone when said tray means overlies the cortical portion on the axis end of the first bone.

13. An arthroplasty component as set forth in claim 12 further including fastener means extending through said support portion of said second tab into engagement with said intramedullary keel.

14. An arthroplasty component as set forth in claim 13 wherein said fastener means has a first surface extending transversely to a longitudinal central axis of said fastener means, said intramedullary keel having a second surface extending transversely to the longitudinal central axis of the fastener means, said first surface on said fastener means engaging said second surface on said keel to block relative movement between said fastener means and said keel.

15. An arthroplasty component as set forth in claim 14 wherein said fastener means first surface and said intramedullary keel second surface have matching Morse tapers.

16. An arthroplasty component as set forth in claim 13 wherein said fastener means includes a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion on the first side of the first bone.

17. An arthroplasty component as set forth in claim 12 further including fastener means extending through said support portion of said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with said keel.

18. An arthroplasty component as set forth in claim 17 wherein said fastener means has a first surface extending transversely to a longitudinal central axis of said fastener means, said intramedullary keel having a second surface extending transversely to the longitudinal central axis of the fastener means, said first surface on said fastener means engaging said second surface on said keel to block relative movement between said fastener means and said keel.

19. An arthroplasty component as set forth in claim 18 wherein said fastener means first surface and said intramedullary keel second surface have matching Morse tapers.

20. An arthroplasty component as set forth in claim 18 wherein said fastener means includes a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion on the first side of the first bone.

21. An arthroplasty component as set forth in claim 2 further including an intramedullary keel extending from said inner major side surface means of said tray means for embedding in the relatively soft inner cancellous bone portion of the first bone when said tray means overlies the cortical portion on the axial end of the first bone and fastener means extending through said support portion of said second tab into engagement with said intramedullary keel.

22. An arthroplasty component as set forth in claim 2 further including fastener means extending through said support portion of said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with the cortical portion on the second side of the first bone, said fastener means including a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion the second side of the first bone.

23. An arthroplasty component for affixation between a first bone having a relatively soft inner cancellous portion and a relatively hard outer cortical portion and a second bone, said arthroplasty component comprising tray means for overlying the cortical portion on an axial end of the first bone and for engaging the second bone, said tray means having outer major side surface means for engaging the second bone and inner major side surface means for overlying the cortical portion on the axial end of the first bone, said tray means having a peripheral edge which extends along an edge of said inner major side surface means, said arthroplasty component having first and second tabs which extend from said peripheral edge of said tray means in a direction away from said outer major side surface means and transverse to said inner major side surface means, said first tab having a support portion which extends from said peripheral edge of said tray means, said first tab support portion having surface means for engaging the cortical portion on a first side of the first bone, said second tab having a support portion which extends from said peripheral edge of said tray means, said support portion of said second tab having surface means for engaging the cortical portion on a second side of the first bone, said arthroplasty component further including an intramedullary keel extending from said inner major side surface means of said tray means for embedding in the relatively soft inner cancellous bone portion of the first bone when said tray means overlies the cortical portion on the axial end of the first bone and fastener means extending through said support portion of said second tab into engagement with said intramedullary keel.

24. An arthroplasty component as et forth in claim 23 wherein said first tab has a hook portion extending transversely to said first tab support portion in a direction toward said second tab, said hook portion having end surface means for engaging the cortical portion on a first side of the first bone.

25. An arthroplasty component as set forth in claim 23 wherein said fastener means has a first surface extending transversely to a longitudinal central axis of said fastener means, said intramedullary keel having a second surface extending transversely to the longitudinal central axis of the fastener means, said first surface on said fastener means engaging said second surface on said keel to block relative movement between said fastener means and said keel.

26. An arthroplasty component as set forth in claim 25 wherein said fastener means first surface and said intramedullary keel second surface have matching Morse tapers.

27. An arthroplasty component as set forth in claim 23 wherein said fastener means includes a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion on the first side of the first bone.

28. An arthroplasty component for affixation between a first bone having a relatively soft inner cancellous portion and a relatively hard outer cortical portion and a second bone, said arthroplasty component comprising tray means for overlying the cortical portion on an axial end of the first bone and for engaging the second bone, said tray means having outer major side surface means for engaging the second bone and inner major side surface means for overlying the cortical portion on the axial end of the first bone, said tray means having a peripheral edge which extends along an edge of said inner major side surface means, said arthroplasty component having first and second tabs which extend from said peripheral edge of said tray means in a direction away from said outer major side surface means and transverse to said inner major side surface means, said first tab having a support portion which extends from said peripheral edge of said tray means, said support portion having end surface means for engaging the cortical portion on a first side of the first bone, said second tab having a support portion which extends from said peripheral edge of said tray means, said support portion of said second tab having surface means for engaging the cortical portion on a second side of the first bone, said arthroplasty component further including fastener means extending through said support portion of said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with the cortical portion on the second side of the first bone, said fastener means including a first threaded portion for engaging the cortical portion on the second side of the firs bone and a second threaded portion for engaging the cortical portion the second side of the first bone.

29. An arthroplasty component as set forth in claim 28 further including an intramedullary keel extending from said inner major side surface means of said tray means for embedding in the relatively soft inner cancellous bone portion of the first bone when said tray means overlies the cortical portion on the axial end of the first bone, said fastener means extending through said support portion of said second tab into engagement with said intramedullary keel.

30. An arthroplasty component as set forth in claim 28 wherein said first tab has a hook portion extending transversely to said support portion in a direction toward said second tab, said hook portion having end surface means for engaging the cortical portion on a first side of the first bone.

31. An arthroplasty component for affixation between a first bone having a relatively soft inner cancellous portion and a relatively hard outer cortical portion and a second bone, said arthroplasty component comprising tray means for overlying the cortical portion on an axial end of the first bone and for engaging the second bone, said tray means having outer major side surface means for engaging the second bone and inner major side surface means for overlying the cortical portion on the axial end of the first bone, said tray means having a peripheral edge which extends along an edge of said inner major side surface means, said arthroplasty component having first and second tabs which extend from said peripheral edge of said tray means in a direction away from said outer major side surface means and transverse to said inner major side surface means, said first tab having surface means for engaging the cortical portion on a first side of the first bone, said second tab extending from said peripheral edge of said tray means and having surface means for sliding along an outer side surface of the cortical portion on a second side of the first bone without deformation of the cortical portion on the second side of the first bone during affixation of said arthroplasty component to the first bone.

32. An arthroplasty component as set forth in claim 31 further including fastener means extending through said second tab into engagement with the cortical portion on the second side of the first bone.

33. An arthroplasty component as set forth in claim 31 further including fastener means extending through said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with the cortical portion on the second side of the first bone.

34. An arthroplasty component as set forth in claim 31 further including a third tab which extends from said peripheral edge of said tray means in a direction away from said first major side surface means and transverse to said inner major side surface means, said third tab having surface means for sliding along the outer side surface of the cortical portion of the first bone at a location therebetween the first and second sides of the first bone without deformation of the cortical portion of the first bone during affixation of said arthroplasty component to the first bone.

35. An arthroplasty component as set forth in claim 31 further including an intramedullary keel extending from said inner major side surface means of said tray means for embedding in the relatively soft inner cancellous bone portion of the first bone when said tray means overlies the cortical portion on the axial end of the first bone.

36. An arthroplasty component as set forth in claim 35 further including fastener means extending through said second tab into engagement with said intramedullary keel.

37. An arthroplasty component as set forth in claim 36 wherein said fastener means has a first surface extending transversely to a longitudinal central axis of said fastener means, said intramedullary keel having a second surface extending transversely to the longitudinal central axis of the fastener means, said first surface on said fastener means engaging said second surface on said keel to block relative movement between said fastener means and said keel.

38. An arthroplasty component as set forth in claim 36 wherein said fastener means includes a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion on the first side of the first bone, said fastener means having surface means disposed between said first and second threaded portions for engaging said intramedullary keel.

39. An arthroplasty component as set forth in claim 35 further including fastener means extending through said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with said keel.

40. An arthroplasty component as set forth in claim 39 wherein said fastener means has a first surface extending transversely to a longitudinal central axis of said fastener means, said intramedullary keel having a second surface extending transversely to the longitudinal central axis of the fastener means, said first surface on said fastener means engaging said second surface on said keel to block relative movement between said fastener means and said keel.

41. An arthroplasty component as set forth in claim 31 further including an intramedullary keel extending from said inner major side surface means of said tray means for embedding in the relatively soft inner cancellous bone portion of the first bone when said tray means overlies the cortical portion on the axial end of the first bone and fastener means extending through said second tab into engagement with said intramedullary keel.

42. An arthroplasty component as set forth in claim 31 further including fastener means extending through said second tab, through the cortical portion on the second side of the first bone, and through the cancellous portion of the first bone into engagement with the cortical portion on the second side of the first bone, said fastener means including a first threaded portion for engaging the cortical portion on the second side of the first bone and a second threaded portion for engaging the cortical portion the second side of the first bone.

43. An arthroplasty component for affixation between a first bone having a relatively soft inner cancellous portion and a relatively hard outer cortical portion and a second bone,

said arthroplasty component comprising tray means for overlying the cortical portion on an axial end of the first outer major side surface means for engaging the second bone and inner major side surface means for overlying the cortical portion on the axial end of the first bone, said tray means having a peripheral edge which extends along an edge of said inner major side surface means,

said arthroplasty component including means for fixing said tray portion to the first bone, said means for fixing consisting essentially of a plurality of tabs which extend from said peripheral edge of said tray means in a direction away from said outer major side surface means and transverse to said inner major side surface means, each one of said tabs having a respective support portion which extends from said peripheral edge of said tray means, each one of said tab support portions having surface means for engaging the cortical portion on a respective side of the first bone, a first one of said tabs have a hook portion extending transversely to said support portion in a direction toward a second one of said tabs, said hook portion having end surface means for engaging the cortical portion on a first side of the first bone.