Abstract: A marker for identifying a portion of a surgical margin includes a first element to attach the marker to the surgical margin of a surgical cavity located in a body of a patient, and a second element attached to the first element. The second element includes an indicator to uniquely identify the portion of the surgical margin through a radiological scan.

Abstract: A medical device, i.e., an acetabular surgical implant, for a segmental acetabular defect with pelvic discontinuity that is installable and fully functional without any need for any intermediary implant such as a surgical cage or a surgical shell. The surgical implant includes a hemispherical cup with a plurality of equidistant apertures extending through the cup, and a ribbed, elongated stress-diffusion element, i.e., a stem, extending from the cup. The stem is formed to extend from and be oriented with respect to the cup based on whether the surgical implant is to be used on a left side of the patient, i.e., a left acetabulum, or a right side of the patient, i.e., a right acetabulum, for reconstruction of the segmental acetabular defect.

Abstract: A method of revising a patient having a fusion cage implanted within a spinal column, involving percutaneously delivering a first end of a tube to the spinal column, fluidly connecting the first end of the tube to the fusion cage, and delivering a bone growth agent into the fusion cage through the tube.

Abstract: The present disclosure provides a hipbone prosthesis, comprising: a prosthesis main body (10), the prosthesis main body (10) being of an arched structure, the prosthesis main body including a first end portion (11) and a second end portion, and the first end portion (11) being contacted and matched with a sacrum (1); and an acetabular cup (20) and a connecting device (30), the acetabular cup (20) being connected with the second end portion in a position adjustable manner via the connecting device (30). According to the technical solutions of the present disclosure, the problems of unreliable supporting and easy fatigue break of a screw-rod system in the related technology are effectively solved.

Abstract: A device for attaching a positioning device to a bone of a patient at a predetermined position relative to a hip implant comprising a trial hip implant and a template. The trial hip implant has a support surface for resting on the bone of the patient The template can be secured to the trial hip implant and has at least one cylindrical opening with a longitudinal axis. The trial hip implant is shaped such that any straight line which runs through one of the at least one cylindrical opening and is parallel to the longitudinal axis of the respective opening does not intersect the trial hip implant when the template is secured to the trial hip implant.

Abstract: A prosthetic system that includes a prosthetic implant and a support structure secured to an inner surface of the cavity in the end of the 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 channel by an adhesive. The stem of the prosthesis beyond the channel may be cemented or uncemented. The support structure may have an approximately funnel shape. The support structure may be a hollow porous cylindrical sleeve. 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. The support structure may comprise a plurality of pedestals secured to the inner surface of the cavity of the bone.

Abstract: Systems, devices, and methods are described for providing orthopedic augments having recessed pockets that receive a fixation material. The orthopedic augments include an outer surface that interfaces with a patient's tissue or bone, and an inner surface that interfaces with an implant, the inner surface comprising a recessed pocket configured to receive a fixation material, a rim around at least a portion of the recessed pocket, and a port in the rim, wherein the recessed pocket extends along the inner surface in at least a direction laterally from the port.

Abstract: Revision hip implants and prosthesis systems include femoral heads, cups, screws, bridges, and segmental prostheses for revision surgeries.

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: 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: 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: A buttress plate for retaining an acetabular cup implanted in an acetabulum is provided. The buttress plate includes a base having a first end and a second end. The first end extends along a plane and includes at least one passage for receiving a fastener to secure the base to the acetabulum. The second end includes a lip extending transverse to the plane for securing the acetabular cup within the acetabulum.

Abstract: An acetabular implant for use in a hip joint prosthesis is disclosed. The implant includes a body portion comprising a polycarbonate polyurethane. The body portion includes a substantially semispherical inner articulating surface defining a socket sized to receive a head portion of a femoral component of the hip joint prosthesis and an outer engagement surface having an annular protrusion extending outwardly therefrom. The annular protrusion is configured for snap-fit engagement with a corresponding recess in the acetabulum. The implant also includes a deformation control element having an increased durometer hardness relative to the polycarbonate polyurethane and positioned within the body portion between the inner articulating surface and the outer engagement surface.

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: 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. Any of the implantable components may be include one or more porous surfaces. The porous surface may be textured by protrusions that connect to and extend from the surface. The sizes and concentration of the protrusions may be varied for specific applications to accommodate different implants and patient anatomies. A porous implant may also include one or more internal or external solid portions that strengthen the implant.

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 cup assembly for an artificial hip joint includes an acetabular cup including a seating recess, a female taper formed on an inner wall, protrusion recesses formed to communicate with the seating recess and insertion recesses each positioned inside a corresponding one of the protrusion recesses; and a bearing including a male taper on an outer circumference thereof, protrusions inserted into the protrusion recesses, and insertion protruding portions each formed on a corresponding one of the protrusions, the insertion protruding portions being inserted into the insertion recesses. A polyethylene bearing can be firmly fixed to the acetabular cup. When a ceramic bearing made is inserted into the acetabular cup, the area where the bearing adjoins the acetabular cup is increased, thereby preventing the ceramic bearing from being broken. Since no groove is formed along the entire circumference of the acetabular cup, the strength is increased.

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: 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 prosthesis comprising a plastics body and a plurality of barbed stakes extending from a bone-facing surface of said body; said stakes being sized and located to provide fixation on impaction

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: 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 component, e.g. a prosthetic ball and socket joint like an acetabular cup of a prosthetic joint, having a male or female location feature in a surface thereof for mutual interfit with a fixing member of a fixing assembly for securing the fixing member to the surface of the component and optionally for securing the component to a second component by means of a fixing screw.

Abstract: A prosthesis arranged to be coupled to a bone. The prosthesis comprises a substrate (2) having a surface (6). The surface (6) of the substrate (2) has a first area and a second area, the first area being treated such that osteointegration is promoted more than in the second area. The interface (12) between the first and second areas forms an alignment mark to assist alignment of the prosthesis relative to a bone. The prosthesis is arranged to be at least partially inserted into a bone cavity such that the position of the alignment mark relative to the bone cavity is indicative of the angle of insertion of the prosthesis or the alignment mark provides a position reference for determining the implanted position of the prosthesis in the cavity. A method of manufacturing the prosthesis and a method of implanting the prosthesis are also provided.

Abstract: An acetabular shell for use in a hip prosthesis is provided. The shell includes a body having an inner periphery and a convex outer periphery and defining a cavity of the body. The outer periphery has a first portion defining a hemisphere and a second portion extending from the equator of the first portion in a converging direction. The second portion forms a rim opposed to the equator. The cavity is positioned within the rim.

Abstract: An improved hip prosthesis includes an acetabular cup bearing component constructed from a relatively hard and high strength ceramic material for articulation with a ball-shaped femoral head component which may be constructed from a compatible ceramic or metal material. In one form, the acetabular cup further includes a ceramic porous bone ingrowth surface adhered thereto for secure ingrowth attachment to natural patient bone.

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 augment provided for an acetabular implant may be adjustably positionable around the implant. An implant may have one or more slots that mate with connections on the augment and allow the augment to move within the slot. An augment may be translated, rotated, or moved in any other way to achieve a desired orientation prior to locking the augment in place relative to the implant. The augment may be locked by a screw or other locking mechanism that holds the augment in place. The locking mechanism may be releasable to allow for repositioning of the augment.

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: An orthopedic prosthesis for implantation into a bone of a patient can include a shell, an augment and a securing member. The shell can be adapted to be affixed within the bone and have an outer surface adapted to receive bone ingrowth after implantation. The shell can have an inner surface adapted to engage a liner. An elongated slot can extend between the outer and inner surfaces of the shell. The augment can define a body and have a passage therethrough. The securing member can extend through the passage and the slot. The securing member can be movable between a locked position wherein the augment is precluded from relative movement with the shell and an unlocked position wherein the securing member is adapted to slidably traverse along the slot to locate the augment at a plurality of positions relative to the shell.

Abstract: A component, e.g. a prosthetic ball and socket joint like an acetabular cup (11) of a prosthetic joint, having a male or female location feature (15) in a surface thereof for mutual interfit with a fixing member (12) of a fixing assembly for securing the fixing member to the surface of the component and optionally for securing the component to a second component by means of a fixing screw (13).

Abstract: In the repair of bone voids and deficiencies, rather than forming a planar, angled surface that could result in a “slip plane,” an implant features a defined geometric pattern such as a stair-step, which mates with a corresponding stair-step pattern formed on the bone. Screws or alternative fasteners extend through one or more of the stair-step patterns, and into the bone, such that local interface around each fastener is substantially transverse to the axis of the fastener, thereby achieving a set of effective, compression bond. As such, shear stresses that might be associated with an angled, planar fixation are converted to compressive forces, leading to a longer life and a reduced need for revision. Although in the preferred embodiment the plurality of surfaces defines a stair-step having right angles, other geometric patterns are applicable, so long as an irregular defect may be made more regular, and/or compressive forces are used to prevent shear stress.

Abstract: An acetabular cup has a shell having a recess therein, the recess is open to an outer surface of the shell. The recess has an enlarged portion spaced from the shell outer surface with a diameter greater than the diameter of the opening at the surface. An insert is provided for insertion into the recess in the shell outer surface. The insert has a height greater than a depth of the recess and has a solid portion and a bifurcated portion having at least two side openings forming two to four sectors. A base of the sectors formed by bifurcated portion has an outwardly extending flange for insertion into the enlarged portion of the recess.

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.

Abstract: An acetabular implant for use in a hip joint prosthesis is disclosed. The implant includes a body portion comprising a polycarbonate polyurethane. The body portion includes a substantially semispherical inner articulating surface defining a socket sized to receive a head portion of a femoral component of the hip joint prosthesis and an outer engagement surface having an annular protrusion extending outwardly therefrom. The annular protrusion is configured for snap-fit engagement with a corresponding recess in the acetabulum. The implant also includes a deformation control element comprising a polyethylene having an increased durometer hardness relative to the polycarbonate polyurethane and positioned entirely within the body portion between the inner articulating surface and the outer engagement surface.

Abstract: An acetabular cup has a shell having a recess therein, the recess is open to an outer surface of the shell. The recess has an enlarged portion spaced from the shell outer surface with a diameter greater than the diameter of the opening at the surface. An insert is provided for insertion into the recess in the shell outer surface. The insert has a height greater than a depth of the recess and has a solid portion and a bifurcated portion having at least two side openings forming two to four sectors. A base of the sectors formed by bifurcated portion has an outwardly extending flange for insertion into the enlarged portion of the recess.

Abstract: A set is provided for creating an offset-resurfacing hip-joint implant. The set includes a 1 to 1.5 mm thick metallic acetabulum shell (1) for insertion into the natural acetabulum, from which only cartilage has been removed, a metallic head cap (2) for placement on the natural hip-joint head, from which only cartilage has been removed, and an inlay (3) for insertion into the acetabulum shell (1) as a sliding partner for the head cap (2). The inlay has a material thickness of 2 to 5 mm.

Abstract: A pelvic implant assembly and associated methods. The implant assembly includes an acetabular component, and a compliant fixator coupling the acetabular component to the pelvis.

Abstract: A modular prosthetic acetabular cup for use in restorative hip replacement has an augment which can be attached to an acetabular cup outer shell to provide an acetabular cup with a cross section of a desired configuration. The augment can be attached to the acetabular cup by a coupling element having an outer dovetail portion which slidably engages a groove formed within the augment preferably open to at least a first end thereof. The inner end of the coupling element can engage screw holes of the acetabular cup. The groove of the augment further includes a second end having a gradually increasing distance from the outer surface of the shell and the inner surface of the augment on moving towards the second end of the augment.

Abstract: The present invention relates to a socket for an artificial hip joint. The present invention provides an artificial joint socket for knocking into a bone, with an excellent primary stabilization, which may be manufactured so that at least two locking elements are arranged in the distal superficies region of the socket shell. The locking elements anchor the socket shell in the hip bone and safeguard against tensile forces, torsion forces, and combined tensile and torsion forces. The locking elements effectively prevent the socket from rotating-out opposite the knock-in direction. When knocking in the implant, the locking elements cut into the bone and rotate the socket shell about the socket axis by a few degrees.

Abstract: The invention relates to an expandable socket (1) for a hip joint endoprosthesis able to be cementlessly anchored in place which is at least approximately hemispherical and which is provided with a plurality of slots (3) extending in a meridional direction, thus forming intervening tongues (4), on which are formed projections (5) that form a plurality of rows (6; 6a, 6b) extending from an equator (2) of the expandable socket (1). The projections (5) are arranged on the tongues (4) in such a manner that a row (6a) of projections (5) arranged in the center of the tongue (4) extends on a meridian (14) of the hemispherical socket (1) while at least one adjoining row (6b) of projections (5) extends in a line that extends at all points in parallel to the meridian (14) of the row (6a) of projections (5) arranged in the center and not through a pole (10) of the hemispherical expandable socket (1).

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

Abstract: An acetabular prosthesis (1) includes a hollow hemispherical artificial acetabular cup (2) having expansion slots distributed over its periphery, and provided with teeth (11n,=1-3) on the outer surface, a threaded intermediate element (3) and a plastic insert (4). The intermediate element (3) is a hollow core with an outer hemispherical surface capable of being urged in contact against at least an internal meridian generatrix of each segment defined between the slots; the inside part close to the orifice of the acetabular cup (2) has a thread wherein is screwed the intermediate core (3); the internal diameter of the acetabular cup (2) orifice of the acetabular cup (2) in reception position before the intermediate element (3) is screwed, is smaller than the external diameter of the intermediate element (3).

Abstract: The invention concerns a modular acetabular cup for surgical treatment for hip joint reconstruction in cases of total recovery of hip implant, and an anchoring screw for fixing a prosthetic implant such as said acetabular cup. The prosthetic acetabular cup comprises a support-plate (1) designed to be arranged in the acetabular cavity and anchored by means of an anchoring screw (4) including means (48) for adjusting the positioning and the locking in depth of said support-plate (1) and an adjustable space (2) locked thereon by a tapered shank assembly system (16, 21) and further a metal acetabular shell (3) designed to be assembled to said space (2) by a tapered shank assembly system (24, 33).

Abstract: The present invention is intended to provide a cementless prosthetic bearing element which has been molded and which is possible to place in an acetabular socket without cement, the outer surface of the backing being provided with elements to assist stabilization and the ingrowth of bone. Thus, the bearing element is cheaper and easier to produce and provides superior location and installation in the bone. According to the present invention a cementless prosthetic bearing element comprises a backing which supports a bearing liner having a bearing surface, the backing being molded from a rigid polymeric material and said bearing liner being made from elastomeric polyurethane material to which the backing is molded with an outer surface which includes a number of raised engagement features provided in directions extending away from and/or towards the outer periphery of the outer surface.

Abstract: An acetabular prosthesis for implantation in an acetabulum and surrounding pelvis is described. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface, wherein an area defining a groove is located on the outer surface of the acetabular cup. An optional spacer member, having a raised ridge formed on a surface thereof, slidably engages the groove. The spacer provides augmentation and load bearing support in cases where bone tissue loss has occurred in and around the acetabulum. A fastener, such as a surgical screw, is used to secure the acetabular cup, and the optional spacer, to the acetabulum. At least one attachment member is integrally formed with the acetabular cup for fastening to a surface of the pelvis, such as the ilium and/or the ischium. Another optional spacer member is provided for the attachment member to provide augmentation around the attachment points on the pelvis.

Abstract: An acetabular or cotyloid implant. The implant includes a cotyle having an internal cavity which is adapted to receive an insert. At least one groove is arranged on an outer surface of the cotyle. The at least one groove is adapted to receive an independent element.

Abstract: An acetabular prosthesis for implantation in an acetabulum includes an acetabular cup and a modular attachment component. The acetabular cup includes an outer surface operable to be received in the acetabulum and an inner surface operable to receive a bearing liner. The modular attachment component includes an attachment member and an engagement member. The attachment member is operable for use in attaching the modular attachment component to the acetabular cup and the engagement member is operable to engage a region of the acetabulum. The attachment member may nest within an anti-rotation counterbore or be slidably received within a channel of an attachment plate extending from the acetabular cup. The engagement member may be an elongated intramedullary blade, a flange or a hook.

Abstract: Modular set of an outer shell (1) for an artificial hip joint pan, comprising a shell-shaped outer part (2) and an anchoring aid (7) which is designed as a lug (3, 4), a spike (5) or a hook (6), with the shell-shaped outer part (2) having an end surface (2a) at its equator with bores (2b), and with each anchoring aid (7) having a securing part (3a, 4a, 5a) which is designed to be matched with respect to the end surface (2a) in such a manner that the securing part (3a, 4a, 5a) can be secured at the shell-shaped outer part (2) by means of a screw (6) which engages in the bore (2b).

Abstract: Modular acetabular reconstruction apparatus includes a generally cup-shaped portion adapted for fixation within a human pelvis and one or malleable extension arms adjustable in multiple dimensions. Each arm preferably includes one or more apertured sections spaced apart from one another by a necked-down section enabling each arm to be manipulated in three dimensions for intimate physical conformity with surrounding bone. The back surface of the generally cup-shaped portion may be adapted for a cemented or a non-cemented interface within a human pelvis; as such, the back surface may be adapted for porous bone in-growth. According to a disclosed method, the step of bending each arm in multiple dimensions may be carried out a part of a trial joint reduction. Various bending tools and techniques are also set forth.

Abstract: The cotyloidal implant has a hemispherical cup (5) forming an internal cavity (10), and an insert (7) engageable into the cavity, the cup being set in place by impaction and having to this effect anchoring asperities (15) provided on its external face, having the form of lozenges and which are contiguous and imbricated. The cup (5) is provided, on its external face, with two coaxial grooves configured like helical threads (38) having reverse pitches which intersect each other on a large portion of said external face, which are inclined in the direction of the cup opening and which have a depth increasing progressively in the opening direction of the cup (5); due to their intersection, the grooves delimit an important number of asperities (15). The invention provides for the making of a cotyloidal implant which can be anchored to the pelvis without the use of cement and screws.