Abstract: A flexible bone implant includes a proximal stem having a proximal end, a distal end, and a proximal conduit extending from the proximal end to the distal end of the proximal stem, whereby the proximal conduit is open at both the proximal and distal ends of the proximal stem. The implant includes a distal stem having a proximal end, a distal end, and a distal conduit extending from the proximal end to the distal end of the distal stem, whereby the distal conduit is open at both the proximal and distal ends of the distal stem. The implant includes a flexible hinge interconnecting the distal end of the proximal stem with the proximal end of the distal stem for allowing the proximal and distal stems to flex relative to one another.

Abstract: An osteotomy procedure may be performed to correct a misalignment of a bone, such as a bunion deformity. In some examples, the osteotomy procedure involves making a spherical-shaped cut transecting a first metatarsal, thereby forming a first metatarsal portion having a spherical-shaped projection and a second metatarsal portion having a spherical-shaped recess. The method further involves moving the second metatarsal portion in at least two planes relative to the first metatarsal portion, thereby adjusting an anatomical alignment of the second metatarsal portion.

Abstract: The present invention relates to an articular joint replacement system. The system has first and second components. Each component has a tapered head piece for covering the end of a bone and for acting as an articular surface, an integrally formed screw stem having a length sufficient to extend into the medullary canal, and inwardly angled bone grips affixed to the underside of the head piece to allow solid fixation to the bone by compression press fit. The head piece of the first component is provided with a shaped exterior surface which complements the shaped exterior surface of the head piece of the second component and which allows motion in three planes.

Abstract: The present invention relates to an articular joint replacement system. The system has first and second components. Each component has a tapered head piece for covering the end of a bone and for acting as an articular surface, an integrally formed screw stem having a length sufficient to extend into the medullary canal, and inwardly angled bone grips affixed to the underside of the head piece to allow solid fixation to the bone by compression press fit. The head piece of the first component is provided with a shaped exterior surface which complements the shaped exterior surface of the head piece of the second component and which allows motion in three planes.

Abstract: A device, method, and system for treatment or fixation of a fractured, damaged, or deteriorating bone or bones in a mid-foot region. The device comprising an implant with both proximal and distal fastener holes, along with fastener slots in a central elongated body, for securing the implant to the appropriate osseous cortical structures of the foot. The method for treatment or fixation of fractured, damaged, or deteriorating bones in the medial column of the foot with use of a device such as an intramedullary nail that attaches to either the talus or first metatarsal bones to secure the medial cuneiform and navicular bones in place.

Abstract: In the case of known prosthesis systems and socket supplies, the transmission of force is a critical issue. The inventive prosthesis system shall improve known prosthesis systems. According to the invention, a prosthesis system for human limbs is provided, which comprises an implant (101) having at least two joint parts which are movable relative to each other, wherein the first joint part (110) can be connected to a bone part (131, 132) and the second joint part (120) comprises a subcutaneously arrangeable end part (124) on the side being remote from the joint. The invention further relates to a prosthesis system comprising a subcutaneous implant and a socket (170).

Abstract: Implants having improved mechanical properties and/or degradation profiles, kits including such implants, and methods of producing and using the same.

Abstract: An interphalangeal prosthesis (10) includes a mobile element (12), a proximal fixation element (22), and a distal fixation element (24). The mobile element (12) includes a proximal portion (42, 62, 94) and a distal portion (43, 64, 92), and the proximal portion includes three proximal mobile coupling contiguous surfaces (46, 48, 50) and a proximal mobile coupling protrusion (52), and the distal portion includes a distal coupling mobile surface (54) and a distal mobile coupling protrusion (56), and the proximal portion and the distal portion move relative to each other primarily in an axis of rotation perpendicular to a plane that extends through the proximal mobile coupling protrusion, the three proximal mobile coupling contiguous surfaces, the distal coupling mobile surface, and the distal mobile coupling protrusion in an implanted configuration.

Abstract: A total joint replacement system comprising a first and a second implant system. The first implant system includes a first implant having a first load bearing surface based on a first removed portion of an articular surface of a patient's first bone, and a first anchor having a first threaded region configured to be secured into the first bone, wherein the first anchor is configured to be secured to the first implant. The second implant system includes a second implant having a second load bearing surface based on a second removed portion of an articular surface of a patient's second bone, and a second anchor having a second threaded region configured to be secured into the second bone, wherein the second anchor is configured to be secured to the second implant.

Abstract: An orthopedic prosthesis assembly includes a first prosthetic component, a second prosthetic component, and a fastener. The first prosthetic component includes a threaded bore. The second prosthetic component includes an opening and a threaded inner wall that extends inwardly from the opening. The fastener includes a first axial section having a first plurality of threads engaged with the threaded inner wall the second prosthetic component, and a second axial section having a second plurality of threads engaged with the threaded bore of the first prosthetic component to secure the first prosthetic component to the second prosthetic component.

Abstract: A device, method, and system for treatment or fixation of a fractured, damaged, or deteriorating bone or bones in a mid-foot region. The device comprising an implant with both proximal and distal fastener holes, along with fastener slots in a central elongated body, for securing the implant to the appropriate osseous cortical structures of the foot. The method for treatment or fixation of fractured, damaged, or deteriorating bones in the medial column of the foot with use of a device such as an intramedullary nail that attaches to either the talus or first metatarsal bones to secure the medial cuneiform and navicular bones in place.

Abstract: A skeletal replacement system may be utilized to replace bones in a patient. The skeletal replacement system has least one skeletal replacement linkage, each skeletal replacement linkage having a first member, a second member, and a hinge. The first and second members are hingedly coupled by the hinge. Multiple skeletal replacement linkages may be coupled end to end through a shaft on the second member of a first linkage being inserted into a bore in the first member of a second linkage. Each linkage is configured to replace at least a portion of each of two bones and a joint in a patient's body. Multiple linkages may be used to replace more bones and joints as required.

Abstract: A prosthesis includes a first and second plate; elements for mounting the plates to pivot about an axis, which include a flexible hinge including a cylindrical plane flexible strip with two cylindrical swellings respectively associated with two edges of the strip, the dimension of the cross-sections of the swellings, taken in a direction perpendicular to the plane containing the pivot axis and passing through the swellings, being greater than the thickness of the strip taken in the same direction, a hole in each plate of shape complementary to the swellings and opening out in a first face of the corresponding plate; a slot made in each plate and opening out into the hole of that plate, in a second of its faces, and in the first face, the hinge and plates being mounted to so that the swellings and the strip are situated respectively in the two holes and slots.

Abstract: Thumb carpometacarpal (CMC) joint implants include a trapezium implant defining an articulating surface and a cooperating first metacarpal implant with a base portion of the first metacarpal defining an articulating surface. The first metacarpal base articulating-surface is configured to articulate against the trapezium implant articulating surface.

Abstract: A bearing component 2 for a joint replacement prosthesis comprises a first bearing element 4; a second bearing element 6, and a linking element 8, operatively connecting the first and second bearing elements 4, 6 and permitting relative motion there between. The flexible linking element 8 prevents dislocation of mobile bearings in a total knee replacement prosthesis. The invention also relates to a bridging element which retains the linking element 8 with some play, which acts as a ligament support 2051, and which causes a deflection of the line of action of a ligament 1018. A joint replacement prosthesis is also disclosed comprising a biasing element 1140 or a tensioning element 1220 operatively coupled to the artificial ligament 1018. The biasing element 1140 or tensioning element 1220 may be housed in the stem of a tibia tray 1006.

Abstract: Spacerless artificial disc replacements (ADR) are disclosed. One preferred embodiment includes two saddle-shaped components to facilitate more normal spinal flexion, extension, and lateral bending while limit axial rotation, thereby protecting the facet joints and the annulus fibrosus (AF). Either or both of the superior and inferior components are made of a hard material such as chrome cobalt, titanium, or a ceramic including alumina, zirconia, or calcium phosphate. The articulating surfaces of the ADR are also preferably highly polished to reduce friction between the components. Metals, alloys or other materials with shape-memory characteristics may also prove beneficial.

Abstract: A joint support and subchondral support system and method of use of same for providing structural and dampening support to damaged subchondral bone adjacent to a body joint are disclosed. The joint support and subchondral support system and method of use of same are applicable to many parts of the joint as any area with cartilage disease has an adjoining subchondral component.

Abstract: A carpometacarpal joint replacement system for replacing the trapezium bone in the hand is provided. The system includes a trapezial implant for the carpometacarpal joint resulting in replacement of the carpal trapezium bone with a prosthesis having the same anatomical configuration as the trapezium bone. The implant device comprises a plurality of concave surfaces, with the plurality of concave surfaces articulating with the carpal and metacarpal bones.

Abstract: Provided is a bone joining device suitable for joining a first bone piece to a second bone piece. Also provided is a method of joining a first bone piece with a second bone piece in a living mammal. The method comprises inserting the above bone joining device between the first bone piece and the second bone piece.

Abstract: Prosthetic element for bone extremities such as fingers or toes, or teeth, comprising a trabecular part (20, 40, 120) and two end parts or stumps (12, 34, 112; 15, 39, 115).

Abstract: The present invention is a method and device for the correction and reduction of bone deformities, such as metatarsus primus adductus, using a plate body with winged buttresses and dorsal loop. The method and device can be affixed to a bone without any drilling or violating of the bone and can use a tethering technique which does not require drilling into the second metatarsal, nor does it require the placement of a prominent suture knot/button device medially along the first metatarsal.

Abstract: A toe bone implant for correction of toe bone deformities is provided. The toe bone implant includes a first portion having a socket portion. The toe bone implant also includes a second portion having a ball portion operatively connected to the socket portion. The toe bone implant is implanted in a joint such that the ball portion is configured to rotate a predetermined amount respective to the socket portion.

Abstract: A multi-component joint assembly incorporated into reconditioned end surfaces established between a first bone and opposing second bone. A first component is anchored into a reconditioned end surface of the first bone and exhibits a first exposed support surface. A second component is anchored into a reconditioned end surface of at least one of radius and ulna bones and exhibits a second exposed support surface. An intermediate component is supported in articulating fashion between the first and second anchored components. A plurality of micro debris entrapment chamber subassemblies are incorporated into the components and communicate with at least one of the articulating surfaces for isolating and capturing debris resulting from joint wear.

Abstract: A multi-component hallux joint assembly incorporated into reconditioned end surfaces established between an upper metatarsal bone and an opposing lower proximal phalanx bone. A first component is anchored into a reconditioned end surface of the metatarsal bone and exhibits a first exposed support surface. A second component is likewise anchored into a reconditioned end surface of the proximal phalanx and exhibits a second exposed support surface. A spherical shaped intermediate component is supported in at least one of eccentric or rotational fashion between the first and second anchored components.

Abstract: An internal device is provided for stabilizing a joint having multiple axes of rotation. The device includes two axles, separated by a body portion. The two axles are maintained by the body portion in a geometric relationship that replicates the geometric relationship of the rotational axes of the joint. The axles are installed into the bones of the joint to stabilize the joint.

Abstract: An orthopaedic implant used in arthroplasty of the fingers comprises a first element for a proximal phalanx and a second element for an adjacent distal phalanx, each element having a respective stem for implantation in the bone and an interphalangeal articulation head, the head of the first element having a biconvex surface of articulation, with a central valley, and the head of the second element having a biconcave surface of articulation designed to cooperate with said convex surface and comprising a central crest. At rest, the surfaces are congruent in the frontal plane of the articulation in the area of the condyles and non-congruent in the sagittal plane.

Abstract: There is disclosed a finger prosthetic implant assembly. In an embodiment, the assembly includes a distal phalanges. The implant includes a medial phalanges having an operable connection with the distal phalanges. The implant includes a proximal phalanges having an operable connection with the medial phalanges. The implant includes an adjustment mechanism configured to provide a desired length between the distal phalanges and the proximal phalanges. The implant may optionally include a flexor and extensor ligament component having an operable connection with at least one of the medial phalanges and the proximal phalanges, and the flexor and extensor ligament component configured for attachment to metacarpal bone in a hand. Other embodiments are also disclosed.

Abstract: A joint resurfacing prosthetic implant system is disclosed having an anatomically-shaped implant to replace a joint at a pedal digit or finger, including a head having an elliptical bearing surface disposed for engaging the end of an adjacent bone and a seating surface opposite the bearing surface, an elongated stem extending distally from the seating surface, and a flange on the circumference of the device and extending distally from the seating surface. The flange includes one or more portals and a removed section configured to avoid impinging upon a tendon during and after implantation of the prosthetic. A specialized tool is also provided to facilitate the resection of the bone for implantation. The specialized tool includes an elliptical template having a cutting edge and a center insert that is sized and configured to match a reamer used to bore into the bone for insertion of the implant.

Abstract: The invention relates to an implant (1) for osseous fusion between two bones, including a first portion (20) having a longitudinal axis A, for being inserted in the first bone and including a first means (24) for attaching said implant in said first bone, and a second portion (30) having a longitudinal axis B, for being inserted in the second bone and including a second means (34) for attaching said implant in said second bone, said first and second portions (20, 30) being connected by a central core (40), said central core being a solid body, the cross-section of which, in a plane perpendicular to said longitudinal axis A, has the shape of a star having at least three points (41, 42, 43), said first portion having three tabs (21, 22, 23), each tab extending along said longitudinal axis A from the free end (41a, 42a, 43a) of one of the points of said central core.

Abstract: A method and apparatus for correcting malformed joints, in particular the “hammer toe” contraction of the proximal interphalangeal joint. The disclosure comprises a two-component implant: a proximal phalanx component and a middle phalanx component. An endosseous stem on each component is inserted axially into the end of a respective host bone and, after insertion, the components are attached. The attached components are held together in various ways, for example a detent arm/aperture mechanism. Each component can be cannulated to allow for the passage of a kirschner wire, if necessary, to stabilize adjacent joints such as the proximal interphalangeal joint. The bones of the treated joint can be set to form a desired angle by adjusting the angle formed by the corresponding endosseous stems.

Abstract: A finger joint prosthesis includes a joint body 14 having first and second joint elements pivotably connected about an axis of rotation and anchoring bars 30, 32 extend from the joint body for securing to a proximal and a distal phalanx. The anchoring bars 30, 32 include one or more securing eyes 40, 42, 44 with openings for receiving fixing screws therein. To provide improved primary and secondary fixing, an end securing element is provided distally from the axis of rotation on the anchoring bar 30, 32 of at least one joint element.

Abstract: An artificial implant for a carpometacarpal (CMC) joint used for replacing a CMC joint surface of the first metacarpal bone is provided and includes: an insert portion having an inserting end for inserting into a bone marrow cavity exposed from an incision of the first metacarpal bone, and a front end; an articular replacement portion connected to the front end of the inserting portion and disposed outside the incision of the first metacarpal bone, and having an articular profile surface to replace the CMC joint surface of the first metacarpal bone; and an attached flange protruded from a peripheral of the articular replacement portion, attached to an outer bone surface of the first metacarpal bone adjacent to the incision, and having at least one suture hole, through which at least one suture passes for assisting to fix an abductor pollicis longus (APL) to the outer bone surface.

Abstract: A surgically implantable metacarpal-phalangeal prosthetic replacement device having engaging male and female components. The male and female components each include a conically shaped shank adapted to be inserted into a medullary canal of a bone. The male head portion connected to the first conically shaped shank includes two spaced-apart lateral condyles having convex condylar surfaces and an intercondylar portion juxtaposed between the first and second convex condyles. The intercondylar portion extends outwardly relative to the convex condylar surfaces. The female component has a female head portion connected to the second conically shaped shank. The female head portion includes spaced-apart lateral side portions having concave recessed load-bearing surfaces that are complementary to and moveably engage the convex condylar surfaces of the male component. The lateral sides portions further define an intermediate concave condylar recess that moveably engages the outwardly extending intercondylar portion.

Abstract: A surgically implantable device (1,10) made of a single piece of silicone, for joining phalanxes, metacarpus-phalanx or metatarsus-phalanx bones of the hand or foot in arthroplasty surgery, includes an enlarged central portion (2) formed by a thickened portion (5) having a rounded profile and provided with a canal (6) extending transversally in which a depression (7) is centrally formed, and by two elongated stem portions (3,4) which extend from the enlarged central portion (2), one opposed to the other. The device (1,10) is coated completely with at least one layer of turbostratic pyrolytic carbon less than or equal to 10 microns thick obtained by physical vapour deposition (PVD).

Abstract: An implant for the trapezium of the thumb carpometacarpal (CMC) joint comprising an integral elastomeric member configured to include a body portion having a tapered neck, having extending from one end thereof an elongated, longitudinally extending tapered portion adapted to be embedded into a reamed out-channel in the thumb metacarpal bone. After implantation, in the preferred embodiment of the method according to the invention, a segment of a nearby tendon, for example, the APL or FCR tendons, may be wrapped around the tapered neck of the implant to secure it in position, thereby forming a reinforced structure to inhibit dislocation of the prosthesis. However, in other methods, various other securing elements, including, but not limited to acellular matrices, may be used to retain the implant in position.

Abstract: An implant for the trapezium of the thumb carpometacarpal (CMC) joint comprising an integral elastomeric member configured to include a body portion having a tapered neck, having extending from one end thereof an elongated, longitudinally extending tapered portion adapted to be embedded into a reamed out-channel in the thumb metacarpal bone. After implantation, in the preferred embodiment of the method according to the invention, a segment of a nearby tendon, for example, the APL or FCR tendons, may be wrapped around the tapered neck of the implant to secure it in position, thereby forming a reinforced structure to inhibit dislocation of the prosthesis. However, in other methods, various other securing elements, including, but not limited to acellular matrices, may be used to retain the implant in position.

Abstract: A method and apparatus for correcting malformed joints, in particular the “hammer toe” contraction of the proximal interphalangeal joint. The disclosure comprises a two-component implant: a proximal phalanx component and a middle phalanx component. An endosseous stem on each component is inserted axially into the end of a respective host bone and, after insertion, the components are attached. The attached components are held together in various ways, for example a detent arm/aperture mechanism. Each component can be cannulated to allow for the passage of a kirschner wire, if necessary, to stabilize adjacent joints such as the proximal interphalangeal joint. The bones of the treated joint can be set to form a desired angle by adjusting the angle formed by the corresponding endosseous stems.

Abstract: A device and method are disclosed for the fusion of joints (particularly finger joints or toe joints) in a bent (or angled) position. In certain embodiments, a device for the fusion of joints preferably allows for one or more of various angled positions, and the particular angle may differ for different joints. The device is preferably a bendable implant device for fusing together bones or a joint.

Abstract: A hemi-arthroplasty implant (11) joint replacement for the base of the first metacarpal of the CMC joint is created which can effectively restore and reestablish functional joint mechanics. The implant (11) has a unique head section (13) creating a particular interrelation between a spherical head articular surface (19), that is received in a surgically prepared cavity in the trapezium, wherein a supporting neck (21) in a re-entrant region joins the head to a flat, generally oblong collar (15).

Abstract: Implantable assemblies/devices and methods are provided for manipulating energy transferred by members defining an articulating anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first anatomical member of the anatomical joint, a second component configured to be attached to a second anatomical member of the anatomical joint; and a tension member joining the first and second components. The tension member is placed under tension to absorb energy transferred by the anatomical members when the first component is attached to the first anatomical member and the second component is attached to the second anatomical member and a distance between locations of attachment of the first and second components becomes smaller then an implant-defined distance between the locations.

Abstract: An artificial joint comprising a first base element and a second base element that are pivotally connected to an intermediate body. A first protrusion extends from the first base element and is configured to be press-fitted into a screw device that is anchored to a first bone member, and a second protrusion extends from the second base element and is configured to be press-fitted into a screw device that is anchored to a second bone member. A related kit-of-parts is also described.

Abstract: An arthrodesis implant is for a finger joint of a hand of a patient. The arthrodesis implant may include an extramedullary proximal anchor including a first member having a fastener-receiving passageway therethrough to receive a fastener to anchor the first member to an extramedullary portion of a proximal bone of the finger joint of the hand of the patient. The arthrodesis implant may also include an intramedullary distal anchor having a second member for being anchored within an intramedullary portion of a distal bone of the finger joint of the hand of the patient, and a coupling for securing the first and second members together.

Abstract: The invention relates to a joint part prosthesis, particularly for a finger joint, consisting of either a proximal or a distal component, as well as a shaft that extends away from this component, to be mounted in a bone, which shaft is configured with a fin-like anti-twist device. According to the invention, it is provided that as an anti-twist device (7), at least two anti-twist elements (8) are disposed on the mantle surface (6) of the shaft (4), with rotation symmetry, and extend radially away from this mantle surface (6) and in the longitudinal direction of the shaft (4), whereby the distance of the anti-twist elements (8) from the mantle surface (6) decreases slightly in the direction toward the free end (5) of the shaft (4).

Abstract: The invention relates to an intramedullary implant for use between two bones or two bone fragments. The implant includes a single-piece body having a generally elongate shape and having, at each end, areas for anchoring to the bone portions in question, characterized in that one of said areas has a generally cylindrical shape while the other area has a flat cross-section.

Abstract: A multi-component thumb joint assembly incorporated into reconditioned end surfaces established between upper metacarpal and opposing lower proximal phalanx bones. A first component is anchored into a reconditioned end surface of the metacarpal bone and exhibits a first exposed support surface. A second component is anchored into a reconditioned end surface of the proximal phalanx and exhibits a second exposed support surface. An intermediate and spherical shaped component is supported in at least one of eccentric or rotational fashion between the first and second anchored components.

Abstract: A distal component for an interphalangeal prosthesis suitable for insertion into a proximal end of a distal phalangeal bone includes a stem portion shaped to be received within a surgically prepared bore in the proximal end of the distal bone. A head portion has an under-surface and an upper-surface, the under-surface of which in use will bear on the bone into which the stem is implanted.

Abstract: Basal thumb joint implant has a head with a smooth, generally hemispherical, medio-proximally directed, articulating surface, and a generally abrupt, distally directed, truncation thereto; and a stem attached to the head, which arises from the truncation of the head and includes at least one of the following features: A) a general angle of attachment to the head which is acute in relation to the truncation of the head; B) a flanged cross-sectional stem profile; C) an inwardly curved stem; D) an eccentric head attachment site for the stem. The implant may be one-piece or modular in construction.

Abstract: An arthroplastic implant is for a basilar joint of a hand of a patient. The arthroplastic implant may include a body having a distal surface and a proximal surface opposite therefrom with the distal surface to be positioned adjacent a first metacarpal bone at the basilar joint of the hand of the patient. The arthroplastic implant may also include an anchor peg extending outwardly from the body to anchor the body within the basilar joint of the hand of the patient.

Abstract: A finger prosthesis comprising a tip for simulating different functions of a finger and a ring for attaching the prosthesis to a stump. The finger prosthesis further includes a joint coupled between the tip and the ring, wherein the joint includes an interlocking mechanism configured to allow the joint to rotate at lockable intervals so as to lock the tip into different positions during a flexion period of the finger prosthesis.

Abstract: A method for replacing a proximal interphalangeal joint with a modular implant assembly is provided. During a first surgical procedure, a first stem component of the implant assembly having a first articulation component removably attached thereto is implanted in a proximal phalanx bone. A second stem component of the implant assembly having a second articulation component removably attached thereto is implanted in a middle phalanx bone. During a second surgical procedure performed after the first surgical procedure, the first articulation component is removed from the first stem component and the second articulation component is removed from the second stem component. A third articulation component is attached to the first stem component and a fourth articulation component is attached to the second stem component. The second surgical procedure is performed without removing the first stem component from the first bone and without removing the second stem component from the second bone.