Abstract: A scaffold comprised of a plurality of PLLA layers, which may include stem cells, for regenerating bone or tissue. The PLLA layers are separated by a plurality of hydrogel layers. The PLLA layers comprise a nanofiber mesh having a piezoelectric constant to apply an electrical charge to the bone or tissue upon application of ultrasound energy.

Abstract: A bone insert is provided that includes a cap having a convex top surface made from a plurality of cap micro struts, an elongated stem made from a plurality of stem micro struts, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a large center hole in the cap and the cement can flow through the fenestrations between all of the cap micro struts as well as the space between the bone implant and the bone. The cement can cure to create a high strength structure that provides a strong bond between the bone implant and the host bone.

Abstract: An engineered medical device for treatment of osteonecrosis is provided where the size, porosity and ceramic content of the device can be personalized based on an individual patient's anatomical and physiological condition. The device distinguishes different segments mimicking anatomically-relevant cortical and cancellous segments, in which the cortical segments of the device can sustain mechanical loading, and the cancellous segment of the device can promote bone ingrowth, osteogenesis and angiogenesis.

Abstract: A bone insert includes a cap having a convex top surface made from a plurality of cap micro struts, an elongated stem made from a plurality of stem micro struts, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a large center hole in the cap and the cement can flow through the fenestrations between all of the cap micro struts as well as the space between the bone implant and the bone. The cement can cure to create a high strength structure that provides a strong bond between the bone implant and the host bone.

Abstract: The present invention relates to a prosthesis, such as a megaprosthesis, for a joint replacement or any segmental bone deficit. In particular, the present invention relates to a stem for a prosthesis having threads on at least part of an outer surface thereof. A prosthesis, such as a megaprothesis, is also provided. The prosthesis contains the threaded stem and a modular body engaged to the stem. The modular body contains a bone replace segment or a replacement joint, such as replacement knee joint, hip joint, shoulder joint, wrist joint, ankle joint, elbow joint, joints of the hand, joints of the foot, etc.

Abstract: A method for assessing the orthopaedic performance of a joint of a patient can comprise implanting at least a first and second RF wirelessly detectable markers in first and second bones associated with a site and determining and storing their positions before a surgical procedure is performed. The procedure can be carried out on the site and the positions of the first and second markers can be detected and stored after the procedure has been completed. The detected positions can be used to generate a representation of the orthopaedic performance of the joint after the procedure.

Abstract: A prosthetic liner for application on a stump, the prosthetic liner including an elastic base, which has a proximal opening for insertion of the stump a receiving space, and a distal end. At least one pneumatic piston is arranged on the outer face of the prosthetic liner.

Abstract: A method of implanting a medical device including forming a tunnel at least partially through a patient's bone, placing the medical device on the bone so that a stress-diffusion element (i.e., a stem) extending from the medical device at least partially extends into the tunnel, and securing the medical device to the bone. The medical device includes a hemispherical cup having a bone-abutment exterior surface, an interior surface defining a cavity, a circumferential rim extending between the exterior surface and the interior surface, and at least one aperture extending between the exterior surface and the interior surface. The stress-diffusion element is formed to extend from and be oriented with respect to the cup based on whether the surgical implant is to be used on a left side or right side of the patient for reconstruction of the segmental acetabular defect.

Abstract: Disclosed are a biological tissue matrix material, a preparation method therefor and the use thereof in an otological repair material. The biological tissue matrix material comprises an extracellular matrix. The extracellular matrix comprises a collagen fiber, a growth factor and fibronectin. The biological tissue matrix material has a low amount of DNA residue, a low immunogenicity, a high anti-infection ability, and a strong repair capability.

Abstract: A hand prosthesis base body having an outer side, a motor, and a first rotatable shaft which is connected with an output shaft of the motor. The first rotatable shaft has a coupling element for a detachably coupling at least one finger element to the rotatable shaft.

Abstract: This disclosure is directed to methods for reconstructing an unstable triangular fibrocartilage complex (TFCC). Exemplary methods include preparing, delivering, and fixating a graft within a distal radioulnar joint in a manner that restores the functionality to the TFCC, thereby improving the joint kinematics of the radioulnar joint.

Abstract: A stem for a hip prosthesis, with fixed or modular neck, which includes a stem body divided into a proximal region and a distal region, the body of the stem forming an anterior wall, a posterior wall, a medial wall, and a lateral wall. The anterior wall, the posterior wall, and the medial wall are provided at least partially with a porous structure with undercuts, the lateral wall being provided with a machining allowance.

Abstract: Systems and methods for postural control of a multi-function prosthesis are provided. Various embodiments provide for a postural controller that use EMG signals to drive a point in a posture space and outputs continuously varying joint angles for a powered prosthetic hand. The postural controller can include an EMG signal processing unit to receive signals from electrodes for processing (e.g., band pass filtering, rectification, root mean square averaging, dynamic tuning, etc.). The processed EMG signals can then be combined or converted to produce a point in the postural control domain. The PC domain map defines the posture that corresponds to each PC cursor coordinate. This map can have limitless possible postures and limitless possible positions of the postures. The Joint Angle Transform converts the PC cursor coordinate into the joint angle array which is sent to the prosthetic hand thereby creating more natural movements.

Abstract: A system and method for altering bone growth on and within an orthopedic implant comprising an implant body, wherein the implant body comprises an exterior surface and an interior surface defining an internal cavity of the implant body, a plurality of electrodes, wherein each electrode is at least partially embedded in the implant body, and comprises at least, a first set of the plurality of electrodes 116, composed of a first material, and a second set of the plurality of electrodes, composed of a second material; and a control system, comprising a processor and circuitry that connects to the plurality of electrodes, wherein the processor, through operating modes, provides machine instructions to control direction and magnitude of current traveling through each electrode from the plurality of electrodes; and a power system, comprising a power source and circuitry that provides electrical power for function of the plurality of electrodes.

Abstract: An anatomy-specific implant for neuroplastic surgery. The implant includes a soft tissue implant component designed within and adapted to replace or restore missing soft tissue in a skull, joint or spine of the patient, wherein the soft tissue implant component is adapted to be coupled by an interdigitated connection to a rigid component. The rigid component can be a skull implant adapted to replace missing cranial or vertebral bone, or healthy cranial or vertebral bone, either of which can have downward extending catheters for medicinal brain or spinal cord infusion to help bypass the blood-brain barrier via multiphase flow. The soft tissue implant may include a functional component having neurotechnologies such as MRI-lucent pumps, Bluetooth connection systems, refillable diaphragms, remote imaging devices, wireless charging capabilities, and/or informative biosensors. The soft tissue implant component may be interchangeable with another soft tissue implant component in plug-and-play fashion.

Abstract: A prosthesis suited for orthopedic implantation possesses a multi-piece stem component that supports an artificial joint surface that can articulate with another artificial joint surface in various ways. The prosthesis can be assembled in a snap fit and/or interlocking fashion that provides positive locking means without the use of screws or other fasteners. The prosthesis can accommodate fitment of a plastic joint surface made, e.g., from ultra high molecular weight polyethylene. The prosthesis is well suited for use in an ankle replacement system that can be installed using minimally invasive intramedullary guidance established with respect to the major axis of the tibia by minimally invasive access through the calcaneus, through an incision in the bottom of the foot. The prosthesis makes possible the installation of a total ankle system using minimally invasive anterior access to the ankle joint for making bony cuts and to install prosthesis components.

Abstract: A modular spacer device for a knee joint includes a tibial element adapted to be constrained to an end of the tibial bone and a femoral element adapted to be constrained to an end of the femoral bone and to be articulated on the tibial element. The tibial element has first and second surfaces opposite to each other, and the femoral element has first surface and second surfaces opposite to each other. The first surface of the femoral element is convex and laterally has a curved, ammonite-shaped contour with a curvature radius that increases starting from a rear section with a curvature radius R1, a first central section having a curvature radius R2, a second central section having a curvature radius R3, and a front section having a curvature radius R4, with R1?R2?R3?R4.

Abstract: An acetabular cage or device (100) is disclosed. In one embodiment, the acetabular cage includes a cup portion (110) configured for implantation in an acetabulum and a flange (120) extending from the cup portion. The flange including a first, bone contacting surface (126) configured to face bony tissue surrounding the acetabulum when the cup portion is implanted into the acetabulum and a second, top surface (127) opposite the first surface. The flange includes a flexible portion (130) and a fixation portion (122), the fixation portion including one or more fixation features (124) configured to facilitate fixation of the flange to the bony tissue surrounding the acetabulum. The flexible portion is arranged and configured to enable the flange, and hence the fixation portion, to move relative to the cup portion to facilitate placement of the flange relative to the bony tissue.

Abstract: Disclosed are orthopedic implant kits. One disclosed kit comprises an implant having a joint head portion, the joint head portion having a generally convex distal surface and generally concave proximal surface, the implant comprising a post portion protruding proximally from the proximal surface, the post portion having a dorsal surface and a ventral surface (which is a plantar surface in the case of a metatarsal bone) and including a first threaded aperture extending therebetween, and a bone screw. The bone screw has a threaded shaft complementary to the threaded surface of the post portion and preferably is configured to provide bicortical fixation of the implant.

Abstract: The invention relates to a connecting sleeve for anchoring shafts of two oppositely arranged prostheses, preferably on an elongate bone such as a femur or humerus. The reinforcing sleeve comprises two receiving bushes (1, 2) for one prosthesis shaft each and comprises a separable coupling region (3) arranged therebetween for connection in such a manner as to resist shear forces and rotation. According to the invention, each receiving bush (1, 2) has, on the side thereof facing the coupling region, one fork (31, 32) of a pair of forks that interact with each other, and a fitting block (4) is arranged on a base of the fork, the lateral surfaces (44) of which fitting block have a distance that corresponds to an inner width of the fork, and the lateral surfaces (44) are designed to contact flanks of the fork in a planar manner, at least one fastening screw (5) being arranged transversely through the fork. The fork connection is simpler to produce than the known wedge connection and yet is sufficiently robust.