Abstract: A trial neck for hip surgery and a method of attaching a trial neck to a femoral canal preparation instrument. The trial neck includes a body portion including a bore for receiving a proximal end of a femoral canal preparation instrument. The trial neck also includes an elongate neck extending from the body portion. The trial neck further includes a locking mechanism comprising a lever. The lever has a first end integral with the body portion. The lever also has a second end. The lever further has an engagement surface located intermediate the first end and the second end. The second end of the lever is actuable to urge the engagement surface against the proximal end of the femoral canal preparation instrument to secure the proximal end of the femoral canal preparation instrument within the bore.

Abstract: Various embodiments discussed in the present document relate to an implant assembly. The implant assembly includes a porous metal coating. The implant assembly further includes a biocompatible implant material. A polymeric binder layer is disposed between the porous metal coating and the biocompatible implant material.

Abstract: A medical device for treating hip joint osteoarthritis by providing a joint surface is provided. The medical device comprises at least two artificial hip joint surface parts, wherein said at least two artificial hip joint surface parts are adapted to be connected to each other to form an artificial hip joint surface during an operation. Furthermore a method of treating a hip joint of a human patient by providing said the medical device is provided. The hip joint comprising a caput femur and an acetabulum, the method comprises the steps of: cutting the skin of said human patient, dissecting an area of the pelvic bone on the opposite side from said acetabulum, creating a hole in said dissected area, said hole passing through said pelvic bone and into said hip joint of said human patient, and providing said medical device to said hip joint, through said hole in said pelvic bone of said human patient.

Abstract: A system and method for allowing any surgeon, including those surgeons who perform a fewer number of a replacement procedure as compared to a more experienced surgeon who performs a greater number of procedures, to provide an improved likelihood of a favorable outcome approaching, if not exceeding, a likelihood of a favorable outcome as performed by a very experienced surgeon with the replacement procedure, including installation and orientation of a prosthesis into tissue of a patient as well as construction of a prosthetic assembly to be installed into such tissue.

Abstract: The present disclosure pertains to ionic polymer compositions, including semi- and fully interpenetrating polymer networks, methods of making such ionic polymer compositions, articles made from such ionic polymer compositions, and methods of making such articles and packaging for such articles.

Abstract: Embodiments of the invention relate to methods of removing interstitial constituents from superabrasive bodies using an ionic transfer medium, and systems and apparatuses for the same.

Abstract: The present disclosure pertains to ionic polymer compositions, including semi- and fully interpenetrating polymer networks, methods of making such ionic polymer compositions, articles made from such ionic polymer compositions, and methods of making such articles and packaging for such articles.

Abstract: The present disclosure pertains to ionic polymer compositions, including semi- and fully interpenetrating polymer networks, methods of making such ionic polymer compositions, articles made from such ionic polymer compositions, and methods of making such articles and packaging for such articles.

Abstract: Embodiments of devices, apparatuses, kits, and methods for repairing and/or augmenting the articular surface and/or articular rim of a joint (e.g., repairing the anterior glenoid rim after an anterior shoulder dislocation).

Abstract: Embodiments of the invention relate to methods of removing interstitial constituents from superabrasive bodies using an ionic transfer medium, and systems and apparatuses for the same.

Abstract: Acetabular prosthesis comprising an acetabular cup, defining a coupling cavity, and an insert, able to be inserted inside the coupling cavity. The acetabular cup and the insert have a common coupling axis and comprise respective clamping means for their reciprocal clamping in an assembled condition.

Abstract: For a membrane encapsulated joint implant sealed under vacuum, a joint implant includes an outer cup, an inner cup, a joint head, a joint membrane, a lubricant, and an implant stem. The outer cup attached at a proximal bone. The nests within the outer cup and receives a joint head, the inner cup comprising an inner cup rim. The joint head is disposed within the inner cup and forms a bearing that rotates within the inner cup. The joint membrane sealed to the inner cup rim and vacuum seals the joint head within the inner cup to form a capsular space. The lubricant is disposed within the capsular space. The implant stem that is attached to a distal bone and that attaches through the joint head through the joint membrane.

Abstract: Implant apparatus and methods directed toward treating conditions involving the knee joint are disclosed. Full range of motion of the knee joint and tissue integrity are maintained in treatment approaches. In one particular approach, osteoarthritis of the knee joint is addressed by unloading one or more of the lateral and medial compartments.

Abstract: An acetabular hip implant includes an acetabular shell component having a first feature and a first insert having a second feature that cooperates with the first feature of the acetabular shell component and further includes a third feature. The implant further includes a second insert having a fourth feature that cooperates with the third feature of the first insert and further includes a fifth feature. A femoral head component includes a sixth feature that cooperates with the fifth feature. Interaction between the first and second features, between the third and fourth features, and between the fifth and sixth features mechanically constrains the acetabular hip implant to prevent dislocation of the femoral head during rotation.

Abstract: An acetabular cup prosthesis features conical pegs. The edge of each peg has an outer portion facing away from the edge of the other peg, and the outer portions of the pegs are parallel to or converging toward each other such that, when in use, the prosthesis can be securely inserted into a prepared bone cavity.

Abstract: New apparatuses and methods for their design and use are disclosed that can be used to assist a surgeon in placing a guide pin during hip surgery. Specifically, a hip surgery method is disclosed in which an image of a patient's femur can be obtained and used to design and prepare a mold that contains an aperture for guiding a drill at the desired location and angle. During surgery the mold can be quickly and accurately positioned on the exposed femur head. Then, a drill bit can be inserted through the aperture and an opening for a pin can be drilled into the femur head. The mold can have a unique contoured surface adapted to fit to the femur head in a single unique position such that the opening is made in a unique desired position. The apparatuses and methods facilitate faster, more accurate surgery and are less invasive.

Abstract: An antioxidant combined with UHMWPE prior to subjecting the UHMWPE to crosslinking irradiation. In one exemplary embodiment, the antioxidant is tocopherol. After the antioxidant is combined with the UHMWPE, the resulting blend may be formed into slabs, bar stock, and/or incorporated into a substrate, such as a metal, for example. The resulting product may then be subjected to crosslinking irradiation. In one exemplary embodiment, the UHMWPE blend is preheated prior to subjecting the same to crosslinking irradiation. Once irradiated, the UHMWPE blended product may be machined, packaged, and sterilized in accordance with conventional techniques.

Abstract: A method of forming an orthopedic implant, the method comprising the steps of providing a first implant component and a second implant component, the first implant component having a stem and a second implant component including a head defining a female taper sized to receive the stem; coupling the stem to the female taper of the head; forming a modular injunction between the stem and head; applying a seal to the modular injunction to limit bodily fluid from contacting the modular injunction; and forming the orthopedic implant.

Abstract: A surgical or arthroscopic method for resurfacing at least one surface of a hip joint of a human patient using a medical device comprising a first sealing member. The hip joint has an acetabulum surface and a caput femur surface and the method comprises the steps of creating at least one hole passing into the hip joint, placing the first sealing member between the acetabulum surface and the caput femur surface, thereby creating a sealed hollow space between the acetabulum and the caput femur using the first sealing member, and injecting a material into the sealed hollow space, and thereby creating an artificial hip joint surface.

Abstract: A method and apparatus for re-attaching the labrum of a hip joint.

Abstract: A prosthetic acetabular cup impaction plate comprising an annular cup engaging surface comprising an annular array of first shape portions adapted to substantially complement portions of the natural shape of the right side acetabulum, which first shape portions are intersected by an annular array of second shape portions adapted to substantially complement the natural shape of the left side acetabulum.

Abstract: A trial device and a method for using the device in surgery are disclosed. The device includes a body including a proximal portion and a distal portion. The proximal portion has a post or trunion projecting therefrom. The distal portion extends from the proximal portion and includes a first arm and a second arm, the first and second arms being movable with respect to one another. The body further includes a cavity formed therein so as to extend through the proximal portion and into the distal portion. The device further includes a driver adapted for sliding engagement within the internal cavity of the body such that movement of the driver, preferably in a distal direction, causes movement of a portion of the first arm away from a portion of the second arm.

Abstract: A medical implant includes a first member adapted to be implanted to bond and having a substantially rigid first contact surface; and a second member adapted to be implanted to bone and having a substantially rigid second contact surface which bears against the first contact surface so as to transfer load from one member to the other while allowing relative motion between the two members; At least one of the first and second contact surfaces is adapted to have resilient properties when placed under load.

Abstract: A prosthetic joint includes: (a) first member having a balanced centroidal axis, and comprising a rigid material and a concave interior defining a cup surface, the cup surface including: (i) a cantilevered first flange defining a wear-resistant protruding first contact rim, the first flange being asymmetric relative to the balanced centroidal axis; and (ii) a cantilevered second flange defining a wear-resistant protruding second contact rim; (b) a second member comprising a rigid material with a wear-resistant, convex contact surface; (c) where the first and second contact rims bear against the contact surface of the second member, to transfer loads between the first and second members, while allowing pivoting motion therebetween; and (d) wherein the flanges are shaped and sized so as to deform elastically and permit the first and second contact rims to conform in an irregular shape to the contact surface, when the joint is under load.

Abstract: An acetabular prosthetic device comprising at least one acetabular augment coupled to an acetabular cup by an augment coupling element to secure the acetabular prosthetic device in place wherein the acetabular cup comprises a shell having at least one groove formed on the outer surface thereof to slidably receive the augment coupling element therein and the acetabular augment comprises an augment body configured to engage the shell and the ilia bone such that the augment coupling element is moved along the groove to position the acetabular body to engage both the shell and ilia bone to secure the acetabular prosthetic device in place.

Abstract: A modular hip implant is disclosed that includes a base member that is to be attached to a pelvic bone, and a cup for accommodating a hip joint prosthesis. The base member is provided with fasteners for mounting the base member on the pelvic bone as well as a concave accommodation portion for the cup. The cup has a convex outer shape which is complementary to the accommodation portion such that the radii of curvature determining the concave accommodation portion and the convex outer form essentially correspond to each other and the cup can be attached within the base member. The base member and/or the cup include adjustment means for adjusting the position of the cup relative to the base member. The invention allows the inclination and anteversion to be adjusted by arranging the cup in the base.

Abstract: A partial rim implant for an acetabulum in a pelvic bone comprises a ridge, a bearing surface, and a fixation surface. The ridge is oriented to replace a labrum. The bearing surface is configured to align with the articulating surface of the acetabulum. The bearing surface extends from the ridge toward the apex of the acetabulum. The fixation surface is configured to fix the implant to a prepared bone surface of the pelvic bone.

Abstract: An orthopaedic implant comprises a fixation plate and an articulation component comprising a bearing surface and an opposing securement surface formed of a porous material. The orthopaedic implant further includes at least one fastener extending through the fixation plate and secured within the porous material of the securement surface of the articulation component.

Abstract: Methods of forming polymeric articles using plasma treated polymer resins, and orthopedic implants comprising a polymeric article wherein the polymeric article has reactive groups bonded to polymer molecules in an interior region of the polymeric article.

Abstract: The invention relates to a replacement metallic prosthesis to be implanted which contains means monitor its condition during use in order to allow an early detection of failure or insufficient functionality, wherein said means comprise implanted sensors and electronics (3) and a remote device (9), to measure the implant's function and degradation during its life span, wherein said sensors are electro chemical sensors with electrodes (1). The prosthesis according to the invention may also be used to promote bone growth. The invention also relates to a method using the device of the invention.

Abstract: A medical device, system, and method for treating hip joint osteoarthritis by providing a hip joint surface is provided. The hip joint comprising an acetabulum, being a part of the pelvic bone, comprising an acetabulum surface, and a caput femur, being a part of the femoral bone, comprising a caput femur surface. The medical device comprises a first sealing member adapted to be placed in the hip joint for creating a hollow space together with; the acetabulum, or an artificial replacement therefor, and the caput femur, or an artificial replacement therefor. The first sealing member is further adapted to have a shape adapted to seal the hollow space for receiving, within the hollow space, a material for resurfacing at least one of the acetabulum surface and the caput femur surface.

Abstract: A method of reinforcing the bone in an acetabulum for receiving a prosthetic acetabular implant includes preparing a surface of the acetabulum to receive an acetabular implant. At least one porous generally cylindrical bone reinforcement element is provided. At least one bore is drilled in an area of the acetabulum receiving the prosthetic acetabular implant for receiving at least one and preferably more reinforcement elements in the form of cylindrical pilings. The cylindrical porous bone reinforcement element is inserted in the bore such that an exposed surface of the porous bone reinforcement element is adjacent the surface of the acetabulum. The acetabular implant is then implanted with an outer surface of the acetabular implant supported by the reinforcement members.

Abstract: A method of orienting a femoral head member of an implant relative to an acetabular member positioned in the acetabulum including implanting a femoral stem of an implant within an intramedullary canal of a femur, inserting an acetabular member in the acetabulum, positioning a femoral head member of the implant at least partially in the acetabular member with the femoral head member including a curved articulating surface and a plurality of indicia on the curved articulating surface, and orienting the femoral head member relative to the acetabular member and generally aligning one of the indicia on the curved articulating surface with an alignment feature of the acetabular member to signify an orientation of the femoral head member relative to the acetabular member.

Abstract: The present invention relates to methods for making oxidation resistant medical devices that comprise polymeric materials, for example, ultra-high molecular weight polyethylene (UHMWPE). The invention also provides methods of making antioxidant-doped medical implants, for example, doping of medical devices containing cross-linked UHMWPE with vitamin E by diffusion and materials used therein.

Abstract: An acetabular cup includes an articular insert (1) having a substantially semi-spherical articular cavity (1c), and a spherical head (2) engaged in the articular cavity (1c). A retaining device (10a) opposes the axial release (4) of the spherical head (2) from the articular cavity (1c) of the articular insert (1). For example, the retaining device can take the form of a back-tapered segment (10a) of the articular insert (1). The spherical head (2) is factory mounted in the articular insert (1), by temporarily heating the articular insert (1) and performing sterilization after assembly. In this way, the spherical head (2) retention capacity in the articular insert (1) is increased substantially in order to reduce the risk of luxation.

Abstract: A method for centering a stem of an implant at an implantation site. The method includes implanting at the implantation site the implant having a sleeve rigidly mounted to the stem of the implant, the stem extends through an interior area of the sleeve. The method further includes compressing the sleeve by applying force to the sleeve to expand a mesh portion of the sleeve outward from the stem and into engagement with sidewalls of the implantation site to thereby center the stem at the implantation site.

Abstract: Provided are processes comprising crosslinking polyethylene or using crosslinked polyethylene. Furthermore, the processes may include compacting and/or sintering the polyethylene. The polyethylene can comprise virgin ultrahigh molecular weight polyethylene having a weight average molecular weight of at least 1,000,000 g/mol, to provide a compacted composition comprising virgin ultrahigh molecular weight polyethylene.

Abstract: A medical prosthesis for use within the body which is formed of radiation treated ultra high molecular weight polyethylene having substantially no detectable free radicals, is described. Preferred prostheses exhibit reduced production of particles from the prosthesis during wear of the prosthesis, and are substantially oxidation resistant. Methods of manufacture of such devices and material used therein are also provided.

Abstract: A hip prosthesis has an oblong plate with at one head end a mounting pin provided with a hinge ball, and at the opposite head end a fastening pin for fastening the hip prosthesis in a shaft of a bone. A first part of the plate extends on a first side of the mounting pin. The mounting pin forms an angle ? smaller than 90 degrees with the first part of the plate and the tangent to the fastening pin at the location of the connection between the fastening pin and the first part of the plate forms an angle ? greater than 90 degrees with the first part of the plate. In order to insert the hip prosthesis into a bone in a simple manner, the fastening pin includes a curved shape from the plate onwards in a direction to the first part of the plate.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, an artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a first component of the artificial joint prosthesis including a contact surface of the artificial joint prosthesis, the first component fabricated from at least one polymer and a plurality of magnetic particles; and a second component of the artificial joint prosthesis including at least one magnet configured to create a magnetic field within the artificial joint, the at least one magnet positioned to form a magnetic field directed to influence a location of debris including the magnetic particles in the joint to a position distinct from the bone-prosthesis interface in vivo.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, a artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo; and a mechanism attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: A cup prosthesis includes a cup, a band disposed about the outer circumference and adjacent to the rim of the cup, an impaction cap disposed at least partially within the space defined by the inner surface and the rim of the cup, and at least one flange extending from the band connected on one end to the impaction cap.

Abstract: A minimal invasive hip arthroplasty device is provided. The device includes a long nail portion, a lag screw portion, distal locking screws, and a resurfacing head. The long nail portion is inserted into a shaft body of a femur from a top portion of the femur and disposed in the femur. The lag screw portion engages and anchors at the long nail portion through a lag screw hole, and the lag screw portion is inserted into a neck of the femur. The distal locking screws queue through the shaft body of the femur perpendicularly and fix the long nail portion to the femur further. The resurfacing head includes a cup portion configured to cover a head of the femur and a fixing pin portion configured to be inserted into the head and the neck of the femur and engaging the lag screw portion through a resurfacing head hole.

Abstract: Artificial joint prosthetic components including synovial fluid deflection structures are described. Embodiments of artificial joint prosthesis include those with: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis; and at least one fluid deflection structure positioned on the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: A hip implant has a neck body that connects to a bone fixation body. The bone fixation body has a porous structure with an elongated shape. An internal cavity is formed in the bone fixation body and includes a substance to stimulate bone growth.

Abstract: Artificial joint prostheses, including hip, knee and shoulder joints, are described. In some aspects, an artificial joint prosthesis includes: a bone-facing surface of an artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure attached to the non-contact surface, the fluid deflection structure positioned to direct a flow of synovial fluid away from the bone-prosthesis interface in vivo; and at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain particles present within the synovial fluid.

Abstract: Methods and apparatus of the present invention provide for orthopaedic replacement of the hip while substantially preserving muscles and soft tissues around the hip joint resulting in reduced healing time and decreased risk of dislocation following the procedure. In an exemplary embodiment, an intramedullary rod 1502 is inserted longitudinally into the femur. A prosthetic femoral neck 3102 is then inserted from a point along the side of the patient's body and into the side of the femur and through a pre-existing lateral bore in the intramedullary rod 1502 and through the remainder of the femur to join the prosthetic femoral head 1102. The methods and apparatus include structures and techniques for fixing the prosthetic femoral neck 3102 in relation to the intramedullary rod 1502.

Abstract: An acetabular hip implant includes an acetabular shell component, a first insert secured to the acetabular shell component, a second insert secured to the first insert, and a femoral head configured to be secured to the second insert. The first insert is permitted to rotate relative to the acetabular shell about a first axis, the second insert is permitted to rotate relative to the first insert about a second axis, and the femoral head is permitted to rotate relative to the second insert about a third axis.

Abstract: The present technology relates to methods and devices for augmenting the canine coxofemoral joint. In particular, methods for augmenting the capsule of the canine coxofemoral joint are provided. In some embodiments, augmentation can be performed by injecting an implantable device comprising a biodegradable matrix and microparticles into the capsule. In some embodiments, augmentation can be performed by imbricating an implantable device comprising a biodegradable matrix and microparticles at the capsule.