Abstract: A hinged articulating spacer system for revision knee arthroplasty includes a femur rod for a femur, and a tibia rod for a tibia. The tibia rod is hingedly couplable to the femur rod to form a hinged rod assembly. A pre-formed femoral spacer component includes bone cement impregnated with an antibiotic. The pre-formed femoral spacer defines an opening that receives the hinged rod assembly. A pre-formed tibial spacer component includes bone cement impregnated with an antibiotic. The pre-formed tibial spacer defines an opening that receives the hinged rod assembly.

Abstract: A joint implant for temporary or permanent use has a femoral component and tibial component. The femoral component has a base and rod extending therefrom and defines a pin. The tibial component has a base and rod extending therefrom and defines a bore in which the pin is seated so that the femoral component is rotatable relative to the tibial component.

Abstract: According to one example, a posterior-stabilized femoral prosthesis for a knee arthroplasty. The femoral prosthesis can include medial and lateral condyles, a femoral cam and a recess. The medial and lateral condyles can be shaped to articulate with a tibial articular surface of a tibial bearing component through a range of motion, in which full extension corresponds to zero degrees flexion of a knee joint and positive flexion corresponds to greater than zero degrees flexion of the knee joint. In a sagittal plane, the medial and lateral condyles can define medial and lateral multi-radius curves, respectively. The medial multi-radius curve can have a single common radius swept through a first angular extent to define a single arc length that extends from between substantially ?20 degrees flexion to substantially 90 degrees flexion, inclusive.

Abstract: Constrained prosthesis for the knee joint including a femoral component, a tibial component and an intermediate component, wherein the femoral component is suitable for being constrained to an end of the femoral bone in proximity to the knee joint, wherein the tibial component is suitable for being constrained to an end of the tibial bone in proximity to the knee joint, the femoral component being suitable for coming into contact and being articulated with the tibial component, wherein the intermediate component is placed in use between the femoral component and the tibial component and wherein the constrained prosthesis comprises a first hinge and a second hinge adapted to rotatably constrain the femoral component to the tibial component.

Abstract: Systems, devices, and methods are described for providing orthopedic implants that reduces the negative effects of stress shielding on surrounding bone structure. The orthopedic implants are comprised of two portions, a shell portion that forms an articulation interfaces and an intermediate portion that forms a bone interface. The shell portion is designed to reduce absorption of articulation forces and evenly distribute incident forces to the intermediate portion. The intermediate portion is designed to form a strong interface with native bone and transmit forces from the shell into the bone.

Abstract: Apparatus and methods for total elbow replacement are provided to allow a surgeon to intraoperatively select a linked or unlinked constraint by utilizing a connection located on the body of the ulnar and/or humeral stem. Additional modularity also allows the selection of a cemented or cementless stem as described herein. The modularity and adjustability provides a number of advantages.

Abstract: A spacer device for the knee joint including a femoral component, a tibial component and an intermediate component, wherein the femoral component is adapted to be constrained to an end of the femoral bone in proximity to the knee joint, wherein the tibial component is adapted to be constrained to an end of the tibial bone in proximity to the knee joint, the femoral component being adapted to come into contact and to articulate with the tibial component, wherein the intermediate component is placed in use between the femoral component and the tibial component and wherein the constrained spacer device includes a first hinge and a second hinge adapted to rotatably constrain the femoral component to the tibial component.

Abstract: In an orthopedic knee joint prosthesis, an intercondylar fossa of a femoral component cooperates with a spine formed in a tibial component to reproduce the screw home mechanism of a natural knee. When the femoral component and tibial component are positioned to correspond with slight flexion of the knee, the components are mutually rotationally locked against internal or external rotation. At higher degrees of flexion, such as greater than about 10-20 degrees of flexion, internal/external rotation of the tibia is permitted. The tibia is in an externally rotated position when locked, thereby reproducing the screw home mechanism and providing high stability.

Abstract: A prosthetic implant comprises an articular surface and a bone contacting surface. The articular surface has a first concavity extending along a first curved axis and the bone contacting surface has a convexity extending along a second curved axis. Geometric relationships between the concavity of the articular surface and convexity of the bone contacting surface are described. A resulting feature of this implant is a bone contacting surface including both planar and non-planar geometries. Instrumentation and a method for the preparation of the non-planar bone surface are also described.

Abstract: The present invention relates to a knee joint prosthesis having a tibial component and a femoral component. The tibial component includes a fixation portion fixed to an upper end of a prepared tibia and a ceramic bearing portion presenting articulation surface(s). The femoral component is fixed to a lower end of a prepared femur and comprises a ceramic body portion presenting articulation surface(s). The respective articulation surfaces of the tibial and femoral components are configured for essentially congruent engagement over a full range of movement of the prosthesis, and the bearing portion of the tibial component is adapted for movement relative to the fixation portion. Also disclosed is an apparatus and a method for finishing articulation surfaces of ceramic components of a knee joint prosthesis, including the steps of combining the ceramic bearing portion and the ceramic body portion, and imparting relative movement to the bearing portion and/or the body portion.

Abstract: An endoprosthesis for knee joint arthrodesis having a femur portion including a femur attachment structure; a tibia portion including a tibia attachment structure; a coupling section formed on the femur portion and a coupling section formed on the tibia portion. The coupling sections are pivotably connected to one another about a prosthesis pivot axis that extends in the installed position of the endoprosthesis horizontally from medial to lateral. A locking element is moveable between locking and release positions. In the locking position the locking element rigidly locks the coupling sections in a predefinable pivot position. In the release position the coupling sections are pivotable relative to one another about the prosthesis pivot axis. A retaining and return means and an unlocking mechanism are provided. The retaining means forces the locking element into the locking position. The unlocking mechanism moves the locking element into the release position.

Abstract: Methods, systems, and devices for replacement of a joint with a prosthetic system that replicates the natural kinematics of the joint is disclosed. A prosthetic system according to one embodiment includes a tibial component having a tibial plateau and a tibial stem portion, the tibial plateau having a top side and a bottom side, a tibial insert, with a bearing surface, adapted to be positioned on the top side of the tibial plateau, a femoral component having a base portion and a central housing, the femoral component having an axis of extension-flexion rotation, the base portion having a pair of condyles, an a mechanical linkage component linking the tibial component with the femoral component and with the tibial insert in between the tibial component and the femoral component, so that there is a center of contact between the condyles and the bearing surface.

Abstract: Total knee replacements for hinged knee implants include a tibial member, a femoral member, a hinge assembly having a laterally extending axle configured to hingedly attach the femoral member to the tibial member, and a lock mechanism in communication with the hinge assembly. The lock mechanism is configured to (i) lock the femoral member in alignment with the tibial member for a full extension or other defined stabile walking configuration to thereby allow an arthrodesis or stiff knee gait and (ii) unlock to allow the femoral and tibial members to pivot relative to each other for flexion or bending when not ambulating.

Abstract: A tibial tray system includes a tibial tray configured for attachment to a surgically-prepared surface of the proximal end of the tibia. The tibial tray includes a track disposed in a generally A-P direction. The tibial tray system also includes a spline configured to engage the track and to be positionable in at least one location along the track. The spline includes a bearing surface that is configured to contact a femoral component of the knee prosthesis to guide movement of the femoral component during extension and flexion of the knee.

Abstract: A set of distal femoral knee prostheses which are designed to be more narrow in medial/lateral dimensions with increasing anterior/posterior size than existing prostheses to more closely correspond to the physical anatomy of female patients. The prostheses are designed to have a substantially trapezoidal shape or profile when viewed distally which features a more pronounced narrowing of the medial/lateral dimensions beginning at the posterior end of the prostheses and progressing anteriorly to the anterior end of the prostheses. Additionally, the prostheses each include a reduced profile patellar sulcus and reduced profile anterior condyles to more closely conform to the anatomy of a resected femur, and also include sulcus tracking optimized to conform to female anatomy.

Abstract: The present invention relates to a tibial prosthesis having an articulating component and a tray component. The articulating component is configured for attachment to the tray component. Additionally, the articulating component may be attached to the tray component in a first condition in which the articulating component is at least rotatable relative to the tray component. This allows for the tray component to be attached to the tibia in a position that provides for proper rotation of the tray component with respect to the tibia and/or prevents the tray component from overhanging the resected tibia. Then, the articulating component may be rotated and/or translated to a position that provides for proper alignment of the articulating component with a femoral prosthesis. Once in this positioned, a locking mechanism is used to rotationally fix the articulating component to the tray component.

Abstract: A knee prosthesis has a femoral component with a medial condyle defining a constant bearing spacing relative to a central sagittal component plane SP, and a lateral condyle defining divergent bearing spacing from the central sagittal component plane along an extension-to-flexion path. High congruence between the medial articulation surfaces creates a pivot point for external rotation at the medial contact area, while lower congruence in the lateral articulation surfaces allows the lateral femoral condyle to track anteriorly and posteriorly during flexion. The amount of lateral condyle bearing spacing divergence is calculated to produce a substantially linear anteroposterior motion profile of the lateral femoral condyle upon the lateral tibia articular surface throughout a wide range of flexion.

Abstract: A knee joint prosthesis includes a femoral component having a first condylar bearing surface and a second condylar bearing surface. Each of the first and second condylar bearing surfaces has a cross-section in a coronal plane that exhibits at least two different radii. The prosthesis also includes a tibial component and an insert component associated with the tibial component. The insert component has bearing surfaces that are complementary to the first and second condylar bearing surfaces, wherein a contact point is established between the bearing surfaces of the insert component and the first and second condylar bearing surface. In accordance with the present invention and as a result of the above construction, varus and valgus rotation of the femoral component relative to the insert component causes the contact point to move laterally as the knee is rotated. By shifting the contact pointy laterally/outwardly, the knee stability (i.e., stiffness) gradually increased.

Abstract: Implant with multi-directional pivoting has a first component including a first articular surface and a fore-to-aft and side-to-side rotation device; and a second component including a second articular surface for mating with the first surface and a rotation device receptacle. The first component can be mated to the second through cooperation of the rotation device and receptacle, and the first component can cooperate with the second in articular surface contact. The joint may be a knee prosthesis comprising first femoral and second tibial components, with the first surface a femoral condylar surface and the second surface a tibial condylar surface. Therein, the fore-to-aft component can be considered flexion, with the side-to-side component considered version. A knee prosthesis can also be provided with a patella support on a smooth counter surface from full extension to flexion well past 100 degrees and/or with a mechanism preventing excessive downward tibial component travel.

Abstract: A knee joint prosthesis which comprises a tibial component (4, 6) and a femoral component (2). The femoral component has condyles (14, 16) which act against the tibial component, directly or indirectly, during flexing of the knee. A cam (20) on the femoral component acts against a post (26) on the tibial component at high flex angles. The surface of the post which is contacted by the cam at high flex angles is convex when the post viewed generally perpendicular to the tibial bone contact and bearing surfaces, and the femoral bearing surface which is provided by the cam, where it contacts the convex surface of the post at high flex angles, is locally concave (32) when viewed along the surface of the post which contacts the cam so that the area of contact between the post and the cam is greater at high flex angles than at lower flex angles.

Abstract: Knee prosthesis includes a femoral component adapted to fit on a distal end of the femur and a tibial insert component. The femoral component includes a measured anterior/posterior dimension defined by the posterior condyle surface and the interior surface of the anterior flange and a distal peg provided on a distal bone facing surface of each of the lateral and medial condylar structures, wherein the distal pegs are positioned at a midpoint of the measured anterior/posterior dimension. The implant system provides two distinct sizing segments and the tibial insert has a medial tibial aspect ratio of 0.74 and a lateral tibial aspect ratio of 0.65 to 0.68 for all sizes.

Abstract: An intervertebral disc prosthesis comprises first and second articulated elements wherein one the elements includes an articulated tongue and the other of the elements includes a groove adapted to receive the tongue. The first and second elements are adapted to be moveable with respect to each other in various planes.

Abstract: The artificial knee joint includes a femoral component, a tibial tray and an insert plate fixed onto the top surface of the tibial tray. The femoral component includes a femoral articular surface and a cam that is provided on the rear end of the femoral articular surface and protrudes from the femoral articular surface, the insert plate includes a tibial articular surface that makes contact with the femoral articular surface and a cam-receiving slide surface that makes contact with the cam. When the knee is extended, the joint takes a first sliding state in which the femoral articular surface slides against the tibial articular surface. When the knee is bent at an angle in a range from 90 to 160 degrees, the joint shifts from the first sliding state to a second sliding state in which the cam slides on the cam-receiving slide surface.

Abstract: A knee-joint prosthesis with a tibial part having a flat tibial bearing surface, with a bearing body that can be shifted thereon in the anterior-posterior direction and includes two concave bearing shells within which a femoral joint part can be movably seated, and with a rotational guide that permits rotation of the bearing body on the tibial bearing surface about an axis of rotation perpendicular to said surface. The rotation guide includes a steering rod that is seated at the bearing body so as to be pivotable relative thereto and at the tibial part is guided in the medial/lateral direction and/or rotationally guided.

Abstract: A knee endoprosthesis comprising: a tibial part comprising a tibial rod bearing a tibial plate, a first tibial insert (11) disposed on the tibial plate, a femoral part comprising a femoral rod bearing two condyles (8, 9) each having a first sliding surface co-operating and congruent with a respective second sliding surface formed on the first tibial insert (11), wherein the tibial part is coupled to the femoral part so that the femur can bend relative to the tibia from a position (&agr;≈0) where the knee is extended to a position (&agr;max) where the knee is bent and vice versa. A progressive locking element is provided for limiting the lateral rotation and proper rotation of the condyles (8, 9) relative to the tibial plate, starting from a knee-bending angle &agr;0 determined in advance and up to a zero angle, the amplitude of proper rotation, when the angle &agr;0 is decreased, varying down to zero amplitude (complete blocking) at zero angle (unbent knee).

Abstract: A complete knee joint prosthesis having prosthetic condyles as a part of the femoral element, wherein the prosthetic condyles have a curvature in the shape of a circular arc in their rear part, and the femoral element has, between these prosthetic condyles, a convex cylindrical wall with an axis that coincides with the axis of the circle in which the rear parts of the prosthetic condyles lie. Glenoid cavities of an intermediate plate have corresponding rear parts in the shape of a circular arc and a corresponding concave bearing surface in the shape of a circular arc for pivotably receiving the prosthetic condyles. The tibial element has a cylindrical pin and the intermediate plate comprises a cavity which receives this pin to provide the possibility of multidirectional movement of the prosthetic knee joint.