Abstract: This disclosure relates to orthopaedic implants and methods for restoring functionality to a joint. The implants described herein may be utilized during orthopaedic procedures and may be incorporated into a shoulder prosthesis for restoring functionality to shoulders having advanced cartilage disease. The disclosed implants may incorporate one or more fasteners formed together with a main body of the respective implant at a breakable connection. The fastener may be deployed during a surgical procedure, which may improve fixation of the implant at the surgical site.

Abstract: An acetabular prosthesis for use in a hip arthroplasty surgical procedure includes an acetabular cup cage assembly including an outer cup cage and an inner cup cage. The outer cup cage includes a hemispherical cup and a mounting flange. Similarly, the inner cup cage also includes a hemispherical cup and a corresponding mounting flange. The hemispherical cup of the inner cup cage is sized to be received into the hemispherical cup of the outer cup cage, and the two cup cages are rotatable relative to each other to position the mounting flanges into a desired position on a hip bone of a patient.

Abstract: Systems and methods are provided for planning placement of an acetabular implant for a patient based on pelvic tilt. The system includes one or more sensors to be placed on the patient to provide measurements of a pelvic tilt angle of the patient taken with the patient in various functional positions to produce patient-specific data based on pelvic tilt from which to plan an inclination angle and a version angle of the acetabular implant for the patient.

Abstract: This disclosure relates to orthopaedic implants and methods for repairing bone defects and restoring functionality to a joint. The implants and methods disclosed herein include augments formed on respective baseplates. The augments may have geometries that may approximate a surface contour or bone void along a surgical site.

Abstract: An impactor head (10) for releasably holding an outer surface (12) of a cup implant (14), comprises a head body (16), at least one rotatable implant-engagement arm (20) which is also at least in part linearly translatable, and an actuation mechanism (18) which moves the implant-engagement arm (20) to an implant-engagement condition and an implant-release condition.

Abstract: Aspects of present disclosures involve systems, methods, and apparatus for a bone mounted robotic-assisted orthopedic surgery system for precise implant position, soft tissue balancing, and guidance of tools during a surgical procedure, particularly partial or total knee replacement procedure. The system features a bone-mounted robotic arm with an end-effector for precise positioning of a surgical tool, positioning of implants, and balancing of soft tissues. The reconfigurable robotic system requires minimal training by surgeons, is intuitive to use similar to conventional instrumented surgery, and has a small footprint. The system works with existing, conventional instruments, patient-specific instruments, sensor-assisted systems, and computer-assisted systems and does not require increased surgical time and safely provides the enhanced precision achievable by robotic-assisted systems and computer-assisted technologies.

Abstract: Medical implant surface treatments and methods are described. Such a surface treatment may provide an uneven texture that is configured to interlock with adjoining bone and/or an uneven texture on another implant, such as an augment for an acetabular cup for revision hip surgery. At least one of the uneven texture of the cup bone-facing surface and the uneven texture of the augment cup-facing surface may include a web of rods. The rods may be configured to interlock with each other when the two implants are urged together.

Abstract: An implant has a soft tissue attachment structure, and a surface defining a trough. An ingrowth plate spans a portion of the trough and defines a suture tunnel between the ingrowth plate and the trough for receiving suture. The ingrowth plate bows convexly away from the surface and is perforated to facilitate long-term ingrowth and biologic fixation of soft tissue to the implant.

Abstract: This disclosure relates to orthopaedic implants and methods for restoring functionality to a joint. The implants described herein may be utilized during orthopaedic procedures and may be incorporated into a shoulder prosthesis for restoring functionality to shoulders having advanced cartilage disease. The disclosed implants may incorporate one or more fasteners formed together with a main body of the respective implant at a breakable connection. The fastener may be deployed during a surgical procedure, which may improve fixation of the implant at the surgical site.

Abstract: A joint replacement device is provided that includes an inner surface configured to accommodate at least one of a portion of an outer surface of a femoral head of a femur and a prosthetic secured to the femoral head, an outer surface configured to accommodate at least one of a portion of an outer surface of an acetabulum socket and a prosthetic secured to a pelvis, wherein the inner surface and outer surface each have a circular curvilinear shape and together include an inner perimeter and an outer perimeter, and wherein the inner perimeter is joined to the outer perimeter to form a posterior limb and an anterior limb, and further including, a posterior portion, an anterior portion, and a superior portion formed from the inner surface and the outer surface; wherein the superior portion further includes a posterior superior portion and an anterior superior portion.

Abstract: A tibial component placement guide for use in a knee arthroplasty procedure involving a knee joint comprising a tibia, a patella, and a femur, the guide comprising an overlay configured to be overlaid a resected tibia, the overlay including at least one of an indicia and an opening indicative of at least one of an orientation and a position of at least one of a first axis of the femur, a second axis of the femur, and a first axis of the patella.

Abstract: An implant has a soft tissue attachment structure, and a surface defining a trough. An ingrowth plate spans a portion of the trough and defines a suture tunnel between the ingrowth plate and the trough for receiving suture. The ingrowth plate bows convexly away from the surface and is perforated to facilitate long-term ingrowth and biologic fixation of soft tissue to the implant.

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 surgeon can secure an acetabular component to an acetabular bone. The surgeon can insert a pair of anchors through a corresponding pair of holes in the acetabular component into a corresponding pair of pilot holes drilled into the acetabular bone. Each anchor is attached to a length of suture before insertion. The surgeon can tie the sutures from the anchors together, to secure the acetabular component against the acetabular bone. The surgeon can position the tied lengths of suture in a suture channel formed in the acetabular component. The suture channel can prevent the suture from interfering with a liner that contacts the acetabular component. The surgeon can repeat as needed, using multiple pairs of anchors, multiple holes and suture channels in the acetabular component, and multiple pilot holes in the acetabular bone. The surgeon can use soft anchors or screw anchors.

Abstract: An implant for attachment to a human pelvic bone for cosmetic purposes. The implant is attachable to the iliac crest. A silicone cover is attachable to the implant. Implant plates may be attached to the humeral bone, the tibia, and the femur, and silicone may be attached to the plates.

Abstract: A joint replacement system for repairing an articular surface of a first bone of a joint includes an anchor portion and an implant portion. The anchor portion includes an anchor to be secured to the bone, and an anchor fixation head including a bone-facing surface (BFS) extending radially outward from the anchor and an implant facing surface (IFS) extending from a periphery of the BFS. The implant portion is formed from a material (e.g., CoCr) more dense than the material of the anchor portion (e.g., Ti) and includes a fixation cavity to receive at least a portion of the anchor fixation head (AFH), the fixation cavity includes an anchor facing surface (AFS) configured to form a frictional connection with the IFS, and a load bearing surface having a contour for articulating against a cooperating articulating surface of a second bone of the joint.

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. An implant may include a base member that has at least two projections with a gap between the projections. The gap between the projections allows the implant to fee implanted around another implanted component, such as around a bone screw of an acetabular shell. The implant may include a fixation element, such as a screw or a cement trough, on one or more projections to couple the implant to an implanted acetabular shell. The implant may also include timing marks to facilitate alignment with corresponding marks on another implanted component.

Abstract: Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and spreader and inside surfaces of a bone hole to secure the tissue within the hole. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. The spreader captures tissue via a suture loop at the distal end of the bone anchor. Also described is an inserter that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that allow the use of bone anchors to secure tissue to bone.

Abstract: A tibial component placement guide for use in a knee arthroplasty procedure involving a knee joint comprising a tibia, a patella, and a femur, the guide comprising an overlay configured to be overlaid a resected tibia, the overlay including at least one of an indicia and an opening indicative of at least one of an orientation and a position of at least one of a first axis of the femur, a second axis of the femur, and a first axis of the patella.

Abstract: A device, for example a medical implant, and a method of making the same, the device having a metal or metal alloy substrate, for example CoCr, and a diffusion hardened metallic surface, for example a plasma carburized surface, contacting a non-diffusion hardened surface or a diffusion hardened surface having a diffusion hardening species different from that of the opposing surface.

Abstract: A partial rim implant for an acetabulum in a pelvic bone comprises a ridge, a bearing surface, and a fixation surface. The ridge is oriented to replace a labrum. The bearing surface is configured to align with the articulating surface of the acetabulum. The bearing surface extends from the ridge toward the apex of the acetabulum. The fixation surface is configured to fix the implant to a prepared bone surface of the pelvic bone.

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 pelvic implant includes a first surface including a recess configured for receiving a portion of a flange of an acetabular cage and a patient-specific second surface opposite to the first surface. The patient-specific second surface is preoperatively configured from a three-dimensional digital image of a pelvis of a patient to mate and closely conform to a corresponding surface of the pelvis under the flange in only one position.

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. An implant may include a base member that has at least two projections with a gap between the projections. The gap between the projections allows the implant to be implanted around another implanted component, such as around a bone screw of an acetabular shell. The implant may include a fixation element, such as a screw or a cement trough, on one or more projections to couple the implant to an implanted acetabular shell. The implant may also include timing marks to facilitate alignment with corresponding marks on another implanted component.

Abstract: A partial rim implant for an acetabulum in a pelvic bone comprises a ridge, a bearing surface, and a fixation surface. The ridge is oriented to replace a labrum. The bearing surface is configured to align with the articulating surface of the acetabulum. The bearing surface extends from the ridge toward the apex of the acetabulum. The fixation surface is configured to fix the implant to a prepared bone surface of the pelvic bone.

Abstract: An anchor for securing an implant within bone. In one embodiment, the anchor is used to aid in securing an acetabular cup within an acetabulum. The anchor may be implanted within an ischial defect of the pelvis, and is attached to an outer surface of the acetabular cup shell. The anchor is made at least in part of, and may be made entirely of, a porous metal material to facilitate the ingrowth of surrounding bone into the anchor for osseointegrating the anchor into the surrounding bone. The anchor may be secured to the acetabular shell by a screw fastener or by cement, for example. The anchor may be secured to the acetabular shell before the anchor and the acetabular shell are together implanted into the acetabulum, or the anchor may be implanted into the ischial defect, followed by seating the acetabular shell in the acetabulum and then securing the acetabular shell to the anchor.

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 component 2 is disclosed, the component comprising a shell (2) formed form a carbon fibre reinforced polymer material and having an inner bearing surface (10); and a liner (6) formed from a ceramic material and having an outer bearing surface(12); wherein the liner (6) is received in an articulating manner within the shell (4). A hip replacement prosthesis is also disclosed, the hip replacement prosthesis comprising a prosthesis component (2) as disclosed and a femoral head prosthesis component (24), the femoral head prosthesis component being formed from a ceramic material.

Abstract: A surgical instrument head for use with a cup prosthesis (10) is described. The cup prosthesis has an attachment member (8) applied around the circumference of the cup. The surgical instrument head is configured to engage the cup prosthesis and attach to the attachment member. The surgical instrument head includes a tab separation member (6) rotatable about a central axis of the instrument head relative to the instrument head and having a formation for engaging a rotation instrument (310). The tab separation member defines at least one radial cam surface (40) for engaging at least part of the attachment member in use. An assembly of the surgical instrument head and cup prosthesis and a tool (300) for operating the assembly are also described.

Abstract: A patient-specific total hip arthroplasty system including surgical guide and jig instrumentation modeled by computer aided design using image data derived from a specific patient's relevant anatomy. Patient-specific jigs fit surface topography of portions of the acetabulum and femur of the patient and are designed to guide surgical implantation at very precise geometries unique to each patient. Patient-specific pin-locating jigs, pin-rail and spacer systems, acetabular reaming and impacting jigs, and femoral resection and version jigs are fabricated pre-operatively according to the models. Methods for fabricating jig components of the system and methods of performing a total hip arthroplasty utilizing the system are also disclosed.

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 cotyloid implant including a screwable cup receiving an articular insert. The cup is provided with screwing elements (11) on the periphery thereof and more particularly in the equatorial area (2) thereof, the elements being used to penetrate the bone material of the acetabular cup during screwing. The cup includes an osteointegration-facilitating coating such as a selective calcium hydroxyapatite coating. The coating (16) is a thick coating on the convex parts of the outer surface of the cup, including areas or valleys or hollow thread elements which are left free in the screwing elements. The coating is not as thick (17) on raised areas or screw thread areas.

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: An orthopedic component having multiple layers that are selected to provide an overall modulus that is substantially lower than the modulus of known orthopedic components to more closely approximate the modulus of the bone into which the orthopedic component is implanted. In one exemplary embodiment, the orthopedic component is an acetabular shell. For example, the acetabular shell may include an outer layer configured for securement to the natural acetabulum of a patient and an inner layer configured to receive an acetabular liner. The head of a femoral prosthesis articulates against the acetabular liner to replicate the function of a natural hip joint. Alternatively, the inner layer of the acetabular shell may act as an integral acetabular liner against which the head of the femoral prosthesis articulates.

Abstract: An acetabular prosthetic device comprising at least one acetabular augment coupled to an acetabular cup by an augment coupling element to secure the acetabular prosthetic device in place wherein the acetabular cup comprises a shell having at least one groove formed on the outer surface thereof to slidably receive the augment coupling element therein and the acetabular augment comprises an augment body configured to engage the shell and the ilia bone such that the augment coupling element is moved along the groove to position the acetabular body to engage both the shell and ilia bone to secure the acetabular prosthetic device in place.

Abstract: A pelvic implant includes a first surface including a recess configured for receiving a portion of a flange of an acetabular cage and a patient-specific second surface opposite to the first surface. The patient-specific second surface is preoperatively configured from a three-dimensional digital image of a pelvis of a patient to mate and closely conform to a corresponding surface of the pelvis under the flange in only one position.

Abstract: An acetabular socket (1) for a hip endoprosthesis comprises a socket shell (7) and a socket insert (8). The socket shell (7) is configured for implantation in a pelvic bone (2) of a patient and has an inner surface (12) that defines an accommodating space (10) extending about an axis of rotation (11). The socket insert (8) is coupleable with the socket shell (7) and is configured to provide a bearing for a joint head (6) of a prosthesis stem (3). The socket insert (8) has an outer surface (14) configured to be seated in the accommodating space (10) of the socket shell (7). A moveable anti-lock means (17) is provided between the socket shell (7) and the socket insert (8). In a first position the anti-lock means (17) restrains the socket insert (8) from seating within die accommodating space (10) of the socket shell (7) but the anti-lock means (17) is moveable into a second position wherein the socket insert (7) is capable of seating within the socket shell (7) and of coupling therewith.

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: The invention relates to an acetabular prosthesis comprising an, in general, hemispherically shaped insert (1) having a crown (5) and an apex (4), this insert being provided, on its outer surface (2), with at least one fin. The invention is characterized in that the fin (6) has a face (9) starting from the crown (5) of the insert (1) and extending toward the apex (4) of the insert while forming a crest (10). This crest (10) has an, in particular, curved shape.

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

Abstract: An acetabular prosthetic device comprising at least one acetabular augment coupled to an acetabular cup by an augment coupling element to secure the acetabular prosthetic device in place wherein the acetabular cup comprises a shell having at least one groove formed on the outer surface thereof to slidably receive the augment coupling element therein and the acetabular augment comprises an augment body configured to engage the shell and the ilia bone such that the augment coupling element is moved along the groove to position the acetabular body to engage both the shell and ilia bone to secure the acetabular prosthetic device in place.

Abstract: A cup component of an orthopaedic joint prosthesis comprises a hollow shell wherein the head part of a mating component of the joint can be received. The shell has a flange at its open face extending around at least part of its periphery with at least two major threaded bores extending through the flange. The flange also provides at least one minor threaded bore, wherein the diameter of the minor bore is less than that of the major bores and the pitch of the thread in the minor bore is less than that of the thread in the major bores. The cup component includes at least two fixation screws whose shanks have approximately equal diameters, each of which is threaded on its external surface (i) to engage the thread a respective one of the bores in the shell flange, and (ii) to threadingly engage the bone, and a temporary screw having a self-drilling tip for forming a bore in a bone, and a diameter and a thread which are suitable for threadingly engaging the thread in the minor bore.

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: A partial rim implant for an acetabulum in a pelvic bone comprises a ridge, a bearing surface, and a fixation surface. The ridge is oriented to replace a labrum. The bearing surface is configured to align with the articulating surface of the acetabulum. The bearing surface extends from the ridge toward the apex of the acetabulum. The fixation surface is configured to fix the implant to a prepared bone surface of the pelvic bone.

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: The object of the present invention is to provide a sliding member, a prosthesis and a method of producing the sliding member, which can suppress production of abrasive wear debris by suppressing friction of the sliding section, and also can maintain satisfactory mechanical characteristics in vivo. A sliding member comprising: a substrate 1 capable of forming hydroxyl groups; and a biocompatible material layer 4 laminated on appropriate sections of the substrate 1, wherein hydroxyl groups are formed on at least a required section of a surface of the substrate 1 by surface treating to form a surface-treated layer 2, while the biocompatible material layer 4 is formed from a polymer containing phosphorylcholine groups, and wherein the substrate 1 and the biocompatible material layer 4 are joined via a binder layer 3 formed from silica being covalently bonded with the hydroxyl groups and the biocompatible material, respectively.

Abstract: The present invention relates to a self-cutting screw-in element, e.g., an artificial hip joint socket, having a lateral surface which is at least partially curved or buckled in the threaded area, and a thread interrupted by at least one flute having a thread tooth profile tilted in the feed direction, in which the cutting edge formed between flute and thread tooth is displaced on the side of the thread tooth opposite to the feed direction, and/or in which the inclination or twist direction of the flute runs opposite to the twist direction of the thread and the inclination or twist angle of the flute is larger than the pitch angle of the thread. A design of this type is advantageous for specific applications because the forces necessary for screwing-in may thus be significantly reduced without disadvantageous effect on the other properties.

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: 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: An acetabular cup assembly for a prosthetic hip joint is disclosed. This assembly includes an outer shell having at least one shell extension, an adaptor having at least one adaptor extension, and an insert. The inclusion of an extension on the outer shell and an extension on the adaptor allows for easier manipulation and implantation of the assembly.