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 knee joint prosthesis used in total knee arthroplasty having tibial components (5) and tibial bearing inserts (20) with predetermined shapes that allow for an additional degree of freedom in both an anterior-posterior direction and rotation. The tibial bearing inserts (20) include a predeterminedly-shaped extension (17), such as a sphere (8), disc (12) or trapezoid (13), that extends downwardly from the bearing (4). The tibial components (5) include a socket (9) having a corresponding predetermined shape of the extension (17) and retaining edges (10) located at a top of the socket (9) so the extension (17) may be “dropped into” the socket (9) and therein retained. In this manner, disengagement of the tibial bearing inserts (20) at extremes of anterior or posterior translation of the bearing relative to the tibial component (5) is prevented without affected the translation and rotation of the tibial component (5) and tibial bearing inserts (20).

Abstract: A prosthetic knee system has a tibial component and a modular sleeve. The tibial component has a tibial tray, a stem and keels extending between the distal surface of the tray and the stem. The modular sleeve has an oval proximal surface with spaced reliefs. The reliefs and keels are sized, shaped and positioned to allow the modular sleeve to be mounted on the tibial component with the stem of the tibial component received in the interior channel of the sleeve and the keels of the tibial component received in the spaced reliefs of the modular sleeve, and to allow for some relative rotation between the tibial component and the sleeve. The system gives the surgeon the freedom to implant the tibial component alone, with the keels providing stability, or, in the case of bone deficiency, to implant the tibial component and sleeve as an assembly.

Abstract: The invention relates to a joint prosthesis, especially a knee joint prosthesis, for establishing an articulated connection between a first bone and at least one second bone. The inventive prosthesis comprises a first component (1) that is at least indirectly linked with the first bone, at least one second component (2) on which the second bone at least indirectly supports itself and which is movably mounted on at least one bearing surface (22) of the first component (1), and a connecting element (4) that interlinks the first component (1) with the second component (2). The connecting element (4) comprises an elastically deformable element (5) that facilitates a deflection of the first component (1) relative to the second component (2) from an initial position. When the first component (1) is deflected, the elastically deformable element (5) generates a restoring force that acts upon the first component (1) and restores the first component (1) to the initial position.

Abstract: A modular implant is provided. The modular implant includes a first orthopaedic component, a second orthopaedic component coupled to the first orthopaedic component, and a micro-motion damper interposed between the first orthopaedic component and the second orthopaedic component.

Abstract: Tibial component (10) of a knee-joint endoprosthesis with a flat tibial bearing surface (11), a bearing body (12) that is slidably seated thereon and comprises two concave bearing dishes (13) in which a femoral component can be movably seated, and with a rotational guide means that guides the rotation of the bearing body (12) on the tibial bearing surface (11) about an axis (14) perpendicular thereto. The guide means comprises a bearing post (15) in the form of a regular cylinder that stands upright on the tibial bearing surface (11) and has at least one projection (16, 17) extending radially outward. The bearing post so constructed can be inserted into a post receptacle (19) that is formed on the underside of the bearing body (12) with a receiving groove (20) corresponding to the post projection (16, 17). The at least one post projection (16, 17) extending radially outward is spaced apart from the free end (24) of the post.

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 knee prosthetic for implantation includes a mobile rotatable posterior stabilized (PS) post. The mobile PS post may rotate or distract superiorly relative to a tibial component. The mobile PS post may rotate with the femur after implantation, at least for a selected distance. Various exterior shapes of the mobile PS post and/or a bore formed in the tibial component may be selected to limit the amount of rotation. Various materials may be chosen to form the mobile PS post depending upon desired qualities.

Abstract: An orthopedic knee component for implanting within a single compartment of a human knee includes, in a first embodiment a tibial tray having a superior surface having a plurality of tabs disposed along an exterior edge thereof, a bearing component having a superior surface adapted to articularly engage a femoral knee prosthesis and a circumferential groove disposed therearound with which the tabs of the tibial tray cooperatively engage such that the bearing component is movable relative to the tibial tray.

Abstract: An easily assembled provisional orthopaedic implant having first and second components. The first component may include a stem which can be inserted into an intramedullary canal and may be a femoral component of a knee joint prosthesis. The second component has a body and a sliding retention member. The retention member can be manually engaged with a groove on the stem of the first component to lock the two components together. The second component may form of an intercondylar box and have a projecting tab engageable with a recess on the femoral component to properly orient the two components when they are placed in registry with each other.

Abstract: The invention relates to a joint prosthesis, especially a knee joint prosthesis, for establishing an articulated connection between a first bone and at least one second bone. The inventive prosthesis comprises a first component (1) that is at least indirectly linked with the first bone, at least one second component (2) on which the second bone at least indirectly supports itself and which is movably mounted on at least one bearing surface (22) of the first component (1), and a connecting element (4) that interlinks the first component (1) with the second component (2). The connecting element (4) comprises an elastically deformable element (5) that facilitates a deflection of the first component (1) relative to the second component (2) from an initial position. When the first component (1) is deflected, the elastically deformable element (5) generates a restoring force that acts upon the first component (1) and restores the first component (1) to the initial position.

Abstract: The present invention provides a mobile unicondylar tibial knee prosthesis for repairing a damaged knee joint.

Abstract: The present invention relates to a prosthetic knee. In one embodiment of the present invention, the knee has a femoral body and meniscal body. The femoral body has a femoral alignment member, and the meniscal body has a femoral side. Extending from the femoral side are at least two guiding protrusions that extend along the longitudinal axis of the meniscal body and define at least two sides of an alignment groove. The alignment groove slippingly receives the femoral alignment member. The femoral alignment is able to move within the alignment groove and slip over the alignment groove when a force of sufficient magnitude is applied to the prosthetic and revert into the alignment groove. In another embodiment of the present invention, the groove and the alignment components are reversed on the respective femoral and meniscal bodies.

Abstract: A modular joint prosthesis includes a tibial component that may be rotatable or non-rotatable. The system includes a tibial bearing insert having surface features, either male or female, that are able to be slidably mated to complementary surface features of another component. In one embodiment, the tibial component is non-rotatable and the surface features of the tibial bearing insert are slidably matable to complementary surface features of a tibial plateau. In another embodiment the tibial component is rotatable and the surface features of the tibial bearing insert are slidably matable to complementary surface features of a rotating platform base. The rotating platform base, in turn, is rotably mounted to a tibial plateau. The system may utilize a securing member to prevent translation motion between the tibial bearing insert and the tibial plateau or the tibial bearing insert and the rotatable platform base.

Abstract: A prosthetic knee system has a tibial component and a modular sleeve. The tibial component has a tibial tray, a stem and keels extending between the distal surface of the tray and the stem. The modular sleeve has an oval proximal surface with spaced reliefs. The reliefs and keels are sized, shaped and positioned to allow the modular sleeve to be mounted on the tibial component with the stem of the tibial component received in the interior channel of the sleeve and the keels of the tibial component received in the spaced reliefs of the modular sleeve, and to allow for some relative rotation between the tibial component and the sleeve. The system gives the surgeon the freedom to implant the tibial component alone, with the keels providing stability, or, in the case of bone deficiency, to implant the tibial component and sleeve as an assembly.

Abstract: A selected augment, shown as a tibial augment, is secured at an augmentation location on a prosthetic implant component, shown as a tibial implant component, by a securing element assembled with the body of the augment for displacement relative to the augment body to selectively engage an abutment located on a depending structure of the implant component, adjacent the augmentation location, so as to establish a securing force between the securing element and the depending structure for urging the augment against the implant component, and thereby secure the augment to the implant component at the augmentation location. In the tibial augment, a distal surface includes surface portions extending in anterior-posterior directions and oriented essentially normal to medial-lateral directions.

Abstract: One or more rigid components associated with an articulating bone are used to encase, encapsulate, contain, or otherwise protect a compressible/resilient member. The embodiments are applicable not only to artificial disc replacement (ADR) devices, but also to joint situations including total knee and hip arthroplasty. The cushion elements in the preferred embodiments include synthetic rubbers, hydrogels, elastomers, and other polymeric materials such as viscoelastic polymers and foam polyurethanes. The invention effectively combines the advantages of such materials (cushioning, shape memory, and expansion after insertion in the case of hydrogels), while providing increased protection, particularly the elimination of shear stresses. When applied to an ADR, the invention also minimizes the risk of extrusion.

Abstract: A knee prosthesis includes a femoral component, a tibial component, a bearing and a control arm. The bearing is in articular bearing engagement with the femoral component and in sliding and rotational bearing engagement with the tibial component. Movement of the bearing relative to the tibial component is controlled by a control arm. The anterior extreme of the control arm includes a removable stop for limiting anterior movement of the bearing relative to the tibial component.

Abstract: Tibial component (10) of a knee-joint endoprosthesis with a flat tibial bearing surface (11), a bearing body (12) that is slidably seated thereon and comprises two concave bearing dishes (13) in which a femoral component can be movably seated, and with a rotational guide means that guides the rotation of the bearing body (12) on the tibial bearing surface (11) about an axis (14) perpendicular thereto. The guide means comprises a bearing post (15) in the form of a regular cylinder that stands upright on the tibial bearing surface (11) and has at least one projection (16, 17) extending radially outward. The bearing post so constructed can be inserted into a post receptacle (19) that is formed on the underside of the bearing body (12) with a receiving groove (20) corresponding to the post projection (16, 17). The at least one post projection (16, 17) extending radially outward is spaced apart from the free end (24) of the post.

Abstract: An orthopedic component for total joint replacement that comprises a metal tray (3) and polymer liner (27), the metal tray having screw holes (7a, 7b) for fixation with screws (9) to bone and a circumferential rim or wall (15) with a smooth inner surface (21). The liner (27) is provided with a flexible sealing ridge (39) around its entire periphery, the sealing ridge being positioned so that it sealingly engages the tray rim so as to form a fluid-tight seal between the liner and the tray. The liner is provided with a locking mechanism comprised of tabs at the longitudinal ends of the liner which engage grooves in the front and rear of the tray.

Abstract: A knee prosthesis has a medial condyle (1) and a lateral condyle (5), the running surfaces (2) of which and the counter-surfaces A, B of which that lie on a tibia platform (3) are sections of spherical surfaces with radii R1, R2, with their center M1′ and M2′ forming in their vertical projection onto the counter-surfaces A, B the points M1, M2. The lateral counter-surface B belongs to a lateral meniscus part (7) which, guided on a plane (13) of the tibia platform, is pivotal with the point M2 on a circular arc with radius R3 about the point M1, with the radius R3 corresponding to the distance a of the centers M1′, M2′.

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: Knee prosthesis with mobile congruent insert, presenting four well differenciated parts: a tibial part (1), a femoral, patellar part (2) and another part which replaces the meniscus of a human knee. The femoral and tibial parts are metal parts whereas the part which is called insert and substitutes the patella and the meniscus is made of plastic material more particularly polyethylene of ultra high molecular weight, and reproduces in its upper portion the geometry of the femoral condyles and in its lower planar portion has a bore (8) wherein is housed a pivot (4, 18) provided on the tibial tray (5, 19). The tibial part (1, 17) is comprised of a platen (5, 19) and an cross-shaped pin which prevents the rotation of the prosthesis once implanted.

Abstract: An artificial knee joint has a meniscus part (1) which is displaceably journalled on a tibia platform (2) and a guiding part (7) which is rotatably journalled on the tibia platform (2) and which engages into a guide (8) of the meniscus part (1), with the guiding part and the meniscus part having lateral guiding surfaces (9a, 10a; 9b, 10b) for guiding the meniscus part (1). In order to limit the surface pressure between the guiding surfaces (9a, 9b; 10a, 10b) the lateral guiding surfaces (9a, 9b; 10a, 10b) have different radii of curvature (R1, R2) which are greater than 10 cm, with the sum of the reciprocals of the radii of curvature 1/R1+1/R2 being less than 0.2 cm−1.

Abstract: A modular joint prosthesis includes a tibial component that may be rotatable or non-rotatable. The system includes a tibial bearing insert having surface features, either male or female, that are able to be slidably mated to complementary surface features of another component. In one embodiment, the tibial component is non-rotatable and the surface features of the tibial bearing insert are slidably matable to complementary surface features of a tibial plateau. In another embodiment the tibial component is rotatable and the surface features of the tibial bearing insert are slidably matable to complementary surface features of a rotating platform base. The rotating platform base, in turn, is rotably mounted to a tibial plateau. The system may utilize a securing member to prevent translation motion between the tibial bearing insert and the tibial plateau or the tibial bearing insert and the rotatable platform base.

Abstract: A knee-joint prosthesis comprising a tibial component fixed to the proximal tibia, a femoral component fixed to the distal femur, the femoral component having condylar bearing sections which cooperate in an articulated manner with tibial bearing sections of said tibial component, and an anterior plate section of said femoral component which touches the patella or a patella component fixed to the patella.

Abstract: An orthopaedic knee component for implanting within a proximal tibia includes a tibial tray with a proximal tibial plateau and a projection extending generally orthogonal to the tibial plateau. The tibial tray also includes a distally extending stem. A bearing is coupled with the tibial plateau and has an articular bearing surface for engagement with a femoral component. The bearing is rotationally movable between a first rotational limit and a second rotational limit about an axis extending generally orthogonal to the tibial plateau. The bearing has a backing surface engaging the tibial plateau which is sized and shaped such that the backing surface is substantially entirely supported by the tibial plateau at any position during rotational movement between the first rotation limit and the second rotational limit.

Abstract: A modular joint prosthesis includes a tibial component formed of a tibial bearing insert and a tibial plateau. The tibial bearing insert is a modular component formed of a tibial insert body and a modular element. The tibial insert body and the modular elements are provided in a variety of geometries and sizes to yield various types of tibial insert bodies. The same tibial insert body may be used, for example, to form both rotatable and non-rotatable tibial bearing inserts.

Abstract: Knee prosthesis comprising a metal base secured to an anchoring rod for fixing it into a tibia of a patient. A plastic tibia plate is freely slidable over the base. The metal base and the tibia plate are equipped with a guide mechanism defining a center of rotation offset from that of a tibia bone axis, so as to allow the plate to slide in rotation over the base. The guide mechanism is positioned a given distance from the center of rotation. The metal base comprises an upstand in the shape of an arc of a circle having a central part secured to lateral edges which are shorter than the central part. The tibia plate comprises, on a lower face thereof, a housing in the shape of an arc of a circle.

Abstract: A mobile bearing knee prosthesis in which the tibial component includes an upstanding post and a cap provided at an upper end thereof. The cap includes a lip extending laterally outward from the post to give the cap a generally oval shape with a major axis in the A/P direction and a minor axis in the M/L direction. The meniscal insert includes an undercut cavity elongated in the A/P direction in which the post is received. The undercut cavity has a length allowing substantial movement of the post therealong in the A/P direction, and a width allowing only a minor movement of the post in the M/L direction. The insert also includes an upper cutout extending around an upper portion of the cavity which receives therein an adjacent portion of the lip.

Abstract: The knee prosthesis with rotary plate comprises a metal base (2) and a tibia plate (3) which are equipped with guide means (22, 22′, 22″, 26, 29, 5, 6, 5′, 9, 50, 51, 52, 13, 15, 18; 34, 34′, 34″, 35, 37, 7, 8, 10, 12, 53, 54, 55, 10′, 17) defining a center of rotation (C, C′) which may be offset from that of the tibia bone axis (YY′), so as to allow the tibia plate (3) to slide in rotation over the said base, the said guide means being positioned a certain distance away from the center of rotation (C, C′).

Abstract: A tibia part of a knee joint prosthesis includes a tibia platform having a distal side, and an anchoring element. The anchoring element is arranged on the distal side of the tibia platform and attached to the tibia platform. In one embodiment, the anchoring element is formed by a shield having a height which is smaller than a width of the shield, and the shield has a U-, C- or V-shape as seen from the tibia platform.

Abstract: A joint prosthesis includes a first prosthesis member having an inferior bone contacting surface, a second prosthesis having a superior bearing surface and a cushion member disposed between the two prosthesis members. The joint prosthesis is particularly useful for replacing bi-condylar joints and especially knee joints. The joint prosthesis is characterized by its high bearing surface contact area and low peak stress which is maintained even under malalignment conditions.

Abstract: An orthopaedic knee component for implanting within a proximal tibia includes a tibial tray with a distally extending stem, a proximal tibial plateau and a post extending from the tibial plateau. The post defines an axis of rotation. An intermediate carrier has an opening in which the post is disposed. The carrier is pivotal about the axis of rotation. A bearing carried by the tibial tray has an articular bearing surface for engagement with a femoral component. The bearing has a recess in which the intermediate carrier is disposed. The projection, carrier and recess allow pivotal movement of the bearing relative to the tibial plateau about the axis of rotation.

Abstract: An orthopaedic knee component for implanting within a proximal tibia includes a tibial tray having a distally extending stem, a proximal tibial plateau and an annular shaped recess extending into the tibial plateau. The recess has a substantially constant radius of curvature about an axis of rotation. A bearing carried by the tibial tray has an articular bearing surface for engagement with a femoral component. The bearing has an annular shaped projection extending into the recess. The projection and the recess allow pivotal movement of the bearing relative to the tibial plateau about the axis of rotation.

Abstract: An orthopaedic knee component for implanting within a proximal tibia includes a tibial tray with a proximal tibial plateau and a distally extending stem. The tibial tray also includes a recess extending into the tibial plateau. The recess is configured to define a first rotational stop and a second rotational stop. The tibial tray further includes a generally cylindrical post positioned within the recess. The post extends generally orthogonal to the tibial plateau and defines an axis of rotation. A bearing is carried by the tibial tray and has an articular bearing surface for engagement with a femoral component. The bearing has an opening in which the post is disposed. The opening and the post allow pivotal movement of the bearing relative to the tibial plateau about the axis of rotation. The bearing further has a projection extending into the recess of the tibial tray.

Abstract: Knee prosthetic, incorporating a prosthetic femoral component designed to be fixed to the furthest or nearest extremity, of the femur, a tibial prosthetic component designed to be fixed to the nearest or upper extremity of the tibia and at least one intermediary mobile meniscoid prosthetic involving a lower surface working together by sliding with the complementary upper surface of the tibial component, and at least one upper concave surface working together by sliding with a lower condyloid convex surface of the femoral component, characterised by the fact that the upper surface of the tibial component and the lower surface of the meniscoid component are flat and sloped in the same angle from the top at the rear towards the front.

Abstract: The prosthetic knee joint is provided for resisting valgus-varus movements. The joint includes a femoral component having a superior bone engaging surface and an inferior bearing surface. A posterior notch extends anteriorly into the posterior end of the femoral component. The prosthetic knee joint further includes a tibial component having an inferior bone engaging surface and a superior bearing surface. A plastic bearing is disposed between the femoral and tibial components. An inferior surface of the plastic bearing is in bearing engagement with the superior surface of the tibial component. A superior bearing surface of the plastic bearing is in articular bearing engagement with the bearing surface of the femoral component. The bearing includes a post projecting proximally from the superior surface. The post is slidably received in the posterior notch of the femoral component and resists valgus-varus moments imposed upon the joint.

Abstract: A knee prosthesis, includes a femoral element, a tibial element and at least one bearing element between the femoral and tibial components. The femoral component has medial and lateral condylar elements that extend posteriorly about 160°.