Importance

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Abstract

A glenoid prosthesis and method for affixing the same. The glenoid prosthesis has a lateral surface for articulating with a humeral head and a flat medial surface which engages a flat resected surface on the scapula head. In a first embodiment, an integral plastic prosthesis has a pair of pegs extending from a flat medial surface which are positioned in a pair of holes drilled in the bone. The mating flat surfaces and pegs and holes are bonded with cement. The flat mating surfaces resist rocking under applied superior-inferior loading and resection is simplified by providing a flat resected surface and holes drilled substantially perpendicular thereto. Grooves are provided in the pegs to provide an increased area for bonding and the grooves are of graduated depth to provide greater strength at the proximal end of the pegs where the highest stresses occur. In a second embodiment, the glenoid component consists of a metal base and plastic insert, wherein snap-fit locking means are provided for intra-operatively attaching the insert to the base. A central boss and screw fixation of the base to the bone provides stability and allows reconstruction with bone grafts.

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First Claim