Abstract: Systems, methods and devices for providing orthopedic implant augments are provided which have fastener locking mechanisms. The augments include a surface for mating with an implant component and a surface for interfacing with a patient's bone. The fastener locking mechanisms are aligned such that the augment may be locked in a variety of orientations while maintaining close contact with both an implant and a patient's bone. The alignment of the locking mechanisms provides variability and adjustability to the augment to address a variety of bone anatomies and requirements.

Abstract: Systems and methods and augments for supporting an acetabular shell at a hip bone. An example system of modular augments can include first and second augments, each having a body extending from a respective first end portion to a respective second end portion. The first augment second end portion can include a first coupling element and the second augment first end portion can include a second coupling element. Together the first and second coupling elements can form a coupling mechanism to join the first and second augments together. In some examples, the coupling mechanism can include a bulbous tip portion and a recess to receive and retain the bulbous tip portion.

Abstract: A support apparatus for supporting an end of a distraction marrow nail includes a base plate attachable to the pelvis, and a mounting device on the base plate for mounting of the support end of the distraction marrow nail. The mounting device includes a ball seat having a cavity forming a ball seat surface for mounting a ball on the support end of the distraction marrow nail, wherein the inside radius of the ball seat surface corresponds to the outside radius of the ball, and wherein the ball seat is arranged so that the ball of the distraction marrow nail can be movably mounted such that the distraction marrow nail can perform a movement sufficient for an extensively normal movement pattern of a femur and cannot luxate out of the ball seat when implanted in the femur.

Abstract: A variable angle blade augment including an augment component and a blade component. The blade component includes a buttress portion and a neck portion, with the neck portion having a body segment and a face segment that is contoured for mating engagement with an outer surface of the acetabular shell. The augment component has a first opening sized and shaped to receive insertion of the body segment, and which is also sized to accommodate selective adjustment of, when the body segment is positioned in the first opening, linear and angular orientations of the blade component relative to the augment component. Additionally, the body segment has a length that is sized to facilitate direct contact of the face segment with the acetabular shell when the variable angle blade augment is in an assembled configuration. Further, cement can be injected into the internal cavity to unitize the connection between the acetabular shell and the blade component.

Abstract: A variable angle blade augment including an augment section and a separate plate or blade segment. According to some embodiments, a first connector of the blade segment and a socket capture mechanism of the augment section provide a ball and socket type joint. Additionally, the socket capture mechanism may be structured to allow for linear displacement of the first connector relative to at least one axis of the socket capture mechanism. By allowing for at least pivotal and linear relative displacement of the augment section and the blade segment, the variable angle blade augment may improve the ability to optimally position a buttress augment against a prosthetic acetabular shell. Moreover, the variable angle blade augment may provide the ability to utilize components of an implantable medical device after stabilizing the components to a bone structure of a patient.

Abstract: Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed.

Abstract: A humeral prosthetic head has a non-spherical articulation surface coupled with an intermediate component connecting the head and the humerus, the intermediate component connected to the epiphysis, metaphysis, or diaphysis, or to one or more additional components connected to the humerus. The intermediate portion provides for axial and angular offset of the head with respect to a connection to the humerus, using a curvilinear tapered engagement.

Abstract: An artificial hip cup design having an external groove for accepting a split ring or segmented split rings with knife shaped edges and specially designed set screws which expand the split ring's outer diameter. After the cup is placed in the socket of the pelvic bone, it can be readjusted, if necessary, and then locked in final position.

Abstract: A method for placing a prosthetic acetabular cup within an acetabulum comprises implanting an acetabular cup with an eccentric socket. The acetabular cup may be substantially hemispherical with a cup rim and a portion of the cup rim removed defining a relief. The cup may accommodate a concentric liner in an eccentric position. Screw apertures may be present on the periphery of the cup and the screw trajectories may converge toward the dome of the cup. The cup is attached to a tool which is offset relative to the cup because of the substantially eccentric socket. The relief, when the cup is secured to the acetabulum, is positioned substantially anterior and the socket is positioned more posterior to provide a more natural center of rotation of a femoral head within the socket. The first relief reduces impingement of the acetabular cup on soft tissue.

Abstract: An acetabular prosthesis system configured to be coupled to a surgically-prepared acetabulum includes an acetabular shell, an augment component, and a fastener configured to couple the acetabular shell and the augment component together.

Abstract: Medical implants exhibiting optimized mechanical properties, and methods of making such implants, are disclosed. That is, the implants are fabricated of a porous metal substrate and include coating integrated over various areas so as to provide some added or desirable property or functionality to the implant. In one embodiment, the implant is an acetabular implant with a coating applied to an internal, concave wear surface which is sized and configured to receive a head of a femur. Typically, the coating is a ceramic incorporated onto the desired area of the implant via electrophoretic deposition.

Abstract: A system and method for placing a prosthetic acetabular cup within an acetabulum are disclosed. The system may comprise an acetabular cup with an eccentric socket. The acetabular cup may be substantially hemispherical with a cup rim and a portion of the cup rim removed defining a relief. The cup may accommodate a concentric liner in an eccentric position. Screw apertures may be present on the periphery of the cup and the screw trajectories may converge toward the dome of the cup. The cup is attached to a tool which is offset relative to the cup because of the substantially eccentric socket. The relief, when the cup is secured to the acetabulum, is positioned substantially anterior and the socket is positioned more posterior to provide a more natural center of rotation of a femoral head within the socket. The first relief reduces impingement of the acetabular cup on soft tissue.

Abstract: An acetabular prosthesis system configured to be coupled to a surgically-prepared acetabulum includes an acetabular shell, an augment component, and a fastener configured to couple the acetabular shell and the augment component together.

Abstract: Joint socket, especially for a hip endoprosthesis, having a socket shell (18) and a socket insert (20) for mounting a joint head. The socket insert (20) has a portion (22) having a spherical outer face (28) and is positionable in a receiving space (24) of the socket shell (18) in such a way that the spherical outer face (28) of the socket insert (20) is in contact with the inner face (30) of the receiving space (24) concentrically with the rotational axis thereof. In the region of concentric contact, the radius of curvature of the inner face (30) of the receiving space (24) of the socket shell (18) is always greater than the radius of curvature of the spherical portion (22) of the socket insert (20). As a result, self-locking clamping between socket insert and socket shell is achieved.

Abstract: A prosthetic device for replacement of a hip bone that includes an acetabular component configured to connect to a femoral implant and a pubis member. The pubis member connects to the acetabular component and includes a clamping portion that is configured to attach to an opposed healthy pubis bone. The pubis member further includes a worm or other clamping method drive that is configured to tighten the clamping portion against the opposed healthy pubis bone thereby providing stability to the prosthetic hip bone and avoiding the use of bone screws in the opposed healthy pubis bone.

Abstract: An acetabular prosthesis system configured to be coupled to a surgically-prepared acetabulum includes an acetabular shell, an augment component, and a fastener configured to couple the acetabular shell and the augment component together.

Abstract: The invention relates to a device which is used for solidly connecting an acetabular cup shell to bone using at least one screw. According to the invention, the screw passes through a hole housing a ring mounted in the shell of the acetabular cup. The ring is mounted within an aperture of the shell and can be rotated therein about the longitudinal axis of the screw. The ring is a split-ring comprising a non-circular outer profile which co-operates with the non-circular profile of the hole which is disposed in the shell. In this way, when the ring is rotated in the hole and wedged in place therein, it is constricted thereby locking the screw to the shell in the desired position. Alternately the screw can have an enlarged thread adjacent it's head end to expand an internally threaded split-ring.

Abstract: A modular acetabular anti-protrusio cage and acetabular cup combination includes an acetabular cup having a bone ingrowth-promoting surface and a shaped anti-protrusio cage having one or more fixation flanges. The acetabular cup is attached to acetabular bone, and the anti-protrusio cage is thereafter mounted to the inner surface of the acetabular cup. Alternatively, the anti-protrusio cage can be mounted to the inner surface of the acetabular cup before the acetabular cup is attached to acetabular bone. The flanges of the anti-protrusio cage are joined to the ilium, ischium and/or pubis to secure the acetabular cup and the anti-protrusio cage to the hip bone and to distribute forces away from the medial wall of the acetabulum. After the cup and the cage are mounted in the patient, a bearing insert is secured within the interior of the anti-protrusio cage, and a prosthetic femoral head is positioned in the bearing insert.

Abstract: A pelvic prosthesis includes a ball socket and two substantially parallel fanned wings extending upward from the socket. A stabilizing hump is located directly above the socket and extends between and substantially perpendicular to the fanned wings. Each wing is provided with at least two pin receiving holes such that pins may be inserted through the fanned wing. The holes are preferably arranged so that the pins, when inserted, are not parallel. The anterior fanned wing is approximately twice as tall as the posterior fanned wing. Methods and tools for implanting the prosthesis are also disclosed.

Abstract: A device for use in surgical procedures involving arthroplasty, the device including a bearing member at least partially receivable within a bone engaging member and a liner positioned at least partially between said bearing member and said bone engaging member.

Abstract: A modular acetabular anti-protrusio cage and acetabular cup combination includes an acetabular cup having a bone ingrowth-promoting surface and a shaped anti-protrusio cage having one or more fixation flanges. The acetabular cup is attached to acetabular bone, and the anti-protrusio cage is thereafter mounted to the inner surface of the acetabular cup. Alternatively, the anti-protrusio cage can be mounted to the inner surface of the acetabular cup before the acetabular cup is attached to acetabular bone. The flanges of the anti-protrusio cage are joined to the ilium, ischium and/or pubis to secure the acetabular cup and the anti-protrusio cage to the hip bone and to distribute forces away from the medial wall of the acetabulum. After the cup and the cage are mounted in the patient, a bearing insert is secured within the interior of the anti-protrusio cage, and a prosthetic femoral head is positioned in the bearing insert.

Abstract: A joint base for a hip joint endoprosthesis includes an elongate base element and a base insert. The base element has a longitudinal axis and an outline which, in a front view, is of asymmetrical design at least relative to the longitudinal axis. The base insert has at a front side a semi-spherical hollow for accommodating a joint ball.

Abstract: An acetabular cup having an outer surface elongated in a superior/lateral direction is effective to anatomically transfer load to the acetabulum and reduce the likelihood of bone fracture during implantation into the acetabulum. The outer surface has a first portion defined by a first radius and a second portion defined by a second radius. The second radius is offset from the first radius in superior and lateral directions to elongate the outer surface of the acetabular cup.