Abstract: Orthopedic bone cements of low porosity, prepared by mixing together at least two liquid components under conditions that allow only minimal exposure to air, are disclosed. In a preferred system, each liquid component consists essentially of a solution of a linear (non-crosslinked) polymer or copolymer of methyl methacrylate (PMMA) dissolved in a non-crosslinking methyl methacrylate (MMA) monomer, with one such solution also containing an activator and a polymerization inhibitor and a second solution containing an initiator as well as a polymerization inhibitor. No reinforcing fillers are present, although a small amount (no more than 12% by weight of the total cement composition) of a radiopacifier may be included in the composition.

Abstract: Self-reinforced composites of amorphous thermoplastic materials such as poly(methylmethacrylate), polycarbonate and polysulfone are made by melt-extruding and simultaneously drawing and cooling the material to produce fibers with longitudinally-oriented molecular chains, then arranging the fibers in a preform, such as a mat, rod, plate or other useful shape, in which adjacent fibers are in contact with each other, and thereafter heating the preform with fiber constraint to a temperature above the glass transition temperature and below the degradation temperature of the thermoplastic, and applying pressure, to soften and fuse together the outer surfaces of the fibers without completely eliminating the longitudinal orientation of the molecules within the fibers. Where the amorphous thermoplastic is poly(methylmethacrylate), the preform may be wrapped about the bone-implantable element of a joint prosthesis to provide a high-strength integrated mantle of connected, contracted, and oriented fibers.

Abstract: An orthopedic implant, such as the bone-implantable portion of a joint prosthesis, in which a rigid stem is dimensioned to be received in the intramedullary canal of a bone, and in which the stem has at least a portion of its length encased in a preformed mantle consisting of a self-reinforced poly(methylmethacrylate) fiber composition where the fibers are oriented in predetermined directions with respect to the axis of the stem, are of a diameter within the range of about 5 to 500 microns (.mu.m), and have aligned molecular chains that provide such fibers with longitudinal heat relaxation ratios of no less than about 6 to 1 is disclosed. Also disclosed are the methods for making such an implant and for securing it in an intramedullary canal.

Abstract: An apparatus for mixing bone cement and containing the mixed bone cement preparatory to dispensing. The mixing chamber has an outlet for the mixed cement. A cartridge has an inlet releasably coupled to the outlet of the mixing chamber for receiving mixed bone cement therefrom. Structure is provided for moving cement from an upper region of the mixing chamber down into a lower region thereof to mix same and for moving such mixed cement off an inner surface of the mixing chamber and into the cartridge.

Abstract: A combination mixing and reacting device for mixing cement used in orthopedic procedures capable of operating under partial vacuum conditions in order to permit the simultaneous deaeration and blending of cement components to produce a fully mixed porosity free cement mixture. The device includes a mixing vessel and a reinforced evacuable housing as well as an improved mixing paddle design operable from outside the device that efficiently and appropriately allows this mixing and deaeration to continue.

Abstract: A force-controlled periodontal probe is disclosed, the probe having a scale-marked shaft slidably carried by an alignment sleeve at the head end of the instrument and urged into a normally extended condition by a thin leaf spring. Measurements of gingival sulcus depths are taken when the force applied by the periodontist to the handle of the instrument and the resistance to further penetration by the tip portion of the shaft have caused the shaft to shift into an indicated displaced position. In that position the spring exerts a predetermined and accurately reproducible probing force.