Abstract: Hip arthroplasty trial systems and associated medical devices, methods, and kits are described that can be utilized in situ to complete a femoral head trial. An example embodiment of a hip arthroplasty trial system includes a medical device and a femoral stem. The medical device has a head member, a spacer, a shaft, and a locking member. The spacer is disposed within the head member and is moveable from a first position to a second position. The shaft is disposed within the head member and contacts the femoral stem. The shaft is moveable from a first position to a second position. Movement of the shaft from the first position to the second position moves the spacer from its first position to its second position. The locking member is disposed within the head member and releasably attaches the shaft to the head member.

Abstract: An orthopedic prosthesis includes a proximal member which internally accommodates the major motion of a patient, e.g., during walking, thereby reducing wear against a cup or liner. A distal member may be utilized which rotates within a proximal member about an axis aligned with the major motion of the patient. The orthopedic prosthesis may also include a head and neck, the neck being rotatably mounted within the head, the head being rotatably mounted within the acetabulum region of a patient.

Abstract: An artificial hip joint assembly including a ball mounted atop a supporting stem, the stem adapted to being mounted to a reconditioned end of a femur bone, with the ball adapted to seat within an acetabulum socket of a pelvic bone. An intermediate component is mounted between the ball and stem, the intermediate component incorporating force absorbing and redirecting properties at an engagement interface between the ball and stem in response to impact forces generated upon the ball by the pelvic bone. The intermediate component can be constructed of a softer material than either the ball or stem, the intermediate component can further include a sleeve exhibiting a plurality of interior threads and facilitating mounting of an exteriorly threaded end location of the stem.

Abstract: A femoral head prosthesis (110) comprises an articulating surface (112) which is more than hemi-spherical; an internal recess (114) having a longitudinal axis defining a pole P of the articulating surface (112), the longitudinal axis passing through the centre of curvature of the articulating surface (112); a first edge (116) which constitutes a posterior edge in use, and a second edge (118) which constitutes an anterior edge and/or an antero-inferior edge in use. The first edge (116) is further from the pole P than the second edge (118). Also provided is a femoral prosthesis comprising a femoral head, and a femoral implant comprising a femoral stem and a femoral head. The prostheses and implants of the invention find use in total hip replacements.

Abstract: The method of accurately and correctly fitting and axially positioning at implantable ball to the neck trunnion of a hip replacement device, as during surgery, the ball adapted to be received in a socket, the ball having a bore, the method including the steps providing the neck trunnion with deformable metallic surface ribs, providing a deformable adapter and fitting the adapter over the ribs, providing a trial ball having a non-metallic bore, and including axially forcibly fitting that bore over the deformable adapter to deform the adapter without deforming the ribs, as the trial ball adjustingly arrives at selected axial position on the neck trunnion corresponding to correct position of the trial ball in the socket, and correspondingly subsequent correct axial positioning of the implantable ball on the neck trunnion.

Abstract: The present teachings are directed to a shoulder prosthesis having an adjustable radial offset and/or angular inclination provided by relative rotation of an adapter interdisposed between a stem and a head. In one example, a prosthesis has a stem having a first longitudinal axis. The prosthesis can also include an adaptor including a first taper. The first taper can have a first taper axis. The prosthesis can include a head supported by the adaptor. The head can be selectively oriented and then coupled to the first taper and the combination can be selectively orientated and the coupled to the stem.

Abstract: A joint prosthesis system has a metal shaft, which is implanted in the femur, a throat having an outer cone, a joint ball made of ceramic and an accommodation for the throat. The accommodation has an inner cone, and a sheath-shaped adapter, which is arranged between the shaft and the joint ball in a clamping manner. Due to an exceptional elasticity and a special shaping of an inner and outer wall section of the adapter, the application of force to a narrow surface region on the metal outer cone and the application of the force into the ceramic inner cone is extensively concentrated on a load-bearing region (B) opposite the narrow surface region within the largest mass expansion of the ceramic joint ball.

Abstract: A femoral prosthesis for use during a revision procedure includes a proximal body, a distal stem, a modular neck, and a head. In operation, a surgeon may stabilize the proximal body and the distal stem of the prosthesis in a patient's femoral canal that has moderate loss of metaphyseal cancellous bone (known as a Paprosky Type I femoral defect), extensive loss of metaphyseal cancellous bone (known as a Paprosky Type II femoral defect), or extensive metaphyseal deterioration and some diaphyseal deterioration (known as a Paprosky Type IIIA femoral defect). Without disturbing this arrangement, the surgeon may then position the head in a desired location by selecting a desired modular neck to obtain proper joint kinematics.

Abstract: A joint prosthesis includes a head component that is engaged to a bone stem through a mounting element. The mounting element is configured for articulating engagement with the stem to permit angular positioning of the head component in multiple degrees of freedom. The mounting element is fastened to the stem by a press-fit engagement and a separate mechanical fastener.

Abstract: A humeral prosthesis includes a stem component and a head component joined by an inclination component. The inclination component is provided with an opening that is designed to accommodate a pair of expandable tabs extending from a side of a plate. The plate is also provided with a taper extending opposite to the pair of expandable tabs. Inclination angle, radial offset, and version are adjustable and are separately and independently set and fixed.

Abstract: A trial device and a method for using the device in surgery are disclosed. The device includes a body including a proximal portion and a distal portion. The proximal portion has a post or trunion projecting therefrom. The distal portion extends from the proximal portion and includes a first arm and a second arm, the first and second arms being moveable with respect to one another. The body further includes a cavity formed therein so as to extend through the proximal portion and into the distal portion. The device further includes a driver adapted for sliding engagement within the internal cavity of the body such that movement of the driver, preferably in a distal direction, causes movement of a portion of the first arm away from a portion of the second arm.

Abstract: An artificial joint fixation mechanism has a base for being attached to an artificial joint, a stem for guiding an artificial joint to engage with a human bone, and a sleeve. The base defines a conic shaft hole therethrough. At least a positioning section and at least a threaded section are extended adjacent an end of the shaft hole. The stem includes an engaging pole at an end thereof for jointing to an artificial joint. The sleeve is threaded for screwing to the threaded section and defines an inner cone hole therethrough. In use, the engaging pole of the stem implants into the shaft hole. The sleeve is screwed to the threaded section, and the inner cone hole reversely pressing against the guiding section. Thus the stem is pressed reliably.

Abstract: An instrument for use in a joint replacement procedure comprises a head part which corresponds to the head of an orthopaedic joint component, in which the head part has a bore formed in it, and a connector for connecting the head part to a stem part of the orthopaedic joint component, which is intended for location in the intramedullary cavity of a bone. The connector can be fitted into the bore in the head part in one of a plurality of angular orientations. It comprises a body part and a trigger which can be moved relative to the body part between an unlocked position in which the connector can be moved relative to the head part between different ones of the plurality of angular orientations and a locked position in which the connector is restrained against such movement.

Abstract: A prosthesis assembly in one embodiment includes a stem configured to be implanted in a bone and including a first coupling portion, a head having a bearing surface configured to mate with at least one of a natural opposing joint component and a prosthetic opposing joint component, the head further having a second coupling portion, a coupler including a third coupling portion and a fourth coupling portion, the third coupling portion configured to couple with the second coupling portion, and an insert including (i) a fifth coupling portion configured to couple with the fourth coupling portion in any of a plurality of rotational orientations in combination with any of a plurality of roll angles and any of a plurality of pitch angles, and (ii) a sixth coupling portion configured to couple with the first coupling portion only when the insert assumes a predetermined rotational orientation with respect to the stem.

Abstract: Implant bore insert has an outer surface that is, at least in part, substantially cylindrically aligned. The insert may be blind, thus forming a cup, or it may be open ended. The insert can be provided with a predetermined outer circumferential surface that provides for a suitable interference fit with a corresponding bore hole of an implant component part. When inserted into the bore hole, the insert preferably seats itself on a blind end of the bore hole. Examples of implants employed with the insert can include ceramic ball joint heads and teeth.

Abstract: A proximal femoral ball assembly having a variable offset that is selectively adjustable to conform to various anatomical conditions encountered during a femoral surgical procedure. The femoral ball assembly generally includes a head, a neck, and an adjustment mechanism. The head has a smooth spherical outer surface that is adapted to engage an acetabular component or native acetabulum. The neck extends outward from the head and removeably connects to the head using a threaded attachment.

Abstract: The specification discloses a modular system for the formation of a prosthesis for the replacement of a long bone in a human or animal body. The system provides a prosthesis comprising a proximal or distal end component such as a trochanter or condylar head, forming one component of a prosthetic joint, a shaft for assembly with the distal or proximal end component and a stem for engagement in a resected bone. The system allows the assembly of a custom fitted prosthesis from a limited range of components.

Abstract: A surgical device for joint replacement surgery includes an intraoperative joint head having a stem attachment structure where the stem attachment structure may be removably attachable to a stem and a force sensor housed by the joint head for measuring in vivo forces during surgery. The in vivo forces may be generated by one or more of tension provided by soft tissue, load application during surgery, limb movement during surgery, and a combination thereof. Also, the joint head may provide a cavity where the stem attachment structure houses the force sensor and may be removably insertable in the joint head cavity. A method of performing joint replacement surgery includes installing an intraoperative joint head having a force sensor housed by the joint head and a stem attachment structure, the stem attachment structure being removably attachable to a stem, measuring joint forces, and adjusting an implant parameter based on the measured joint forces.

Abstract: A proximal femoral head assembly having a variable offset that is selectively adjustable to conform to various anatomical conditions encountered during a femoral surgical procedure. The assembly includes a femoral head, a neck removeably connectable to the femoral head, and an adjustment mechanism. The adjustment mechanism provides the neck with a plurality of different femoral offsets with respect to a femoral hip stem.

Abstract: A modular system for the formation of a prosthesis for the replacement of a long bone in a human or animal body. The system provides a prosthesis having a proximal or distal end component such as a trochanter or condylar head, forming one component of a prosthetic joint, a shaft for assembly with a distal or proximal end component and a stem for engagement in a resected bone. The systems allows the assembly of a custom fitted prosthesis for a limited range of components.

Abstract: A modular trial neck segment is utilized for trialing a hip prosthesis for a total hip arthroplasty. The modular trial neck segment is preferably, but not necessarily, utilized for trialing a hip prosthesis for a total hip arthroplasty. The trial neck segment includes a mount attachable to a stem or broach, and a neck that is translatable on the mount for providing various neck offsets with respect to the mount and/or broach. Neck offset is changed via movement of the neck in a single plane of motion. This facilitates the use of the subject invention in minimally invasive arthroplasty wherein working dimensions are small. The present design replicates the biomechanics of the neck region of the implant. The mount and slidable neck provide a plurality of neck offsets and/or neck lengths for trialing a final prosthesis in a single device.

Abstract: Prosthesis of the shoulder for the articulation of a humerus in a scapula, including a first anchorage element attached to the humerus and a second anchorage element attached to a glenoid cavity of the scapula. The first anchorage element selectively supports an articulation element of the concave type or of the convex type, able to cooperate with a mating articulation element, convex or concave, associated with the glenoid cavity. The prosthesis includes at least a replaceable adaptor element, located between the first anchorage element and the relative articulation element, able to allow the adjustment of the assembly position when an articulation element of the concave type is replaced by an articulation element of the convex type, or vice versa.

Abstract: Joint prostheses which have one joint partner configured as a socket and the other joint partner configured as a ball head generally consist of two components. The socket is comprised of a metallic outer cup in which an insertion cup made of ceramic material or of a biocompatible plastic is inserted. The shaft has a peg, the so-called cone, on which a ball head is placed. The press fit connection, especially so-called conical pressing, is used as a connection technique between the respective components. Stress can result in a relative movement between the components, thus leading to a wear-related loosening of the connection thereof. In order to solve this problem, the invention provides that, from the prosthetic components (2, 3), the component (3) made of ceramic or plastic fitted with a covering (6), said covering being made of a biocompatible metal or of a biocompatible metal alloy, on the pressing surface (7) thereof via which said component (3) is connected to the metal component (2).

Abstract: A prosthetic orthopaedic head has a fluid chamber defined therein. A fluid filter is positioned in the fluid chamber. In response to a load being exerted on the prosthetic head, synovial fluid is advanced through a filter thereby removing debris from the synovial fluid. A method of operating a prosthesis is also disclosed.

Abstract: Wheels, bearings, or other rotating elements are used to decrease friction in artificial joint components associated with knee and hip replacements, artificial ankles, elbows, wrist, finger joints, toe joints, and intervertebral discs. One or more seals may be used to trap debris inside the artificial joint. The seal may surround the periphery of the component(s), and may be used to hold a fluid within the joint. Various fluids or lubricants are applicable to these embodiments, including water or aqueous solutions, triglyceride oil, soybean oil, an inorganic oil (e.g. silicone oil or fluorocarbon), glycerin, ethylene glycol, or other animal, vegetable, synthetic oil, or combinations thereof could be used. The seal could be made of an expandable elastomer such as those used in medical devices for the cardiovascular system.

Abstract: A conical coupling of a male member (10) and a female member (11), the male member (10) comprising a cone (12) fitted in a truncated conical portion (15) of a corresponding recess (14) formed in the female member (11), is characterized in that the female member (11) is made of a material having a Young's modulus at most equal to about 35 GPa and at most equal to that of the material from which the male member (10) is made, and in that a surface (13) of the male member perpendicular to the axis (A1) of the coupling is in contact with a surface (17) of the female member also perpendicular to the axis of the coupling such that the male and female members (10, 11) are in axial abutment against each other. The female member (11) is for example of pyrocarbon and the male member (10) of metal, ceramic or pyrocarbon.

Abstract: In a joint prosthesis the head cap is connected via a collar piece to the shaft piece which may be anchored in the bone. The collar piece is coupled to the shaft piece by a joint head in a ball-jointed manner. The articulation surfaces between the joint cavity in the shaft piece and the articulation head on the collar piece are embodied such that on pressing the articulation head to the base of the joint cavity, edges or projections on the one articulation surface digs into the other articulation surface lying on a virtual spherical surface. It is thus possible to achieve a ball-joint like articulation, whereby the spherical surfaces may have a relatively large production tolerance without the above affecting the clamping connection between the articulation surfaces.

Abstract: In a joint prosthesis with a base piece for anchoring in the bone, a collar piece articulated thereon and defining a collar axis, and a collar extension on the collar piece situated on the collar axis, an articulation space is formed on the base piece. An articulation head of the collar piece is disposed therein. The joint prosthesis further includes a head cap disposed on the collar extension and at least one pressure piece for pressing the articulation head against the base of the articulation space. The pressure piece and the base piece can be connected. In a joint prosthesis of this kind, the pressure piece includes a pressure disc with a passage opening for the collar extension.

Abstract: Femoral prosthesis for the articulation of a femur (11) in a corresponding acetabular seating (13) of a hip, comprising at least a femoral head (12) of a hemispherical shape, which is inserted into the acetabular seating (13), and pin means (18) which are engaged and clamped in a top portion (21) of the femur (11). The femoral head (12) is a distinct and removable component with respect to the pin means (18) and the pin means (18) are provided with, or are associated with, coupling means (15, 115) which are inserted into a mating seating (14) of the femoral head (12) in order to obtain a removable constraint between the latter and the pin means (18).

Abstract: A shoulder prosthesis and/or prosthesis sizing system, especially for treatment of degenerative arthritis or trauma, has an articulating head component. The shoulder prosthesis includes a humeral stem and a series of humeral heads. The heads are attached to the humeral stem by means of a locking connector. The locking connector allows the humeral head to be oriented in multiple positions of version, varus/valgus angulation, eccentricity and head height, while providing rigid securing of the humeral head to the humeral stem in the selected position relative to the humeral stem. In one form, the locking connector includes an expansion collar that provides radially outward expansion for humeral head position locking. The present shoulder prosthesis provides a means to anatomically position the humeral head relative to the humeral stem and rigidly secure the humeral head in the selected position relative to the humeral stem. This is accomplished by a minimum of components.

Abstract: A method of restoring a hip replacement prosthesis is described wherein the prosthesis comprises a stem, a femoral head and an acetabular shell having a polyethylene liner, the liner having become worn or damaged. The method comprises removing the liner and replacing it with a hard surface liner, securing it to the acetabular shell, the hard surface liner being shaped to fit the femoral head. The method is carried out without disrupting the fixing of the stem and/or the acetabular shell.

Abstract: Joint prostheses, in which one joint partner is formed as a socket and the other joint partner is formed as a spherical head which is rotatably mounted in the socket, are known in particular as shoulder-joint and hip-joint prostheses. The force-fit connection, in particular conical jamming, is also used here as the connecting technique between metallic or ceramic spherical heads and the cone. A coupling element (6) is inserted between the cone (5) and the spherical head (3) of the force-fit connection (1). The elasticity and damping properties of the coupling element (6) can be predetermined by its porosity and the structure of its surface.

Abstract: A shoulder endoprosthesis includes a middle section, a capitulum attachable to the middle section, and a shaft section adjustably attachable to the middle section. The middle section is adjustable relative to the shaft section along a shaft axis A of the shaft section and rotationally about the. shaft axis A. The endoprosthesis also includes a clamping element for attaching the shaft section to the middle section.