Glenoidal implant for shoulder prosthesis

Abstract

A glenoidal implant for a shoulder prosthesis includes an articular body having two opposite faces which are an articulation face suitable for cooperating with an articulation head of a humeral implant, and an anchoring face from which at least one anchoring stud protrudes for an anchoring in the glenoid cavity including a main anchoring stud at least partially covered with a porous or rough surface coating promoting an osseointegration. The main anchoring stud is provided internally with a central hole extending along a central axis of symmetry of the main anchoring stud and provided to allow guiding a trephine.

Claims

1. A glenoidal implant for a shoulder prosthesis, the glenoidal implant comprising: an articular body having two opposite faces including an articulation face and an anchoring face; and at least one anchoring stud protruding from the anchoring face and including a main anchoring stud at least partially covered with a porous or rough surface coating, wherein the main anchoring stud includes a central hole extending along a central axis of symmetry of the main anchoring stud, the main anchoring stud is fixedly mounted on the anchoring face of the articular body such that the central hole is unoccupied, and the main anchoring stud has two opposite ends including a proximal end secured to the anchoring face and in which the central hole opens, and a blocked distal end, the central hole being blind and extending over at least 80% of a length of the main anchoring stud measured between the proximal end and the blocked distal end, and wherein the main anchoring stud is configured to receive a surgical tool.

2. The glenoidal implant according to claim 1, wherein at least 80% of a depth of the central hole is empty.

3. The glenoidal implant according to claim 2, wherein an entire depth of the central hole is empty.

4. The glenoidal implant according to claim 1, wherein the central hole has an entrance on the proximal end of the main anchoring stud, the entrance being blocked by the articular body.

5. The glenoidal implant according to claim 1, wherein the main anchoring stud has a peripheral groove at the proximal end, and the main anchoring stud is fixedly mounted on the anchoring face of the articular body by overmolding the articular body in the peripheral groove.

6. The glenoidal implant according to claim 1, wherein the anchoring face of the articular body has a plurality of recesses forming a macrostructure to promote pressurization of a cement layer inserted between the anchoring face and a bone.

7. The glenoidal implant according to claim 1, wherein a secondary anchoring stud protrudes from the anchoring face of the articular body.

8. The glenoidal implant according to claim 7, wherein the secondary anchoring stud is a conical stud being integral with the articular body.

9. The glenoidal implant according to claim 1, wherein the articular body has a plane of symmetry and edges connecting the articulation face and the anchoring face, the edges comprising: a lower edge matching a main circle having a main diameter and a main center placed on the plane of symmetry; an upper edge matching a secondary circle having a predefined secondary diameter less than the main diameter and a secondary center placed on the plane of symmetry and offset relative to the main center; and two lateral edges joining the lower edge and the upper edge on either side of the plane of symmetry, wherein the central axis of symmetry of the main anchoring stud intersects the main center.

10. The glenoidal implant according to claim 1, wherein the articular body is a one-piece body.

11. A glenoidal implant for a shoulder prosthesis, the glenoidal implant comprising: an articular body having two opposite faces including an articulation face and an anchoring face; and at least one anchoring stud protruding from the anchoring face and including a main anchoring stud at least partially covered with a porous or rough surface coating, wherein the main anchoring stud includes a central hole extending along a central axis of symmetry of the main anchoring stud, the main anchoring stud is fixedly mounted on the anchoring face of the articular body such that the central hole is unoccupied, and the main anchoring stud has two opposite ends including a proximal end secured to the anchoring face and in which the central hole opens, and a blocked distal end, the central hole being blind and extending substantially an entire length of the main anchoring stud measured between the proximal end and the blocked distal end, and wherein the main anchoring stud is configured to receive a surgical tool.

Description

DRAWINGS

(1) In order that the disclosure may be well understood, there will now be described various forms thereof, given by way of example, reference being made to the accompanying drawings, in which:

(2) FIGS. 1 to 3 are schematic perspective views of a glenoidal implant from three distinct viewing angles according to the present disclosure;

(3) FIG. 4 is a schematic back view of the glenoidal implant of FIGS. 1 to 3;

(4) FIG. 5 is a schematic front view of the glenoidal implant of FIGS. 1 to 3;

(5) FIG. 6 is a schematic side view of the glenoidal implant of FIGS. 1 to 3;

(6) FIG. 7 is a cross-sectional view of the glenoidal implant of FIGS. 1 to 3 along a section plane corresponding to the plane of symmetry; and

(7) FIG. 8 is a schematic perspective view of the main anchoring stud alone.

(8) The drawings described herein are for illustration purposes only and are not intended to limit the scope of the present disclosure in any way.

DETAILED DESCRIPTION

(9) The following description is merely exemplary in nature and is not intended to limit the present disclosure, application, or uses. It should be understood that throughout the drawings, corresponding reference numerals indicate like or corresponding parts and features.

(10) With reference to FIGS. 1 to 6, a glenoidal implant 1, according to one form of the present disclosure, comprises an articular body 2 having two opposite faces 20, 21 which are an articulation face 20 suitable for cooperating with an articulation head of a humeral implant, and an anchoring face 21 provided for an anchoring in the glenoid cavity of the scapula.

(11) The articular body 2 is a one-piece body made of a plastic or polymeric material, such as, for example, polyethylene, and in particular high density or ultra high molecular weight polyethylene (UHMWPE) or cross-linked polyethylene (XPE).

(12) As shown in FIGS. 1, 2 and 4, the anchoring face 21 of the articular body has a plurality of recesses 22 forming a macrostructure intended to promote a compression of a cement layer which would be inserted between the anchoring face 21 and the bone; these recesses 22 might be in the form of drill point recesses by way of non-limiting example.

(13) As shown in FIGS. 4 and 5, the articular body 2 has a plane of symmetry PS and has edges 23, 24, 25, 26 connecting the articulation face 20 and the anchoring face 21, these edges 23, 24, 25, 26 forming the peripheral perimeter of the articular body 2 and defining the thickness of the articular body 2.

(14) These edges 23, 24, 25, 26 comprise:

(15) a lower edge 23 matching a main circle R1 having a predefined main diameter D1 and a main center C1 placed on the plane of symmetry PS;

(16) an upper edge 24 matching a secondary circle R2 having a predefined secondary diameter D2 less than the main diameter D1 and a secondary center C2 placed on the plane of symmetry PS and offset relative to the main center C1; and

(17) two lateral edges 25, 26 joining the lower edge 23 and the upper edge 24 on either side of the plane of symmetry PS.

(18) Furthermore, the articular body 2 comprises a secondary anchoring stud 27 which protrudes from the anchoring face 21 and which is integral with the articular body 2. In the example illustrated in the figures, the secondary anchoring stud 27 is a conical stud provided with cylindrical fins spaced from each other. In a variant which is not illustrated, the secondary anchoring stud 27 can be a conical and smooth stud.

(19) The secondary anchoring stud 27, located in the plane of symmetry PS, is surrounded by the secondary circle R2 and is more specifically placed between the secondary center C2 and the top of the upper edge 24 which corresponds to the point of the upper edge 24 located in the plane of symmetry PS.

(20) In the example illustrated in the figures, the aforementioned recesses 22 are disposed on the periphery of the secondary anchoring stud 27.

(21) The glenoidal implant 1 further comprises a main anchoring stud 3 which protrudes from the anchoring face 21 and which is fixedly mounted on the anchoring face 21, wherein the main anchoring stud 3 is at least partially covered with a porous or rough surface coating 30 promoting an osseointegration.

(22) The main anchoring stud 3 is a stud of revolution centered on a central axis of symmetry AS which intersects the main center C1 defined above.

(23) The main anchoring stud 3 has two opposite ends which are a proximal end 31 secured to the anchoring face 21 and a free distal end 32.

(24) As illustrated in FIG. 7, the main anchoring stud 3 is internally disposed with a blind central hole 33 which opens into the proximal end 31, such that the distal end 32 is blocked. The central hole 33 provided to allow guiding a trephine, as previously explained.

(25) The central hole 33 extends over at least 80% of a length of the main anchoring stud 3 measured between the proximal end 31 and the distal end 32. The central hole 33 therefore has a depth measured between the proximal end 31 and the bottom of the central hole 33, and the depth is greater than or equal to 0.8 times the length of the main anchoring stud 3.

(26) Moreover, and as shown in FIG. 7, the central hole 33 is empty over at least 80% of its depth and even over its entire depth. In other words, no element external to the central hole 33 is inserted inside the central hole 33 which is unoccupied.

(27) The central hole 33 has an entrance on the proximal end 31 of the main anchoring stud 3, wherein this entrance can be conical or chamfered to facilitate later insertion of the trephine, and moreover this entrance is blocked by the articular body 2 by being embedded inside the articular body 2. Thus, the central hole 33 does not open into the articulation face 20, in other words the central hole 33 is not accessible from the side of the articulation face 20, and it is therefore desirable to pierce the articular body to access the entrance of the central hole 33 for the trephine.

(28) The main anchoring stud 3 has a peripheral groove 34 at the proximal end 31, and the main anchoring stud 3 is fixedly mounted on the anchoring face 21 by overmolding the articular body 2 in the peripheral groove 34. In other words, the articular body 2 has, on the anchoring face 21 thereof, a boss 28 which overmolds the peripheral groove 34 of the main anchoring stud 3; the boss 28 being an integral part of the articular body 2.

(29) The porous or rough surface coating 30 extends along the entire periphery of the main anchoring stud 3, between the peripheral groove 34 and the distal end 32.

(30) The porous or rough surface coating 30 can for example comprise a layer of porous or rough titanium or of a porous or rough titanium alloy, and possibly further comprise a layer of calcium phosphate, such as calcium hydroxyapatite.

(31) The glenoidal implant 1 can be used without cement with an anchoring in the glenoid cavity which then dependents on the effectiveness of the main anchoring stud 3 and the reintegration of the bone into the porous or rough surface coating 30 thereof.

(32) The glenoidal implant 1 can also be partially cemented, by using a cement layer between the anchoring face 21 and the bone, without this cement layer projecting on the porous or rough surface coating 30. In the case of such a use with cement, the recesses 22 will allow a compression of the cement, which will improve its resistance.

(33) It should be noted that the secondary anchoring stud 27 has the main function of providing a blocking in rotation of the articular body 2 on the glenoid cavity.

(34) Of course, the example of implementation mentioned above is in no way limiting and other improvements and details can be made to the glenoidal implant according to the present disclosure, without departing from the scope of the present disclosure wherein other shapes or numbers of secondary anchoring studs can for example be made.

(35) Unless otherwise expressly indicated herein, all numerical values indicating mechanical/thermal properties, compositional percentages, dimensions and/or tolerances, or other characteristics are to be understood as modified by the word “about” or “approximately” in describing the scope of the present disclosure. This modification is desired for various reasons including industrial practice, material, manufacturing, and assembly tolerances, and testing capability.

(36) As used herein, the phrase at least one of A, B, and C should be construed to mean a logical (A OR B OR C), using a non-exclusive logical OR, and should not be construed to mean “at least one of A, at least one of B, and at least one of C.”

(37) The description of the disclosure is merely exemplary in nature and, thus, variations that do not depart from the substance of the disclosure are intended to be within the scope of the disclosure. Such variations are not to be regarded as a departure from the spirit and scope of the disclosure.