Abstract: A patellofemoral implant arrangement for repairing damage in a patellofemoral articulation of a patient is provided. The patellofemoral implant arrangement includes a femoral trochlear implant, including an articulating surface, and a patellar implant, configured to be inserted, for example with press-fit, into a recess in a patella in such a way that the perimeter of an articulating surface of the patellar implant does not extend beyond a surrounding articulating surface of the patella. The articulating surfaces of the femoral trochlear implant and the patellar implant are designed to allow that they at least partly interact with each other when the implants are implanted into the knee joint and the patella lies in the intercondylar groove of the femur. The articulating surface of the patellar implant may be designed to correspond to the curvature of a simulated healthy articulating surface of the undamaged patella at the site of diseased cartilage.

Abstract: An implant adapted to be attached to an implant receiving surface in a joint of a patient is provided. The implant includes a bone contacting surface, and at least one implant peg extending from the bone contacting surface, wherein both the bone contacting surface and a part of a surface area of the implant peg includes an osseointegrating structure, such as e.g. a lattice structure or a random lattice structure.

Abstract: A system for customizing an implant is provided. The system includes a processor configured to: i) obtain one or more medical image stacks of a joint; ii) obtain a three-dimensional image representation of the joint based on at least one of said medical image stacks; iii) determine damage to the joint by analyzing said medical image stacks; iv) select an implant template from a predefined set of implant templates having predetermined types and sizes; v) generate a 3D model, in which the marked damage is visualized together with the selected implant template in a proposed position; vi) display the 3D model; vii) receive an approval for said selected implant template in said proposed position; and viii) determine the final shape and dimensions of a customized implant based on said selected implant template and said proposed position.

Abstract: A system for customizing an implant is provided. The system includes a processor configured to: i) obtain one or more medical image stacks of a joint; ii) obtain a three-dimensional image representation of the joint based on at least one of said medical image stacks; iii) determine damage to the joint by analyzing said medical image stacks; iv) select an implant template from a predefined set of implant templates having predetermined types and sizes; v) generate a 3D model, in which the marked damage is visualized together with the selected implant template in a proposed position; vi) display the 3D model; vii) receive an approval for said selected implant template in said proposed position; and viii) determine the final shape and dimensions of a customized implant based on said selected implant template and said proposed position.

Abstract: A system 100 or designing a surgical kit 700 for articulating surface repair in an anatomical joint of a patient is provided, which comprises at least one processor 120 configured to: determine damage to the anatomical joint; select, from a predefined set of implants having varying dimensions, the implant 300 that is the best fit for repairing the determined damage; select, from a predefined set of insert tools, the insert tool 720 corresponding to the selected implant 300; and design a contact surface 540 of a guide tool 500 to have a shape and contour that is designed to correspond to and to fit the contour of a predetermined area. This enables the use of standardized implants 300 that can be manufactured batch-wise, while still using an individualized guide tool 500 to ensure correct positioning of the implant 300. This helps ensuring that the implant will be positioned in the exact location of the determined damage.

Abstract: In accordance with one or more embodiments herein, a system 100 for customizing an implant is provided. The system 100 comprises a processor configured to: i) obtain one or more medical image stacks of a joint; ii) obtain a three-dimensional image representation of the joint based on at least one of said medical image stacks; iii) determine damage to the joint by analyzing said medical image stacks; iv) select an implant template from a predefined set of implant templates having predetermined types and sizes; v) generate a 3D model, in which the marked damage is visualized together with the selected implant template in a proposed position; vi) display the 3D model; vii) receive an approval for said selected implant template in said proposed position; and viii) determine the final shape and dimensions of a customized implant based on said selected implant template and said proposed position.

Abstract: In accordance with one or more embodiments herein, a patellofemoral implant arrangement 200 for repairing damage in a patellofemoral articulation of a patient is provided. The patellofemoral implant arrangement 200 comprises a femoral trochlear implant 250, comprising an articulating surface 255, and a patellar implant 300, configured to be inserted, preferably with press-fit, into a recess 620 in a patella 600 in such a way that the perimeter of an articulating surface 310 of the patellar implant 300 does not extend beyond a surrounding articulating surface of the patella 600. The articulating surfaces 255, 310 of the femoral trochlear implant 250 and the patellar implant 300 are designed to allow that they at least partly interact with each other when the implants 250, 300 are implanted into the knee joint and the patella 600 lies in the intercondylar groove of the femur.

Abstract: A medical implant for cartilage and/or bone repair at an articulating surface of a joint is provided. The implant includes a contoured implant body and at least one extending post. The implant body has an articulating surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the articulating and bone contact surfaces face mutually opposite directions and the bone contact surface is provided with the extending post. A cartilage contact surface connects the articulating and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The articulating surface has a layer that is formed of titanium nitride (TiN) as the wear-resistant material. The cartilage contact surface has a coating that is formed of a material having chondrointegration properties.

Abstract: The present invention relates to a medical implant for cartilage and/or bone repair at an articulating surface of a joint. The implant comprises a contoured implant body and at least one extending post. The implant body has an articulating surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the said articulating and bone contact surfaces face mutually opposite directions and said bone contact surface is provided with the extending post. A cartilage contact surface connects the articulating and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The articulating surface has a layer that consists of titanium nitride (TiN) as the wear-resistant material. The cartilage contact surface has a coating that substantially consists of a material having chondrointegration properties.

Abstract: In accordance with one or more embodiments herein, a system 100 for customizing an implant is provided. The system 100 comprises a processor configured to: i) obtain one or more medical image stacks of a joint; ii) obtain a three-dimensional image representation of the joint based on at least one of said medical image stacks; iii) determine damage to the joint by analyzing said medical image stacks; iv) select an implant template from a predefined set of implant templates having predetermined types and sizes; v) generate a 3D model, in which the marked damage is visualized together with the selected implant template in a proposed position; vi) display the 3D model; vii) receive an approval for said selected implant template in said proposed position; and viii) determine the final shape and dimensions of a customized implant based on said selected implant template and said proposed position.

Abstract: The present invention relates to a surgical kit, a saw guide and other related tools used in the osteotomy for temporary removal of a piece of a first bone structure to gain temporary access for treatment of defects of a second bone structure, as well as methods for designing and manufacturing said tools.

Abstract: The present invention relates to a medical implant for cartilage and/or bone repair at an articulating surface of a joint. The implant comprises a contoured implant body and at least one extending post. The implant body has an articulating surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the said articulating and bone contact surfaces face mutually opposite directions and said bone contact surface is provided with the extending post. A cartilage contact surface connects the articulating and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The articulating surface has a layer that consists of titanium nitride (TiN) as the wear-resistant material. The cartilage contact surface has a coating that substantially consists of a material having chondrointegration properties.

Abstract: A system for performing osteochondral transplantation surgery includes a harvesting guide tool for harvesting one or more osteochondral plugs and a transfer guide tool for insertion of each osteochondral plug in a damage site on an articular surface of a joint. A cartilage contact surface of each respective guide tool is adapted to follow the shape of a surface of cartilage or subchondral bone such that they conform to each other. Each respective guide tool includes one or more guide channels adapted to receive a respective surgical tool that slides within the guide channel, and is supported by the guide channel during surgery. The guide channels are configured to harvest and insert a plurality of osteochondral plugs of different sizes. The interiors of the guide channels are provided with markings for marking a rotational position of harvested plugs enabling positioning of the osteochondral plugs at a predetermined angle of rotation.

Abstract: A surgical kit suitable for repair of articular surfaces in the talocrural joint, includes: a surgical implant having a cap with an outer surface conforming to a talus dome surface and an inner surface having a central implant anchoring peg extending perpendicularly from said inner surface, a hollow tubular shell suitable for correct pre-drilling for implantation of the surgical joint implant in the dome of the talus, and a saw guide conforming and fixable to the lower portion of the tibia and providing saw guide surfaces in at least one plane, suitable for osteotomy of a lower portion of a tibia to expose the dome of the talus.

Abstract: A medical implant for cartilage and/or bone repair at an articulating surface of a joint includes a contoured implant body and at least one extending post. The implant body has an articulating surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the articulating and bone contact surfaces face mutually opposite directions and the bone contact surface is provided with the extending post. A cartilage contact surface connects the articulating and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The articulating surface has a layer that is a wear-resistant material. The cartilage contact surface has a coating that is a bioactive material.

Abstract: A system for performing osteochondral transplantation surgery includes a harvesting guide tool for harvesting one or more osteochondral plugs and a transfer guide tool for insertion of each osteochondral plug in a damage site on an articular surface of a joint. A cartilage contact surface of each respective guide tool is adapted to follow the shape of a surface of cartilage or subchondral bone such that they conform to each other. Each respective guide tool includes one or more guide channels adapted to receive a respective surgical tool that slides within the guide channel, and is supported by the guide channel during surgery. The guide channels are configured to harvest and insert a plurality of osteochondral plugs of different sizes. The interiors of the guide channels are provided with markings for marking a rotational position of harvested plugs enabling positioning of the osteochondral plugs at a predetermined angle of rotation.

Abstract: The present invention relates to a surgical kit, a saw guide and other related tools used in the osteotomy for temporary removal of a piece of a first bone structure to gain temporary access for treatment of defects of a second bone structure, as well as methods for designing and manufacturing said tools

Abstract: A surgical kit suitable for repair of articular surfaces in the talocrural joint, includes: a surgical implant having a cap with an outer surface conforming to a talus dome surface and an inner surface having a central implant anchoring peg extending perpendicularly from said inner surface, a hollow tubular shell suitable for correct pre-drilling for implantation of the surgical joint implant in the dome of the talus, and a saw guide conforming and fixable to the lower portion of the tibia and providing saw guide surfaces in at least one plane, suitable for osteotomy of a lower portion of a tibia to expose the dome of the talus.

Abstract: The invention concerns a method for manufacturing a ceramic material with pseudo-isotropic microstructure. The method for tailoring the microstructure for manufacturing of sintered ceramic components involves a spark plasma sintering (SPS) process. By performing the SPS process in at least two steps it is possible to separate densification from grain growth. An initial sintering step at a first temperature and a first pressure, followed by a controlled grain growth step at a higher temperature and lower pressure makes it possible to manufacture ceramic components with controlled microstructure and improved mechanical properties.

Abstract: The invention concerns a sintered ceramic component of silicon nitride or sialon suitable as rolling element in a bearing and a manufacturing method for making such ceramic components. The ceramic component has high density and a homogeneous and fine microstructure, giving the component excellent mechanical properties. Manufacturing of the sintered ceramic component by SPS is cost-effective and rapid.