Glenoid implant for inverted shoulder prosthesis
A glenoid implant for an inverted shoulder prosthesis includes a base, a glenosphere having a central orifice and mounted on the base by mutual wedging between conical bearing surfaces, a main anchoring screw crossing the base and including an anchor rod having a tapped end segment, and an inner hole having a threaded intermediate portion, and a tip portion. A locking screw crosses the central orifice and includes a proximal head and a locking rod having an end segment intended to slide in the tip portion of the inner hole and a tapped intermediate segment intended to cooperate by screwing with the intermediate portion of the inner hole to lock the mutual wedging of the conical bearing surfaces, the proximal head abutting on an annular bearing surface in the central orifice.
1. A glenoid implant for an inverted shoulder prosthesis comprising:
a base configured to be anchored on a glenoid cavity of a scapula and having a main orifice extends through the base;
a glenosphere defining a convex articulation surface formed in a hemisphere portion and having a central orifice passing through the glenosphere, wherein the glenosphere is mounted on the base by mutual wedging between a female conical bearing surface on the glenosphere and a male conical bearing surface on the base;
a main anchoring screw passing through the main orifice of the base and shaped for anchorage of the base on the glenoid cavity, wherein the main anchoring screw comprises a main head and an anchor rod having an end segment with an external tapping; and
a locking screw, coaxial with the main anchoring screw, passing through the central orifice of the glenosphere to lock the glenosphere on the base in a locked position, wherein the locking screw comprises a proximal head and a locking rod having an intermediate segment with an external tapping and extended by an end segment,
wherein:
the main anchoring screw has an inner hole opening into the main head and having successively, starting from the main head and in a direction of the end segment of the anchor rod, an inlet portion shaped to cooperate with a screwing tool, an intermediate portion including a threading and a tip portion, and
the end segment of the locking rod has a length longer than a cumulated length of the inlet portion and of the intermediate portion of the inner hole of the main anchoring screw to slide inside the tip portion of the inner hole of the main anchoring screw to center the female and male conical bearing surfaces relative to one another, and the intermediate segment of the locking rod is adapted to be threadably engaged to the intermediate portion of the inner hole of the main anchoring screw to lock mutual wedging of the female and male conical bearing surfaces, the proximal head of the locking screw abutting on an annular bearing surface inside the central orifice of the glenosphere,
the central orifice of the glenosphere has successively, starting from the convex articulation surface in the direction of the base, a proximal portion shaped to receive the proximal head of the locking screw, and a distal portion having threading complementary to the external tapping of the intermediate segment of the locking rod of the locking screw, wherein the annular bearing surface of the central orifice of the glenosphere is at an interface between the proximal portion and the distal portion.
2. The glenoid implant according to claim 1 , wherein the distal portion of the central orifice of the glenosphere has a length smaller than a length of the intermediate segment of the locking rod of the locking screw.
3. The glenoid implant according to claim 1 , wherein the distal portion of the central orifice of the glenosphere has a length smaller than a length of a proximal segment of the locking rod of the locking screw.
4. The glenoid implant according to claim 1 , wherein the locking rod of the locking screw has a proximal segment extending between the proximal head and the intermediate segment.
5. The glenoid implant according to claim 1 , wherein the main anchoring screw and the locking screw are coaxial with the female and male conical bearing surfaces.
6. The glenoid implant according to claim 1 , wherein, in the locked position, the main head of the main anchoring screw abuts on an annular bearing surface inside the main orifice of the base.
7. The glenoid implant according to claim 1 , wherein the main head of the main anchoring screw has an external tapping, and the main orifice of the base has an inlet portion opening onto an outer face of the base opposite the glenosphere, wherein the inlet portion includes a threading complementary to the external tapping of the main head, so that the main head is screwed into the inlet portion.
8. The glenoid implant according to claim 7 , wherein the external tapping of the main head of the main anchoring screw has a tapping pitch smaller than that of the external tapping of the end segment of the anchor rod.
9. The glenoid implant according to claim 7 , wherein the main orifice of the base has an outlet portion which extends the inlet portion and which extends through a central stud of the base, and the anchor rod has an intermediate segment shaped so as to be mounted inside the outlet portion of the main orifice of the base.
10. The glenoid implant according to claim 1 , wherein the base has a central stud projecting from an inner face opposite to the glenosphere, wherein the central stud is hollow and the main orifice extends through the central stud and the end segment of the anchor rod projects beyond the central stud.
11. The glenoid implant according to claim 1 further comprising a plurality of secondary anchoring screws shaped for anchorage of the base on the glenoid cavity, wherein the plurality of secondary anchoring screws pass through the base and are disposed at a periphery around the main anchoring screw.
12. The glenoid implant according to claim 1 , wherein the main head of the main anchoring screw does not project beyond an outer face opposite the glenosphere.