Reciprocating rasps for use in an orthopaedic surgical procedure

• US 9,186,158 B2
• Filed: 10/09/2013
• Issued: 11/17/2015
• Est. Priority Date: 12/31/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Anthony, Sarah M., Klotz, Conrad L., Lappin, Kyle E., Flamion, Van A., Surma, Gabriel M., Surma, Joanna L., Iannotti, Joseph P.
• Primary Examiner(s): Schaper, Michael T
• Assistant Examiner(s): KAMIKAWA, TRACY L
• Application Number:
  US14/049,867
• Publication Number:
  US 20140039505A1
• Time in Patent Office: 769 Days
• Field of Search: 606 79- 81, 606/84, 606/85, 606/167, 606/170, 606/171, 606/177, 407/29.1, 407/29.14, 407/65, 451/179, 451/358, 451/359
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/1684 for the shoulder
• CPC Class Codes: A61B 17/1735 for rasps or chisels
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 17/1778 for the shoulder
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/4081 Glenoid components, e.g. cups

Abstract

Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed. Some of the methods include inserting a guide pin into the glenoid of the patient, advancing a reciprocating surgical rasp over the guide pin, reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the glenoid component, and implanting the glenoid component in the cavity.

Claims

1. A method of surgically implanting a glenoid component into a glenoid of a patient, comprising:

inserting a guide pin into bone tissue of the glenoid of the patient,

advancing a reciprocating surgical rasp over the guide pin along a longitudinal axis, wherein the surgical rasp includes a cutting head having a cutting surface formed on a first side of the longitudinal axis and a depth stop formed on a second side of the longitudinal axis opposite the first side, such that the cutting head is asymmetrical,

reciprocating the surgical rasp so as to abrade only a portion of the bone tissue of the glenoid to form a stepped surface to receive the glenoid component, and

implanting the glenoid component across the stepped surface.

2. The method of claim 1, wherein advancing the surgical rasp over the guide pin comprises advancing the surgical rasp such that an end of the guide pin is received into a guide ring of the surgical rasp.

3. The method of claim 1, wherein:

the surgical rasp further comprises a shaft, the cutting head secured to one end of the shaft, and

reciprocating the surgical rasp comprises securing an end of the shaft opposite the one end to a reciprocating power tool and operating the reciprocating power tool so as to reciprocate the cutting head of the surgical rasp.

4. The method of claim 1, wherein reciprocating the surgical rasp comprises advancing the reciprocating surgical rasp toward the glenoid of the patient until the depth stop of the surgical rasp contacts the glenoid of the patient.

5. The method of claim 1, further comprising:

advancing a reamer over the guide pin, and

reaming the glenoid of the patient to create a uniform surface prior to advancing the surgical rasp over the guide pin.

6. The method of claim 1, wherein:

implanting the glenoid component across the stepped surface comprises implanting an augmented glenoid component across the stepped surface, the augmented glenoid component comprising a buttress,

wherein the buttress is received within the stepped surface.

7. The method of claim 1, wherein:

the surgical rasp further comprises a shaft, the cutting head secured to one end of the shaft, and

advancing the surgical rasp over the guide pin comprises advancing the surgical rasp such that an end of the guide pin is received into an opening formed in the cutting head of the surgical rasp.

8. The method of claim 1, wherein reciprocating the surgical rasp comprises:

advancing a first reciprocating surgical rasp toward the glenoid of the patient to form a first stepped surface of a first size,

removing the first reciprocating surgical rasp and replacing it with a second, larger reciprocating surgical rasp, and

advancing the second reciprocating surgical rasp toward the glenoid of the patient to form a second stepped surface of a second, larger size.

9. A method of surgically implanting a glenoid component into a glenoid of a patient, comprising:

inserting a guide pin into the glenoid of the patient,

advancing a reciprocating surgical rasp having a shaft and a cutting head attached to one end of the shaft over the guide pin along a longitudinal axis such that the guide pin extends through an opening formed in the cutting head of the surgical rasp and further extends through a guide ring spaced from the cutting head along the longitudinal axis, wherein the cutting head has a cutting surface formed only on a first side of the longitudinal axis such that the cutting head is asymmetrical,

reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the glenoid component, and

implanting the glenoid component in the cavity.

10. The method of claim 9, wherein:

reciprocating the surgical rasp comprises securing an end of the shaft opposite the one end to a reciprocating power tool and operating the reciprocating power tool so as to reciprocate the cutting head of the surgical rasp.

11. The method of claim 9, wherein reciprocating the surgical rasp so as to abrade bone tissue comprises advancing the reciprocating surgical rasp toward the glenoid of the patient until a depth stop of the surgical rasp contacts the glenoid of the patient.

12. The method of claim 9, further comprising:

advancing a reamer over the guide pin, and

reaming the glenoid of the patient to create a uniform surface prior to advancing the surgical rasp over the guide pin.

13. The method of claim 9, wherein:

implanting the glenoid component in the cavity comprises implanting an augmented glenoid component in the cavity, the augmented glenoid component comprising a buttress, and

reciprocating the surgical rasp so as to abrade bone tissue comprises reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the buttress of the augmented glenoid component.

14. A method of surgically implanting a glenoid component into a glenoid of a patient, comprising:

inserting a guide pin into the glenoid of the patient,

advancing a reciprocating surgical rasp over the guide pin along a longitudinal axis, wherein the surgical rasp includes a cutting head having a cutting surface formed on a first side of the longitudinal axis and a depth stop formed on a second side of the longitudinal axis opposite the first side such that the cutting head is asymmetrical and the depth stop is spaced from the cutting surface along the longitudinal axis,

reciprocating the surgical rasp such that the cutting surface of the surgical rasp abrades bone tissue to form a cavity shaped to receive the glenoid component; and

implanting the glenoid component in the cavity;

wherein reciprocating the surgical rasp so as to abrade bone tissue comprises advancing the reciprocating surgical rasp toward the glenoid of the patient until the depth stop of the surgical rasp contacts the glenoid of the patient.

15. The method of claim 14, wherein advancing the surgical rasp over the guide pin comprises advancing the surgical rasp such that an end of the guide pin is received into a guide ring of the surgical rasp.

16. The method of claim 14, wherein:

the surgical rasp further comprises a shaft, the cutting head secured to one end of the shaft, and

reciprocating the surgical rasp comprises securing an end of the shaft opposite the one end to a reciprocating power tool and operating the reciprocating power tool so as to reciprocate the cutting head of the surgical rasp.

17. The method of claim 14, further comprising:

advancing a reamer over the guide pin, and

reaming the glenoid of the patient to create a uniform surface prior to advancing the surgical rasp over the guide pin.