Abstract: An orthopedic implant device and method is disclosed. Specifically, a knee mold system is disclosed, including elastic tibial and femoral molds, each of which may be configured and dimensioned as a unitary mold for in situ placement during a surgical procedure. Each mold may be manufactured from an elastic material that may be disposable. The tibial mold may further comprise a sidewall forming a cavity, markings for relative depth measurement, and depth rings for use as a guide for scoring, cutting, and/or trimming and tearing away an excess portion of the tibial mold. The femoral mold may further comprise a sidewall defining a cavity, two legs extending from a body of the femoral mold for forming the artificial condyles, and an eyelet for aiding in placement and removal of the femoral mold. The resulting prosthetic tibial and femoral components may form an articulation surface that mimics, at least in part, the natural articulation surface of the knee.

Abstract: A method and system for the creation or modification of the wear surface of orthopedic joints, involving the preparation and use of one or more partially or fully preformed and procured components, adapted for insertion and placement into the body and at the joint site. In a preferred embodiment, component(s) can be partially cured and generally formed ex vivo and further and further formed in vivo at the joint site to enhance conformance and improve long term performance. In another embodiment, a preformed balloon or composite material can be inserted into the joint site and filled with a flowable biomaterial in situ to conform to the joint site. In yet another embodiment, the preformed component(s) can be fully cured and formed ex vivo and optionally further fitted and secured at the joint site.

Abstract: In one embodiment, a method for treating an infected implant area of a knee joint comprises surgically accessing the implant area, and inserting a tibial component into the tibia using an antibiotic-impregnated material. A femoral component is formed that is configured to interact with the tibial component by stable knee joint articulation and motion. The femoral component is formed of an antibiotic-impregnated material using a mold. The femoral component is attached to the femur using an antibiotic-impregnated material, and the tibial component is interfaced with the femoral component to form a stable temporary knee joint capable of reducing the spread of infection while permitting movement of the knee joint.

Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur. Thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The replacement device may be defined by four boundary points, and a first and a second surface. The first of four points is 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is near the bottom edge of the end of the natural articulatar cartilage. The third point is at the top ridge of the right condyle and the fourth point at the top ridge of the left condyle of the femur.

Abstract: An improvement in a total stabilized knee prosthesis wherein stabilization against uncontrolled relative rotation between a femoral component and a tibial component about a longitudinal axis, during articulation of the knee prosthesis, is attained by the engagement of a femoral stabilizing compartment with a tibial stabilizing post, the improvement including profile contour configurations on inner surface portions of condylar surfaces and on corresponding outer surface portions of tibial articular surfaces, the profile contour configurations being flared outwardly, in directions away from an intermediate sagittal plane, along posterior aspects of the condylar surfaces and the tibial articular surfaces engaged through deep flexion for providing an engagement between the profile contour configurations sufficient to establish a desired level of constraint against relative rotational movement between the femoral component and the tibial component about the longitudinal axis enabling a decrease in the level of con

Abstract: A knee implant includes a femoral component having first and second femoral component surfaces. The first femoral component surface is for securing to a surgically prepared compartment of a distal end of a femur. The second femoral component surface is configured to replicate the femoral condyle. The knee implant further includes a tibial component having first and second tibial component surfaces. The first tibial component surface is for contacting a proximal surface of the tibia that is substantially uncut subchondral bone. At least a portion of the first tibial component surface is a mirror image of the proximal tibial surface. The second tibial component surface articulates with the second femoral component surface.

Abstract: A total knee arthroplasty (TKA) set that includes a universal cutting jig for shaping the distal femur is disclosed. The universal cutting jig may be used to create a shaped femur that can be receive multiple and different TKA implant designs. A universal high flexion knee system adapted for left-right use is also disclosed.

Abstract: A punch assembly for preparing a tibia bone for a prosthesis includes a static component configured to be supported by the tibia bone and a dynamic component that includes a punch having a stem. The dynamic component is supported for movement relative to the static component along a generally arcuate path to prepare an aperture having an arcuate contour in the tibia bone. A method of preparing a tibial aperture for is also disclosed.

Abstract: An implant comprising a first, second, and third segment wherein the second and third segments partially overlap the first segment and define a load bearing surface comprising an anterior-posterior (AP) curvature including at least two tangential curves of the portion of the articular surface of the femoral condyle, the tangential curves having different radii of curvature. A drill guide comprises a body portion including a first, second and third bushing spaced along the body portion to establish a first, second and third axes, respectively. Each axis may be substantially normal to the articular surface at three different points along a curvature of the articular surface comprising the two tangential curves. A measuring device comprises a housing defining a longitudinally passageway and an outrigger. A guide pin may be received in the longitudinal passageway and a measuring device determines how far the guide pin is in the passageway.

Abstract: A knee joint endoprosthesis (1) for forming an articulation between a femur and a tibia comprises a femur component (2), which is connected to the femur, a tibia component (4), which is connected to the tibia, and an intermediate element (3) which is mounted between the tibia component (4) and the femur component (2), lies against the femur component (2) with a modular sliding surface (9), comprising a lateral sliding surface (9a) and a medial sliding surface (9b), and can be connected in a releasable manner to the tibia component (4). The lateral sliding surface (9a) and the medial sliding surface (9b) of the intermediate element (3) have different sagittal cross-sectional profiles.

Abstract: Methods and apparatus for knee arthroplasty, including implants, positioning and alignment guides, cutting guides, cutting tools and techniques for the femur and/or tibia.

Abstract: A femoral component is provided for use in a knee joint prosthesis. The femoral component may be configured to provide one or more desirable kinematic relationships with a tibial component and/or patella so as to mimic the flexion and extension motion of a natural knee joint. The femoral component may be configured so that the patella follows a substantially circular pathway during knee flexion and extension. The femoral component may be configured so that the patella follows a curved patellar path during flexion and extension, and the curved patellar path has an origin located anterior and proximal to the geometrical center axis of the knee. The femoral component may be configured so that the patella follows a curved patellar path that lies in a plane which is parallel to and offset from a plane that extends through the center of the femoral head of a femur and is perpendicular to the geometric center axis of the knee.

Abstract: A plurality of knee joint prostheses comprise a first femoral implant and a second femoral implant. The first femoral implant has a first maximum interior anterior to posterior dimension, a first maximum overall exterior anterior to posterior dimension, a first lateral condyle, and a first medial condyle. The second femoral implant has a second maximum interior anterior to posterior dimension that is substantially the same as the first maximum interior anterior to posterior dimension, a second maximum overall exterior anterior to posterior dimension that is different than the first maximum overall exterior anterior to posterior dimension, a second lateral condyle having a medial to lateral dimension that is substantially the same as a medial to lateral dimension of the first lateral condyle, and a second medial condyle having a medial to lateral dimension that is different than a medial to lateral dimension of the first medial condyle.

Abstract: A component made from a crosslinked polymeric material, wherein the crosslinked polymeric material has a reduced crystallinity is described. An associated method for fabricating such a component is also described.

Abstract: An artificial joint including a main body and a lower portion adapted to pivotally engage the main body about a control axis while having a locking means that is integral with the lower portion. An upper portion adapted to pivotally engage the main body about a flexing axis and has an engagement means adapted to engage and disengage the locking means upon the pivoting rotation of the upper portion relative the main body. A biasing means is adapted to engage both the main body and the lower portion thereby biasing the locking means to engage the engagement means, and at least one stopping surface adapted to limit motion between the main body and the lower portion. The locking means is activated when a load is imposed on the artificial joint and passes through a line posterior to the control axis, and is de-activated when the load passes through a line anterior to the control axis.

Abstract: A knee implantation system for replacing a portion of a knee joint includes an unicondyler tibial implant configured to replace a portion of a tibia that includes a first member and a second member. The first member has a body portion that includes an articulating surface for replacing only a single superior articulating surface of the tibia. The second member has a textured surface. The second member is removably connected to the body portion and the textured surface is disposed about opposite the articulating surface.

Abstract: The present invention provides partial and complete shielding approaches to alter the cross-linking characteristics of irradiated polymers, such as polyethylene. Irradiated polymers and fabricated articles, such as medical prosteses, comprising irradiated polymers also are provided.

Abstract: There are provided a knee joint prosthesis for a bi-compartmental knee replacement and surgical devices thereof, wherein the knee joint prosthesis for the bi-compartmental knee replacement, which is performed on a patient with degenerative arthritis at any one of an inside compartment and an outside compartment of the knee and between the femur and the patella, is configured to position a femoral component at the inside or outside of the femur of the patient, to position a tibial component at the inside or outside of the tibia, and to properly position a tibial bearing member between the femoral component and the tibial component, thereby having the effects of improving the range of sense and motion after surgery by preserving other normal joints and reducing blood loss compared to a conventional prosthesis; improving the accuracy of the surgery to prevent the malalignment of the prosthesis, reduce the shaking of the prosthesis and extend the use life of the prosthesis; significantly improving a securing forc

Abstract: The invention relates to an automated speed-adaptive and patient-adaptive control scheme and system for a knee prosthesis. The control scheme and system utilizes sensory information measured local to the prosthesis to automatically adjust stance and swing phase knee resistances to a particular wearer under a wide variety of locomotory activities. Advantageously, no patient-specific information needs to be pre-programmed into the prosthetic knee by a prosthetist or the patient. The system is able to adapt to various types of disturbances once the patient leaves the prosthetist's facility because it is patient-adaptive and speed-adaptive.

Abstract: A modular keel or stem for use as a tibial implant has a central stem portion including a coupling portion for insertion into and through an opening in a tibial baseplate. The modular keel or stem may also include a pair of anti-rotation fins or ribs which extend medially and posteriorly on the medial side and laterally-posteriorly on the lateral side for engaging receptacles in the bone contacting of the tibial baseplate. A locking element is provided for engaging the keel or stem coupling portion and the baseplate after the coupling portion of the keel is inserted through the opening to prevent the disassembly the keel from the baseplate. The coupling element is capable of being inserted in a medial-lateral direction after the keel and baseplate have been implanted. A polymeric bearing insert is provided for placement on the baseplate which insert includes a recess or opening for receiving the coupling element.

Abstract: A total knee arthorplasty in accordance with the teachings of the present invention is accomplished by surgically removing the meniscus and adjacent joint end portions of the femur and tibia and then replacing the first one of the removed joint end portions with a first prosthetic component. Thereafter a flexible protector shim is temporally inserted between the first prosthetic component and the other of the joint end portions. Then the other of the removed joint end portions is replaced with a second prosthetic component while the protector shim is maintained in position between the prosthetic components for thereby preventing scarring, scratching and minimizing movement during the cement curing phase of the insertion process. The protector shim is thereafter removed and a prosthetic meniscus is inserted between the two prosthetic components.

Abstract: A knee prosthesis for unicompartmental implantation into a knee joint is implantable without requiring bone resection and includes a body free of any means of fixation to a portion of knee joint, anatomy and having a substantially elliptical shape in plan and a pair of contoured opposed faces including a convex face and a concave face. A peripheral edge extends between the faces and includes a first side, a second side opposite the first side, a first end and a second end opposite the first end. A first dimension D is defined by the first end and the second end. A second dimension F is defined by the first side and the second side. The dimension F is from about 0.25 to about 1.5 of the dimension D.

Abstract: The present teachings provide for a prosthetic implant comprising a femoral component, a tibial component, a bearing and a wear reduction device. The femoral component is operable to replace at least a portion of a patient's natural femur. The tibial component is operable to replace at least a portion of a patient's natural tibia, the tibial component having a superior tibial component surface. The bearing is operable to provide engagement between the femoral component and the tibial component. The bearing has a superior bearing surface operable to articulate with the femoral component and an inferior bearing surface operable to cooperate with the superior tibial component surface. The wear reduction device is located at least one of the superior tibial component surface and the inferior bearing surface and is operable to reduce wear upon at least one of the superior tibial component surface and the inferior bearing surface.

Abstract: The use of biologic and/or biologically reabsorbable materials to provide temporary stability after a surgical joint procedure is provided. Exemplary embodiments of the invention provide biologic and/or biologically reabsorbable cam and/or post linings mounted to respective knee prosthesis components. Such linings are reabsorbed after a time sufficient for patient tissue formation to provide permanent stability. Likewise, the invention has application in any joint reconstruction where the integrity of the stabilizing tissue has been compromised by injury or as a result of the surgical procedure itself. Further aspects of the present invention include using biologic and/or biologically reabsorbable materials loaded with agents that may promote tissue formation, fight infection, and promote clotting. Still further aspects of the present invention are directed to the use of biologically reabsorbable snaps or other fasteners to attach a lining to the femoral component and/or the tibial component.

Abstract: A modular prosthetic knee system used to replace the natural knee. The system includes a femoral knee prosthesis and a tibial knee prosthesis. Both prostheses are formed of modular components that are connectable in-vivo to form the prosthetic knee system. The femoral knee prosthesis includes two separate components, a lateral condyle and medial condyle; and the tibial knee prosthesis includes a multiple separate components, a medial baseplate, a lateral baseplate, a medial insert, and a lateral insert. The medial and lateral baseplate are connectable to form a complete baseplate with the medial and lateral inserts connectable to the complete baseplate.

Abstract: The present invention provides an implant for replacing an articulating bone end adjacent a skeletal joint. The implant includes individual subcomponents having different physical and/or mechanical properties joined together into a multipart implant component.

Abstract: A system and method for aligning a patient's leg, for establishing the ultimate alignment of the leg prior to making a horizontal femoral cut or a horizontal tibial cut, for preparing the distal femur for receiving a femoral implant, and for making the horizontal, femoral and tibial cuts. The system and method incorporate a spacer, a cutting guide, and a template. The spacer is insertable between a distal femur and a proximal tibia to rotate the tibia with respect to the femur into the desired alignment. The cutting guide is engageable with the spacer, and can be fixed to the proximal tibia and the distal femur. The cutting guide has openings sized and shaped to guide a surgical saw to make the horizontal femoral cut and the horizontal tibial cut. The template is shaped to closely conform with the distal femur to allow the leg to be extended and to allow the procedure to be performed without dislocating a patella.

Abstract: An artificial knee joint including a femoral component to be attached to a femur and a tibial component to be attached to a tibia, wherein in the femur component a medial condyle thereof is thicker than a lateral condyle thereof; in the tibial component, a medial articular surface thereof, which supports the medial condyle of the femur component, is thinner or deeper than a lateral articular surface thereof, which supports the lateral condyle of the femur component; and a joint line joining the lowest points of contact surfaces between the medial and lateral condyles of the femur component and the medial and lateral articular surfaces of the tibial component in a longitudinal cross section in a medial-lateral direction is inclined inward at virtually the same angle over the entire region of an angle of flexion-extension.

Abstract: An integrated prosthetic assembly for implanting a prosthetic joint between two bones and including at least one ligament graft. The assembly includes a plurality of joint components, a plurality of base components, and at least one drill guide keyed to one of the base components at a predetermined angle for forming a predetermined tunnel in one of the bones.

Abstract: The present invention is a specialized orthopedic implant having an exterior surface for engaging bone. The surface comprises arrayed projections having at least one forward facing facet directed at least in part toward the leading end of the implant and at least one rearward portion directed at least in part toward the opposite trailing end of the implant. Each of the forward facet and rearward portion has a length and a slope. The length of the forward facet is longer than the length of the rearward facet. The slope of the rearward facet is steeper than the slope of the forward facet. The surface projections also have opposed side facets directed generally toward the sides of the implant. The side facets are located between the forward facet and rearward facet and converge toward each other in a direction away from the base of the surface projections. The surface may also include projections having left and right forward side facets and a rearward facet.

Abstract: Soft, tear resistant gel, gel composites and gel articles for various uses formed from one or a mixture of two or more block copolymers with or without one or more selected other polymers and additives in combination with one or more selected plasticizers being in sufficient amounts to achieve a gel rigidity of from about 20 gram Bloom to about 1,800 gram Bloom.

Abstract: Surgical devices such as implants or suture fastenings are assembled from a plurality of discrete components, one of which components includes a heat bondable plastic material for bonding the components together. At least two components are bonded to each other by the applying heat to the heat bondable plastic material of one component. The heat bondable plastic material is preferably a polymeric or composite material suitable for surgical applications and implantation in humans, and may be a biodegradable material. A laser may be used as the heat source. The present invention is advantageously embodied in heat bonded fastenings for sutures or K-wires, in which a variety of different suture anchors are usable, including expandable distal suture anchors.

Abstract: A prosthetic medical device exhibiting improved wear resistance is fabricated by sealing at least one polyolefinic material in an airtight container and providing an inert atmosphere within the airtight container. The polyolefinic material is exposed to an irradiation source to yield a cross-linked irradiated polyolefinic material. At least one non-irradiated polyolefinic material is blended with the irradiated polyolefinic material, and the prosthetic medical device is formed from the blended material. Selectively cross-linked polymeric compositions may be created by blending a specific amount of cross-linked resins with a specific amount of uncross-linked resins then cured into a polymeric matrix whereby the desired degree or percentage of overall cross-linking is obtained. The polymeric material may then be formed directly into a finished article by injection molding the polymeric material.

Abstract: A tibial sizer, or set of sizers, used to estimate the appropriate size tibial base plate implanted during knee arthroplasty. The preferred embodiment provides a measurement of the amount of exposed bone between a posterior proximal portion of the tibia and a posterior edge of the tibial sizer (which edge will correspond to the posterior edge of the tibial base plate). Preferably, the sizer includes a head and a handle extending outwardly from the head, as well as a channel with a slider configured and arranged to be slidably positioned within the channel. The slider includes markings for indicating the amount of exposed bone between a posterior proximal portion of a tibia and a posterior edge of the head of the sizer. Additional markings are also provided for indicating a suggested size of tibial base plate with respect to the anterior/posterior direction.

Abstract: A knee prosthesis and method for emulating movements, during flexion, of a natural knee joint replaced by the knee prosthesis, by enabling engagement and relative movement between the femoral component and the tibial component of the knee prosthesis along arcuate tracks, including rotational movement about a longitudinal axis of rotation, during flexion about a transverse axis of rotation, and maintaining the transverse axis of rotation essentially in a generally medial-lateral longitudinal plane maintained in close proximity with a generally coronal plane passing through the centers of curvature of the arcuate tracks during flexion within at least a prescribed range of flexion extending from about 0° of flexion to a predetermined degree of flexion, preferably about 60° of flexion.

Abstract: A modular tibial component for a knee joint prosthesis providing an offset. The modular tibial component includes a tray, a stem, an adapter and a flexible fastener. The tray includes a tapered extension having a generally frusto-conical shape. The stem includes a finned surface and an extension having a generally frusto-conical shape. The adapter connects the tray and the stem while providing an offset therebetween. The adapter includes a first generally frusto-conical cavity receiving the tapered extension of the tray and a second generally frusto-conical cavity receiving the upwardly extension of the stem. The flexible fastener is inserted through an aperture in the tray and a cavity in the adapter and fastened to the stem.

Abstract: A femoral knee prosthesis system for resurfacing a resected articular surface at the distal end of a femur includes a femoral component adapted to mate with the resected articular surface; and an attachment member. The interior surface of the femoral component is configured to connect to the first attachment member when the femoral component is mated on the resected articular surface of the femur and when the first attachment member is passed through the medial side or the lateral side of the resected articular surface. The femoral component is available in one-piece and two-piece systems. Mating femoral components (e.g., tapered or with lips that interlock with grooves) are also disclosed.

Abstract: Apparatus and surgical techniques provide alternative cutting fixtures and other features to improve bone resection accuracy and joint stability. According to one embodiment, stabilizers are removably attached to a cutting guide to temporarily lengthen the surface against which a saw or other cutting device rests. Another embodiment provides differently shaped saw blades, having curved distal ends and right-angle bends applicable to box cuts of the type associated with cruciate sacrifice knee-replacement surgery. Methods are also disclosed whereby the box cuts, distal and posterior augment cuts may be approached from a distal perspective, both laterally and medially. A different embodiment provides a trial/cutting guide having flat surfaces as opposed to curved surfaces adapted for articulation within a joint. Yet a further alternative embodiment teaches a device for determining the joint line relative to a tibia using the fibula as reference.

Abstract: The present invention is a specialized orthopedic implant having an exterior surface for engaging bone. The surface comprises arrayed projections having at least one forward facing facet directed at least in part toward the leading end of the implant and at least one rearward portion directed at least in part toward the opposite trailing end of the implant. Each of the forward facet and rearward portion has a length and a slope. The length of the forward facet is longer than the length of the rearward facet. The slope of the rearward facet is steeper than the slope of the forward facet. The surface projections also have opposed side facets directed generally toward the sides of the implant. The side facets are located between the forward facet and rearward facet and converge toward each other in a direction away from the base of the surface projections. The surface may also include projections having left and right forward side facets and a rearward facet.

Abstract: A modular prosthetic knee system used to replace the natural knee. The system includes a femoral knee prosthesis and a tibial knee prosthesis. Both prostheses are formed of modular components that are connectable in-vivo to form the prosthetic knee system. The femoral knee prosthesis includes two separate components, a lateral condyle and medial condyle; and the tibial knee prosthesis includes a multiple separate components, a medial baseplate, a lateral baseplate, a medial insert, and a lateral insert. The medial and lateral baseplate are connectable to form a complete baseplate with the medial and lateral inserts connectable to the complete baseplate.

Abstract: The present invention generally comprises a fixed bearing prosthesis and a mobile bearing prosthesis. The fixed bearing prosthesis comprises a tibial component, a femoral component and a meniscal component and addressees the loss of congruency during deep knee flexion and the possible direct, repetitive contact of the tibial and femoral components. The tibial component of the fixed bearing prosthesis includes a tibial platform having an anterior and posterior edge. The meniscal component of the fixed bearing prosthesis includes a posterior ridge overlapping the posterior edge of the tibial platform that prevents metal-to-metal contact during deep knee flexion. The mobile bearing prosthesis comprises generally a tibial component, a femoral component and a meniscal component addresses the lack of conformity to natural biomechanical movement.

Abstract: A tibial prosthesis includes a tibial platform having a medial-lateral center and an inferior surface matable with a resected proximal tibia, and a modular keel that is fixable to the inferior surface and adjustable in a medial-lateral direction with respect to the medial-lateral center of the tibial platform.

Abstract: In a knee prosthesis, the condylar surfaces of a femoral component engage corresponding articular surfaces of a tibial component along prescribed tracks of predetermined curvature which enable relative rotation between the femoral component and the tibial component about a longitudinal axis during articulation of the knee prosthesis, and at least the condylar surfaces or the articular surfaces are flared in a direction away from corresponding articular surfaces or condylar surfaces along engaged posterior and anterior portions of the condylar surfaces and articular surfaces to provide an increased area of contact in deep flexion and in extended hyperextension for reducing contact stresses and concomitant wear while militating against unwanted distraction of the knee prosthesis.

Abstract: Prosthetic joints, components for prosthetic joints, superhard bearing and articulation surfaces, diamond bearing and articulation surfaces, substrate surface topographical features, materials for making joints, bearing and articulation surfaces, and methods for manufacturing and finishing the same, and related information are disclosed, including prosthetic knee joint having at least one diamond articulation surface.

Abstract: A knee joint prosthesis used for replacing the articulating knee portion of a femur and a tibia. The knee joint prosthesis includes a femoral component, a tibial component, a bearing member, and a soft tissue fixation mechanism. The tibial component includes a tibial bearing surface and an attachment mechanism which facilitates the coupling of the soft tissue attachment mechanism to the tibial component. The soft tissue attachment mechanism has an attachment mechanism which is operable to prevent movement of the soft tissue attachment mechanism with respect to the body. Further, the soft tissue attachment mechanism defines structures which facilitate the coupling of soft tissue to the knee joint prosthesis.

Abstract: The invention is a method for performing a minimally invasive knee arthroplasty and components for this procedure. The method involves creating an incision along the medial or lateral aspect of a patient's knee, exposing the knee joint, resecting the distal end of the femur, the proximal end of the tibia and the posterior patella through the medial or lateral incision, and connecting a femoral, tibial and patellar knee replacement component through the incision. Components include specialized femoral, tibial and patellar cutting guides for use in resecting the femur, tibia and patella through the medial or lateral incision. In one embodiment, the method is performed with the aid of an image guidance system. In another embodiment, the method is performed with instruments which align the components, such as the cutting guides, without the use of an image guidance system.

Abstract: A shoulder prosthesis of the present invention includes a modular humeral prosthesis component employing a collarless design. A body portion of the prosthesis is provided without a collar, and it may be implanted into a prepared proximal end of a humerus such that the body sits recessed below the level of the cut proximal surface of the humerus. A head portion is provided in which a support surface of the head functions as collar by direct apposition of it to the cut proximal humerus. The modular connection is thus recessed below the proximal bone surface. By providing a modular connection which is recessed below the bone surface, the benefits of modularity may be retained, while joint overstuffing may be reduced or eliminated, and a substantially full range of motion may be achieved.

Abstract: A knee joint endoprosthesis system includes a femur component, two friction bearings and a tibia component. The tibia component comprises two joint surface units and a transversal support. The transversal support is implanted into the tibia at a certain distance from an upper resection surface of the tibia and the joint surface units are supported by support elements on the transversal support and are fixed thereto.

Abstract: The present invention provides a prosthetic trialing system for use in preparing a patient for an implant, and particularly, a tibial trialing system, as well as methods of using the trialing system to install the implant prostheses. Tibial trials according to the present invention employ intermediate stems or adapters (32) which connect to the plate trial (10). They therefore permit connection of the intermediate stem trial (32) to the trial plate (10) without interference to the proximal surface (12) of the plate trial (10) and without interference to the range of motion of a mobile bearing (62) on the plate trial (10). Additionally, a range of intermediate stem trials (32) and stems (52) may be offered to fit a range of plates (10) for various geometries and modularity.

Abstract: A method and apparatus for knee replacement surgery wherein a femoral provisional component is provided which corresponds to a permanent component to be implanted in a human and which includes means for establishing the correct fit and position of such a component, prior to its implantation, in relation to the soft tissues of the knee before final resection of the anterior femoral surface. The provisional component further includes cutting guide means for such anterior surface resection such that accurate cuts may be made with the provisional component in place. The method involves preparing the distal femoral surface using the femoral intramedullary canal as a constant reference point for posterior and distal cutting guides followed by locating the provisional component by means of a provisional intramedullary stem so that the relationship with the soft tissues of the knee may be accurately established.