Abstract: Various embodiments disclosed herein relate to stemmed and stemless humeral anchors for use in shoulder arthroplasty procedures. For example, the humeral anchor can include a first end, a second end, and an interior surface extending between the first end and the second end. The interior surface can be disposed about a recess disposed between the first end and the second end. The recess can be configured to secure a coupling of a shoulder articular body directly to the interior surface.

Abstract: Embodiments of the present invention include a convertible prosthesis that is capable of conversion from a humeral head replacement to a reverse reconstruction without any removal of parts integrated into the patient's bony anatomy (e.g. implant stems). A desired overall implant inclination angle may be achieved by matching various implant stems with various reverse inserts, thus permitting a resection surface to be matched with an implant stem selection while also permitting a desired overall implant inclination angle to be achieved through the selection of an appropriate insert.

Abstract: Multi-hooded enarthrodial joint implant has a hard substance articulating cup including a hard substance head-receiving cup having an articular surface upon which a head of a joint can articulate, and which, in general, has a margin generally about a hemisphere more or less and at least two hoods that are marginally extended continuations of superior one-half or so of cup containment of a sufficient magnitude to reduce an overall dimension of socket outlet to less than a hemisphere, which can embrace and contain the head. The head is made of a hard substance and has a truncated generally circular cross section, a truncated surface with a feature for attachment of the stem, and an opposing articular surface for articulation against the articular surface of the ceramic head-receiving cup. As an ensemble, the cup is combined with the head, typically with a stem, for a total joint implant. The hard substance may be, for example, a composite substance, a metal or a metal alloy.

Abstract: Prostheses, acetabular apparatuses, and methods of use are disclosed. In some embodiments, an acetabular apparatus includes an acetabular cup, a pre-assembled liner and flange construct, and a dual mobility bearing (e.g., a dual articulating femoral head component and insert). In one embodiment, the pre-assembled liner and flange construct may be coupled together by a band coupled to the flanges, the band being arranged and configured to be pressed onto an outer surface of a liner. The pre-assembled liner and flange construct being arranged and configured to accept the dual mobility bearing so that it is freely rotatable relative thereto during use.

Abstract: Disclosed is a device for positioning a resurfacing prosthesis, including: a gripping and handling instrument for a main body of a resurfacing prosthesis; a connecting body, interposed between said gripping and handling instrument and said main body of said resurfacing prosthesis and suitable to connect them; a coupler which secures said connecting body to said main body, said coupler comprising: a plurality of bonding elements adapted to be interlocked, in an irremovable manner, in respective recesses provided in said connecting body; and a shear releaser, interposed between said main body of said resurfacing prosthesis and said connecting body, adapted to detach said connecting body from said main body. Other aspects are described and claimed.

Abstract: A fitting ring can be provided that is attachable to an edge of a liner for an acetabular shell. The fitting ring can include an alignment portion shaped or configured to engage a lip portion of the acetabular shell as the liner is inserted into the acetabular shell to center the liner and correct any pivoting of the liner relative to the acetabular shell. A driving force can be applied to the liner to drive the liner into the acetabular shell while the fitting ring guides the liner as the liner is inserted into the acetabular shell. Driving the liner into the acetabular shell can also cause the fitting ring to disengage from the liner.

Abstract: Trial joint inserts have posts at different positions relative to the base. During joint replacement surgery, a surgeon can test different positions for a post using a trial insert, identify a suitable position for the post, and then select a permanent insert with a post in the desired position. The devices and methods in this application allow a surgeon to provide an individualized joint replacement for a patient. Joint inserts may be configured so the post moves relative to the base. The post may be adjustably positionable, may lock in place, or may be actuated by a resistance member such as a spring.

Abstract: A medical device for implantation in a hip joint of a patient is provided. The medical device is adapted to be fixated to the femoral bone of the patient. The medical device comprises an inner and an outer surface, wherein a contacting portion of said inner surface is spherical and adapted to face the center of the hip joint when said medical device is implanted, and wherein said medical device is adapted to receive a prosthetic replacement for the caput femur fixated to the pelvic bone having a spherical portion. The medical device comprises at least one extending portion, extending said contacting portion of said inner surface such that said at least one extending portion clasps said spherical portion of said prosthetic replacement for the caput femur, such that said spherical portion is restrained in said medical device.

Abstract: The articulating joint prostheses of the invention demonstrate reduced wear and can include a cup (101) formed of UHMWPE. An insert (150) of a hard material, such as metal, ceramic or cross-linked UHMWPE is positioned within the cup at a location of the contact between the cup and head (102). The shape of either component of the kinematic pair may be modified so as to result in an annular surface contact between the two components, with the insert positioned at the annular surface contact. Fluid trapped between the two components within the inner contour of the annular contact area is pressurized under load due to elastic deformation of the components and exuded out through an inter-articular gap over the surface of contact of the insert. This aids lubrication and reduces wear.

Abstract: The present invention relates to an artificial hip joint replacement system. The system includes an acetabulum portion having a cup suitable to be received by a subject's acetabular bone. The cup includes a rigid portion and an elastic portion attached to the rigid portion. Also included in the system is a ball received within the cup and in contact with the elastic portion and a femoral stem attached to the ball. The elastic portion is positioned to cause expansion and allow contraction of a space between the ball and the rigid portion of the cup so they are further apart from one another during periods of low mechanical loads.

Abstract: A knee prosthesis that includes a tibial component and femoral component. The tibial component includes an articular surface, a posterior portion and an anterior portion. The posterior portion includes a recess for receipt of a posterior cruciate ligament. The anterior portion includes a post extending therefrom. The post includes a posterior surface. The femoral component includes a condylar portion and an intercondylar portion. The intercondylar portion includes a posterior recess for receipt of the posterior cruciate ligament, a cam, and an engagement recess for receipt of the post. The cam includes a sliding surface and is disposed between the engagement recess and posterior recess. The sliding surface of the cam slides along the posterior surface of the post for restricting anterior subluxation of a femur bone when the articular surface and the condylar portion articulates through flexion of a knee joint.

Abstract: A humeral component of a prosthesis comprises a stem module for fixing the prosthesis into a bone. A joint adapter can be attached, preferably under different angles to the stem module. The joint adapter holds a liner having a recessed spherical cavity, which is the cup of the joint. The joint adapter has an inner surface and a circumferential groove. The liner has an outer surface including a circular recess. This circular recess preferably is concentric to the major body diameter of the liner for interfacing with the circumferential groove of the joint adapter. Furthermore, the liner has a radial slit, which allows compression of the liner for easy insertion and removal. This allows inserting different liners with different sizes thus allowing to try out different sizes to find the best size for the patient. When the best size has been identified, a final liner without a slit may be inserted.

Abstract: An apparatus can include an acetabular cup, and a connection member that can be mounted to the acetabular cup such as near a rim edge of the acetabular cup. The connection member can include an attachment section that can be configured to receive an attachment from an inserter. The attachment section can be configured to permit the inserter to be attached to the connection member in two or more different orientations relative to the connection member.

Abstract: A medical device for implantation in a hip joint of a patient is provided. The medical device is adapted to be fixated to the pelvic bone of the patient. The medical device comprises an inner and an outer surface, a contacting portion of the inner surface is spherical and adapted to face the center of the hip joint when said medical device is implanted, and said medical device is adapted to receive a caput femur or a prosthetic caput femur having a spherical portion. The medical device comprises at least one extending portion adapted to clasp the caput femur, or prosthetic caput femur, for restraining said caput femur, or prosthetic caput femur in said medical device. The medical device is adapted to release the caput femur or prosthetic caput femur from the medical device when a predetermined strain is placed on the medical device.

Abstract: Bipolar prostheses which include various structures and other techniques for optimizing material wear and mechanical strength properties. Such prostheses feature, for example, improved resistance to polyethylene wear while also reducing potential for dislocation of the femoral stem from the prosthesis. Such techniques and structures include varying wear resistance and mechanical strength treatment in various components of the prostheses or portions of those components as desired to improve, accentuate or optimize wear performance and dislocation reduction, locking ring structural features, structures for retaining locking rings in the bipolar prosthesis shell, and structures for limiting or reducing movement or rotation of locking rings and liners in bipolar prosthesis shells.

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: Bipolar prostheses which include various structures and other techniques for optimizing material wear and mechanical strength properties. Such prostheses feature, for example, improved resistance to polyethylene wear while also reducing potential for dislocation of the femoral stem from the prosthesis. Such techniques and structures include varying wear resistance and mechanical strength treatment in various components of the prostheses or portions of those components as desired to improve, accentuate or optimize wear performance and dislocation reduction, locking ring structural features, structures for retaining locking rings in the bipolar prosthesis shell, and structures for limiting or reducing movement or rotation of locking rings and liners in bipolar prosthesis shells.

Abstract: The present invention provides monopolar acetabular liners (32, 54) that can enclose a femoral head (14) to form a hip replacement prosthesis (30, 50), wherein the liner (32, 54) has a rim (34) that creates an orifice, wherein the orifice has a diameter that is smaller than the diameter of the femoral head (14), and wherein the liner (32, 54) encompasses greater than 50 percent of the volume of the head (14), wherein a constraining ring (56) can be used in conjunction with the monopolar constrained acetabular liner (32, 54) to provide additional support for the femoral head (14) to stay with the acetabular liner (32, 54) and avoid dislocation. Assemblies and complete prosthetic replacements are also provided. Liners (32, 54) and constraining rings (56) having no, one or more recesses (36) also are provided.

Abstract: An acetabular cup prosthesis comprising an acetabular cup having a rim and comprising a metal band applied around the outer circumference of the acetabular cup prosthesis and adjacent to said rim.

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: A shroud for protecting exterior portions of a prosthetic implant from adhesive and a method for utilizing the same. The shroud includes a hub, a rim, and at least one bridge connecting the hub and the rim. The rim of the shroud may be sized to cover substantially the same area as a guard of the implant. The method of utilizing the shroud involves securing the shroud to the prosthetic implant. A quantity of adhesive is provided, and the prosthetic implant is secured thereto. The shroud is removed from the implant, and then the guard is secured to the implant.

Abstract: A prosthetic liner includes a convex exterior surface, a concave interior surface and a rim portion connecting the interior surface and the exterior surface. The liner includes a plurality of recesses and a plurality of fingers. Each of the plurality of recesses is formed in the exterior surface of the liner without extending to the interior surface of the liner. The plurality of fingers is positioned in the plurality of recesses and each of the plurality of fingers is connected to the exterior surface and extends toward the rim portion. The plurality of fingers may be resiliently moveable in the plurality of recesses. The plurality of fingers may be integral with the exterior surface of the liner. The rim portion may define a plane into which at least one of the plurality of fingers extends.

Abstract: An acetabular cup component can include a hemispherical first shell, an annular ring, and a second shell. The annular ring can laterally extend from and circumscribe an outer surface of the first shell and can include a first portion for engaging an anatomy. The second shell can include a second portion for engaging the anatomy adjoining the first portion. Another acetabular cup component can include a first shell, a second shell, and a support ring. The support ring can be coupled to an end portion of the first shell and can include a portion for engaging an anatomy and a rim for engaging a bearing. Another acetabular cup component can include a hemispherical inner shell composed of Cobalt, a hemispherical intermediate shell coupled to an outer surface of the inner shell by a diffusion bond, and a hemispherical outer shell coupled to an outer surface of the intermediate shell.

Abstract: A prosthesis to replace a portion of the anatomy, such as the acetabulum, can include a first portion. A second prosthesis portion can be positioned relative to the shell to provide the bearing surface to articulate with a femoral head prosthesis or femoral head. The second prosthesis portion can include a connection portion to engage a connection portion in the shell.

Abstract: A retentive and removable trial bearing insert is used with a total hip replacement joint. The joint includes a dual mobility or bipolar prosthetic cup which has a part-spherical bearing insert with a part-spherical inner bearing surface which engages a part-spherical bearing head on a femoral stem. The bearing comprises a part-spherical trial inner bearing element dimensioned to replace the part-spherical bearing insert and which includes releasable retaining element which engages the bearing head of the femoral stem or a trial bearing head thereof to hold the trial bearing element in place thereon.

Abstract: An acetabular cup assembly can include a cup portion and a bearing. The cup portion can include a porous metal outer layer having a first thickness and a solid titanium inner layer having a second thickness. A mating feature can be formed between the cup portion and the bearing. The bearing can be adapted to be selectively secured to the titanium inner layer. In one example, the bearing is formed of cobalt.

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 materials. The shell component has an engagement mechanism suitable for locking engagement with the first alternative shell component. A conversion ring is lockingly engageable with the shell component to adapt the shell component to provide an engagement mechanism suitable for locking engagement with the second alternative shell component.

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 system for replacing a portion of a shoulder joint can include a tray having an outer surface and an inner surface. The outer surface can be adapted to engage a humeral stem. A bearing can include an outer bearing surface and an inner articulating surface. The outer bearing surface can be positioned adjacent to the tray. A ring can be selectively disposed between the tray and the bearing. The ring can define an annular body having a slit formed therein. The ring can be movable between a locked position wherein the ring retains the bearing relative to the tray and an unlocked position. A removal tool can define a proximal end and a distal end. The distal end can define a ring engaging surface and a bearing engaging surface. The ring engaging surface can be adapted to engage the ring at the slit such that the ring expands radially from the locked position away from engagement with the bearing to the unlocked position.

Abstract: The object of the present invention is a joint prosthesis for a human body including: a spherical head (1), an intermediate semi-spherical shell (2) in which the spherical head (1) is accommodated with a first clearance, a safety retaining ring (3), retaining the spherical head (1) in the intermediate shell (2), and an external shell (4) provided with a concave internal wall having the shape of a spherical cap, wherein the intermediate shell (2) is housed with a second clearance, with the concave internal wall having a local cavity (42) providing a storage for the lubricating liquid.

Abstract: One embodiment of the present invention relates to a prosthesis, comprising: an acetabular cup, wherein the cup has an open end and a closed end, wherein the open end of the cup is defined by a rim and wherein the rim has an outer facing surface; at least one cavity disposed in the rim, wherein the cavity extends from a first end of the cavity at the outer facing surface to a second end of the cavity that is towards the closed end of the cup, and wherein the cavity comprises an undercut at the second end of the cavity; a locking ring; and at least one tab extending from the locking ring, wherein the tab comprises a first leg and a second leg having a separation therebetween, wherein each leg has a first end and a second end, wherein the first end of each leg is at the locking ring, wherein the second end of the first leg comprises a tab protrusion, and wherein at least the second leg is resilient such that the separation between the first leg and the second leg is reduced when the second leg is deflected towa

Abstract: A prosthetic liner includes a convex exterior surface, a concave interior surface and a rim portion connecting the interior surface and the exterior surface. The liner includes a plurality of recesses and a plurality of fingers. Each of the plurality of recesses is formed in the exterior surface of the liner without extending to the interior surface of the liner. The plurality of fingers is positioned in the plurality of recesses and each of the plurality of fingers is connected to the exterior surface and extends toward the rim portion. The plurality of fingers may be resiliently moveable in the plurality of recesses. The plurality of fingers may be integral with the exterior surface of the liner. The rim portion may define a plane into which at least one of the plurality of fingers extends.

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 materials. The shell component has an engagement mechanism suitable for locking engagement with the first alternative shell component. A conversion ring is lockingly engageable with the shell component to adapt the shell component to provide an engagement mechanism suitable for locking engagement with the second alternative shell component.

Abstract: An orthopedic prosthesis for implantation into a bone of a patient includes a porous metal shell adapted to be affixed within the bone. The porous metal shell includes an outer surface adapted to receive bone ingrowth and an inner surface adapted to engage a liner. The porous metal shell is porous from the outer surface to the inner surface. A non-porous member may be affixed to the porous metal shell. The non-porous member may include a piercing member extending from the outer surface, the piercing member adapted to penetrate the bone in an implanted position. The non-porous member may include spikes or fins. In one example, the piercing member may define a reduced material cross section at an interface with the outer surface of the porous metal shell. The piercing member may be adapted to be broken at the reduced material cross section and removed from the porous metal shell.

Abstract: A hand held instrument is provided in one embodiment in a kit for use in positioning a constraining ring of an acetabular liner system and includes a shaft including a first coupling member, and a plurality of heads, each of the plurality of heads including (i) a base configured to couple with the first coupling member and (ii) a pair of resilient gripper arms, each of the pair of resilient gripper arms defining a constraining ring reception area having a size different from the constraining ring reception area defined by the pair of gripper arms of each of the other of the plurality of heads.

Abstract: A bearing shell made of plastic material is provided for a ball and socket joint for mounting a ball and socket joint pivot mounted rotatably and pivotably in the bearing shell with at least two shell parts 1a, 1b forming a bearing surface with an inner, hollow spherical shape is presented, wherein the shell parts form in their entirety the shape of a bearing ring 1 with an opening 2, 3 each arranged on the front sides of the bearing ring, which said front sides are located opposite each other, at least one web 4 connecting the shell parts 1a, 1b being arranged crosswise above one of the opening cross sections.

Abstract: A system for replacing a portion of a hip joint can include a cup having an outer surface and an inner surface. A bearing can include an outer bearing surface and an inner articulating surface. The outer bearing surface can be positioned adjacent to the cup. A ring can be selectively disposed between the cup and the bearing. The ring can define an annular body having a slit formed therein. A removal tool can define a proximal end and a distal end. The distal end can define a ring engaging surface and a bearing engaging surface. The ring engaging surface can be adapted to engage the ring at the slit such that the ring expands radially from a locked position away from engagement with the bearing to an unlocked position. The bearing engaging surface can be adapted to engage the bearing and urge the bearing away from the cup.

Abstract: The present invention provides monopolar acetabular liners that can enclose a femoral head to form a hip replacement prosthesis, wherein the liner has a rim that creates an orifice, wherein the orifice has a diameter that is smaller than the diameter of the femoral head, and wherein the liner encompasses greater than 50 percent of the volume of the head, wherein a constraining ring can be used in conjunction with the monopolar constrained acetabular liner to provide additional support for the femoral head to stay with the acetabular liner and avoid dislocation. Assemblies, complete prosthetic replacements, and methods of replacing also are provided. Liners and constraining rings having no, one or more recesses also are provided.

Abstract: Methods, systems and devices related to prosthetic implants, including a device for preventing prosthetic components from separating from each other, and more specifically to an assembly for adapting a prosthetic component to receive a device for preventing an implant stem head from dislocating from a prosthetic component. Methods, systems and devices according to this invention seek to provide improved orthopedic prosthetic components and more specifically, improved constrained components that may be utilized with existing implanted prosthetic components. Liner assemblies and systems according to various embodiments of this invention may include an adapter component designed to link current prosthetic cup geometry to a constrained liner, while providing optimal range of motion and sufficient lever out.

Abstract: An acetabular prosthesis generally consists of an acetabular component and an acetabular shell. The acetabular component includes an acetabular articulating component and an acetabular constraining component. The articulating component has a hemispherical or dome shape that defines a hemispherical cavity for receiving a femoral ball of a femoral hip stem. The constraining component has a ring-shape body with extensions for locking the femoral ball in the cavity of the articulating component.

Abstract: Bipolar prostheses which include various structures and other techniques for optimizing material wear and mechanical strength properties. Such prostheses feature, for example, improved resistance to polyethylene wear while also reducing potential for dislocation of the femoral stem from the prosthesis. Such techniques and structures include varying wear resistance and mechanical strength treatment in various components of the prostheses or portions of those components as desired to improve, accentuate or optimize wear performance and dislocation reduction, locking ring structural features, structures for retaining locking rings in the bipolar prosthesis shell, and structures for limiting or reducing movement or rotation of locking rings and liners in bipolar prosthesis shells.

Abstract: According to one embodiment of the present invention, there is provided a joint prosthesis (10) having a first component (12) for cooperation with a first long bone (14) and a second component (16) for cooperation with a second long bone (20). The joint prosthesis (10) further includes a bearing component (22) positionable between the first component (12) and the second component (16) and cooperable with the first component (12) and the second component (16). The bearing component (22) includes a reinforcing component (36) having a first portion (54) defining a first centerline (50) and having a second portion (56) defining a second centerline (52). The first centerline (50) and the second centerline (52) are non-coincidental. The bearing component (22) includes a polymeric material (112) surrounding the reinforcing component (36) and molded to the reinforcing component (36).

Abstract: Methods, systems and devices related to prosthetic implants, including a device for preventing prosthetic components from separating from each other, and more specifically to an assembly for adapting a prosthetic component to receive a device for preventing an implant stem head from dislocating from a prosthetic component. Methods, systems and devices according to this invention seek to provide improved orthopedic prosthetic components and more specifically, improved constrained components that may be utilized with existing implanted prosthetic components. Liner assemblies and systems according to various embodiments of this invention may include an adapter component designed to link current prosthetic cup geometry to a constrained liner, while providing optimal range of motion and sufficient lever out.

Abstract: An acetabular prosthesis and method for its use in an orthopedic surgery is disclosed. The acetabular prosthesis forms a metal bearing, which articulates with a femoral head. The acetabular prosthesis is also configured so as to accept a polymer constraining ring. Should a revision surgery be necessary, the acetabular prosthesis may accept a polymer bearing liner over the metal bearing. The polymer bearing liner then articulates with the femoral head.

Abstract: A ball and socket joint prosthesis for use in arthroplasty is provided. The prosthesis includes a body for implantation at least partially within the medullary canal of a long bone. The long bone defines trabeculae in the proximal cancellous bone and lamellae in the cortical bone. The body includes a proximal portion thereof and a distal portion. The proximal portion has a medial periphery and includes surface features on a substantial portion of its proximal portion. The surface features are positioned to optimally transfer load from the prosthesis to the long bone.

Abstract: Methods, systems and devices related to prosthetic implants, including a device for preventing prosthetic components from separating from each other, and more specifically to an assembly for adapting a prosthetic component to receive a device for preventing an implant stem head from dislocating from a prosthetic component. Methods, systems and devices according to this invention seek to provide improved orthopedic prosthetic components and more specifically, improved constrained components that may be utilized with existing implanted prosthetic components. Liner assemblies and systems according to various embodiments of this invention may include an adapter component designed to link current prosthetic cup geometry to a constrained liner, while providing optimal range of motion and sufficient lever out.

Abstract: Conventional modular sockets for ball joint prostheses usually consist of a metal socket housing and a skid-type shell inserted in the housing. Ceramic skid-type shells are usually press-fitted in the socket housing. The socket housing may become stiff, thereby causing a migration of the generic sockets. If the skid-type shell is inserted improperly, material may chip off at the edge of the skid-type shell. Due to the various designs of sockets, skid-type shells with different outer diameter have to be made available for every gliding surface diameter. The invention provides for a ceramic skid-type shell (2) that is rigidly inserted into a biocompatible metal ring (5). Said ring (5) is provided with at least three radially outwards extending fixing elements (6). Said fixing elements (6) engage with respective recesses (8) in the socket housing (7). The ring (5) is spaced apart from the socket housing (7) by a gap (14).

Abstract: The present invention provides monopolar acetabular liners that can enclose a femoral head to form a hip replacement prosthesis, wherein the liner has a rim that creates an orifice, wherein the orifice has a diameter that is smaller than the diameter of the femoral head, and wherein the liner encompasses greater than 50 percent of the volume of the head, wherein a constraining ring can be used in conjunction with the monopolar constrained acetabular liner to provide additional support for the femoral head to stay with the acetabular liner and avoid dislocation. Assemblies, complete prosthetic replacements, and methods of replacing also are provided. Liners and constraining rings having no, one or more recesses also are provided.

Abstract: A prosthetic device, such as an acetabular cup, includes a shell, a liner and a bearing. The bearing may be coupled to the liner so as to form a bearing-liner subassembly. The shell is provided with a female taper complimentary to a male taper on the liner. The liner-bearing subassembly may be secured to the shell by engaging the complimentary tapers.