Abstract: A cup for a hip replacement is disposed in a first relationship in an operating room with an object providing a sighting for the cup rotation in a first plane. The cup is thereafter rotated in the first plane through a first angle (e.g., 20°-30°). The cup is then disposed in a planar relationship in the operating room with another object providing a sighting for the cup rotation in a second plane transverse (e.g. perpendicular) to the first plane. The cup is subsequently rotated through a second angle (e.g. 40°-45°) in the second plane. In this way, the cup is properly positioned in the acetabulum socket. The length of the leg receiving the hip rotation is then adjusted so that the leg length matches the length of the patient's other leg. This adjustment is provided without affecting the offset position of the center of the ball on the femur.

Abstract: An instrument for guide pin placement in a femoral head and neck of a patient, the instrument having a reference pin guide member and a retrograde pin guide member adjustably attached to the reference pin guide member. The reference guide pin member has a bore configured for use in positioning and guiding an external reference pin. The retrograde pin guide member has a plurality of retrograde pin bores for use in positioning and guiding a retrograde reference pin into the femoral neck and head of the patient using a retrograde approach. If an initial retrograde reference pin is not positioned properly, one of the plurality of retrograde pin bores is used to insert another retrograde reference pin in a more desirable position using a retrograde approach.

Abstract: A retractor configured for anchorage to the acetabular area of the hip bone via a bendable pin, such that the bent pin retains the retractor in a selected position. The retractor includes a site anchor portion, with a spacer portion extending upward from a leading end of the site anchor portion. At least one retainer track is affixed to the spacer portion, the track being configured to closely receive the bendable pin. The leading end of the site anchor portion is preferably angled and serrated. The site anchor portion preferably has a curved configuration for use in resting the leading end of the site anchor portion substantially along an outer portion of a rim of the acetabulum. The retractor may be provided with an extension portion. The extension portion is preferably angled and serrated.

Abstract: A short main incision and portal incisions at portal positions strategically displaced from the main incision are provided in a patient's hip. One portal incision (acetabular portal) provides for a disposition of reamers in the patient's acetabulum to shape the acetabulum. A cannula is inserted through the portal incision to the acetabulum and the successive reamers of progressive size are inserted into the acetabulum through the main incision to progressively size and shape the acetabulum. An approximately hemispherical acetabular component is then disposed in the prepared acetabulum to provide for hip rotation relative to the femoral component. The other portal incision (femoral portal) provides for insertion into the patient's hip of a member for driving the femoral stem into a cavity in the patient's femur. The provision of the short main incision and the portal incision minimizes the patient's loss of blood, tissue trauma, length of operating time and patient recovery time.

Abstract: The invention is directed to an instrument for use in minimally invasive hip surgery. In particular, the instrument is useful for both alignment and insertion/impaction of an acetabular shell. Furthermore, the instrument is suitable for assuring the shell is impacted with the proper abduction and version in left or right hips.

Abstract: This invention is generally directed to hip surgery (total hip arthroplasty or THA). The invention is more specifically directed to primary THA using autograft in the form of the patient's native and existing cancellous bone as a packing material for the intramedullary canal. This provides for many advantages, including, in the case where the patient later needs a revision surgery, the doctor has more bone to work with and there is less risk of complications.

Abstract: A prosthetic stem inserter device includes an elongate rod member having a handle portion and an elongate rod member having a distal portion which has a plurality of surface features formed thereon which define a series of predetermined stem insertion depths. The device further includes a depth guide member having a proximal portion removably and replaceably engageable with the surface features on the elongate rod member. A distal, bone engaging portion of the depth guide member protrudes beyond a distal end of the elongate rod member. The depth guide member includes a mounting plate having a substantially hemispherical opening slot therein and a pair of distally extending prong elements. Each prong element has a first, longitudinally extending portion and a second portion that is angled with respect to the first portion. The second portion is adapted for contacting a plane of calcar bone in a prepared femoral cavity when a femoral stem is inserted into the cavity.