Abstract: A transcutaneous prosthetic device having at least one soft tissue fixture adapted to be fixed to the musculo-tendinous soft tissues of a residual limb, an anchor for an external prosthesis that is fixedly coupled, directly or indirectly, to the bone of the residual limb and at least one transmission means, at least part of the transmission means being housed within a body. The transmission means allowing transmission of one or more signals between the soft tissue fixture and an external prosthesis. The transmission means may comprises a connecting means connecting the soft tissue fixture and an external prosthesis. The connecting means may comprise a mechanical or an electrical connector. The connecting means may comprise a sealed connection within the transcutaneous component, to provide an effective barrier between the internal and external environments.

Abstract: A transcutaneous prosthesis includes a first component configured for attachment to a bone, the first component including flutes or grooves on a surface thereof for deterring rotation of the prosthesis within a bone; a second component adapted for location between the bone and the skin, the second component having a surface treatment for stimulation of fibroblastic cell proliferation and attachment of epithelial cells; and a third component adapted for location to extend from the skin surface and is adapted to extend directly from the skin surface in use, the third component having a coating of a non-stick material on an outer surface thereof, the coating having a surface energy that is lower than a surface energy of the first and second components and which is low enough to deter bacterial adhesion.

Abstract: A surgical implant comprises a core region and a porous surface region extending over at least part of the core region. The surface region has a predetermined pore volume fraction. A method of manufacturing a surgical implant comprises: (i) loading metallic powder having a predetermined particle size distribution around a pre-formed core in a sealable capsule; (ii) reducing pressure within the capsule to a predetermined pressure below atmospheric pressure; (iii) pressurising the capsule with a process gas to a predetermined pressure higher than the predetermined pressure of step (ii); (iv) sealing the capsule; (v) heating the pressurised sealed capsule at an elevated temperature and an elevated pressure for a predetermined time to produce an implant precursor; (vi) cooling the sealed capsule, and; (vii) heating the implant precursor for a predetermined time at an elevated temperature and a predetermined pressure below atmospheric pressure, whereby to generate porosity in the implant precursor.

Abstract: A transcutaneous prosthesis includes a first component shaped for implantation into a bone, the first component including flutes or grooves on a surface thereof for deterring rotation of the prosthesis within a bone; a second component adapted for location between the bone and the skin, the second component having a surface treatment for stimulation of fibroblastic cell proliferation and attachment of epithelial cells; and a third component adapted for location to extend from the skin surface and is adapted to extend directly from the skin surface in use, the third component having a coating of a non-stick material on an outer surface thereof, the coating having a surface energy that is lower than a surface energy of the first and second components and which is low enough to deter bacterial adhesion.

Abstract: The present invention concerns apparatus and methods for hip refurbishment/replacement and in one aspect provides a kit comprising a femoral head and reamer. The present invention also provides apparatus and methods for minimally invasive surgery on a hip or similar (eg shoulder) joint. The kit is suited for performing a hip hemiarthroplasty, in which a femoral head is fitted directly into a socket reamed into the acetabular without any permanent liner or prosthetic acetabular being implanted. The reamer is used to ream out the acetabulum until cancellous bone is exposed so that it bleeds liquid containing stem cells. By selecting the size of the femoral head in accordance with the characteristics of the patient, the pressure imposed on the liquid/synovial fluid of the joint is in the range between 0.5 and 2 MPa This causes the stem cells to produce new cartilage between the bone and femoral head.

Abstract: A method of treating a natural soft skeletal tissue injury in a patient the method comprising administering to the patient a composition of mesenchymal stem cells in liquid suspension enriched compared to the natural source of said cells, or tenocytes derived therefrom. The method is particularly suited to the regeneration of tendons in competitive mammals, such as the superficial digital flexor tendon of the horse.

Abstract: A transcutaneous prosthesis is disclosed comprising a first component (1) shaped for implantation into a bone (2), a second component (4) intended for location between the bone (2) and the skin, and a third component (5) intended for location exterior to the skin surface, having a low surface energy which deters bacterial adhesion. The second component (4) may carry an adhesion-promoting protein.

Abstract: A prosthesis includes a body portion adapted to engage a bone. A rod is adapted to pass through the bone. A fixing element includes a bone engaging plate and a locking piece which engages the rod and is adapted to articulate with the bone engaging plate.

Abstract: A surgical distraction device is provided for applying extending or tensioning force non-invasively to a patient's skeleton or to an implant which comprises anchoring means for attaching first and second components of the device to a bone or to adjoining bones, said components being connected by a linkage of an extendible length, a magnet connected to the linkage via a reduction gearbox and actuating means located externally of the patient for generating a moving or varying electro-magnetic field, thereby causing the magnet to rotate and the linkage to be extended.

Abstract: A surgical implant comprises a core region and a porous surface region extending over at least a part of said core region. The porous surface region has a predetermined pore volume fraction.

Abstract: A method for growing tissue in vitro includes the steps of: (i) providing a deformable substrate which is seeded with tissue-forming cells and which defines at least one flow channel containing a fluid culture medium; (ii) applying, substantially parallel to the flow channel, a cyclically varying load to the substrate, which load deforms the substrate to provide mechanical cueing for the cells; and (iii) inhibiting the flow of culture medium in one direction of the flow channel so that the deformation of the substrate causes a net flow of the culture medium along the flow channel in the opposing direction, thereby refreshing the culture medium in the flow channel.

Abstract: A surgical distraction device is provided for applying extending or tensioning force non-invasively to a patient's skeleton or to an implant which comprises anchoring means for attaching first and second components of the device to a bone or to adjoining bones, said components being connected by a linkage of an extendible length, a magnet connected to the linkage via a reduction gearbox and actuating means located externally of the patient for generating a moving or varying electro-magnetic field, thereby causing the magnet to rotate and the linkage to be extended.

Abstract: A transcutaneous prosthesis is disclosed comprising a first component (1) shaped for implantation into a bone (2), a second component (4) intended for location between the bone (2) and the skin, and a third component (5) intended for location exterior to the skin surface, having a low surface energy which deters bacterial adhesion. The second component (4) may carry an adhesion-promoting protein.

Abstract: A prosthetic joint for replacing a natural joint in a body includes a first prosthetic component of the prosthetic joint which, when implanted into a first resected bone of the natural joint has a junction between the implanted component and the bone. The joint further includes a second prosthetic component of the prosthetic joint which, when implanted into an adjacent resected bone of the natural joint, articulates with the first component. A microporous membrane surrounds the first prosthetic component and is secured to the first prosthetic component and, when implanted in a body, is secured to bone surrounding said first prosthetic component, thereby sealing the junction against ingress of particles, but permitting liquids to pass through said membrane without restricting articulation of the joint.

Abstract: A method of fitting orthopaedic prostheses is disclosed in which a semi-permeable microporous membrane is fitted over an implanted prosthesis so as to cover the junction between the prosthesis and the bone. In this way, particles generated by mechanical wear of the prosthesis are excluded. Such particles are believed to inhibit bone regeneration in the region of the prosthesis. In addition, by preventing the ingress of fibrous connective tissue cells, a secondary seal of new bone will form between the membrane and the original bone.