Exactech, Inc.

Hansen, Matthew

Roche, Christopher, P.

Christopher P Roche

Corey Mitchell Gaydos

Thomas W Wright

Howard David Routman

Phong Diep

Joseph Zuckerman

Richard Bradley Jones

C Michael Mauldin

George S Athwal

Cary M Mauldin

Joaquin Sanchez-Sotelo

Pierre Flurin

David Koogle

Tom Vanasse

Matt Hamilton

Raymond Anthony Klug

Thomas Wright

Matthew Michael Hamilton

Mark R Bender

Pierre-Henri Flurin

Ankur Teredesai

Ryan Simovitch

Kenneth A Egol

Matthew Hansen

Vikas Kumar

Steven Overman

Mitchell Gaydos Cory

Mark Bender

Disclosed is a prosthetic augment designed to reconstruct a lateral tuberosity shape of a humerus in a subject having proximal bone loss that includes a humeral adapter tray configured to connect a humeral liner of a reverse shoulder prosthesis to a humeral stem of the reverse shoulder prosthesis and an augment member having a first face adapted for contacting the humeral stem of the reverse shoulder prosthesis and a second face adapted for contacting an underside of a muscle, wherein at least a portion of the second face includes a bulbous surface adapted to alter a wrapping angle of the muscle around the lateral tuberosity, and wherein the second face has a radius of curvature selected from one of a constant radius of curvature or a variable radius of curvature.

Humeral trays with tuberosity augments sufficiently designed to improve joint mechanics

In some embodiments, the present invention provides a reverse shoulder glenoid prosthesis which supports the attachment of multiple different types of modular attachments that can: 1) provide additional scapular fixation (ie external to the glenoid) in order to improve glenoid implant fixation in cases of severe bone loss/fracture, 2) provide joint line lateralization to improve tissue stability in cases of severe glenoid/scapula bone loss, 3) facilitate use and containment of glenoid bone graft in cases of severe glenoid/scapula bone loss—particularly in those cases in which the glenoid defect is uncontained/peripheral 4) achieve glenoid fixation while at the same time reconstructing the scapular bone in cases of scapula fractures, glenoid fractures, and/or acromial fractures, and 5) provide improved rTSA joint biomechanics, particularly posterior rotator cuff efficiency by changing the line of action of the infraspinatus and teres minor muscles to improve their muscle tension, and also increase each muscle's external rotation and abduction moment arm lengths.

Platform RTSA glenoid prosthesis with modular attachments capable of improving initial fixation, fracture reconstructions, and joint biomechanics

A kit including (1) a plate configured to be secured to a scapular spine with a first end of the plate near a trigonum and a second end of the plate near an acromion; (2) a first hook including a mount, a first hook portion extending from the mount in a first direction, a spacer extending from the first hook portion in a transverse direction, and a second hook portion extending from an opposite end of the spacer in the first direction, the first hook adapted to extend around a lateral end of the acromion when fixed to the second end of the plate; and (3) a second hook including a mount, a curved portion curving away from the mount, and a hook portion at an opposite end of the curved portion, the second hook adapted to extend around the trigonum when fixed to the first end of the plate.

Acromion fracture repair system

In some embodiments, the present invention provides a reverse shoulder glenoid prosthesis which supports the attachment of multiple different types of modular attachments that can: 1) provide additional scapular fixation (ie external to the glenoid) in order to improve glenoid implant fixation in cases of severe bone loss/fracture, 2) provide joint line lateralization to improve tissue stability in cases of severe glenoid/scapula bone loss, 3) facilitate use and containment of glenoid bone graft in cases of severe glenoid/scapula bone loss&#x2014;particularly in those cases in which the glenoid defect is uncontained/peripheral 4) achieve glenoid fixation while at the same time reconstructing the scapular bone in cases of scapula fractures, glenoid fractures, and/or acromial fractures, and 5) provide improved rTSA joint biomechanics, particularly posterior rotator cuff efficiency by changing the line of action of the infraspinatus and teres minor muscles to improve their muscle tension, and also increase each muscle's external rotation and abduction moment arm lengths.

Platform rTSA glenoid prosthesis with modular attachments capable of improving initial fixation, fracture reconstructions, and joint biomechanics

A proximal portion of an implant for repairing a multipart fracture of a proximal humerus includes an asymmetric body having a proximal end, a distal end, a medial side, a lateral side, an anterior edge, and a posterior edge a medial surface extending along at least a portion of the medial side and having a proximal end and a distal end; a protrusion forming the lateral side of the asymmetric body, offset in an anterior direction, and pointing toward a bicipital groove of the humerus when the proximal portion is implanted in the humerus, an anterior support surface configured to support a lesser tuberosity; a posterior support surface configured to support a greater tuberosity; an angled surface having a first side defined by the medial surface, a second side defined by the anterior support surface, and a third side defined by the posterior support surface; and an anchoring point.

Platform fracture fixation implants

Disclosed herein is a kit that includes a humeral stem having a central longitudinal axis, the humeral stem configured to attach to a resected bone; a first tuberosity component having a first thickness relative to the central longitudinal axis of the humeral stem; a second tuberosity component having a second thickness relative to the central longitudinal axis of the humeral stem, wherein the first thickness of the first tuberosity component is different than the second thickness of the second tuberosity component; and at least one proximal segment configured to engage at least one of the first tuberosity component and the second tuberosity component. In an embodiment, the first thickness of the first tuberosity component is at least 20 mm relative to the central axis of the humeral stem, and the second thickness of the second tuberosity component is at least 20 mm relative to the central axis of the humeral stem.

Prosthetic devices to improve joint mechanics in arthroplasty

An apparatus includes a processor and a non-transitory memory. The processor is configured to receive pre-operative patient specific data. The pre-operative patient specific data is inputted to a first machine learning model to determine a first predicted post-operative joint performance data output including first predicted post-operative outcome metrics. A reconstruction plan of the joint of the patient is generated based on a medical image of the joint, and at least one arthroplasty surgical parameter obtained from the user. The at least one arthroplasty surgical parameter is inputted into a second machine learning model to determine a second predicted post-operative joint performance data output including second predicted post-operative outcome metrics. The second predicted post-operative joint performance data output is updated to include an arthroplasty surgery recommendation, in response to the user varying the at least one arthroplasty surgical parameter, before the arthroplasty surgery, during the arthroplasty surgery, or both.

Method and system for modeling predictive outcomes of arthroplasty surgical procedures

Prosthetic augments to improve muscle mechanics are disclosed herein. A prosthetic augment of the present disclosure includes an augment member configured to engage a bone, the augment member having a first face adapted for contacting the bone; and a second face adapted for contacting an underside of a muscle, wherein at least a portion of the second face includes a bulbous surface adapted to alter a wrapping angle of the muscle around the bone, wherein a first thickness is defined between the first face and the second face at a first position on the augment member, wherein a second thickness is defined between the first face and the bulbous surface of the second face, and wherein the first thickness and the second thickness are not equivalent so as to result in the augment member having a non-uniform thickness.

Prosthetic augments to improve muscle mechanics

Various embodiments of the present invention relate to an apparatus and method for reverse shoulder arthroplasty (e.g., reverse total shoulder arthroplasty). In one specific example, a glenoid component used to resurface the scapula may be provided. Of note, unlike traditional total shoulder arthroplasty the glenoid component in a reverse shoulder is convex rather than concave; it acts as a physical stop to prevent the superior migration of the humeral head&#x2014;a typical occurrence in patients suffering from rotator cuff tear arthropathy (CTA).

Reverse shoulder prosthesis

Disclosed herein are components of a reverse shoulder prosthesis. In an embodiment, a reverse shoulder prosthesis includes a humeral adapter tray configured to sit near a resected surface of a humerus, the humeral adapter tray comprising: a cavity; a central bore; and a distal face including a boss, the boss: (i) configured as an extension of the distal face, (ii) posteriorly offset from the central bore by at least 10 mm, and (iii) configured to engage a humeral stem; and a humeral liner comprising: a distal rim configured to sit within the cavity of the humeral adapter tray; and a concave articulating surface configured to mate with a convex articulating surface of a glenosphere. In an embodiment, the boss, in addition to being posteriorly offset, is superiorly offset from the central bore by at least 8 mm. In an embodiment, the reverse shoulder a humeral stem which engages the boss.

Reverse shoulder humeral adapter trays

One embodiment of the present invention relates to a reverse shoulder assembly. Another embodiment of the present invention relates to a reverse shoulder assembly method of use. In one example, a reverse shoulder assembly of the present invention may be provided such that the reverse shoulder assembly alters the abduction force created by a patient's deltoid to a forward flexion force. In one example, a reverse shoulder assembly of the present invention may be provided such that the reverse shoulder assembly alters the abduction force created by a patient's deltoid to an external rotation force. In one example, a reverse shoulder assembly of the present invention may be provided such that the reverse shoulder assembly alters the abduction force created by a patient's deltoid to an external rotation force and a forward flexion force.

Growing community of inventors

Gainesville, FL, United States of America

Christopher P Roche