# US 10,368,998 B2 · Modular reverse shoulder orthopaedic implant and method of implanting the same

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- Number: US 10,368,998 B2
- Document ID: US10368998B2
- Status: Granted
- Kind: B2
- Application number: 15/465,233
- Filed: 2017-03-21
- Published: 2017-07-06
- Granted: 2019-08-06
- Earliest claimed: 2015-01-15
- Assignees: DePuy Synthes Products, Inc.
- Applicants: Depuy Synthes Products, Inc.
- Inventors: Jason M. Chavarria; Dwight T. Todd; Didier Poncet
- Web page: https://patentgrep.com/patent/US10368998B2

## CPC

- A61F 2/4014: {Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts}
- A61F 2/4059: {Humeral shafts}
- A61B 17/842: {Flexible wires, bands or straps (A61B17/72, A61B17/82, A61B17/86 take precedence)}
- A61F 2002/30331: {made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit}
- A61F 2002/30433: {using additional screws, bolts, dowels, rivets or washers e.g. connecting screws}
- A61F 2002/30461: {sutured, ligatured or stitched}
- A61F 2002/30507: {using a threaded locking member, e.g. a locking screw or a set screw}
- A61F 2002/30604: {modular}
- A61F 2002/3082: {Grooves}
- A61F 2002/30884: {Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity}
- A61F 2002/4022: {having a concave shape, e.g. hemispherical cups}
- A61F 2002/4037: {Connections of heads to necks}
- A61F 2002/4044: {Connections of necks to shafts}
- A61F 2002/4074: {Connections of proximal or metaphyseal parts to distal or diaphyseal parts}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A modular reverse shoulder orthopedic implant includes a humeral stem component and a separable fracture epiphysis component having a number of suture holes formed therein. The fracture epiphysis component is configured to receive a number of sutures for surgically repairing a proximal humeral fracture.

## Claims

### Claim 1

A method of surgically repairing a proximal fracture of a patient's humerus, the method comprising:
rotating a locking screw to secure an elongated humeral stem component to a fracture epiphysis component, the fracture epiphysis component including a body having an annular rim at a superior end of the body, an annular suture collar extending outwardly from the annular rim, and a plurality of suture holes extending through a superior surface of the annular suture collar and an inferior surface of the annular suture collar,
implanting the humeral stem component into an intramedullary canal of the patient's humerus,
advancing a first suture through a humeral shaft of the patient's humerus, through a first suture hole of the plurality of suture holes extending through the annular suture collar of the fracture epiphysis component, and through a patient's rotator cuff proximate a greater tuberosity of the patient's humerus,
advancing a second suture through the humeral shaft of the patient's humerus, through a second suture hole of the plurality of suture holes extending through the annular suture collar of the fracture epiphysis component, and through the patient's rotator cuff proximate a lessor tuberosity of the patient's humerus, and
advancing a third suture through a third suture hole located in a suture pocket on an outer inferior surface of the fracture epiphysis component, through the greater tuberosity of the patient's humerus, and through the lessor tuberosity of the patient's humerus.

### Claim 2 (depends on 1)

The method of claim 1, further comprising:
tensioning the third suture so as to bring the greater tuberosity of the patient's humerus and the lessor tuberosity of the patient's humerus into contact with one another, and
tying the third suture so as to secure the greater tuberosity of the patient's humerus and the lessor tuberosity of the patient's humerus in contact with one another.

### Claim 3 (depends on 2)

The method of claim 2, further comprising installing a polymeric humeral cup on the fracture epiphysis component subsequent to the tying step.

### Claim 4 (depends on 1)

The method of claim 1, further comprising positioning a tab formed in a superior surface of the humeral stem component into one of a plurality of notches formed in an inferior surface of the fracture epiphysis component so as to position the fracture epiphysis component in a selected version angle relative to the humeral stem component prior to rotation of the locking screw.