ANATOMICAL RADIAL HEAD ELBOW PROSTHESIS

Abstract

There is disclosed herein radial head elbow prosthesis which is anatomically designed to improve anatomical conformity and function and reduce likelihood of dislocation. Depression centroid eccentricity and orientation and raised lateral bearing surface aspects of the present radial head improve tracking of the radial head prosthesis of the capitellum and reduce likelihood of dislocation thereof.

Claims

1. An elbow prosthesis comprising a radial head having a superior dished capitellum bearing surface a medial-side radial notch bearing ulnar facet, the bearing surface defining a bearing surface centroid and having a depression formed therein forming a depression centroid, wherein the depression centroid is located anteriorly with respect to the surface centroid.

2. The elbow prosthesis as claimed in claim 1, wherein a ratio between the bearing surface centroid and the depression centroid and the depression centroid and a point at a rim of the bearing surface being closest the depression centroid is more than 25%.

3. (canceled)

4. The elbow prosthesis as claimed in claim 1, wherein the bearing surface is raised at a lateral side thereof and is non-circular in cross-section.

5. (canceled)

6. The elbow prosthesis as claimed in claim 1, wherein the bearing surface has a lateral outermost point which mediolateral axis of the prosthesis.

7-8. (canceled)

9. The elbow prosthesis as claimed in claim 1, wherein a min/max diameter ratio of the bearing surface is greater than 95%.

10. The elbow prosthesis as claimed in claim 1, wherein the bearing surface is ovular in cross section and wherein an undersurface of the radial head is circular in cross-section.

11. The elbow prosthesis as claimed in claim 1, wherein the depression defines a bearing axis perpendicularly at the bearing surface centroid and wherein the prosthesis defines a rotational axis and wherein the bearing axis is angled with respect to the rotational axis.

12-19. (canceled)

20. The elbow prosthesis as claimed in claim 1, wherein the radial head defines an anterior face cross-sectional elevation profile which curves substantially uniformly from an undersurface of the radial head to the bearing surface and wherein the radial head defines a posterior face cross-sectional elevation profile which defines an s-bend overhang above which the posterior side transitions with less curvature and greater outward extent as compared to the anterior face.

21. (canceled)

22. The elbow prosthesis as claimed in claim 1, wherein the ulnar facet defines a cross-sectional elevation profile having an overhang and wherein the overhang is located below a third of the height between the undersurface and the bearing surface.

23-25. (canceled)

26. The elbow prosthesis as claimed in claim 1, wherein the radial head defines a lateral face cross-sectional profile having a lower section, an overhang and an upper section, wherein the ulnar facet defines a cross-sectional elevation profile having an overhang; wherein the overhang of the lateral face cross-sectional profile is above the overhang of the medial ulnar facet, wherein the lower section is substantially orthogonal with respect to a horizontal plane defines by an undersurface of the radial head, wherein the overhang locates substantially midway between the lower section and the upper section and wherein the radial extent of the lower section is substantially co-radial with the resected radius bone once installed in use.

27-30. (canceled)

31. The elbow prosthesis as claimed in claim 1, wherein the depression is anteroposteriorly asymmetrical in horizontal cross section.

32. The elbow prosthesis as claimed in claim 1, further comprising a differently sized radial head and wherein a min/max diameter ratio of the bearing surfaces thereof is substantially constant.

33. The elbow prosthesis as claimed in claim 1, further comprising a differently sized radial head and wherein a ratio of diameters of the bearing surfaces and offsets between depression centroids and bearing surface centroids thereof is substantially constant.

34. The elbow prosthesis as claimed in claim 1, further comprising a differently sized radial head and wherein a ratio of diameters of bearing surfaces and heights of the radial heads is substantially constant.

35. The elbow prosthesis as claimed in claim 1, further comprising a differently sized radial head and wherein a ratio of diameters of bearing surfaces and undersurfaces thereof is substantially constant.

36. The elbow prosthesis as claimed in claim 1, further comprising a differently sized radial head and wherein a ratio of diameters of bearing surfaces and depressions thereof is substantially constant.

37. The elbow prosthesis as claimed in claim 1, further comprising a stem having posterolateral curvature and wherein the posterolateral curvature comprises superior and inferior portions and an elbow forming a transition therebetween.

38. (canceled)

39. The elbow prosthesis as claimed in claim 37, wherein the superior portion is non-circular in cross-section and wherein the stem defines an axis offset with respect to the bearing surface centroid.

40. (canceled)

41. The elbow prosthesis as claimed in claim 18, wherein the radial head and the stem are configured such that, when the stem is inserted in use, the stem is orientated away from the radial styloid toward a lateral side of Lister's tubercle of the elbow.

42-43. (canceled)

44. The elbow prosthesis as claimed in claim 7, wherein an undersurface of the radial head defines an undersurface centroid which is located anteriorly with respect to the bearing surface centroid.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0058] Notwithstanding any other forms which may fall within the scope of the present invention, preferred embodiments of the disclosure will now be described, by way of example only, with reference to the accompanying drawings in which:

[0059] FIG. 1 shows a perspective view of an improved radial head in accordance with an embodiment;

[0060] FIG. 2 shows a mediolateral elevation view of the radial head;

[0061] FIG. 3 shows an inferior plan view of the radial head;

[0062] FIG. 4 shows a superior plan view of the radial head;

[0063] FIG. 5 shows an anteroposterior elevation view of the radial head;

[0064] FIG. 6 shows a mediolateral cross-sectional view of the radial head;

[0065] FIG. 7 shows a mediolateral cross-sectional view of the radial head in accordance with an embodiment;

[0066] FIG. 8 shows a mediolateral side view of elbow prosthesis comprising a stem in accordance with an embodiment; and

[0067] FIG. 9 shows an underside plan view of the elbow prosthesis of FIG. 6.

DESCRIPTION OF EMBODIMENTS

[0068] A radial head 101 of elbow prosthesis 100 replaces a resected radial head of the radius bone and comprises a medial-side ulnar facet 106 which interfaces the radial notch of the ulnar bone.

[0069] Medial and derivatives thereof indicated in the figures indicate towards the ulnar bone and lateral and derivatives thereof indicate away from the ulnar bone. Furthermore, posterior, anterior and derivatives thereof indicate the respective orthogonal axes in horizontal plane.

[0070] The radial head 101 has a superior dished bearing surface 102 which articulates against the capitellum of the humerus bone.

[0071] The bearing surface 102 has a depression 104 formed therein. The bearing surface 102 defines a bearing surface centroid 103 which, with reference to FIG. 4, may be generally defined as being the centroid of the uppermost rim 107 of the bearing surface 102. Furthermore, the depression 104 forms a depression centroid 105 which, with reference to FIG. 4, may be defined as the centroid of a depression contour 108.

[0072] As shown in FIG. 4, the depression centroid 105 is located anteriorly with respect to the surface centroid 103.

[0073] The bearing surface centroid 105 may be eccentrically located more than a quarter of the way across the bearing surface 102 from the bearing surface centroid 103. In other words, the ratio of the length between the bearing surface centroid 103 and the depression centroid 105 and the depression centroid 105 and a closest point 109 of the rim may be more than 25%.

[0074] In a preferred embodiment, the depression centroid 105 is located approximately a third of the way across the bearing surface 102 from the bearing surface centroid 103. In other words, the ratio of the length between the bearing surface centroid 103 and the depression centroid 105 and the depression centroid and the closest point 109 of the rim may be approximately 33%.

[0075] As best shown in FIG. 2, the bearing surface 102 may be raised at a lateral side thereof.

[0076] Referencing FIG. 4, the bearing surface 102 may be noncircular in cross-section and may have a lateral outermost point 110. As alluded to above, the bearing surface 102 may be defined as being within the uppermost rim 107 thereof. The min/max diameter ratio of the bearing surface 102 may be greater than 95%. Furthermore, the bearing surface 102 may be ovular in cross-section (i.e. symmetric about one axis only or egg shaped).

[0077] As best shown in FIG. 4, the bearing surface 102 may be wider mediolaterally as compared to anteroposteriorly and the outermost point 110 may coincide with the widest/mediolateral axis of the bearing surface 102.

[0078] As shown in FIG. 1, the depression 102 defines a bearing axis 111 perpendicularly at the bearing surface centroid 103. Furthermore, the radial head 101 may define a rotational axis 112. The rotational axis 112 may be the axis about which the radial head rotates when articulating with the capitellum. As is shown in FIG. 2, the rotational axis 112 may be perpendicular with respect to a horizontal plane 113 defined by a planar undersurface 114 of the head 101. The planar undersurface 114 may bear against a prepared planar surface of the resected radius.

[0079] As is illustrated in FIG. 1, the bearing axis 111 may be offset at an angle with respect to the rotational axis 112 with the bearing axis 111 and the rotational axis 112 coinciding superiorly with respect to the radial head 104. The bearing axis 111 may be angled with respect to the rotational axis 112 by between 5-15°.

[0080] As shown in FIG. 2, the bearing surface rim 1 07 may define a bearing surface plane 115 which is angled with respect to the horizontal plane 113. The bearing surface axis 111 may be perpendicular with respect to the bearing surface plane 115.

[0081] As is illustrated in FIG. 2, the rim 107 may be substantially coplanar with the bearing surface plane 115.

[0082] With reference to FIG. 3, the undersurface 114 may be generally circular in cross-section. Furthermore, the undersurface 114 may define an undersurface centroid 116. The undersurface centroid 116 may be located anteriorly with respect to the bearing surface centroid 103.

[0083] As is shown in FIG. 5, the radial head 101 may define an anterior face 117 which has a cross-sectional elevation profile which curves substantially uniformly from the undersurface 114 to the bearing surface 102. A posterior side 118 may define a cross-sectional elevation profile defining an s-bend overhang 119 above which the posterior side 118 transitions with less curvature and greater outward extent as compared to the anterior face 117.

[0084] FIG. 7 shows a cross-sectional elevation profile of the medial ulnar facet 106 according to an embodiment which defines an overhang 120 above which the ulnar facet 106 curves substantially uniformly and outwardly towards the bearing surface 102.

[0085] The lateral face 121 may define a cross-sectional elevation profile which defines a lower section 122, an overhang 123 and an upper section 124. The lower section 122 may be substantially orthogonal with respect to the horizontal plane 113 and the overhang 123 may locate substantially midway between the lower section 122 and the upper section 124. The radial extent of the lower section 122 may be designed to be substantially be co-radial with the resected radius bone thereunderneath to ergonomically interface the annular ligament.

[0086] With reference to FIG. 4, the depression contour 108 may be anteroposteriorly asymmetrical in horizontal cross section.

[0087] Differently sized radial heads 101 may be provided wherein the min/max diameter ratio of the bearing surface 102 remains substantially constant. In other words, with reference FIG. 4, the ratio of the mediolateral and anteroposterior width of the bearing surface 102 may remain substantially constant.

[0088] Furthermore, the ratio of diameter of the bearing surface 102 and offset between the depression centroid 105 and the bearing surface centroid 103 may remain substantially constant.

[0089] Furthermore, the ratio of diameters of the bearing surface 102 and undersurface 104 may remain substantially constant.

[0090] Furthermore, the ratio of diameters of the bearing surface 102 and the depression 104 may remain substantially constant.

[0091] FIG. 8 shows a stem 125 integrally formed with the radial head 101 or attachable thereto. The stem 125 may have a smaller diameter than that of the undersurface 114 so as to expose an undersurface periphery thereabout for bearing against a prepared surface of the resected radius. The stem 125 may be polished and used for press fit (cementless) radial canal insertion.

[0092] As shown in FIGS. 8 and 9, the stem 125 may have posterolateral anatomical curvature. The stem 125 may comprise a proximal section 127, a distal section 126 and an elbow 128 transition therebetween. The proximal section 127 may have sufficient length to transition the proximal radial canal isthmus.

[0093] As shown in FIG. 9, whereas a distal end 126 of the stem 125 may be circular in cross-section, a proximal end 127 thereof may be non-circular in cross-section, such as ovular.

[0094] Furthermore, a stem axis 127 may be offset with respect to the bearing surface centroid 103.

[0095] The foregoing description, for purposes of explanation, used specific nomenclature to provide a thorough understanding of the invention. However, it will be apparent to one skilled in the art that specific details are not required in order to practise the invention. Thus, the foregoing descriptions of specific embodiments of the invention are presented for purposes of illustration and description. They are not intended to be exhaustive or to limit the invention to the precise forms disclosed as obviously many modifications and variations are possible in view of the above teachings. The embodiments were chosen and described in order to best explain the principles of the invention and its practical applications, thereby enabling others skilled in the art to best utilize the invention and various embodiments with various modifications as are suited to the particular use contemplated. It is intended that the following claims and their equivalents define the scope of the invention.

[0096] The term “approximately” or similar as used herein should be construed as being within 10% of the value stated unless otherwise indicated.