Abstract: An acetabular cup prosthesis designed to customize the fit and stability of an acetabular cup in deficient acetabulae without excessive reaming of good bone surrounding the deficiency. The acetabular cup prosthesis generally comprises a cup-shaped body portion, an extension, and a liner. The extension is preferably produced at selected angles, which are appropriate to various acetabular defects, and is designed to connect to the cup-shaped body portion. The body portion and extension are secured to the bone and the liner is inserted within the body portion. Those surfaces of the body portion and extension contacting the surface of the bone are preferably porous surfaces that may have also been coated with a coating to enhance bone growth.

Abstract: The present invention is an intramedullary nail (IM nail) device suitable for implanting within a medullary canal of a fractured long bone and subsequently interlocking the IM nail at least once to the cortical bone of the long bone. The IM nail includes a hollow center and at least a proximal opening into the hollow center and an optional distal tip opening. The IM nail is initially manufactured without any holes, channels, or the like, for the alignment and passage of screws or similar devices suitable for interlocking the IM nail with the long bone. The IM nail includes a material suitably adapted for providing post implanting drilling there through and interlocking with the long bone using these post implantation holes. The present invention makes use of removable and expandable first and optional second sealing plugs in operable sealing contact within the hollow center. The present invention also includes a cylindrical sleeve having a hollow bore open at both ends on a longitudinal axis.

Abstract: The invention provides surgical resection instruments, and methods of use, for facilitating accurately cut surfaces for the placement of femoral prosthesis components. The posterior condyles and anterior femoral cortex provide reference points for measurement and cuts of the femur with these instruments. One embodiment of the femoral resection instrument provides for precise anterior cuts of the femur appropriate for one of several sizes of prosthesis components without the need for separate cutting guides. Another embodiment provides for shifting the cutting location of both the posterior and anterior cuts by a portion of the distance between sizes of the prosthesis components while maintaining the reference position relative to the posterior part of the condyles and corresponding intercondylar notch. A third embodiment has an adjustable paddle so that the femoral resection instrument can be adjusted to the correct orientation when the femoral condyles are worn unequally.

Abstract: A method of preparing an intramedullary canal of a bone for joint arthroplasty including drilling a hole into the intramedullary cavity of a bone and inserting a centering rod longitudinally into the intramedullary canal of the bone. The rod is inserted to align the rod along the longitudinal axis of the bone. Osteotomizing the articulating surface of the bone and preparing the intramedullary canal of the bone to receive a prosthesis. The preparation including placing cannulated instruments in a telescoping manner over the centering rod and into the intramedullary cavity to create a canal suitable for receiving a bone prosthesis. The cannulated instrumentation includes a cannulated tamp, a cannulated osteotomy guide, a cannulated reamer, a cannulated box chisel, and a cannulated broach. The instrumentation is also disclosed.

Abstract: An adjustable trial prosthesis or prosthetic component provides a surgeon with the capability of efficiently and accurately examining a joint's functioning without having to remove a trial prosthesis insert and replace it with another sterilized insert. The adjustable trial has a first surface that approximates the top surface of the corresponding permanent prosthesis and a second surface that engages a bone. A distance adjustment mechanism can alter the distance between the first and second surfaces. The distance adjustment mechanism can include a screw oriented generally between the two surfaces or other distance adjustment mechanisms such as a fluid filled bladder. The adjustable trial can include force transducers to provide information on forces within the joint. To assist a surgeon with the alignment of portions of the musculo-skeletal system, a line of strong light is provided. The light source can be a laser or other suitable light source which is combined with appropriate optics.

Abstract: The present invention includes a cannulated hip stem prosthesis for implantation in a living femur. The cannulated prosthesis terminates in a flexible distal portion. The cannulated prosthesis includes an interstitial surface for promoting bone cell ingrowth.

Abstract: A method of preparing an intermedullary canal of a bone for total joint arthroplasty including drilling a hole into the intermedullary cavity of a bone and inserting a centering rod longitudinally into the intermedullary canal of the bone. The rod is inserted to align the rod along the longitudinal axis of the bone. Osteotomizing the articulating surface of the bone and preparing the intermedullary canal of the bone to receive a prosthesis. The preparation including placing cannulated instruments in a telescoping manner over the centering rod and into the intermedullary canal to create a cavity suitable for receiving a bone prosthesis. The cannulated instrumentation includes a cannulated osteotomy guide, a cannulated reamer, a cannulated box chisel, and a cannulated broach. The instrumentation is also disclosed.

Abstract: A femoral component base having a pair of laterally spaced apart condylar portions, each of which has an external surface that is smoothly convexly curved anterior-posteriorly to match generally the distal profile of the anatomical femoral condyle and smoothly convexly curved laterally throughout its antero-posterior extent. The external convexly curved surfaces engage the tibial component having a platform portion laterally with spaced apart concavities, each of which would receive one of the condylar portions of the femoral component to allow antero-posterior rotation between the components during use of the joint. The femoral component includes a modular member having adjustable plates for adjusting the position of the femoral component in response to the bone condition discovered during surgery. The tibial, femoral and modular components further include a triangular, ramp post and corresponding confined recess to limit flexion and undesirable lateral movement.

Abstract: A femoral insert combines bone ingrowth surfaces in the proximal portion of the shaft which is wide in the medial-lateral direction and curved in the medial aspect with a distal portion which has a round cross-section and is curved in the direction of the anterior bow of the femur. Accordingly, firm fixation of the implant is initially provided by the distal portion functioning as an intramedullary rod while long term stabilization is achieved proximally through bone ingrowth. Also, the neck connecting the spherical head to the shaft through the collar is anteverted with respect to the collar at an angle of about 10.degree. to 12.degree.. The prosthesis for the left femur is basically a mirror image of the prosthesis for the right femur.

Abstract: A compression screw having a proximal portion and a distal portion integrally interconnected by an intermediate tapering portion. The proximal and distal portions have threads of the same pitch. The intermediate portion has a smooth outer surface tapering the larger diameter proximal portion into the smaller diameter distal portion. The shaft of the proximal portion is cylindrical and the shaft of the distal portion is tapered, terminating in a sharp trocar point, and the threads of the proximal and distal portion may be provided with self-cutting flutes. The smooth tapering surface of the intermediate portion cooperates with the threads at the distal end to effect counteracting forces which cause compressions of the bone between the distal end and the taper.

Abstract: A femoral insert combines bone ingrowth surfaces in the proximal portion of the shaft which is wide in the medial-lateral direction and curved in the medial aspect with a distal portion which has a round cross-section and is curved in the direction of the anterior bow of the femur. Accordingly, firm fixation of the implant is initially provided by the distal portion functioning as an intramedullary rod while long term stabilization is achieved proximally through bone ingrowth. Also, the neck connecting the spherical head to the shaft through the collar is anteverted with respect to the collar at an angle of about 10.degree. to 12.degree.. The prosthesis for the left femur is basically a mirror image of the prosthesis for the right femur.