Abstract: A resurfacing type of total knee prosthesis is disclosed which also provides a posterior stabilization function over the entire range of flexion. The knee prosthesis provides primary or supplementary posterior stabilization of the reconstructed knee joint by means of a unique mechanical cam/follower mechanism, which is integrated within the medial and lateral distal condyles of the femoral component to provide functional compensation for lost, resected or incompetent posterior cruciate ligaments or to work in conjunction with surgically retained viable or questionably viable cruciate ligament structures of the reconstructed knee joint. The invention extends to prostheses including a hinge connection that defines a posterior stabilization construction separate from that defined by the condyles. One embodiment of the invention extends individually to the posterior stabilizing hinge assembly.

Abstract: A resurfacing type of total knee prosthesis is disclosed which also provides a posterior stabilization function over the entire range of flexion. The knee prosthesis provides primary or supplementary posterior stabilization of the reconstructed knee joint by means of a unique mechanical cam/follower mechanism, which is integrated within the medial and lateral distal condyles of the femoral component to provide functional compensation for lost, resected or incompetent posterior cruciate ligaments or to work in conjunction with surgically retained viable or questionably viable cruciate ligament structures of the reconstructed knee joint. The invention extends to prostheses including a hinge means that defines a posterior stabilization means separate from that defined by the condyles. One embodiment of the invention extends individually to the posterior stabilizing hinge means.

Abstract: A posterior stabilized knee prosthesis includes a femoral component formed by medial and lateral condyles, each having an anterior portion, a distal portion and a posterior portion, an anterior patella flange interconnecting the anterior portions of the medial and lateral condyles in parallel, spaced apart relation, and a cam member connected to the lateral surface of the posterior portion of the medial condyle and to the medial surface of the posterior portion of the lateral condyle and having a convex cam surface; a tibial component including a multi-radius medial and lateral tibial plateau bearing surfaces for receiving the medial and lateral condyles for rolling and sliding movement thereon, and a follower member positioned between the medial and lateral tibial plateau bearing surfaces for receiving the cam surface for rotational and sliding movement thereon; the cam surface being in contact with the follower member for substantially the entire flexion range of the knee, with the cam surface being in cong

Abstract: An implantable prosthetic hip joint includes an acetabular shell component for securing the prosthetic joint within the acetabulum socket of a biological hip bone, and including an inner spherical surface, an open circumferential end and a plurality of apertures extending therethrough at the open circumferential end; an annular wedge retaining ring positioned within the acetabular shell component, the ring including a plurality of counter-sunk apertures therein in alignment with the apertures extending through the acetabular shell component; a hemispherical asymmetric socket insert in the acetabular shell component and including an outer spherical dome engaging the inner spherical surface of the acetabular shell component, an open circumferential end having an asymmetric lip thereat and an inner spherical surface, the outer spherical dome including a tapered surface for engagement with the wedge retaining ring; a femoral component having a femoral stem connected with the femur of a person and a femoral head c

Abstract: A system of three femoral components with the same distal diameter, for a hip joint prosthesis, includes an intramedullary stem for each femoral component, each stem having a distal end, a proximal end, a lateral side extending between the distal and proximal ends, and a medial side extending between the distal and proximal ends opposite to the lateral side, the medial side at a proximal portion of the stem having a concave curvature; a neck mounted to the proximal end of each stem; a femoral ball component mounted at the proximal end of each neck, each femoral ball component having an articular center; the medial sides at the proximal portions of all of the stems substantially being in exact alignment only when the intramedullary stems are offset in the lengthwise direction from each other, thereby permitting a consistent fit within a given femur and achieving different positions of the articular centers of the femoral ball components, since the medial sides at the proximal ends of all of the stems are given

Abstract: An implantable prosthetic hip joint includes an acetabular shell component for securing the prosthetic joint within the acetabulum socket of a biological hip bone, and including an inner spherical surface, an open circumferential end and a plurality of apertures extending therethrough at the open circumferential end; an annular wedge retaining ring positioned within the acetabular shell component, the ring including a plurality of counter-sunk apertures therein in alignment with the apertures extending through the acetabular shell component; a hemispherical asymmetric socket insert in the acetabular shell component and including an outer spherical dome engaging the inner spherical surface of the acetabular shell component, an open circumferential end having an asymmetric lip thereat and an inner spherical surface, the outer spherical dome including a tapered surface for engagement with the wedge retaining ring; a femoral component having a femoral stem connected with the femur of a person and a femoral head c

Abstract: An implantable prosthetic hip joint includes a spherical acetabular shell articulating within the acetabulum socket of a pelvis and including a spherical shell portion defining an inner spherical surface, and a skirt portion extending downwardly therefrom; a femoral head including a femoral head and a stem secured to the femur of the person; a hemispherical bearing insert mounted in the spherical shell portion for receiving the femoral head for ball-and-socket movement therein; a retractable split annular rim positioned below the bearing insert and including a central opening which permits passage of the femoral head therethrough, and an inner ring surface, the rim including concentric threads along the outer surface thereof which releasably mate with concentric threads along the inner surface of the skirt portion to secure the rim in a first position spaced from the bearing insert and a second position at least substantially in contact with the bearing insert, with an annular recess being defined between the

Abstract: A prosthetic knee joint is provided having an extended position, an intermediate position, and a flexed position. The motion of the joint includes a minor segment from the extended position to the intermediate position, and a major segment from the intermediate position to the flexed position. The center of pressure between the femoral component and the tibial component moves rearward on the tibia during the minor segment. During the major segment, the joint flexes about an axis of rotation with the bearing surfaces on the femoral and tibial components being in congruent engagement. The distal surface of the femoral component includes two rails for engagement with a patellar prosthesis. The contour of the rails is either a straight line or a concave curve to provide line contact between the rails and the patellar prosthesis.

Abstract: A prosthetic knee joint is provided having an extended position, an intermediate position, and a flexed position. The motion of the joint includes a minor segment from the extended position to the intermediate position, and a major segment from the intermediate position to the flexed position. The center of pressure between the femoral component and the tibial component moves rearward on the tibia during the minor segment. During the major segment, the joint flexes about an axis of rotation with the bearing surfaces on the femoral and tibial components being in congruent engagement. The distal surface of the femoral component includes two rails for engagement with a patellar prosthesis. The contour of the rails is either a straight line or a concave curve to provide line contact between the rails and the patellar prosthesis.

Abstract: An acetabular cup assembly includes a metal shell component and a plastic bearing insert capable of assembly interoperatively, the metal shell component first being secured in position within an acetabulum and then the plastic bearing insert being receivable within the shell component, first at a preliminary axial position for ascertainment of the circumferential position of the bearing insert and the orientation of the bearing face of the bearing insert relative to the shell component and then at a fully-seated axial position wherein the bearing insert is permanently captured in the shell component, the bearing insert being readily withdrawn from the preliminary axial position for circumferential repositioning to attain appropriate orientation of the bearing face prior to capturing the bearing insert within the shell component.

Abstract: A patellar flange for a knee joint prosthesis comprising a curved base and a pair of condylar runners, one of said condylar runners being attached to each lateral side of the base and extending outwardly anteriorly therefrom diverging from each other and converging to the base superiorly and a femoral knee joint prosthesis containing the flange.

Abstract: A combination of tools and methods used to prepare a socket in a femur for receiving a femoral prosthesis including a rasp having a cutting portion and a pilot post portion, a handle assembly with a chuck for releasably engaging the pilot post portion to facilitate working the rasp into a femur, and a cutter device adapted to be journaled on the pilot post and power driven to surface the calcar adjacent the socket. After a socket is formed in the femur by use of a rasp and handle assembly, the rasp is left in the socket, the handle assembly is removed, and the cutter is journaled over the pilot post and rotated by a drive apparatus.

Abstract: A hip fracture nail device includes a telescopic nail for fixing the broken hip joint portions of the femur together and a retaining plate to which the nail is angularly secured in longitudinal sliding relationship at an angle of approximately 150.degree. by a slanted bushing. The retaining plate has strong triangular prongs which engage within corresponding grooves in the sides of the bushing, which facilitate retention, removal, and sliding adjustment between them. The retaining plate is affixed to the shaft of the femur by a row of bone screws. The nail is manipulated by a tool connected to the inner end of the nail inserted through an aperture in the retaining plate. The nail is maintained at an adjusted distance from the bushing and plate by frictional engagement of a C-shaped retaining spring disposed between the outer wall of the nail and the inner wall of the bushing.

Abstract: A polished spherical head is connected to a proximally curved longitudinally tapered stem by a neck and collar. The overall length is about 6 inches or 150 mm. with the stem being approximately 41/2 inches or 115 mm. long. The stem has substantially flattened ellipsoidal cross section tapering from a relatively high curved proximal portion to a smooth junction with the distal portion which more gradually tapers in height to a rounded end. The thickness of the stem tapers uniformly from the proximal to distal end. One or more shallow teardrop-shaped depressions are disposed in the flat sides of the curved proximal portion of the stem with their bases disposed substantially parallel to each other at a distance apart which smoothly merges into a junction with the outsides of the distal portion.