US20020016634A1 - Device and method for positioning an eccentric humeral head of a humerus prothesis for a shoulder arthroplasty - Google Patents

Abstract

A kit and associated method is disclosed for implanting a prosthetic device in a resected bone such as a humerus. The kit includes a trial assembly including a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trail head member which includes a trial offset indicia, and (ii) an eccentrically located trial stem extending from the trial head member, the trial head stem being configured to be received within the trial bore. The kit also includes a final prosthesis assembly including a final body portion having a final bore defined therein, and a final head portion having (i) a final head member which includes a final offset indicia, and (ii) an eccentrically located final head stem extending from the final head portion, the final head stem being configured to be received within the final bore.

Description

• This application claims the benefit of U.S. Provisional Application Serial No. 60/221,657, filed Jul. 28, 2000.[0001]
FIELD OF THE INVENTION
• The present invention relates to prostheses for reconstructive surgery of a gleno-humeral joint and, more particularly, to the positioning of an eccentric head of a humerus prostheses for reconstructive surgery of a gleno-humeral joint.[0002]
BACKGROUND
• In total shoulder arthroplasty, reproduction of the correct location of the humeral articular surface is critical to reestablishing joint biometrics. Translating this location to the implant is thus of critical importance.[0003]
• Each shoulder arthroplasty needs to be adapted to the patient's unique combination of soft tissue and bone anatomy. As well, the patient typically has high expectations of the function and durability of the arthroplasty. Thus, the implant and the implant technique must be precise.[0004]
• In view of this, there has been developed a range of prostheses designed to fit the various sizes and shapes of people's anatomy. For shoulder arthroplasty, a prosthesis with a humerus head has been developed. It has been recognized, though, that the humerus head may need to be eccentrically mounted relative to the prosthesis body in order to cover the exposed, resected humerus head. There has been a problem, however, with the ability to adequately position the eccentric head on the implant in order to meet the needs of every patient. Typically, the eccentric head is positionable in only a few select orientations relative to the eccentricity.[0005]
• Thus, there is a need for an prosthetic implant that can utilize an eccentric head wherein the eccentric head may be positioned in any number of rotatably eccentric positions.[0006]
SUMMARY OF THE INVENTION
• The present invention is a method, apparatus and corresponding implant for positioning an eccentric head on a trail implant/broach and transferring or translating the eccentric position of the head onto the actual or definitive implant. The present invention allows the eccentric head to be positioned in an infinite amount of positions or orientations to best reproduce the articular geometry of the patient. The infinite dialability is optimum for reconstruction purposes.[0007]
• Because each shoulder arthroplasty needs to be adapted to the patient's unique combination of soft tissue and bone anatomy, the present system maximizes the surgeon's flexibility in matching a wide variety of anatomic requirements. The present invention places a premium on secure fixation, conservation of bone and optimization of mechanics.[0008]
• During the trialing process, the humeral head trial is lockable into one of an infinite variety of rotational positions (a set orientation) that then may be transferred to the definitive humeral head of the definitive implant. A means is provided for locking the eccentric trial head to the trial/broach in a set orientation that allows for the trialing process to occur without spinning of the eccentric trial head in the broach taper. In one form, this is accomplished via a captured screw in the eccentric trial head that extends beyond the taper of a neck of the eccentric trial head. The captured screw engages threads in a bottom of a bore in a taper in the broach.[0009]
• Once the eccentric head has been threaded onto the trial broach, it is rotated into a correct position covering the resected humeral head surface. The eccentric head may be rotated into an infinite number of positions on the trail broach without having to be locked in any particular orientation. Once the eccentric head is in position, the captured screw is tightened or locked. Trial reduction is carried out and if deemed satisfactory, the broach/eccentric head trail head assembly (or trial assembly) is removed as a one piece unit from the humerus of the patient.[0010]
• In accordance with an aspect of the present invention, the eccentric head includes a mark or indicia showing the position of maximum offset. Once the trial assembly has been removed, from the patient's humerus, it is placed in an impaction stand or block. The impaction stand allows the measurement of the orientation of the eccentric head (by the indicia) on the trial broach, and the translation or transference of that orientation onto the definitive implant. The impaction stand has a scale or demarcations on a surface thereof. The orientation of the indicia of the eccentric head is noted relative to the scale.[0011]
• The trial assembly is then removed from the impaction stand and the appropriate size of the definitive implant is placed in the impaction stand. An appropriate size of definitive eccentric head is placed on the definitive implant. The definitive eccentric head includes an indicia either as an etched or otherwise arrow or other marking on the nonarticulating surface (or by a removable sticker or the like on the articulating surface) showing the position of maximum offset (in like manner to the trial eccentric head). The indicia of the definitive eccentric head is orientated or aligned with the scale to the same number or marking as the trial eccentric head.[0012]
• Once the definitive eccentric head has been properly aligned, the definitive eccentric humeral head is impacted into place onto the definitive implant while on the impaction stand. In this manner, the appropriate position of the humeral head for the definitive implant has been successfully transferred from the trial assembly.[0013]
• It can be appreciated from the foregoing, that the eccentric head may be rotationally positioned in an infinite number of positions, both during trialing and during the final implant.[0014]
• In accordance with one embodiment of the present invention, there is provided a method of implanting a final prosthesis assembly in a resected bone. The method includes the step of positioning a trial assembly in the resected bone, the trial assembly including a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trial head member which includes a trial offset indicia, and (ii) an eccentrically located trial head stem extending from the trial head member, the trial head stem being configured to be received within the trial bore. The method further includes the step of rotating the trial head portion relative to the trial body portion while the trial assembly is positioned in the resected bone so as to position the trial head portion relative to the trial body portion at an aligned orientation whereby the trial head portion covers a resected surface of the resected bone. In addition, the method includes the step of removing the trial assembly from the resected bone after the rotating step. The method also includes the step of positioning the trial assembly in a scale mechanism whereby the trial offset indicia of the trial head portion aligns with a value on the scale mechanism. Moreover, the method includes the step of securing a final head portion to a final body portion based on the value so as to form the final prosthesis assembly. Additionally, the method includes the step of implanting the final prosthesis assembly in the resected bone after the securing step.[0015]
• Pursuant to another embodiment of the present invention, there is provided a method of implanting a final prosthesis assembly in a resected bone. The method includes the step of providing a trail assembly which includes a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trial head member which includes a trial offset indicia, and (ii) an eccentrically located trial head stem extending from the trial head member. The method further includes the step of positioning the trial body portion in the resected bone. Also, the method includes the step of positioning the trial stem in the trial bore after the trial body positioning step. In addition, the method includes the step of moving the trial head portion in relation to the trial body portion after the trial stem positioning step so as to locate the trial head portion relative to the trial body portion at a user-selected orientation. The method also includes the step of securing the trial head portion to the trial body portion at the user-selected orientation. Additionally, the method includes the step of removing the trial assembly from the resected bone after the securing step. Furthermore, the method includes the step of positioning the trial assembly in a scale mechanism after the removing step whereby the trial offset indicia of the trial head portion aligns with a value on the scale mechanism. Moreover, the method includes the step of attaching a final head portion in fixed relation to a final body portion based on the value so as to form the final prosthesis assembly. The method also includes the step of implanting the final prosthesis assembly in the resected bone after the attaching step.[0016]
• According to still another embodiment of the present invention, there is provided a kit used during the implantation of a prosthesis. The kit includes a trial assembly including a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trail head member which includes a trial offset indicia, and (ii) an eccentrically located trial stem extending from the trial head member, the trial head stem being configured to be received within the trial bore. The kit also includes a final prosthesis assembly including a final body portion having a final bore defined therein, and a final head portion having (i) a final head member which includes a final offset indicia, and (ii) an eccentrically located final head stem extending from the final head portion, the final head stem being configured to be received within the final bore.[0017]
• According to yet another embodiment of the present invention, there is provided a kit which includes a trial assembly including (i) a trial body portion, (ii) a trial head portion which includes a trial offset indicia, and (iii) a fastener for securing the trial head portion to the trial body portion. The kit further includes a final prosthesis assembly including a final body portion having a final bore defined therein, and a final head portion having (i) a final head member which includes a final offset indicia, and (ii) an eccentrically located final head stem extending from the final head portion, the final head stem being configured to be received within the final bore.[0018]
BRIEF DESCRIPTION OF THE DRAWINGS
• The above-mentioned and other features and advantages of this invention, and the manner of attaining them, will become more apparent and the invention will be better understood by reference to the following description of an embodiment of the invention taken in conjunction with the accompanying drawings, wherein:[0019]
• FIGS. 1A and 1B are elevational views of exemplary humerus prostheses/trail broach bodies used in conjunction with the eccentric head of the present invention;[0020]
• FIG. 2 is an enlarged, side sectional view of a partial humerus with a portion of the humerus head resected (removed) and a trail broach inserted into the humerus;[0021]
• FIG. 3 is a bottom plan view of an eccentric trail humerus head;[0022]
• FIG. 4 is a side elevational view of the eccentric trial humerus head of FIG. 3;[0023]
• FIG. 5 is a front elevational view of a partial humerus with the humerus head resected;[0024]
• FIG. 6 is a front elevational view of the partial humerus of FIG. 5 showing a trial standard humerus head that exposes a portion of the surface of the resected humerus head;[0025]
• FIG. 7 is a front elevational view of the partial humerus of FIG. 5 showing the trial eccentric humerus head covering the surface of the resected humerus head;[0026]
• FIG. 8 is an enlarged side elevational view of the trial eccentric humerus head of FIGS. 3 and 4 having a seating screw extending therefrom;[0027]
• FIG. 9 is an enlarged perspective view of the seating screw of FIG. 8;[0028]
• FIG. 10 is a perspective view of a trial eccentric head being attached to the trial broach via a driver;[0029]
• FIG. 11 is an enlarged, side sectional view of a partial humerus with the trail assembly (broach and eccentric head inserted into the humerus;[0030]
• FIG. 12 is a top perspective view of an impaction stand;[0031]
• FIG. 13 is a bottom perspective view of the impaction stand of FIG. 12;[0032]
• FIG. 14 is a side elevational view of the impaction stand of FIGS. 12 and 13;[0033]
• FIG. 15 is a top plan view of the impaction stand of FIGS.[0034]12-14;
• FIG. 16 is a bottom plan view of the impaction stand of FIGS.[0035]12-14;
• FIG. 17 is a perspective view of the impaction stand with a broach or implant seated thereon;[0036]
• FIG. 18 is an enlarged top plan view of a trial assembly seated on the impaction stand with the indicia (notch) of the trial eccentric head positioned at “5”; and[0037]
• FIG. 19 is a perspective view of the impaction stand with a definitive implant seated thereon with a definitive eccentric humerus head ready to be impacted onto the implant.[0038]
• Corresponding reference characters indicate corresponding parts throughout the several views.[0039]
DETAILED DESCRIPTION
• With reference to FIG. 1A, there is shown an exemplary, 210 mm humerus prosthesis or trial broach generally designated[0040]20. The humerus prostheses/trial broach20 includes astem22 extending from aneck24. Theneck24 terminates in a generallyflat surface26 that is adapted to be seated on a surface of a resected humerus head of a patient's humerus. In FIG. 1B, there is shown an exemplary, 138 mm humerus prosthesis or trial broach generally designated28. The humerus prostheses/trial broach28 includes astem30 extending from aneck32. Theneck32 terminates in a generallyflat surface34 that is adapted to be seated on a surface of a resected humerus head of a patient's humerus.
• In FIG. 2, there is shown a patient's[0041]humerus36 wherein thehumerus head38 has been resected in accordance with standard shoulder arthroplasty surgery. It is beyond the scope of the present invention to discuss humerus head resection. Various texts and papers may be consulted for this procedure. After thehumerus head38 has been resected, the humerus head must be sized for a prosthetic head of the implant. Various sizes are available such as 44, 48 and 52 mm. It will be assumed that an eccentric head will be chosen. In FIG. 2, the medullary canal of thehumerus36 has been reamed and thetrial broach20 has been placed thereon. The flat26 is in contact with asurface40 of the resectedhumerus head38. The trial broach20 is ready to be fitted with a trial eccentric head.
• Preoperative evaluation of the[0042]Humerus36 with templates (not shown) helps determine the size of the prostheses and level of humerus head resection. Humeral head resection is accomplished as is known in the art or with other methods the detail of which is beyond the scope of the present invention and this disclosure.
• Briefly, in FIGS.[0043]5-7 there is shown a reason for selecting an eccentric head. FIG. 5 shows thehumerus36 whosehumerus head38 has been resected. It is now necessary to find a trial head that will cover thehumerus surface40 formed by the resection. In FIG. 6 a trailstandard head60 having a taperedstem62 is shown in position over thesurface40. It can be seen that thesurface40 is visible around the periphery of the trialstandard head60. A centerline shows how the trialstandard head60 fits over thesurface40. Even with rotation of the trialstandard head60, thesurface40 is exposed. Thus, the trialstandard head60 is not appropriate. In FIG. 7, a trialeccentric head42 having a taperedstem46 is shown in position over thesurface40. It can be seen that with the correct rotation/orientation/placement of the trialeccentric head42, theentire surface40 is covered. With an infinite number of rotational positions, an eccentric head is thus appropriate.
• Referring to FIGS.[0044]3, and4, a trialeccentric head42 in accordance with the principles of the present invention is shown. Foureccentric head42 sizes may be provided, 44 mm, 48 mm, 52 mm, and 56 mm. The trialeccentric head42 includes a taperedstem46 that is positioned off center (approximately a 4 mm offset) such that an eccentricity during rotation thereabout is defined or formed. Thestem46 extends essentially perpendicularly from abottom surface43 of the trialeccentric head42 and includes abore48 that extends through thestem46 and thehead42. The trialeccentric head42 includes an indicia (here a notch)44 that indicates a maximum offset position for theeccentric head42. It should be appreciated that other types of indicia may be used. Here thenotch44 is located on the edge of the articular surface of theeccentric head42.
• Referring to FIG. 9, a retaining screw or the like[0045]50 for the trial assembly (trial eccentric head and trial broach) is shown. The retainingscrew50 includes ahead52 having anopening54 for receiving a screw driver or the like. The opening may be hex shape or otherwise. Extending from thehead52 is ashank56 terminating inthreads58. The retainingscrew50 is designed to fit into thebore48 of the trialeccentric head42 with itsthreads58 extending therefrom (see FIG. 8).
• Referring to FIG. 10, the[0046]trial broach20 is shown wherein the trialeccentric head42 is ready to be attached thereto. Using anappropriate screw driver66, theeccentric trial head42 is attached to the trial broach by threading thescrew50 into a complementary threaded bore64 in the flat26. Once theeccentric head42 is attached to the trial broach20 it is inserted into the humerus36 (see FIG. 11). Once the trial prosthesis is in place as depicted in FIG. 11, thescrew50 may be loosened to rotate theeccentric head42 to a proper orientation. Once a proper rotational orientation has been achieved, thescrew50 is tightened. The trial prosthesis may now be removed from thehumerus36. Once the trial prosthesis has been removed from thehumerus36 it is ready to be place in an impaction stand or block in accordance with the principles of the present invention. The position of theeccentric head42 is now ready to be transferred or reproduced in the final or definitive prosthetic implant that will remain in the patient.
• Referring to FIGS.[0047]12-16, there is shown an impaction stand or block generally designated70 in accordance with the principles of the present invention. The impaction stand70 may be made of a suitable plastic or the like and is essentially a hexagonal cylinder. The impaction stand70 is designed to accommodate various sizes of trail broaches/final prostheses. To this end, the impaction stand70 has two faces or surfaces76 and78 on opposite sides thereof. Extending diagonally from thesurface76 to an outside surface of the cylinder is afirst channel72. Extending diagonally from thesurface78, opposite in orientation to thefirst channel72, is asecond channel74. Thesecond channel74 extends to an outside surface of the cylinder. The first andsecond channels72 and74 and theirrespective surfaces76 and78, are designed to accommodate various sizes of trial broaches/final prostheses. In the figures,surface76/channel72 is designed to hold trial broaches/final prostheses ofsizes 6 mm, 8, and 10 mm, while thesurface78/channel74 is designed to hold trial broaches/final prostheses of sizes 12 mm, 14 mm, and 16 mm. Of course, it should be appreciated that theimpaction block70 may be designed for other sizes, or several blocks for the various sizes.
• Each[0048]surface76 and78 includes an indicia or scale in the manner of a clock or the like that divides the periphery thereof into sections. The scale is used to reference the position of thenotch44 of the trialeccentric head42 when the trial assembly is place in the impaction stand (as well as the final assembly as indicated below).
• Referring to FIGS. 17 and 18 the trial assembly is placed into the impaction stand[0049]70 (in FIG. 17, the eccentric head is not present to illustrate how thebody22 fits in the impaction stand70/channel74). As seen in FIG. 18 the position of thenotch44 in the trialeccentric head42 is noted (here at position5) for transference or reproduction onto the final prosthesis.
• The final step is to fit the final eccentric head onto the final humeral stem (of the same size as the trial broach). The trial assembly is removed from the impaction stand[0050]70 and the final humeral stem/body is placed therein (see FIG. 17). In FIG. 19, a finaleccentric head80 is chosen of the same size as the trialeccentric head42. The finaleccentric head80 is held by an impactor86 such as a Delrin-tipped impactor. The final eccentric head includes an indicia, either as a permanent mark or the like on the nonarticulating surface thereof or as a removable sticker or the like on the articulating surface thereof, that indicates the maximum offset in like manner to the trialeccentric head42. The indicia of the finaleccentric head80 is aligned with the marking or indicia on the scale of thesurface78 that is the same as that noted above (here “5”). Thetaper82 of theeccentric head80 is inserted into a complementary taperedbore84. Keeping the indicia of theeccentric head80 as noted, the finaleccentric head80 is impacted onto the final humeral stem with a mallet (not shown) onto theimpactor86. The final assembly is now ready to be inserted back into the patient's humerus.
• While this invention has been described as having a preferred design and/or configuration, the present invention can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this invention pertains. For example, while the invention is discussed in the context of implanting a prosthesis in the humerus, the present is application to implantation of a prosthesis into any bone which forms a joint such as the shoulder, hip, etc. For instance, the present in invention is application to the implantation of a prosthesis into a femur.[0051]

Claims (44)

What is claimed is:

1. A method of implanting a final prosthesis assembly in a resected bone, comprising the steps of:

positioning a trial assembly in said resected bone, said trial assembly including a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trial head member which includes a trial offset indicia, and (ii) an eccentrically located trial head stem extending from said trial head member, said trial head stem being configured to be received within said trial bore;

rotating said trial head portion relative to said trial body portion while said trial assembly is positioned in said resected bone so as to position said trial head portion relative to said trial body portion at an aligned orientation whereby said trial head portion covers a resected surface of said resected bone;

removing said trial assembly from said resected bone after said rotating step;

positioning said trial assembly in a scale mechanism whereby said trial offset indicia of said trial head portion aligns with a value on said scale mechanism;

securing a final head portion to a final body portion based on said value so as to form said final prosthesis assembly; and

implanting said final prosthesis assembly in said resected bone after said securing step.

2. The method ofclaim 1, further comprising the step of securing said trial head portion to said trial body portion when said trial head portion is positioned relative to said trial body portion at said aligned orientation.

3. The method ofclaim 2, wherein:

said trial body portion includes a set of internal threads located within said trial bore,

said trial head portion further includes an externally threaded fastener positioned within a passageway which extends through said trial head portion, and

said securing step includes the step of advancing said externally threaded fastener into meshing engagement with said set of internal threads so as to secure said trial head portion in fixed relation to said trial body portion.

4. The method ofclaim 1, wherein:

said trial body portion includes (i) a trial body stem, (ii) a neck attached to said trial body stem, and (iii) a flat attached to said neck, and

said trial bore extends through said flat and into said neck.

5. The method ofclaim 1, wherein:

said scale mechanism includes an indicia surface, and

said value is identified on said indicia surface.

6. The method ofclaim 5, wherein:

said indicia surface possesses markings which depict a clock which is divided into a plurality of sections, and

said value is identified on one of said plurality of sections.

7. The method ofclaim 5, wherein:

said scale mechanism includes a channel defined therein, and

said trial assembly positioning step includes the step of locating said trial body portion within said channel.

8. The method ofclaim 7, wherein:

said trial body portion locating step includes the step of locating said trial head portion adjacent to said indicia surface.

9. The method ofclaim 1, wherein said final head portion includes (i) a final head member having a final offset indicia, and (ii) an eccentrically located final head stem extending from said final head member.

10. The method ofclaim 9, wherein:

said final head stem possesses a male taper configuration,

said final body portion has a final bore defined therein,

said final bore possesses a female taper configuration, and

said attaching step includes the step of advancing said final head stem into said final bore in a friction fit manner.

11. The method ofclaim 9, wherein:

said scale mechanism includes an indicia surface,

said value is indicated on said indicia surface,

said scale mechanism further includes a channel define therein, and

said attaching step includes locating said final body portion within said channel.

12. The method ofclaim 11, wherein said attaching step further includes locating said final head portion adjacent to said indicia surface.

13. The method ofclaim 12, wherein said attaching step further includes positioning said final head portion relative to said final body portion at said aligned orientation.

14. The method ofclaim 13, wherein said step of positioning said final head portion relative to said final body portion includes the step of aligning said final offset indicia with said value identified on said indicia surface.

15. The method ofclaim 9, wherein:

said trial offset indicia includes a notch defined in a surface of said trial head member, and

said final offset indicia includes a removable sticker positioned on said final head member.

16. The method ofclaim 1, wherein said resected bone is a resected humerus.

17. A method of implanting a final prosthesis assembly in a resected bone, comprising the steps of:

providing a trail assembly which includes a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trial head member which includes a trial offset indicia, and (ii) an eccentrically located trial head stem extending from said trial head member;

positioning said trial body portion in said resected bone;

positioning said trial stem in said trial bore after said trial body positioning step;

moving said trial head portion in relation to said trial body portion after said trial stem positioning step so as to locate said trial head portion relative to said trial body portion at a user-selected orientation;

securing said trial head portion to said trial body portion at said user-selected orientation;

removing said trial assembly from said resected bone after said securing step;

positioning said trial assembly in a scale mechanism after said removing step whereby said trial offset indicia of said trial head portion aligns with a value on said scale mechanism;

attaching a final head portion in fixed relation to a final body portion based on said value so as to form said final prosthesis assembly; and

implanting said final prosthesis assembly in said resected bone after said attaching step.

18. The method ofclaim 17, wherein:

said trial body portion includes a set of internal threads located within said trial bore,

said trial head portion further includes an externally threaded fastener positioned within a passageway which extends through said trial head portion, and

said securing step includes the step of advancing said externally threaded fastener into meshing engagement with said set of internal threads so as to secure said trial head portion in fixed relation to said trial body portion.

19. The method ofclaim 17, wherein:

said trial body portion includes a (i) a trial body stem, (ii) a neck attached to said trial body stem, and (iii) a flat attached to said neck, and

said trial bore extends through said flat and into said neck.

20. The method ofclaim 17, wherein:

said scale mechanism includes an indicia surface, and

said value is identified on said indicia surface.

21. The method ofclaim 20, wherein:

said indicia surface possesses markings which depict a clock which is divided into a plurality of sections, and

said value is identified on one of said plurality of sections.

22. The method ofclaim 20, wherein:

said scale mechanism includes a channel defined therein, and

said trial assembly positioning step includes the step of locating said trial body portion within said channel.

23. The method ofclaim 22, wherein said trial body portion locating step includes the step of locating said trial head portion adjacent to said indicia surface.

24. The method ofclaim 17, wherein:

said final head portion includes (i) a final head member having a final offset indicia, and (ii) an eccentrically located final head stem extending from said final head member,

said final head stem possesses a male taper configuration,

said final body portion has a final bore defined therein,

said final bore possesses a female taper configuration, and

said attaching step includes the step of advancing said final head stem into said final bore in a friction fit manner.

25. The method ofclaim 24, wherein:

said scale mechanism includes an indicia surface,

said value is indicated on said indicia surface,

said scale mechanism further includes a channel define therein, and

said attaching step includes the steps of (i) locating said final body portion within said channel, (ii) positioning said final head portion relative to said final body portion so that said final offset indicia is aligned with said value identified on said indicia surface.

26. The method ofclaim 24, wherein:

said trial offset indicia includes a notch defined in a surface of said trial head member, and

said final offset indicia includes a removable sticker positioned on said final head member.

27. The method ofclaim 17, wherein said resected bone is a resected humerus.

28. A kit, comprising:

a trial assembly including a trial body portion having a trial bore defined therein, and a trial head portion having (i) a trail head member which includes a trial offset indicia, and (ii) an eccentrically located trial stem extending from said trial head member, said trial head stem being configured to be received within said trial bore; and

a final prosthesis assembly including a final body portion having a final bore defined therein, and a final head portion having (i) a final head member which includes a final offset indicia, and (ii) an eccentrically located final head stem extending from said final head portion, said final head stem being configured to be received within said final bore.

29. The kit ofclaim 28, further comprising a scale mechanism having an indicia surface, wherein:

said scale mechanism has a channel defined therein which is configured to receive said trial body portion, and

said channel is configured so that said trail head portion is positioned adjacent to said indicia surface when (i) said trial body portion is located within said channel, and (ii) said trial head portion is supported by said trial body portion.

30. The kit ofclaim 29, wherein:

said indicia surface possesses markings which depict a clock which is divided into a plurality of sections, and

each of said plurality of sections possesses a distinct value indicated thereon.

31. The kit ofclaim 28, wherein:

said trial body portion includes a set of internal threads located within said trial bore,

said trial head portion further includes an externally threaded fastener positioned within a passageway which extends through said trial head portion, and

said externally threaded fastener is configured to meshingly engage said set of internal threads so as to secure said trial head portion in fixed relation to said trial body portion.

32. The kit ofclaim 28, wherein:

said final head stem possesses a male taper configuration,

said final body portion has a final bore defined therein,

said final bore possesses a female taper configuration, and

advancement of said final head stem into said final bore of said final body portion in a friction fit manner causes said final head portion to be secured to said final body portion.

33. The kit ofclaim 28, wherein:

said trial body portion includes (i) a trial body stem, (ii) a neck attached to said trial body stem, and (iii) a flat attached to said neck, and

said trial bore extends through said flat and into said neck.

34. The kit ofclaim 28, wherein:

said trial offset indicia includes a notch defined in said trial head member, and

said final offset indicia includes a removable sticker positioned on a surface of said final head member.

35. The kit ofclaim 28, wherein:

said trial body portion is configured to be advanced into a humerus, and

said final body portion is also configured to be advanced into said humerus.

36. A kit, comprising:

a trial assembly including (i) a trial body portion, (ii) a trial head portion which includes a trial offset indicia, and (iii) a fastener for securing said trial head portion to said trial body portion; and

a final prosthesis assembly including a final body portion having a final bore defined therein, and a final head portion having (i) a final head member which includes a final offset indicia, and (ii) an eccentrically located final head stem extending from said final head portion, said final head stem being configured to be received within said final bore.

37. The kit ofclaim 36, wherein:

said trial body portion has a trial bore defined therein, and

said trial head portion has (i) a trial head member which includes said trial offset indicia, and (ii) an eccentrically located trial stem extending from said trial head member, said trial head stem being configured to be received within said trial bore.

38. The kit ofclaim 36, further comprising a scale mechanism having an indicia surface, wherein:

said scale mechanism has a channel defined therein which is configured to receive said trial body portion, and

said channel is configured so that said trail head portion is positioned adjacent to said indicia surface when (i) said trial body portion is located within said channel, and (ii) said trial head portion is supported by said trial body portion.

39. The kit ofclaim 38, wherein:

said indicia surface possesses markings which depict a clock which is divided into a plurality of sections, and

each of said plurality of sections possesses a distinct value indicated thereon.

40. The kit ofclaim 37, wherein:

said trial body portion includes a set of internal threads located within said trial bore,

said fastener includes an externally threaded portion,

said fastener is configured to be received within a passageway which extends through said trial head portion, and

said externally threaded portion is configured to meshingly engage said set of internal threads so as to secure said trial head portion in fixed relation to said trial body portion.

41. The kit ofclaim 36, wherein:

said final head stem possesses a male taper configuration,

said final body portion has a final bore defined therein,

said final bore possesses a female taper configuration, and

advancement of said final head stem into said final bore of said final body portion in a friction fit manner causes said final head portion to be secured to said final body portion.

42. The kit ofclaim 37, wherein:

said trial body portion includes a (i) a trial body stem, (ii) a neck attached to said trial body stem, and (iii) a flat attached to said neck, and

said trial bore extends through said flat and into said neck.

43. The kit ofclaim 37, wherein:

said trial offset indicia includes a notch defined in said trial head member, and

said final offset indicia includes a removable sticker positioned on a surface of said final head member.

44. The kit ofclaim 36, wherein:

said trial body portion is configured to be advanced into a humerus, and

said final body portion is also configured to be advanced into said humerus.

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