Abstract: A prosthetic acetabular cup inserter and impactor has an expandable annular cup engaging element to engage the inner surface of a cup to be inserted in the acetabulum. An expander is provided for expanding the cup engaging element which is connected to one end of a handle via a hollow or partly hollow extension portion. The other end of the handle is provided with an anvil. An elongate operator is located within the extension portion and connected to the cup engaging element. A device is provided for moving the elongate operator to pull the cup engaging element towards the expander.

Abstract: A prosthetic acetabular cup inserter and impactor has an expandable annular cup engaging element to engage the inner surface of a cup to be inserted in the acetabulum. An expander is provided for expanding the cup engaging element which is connected to one end of a handle via a hollow or partly hollow extension portion. The other end of the handle is provided with an anvil. An elongate operator is located within the extension portion and connected to the cup engaging element. A device is provided for moving the elongate operator to pull the cup engaging element towards the expander.

Abstract: A prosthetic acetabular cup inserter and impactor has a body, and a cup engaging element disposed at a first end of the body and adapted to engage an inner surface of a cup with which it is used via outward biasing of the cup engaging element. The cup engaging element increases in cross-sectional area from an inner end thereof to a fullest transverse section, and decreases in cross-sectional area from said fullest transverse section to an outer end thereof. The cup engaging element has a tapered central bore engaged by a conically tapered actuation element moveable in the bore. The cup engaging element has a slot therethrough allowing the element to resiliently expand on movement of the actuator in the bore.

Abstract: A prosthetic acetabular cup inserter and impactor has a body, a cup engaging element disposed at a first end of the body which is adapted to engage an inner surface of a cup with which it is used. An operating system is adapted to axially rotate the cup engaging element in relation to the body in use. An impaction plate that is adapted to engage an undulating rim of the cup is disposed between the body and the cup engaging element. The impaction plate is connected to the operating system by a linkage which acts to axially rotate the impaction plate in unison with the cup engaging element in use.

Abstract: A retentive and removable trial bearing insert is used with a total hip replacement joint. The joint includes a dual mobility or bipolar prosthetic cup which has a part-spherical bearing insert with a part-spherical inner bearing surface which engages a part-spherical bearing head on a femoral stem. The bearing comprises a part-spherical trial inner bearing element dimensioned to replace the part-spherical bearing insert and which includes releasable retaining element which engages the bearing head of the femoral stem or a trial bearing head thereof to hold the trial bearing element in place thereon.

Abstract: A prosthetic acetabular cup inserter and impactor has an expandable annular cup engaging element to engage the inner surface of a cup to be inserted in the acetabulum. An expander is provided for expanding the cup engaging element which is connected to one end of a handle via a hollow or partly hollow extension portion. The other end of the handle is provided with an anvil. An elongate operator is located within the extension portion and connected to the cup engaging element. A device is provided for moving the elongate operator to pull the cup engaging element towards the expander.

Abstract: A prosthetic femoral implant has a stem having a proximal end and a distal end. A circumferential collar is formed on the proximal end of the stem having a proximally facing surface in the form of a circular disc extending radially inwardly and proximally from a maximum outer circumference to a central neck region. The collar has a distally facing surface extending radially inwardly and distally at an included angle with respect to a central longitudinal axis of the neck region of between 120 and 140°. The distal surface of the collar is v-shaped and may be conical in form.

Abstract: An acetabular cup has a shell having a recess therein, the recess is open to an outer surface of the shell. The recess has an enlarged portion spaced from the shell outer surface with a diameter greater than the diameter of the opening at the surface. An insert is provided for insertion into the recess in the shell outer surface. The insert has a height greater than a depth of the recess and has a solid portion and a bifurcated portion having at least two side openings forming two to four sectors. A base of the sectors formed by bifurcated portion has an outwardly extending flange for insertion into the enlarged portion of the recess.

Abstract: An acetabular prosthesis having an outer member for engaging the acetabulum. The outer member has a part-spherical bearing surface terminating in a distal rim. The rim has a contour such that the portion thereof to be located between the ischium and the pubis extends distally further from an equator of the bearing surface than the contour to be implanted between the pubis and the illium and between the ischium and the illium.

Abstract: An acetabular rim cutter has an annular cutting face provided on a rotatable carrier. A coupler is provided for attaching the carrier to a rotational power source. A guide element is axially aligned with the cutting face to locate and align the cutting face on the acetabulum with which it is to be used. Preferably, the guide element is axially movable in relation to the cutting face and a resilient element is provided for biasing it axially away therefrom.

Abstract: A greater trochanter re-attachment device for use in transfemoral revision surgery which comprises a bracket adapted to be attached to a femoral prosthesis with which it is to be used. The bracket has adjustable clamping elements adapted to extend from the brackets and pass around the segment of bone containing the greater trochanter and which when secured in position holds the greater trochanter in position in relation to the femoral prosthesis.

Abstract: A prosthetic hip joint replacement system has a femoral component with a tapered trunion thereon. A modular head with a part-spherical outer surface terminating in a planar surface, engages the trunion. An acetabular cup member is provided for receiving the part-spherical head of a femoral implant, the cup member has a cavity having a part-spherical inner surface for receiving the modular head. The part-spherical inner surface of the cup defines a polar axis and an equator centered about a pole of the cavity. The cavity has a part-circular opening spaced from the pole a greater distance than the equator. Thus the inner part-spherical bearing surface extends beyond the 180° which the equator extends. The configuration of the part-spherical inner bearing surface causes a movement of translation of the head during rotation so that there is a crescent shaped retention area on each opposed side thereof.

Abstract: A prosthetic femoral implant has a stem having a proximal end and a distal end. A circumferential collar is formed on the proximal end of the stem having a proximally facing surface in the form of a circular disc extending radially inwardly and proximally from a maximum outer circumference to a central neck region. The collar has a distally facing surface extending radially inwardly and distally at an included angle with respect to a central longitudinal axis of the neck region of between 120 and 140°. The distal surface of the collar is v-shaped and may be conical in form.

Abstract: An acetabular cup has a shell having a recess therein, the recess is open to an outer surface of the shell. The recess has an enlarged portion spaced from the shell outer surface with a diameter greater than the diameter of the opening at the surface. An insert is provided for insertion into the recess in the shell outer surface. The insert has a height greater than a depth of the recess and has a solid portion and a bifurcated portion having at least two side openings forming two to four sectors. A base of the sectors formed by bifurcated portion has an outwardly extending flange for insertion into the enlarged portion of the recess.

Abstract: A trial prosthetic hip system has a plurality of trial stems each having a recessed bore in a proximal end thereof. At least three sets of trial necks are provided each having a connection element for inserting into the bore in the trial stems. A first set of trial necks having a valgus offset with one of the necks of the first set being anteverted, one be retroverted and one being neutral in version. A second set of trial necks is provided having a varus offset with one neck of the second set being anteverted, one being retroverted and one being neutral in version. A third set of trial necks is provided being neutral in varus-valgus, one neck of the third set being anteverted, one being retroverted and one being anteverted and each trial neck of the first, second and third sets having a coded marking on a proximally facing surface indicating the varus/valgus, anteverted/retroverted and neutral orientations.

Abstract: A femoral prosthesis including a stem for insertion in a femoral canal and a shoulder and/or neck portion characterized by a proximal sleeve having an outer circumferential wall and comprising two or more proximal sleeve components, each of which provides part of the circumferential outer surface of the sleeve, and means for securing the proximal sleeve components in position at the proximal end of the stem.

Abstract: A prosthesis implantation inserter is used with a flexible acetabular cup which has an opening or openings in its peripheral rim. The inserter has engagement elements which in an operational position frictionally engage the opening or openings in the flexible cup rim. A release is provided which can be operated to withdraw the engagement element from the opening or openings. When the cup is held §in position it can be guided and inserted into the acetabulum and impacted. Once the position of the prosthesis satisfies the surgeon the engagement element can be removed by operating the release and the cup inserter is removed without any risk of compromising the position or the stability of the implant.

Abstract: A hip prosthesis has a cup element having a part-spherical inner bearing surface and a spherical center through which the plane of a diametrical equator extends, and a ball shaped head which has a diameter to cooperate with the inner bearing surface to allow movement therein. The cup has a flat cordal lower surface parallel to the plane of an equator of the ball. The inner bearing surface has two or more equally spaced extension portions which extend beyond the diametrical equator towards the mouth of the cup. The surfaces of the two or more portions are relieved to enable the ball shaped head to be inserted into the cup by moving the flat on the ball across the face of one of the bearing surface extension portions and then rotating ball head to a position in which the flat on the ball head faces the mouth of the cup.

Abstract: An apparatus for preparing a head portion of a proximal femur has a drill guide support having a cylindrical bore therein for engaging the head of a femur. The support has a central axis for coaxial alignment with a central axis of a neck of a proximal femur. A drill guide is mounted on a proximal end of the drill guide support, the drill guide having a first drill guide portion extending along an axis co-axial with the central axis of the base portion and a second drill portion extending along an axis forming an acute angle with the first drill portion central axis. A bone thickness indicator is mounted on the drill guide and is moveable towards and away from a neck of the femur along an axis forming an angle with the central axis of the drill guide support.

Abstract: A bone measurement device is used to measure the adequacy of the distance between a cavity in the head and neck of a femur and the outer surface of the neck of the proximal femur. A coupling element is fixedly attached to an outer surface of a femoral head. An arm extends from the coupling element and a bone measurement device having an adjustable bone contacting element thereon is coupled to the arm. An adjustable coupler is provided for moving the bone measurement device in a generally proximal-distal direction. The bone contacting element is mounted on the adjustable coupler for movement in a direction transverse to the proximal-distal direction into contact with bone when the coupling element is attached to the femoral head. The adjustable coupler for moving the bone measurement device in a proximal-distal direction and the adjustable bone contacting element are calibrated with distance markings. The markings correspond to sizes of femoral implants for implantation in the cavity.