Abstract: Embodiments relate to a joint replacement device, including a fixed socket including an inner surface and an outer surface supporting a ball, an articulating socket including an inner surface and an outer surface the inner surface in contact with the ball and a stem component attached to the outer surface of the articulating socket. The inner surface of the articulating socket articulates with the ball and the outer surface of the articulating socket can articulate with the inner surface of the fixed socket.

Abstract: An orthopaedic prosthesis includes a curved outer surface configured to abut a patient's bone when the orthopaedic prosthesis is implanted therein. The outer surface may or may not be electrically conductive. A channel is defined in the outer surface in which one or more electrical conductors are positioned. A switch is positioned at a first location on the outer surface and is configured to establish an electrical connection between the electrical conductor and the outer surface (e.g., an electrical trace) and/or another electrical conductor when the first location of the outer surface is pressed against the patient's bone. The switch may be embodied as an end of the electrical conductor or a more complex switch such as a push-button type switch.

Abstract: A method of positioning a femoral prosthesis relative to a femur. The method includes forming a first curved surface on a first condyle of the femur, and securing the femoral prosthesis to the femur such that a first curved bone-engaging surface of the femoral prosthesis mates with the first curved surface formed on the femur.

Abstract: An instrument for use in a joint replacement procedure includes a trial head that corresponds to the head of an orthopaedic joint component having an upper surface defined by a curved surface and a bore formed in a lower surface and a trial connector for connecting the trial head to a stem part of the orthopaedic joint component which is intended for location in the intramedullary cavity of a bone. The trial connector can be fitted into the bore in the trial head at a variable angular orientation.

Abstract: A variety of options for for fracture fixation after total hip arthroplasty or total knee arthroplasty. The ability to pre-engineer fracture fixation contingent solutions into femoral or tibial components provides a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Methods and apparatus include targeting devices allowing for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic, femoral nail, or other components including additional fixation components. Such apparatus and methods further include alignment devices and other components to allow for ease of repair of periprosthetic fractures utilizing the pre-engineered solutions.

Abstract: The present teachings are directed to a shoulder prosthesis having an adjustable radial offset and/or angular inclination provided by relative rotation of an adapter interdisposed between a stem and a head. In one example, a prosthesis has a stem having a first longitudinal axis. The prosthesis can also include an adaptor including a first taper. The first taper can have a first taper axis. The prosthesis can include a head supported by the adaptor. The head can be selectively oriented and then coupled to the first taper and the combination can be selectively orientated and the coupled to the stem.

Abstract: A telescoping access cannula comprising: an outer tube; an inner tube carried by the outer tube, the inner tube being coaxial with the outer tube and longitudinally movable relative to the outer tube; and a rotatable member carried by the outer tube and connected to the inner tube, wherein rotation of the rotatable member causes longitudinal movement of the inner tube relative to the outer tube.

Abstract: Methods and apparatus of providing a joint replacement parts with a pharmaceutical delivery system is provided. The pharmaceutical delivery system is placed within the joint replacement parts to provide, over a period of time, sustained release of a controlled concentration of pharmaceuticals within the joint space of the joint replacement and to produce a local or systemic physiological of pharmacological effect.

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. 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: 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: An osteoconductive vascularized porous metal implant device and method for implanting the vascularized device are described herein. The vascularized implant device comprises an implant which is porous titanium, tantalum or other metal which is biocompatible with the mammalian body and at least one vascular conduit which connects the porous implant to an animal vasculature, such as a human vascular system.

Abstract: A prosthetic assembly and a method of assembling same. The prosthetic assembly includes a base component with at least one engagement surface. A pyrolytic carbon component includes at least one engagement surface. The pyrolytic carbon component is elastically deformed to mechanically interlock with the engagement surface on the base component. The pyrolytic carbon component retains at least a portion of the deformation stress created during coupling with the base component.

Abstract: The invention provides methods and systems that control the application of a material onto micro-rough implant surfaces. Thus, the present invention provides method of applying crystalline nanoparticles onto the surface of an implant to produce an implant with a crystalline nanoparticle layer on its surface, the method comprising: providing an implant substrate body; applying crystalline nanoparticles onto the surface of the implant; and rotating the implant, to produce an implant with a crystalline nanoparticle layer on its surface. This method of nanoparticle application is designed to promote the integration of implants, such as dental and orthopedic screws, into living tissue, and offers the ability to control the thickness and uniformity of the nanoparticle layer, in one or several layers, while simultaneously retaining the microroughness of the implant.

Abstract: The invention relates to an implant for relieving damaged areas of the surfaces of hip or shoulder joints from stress. Said implant can be introduced into the space between the joint surfaces of the condyle and the socket cooperating in the natural joint. The inventive implant is cup-shaped or cap-shaped, rests in the socket by a convex external face, and sits on the condyle by a concave internal face in the implanted state. The implant comprises at least two articulation layers which are movable relative to each other and encompass articulation surfaces that face one another in the implanted state.

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

Abstract: An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Abstract: An implant sleeve operable to center an implant at an implantation site. The implant sleeve includes a proximal end, a distal end, an annular sidewall, a mesh portion of the annular sidewall, and an interior area. The annular sidewall is between the proximal end and the distal end. The mesh portion defines a plurality of openings in the annular sidewall. The interior area is defined by the annular sidewall and is configured to receive a stem of the implant. A longitudinal axis of the implant sleeve extends along an axial center of the interior area. In response to force applied to the implant sleeve, the implant sleeve compresses and the mesh portion expands outward from the longitudinal axis.

Abstract: A method for trochanteric reattachment can include positioning a femoral prosthesis relative to a proximal portion of a femur. A first portion of a self-locking adjustable flexible member construct can be coupled to a first attachment region of the prosthesis, and a second portion of the self-locking adjustable flexible member construct can be coupled to a second attachment region of the femoral prosthesis, where the second portion can be opposite the first portion. A trochanter can be positioned relative to the femur and a trochanteric engaging region of the prosthesis, and the self-locking adjustable flexible member construct can be positioned around an outer surface of the trochanter. Free ends of the self-locking adjustable flexible member construct can be tensioned to draw the trochanter into secure engagement with the prosthesis and the femur via the self-locking adjustable flexible member construct in an absence of a knot.

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: 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: The present invention relates to a method for planning the positioning of a ball joint prosthesis, in particular a hip joint prosthesis, wherein the prosthesis includes a stem and a cup and the method comprises the following steps: —determining the position of at least one point lying on the rim of the joint socket, in particular the position of at least two points lying in an anterior region of the acetabulum; —defining a requirement for the position and/or orientation of the cup on the basis of the determined positions of the at least one point. The present invention also relates to a method for optimising the positioning of a ball joint prosthesis, in particular a hip joint prosthesis, wherein the prosthesis includes a stem and a cup and the method comprises the following steps: —defining at least one requirement for the position and/or orientation of the cup; —calculating an optimum position and/or orientation of the cup on the basis of all the defined requirements being fulfilled.

Abstract: A hip prosthesis includes an acetabular cup and a femoral component comprising a head and a stem, wherein the stem comprises a truss structure, the truss structure comprising a space truss comprising a plurality of planar truss units having a plurality of struts joined at nodes, wherein the web structure is configured to interface with bone tissue.

Abstract: A hip implant having two distinct bodies, a neck body and a bone fixation body. The neck body is formed from a solid metal and has an interface for connecting to a femoral ball. The bone fixation body has an elongated shape and is formed as a porous structure that is inserted into an intramedullary canal of a patient.

Abstract: Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device and drive the implant into a hole or void formed in a patient's bone. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and thence into the orthopedic implant, thereby causing the implant to be driven into contact with portions of the void or hole.

Abstract: Disclosed is an orthopedic implant that includes an anchor, a bore, and a compressible and expandable mesh. The anchor is configured to secure the implant at an implantation site and defines a longitudinal axis. The bore is defined by the anchor and extends along the longitudinal axis. The compressible and expandable mesh is aligned along the longitudinal axis and defines a plurality of openings. The mesh is configured to compress along the longitudinal axis and expand from the longitudinal axis to engage surrounding bone or tissue at the implantation site to secure the implant at the implantation site.

Abstract: An adjustable provisional component for an implantable medical device comprises a first portion mountable to a first part of a patient, and a second portion coupled to the first portion, wherein at least one of the first portion and the second portion is adjustable to select a value of a first geometric parameter of the adjustable provisional component.

Abstract: An apparatus for orienting a prosthetic femoral head relative to an acetabulum comprises a femoral stem and a femoral head member. The femoral stem is configured to be received within the intramedullary canal of a femur. The femoral head member is configured to couple to the femoral stem and further configured to be received in the acetabulum. The femoral head member further comprises an indicia configured to orient a relative position of the prosthetic femoral head to the acetabulum such that the indicia signifies proper relative position of the prosthetic femoral head in the acetabulum.

Abstract: Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Abstract: A surgical device includes a first portion and a second portion. The first and second portions are releasably connected together by cooperating first and second formations. The first formation may be formed on the first portion. The second formation includes a resilient arm which is formed on the second portion and engages the first formation on the first portion. The resilient arm may be integrally formed with the second portion.

Abstract: Methods, apparatus, and systems for improving the performance of articulating prostheses. Some embodiments may comprise a first component comprising a first articulating surface and a second component comprising a second articulating surface configured for articulating with the first articulating surface. One or both of the first and second components may comprise a silicon nitride ceramic material. One or both of the first and second articulating surfaces may comprise a coating that is configured to accomplish at least one of increasing the hardness of the first articulating interface surface, reducing the coefficient of friction between the first and second articulating surfaces, decreasing the effects of wearing between the first and second articulating surfaces, and decreasing the intensity of audible noises produced by the endoprosthesis resulting from articulation between the first and second articulating surfaces during use.

Abstract: A prosthetic hip implant system includes a prosthetic femoral component having a stem portion, a neck portion coupled to the stem portion and a part-spherical head coupled to the neck portion. An acetabular component is provided which has a housing, the housing having a part-spherical inner surface having an open end with a circumferential rim portion. The rim portion has a circumferential radially inwardly extending flange. A bearing element is mounted within the housing and has a part-spherical first outer surface region engaging the part-spherical inner surface of the housing. The part-spherical first outer surface region extends at a first radius from a center. The bearing element has a second part-spherical outer surface region extending a distance from the center less than the first radius to form a stop surface for contacting the rim.

Abstract: An operation assisting system. When an operator manipulates an operation instrument to perform an operation for a joint surgery including a hip replacement, the operation assisting system provides the operator with information on the orientation of a bone such as a pelvis and an appropriate direction of the operation instrument relative to the bone to assist the operator so as to complete the operation in an easy and accurate manner, which ensures a high degree of operation accuracy and reduces the cost of the system.

Abstract: The invention relates to a method for producing an implant (1) having at least one surface segment having at least one break line (3) delineating for exposing an opening or recess of a closure segment (2) removable from the surface segment by the effect of force. In a first, preferably machining method, a sub-assembly of the implant (1) is first produced. In a second step, the material strength in the region of the break line (3) is weakened by material deformation.

Abstract: Kit of parts, comprising: a prosthesis or prosthesis part having at least one contact surface; metal granules having an internal porosity; bone cement; and further comprising titanium granules for use in a kit of parts, which granules preferably are osteoconductive, which granules preferably are coated with a coating from the group of osteoconductive or osteoinductive coatings, or coatings comprising bioceramic, bioglass or osteoconductive or osteoinductive molecules or fluids or cells.

Abstract: A prosthetic system that includes a prosthetic implant and a support structure secured to an inner surface of a cavity of a bone is disclosed. The support structure defines a channel that extends through the length of the support structure. The prosthetic implant is received in the channel, and a portion of the prosthetic implant is secured to an inner surface of the support structure by an adhesive. The support structure may comprise a pair of partially hemispherical components arranged in spaced apart relationship thereby defining the channel between the pair of components.

Abstract: A method of optimizing the geometry of a femoral stem of hip joint prosthesis is disclosed. The femoral stem comprises a neck and an anchoring blade that is attached to the neck and that tapers towards a distal end with a lateral narrow side comprising a distal straight portion and a proximal arcuate portion corresponding to a curve. The transition between the distal straight portion and the proximal arcuate portion occurs at an outer lateral point. The method comprises a means of optimizing the profile of the curve of said proximal arcuate portion by a process of iterative modeling steps using a series of curves each defined by a path traced by the outer lateral point on withdrawal of a profile of the stem from a cavity of complementary shape to the stem.

Abstract: A surgical instrument for implanting a prosthetic member. The instrument includes an orientation sensor that detects an initial orientation of the prosthetic member and an implanting orientation of the prosthetic member. The instrument further includes a memory module and an input device that receives a user input to transfer the initial orientation detected by the orientation sensor into the memory module for storage. Furthermore, the instrument includes an orientation feedback device that selectively provides an orientation feedback signal to a user. Moreover, the instrument includes a controller that causes the orientation feedback device to provide the orientation feedback signal when the implanting orientation detected by the orientation sensor is substantially equal to the initial orientation stored in the memory module.

Abstract: In a method for virtual adaptation of an object to be medically inserted in a patient, to a body part of the patient, the object is shown in a desired view on a monitor, the body part is shown in 3D on the monitor, the body part in its unchanged 3D-imaging context, is automatically displaced relative to the object until the object is adapted to the body part with the orientation of the object relative to the monitor remaining unchanged.

Abstract: A hip implant assembly including body exhibiting a substantially spherical shaped ball and an elongated stem. An annular defining rim separates the ball from the stem and abuts, in a maximum inserting condition, an exterior surface of a reconditioned femur upon inserting the stem within an interior passageway associated with the femur. A three dimensional and interior volume defining support secures around the ball in a universally articulating permitting fashion, the support being fixed to a reconditioned acetabulum socket associated with an ilium bone by interconnecting posts and anchors established between the fixed support and the reconditioned surface of the acetabulum. A corresponding installation kit assists the preparation of the femur and ilium bones defining the hip joint, as well as the installation of the implant body into the upper conditioned femur end and the outer socket support to a reconditioned acetabulum defined in the ilium bone.

Abstract: A prosthetic joint member includes: a generally concave cup with an outer surface that is bone-implantable, the cup including a first indexing feature; a concave insert disposed inside the cup, the insert comprising a rigid material and including a concave interior defining a nominal surface, the interior including a cantilevered flange defined by an undercut in the insert, the flange defining a wear-resistant first contact surface which protrudes inward relative to the nominal surface, the insert including a second indexing feature. The first and second indexing features engage each other so as to retain the insert in a fixed angular orientation relative to the cup.

Abstract: A method for obtaining a composition of at least two components, comprising the steps of: providing at least one first fluid component; providing at least one second solid component and processing it so that the first component can diffuse into the second component; and diffusing the first component into the second component. A composition prepared by such a method.

Abstract: The invention relates to a prosthesis for replacing a joint connection, wherein like magnetic fields from the condyle 10, socket 12 and joint collar 14 overlap in such a way that the repulsive forces generate a suspended state of the condyle 10 in the bearing and the damping effect is maximized. The invention is also directed to a method for replacing a bone junction in a mammal, wherein the prosthesis is fastened to the articular bone and repulsive forces generate a levitated state of the condyle 10 under load.

Abstract: The invention concerns article having a surface oxide layer up to 20 nm thick, the surface oxide layer comprising chromium and cobalt oxides where the atomic ratio of Cr/Co is more than 3. The invention also concerns methods for treating a chromium containing material, said method comprising contacting said material with a gas plasma under conditions effective to oxidize at least a portion of the material; and contacting said material with an acid. The treated surface is corrosion resistant and can be used in orthopedic implants, especially the wear surface of the orthopedic implant to reduce wear, and other corrosive environment.

Abstract: The present invention discloses an implant for use with a joint defining bone having a three dimensional shape and including a first exposed and joint surface defining layer and an inner most and bone mounting layer. The body further has at least one intermediate layer exhibiting a hardness less than either of the exposed layer and the inner most layer such that, upon mounting the body to a conditioned end of a joint defining bone, it provides the dual features of dynamic cushioning support and external wear resistance.

Abstract: A case for modular neck components for hip implants. The case may include indicators based on independent variables associated with physical characteristics of the implant, including leg length, offset, and anteversion. During surgery, the surgeon may be confronted with a need to change a preoperatively-chosen modular neck. For example, the surgeon may desire a change in at least one of the variables, e.g., leg length, offset, and/or anteversion. The case allows the surgeon to quickly and easily select a different modular neck based on an evaluation of one of the variables without requiring reevaluation of the other variables. A method described herein may include preoperative planning in which a template including a grid coordinate system is used, which advantageously provides an intuitive system for the surgeon both preoperatively and during surgery.

Abstract: Orthopedic implants having a bone interface member and a water swellable IPN or semi-IPN with a stiffness, hydration, and/or compositional gradient from one side to the other and physically attached to the bone interface member. The invention also includes an orthopedic implant system including an implant that may conform to a bone surface and a joint capsule. The invention also includes orthopedic implants with water swellable IPN or semi-IPNs including a hydrophobic thermoset or thermoplastic polymer first network and an ionic polymer second network, joint capsules, labral components, and bone interface members. The invention also includes a method of inserting an orthopedic implant having a metal portion and a flexible polymer portion into a joint, including inserting the implant in a joint in a first shape and changing the implant from a first shape to a second shape to conform to a shape of a bone.

Abstract: The invention provides a multi-polymer hydrogel article having a first polymeric, water-swellable material and a second polymeric material, organized such that a first region substantially comprises the first polymeric, water-swellable material, a second region adjacent the first region comprises a mixture of the first polymeric, water-swellable material and the second polymeric material, and a third region adjacent the second region substantially comprises the second polymeric material. The article exhibits an increasing concentration gradient of the second polymeric material moving from the first region, through the second region, to the third region.

Abstract: The invention relates to a polyribonucleotide with a sequence that codes a protein or protein fragment, wherein the polyribonucleotide comprises a combination of unmodified and modified nucleotides, wherein 5 to 50% of the uridine nucleotides and 5 to 50% of the cytidin nucleotides are modified uridine nucleotides or modified cytidin nucleotides.

Abstract: A method of preparing an implant for bone in-growth comprising: providing a metal implant body, the metal implant body having a metal load bearing layer on an outer surface, the metal load bearing layer having a plurality of pores therein, the pores configured to promote bone in-growth into the load bearing layer; providing calcium sulfate hemi-hydrate; providing a diluent; mixing the calcium sulfate hemi-hydrate and the diluent to form a calcium sulfate paste; applying the calcium sulfate paste to the load bearing layer such that the calcium paste substantially impregnates at least a portion of the pores and forms an excess layer of the calcium sulfate paste on an outer surface of the load bearing layer; and wiping the calcium sulfate paste to remove the excess layer and thereby expose the outer surface of the load bearing layer while leaving the calcium sulfate paste impregnated in the pores.