Method and apparatus for fitting a shoulder prosthesis
Method and set of surgical instruments for fitting a shoulder prosthesis, and the shoulder prosthesis. The proposed method seeks to interpose a bone graft between the previously prepared glenoid surface (G) of a scapula (S) of a patient's shoulder and the face of a glenoid prosthetic component opposite the articular surface. The set of instruments permit the bone graft to be taken from the upper epiphysis of the humerus (H), either in situ or ex vivo.
1. A method for providing a glenoid assembly, the method comprising:
providing a bone graft comprising cylindrical outer shape, a medial side, a distal side, and a passage through the bone graft from the medial side to the distal side;
providing a glenoid component comprising an articular surface on a lateral side of the glenoid component, wherein an anchoring tail extends from a medial side of the glenoid component prior to advancing the anchoring tail through the passage of the bone graft; and
advancing the anchoring tail through the passage of the bone graft such that the anchoring tail extends entirely through the passage from the medial side of the bone graft to the distal side of the bone graft.
2. The method of claim 1 , further comprising forming the bone graft from a natural material.
3. The method of claim 2 , wherein the natural material comprises a bone material from a non-human source.
4. The method of claim 1 , further comprising anchoring the glenoid assembly to a glenoid surface of a scapula.
5. A surgical method for implanting a shoulder prosthesis on a glenoid surface of a scapula, the method comprising:
engaging a medial surface of a bone graft with the glenoid surface such that a distal surface of the bone graft is extended outwardly of the glenoid vault, the distal surface of the bone graft forming an outer lateral extension of the scapula that extends laterally beyond the glenoid surface;
engaging an opposing face of a glenoid component with the distal surface of the bone graft by advancing the glenoid component axially through the distal and medial surfaces of the bone graft; and
anchoring the glenoid component to the glenoid surface through the bone graft.
6. The surgical method of claim 5 wherein the prosthesis comprises an inverted shoulder prosthesis and an articular surface of the glenoid component comprises a convex articular surface such that a center of rotation of the glenoid component is located in the bone graft.
7. The surgical method of claim 5 further comprising preparing the bone graft by forming a cylindrical outer shape and by forming a passage through the bone graft from the medial side to the distal side.
8. The surgical method of claim 7 , wherein anchoring comprises advancing a tail of the glenoid component through the passage from the distal side to the medial side and into the glenoid surface.