Interlocking reverse shoulder prosthesis method
An interlocking reverse shoulder prosthesis including a glenoid cup being implanted in the glenoid fossa having a glenoid ball, firmly attached to the central portion of the cup via Morse taper. The humeral component having a hemispherical cup attached to the neck of the implant via Morse taper in a modular fashion thereby allowing use of several neck lengths. After implantation of the glenoid cup, glenoid hall and the humeral cup, the members are assembled together for relative movement. The glenoid cup is secured by several screws or resorbable fixation studs. During range of motion, the edge of the humeral cup becomes inserted into a gap located between the glenoid cup and the glenoid ball and becomes restrained thus reducing the likelihood of dislocation during extreme range of motion.
1. A method of implanting in a patient a reverse shoulder prosthesis, the method comprising: providing the prosthesis comprising
a unitary glenoid cup having an outer non-articulating surface adapted for attachment to a glenoid fossa and a concave surface located opposite to the non-articulating surface, the concave surface having a glenoid cup stem firmly affixed therein and projecting outwardly therefrom,
a glenoid ball firmly affixed to the glenoid cup stem, the glenoid ball having a surface,
the concave surface of the glenoid cup and the surface of the glenoid ball are spaced from one another, thereby defining a gap therebetween,
a humeral stem adapted for implantation in a medullary canal of a proximal end of a humerus, and
a humeral cup firmly affixed to a proximal end of the humeral stem, the humeral cup sized for articulation in the gap, such that the humeral cup has a concave surface sized for articulation on the surface of the glenoid ball and a convex surface opposite the concave surface of the humeral cup sized for articulation on the concave surface of the glenoid cup, the gap being sized and configured to permit said articulations while constraining the humeral cup within the gap throughout an entire range of said articulations of the humeral cup as it articulates within the gap, thereby reducing the risk of dislocation;
preparing a glenoid fossa and affixing the glenoid cup therein, preparing a medullary canal at the proximal end of a humerus and affixing the humeral stem therein, affixing the glenoid ball to the glenoid cup stem, affixing the humeral cup to the proximal end of the humeral stem and aligning the concave surface of the humeral cup with the glenoid ball so that the humeral cup will articulate in the gap and the concave surface of the humeral cup will articulate on the surface of the glenoid ball.
2. The method of claim 1 wherein the concave surface of the glenoid cup is hemispherical, the glenoid ball is spherical and the concave surface of the humeral cup is hemispherical.
3. The method of claim 1 wherein the concave surface of the glenoid cup has a center and the glenoid cup stem is affixed thereto and in the center.
4. The method of claim 1 wherein the glenoid ball has a glenoid ball recess sized to receive the glenoid cup stem.
5. The method of claim 4 wherein the glenoid ball has a center, the glenoid cup stem has a longitudinal center line and the glenoid ball recess has a longitudinal center line, both longitudinal center lines being colinear and passing through the center of the glenoid ball.
6. The method of claim 1 wherein the humeral cup has a humeral cup stem projecting outwardly therefrom in a direction opposite the concave surface thereof and the humeral stem has at its proximal end a recess sized to receive the humeral cup stem.
7. The method of claim 6 wherein the humeral cup has a concave hemispherical portion having a center line, the humeral cup stem has a longitudinal center line and the humeral stem recess has a longitudinal center line wherein all of the center lines are colinear.
8. The method of claim 1 wherein the concave surface of the humeral cup is fully in contact with the surface of the glenoid ball during articulation of said concave surface on the glenoid ball.
9. The method of claim 1 wherein the gap is hemispherical.