Stemless metaphyseal humeral implant
A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and/or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and/or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.
1. A base member of a stemless shoulder implant, the base member comprising:
a proximal collar having a proximal surface, a bone-engaging surface, and a plurality of holes extending from the proximal surface to the bone-engaging surface, wherein each of the plurality of holes is adapted to receive a non-integral fixation member;
a central anchor extending distally along a longitudinal axis of the base member from the bone-engaging surface of the collar a first distance to a central tip and having a plurality of flutes extending toward the central tip;
one or more integral peripheral anchors each positioned radially outwardly of the central anchor and extending distally from the bone-engaging surface of the collar a second distance to a peripheral tip, the first distance being greater than the second distance, the one or more integral peripheral anchor being integral with the base member, the non-integral fixation member being non-integral with the base member; and
a first non-integral fixation member, wherein the first non-integral fixation member is a non-integral peripheral anchor or a bone screw,
wherein the plurality of holes comprises two holes, and the one or more integral peripheral anchors comprises two integral peripheral anchors.
2. The base member of claim 1 , wherein the first non-integral fixation member is a first non-integral peripheral anchor, when received within a corresponding one of the two holes, extends distally from the bone-engaging surface of the collar a third distance to a peripheral tip, the second distance being substantially equal to the third distance, and the base member further comprises a second non-integral fixation member in the form of a bone screw, wherein the bone screw, when received within a corresponding one of the two holes, extends distally from the bone-engaging surface of the collar a fourth distance, the fourth distance being greater than the second distance and the third distance.
3. The base member of claim 1 , wherein the two holes are positioned diagonally from each other and the two integral peripheral anchors are positioned diagonally from each other.
4. The base member of claim 1 , wherein the two holes are positioned adjacent to each other and the two integral peripheral anchors are positioned adjacent to each other.
5. The base member of claim 1 , further comprising a second non-integral fixation member, the first and second non-integral fixation members are both non-integral peripheral anchors or both are bone screws.
6. The base member of claim 1 , further comprising a second non-integral fixation member, the first non-integral fixation member being a non-integral peripheral anchor, and the second non-integral fixation member being a bone screw.
7. A base member of a stemless shoulder implant, the base member comprising:
a proximal collar having a proximal surface, a bone-engaging surface, and a plurality of holes extending from the proximal surface to the bone-engaging surface, wherein each of the plurality of holes is adapted to receive a non-integral fixation member;
a central anchor extending distally along a longitudinal axis of the base member from the bone-engaging surface of the collar a first distance to a central tip and having a plurality of flutes extending toward the central tip;
one or more integral peripheral anchors each positioned radially outwardly of the central anchor and extending distally from the bone-engaging surface of the collar a second distance to a peripheral tip, the first distance being greater than the second distance, the one or more integral peripheral anchor being integral with the base member, the non-integral fixation member being non-integral with the base member; and
a first non-integral fixation member, wherein the first non-integral fixation member is a first non-integral peripheral anchor,
wherein the first non-integral peripheral anchor, when received within a corresponding one of the plurality of holes, is positioned radially outwardly of the central anchor and extends distally from the bone-engaging surface of the collar a third distance to a peripheral tip, the second distance being substantially equal to the third distance.
8. The base member of claim 7 , further comprising a second non-integral fixation member, wherein the second non-integral fixation member is a bone screw.
9. The base member of claim 8 , wherein the bone screw is a locking compression screw.
10. The base member of claim 8 , wherein at least one of the plurality of holes is threaded.
11. The base member of claim 10 , wherein the second non-integral fixation member includes threads adapted to engage the threads of a corresponding one of the plurality of holes.
12. The base member of claim 7 , wherein the plurality of holes comprises two holes, and the one or more integral peripheral anchors comprises two integral peripheral anchors.
13. The base member of claim 12 , wherein the two holes are positioned adjacent to each other and the two integral peripheral anchors are positioned adjacent to each other.
14. The base member of claim 13 , further comprising a second non-integral fixation member, the second non-integral fixation member is a second non-integral peripheral anchors.
15. The base member of claim 13 , further comprising a second non-integral fixation member, the second non-integral fixation member being a bone screw.
16. The base member of claim 12 , wherein the two holes are positioned diagonally from each other and the two integral peripheral anchors are positioned diagonally from each other.
17. The base member of claim 16 , further comprising a second non-integral fixation member, the second non-integral fixation member is either a non-integral peripheral anchor or a bone screw.
18. The base member of claim 16 , further comprising a second non-integral fixation member, the second non-integral fixation member being a compression locking bone screw.