阅读说明：本技术 带有凹槽的增强型关节盂 (Grooved enhanced glenoid ) 是由 C·E·克里斯 M·F·科瓦克斯 T·M·瓦纳斯 于 2018-03-22 设计创作，主要内容包括：本文公开了一种植入物。植入物可包括主体和多个固定构件。主体可限定关节表面和与关节表面相反的骨接合表面。骨接合表面可限定凹槽,该凹槽将骨接合表面的第一区段与骨接合表面的第二区段分隔开。多个固定构件可从骨接合表面延伸。(an implant is disclosed herein. The implant may include a body and a plurality of fixation members. The body may define an articular surface and a bone-engaging surface opposite the articular surface. The bone engaging surface may define a groove separating a first section of the bone engaging surface from a second section of the bone engaging surface. A plurality of fixation members may extend from the bone engaging surface.)

1. A reinforcement, comprising:

A body defining an articular surface and a bone-engaging surface opposite the articular surface, the bone-engaging surface defining a recess separating a first segment of the bone-engaging surface from a second segment of the bone-engaging surface; and

a plurality of fixation members extending from the bone engaging surface.

2. The reinforcement of claim 1, wherein the recess is a groove.

3. The reinforcement of claim 1, wherein the recess has an arcuate profile.

4. The reinforcement of claim 1, wherein the recess has a rectangular profile.

5. The augment of any one or any combination of claims 1-4, wherein the recess follows a curved path defined by an intersection of a first segment of the bone-engaging surface and a second segment of the bone-engaging surface.

6. The augment of any one or any combination of claims 1-5, wherein the augment further comprises a boss extending from the bone-engaging surface, the boss dividing the recess into a first portion and a second portion.

7. The reinforcement of claim 6, wherein a first portion of the recess has a different profile than a second portion of the recess.

8. The augment of any one or any combination of claims 1-6, wherein the recess comprises a porous metal surface.

9. The augment of any one or any combination of claims 1-8, wherein the first segment of the bone-engaging surface and the second surface of the bone-engaging surface define an angle.

10. The reinforcement of claim 9, wherein the angle is between about 10 degrees and about 15 degrees.

11. The augment of any one or any combination of claims 1-10, wherein a first edge defined by an intersection of the first segment of the bone-engaging surface and the recess includes a first profile and a second edge defined by an intersection of the second segment of the bone-engaging surface and the recess includes a second profile.

12. The reinforcement of claim 11, wherein the first trim portion has a first profile and the second trim portion has a second profile, the first profile being similar to the second profile.

13. The reinforcement of claim 11, wherein the first trim portion has a first profile and the second trim portion has a second profile, the first profile being different than the second profile.

14. The reinforcement of claim 11, wherein the first and second trims each have a rounded profile.

15. The reinforcement of claim 11, wherein the first and second reliefs each have a chamfered profile.

16. a glenoid augment comprising:

An articular surface;

A first scapula-engaging surface opposite the articular surface; and

A second scapula-engaging surface opposite the articular surface, the first and second scapula-engaging surfaces separated by a curved surface sized to receive a tip defined by the first and second reamed scapula surfaces.

17. The glenoid augment of claim 16, wherein the curved surface follows a curved path that separates the first and second scapula-engaging surfaces.

18. The glenoid augment of claim 16 or 17, further comprising a boss extending from a portion of each of the first and second scapula-engaging surfaces, the boss dividing the curved surface into first and second portions.

19. The glenoid augment of claim 18, wherein a first portion of the curved surface has a different profile than a second portion of the curved surface.

20. The glenoid augment of any one or any combination of claims 16-19, wherein the curved surface includes a porous metal coating.

21. The glenoid augment of any one or any combination of claims 16-20, wherein the first scapula-engaging surface extends along a first plane and the second scapula-engaging surface extends along a second plane, the first plane and the second plane intersecting to define an angle.

22. The glenoid augment of claim 21, wherein the angle is between about 10 degrees and about 15 degrees.

23. The glenoid augment of any one or any combination of claims 16-22, wherein a first edge defined by the intersection of the first scapula-engaging surface and the curved surface includes a first profile and a second edge defined by the intersection of the second scapula-engaging surface and the curved surface includes a second profile.

24. The glenoid augment of claim 23, wherein the first contoured portion has a first profile and the second contoured portion has a second profile, the first profile being similar to the second profile.

25. The glenoid augment of claim 23, wherein the first contoured portion has a first profile and the second contoured portion has a second profile, the first profile being different than the second profile.

26. The glenoid augment of claim 23, wherein the first and second contoured portions each have a rounded profile.

27. The glenoid augment of claim 23, wherein the first and second contoured portions each have a chamfered profile.

28. A method for implanting a glenoid augment, the method comprising:

Reaming a scapula to define a first scapula surface and a second scapula surface, the first and second scapula surfaces intersecting at an apex; and

Implanting the glenoid augment such that a first scapula-engaging surface of the glenoid augment contacts the first scapula surface, a second scapula-engaging surface of the glenoid augment contacts the second scapula surface, and a recess in the glenoid augment separating the first scapula-engaging surface from the second scapula-engaging surface at least partially receives the tip therein.

29. The method of claim 28, further comprising applying bone cement to at least one of the recess and the tip prior to implanting the glenoid augment.

Technical Field

The present disclosure relates to surgical implant systems including implants, instruments, and methods for installing implants. In particular, the present disclosure relates to systems and methods for implanting an enhanced glenoid.

Background

Surgical procedures for repairing or reconstructing joints may require a surgical implant to be securely fixed to bone. For example, shoulder reconstruction may require fixation of a glenoid implant to the scapula in order to regenerate or replicate the glenoid cavity on the scapula. Surgical implants can be securely fixed to bone in a variety of ways, including mechanical fasteners and bone cement.

Disclosure of Invention

To better illustrate the system disclosed herein, a non-limiting list of examples is provided herein:

Example 1 may include an implant. The implant may include a body and a plurality of fixation members. The body may define an articular surface and a bone-engaging surface opposite the articular surface. The bone engaging surface may define a groove separating a first section of the bone engaging surface from a second section of the bone engaging surface. A plurality of fixation members may extend from the bone engaging surface.

In example 2, the implant of example 1 can optionally include a groove having an arcuate profile.

in example 3, the implant of example 1 can optionally include a groove having a rectangular profile.

In example 4, the implant of any one or any combination of examples 1-3 can optionally include a groove that follows a curved path defined by an intersection of the first segment of the bone engaging surface and the second segment of the bone engaging surface.

In example 5, the implant of any one or any combination of examples 1-4 can optionally include a boss extending from the bone engaging surface. The boss may divide the groove into a first portion and a second portion.

In example 6, the implant of example 5 can optionally include a first portion of the groove having a different profile than a second portion of the groove.

in example 7, the implant of any one or any combination of examples 1-6 can optionally include the recess comprising a porous metal surface.

In example 8, the implant of any one or any combination of examples 1-7 can optionally include the first section of the bone engaging surface and the second surface of the bone engaging surface defining an angle.

In example 9, the implant of example 8 can optionally include the angle between about 5 degrees and about 20 degrees.

In example 10, the implant of any one or any combination of examples 1-9 can optionally include a first edge defined by an intersection of the first section of the bone-engaging surface and the groove includes a first relief (relief), and a second edge defined by an intersection of the second section of the bone-engaging surface and the groove includes a second relief.

In example 11, the implant of example 10 can optionally include a first profile of the first revision and a second profile of the second revision. The first profile may be similar to the second profile.

In example 12, the implant of example 10 can optionally include a first profile of the first revision and a second profile of the second revision. The first profile may be different from the second profile.

In example 13, the implant of example 10 can optionally include the first and second modified portions each having a rounded profile.

In example 14, the implant of example 10 can optionally include the first and second modifications each having a chamfered profile.

Example 15 may include a glenoid implant. The glenoid implant may include an articular surface, a first scapula-engaging surface, and a second scapula-engaging surface. The first scapula-engaging surface may be opposite the articular surface. The second scapula-engaging surface may be opposite the articular surface. The first and second scapula-engaging surfaces may be separated by a curved surface sized to receive an irregularity (irregularity) defined by the scapula surfaces of the first and second reamed holes.

In example 16, the glenoid implant of example 15 may optionally include a curved surface along a curved path that separates the first and second scapula-engaging surfaces.

In example 17, the glenoid implant of examples 15 and 16 can optionally include a boss extending from a portion of each of the first and second scapula-engaging surfaces. The boss may divide the curved surface into a first portion and a second portion.

In example 18, the glenoid implant of example 17 can optionally include a first portion of the curved surface having a different profile than a second portion of the curved surface.

In example 19, the glenoid implant of any one or any combination of examples 15-18 may optionally include a porous metal layer positioned adjacent to at least one of the curved surface, the first scapula-engaging surface, and the second scapula-engaging surface.

In example 20, the glenoid implant of any one or any combination of examples 15-19 may optionally include the first scapula-engaging surface extending along a first plane and the second scapula-engaging surface extending along a second plane. The first plane and the second plane may intersect to define an angle.

in example 21, the glenoid implant of example 20 can optionally include the angle being between about 5 degrees and about 20 degrees.

In example 22, the glenoid implant of any one or any combination of examples 15-21 can optionally include a first edge defined by an intersection of the first scapula-engaging surface and the curved surface including a first profile and a second edge defined by an intersection of the second scapula-engaging surface and the curved surface including a second profile.

In example 23, the glenoid implant of example 22 can optionally include the first contoured portion having a first profile and the second contoured portion having a second profile. The first profile may be similar to the second profile.

In example 24, the glenoid implant of example 22 can optionally include the first contoured portion having a first profile and the second contoured portion having a second profile. The first profile may be different from the second profile.

In example 25, the glenoid implant of example 22 can optionally include the first and second contoured portions each having a rounded profile.

In example 26, the glenoid implant of example 22 can optionally include the first and second contoured portions each having a chamfered profile.

Example 27 may include a method for implanting a glenoid implant. The method can comprise the following steps: reaming the scapulae to define a first scapular surface and a second scapular surface, the first scapular surface and the second scapular surface intersecting at an irregularity; and implanting the glenoid implant such that the first scapula-engaging surface of the glenoid implant contacts the first scapula surface, the second scapula-engaging surface of the glenoid implant contacts the second scapula surface, and a groove in the glenoid implant separating the first scapula-engaging surface from the second scapula-engaging surface at least partially receives the irregularity therein.

In example 28, the method of example 27 can optionally include applying bone cement to at least one of the groove and the irregularity prior to implanting the glenoid implant.

In example 29, the implant or method of any one or any combination of examples 1-28 is optionally configured such that all of the listed elements or options are available for use or selection.

Drawings

The above-mentioned and other features and advantages of this disclosure, and the manner of attaining them, will become more apparent and the disclosure itself will be better understood by reference to the following description of embodiments taken in conjunction with the accompanying drawings, wherein:

Fig. 1A, 1B, 1C, and 1D show schematic diagrams of an enhanced scapula interface.

Fig. 2A, 2B, and 2C illustrate a glenoid implant according to at least one example of the present disclosure.

Fig. 3A and 3B illustrate a groove according to at least one example of the present disclosure.

Fig. 4 illustrates a glenoid implant in accordance with at least one example of the present disclosure.

Fig. 5 illustrates a modification according to at least one example of the present disclosure.

Fig. 6 illustrates a glenoid implant in accordance with at least one example of the present disclosure.

fig. 7 illustrates a porous metal layer according to at least one example of the present disclosure.

Fig. 8 illustrates a cross-sectional view of a glenoid implant according to at least one example of the present disclosure.

Fig. 9 illustrates an example method for glenoid arthroplasty according to at least one example of the present disclosure.

Fig. 10 illustrates a surgical site according to at least one example of the present disclosure.

Fig. 11 illustrates a substrate according to at least one example of the present disclosure.

Fig. 12 illustrates a raised articular surface according to at least one example of the present disclosure.

Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate exemplary embodiments of the disclosure, and such exemplifications are not to be construed as limiting the scope of the disclosure in any manner.

Detailed Description

As used herein, the following directional definitions apply. Anterior and posterior refer to being closer to the anterior or posterior of the body, respectively, proximal and distal refer to being closer to or away from the root of the structure, respectively, and medial and lateral refer to being closer to or away from the sagittal plane, respectively. The sagittal plane is an imaginary vertical plane through the center of the body that divides the body into left and right halves. In addition, the terms implant and prosthesis and variants thereof may be used interchangeably.

joints such as shoulder joints may be damaged or otherwise become inflexible due to injury, trauma, aging, or other degenerative conditions. In addition, injury, trauma, aging or other conditions may lead to recurrent injuries. For example, damage to the shoulder joint may result in a central defect or other damage to the glenoid. The injury may result in the humerus being more prone to dislocation relative to the glenoid, limiting range of motion, causing pain during movement, and the like.

As disclosed herein, the glenoid implant may have a reinforcement that can be used to replace damaged or diseased bone. The glenoid implant can include an articular surface and a bone-engaging surface, and the augment can form a portion of the bone-engaging surface. In particularly novel and inventive aspects, the bone-engaging surface on the glenoid implant may include a groove formed between two sections (i.e., the reinforced side and the non-reinforced side) of the implant. The groove may be sized to receive a portion of a reamed bone, such as a tip where two "sides" of the bone meet. The two sides of the bone interface with and correspond to the reinforced and non-reinforced sides of the glenoid implant. Both sides of the bone may be reamed to form a "negative" or mating surface with respect to the bone engaging surface of the glenoid implant. For example, in a shoulder replacement procedure, the scapula may be reamed such that both surfaces of the scapula form tips. During surgery, the surgeon may position the glenoid implant such that the tip is seated within the recess on the bone-engaging side of the implant. An "apical end" may comprise a portion of bone where two or more reamed bone surfaces intersect. Reaming the glenoid portion of the scapula may not be perfectly done so that the bone surface does not correspond exactly to the bone-engaging surface of the glenoid. Reaming typically results in irregularities such as tip offset, irregular lines or curves along the glenoid bone, rounded edges along the tip opposite sharp and clean edges, protrusions where a portion of one or both sides of the bone extend away from the bone, or any other "irregularities," where the bone does not correspond to the shape of the bone-engaging surface of the glenoid, for example, due to imperfections in the reaming.

To accommodate such irregularities, a groove may be formed on the bone engaging side of the glenoid implant. Locating the irregularities in the groove provides some flexibility in reaming the prepared glenoid bone by allowing the glenoid implant to be placed flush on the prepared glenoid bone and provides precision in placing the glenoid implant.

Fig. 1A, 1B, 1C, and 1D show a simple schematic 100 of the implant-scapula interface. As shown in fig. 1A, 1C, and 1D, the implant 102 may include a first bone engaging surface 104, a second bone engaging surface 106, and a reinforcement 105 located on the left side of the implant 102 in fig. 1A. The bone 108 may include a first bone surface 110 and a second bone surface 112, wherein the first bone surface 110 has been reamed to have a flat plane and the second bone surface 112 has been reamed to have a flat plane at an angle relative to the first bone surface 110.

The first bone surface 110 and the second bone surface 112 may form an apex 114, and the apex 114 may have one or more irregularities, as described above, for example, offset to the left or right in at least a portion of the apex 114 when compared to the intended position of the apex 114. The tip 114 may be formed during a reaming process that also forms the first bone surface 110 and the second bone surface 112. As shown in fig. 1B, which is somewhat enlarged, the tip 114 may include irregularities, such as along an undesirable curvature of the tip 114. In other words, the tip 114 may not be formed with the desired precision due to possible movement of the bone 108, reaming guide or reamer, or other conditions in the operating room.

Irregularities in the tip 114 may cause unwanted gaps or spaces (e.g., the spaces 107 shown in fig. 1C and 1D) between the first bone surface 110 and the first bone engaging surface 104 and/or between the second bone surface 112 and the second bone surface 110. As shown in fig. 1C and 1D, such a gap can cause rocking of the glenoid implant because the implant does not lie flush against the reamed bone. Once the implant is secured to the bone, the implant may be at an improper angle due to such a gap 107. Undesirable gaps may result from the tip 114 not conforming to a particular shape, such as a linear or other sharp edge, which may be formed by the intersection of the first bone engaging surface 104 and the second bone engaging surface 106. Other specific shapes may be desired for the tip 114, such as one or more bends or one or more slopes along the length of the tip 114. In any event, however, the tip 114 is intended to correspond to the tip 114b on the glenoid implant where the reinforced and non-reinforced sides of the bone-engaging surface meet or, in the case of the present disclosure, fall into a recess formed on the bone-engaging surface of the implant.

Fig. 2A, 2B, and 2C illustrate views of a glenoid implant 200 according to at least one example of the present disclosure. As shown in fig. 2A, 2B, and 2C, glenoid implant 200 may include a body 202 that defines an articular surface 204 (fig. 2C) and a bone-engaging surface 206. The groove 208 may separate the bone engaging surface 206 into a first section 210 and a second section 212. The first section 210 or the second section 212 may be enlarged or raised relative to the other section 210/212. One or more fixation pegs (e.g., first fixation peg 214, second fixation peg 216, and third fixation peg 218) may extend from the bone engaging surface 206. Glenoid implant 200 in fig. 2A-2C shows three fixation pegs, but glenoid implant 200 may have two fixation pegs in a linear arrangement relative to central peg or boss 220.

Glenoid implant 200 can further include at least one boss 220, such as boss 220 being threaded or tapered to secure central peg 225 thereto. Alternatively, the boss 220 may include a threaded or tapered insert to secure the center pin to the bone engaging surface 206. The central spike may be shaped in a manner similar to the staple or have a different shape. The boss 220 may divide the groove 208 into a first section 222 and a second section 224. In addition, as shown, a staple, such as a third staple 218, may also further divide the groove 208. In arrangements in which the staples are arranged in a linear arrangement, each staple may likewise demarcate the groove 208.

The groove 208 may allow for a concave surface to be formed between the first section 210 and the second section 212. During implantation of glenoid implant 200, the irregularities in tip 114 may rest within groove 208 and allow bone-engaging surface 206 to better contact and lie flush against bone surfaces 110 and 112.

The groove 208 may be a groove or channel having sides (e.g., curved or straight sides) along its length. It should be understood that the groove 208 is not flat; in other words, it does form an only flat interface between the first section 210 and the second section 212. In addition, the groove 208 may have a circular profile as shown in fig. 2A, 2B, and 2C. The groove 208 may also have, for example, a rectangular (see fig. 3A), oblong, or elliptical profile (see fig. 3B). Further, each section of the groove 208 may include a different profile. For example, the first section 222 may have a circular profile and the second section 224 may have a rectangular profile. Likewise, all or different portions of the groove 208 may be inclined relative to other portions of the groove 208.

the width and depth of the groove 208 may vary. For example, as shown in fig. 4, the first section 222 may be circular and have a diameter of width Y or size Y, while the second section 224 may be circular and have a diameter of width X or size X. The width and diameter of the grooves 208 need not correspond or be equal to each other. Further, the dimensions of the groove 208 may vary along its path of travel. For example, a portion of the groove 208 proximate the third staple 218 may have a width X or diameter X, and a portion of the groove 208 proximate the first staple 214 and the second staple 216 may have a width Y or diameter Y. The width or diameter of the groove 208 may increase linearly or non-linearly from X to Y along the path of the groove 208.

The intersection of the groove 208 and the bone engaging surface 206 may form edges 230, 232, 234, and 236. Edges 230, 232, 234, and 236 may include a modification. The modification at each of the edges 230, 232, 234, and 236 may be similar or different. For example, as shown in fig. 5, the first contoured portion 502 may have a rounded profile, while the second contoured portion 504 may have a chamfered profile.

As shown in fig. 2A and 4, the grooves 208 may follow a straight path 228 that demarcates the bone engaging surface 206. As shown in fig. 6, the grooves 208 may follow a curved path 602. The groove 208 may include both straight and curved portions. For example, a portion of the groove 208 passing between the first staple 214 and the second staple 216 may be straight, as shown in fig. 2A and 4, while a portion of the groove 208 proximate to the third staple 218 may be curved, as shown in fig. 6. In other examples, the groove 208 may include one or more straight portions or one or more curved portions.

It should be noted that the exemplary embodiments disclosed herein relate not only to incomplete wedge-shaped reinforcements, but also to localized reinforcements such as semi-reinforcements. Further, it should be understood that the exemplary recesses disclosed herein, such as recess 208, are not formed due to the fastener holes in the glenoid implant. In an exemplary embodiment, the groove 208 extends across the entire glenoid implant and may or may not intersect a separate fastener hole in the implant, but the groove is not formed by (or due to) such a fastener hole.

Fig. 2A-2C, 4, 6, and 8 generally illustrate a glenoid implant 200, the glenoid implant 200 having a bone engaging surface 206 and a concave articular surface 204. Such a glenoid implant 200 is used in an anatomical or natural configuration in which the humeral head (or artificial articular surface on the humeral side) articulates against a concavity on the glenoid implant 200. It should be understood that the glenoid implant may also include a baseplate for use in a shoulder implant in an inverted configuration. In this configuration, the raised articular surface is implanted on the glenoid side, and a baseplate of one form or another is used to attach the bottom of the raised articular surface to the glenoid bone. An exemplary substrate 1102 and raised articular surface 1202 are shown in fig. 11 and 12. The base plate 1112 may include a groove 1104 similar to the groove 208 and may function similarly to the groove 208 to provide a location for irregularities on the tip 114 to rest within the groove 1104 and to allow the bone engaging surface 1106 to better contact and lie flush against the bone surfaces 110 and 112. As shown in fig. 12, the raised articular surface 1202 may be attached to the substrate 1112 via a stiffener 1204. The substrate 1102 can include one or more mounting holes 1108. The mounting holes 1108 may be circular or rectangular in shape.

Referring to fig. 7, the surface of the recess 208 may include a porous metal layer or insert 702. In addition, the bone engaging surface 206 may also include or be made of a porous metal layer. Alternatively, the groove 208 and the bone engaging surface 206 may be non-porous surfaces. The porous metal may allow bone ingrowth to further secure the glenoid bone 200 to the glenoid. The porous metal layer may be a highly porous three-dimensional metal structure that may incorporate one or more of a variety of biocompatible metals, such as, but not limited to, titanium alloys, cobalt chromium molybdenum, tantalum alloys, niobium, or alloys of tantalum and niobium with each other or other metals.

During surgery, the surgeon may apply bone cement or other adhesive to the groove 208. Bone cement or other adhesive may fill the space between the recess 208 and the irregularity at the tip 114.

Fig. 8 illustrates a cross-sectional view of a glenoid implant 200 in accordance with at least one example of the present disclosure. As shown in fig. 8, the first section 210 of the bone engaging surface 206 may be positioned at an angle θ relative to the horizontal axis 802. The angle θ may vary from about 5 degrees to about 45 degrees, or more specifically, from about 10 degrees to about 20 degrees.

The angle θ may be patient specific. Additionally, the bone engaging surface 206 may be patient specific. For example, a surgeon may use X-ray or CT imaging to measure the geometry of the patient's glenoid. Using the measurements, the surgeon can customize the patient-specific glenoid implant 200. The surgeon may also fabricate glenoid implant 200 in the operating room using 3D printing techniques.

Glenoid implant 200 can be made from a variety of materials or combinations of materials. For example, glenoid implant 200 may be made of a polymer, a metal, a ceramic, or any combination thereof. For example, the body 202 may be made of a polymer such as vitamin E stabilized polyethylene, and the staples 214, 216, and 218 may be made of a metal such as surgical grade stainless steel or cobalt. Alternatively, the entire glenoid implant 200 can be made of a polymer.

Glenoid implant 200 can be made using a variety of manufacturing methods such as, but not limited to, injection molding, machining, overmolding, and the like. For example, the entire glenoid implant 200 can be injection molded from a polymer. Additionally, the body 202 may be injection molded and the staples 214, 216, and 218 may be machined from metal and press fit into the body 202. Additionally, the groove 208 may be machined into the body 202 after the body is injection molded.

Fig. 9 illustrates a flow diagram of a method 900 for glenoid arthroplasty according to at least one example disclosed herein. Method 900 begins at stage 902, where scapula 1000 may be reamed. For example, and as shown in fig. 10, during a surgical procedure, a surgeon may ream the scapula 1000 to define a first bone surface 1002 and a second bone surface 1004. The first and second bone surfaces 1002, 1004 may define a tip 1006, which tip 1006 may have one or more irregularities that may rest in the groove 208. In addition to reaming first bone surface 1002 and second bone surface 1004, the surgeon may drill a socket 1008 in scapula 1000 to receive boss 220. Additional holes may be drilled to receive two or three fixation pegs (e.g., 214, 216, 218).

Starting from stage 902, method 900 may proceed to stage 904, where glenoid implant 200 may be implanted. For example, the surgeon may press the boss 220 and fixation pegs 214, 216, 218 into their respective holes such that the first and second sections 210, 212 of the bone engaging surface 206 lie flush against the first and second bone surfaces 1002, 1004 and the tip 1006 and any corresponding irregularities rest within the groove 208, as disclosed herein. Additionally, the surgeon may apply bone cement to one or more of the sockets 1008, the fixation pegs 214, 216, 218, the bone engaging surface 206, the grooves 208, and the like.

As disclosed herein, a novel and inventive groove can be formed on the bone engaging side of the glenoid implant to accommodate irregularities at the apical end of the bone that may occur due to incomplete reaming. Having the irregularities rest in the grooves provides some flexibility in reaming by having the glenoid implant lay flush on the prepared glenoid bone, and provides precision in placing the glenoid implant, thereby avoiding wobble and improper implantation of the glenoid implant.

It will be readily appreciated that although this recess has been disclosed for use on a glenoid implant, similar recesses may be formed on other implants that require precision reaming to place the implant flush with the reamed bone.

It will be readily understood by those skilled in the art that various other changes in the details, materials, and arrangements of the parts and method stages which have been described and illustrated in order to explain the nature of this subject matter may be made without departing from the principle and scope of this subject matter as expressed in the subjoined claims.