Abstract: An acetabular shell component includes a solid substrate, a porous outer layer coupled to the solid substrate, a porous inner layer coupled to the solid substrate, and an inner bearing coupled to the porous inner layer. One or more adjuncts extend outward from the porous outer layer. Each adjunct includes an outer surface that defines a customized patient-specific negative contour shaped to conform to a positive contour of a patient's bone. A method for manufacturing the acetabular shell component using an additive manufacturing process is also disclosed.

Abstract: A method of forming an implant having a porous tissue ingrowth structure and a bearing support structure. The method includes depositing a first layer of a metal powder onto a substrate, scanning a laser beam over the powder so as to sinter the metal powder at predetermined locations, depositing at least one layer of the metal powder onto the first layer and repeating the scanning of the laser beam.

Abstract: An acetabular cup assembly for use with liners is described. The acetabular cup assembly includes a cup and a liner. The cup has an outer surface, a generally concave inner surface and a top face. The inner surface includes a cylindrical band having a plurality of inward-facing recessed scallops, a tapered wall adjacent to the band, and an inner spherical surface adjacent the tapered wall. The inner spherical surface has a substantially uniform radius of curvature. A single groove interrupts the spherical surface. The liner has a substantially convex outer surface and includes a rim and a plurality of outward-projecting scallops adjacent the rim. The scallops of the liner are configured to engage the scallops of the cup when the liner is seated in the cup. Related methods of use are also provided.

Abstract: An acetabular prosthesis for use in a hip arthroplasty surgical procedure is disclosed. The acetabular prosthesis includes a ceramic acetabular shell liner component configured to be secured to an acetabular shell component. The acetabular prosthesis also includes a metal ring affixed to and encircling the ceramic acetabular shell liner component. The acetabular prosthesis also includes an augment molded to and distally extending from the metal ring. The augment is shaped to modify a range of motion of a femoral prosthetic component when the femoral prosthetic component is fitted into the ceramic acetabular shell liner component. Other embodiments are also disclosed.

Abstract: A prosthetic system that includes a prosthetic implant acrd a support structure secured to an inner surface of a cavity of a bone is disclosed. The support structure may comprise a pair of partially hemispherical components arranged in spaced apart relationship thereby defining a channel between the pair of components.

Abstract: A kit for use in arthroplasty. The kit including a shell which has a shell locking section. The kit further including a liner adapted to be inserted into the shell. The liner includes an inner surface and an outer surface, wherein the inner surface is generally concave. The outer surface is adapted to engage the shell, and includes a liner locking section and a curved section. The curved section has a radius. The shell locking section and the liner locking section are adapted to engage one another. The shell locking section and the liner locking section are self-locking tapers. The curved section extends tangentially from the liner locking section at a first transition point.

Abstract: A method for manufacturing a prosthetic hip acetabulum includes the following steps. First, one provides an insertion cup (1) having an inner concave receiving surface (3) having an opening surface (5) contained in an opening plane (P), and having an outer annular receiving structure (6). Next, one provides an installation and positioning insert (7) having a peripheral annular attachment structure (10) shaped to engage with the receiving surface (9) of the structure (6), fitting around that structure. Next, one heats the insert (7) in order to increase its size. Next, one fits the attachment structure (10) around the receiving surface (9) of the receiving structure (6). Finally, one cools the insert (7) to room temperature to reduce its size and achieve radial tightening of the attachment structure (10) on the outer annular receiving structure (6).

Abstract: A polymeric liner for joint implants includes at least one friction reducing member and at least one body member. The friction reducing member is made of a polymeric matrix which contains a polymeric material and at least one nanotube nanoparticle having a volume concentration of between 5%-99% v/v (volume per volume). The body member is formed of at least a polymeric material. The friction reducing member and the body member are conjoined preferably by compression molding or any other method of coupling such as mold injection, 3D printing, adhesion or any other suitable method can be applied. A method produces the polymeric.

Abstract: A prosthesis can have a wall portion that deforms to conform to a surface. The deformation of the wall can be plastic (i.e. permanent) or elastic (i.e. able to return to the pre-deformed configuration). The surface can be an anatomical surface.

Abstract: Disclosed is a method of engaging a bearing liner within a shell member with an integrated projection portion. The integrated projection portion may deform a selected amount during positioning of the bearing liner within the shell. The shell may include a complementary engaging portion.

Abstract: This invention relates to a method of forming a polymer component and comprises blending polymer particles with antioxidant to form a mixture in which the antioxidant coats the polymer particles, irradiating the mixture to cross-link the polymer particles therein and forming the irradiated mixture into a consolidated component. The invention also relates to a method of forming an articular surface for a prosthesis and a prosthesis having a polymer articular bearing surface wherein at least one pre-determined portion of the bearing surface is provided with cross-linked polymer bonds.

Abstract: A liner adapted for insertion into an acetabular shell for use in hip arthroplasty. The liner includes a concave inner surface adapted to engage a femoral head. The liner also includes an outer surface adapted to engage the acetabular shell and a rim that extends between the inner surface and the outer surface. The outer surface includes a locking section extending from the rim, a composite-curved section extending from the locking section at a first transition point, and a dome section extending from the composite-curved section, wherein at the first transition point, the composite-curved section is tangential to the locking section.

Abstract: An acetabular component of a hip replacement implant that is configured to be attached to an acetabulum and to receive a femoral component of the hip replacement implant. The component includes a concave body with a closed end configured to seat against the acetabulum and an open end configured to receive the femoral component. At least one radiological marker is positioned on the body and is visibly distinct from the body on X-ray imaging. The radiological markers may include an elongated shape with a length measured between a first end and a second end. The radiological markers may be shorter than the body such that they do not extend completely around the body and the first and second ends are spaced apart from one another.

Abstract: Provided are acetabular cup implant assemblies that can be used in hip replacement surgery. Example assemblies comprise a shell and a liner. The liner can be positioned within a shell. Optionally, the liner can be rotated relative to the shell until the liner is seated in the shell in a position where the liner and shell can be secured to one another. Waveform-shaped features of the shell and liner can guide the relative rotation of the liner and shell. Also provided are methods of seating a liner in shell of an acetabular cup implant assembly.

Abstract: An acetabular bearing is configured to be convertible between direct connection with the acetabulum of a patient's hip, and connection to an acetabular cup shell or other mounting structure, which is configured to be connected to the acetabulum.

Abstract: A prosthesis comprising: an inner layer (4) formed from a polyaryletherketone; a first outer layer (2a) adjacent to said inner layer formed from a porous polyaryletherketone, at least some of said pores having located therein material to promote osteointegration; and a second outer layer (2b) adjacent to said first outer layer formed from a porous polyaryletherketone, a portion of said pores being free of material to promote osteointegration. The invention also relates to a method of manufacture of the prosthesis.

Abstract: A hip socket for use in a hip joint prosthesis comprising a shaft on which a ball head may be fixed, the ball head may be rotatably inserted in a socket insert and the socket insert may be inserted and fixed in the hip socket the shaft and the hip socket being implantable in the thigh bone and the pelvic bone respectively. Damages to the socket insert and/or limitation of the function of the sliding pair of ball head/socket insert may be avoided by local reduction of the calotte diameter of the socket insert, such that the hip socket has an asymmetrical design with regard to the stiffness and/or geometry thereof in two different directions (x, y) orthogonal to each other and to the symmetry axis (z) of the hip socket.

Abstract: A prosthetic acetabular cup comprising a dome-shaped expandable shell having an annular rim portion (2) and an apex portion and a concave inner cavity extending therebetween for receiving a bearing liner; the shell further comprising an apex aperture (21) centrally disposed in the apex portion relative to a shell axis of rotation and a plurality of radially spaced slots (9) extending from proximal the rim portion to the apex aperture to define a plurality of shell segments expandable outwardly relative to the shell axis about a hinge portion connecting the segments together when an expanding force is applied at the aperture. The present invention provides a simple, correctable and mechanically stable means of inserting and securing a prosthetic acetabular cup in an acetabular bone cavity in a non-intrusive and precisely aligned manner.

Abstract: A dual mobility femoral head construct has a secure acetabular shell received within an acetabular recess formed in a pelvis. An implantable prosthetic device is implantable after a failure of an originally installed articular head insert of an acetabular cup assembly. A hemispherical liner is formed from a cast cobalt-chromium alloy for thinness and elasticity. At least three spacers are annularly displaced about an outer diameter of the hemispherical liner to define a uniform cement thickness with the secure acetabular shell. Web shaped depressions are formed circumferentially in the outer diameter of the hemispherical liner to receive cement to resist lever out forces and to secure the cement bond with the secure acetabular shell. A replacement articular head insert is then received for dual mobility rotational movement in an inner diameter of the hemispherical liner. A femoral head implant is received for articulating movement in the articular head insert.

Abstract: A cotyle including a metallic insertion acetabular shell having an outer, essentially hemispherical, convex anchoring face formed in such a way as to be anchored in a cotyloid cavity of the pelvis of a patient, and a concave receiving face. The cotyle also includes a fixed definitive articular ceramic insert having an outer face engaging in the concave receiving face of the metallic insertion acetabular shell, and an inner receiving face including a concave, essentially hemispherical, articular surface for allowing the engagement and pivoting of a femoral prosthesis head or a mobile articular insert. The cotyle is packed in its assembled sterile state, with the definitive fixed articular ceramic insert engaged in the metallic insertion acetabular shell having a peripheral receiving structure that can receive means for fixing an impacter for positioning a cotyle and is designed in such a way that the impacter can be fixed to the cotyle in the presence of the definitive fixed articular ceramic insert.

Abstract: Disclosed is a bearing liner engageable within a shell member with an integrated projection portion. The integrated projection portion may deform a selected amount during positioning of the bearing liner within the shell. The shell may include a complementary engaging portion.

Abstract: A joint socket of a hip endoprosthesis includes a socket shell implantable in the pelvic bone and a socket insert for providing a bearing for the joint head. The socket shell has an accommodating space having a conical inner surface in which the spherical outer surface of the socket insert is inserted. As a result, the socket insert can be clamped in a self-locking manner in any desired position of rotation and tilt in the accommodating space of the socket shell.

Abstract: This invention relates to a method of forming a polymer component and comprises blending polymer particles with antioxidant to form a mixture in which the antioxidant coats the polymer particles, irradiating the polymer particles to cross-link the polymer particles therein and forming the irradiated mixture into a consolidated component. The invention also relates to a method of forming an articular surface for a prosthesis and a prosthesis having a polymer articular bearing surface wherein at least one pre-determined portion of the bearing surface is provided with cross-linked polymer bonds.

Abstract: A liner adapted for insertion into an acetabular shell for use in hip arthroplasty. The liner includes a concave inner surface adapted to engage a femoral head. The liner also includes an outer surface adapted to engage the acetabular shell and a rim that extends between the inner surface and the outer surface. The outer surface includes a locking section extending from the rim, a composite-curved section extending from the locking section at a first transition point, and a dome section extending from the composite-curved section, wherein at the first transition point, the composite-curved section is tangential to the locking section.

Abstract: A method for determining the orientation of a first object in space, wherein the first, object is interactive with a second object, the method, comprising the steps of: using kinematic action to generate a first data sot reflective of the current spatial relationship between the first object and the second object; and comparing the first data set with a database of known data sets reflective of known, spatial relationships between the first object and the second object, in space so as to identify the current orientation of the first object in space.

Abstract: A cotyle including a metallic insertion acetabular shell having an outer, essentially hemispherical, convex anchoring face formed in such a way as to be anchored in a cotyloid cavity of the pelvis of a patient, and a concave receiving face. The cotyle also includes a fixed definitive articular ceramic insert having an outer face engaging in the concave receiving face of the metallic insertion acetabular shell, and an inner receiving face including a concave, essentially hemispherical, articular surface for allowing the engagement and pivoting of a femoral prosthesis head or a mobile articular insert. The cotyle is packed in its assembled sterile state, with the definitive fixed articular ceramic insert engaged in the metallic insertion acetabular shell having a peripheral receiving structure that can receive means for fixing an impacter for positioning a cotyle and is designed in such a way that the impacter can be fixed to the cotyle in the presence of the definitive fixed articular ceramic insert.

Abstract: Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Mounting members include, for example, flanges, blades, hooks, and plates. In some embodiments, the orthopedic attachments may be adjustably positionable about the base member or other attachments, thereby providing modularity for assembling and implanting the device, and various securing and/or locking mechanisms may be used between the components of the implant.

Abstract: A modular acetabular cup assembly (10, 100, 200, 300, 350) for use with multiple bearing liners (32, 110, 212, 310, 354) is disclosed. The acetabular cup assembly includes a shell (12) having a tapered inner wall (28) and two circumferential grooves (24, 26). The shell (12) may be used with polyethylene, ceramic, metal, and other types of liners.

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 modular acetabular cup assembly (10, 100, 200, 300, 350) for use with multiple bearing liners (32, 110, 212, 310, 354) is disclosed. The acetabular cup assembly includes a shell (12) having a tapered inner wall (28) and two circumferential grooves (24, 26). The shell (12) may be used with polyethylene, ceramic, metal, and other types of liners.

Abstract: The present invention relates to universal liner assemblies for use during hip joint replacement surgeries. The universal liners allow the surgeon a greater degree of selection of liners and shells, without being tied to typical liner/shell connections based on material connection constraints.

Abstract: A prosthetic system is disclosed that can have a feature for identifying an aspect of the prosthetic member and related instruments. The identification feature can identify cooperating components of the prosthetic system, such as an implant and instruments for use with the implant.

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 orthopaedic implant comprises an acetabular cup and a wireless communication device. The wireless communication device is coupled to a rim surface of the acetabular cup. In one embodiment, a recess is defined in the rim surface and the wireless communication device is positioned therein. In another embodiment, the wireless communication device is positioned in an annular ring formed of a biocompatible material. The annular ring is coupled to the rim surface of the acetabular cup. The wireless communication device may be, for example, a radio frequency identification (RFID) tag or device.

Abstract: An acetabular cup assembly for use in the replacement of a hip joint, including a shell having a substantially hemispherical outer surface and an inner surface. The inner surface includes a groove extending at least partially around the inner surface. A provisional liner is provided which is receivable within the shell, the liner including a hemispherical cavity and articulation surface for receipt of the femoral head of a femoral prosthesis, and at least one flexible tab portion which engages the groove of the shell in a snap-fit manner.

Abstract: An acetabular cup comprises an outer shell preferably having a first tensile modulus, an inner liner preferably having at least a second tensile modulus which is greater than that of the said first tensile modulus, and at least one reinforcing element which extends from a polar region of the outer shell along a, preferably interior, surface of the outer shell. Preferably, a wall thickness of the outer shell at a region of intersection between a part-spherical portion and a frusto-conical portion of the outer shell is less at the part-spherical portion than at the frusto-conical portion. The reinforcing element has a longitudinal extent which improves the rigidity of the wall at at least the part-spherical portion.

Abstract: A patient-specific acetabular resection guide includes a dome-shaped surface bounded by a periphery. The dome-shaped surface is a three-dimensional patient-specific surface designed to anatomically match and be received into an acetabulum of the patient, based on a three-dimensional image of a hip joint of the patient reconstructed from a medical scan of the hip joint. The resection guide includes a plurality of guiding formations defined on the resection guide and having patient-specific shapes and orientations for guiding corresponding osteotomies relative to the acetabulum for correcting hip dysplasia.

Abstract: An acetabular cup system includes an acetabular cup having a wall with an inner surface and an outer surface. The acetabular cup includes a fixation opening through the wall, the fixation opening including a first wall portion adjacent to the inner surface and a second wall portion adjacent to the outer surface. The acetabular cup system also includes a fixation fastener including a head and a shaft with a bone-anchoring portion. The fastener can be inserted though the fixation opening. The head includes a first head portion engageable with the first wall portion and a second head portion engageable with the second wall portion.

Abstract: An implant having a porous tissue ingrowth structure and a bearing support structure is disclosed. The implant includes a metal insert having a bone ingrowth structure, an intermediate structure and a bearing support structure. A bearing surface is formed from a polymer material and attached to the bearing support structure. The intermediate structure has a porosity sufficient to inhibit the polymer material from translating through the bearing support structure to the bone ingrowth structure.

Abstract: This invention related to a method of forming a polymer component and comprises blending polymer particles with antioxidant to form a mixture in which the antioxidant coats the polymer particles, irradiating the polymer particles to cross-link the polymer particles therein and forming the irradiated mixture into a consolidated component. The invention also relates to a method of forming an articular surface for a prosthesis and a prosthesis having a polymer articular bearing surface wherein at least one predetermined portion of the bearing surface is provided with cross-linked polymer bonds.

Abstract: A cotyloid implant for a hip prosthesis, includes a first type of insert (2) with a spherical internal cavity (2a), for the mounting of a hemispherical core (4) with a capacity for mobility which has an internal cavity (4a) for co-operation with articulation with a femoral head, a second type of insert with an internal cavity for cooperation with a femoral head with articulation, characterized in that the center of rotation of the femoral head is different from the axis of rotation of the first type of insert (2) and/or of the second type of insert.

Abstract: A line of cotyloid implants of different sizes including a cup intended to be fastened in a cotyloid cavity and including a substantially hemispherical polar portion and an equatorial portion extending the polar portion, the polar portion and the equatorial portion delimiting a substantially hemispherical inner cavity, an insert pivotally mounted in the inner cavity delimited by the polar and equatorial portions of the cup, the insert delimiting an inner cavity having an inner spherical surface portion and intended to pivotally and retentively mount a prosthetic femoral head, where the height of the equatorial portions of the cups of the various cotyloid implants belonging to the line varies in a decreasing manner as a function of the increase in the size of the cotyloid implants.

Abstract: Provided are acetabular cup implant assemblies that can be used in hip replacement surgery. Example assemblies comprise a shell and a liner. The liner can be positioned within a shell. Optionally, the liner can be rotated relative to the shell until the liner is seated in the shell in a position where the liner and shell can be secured to one another. Waveform-shaped features of the shell and liner can guide the relative rotation of the liner and shell.

Abstract: An acetabular shell for use in hip arthroplasty. The shell includes a first wall having an outer surface, an inner surface, and a rim. The shell further includes a second wall extending from the outer surface of the first wall. The second wall has an outer surface, an inner surface, and a rim. The rim of the second wall is spaced outwardly from the rim of the first wall.

Abstract: An acetabular prosthesis assembly can include an acetabular cup and a first liner. The acetabular cup can have an outer surface to contact a subject and an inner surface to engage the first liner. The first liner can have an outer cup engaging surface that couples with the acetabular cup in an assembled position.

Abstract: An insert for an acetabular cup includes an insertion body having an external surface shaped to be able to be coupled with a mating seating of the acetabular cup. The insert includes at least a friction element positioned on the external surface to determine a predefined friction with the surface of the seating, so that, during use, the friction element prevents the relative rotation of the insertion body and the acetabular cup.

Abstract: In order to avoid any metallic wear of the material of the outer shell of a hip joint socket for implantation into the pelvic bone, comprising an outer shell consisting of metal and an insert arranged in it for supporting a joint ball of a femur implant, due to the joint ball sliding past the lower edge of the outer shell it is suggested that the lower edge of the outer shell be covered by a non-metallic material.

Abstract: A socket insert of a hip joint prosthesis having a spherical-indentation-shaped recess in which a spherical head of a femur is mounted. The spherical indentation has a run-in zone which ends on one side with a circular arc tangentially in an end face of the socket insert and extends on another side as far as the run-in edge. Between a start of the circular arc with a radius of the length (RE) and the run-in edge of the spherical indentation with the radius of the length (RK) the run-in zone forms a curve, the function of which is continuously differentiated twice at every point.

Abstract: An acetabular implant for hip replacement surgery includes a shell component and first and second alternative bearing components interchangeably engageable with the shell component to provide a choice in bearing components. The shell component has a shell component engagement mechanism suitable for engaging the first alternative bearing component. A conversion ring is also engageable with the shell component, so that a shell component/conversion ring assembly provides a second shell component engagement mechanism suitable for engagement with the second alternative bearing component.

Abstract: A pre-assembled orthopaedic implant adapted for improved gas sterilization. The implant includes a first component adapted for assembly with a second component such that a mating surface of the first component is in close proximity with a mating surface of the second component. At least one gas conduit associated with the mating surface of the first component facilitates a sterilizing gas to penetrate into and dissipate from the interface defined by the mating surfaces.