Abstract: A universal drill guide for use in position the location of holes to be drilled for insertion of bone staples. The drill guide has first and second legs pivotally secured to one another and first and second jaw members, each of the jaw members being provided with a drill guide. An indexer connected to the first and second legs includes a biaser, e.g., a spring to bias the first and second legs in a direction away from one another and a latch, catch or the like for selectively, releasably holding the first and second legs in a predetermined desired spacing.

Abstract: An interphalangeal fusion implant comprising a threaded shank and a head, the head having a body portion having first and second laterally spaced fins, each of which has a plurality of axially spaced serrations, some of the serrations terminating at the laterally outermost ends at substantial single points. A driver for implanting an interphalangeal fusion implant comprising an elongate body, a receiving formation having at least two radially extending outward projections, and a pear shaped portion extending along a central axis of the body. A method of fusing a first phalanx and a second phalanx using an interphalangeal fusion implant.

Abstract: A memory metal bone staple having a metal grain which runs longitudinally along the legs and bridge of the staple. The staple has barbed retaining features and no sharp or abrupt corners on its outer edges.

Abstract: A bone plate system for repair of a proximal humeral head fracture, which includes a fixation plate having a main body and a depending alignment flange, a plurality of elongated compression screws to extend through the intact humeral head into the cortical bone of the fractured portion and a cover plate. With the fixation plate in place, fastened to the humerus, the cover plate is in turn fastened to the fixation plate and provides a defined amount of clearance in a region adjacent the heads of the compression screws to allow measured back-out of the screws upon settling of the fractured bone portion at the fracture site.

Abstract: A humeral head resurfacing implant (11) that has a modulus of elasticity close to that of human cortical bone as a result of its design from an integral substrate of isotropic graphite covered completely with a reinforcing layer of dense isotropic pyrolytic carbon. A carefully engineered cruciform stem (15) extends from the axial center of a flat distal circular surface (23) of a spherical cap portion (19) of the implant head located within the confines of a surrounding skirt portion (21).

Abstract: Methods for forming bone implants for the repair of the ends of bones at orthopedic joints, which implants have a Young's modulus close to that of human cortical bone. Substrates of dense isotropic graphite are coated overall with hard, microporous, isotropic pyrocarbon of specific character such that it can be polished to serve as an articular surface and can also securely receive an anchoring first metal layer through PVD. The first layer has a character such that, by thermal spraying a second biocompatible metal layer thereupon, fusion occurs and thereby anchors an outermost layer that is formed with a network of randomly interconnected pores and a surface character of peaks and valleys designed to promote enhanced appositional growth of cortical bone at the interface therewith.

Abstract: Embodiments of the invention may provide a stem and a head and a liner that can be assembled together to form an implant, such as may be used in repair of the distal ulnoradial joint. A given head and liner and stem may be assembled to each other in more than one configuration, providing more than one possible external shape for a given set of stem and head and liner. The head may be non-symmetric about its midplane and may be open at both ends. A kit may contain more than one head assemblable to a given stem with an intermediate liner, with the various heads providing various different external shapes of the device.

Abstract: A humeral head resurfacing implant (11) that has a modulus of elasticity close to that of human cortical bone as a result of its design from an integral substrate of isotropic graphite covered completely with a reinforcing layer of dense isotropic pyrolytic carbon. A carefully engineered cruciform stem (15) extends from the axial center of a flat distal circular surface (23) of a spherical cap portion (19) of the implant head located within the confines of a surrounding skirt portion (21).

Abstract: A humeral head resurfacing implant (11) that has a modulus of elasticity close to that of human cortical bone as a result of its design from an integral substrate of isotropic graphite covered completely with a reinforcing layer of dense isotropic pyrolytic carbon. A carefully engineered cruciform stem (15) extends from the axial center of a flat distal circular surface (23) of a spherical cap portion (19) of the implant head located within the confines of a surrounding skirt portion (21).

Abstract: Methods for forming bone implants for the repair of the ends of bones at orthopedic joints, which implants have a Young's modulus close to that of human cortical bone. Substrates of dense isotropic graphite are coated overall with hard, microporous, isotropic pyrocarbon of specific character such that it can be polished to serve as an articular surface and can also securely receive an anchoring first metal layer through PVD. The first layer has a character such that, by thermal spraying a second biocompatible metal layer thereupon, fusion occurs and thereby anchors an outermost layer that is formed with a network of randomly interconnected pores and a surface character of peaks and valleys designed to promote enhanced appositional growth of cortical bone at the interface therewith.

Abstract: A hemi-arthroplasty implant (11) joint replacement for the base of the first metacarpal of the CMC joint is created which can effectively restore and reestablish functional joint mechanics. The implant (11) has a unique head section (13) creating a particular interrelation between a spherical head articular surface (19), that is received in a surgically prepared cavity in the trapezium, wherein a supporting neck (21) in a re-entrant region joins the head to a flat, generally oblong collar (15).

Abstract: A prosthetic implant comprising a head having a spherical pyrocarbon shell (13,73) that is attached to a metal substructure (17,77) via an intermediate element (15,45,75). A subassembly of the intermediate element and the pyrocarbon shell may be connected to the metal substructure via a metal split ring (19) that resides partially in each of two facing grooves (33,35) or via interengaging elements (85,87,91) that are provided in two juxtaposed cylindrical surfaces. The design is such that compressive forces applied to the implant at its spherical articulating surface are transferred via compression through the pyrocarbon shell to the metal substructure.

Abstract: A cannulated osteotome for cutting a bone surface in which two circular depressions have been previously reamed comprising a cutting blade in the form of a continuous loop having two arcuate end surfaces and two straight lateral surfaces that depends from a body that includes two cannulae in the form of two parallel passageways that extend transversely through the body. Stops extend beyond the opposite arcuate ends of the cutting blade which determine the depth to which the cutting blade can be inserted into the surface of bone from which the circular depressions have been reamed. There is described a method of inserting an implant having a substantially flat undersurface from which two pegs protrude into a surface of a bone using such an osteotome.

Abstract: A humeral head resurfacing implant (11) that has a modulus of elasticity close to that of human cortical bone as a result of its design from an integral substrate of isotropic graphite covered completely with a reinforcing layer of dense isotropic pyrolytic carbon. A carefully engineered cruciform stem (15) extends from the axial center of a flat distal circular surface (23) of a spherical cap portion (19) of the implant head located within the confines of a surrounding skirt portion (21).

Abstract: A bone plate system for repair of a proximal humeral head fracture, which includes a fixation plate having a main body and a depending alignment flange, a plurality of elongated compression screws to extend through the intact humeral head into the cortical bone of the fractured portion and a cover plate. With the fixation plate in place, fastened to the humerus, the cover plate is in turn fastened to the fixation plate and provides a defined amount of clearance in a region adjacent the heads of the compression screws to allow measured back-out of the screws upon settling of the fractured bone portion at the fracture site.

Abstract: An orthopedic prosthetic implant comprises a metal alloy stem element (13, 63, 113) which has one end portion (19, 69, 119) constructed to reside in the medullary cavity of a bone and an integral connector (23, 73, 123) at the opposite end, to which a crystalline brittle head (17, 67, 117) preferably made of pyrocarbon-coated graphite is joined. The effective joinder of the head to the stem element is achieved through a polymeric insert (15, 65, 115) which has selected elastic properties. The design and material of the polymeric insert allow it to be securely received within an interior cavity (35, 77, 131) of the pyrocarbon-coated graphite head and mated to the stem connector in an either rigidly or bi-polar arrangement. Such joinder allows the composite implants that utilize the most desirable properties of metallic and brittle crystalline materials.

Abstract: An orthopedic prosthetic implant comprises a metal alloy stem element (13, 63, 113), which has one end portion (19, 69, 119) constructed to reside in the medullary cavity of a bone and an integral connector (23, 73, 123) at the opposite end to which crystalline brittle head (17, 67, 117), preferably made of pyrocarbon-coated graphite, is joined. The head interfaces with human bone, and its effective joinder to the stem element is achieved through a polymeric insert (15, 65, 115) of proportional shape and design which has selected elastic properties. The design and material of the polymeric insert allow it to be securely received within an interior cavity (35, 77, 131) of the pyrocarbon-coated graphite head and mated to the stem connector in an either rigidly or bi-polar arrangement. The method of joinder allows the construction of composite implants that utilize the most desirable properties of metallic and brittle crystalline materials.

Abstract: An orthopedic prosthetic implant comprises a metal alloy stem element (13, 63, 113), which has one end portion (19, 69, 119) constructed to reside in the medullary cavity of a bone and an integral connector (23, 73, 123) at the opposite end to which crystalline brittle head (17, 67, 117), preferably made of pyrocarbon-coated graphite, is joined. The head interfaces with human bone, and its effective joinder to the stem element is achieved through a polymeric insert (15, 65, 115) of proportional shape and design which has selected elastic properties. The design and material of the polymeric insert allow it to be securely received within an interior cavity (35, 77, 131) of the pyrocarbon-coated graphite head and mated to the stem connector in an either rigidly or bi-polar arrangement. The method of joinder allows the construction of composite implants that utilize the most desirable properties of metallic and brittle crystalline materials.

Abstract: A hemi-arthroplasty implant (11) joint replacement for the base of the first metacarpal of the CMC joint is created which can effectively restore and reestablish functional joint mechanics. The implant (11) has a unique head section (13) creating a particular interrelation between a spherical head articular surface (19), that is received in a surgically prepared cavity in the trapezium, wherein a supporting neck (21) in a re-entrant region joins the head to a flat, generally oblong collar (15).