Guide for assisting with arrangement of a stock instrument with respect to a patient tissue

Abstract

A stock instrument includes at least one guide interacting feature. A lower instrument surface of the stock instrument is placed into contact with the patient tissue. A guide has a lower guide surface contoured to substantially mate with at least a portion of an upper instrument surface of the stock instrument. A predetermined instrument orientation upon the patient tissue is defined, which is preselected responsive to preoperative imaging of the patient tissue. The guide and instrument are mated in a predetermined relative guide / instrument orientation wherein at least one guide interacting feature of the instrument is placed into engagement with at least one instrument guiding feature of the guide. The guide is moved into a predetermined guide orientation with respect to the patient tissue and concurrently the instrument is moved into a predetermined instrument orientation with respect to the patient tissue.

Description

RELATED APPLICATION[0001]This application is a divisional of U.S. patent application Ser. No. 13 / 282,528 filed Oct. 27, 2011, which claims priority from U.S. Provisional Application No. 61 / 408,376 filed Oct. 29, 2010, the subject matter of each of which is incorporated herein by reference in its entirety.TECHNICAL FIELD[0002]The present invention relates to a system and method for use of a surgical guide and, more particularly, to a system and method for use of a surgical guide for assisting with arrangement of a stock instrument with respect to a patient tissue.BACKGROUND OF THE INVENTION[0003]The efficient functioning of the shoulder joints is important to the well-being and mobility of the human body. Each shoulder joint includes the upper portion of the humerus, which terminates in an offset bony neck surmounted by a ball-headed portion known as the humeral head. The humeral head rotates within a socket, known as the glenoid fossa, in the scapula to complete the shoulder joint. ...

AI Technical Summary

Problems solved by technology

Diseases such as rheumatoid- and osteo-arthritis can cause erosion of the cartilage lining of the glenoid fossa so that the ball of the humerus and the scapula rub together, causing pain and further erosion.

Bone erosion may cause the bones themselves to attempt to compensate for the erosion which may result in the bone becoming deformed.

This misshapen joint may cause pain and may eventually cease to function altogether.

The glenoid portion positioning is particularly important since incorrect positioning of the glenoid component can lead to the prosthetic shoulder joint suffering from dislocations, a decreased range of motion, and possibly eventual loosening and / or failure of one or both components of the joint.

During surgery, and particularly minimally invasive procedures, the plane of the scapula may be difficult or impossible to determine by direct visual inspection, resulting in the need for assistive devices or methods to define both the pathologic version present at the time of surgery and the intended correction angle.

However, surgical navigation arrangements of this type are not wholly satisfactory since they generally use only a low number of measured landmark points to register the patient's anatomy and to specify the angle of the prosthetic implant component (e.g., a glenoid component), which may not provide the desired level of accuracy.

Further, the information provided by such systems may be difficult to interpret and may even provide the user with a false sense of security.

Moreover, these systems are generally expensive to install and operate and also have high user training costs.

While these trial systems and instruments may help with checking whether the selected position is correct, they are not well-suited to specify the correct position initially, and thus there still is user desire for a system which may assist a user in placement of prosthetic implant component in a prepared native tissue site.

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