Abstract: A metal-backed acetabular implant and a method of forming the same.

Abstract: A method for producing a zirconia-layered orthopedic implant component includes depositing zirconium onto the orthopedic implant component, thereby forming a zirconium-layered component, and converting at least a portion of the zirconium into a substantially monoclinic zirconia surface layer unaccompanied by a substantial underlying ?-phase. A method for producing a zirconia-layered orthopedic implant component includes depositing zirconium onto the orthopedic implant component by ion bombardment and deposition in a vacuum to form a zirconium-layered component including an intermix zone at least 1000 ? thick and a zirconium layer about 3-5 ?m thick, and heat treating the zirconium-layered component at a temperature of about 500-600° C. in an atmosphere containing oxygen.

Abstract: An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and “reverse” total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or “reverse” total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.

Abstract: A method and apparatus for performing a minimally invasive total hip arthroplasty including an acetabular cup inserter is provided. The cup inserter is utilized for securing a prosthetic acetabular component thereto for implantation into a hip joint. The acetabular cup inserter includes a frame having an offset frame leg to allow for placement of an acetabular cup in the correct anteversion and abduction without interference from soft tissue.

Abstract: A bone resection apparatus and its method of use for knee surgery are presented. In one aspect of the invention, the apparatus includes a spacer and a tibial cut guide. The spacer has a first surface engageable with the cut distal femoral bone and a second surface opposite the first surface engageable with the uncut proximal tibial bone in joint articulating relationship. The spacer further includes a cut guide support. The tibial cut guide has a cutter guide defining a cut plane and a support engaging element engageable with the cut guide support. The cut guide support and support engaging element cooperate to position the cut plane in relative to the first surface.

Abstract: A tibial tray inserter for use during knee joint replacement surgery is provided.

Abstract: An apparatus is provided for guiding a cutter to cut a bone to receive a knee prosthesis and methods for its use. In one aspect of the invention a relative angle adjustment mechanism is provided to adjust the relative angle between first and second cut guides. In another aspect of the invention, a cut guide is hinged to a mounting base such that it is rotatable about the hinge between a first position in which the cut guide is adjacent to the bone and a second position in which the cut guide is spaced from the bone. In another aspect of the invention, a mounting base includes an initial fixation mechanism and a secondary fixation mechanism.

Abstract: A provisional bone plate formed of an implantable plastic and having a length corresponding to the longest bone plate in a particular family of bone plates. The provisional bone plate includes a head contoured to match the head of a particular bone as well as a shaft for placement adjacent the bone shaft. The provisional bone plate includes a plurality of circumferential notches surrounding the elongate body or shaft of the bone plate. The circumferential notches are substantially transverse to a longitudinal axis of the bone plate and define frangible portions of the bone plate which can be removed from the distal end thereof to alter the length of the provisional periarticular bone plate to correspond to the length of the various bone plates in a family of bone plates. The provisional bone plate is constructed of a biologically suitable plastic, is radiographic, and melts at a temperature less than 200° Fahrenheit.

Abstract: A method for constantly controlling a direct application of pressure for bonding porous coatings to substrate materials used in orthopaedic implants. The direct pressure is applied to an interface between the porous coating and the substrate material via a pressure application mechanism unaffected by heat and air pressure conditions of the bonding process. The pressure application mechanism maintains a pressure on the implant which is constantly controlled throughout the bonding process.

Abstract: The present invention relates to a set of tools and accessories used for properly positioning a stemmed humeral component, and/or a humeral stem provisional, within a canal in the humerus. The set of tools and accessories includes one or more fin clamps that are configured to be temporarily attached to a fin on the humeral component or the provisional; a ruler that is configured to be attached to the arm of the fin clamp, a fixation pin and pin driver configured to be used with the other tools for marking a position on the humerus; and one or more sleeves that are configured to slide over the stem of the humeral stem provisional to maintain it in the desired position.

Abstract: A milling system for use in resecting at least a portion of a joint articulation surface of a bone includes an alignment guide having a top surface and an opposing bottom surface with an opening extending therebetween. Fasteners are used to secure the alignment guide to the bone so that the alignment guide is suspended above the bone. A template is removably mounted to the alignment guide so that a plurality of guide paths extending through the template are aligned with the opening in the alignment guide. A mill extends down through the guide path and has a burr on the end thereof for resecting the bone.

Abstract: An acetabular component for a prosthetic hip joint generally consists of an acetabular shell and an acetabular liner. The acetabular liner includes a cup portion and at least one constraining portion. The cup portion has a hemispherical or dome-shape that defines a hemispherical cavity for receiving a femoral head of a femoral component. The constraining portions may include extensions for retaining the femoral head in the cavity of the cup portion. The liner further includes cutout portions between the constraining portions. The acetabular liner is rotatable within the acetabular shell to provide a complete range of motion to the femoral component without fear of impingement, subluxation, or dislocation of the femoral head. The constraining portions may include inclined surfaces to induce rotation of the acetabular liner within the acetabular shell.

Abstract: A provisional prosthetic system and the surgical methods for utilizing the same. In one embodiment, the provisional prosthetic system includes a keel and a plate configured to be secured to the keel. The keel may further include a body and at least one fin extending outwardly therefrom. The fin functions to prevent rotation of the keel once it is implanted within a bone. In one embodiment, the plate includes a captured screw having a flanged head and external threads. The captured screw is retained by the plate and configured to secure the plate to the keel. In this embodiment, the captured screw extends through an aperture in the plate. Further, the captured screw may be retained by the plate due to the interaction of the flange head and external threads of the captured screw with the top and bottom surfaces of the plate, respectively.

Abstract: An apparatus is provided for attaching a surgical component to a bone at a surgical site. The apparatus includes an elongated pin and a cam mounted to the pin. The cam is engaged with the surgical component such that rotating the cam about the shaft axis changes the surgical component position relative to the bone.

Abstract: A method for constantly controlling a direct application of pressure for bonding porous coatings to substrate materials used in orthopaedic implants. The direct pressure is applied to an interface between the porous coating and the substrate material via a pressure application mechanism unaffected by heat and air pressure conditions of the bonding process. The pressure application mechanism maintains a pressure on the implant which is constantly controlled throughout the bonding process.

Abstract: A trialing assembly for use during knee replacement procedures to determine size and position of a tibial plate implant as well as the size and thickness of the articular surface prior to implantation of the implant. The trialing assembly includes a broaching plate having a tibia engaging bottom surface adapted for placement atop a tibia and an opposite top surface, the bottom and top surfaces extending between an anterior edge and a posterior edge of the broaching plate. The broaching plate includes an anterior rail and a posterior rail protruding superiorly from the top surface and extending along the anterior and posterior edges, respectively. A trialing plate is configured to removably fit atop the broaching plate between the anterior and posterior rails. The trialing plate includes an engagement member extending from a superior surface of the trialing plate and adapted to engage with an articular surface provisional.

Abstract: An adjustable resection guide is provided for guiding cutting of the tibia and/or femur during knee replacement surgery.

Abstract: A femoral reference tibial cut guide for cutting the proximal tibia to receive a tibial implant. The cut guide references the femur to determine the appropriate tibial resection.

Abstract: An acetabular implant for hip replacement surgery includes a shell component and first and second alternative bearing components interchangeably engageable with the shell component to provide a choice in bearing materials. The shell component has an engagement mechanism suitable for locking engagement with the first alternative shell component. A conversion ring is lockingly engageable with the shell component to adapt the shell component to provide an engagement mechanism suitable for locking engagement with the second alternative shell component.

Abstract: Various embodiments of femoral trochlea prostheses useable in a knee joint. The knee joint includes a patella and a distal femur with a femoral trochlea, or patello-femoral groove. In one embodiment, a femoral trochlea prosthesis includes a distal tail. In another embodiment, a femoral trochlea prosthesis includes a wing or extension portion. In yet another embodiment, a set of femoral trochlea prostheses includes a plurality of prostheses having differing thicknesses. In still another embodiment, a femoral trochlea prosthesis includes a porous medium on various portions of the prosthesis.