Abstract: Off-center liners can be used with an acetabular cup in hip replacement or revision surgical procedures. The liners (of metal or plastic) can be laterally spaced from the acetabular cup, angled relative to the acetabular cup and/or have an opening that is offset relative to the axis of the acetabular cup. The liners have an orientation indicator that identifies where the liner should be impacted (e.g., impaction location or point) by the impactor to ensure the liner is impacted in a square manner relative to the acetabular cup.

Abstract: A system for aligning components of a prosthetic includes a mounting plate, a fastener and an adapter coupling plate. The mounting plate comprises: a first major surface; a second major surface opposing the first major surface; an adapter accommodation hole extending through the mounting plate; and sizing indicia located on the second major surface. The fastener extends from the mounting plate. The adapter coupling plate comprises: a third major surface; a fourth major surface opposing the third major surface; an adapter coupling hole extending through the adapter coupling plate and surrounded by the adapter accommodation hole; and an indicator located on the fourth major surface to point to the sizing indicia on the mounting plate. The adapter coupling plate can be slidable along a slot surrounding the fastener or a tongue and groove system connecting the adapter coupling plate and the mounting plate and locked via the fastener.

Abstract: A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.

Abstract: A device for partial acetabular replacement includes a patient-specific acetabular guide. The acetabular guide has a first surface configured to nestingly mate in only one position to the patient's acetabulum. The acetabular guide includes a patient-specific guiding formation configured to guide a cutting tool to remove damaged tissue from a defect of the patient's acetabulum and prepare a patient-specific implantation slot corresponding to the defect after removal of the damaged tissue. A patient-specific partial acetabular implant can be configured to nestingly mate with the patient-specific implantation slot.

Abstract: A prosthetic component assembly, such as an acetabular cup, includes a shell, a bearing positioner and a bearing. The shell and bearing positioner are configured to facilitate orienting the bearing positioner in multiple orientations relative to the shell and for securing the bearing positioner in a selected orientation of the multiple orientations relative to the shell. The bearing is configured to be received in the bearing positioner at multiple rotational orientations for optimal joint biomechanics. The bearing positioner is selected from among a plurality of lateralized positioners to accommodate the joint anatomy.

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: 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: 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 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 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.

Abstract: A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.

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.

Abstract: Cup has an articular surface upon which a ball of a joint can articulate, and a margin generally about a hemisphere and at least two hoods that are marginally extended continuations of superior one-half or so of cup containment, a joint ball; and a securing member for resistance against outward displacement of the hood(s) so that the ball can be securely contained. An inwardly biased engagement tab can be is provided for hood brace(s), and perforation(s) or hole(s) can be present about the hood brace(s) and/or cover(s).

Abstract: A trial system for an acetabular prosthesis is described. The acetabular prosthesis is generally for implantation in an acetabulum and surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. The described acetabular prosthesis is especially useful in revision hip implant procedures where significant bone tissue loss has occurred either in or around the acetabulum and/or the pelvis. A collection of trial shells are provided to trial a range of motion of the hip joint before implanting a prosthetic shell into the acetabular prosthesis.

Abstract: The present invention seeks to provide improved joint implants and methods relating to joint implantation. An embodiment is described wherein an implant is constructed of a resilient material which may be deformed to facilitate implantation and final fixation at the joint.

Abstract: A prosthetic component assembly, such as an acetabular cup, includes a shell, a bearing positioner and a bearing. The shell and bearing positioner are configured to facilitate orienting the bearing positioner in multiple orientations relative to the shell and for securing the bearing positioner in a selected orientation of the multiple orientations relative to the shell. The bearing is configured to be received in the bearing positioner at multiple rotational orientations for optimal joint biomechanics. The bearing positioner is selected from among a plurality of lateralized positioners to accommodate the joint anatomy.

Abstract: A trial system for an acetabular prosthesis is described. The acetabular prosthesis is generally for implantation in an acetabulum and surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. The described acetabular prosthesis is especially useful in revision hip implant procedures where significant bone tissue loss has occurred either in or around the acetabulum and/or the pelvis. A trial shell is provided to trial a range of motion of the hip joint before implanting a prosthetic shell into the acetabular prosthesis.

Abstract: A system and method for trialing a modular hip replacement system (10) permits evaluation and replication of the anatomic anteversion rotational angle of the femur. A distal stem component (18) of the hip replacement system (10) includes a proximal portion (34) having a locator feature (35) that is externally accessible when the stem component is mounted within the femur. A proximal trial body assembly (60) is mounted on the proximal portion (34) of the distal stem component (18) to permit rotation of a trial neck component (62). The trial neck component (62) also includes a locator feature(126) that can be externally referenced to determine the anteversion angle.

Abstract: A hip prosthesis (20) having a shell (22), liner (24), and retainer ring (26) is utilized for hip arthroplasty. The liner (24) fits inside the shell (22), which is attached to a patient's pelvis, and the retainer ring (26) engages a terminal liner margin (54) to inhibit expansion of and decrease the size of a restricted liner opening (72) defined by the liner margin (54). By inhibiting expansion of the liner opening (72), the ball (92) of a patient's femur (90) is securely held in the liner (24). In one embodiment, the liner (98) is inhibited from rotation relative to the shell (96) by a plurality of protrusions (106) which mate with recesses (102) in the shell (96). In that embodiment, the liner (98) is provided with catch lips (108) to hold the liner (98) in the shell (96) and a positioning flange (110) which operates to form a relief gap (120) between the shell (96) and the liner (98).

Abstract: A trial implant kit includes a plurality of intermediate components and a plurality of inner components. Each of the plurality of intermediate components has a uniform inner surface, although at least two of the plurality of intermediate components having distinct outer surfaces. Each of the distinct outer surfaces is configured to engage one of a plurality of acetabular shell component geometries. Each of the plurality of inner components has a uniform outer surface portion and a bearing surface, the uniform outer surface portion configured to be received by the uniform inner surface of any of plurality of intermediate components. The bearing surface is configured to engage a femoral head. At least two of plurality of inner components having distinct bearing surface configurations.

Abstract: The present invention provides monopolar acetabular liners that can hold a femoral head to form a hip replacement prostheses, wherein the liner has a rim that creates and orifice, and wherein the orifice has a diameter that is smaller than the diameter of the femoral head, and wherein there is an outset between the rim of the liner and the center line of the femoral head when the femoral head is disposed therein. Assemblies, complete prosthetic replacements, and methods of replacing also are provided.

Abstract: An acetabular cup includes a hemispheric acetabular shell designed to be set in a cotyloid cavity and a hemispheric insert made of biocompatible plastic material and designed to be engaged concentrically in the acetabular shell. An external base is provided with studs for anchoring in the cotyloid cavity bone and designed to receive the acetabular shell. An internal cup is designed to be placed in the acetabular cup opposite the external base and elements for linking the external base and the internal cup. The base and the cup define elements for adjusting the acetabular cup angular position in the cotyloid cavity according to the orientation to be given to the articulation while the elements linking the external base to the internal cup comprise elements for blocking the acetabular cup with respect to the external base after the acetabular cup angular position has been adjusted.

Abstract: An endoprosthetic acetabular component of overall cup form is improved by the provision of an outer part (100; 300; 500) for securement to bone and a plurality of inner parts (200; 400; 600) individually selectively interconnectable with the outer part in like manner but providing a dished articulating surface (203; 403; 603) in respectively different predetermined positions varying in depth and/or inclination. The interconnection is preferably rotatably adjustable relative to the cup mouth, suitably by the provision of mutually complementary indented/detented surface formations (104,202; 304,402; 505,607) on the parts. The outer part may also be selectable from a range adapted to respectively different manners of securement to bone.

Abstract: An endoprosthetic acetabular component of overall cup form is improved by the provision of an outer part (100; 300; 500) for securement to bone and a plurality of inner parts (200; 400; 600) individually selectively interconnectable with the outer part in like manner but providing a dished articulating surface (203; 403; 603) in respectively different predetermined positions varying in depth and/or inclination. The interconnection is preferably rotatably adjustable relative to the cup mouth, suitably by the provision of mutually complementary indented/detented surface formations (104,202; 304,402; 505,607) on the parts. The outer part may also be selectable from a range adapted to respectively different manners of securement to bone.

Abstract: An endoprosthetic acetabular component of overall cup form is improved by the provision of an outer part (100; 300; 500) for securement to bone and a plurality of inner parts (200; 400; 600) individually selectively interconnectable with the outer part in like manner but providing a dished articulating surface (203; 403; 603) in respectively different predetermined positions varying in depth and/or inclination. The interconnection is preferably rotatably adjustable relative to the cup mouth, suitably by the provision of mutually complementary indented/detented surface formations (104,202; 304,402; 505,607) on the parts. The outer part may also be selectable from a range adapted to respectively different manners of securement to bone.

Abstract: A total hip prothesis comprises a cotyloid implant consisting of a metal cup to be anchored in the acetabulum, a polyethylene insert which provides an intermediate implant inserted into the cavity of the cup, and a femoral implant consisting of a cap having an outer convex surface which is slidably positionable within the insert cavity. An inner concave surface of the femoral implant is implantable on the head of the femur. The prothesis is particularly suitable for endo-articular implantation.

Abstract: A ball and socket joint for implanting in the body is provided wherein the socket portion of the joint can have various orientations with respect to the patient's anatomy, and the orientation used for a particular patient can be selected and/or changed in situ, that is, during or after implantation of the joint. In addition, the configuration of the joint, e.g., constrained versus semi-constrained, as well as the materials making up the socket portion of the joint, e.g., plastic versus metal, can be selected and/or changed in situ. The questions raised in reexamination request Nos. 90/004,732, filed Aug. 26, 1997 and 90/005,596, filed Jun. 22, 1999, have been considered and the results are reflected in this reissue.