Method of implanting partial humeral head prosthesis
A humeral prosthesis includes a stem component and a partial humeral head component. The partial humeral head component has a configuration that is similar to the curvature of the humeral head to allow the head to reconstruct the anatomy of the damaged humerus. The stem component is threaded and cannulated and engages the partial humeral head component. The stem component is configured to be inserted within the humeral diaphyseal channel.
1. A method of shoulder repair, comprising the steps of:
providing a humeral prosthetic comprising a spherical head having a convex surface suitable to be introduced within a joint cavity and a concave surface that is adapted to contact a humerus;
providing a portal through the rotator cuff interval;
forming a tunnel in the humerus at a defect location within the humerus;
providing an articulating cutter comprising a cap and a reamer, the cap securely engaging the reamer through a ball joint with cross-pin fixation formed of a ball post and a pin that limits rotation but allows the cutter to articulate;
inserting the articulating cutter through the rotator cuff interval portal;
assembling the articulating cutter with a threaded pin and applying retrograde force while the articulating cutter cuts in a retrograde manner and through the preformed tunnel in the humerus to form a counterbore socket until the articulating cutter is flush with an articular surface of the humerus;
removing the articulating cutter and the threaded pin; and
installing the humeral prosthetic within the counterbore socket in the humerus.
2. The method of claim 1 , wherein the spherical head further comprises a cylindrical stem portion extending about perpendicular to the convex surface, and wherein the humeral prosthetic further comprises the cannulated member attachable to the cylindrical stem portion of the spherical head, the cannulated member being insertable within the tunnel in the humerus; and a post configured to secure the cannulated member to the spherical head, wherein the cannulated member is a cannulated screw.
3. The method of claim 2 , wherein the cannulated screw is threaded.
4. The method of claim 2 , wherein the cannulated screw is provided with a plurality of fenestrations.
5. The method of claim 2 , wherein at least a portion of an internal cylindrical stem area of the cylindrical stem portion of the head is threaded, and wherein the post has a body with at least a threaded region that corresponds to the threaded internal stem area of the head when the cannulated member is attached to the head.
6. The method of claim 1 , wherein the humeral prosthetic is installed within the counterbore socket in the humerus using a driver, by attaching a cannulated member of the humeral prosthetic with the spherical head of the prosthetic to the driver inside the joint cavity, the driver being inserted into the joint cavity through the preformed tunnel in the humerus, and installing the prosthetic, in retrograde fashion and through the portal through the rotator cuff interval, into the humerus, using the driver until the spherical head is flush with the articular surface of the humerus.