Abstract: The presented invention is an implant meant for hip resurfacing arthroplasty, a surgical reconstruction performed on patients with diseased hips, during which the surgeon replaces the surface of the femoral head with a polished metallic spherical shell. The presented implant consists of a metallic shell (1) with a polished hemispherical outer surface and an inner hemispherical concave surface, which possesses a trunnion (2) with a thread (4) and thin meridian fins (3) and is fully metal porous coated for osseointegration between implant and bone. The presented implant is fitted onto the appropriately contoured femoral head and is stabilized by means of a preload tension wire (5), which drills the femoral head and neck and exits the greater trochanter. The wire attaches proximally to the thread (4) of the trunnion (2) of the shell and distally to a nut-washer combination (6), by the tightening of which establishment of preload is achieved.

Abstract: Disclosed therein is a big femoral head and femoral head surface replacement, which are used for hip osteoarthritis and vascular necrosis of femoral head. As a person get older and aged, the weight bearing hip joint is indispensably changed to osteoarthritis and sometimes showed avascular necrosis of the femoral head with unknown etiology. The deformed femoral head and hip joint should be replaced with the THA. Till now, the total hip replacement is performed in such a way that the necrosed femoral head and a healthy femoral neck are all removed and a femoral stem is inserted into the marrow cavity, and in this case, a small femoral head causes a reduction of a range of motion and dislocation of the hip joint occasionally, and osteolysis due to abrasion of plastic acetabular liner. In case of a conventional femoral head surface replacement (hereinafter, called “conventional FHSR”), a complication of femoral neck fracture and could not combined use with conventional THA.

Abstract: A femoral neck protection device comprises a main body disposed with a hollow sleeve, and a flange extended outwardly from a peripheral rim at one end of the sleeve. At least one aperture is disposed on the flange. A protruding neck portion is disposed at the other end of the sleeve. A bolt disposed inside the neck portion passing through the sleeve and being secured to a prepared femur is engaged with an artificial ball head of the femur.

Abstract: The invention relates to a cap-shaped implant for implanting on a prepared stump of a femoral head. The implant is in the form of a ball section (11), having a flat base surface (13) and a polar axis (15) which is arranged in a perpendicular in relation to the base surface (13). According to the invention, a cavity (17) is arranged in ball section (11) which protrudes from the base surface (13), said cavity (17) is rotationally symmetrical and comprises a hollow spatial axis (19) which is arranged below an angle (a) which is different form zero in relation to the polar axis (15).

Abstract: Described here is a set for the construction of a resurfacing hip implant. It comprises a thin metal cup for cemented insertion into the natural acetabulum, a thin metal cap for cemented placement upon the natural femoral head, and an inlay which can be placed in the cup of the acetabulum as a sliding partner for the cap for the femoral head.

Abstract: A hip resurfacing femoral component is designed to be used with a prepared femur. The hip resurfacing femoral component comprises a head portion which has a substantially spherical outwardly facing bearing surface with an attachment surface opposing the bearing surface of the head portion. The femoral component further comprises a skirt portion with an outer skirt surface which depends from the substantially spherical bearing surface and an inner skirt surface. The inner skirt surface and the attachment surface are configured to fit over the prepared femur.

Abstract: A cover for use in protecting a resected surface of a long bone for use in joint arthroplasty is provided. The cover includes a generally planar portion having opposed generally parallel first and second surfaces defining a periphery extending from the first surface and the second surface. The cover also includes a lip extending from the first surface at the periphery of the planar portion in a direction not planar with the generally planar portion.

Abstract: Provided is a femoral head surface replacement system including a femoral head aspherical cup having a round cavity inside and a distal end having an open lower end, and a stem installed on the femoral head aspherical cup and extending to a lower side end thereof. In the femoral head aspherical cup, a cavity is formed so that a femoral head is inserted therein, a conic insertion protrusion protrudes from an upper side of the cavity, and the distal end is formed of a plurality of protruding portions and groove portions. In the stem, an insertion hole is formed corresponding to the insertion protrusion of the femoral head aspherical cup so that the stem is fixed to the femoral head aspherical cup as the insertion protrusion is forcibly inserted into the insertion hole.

Abstract: A femoral head resurfacing apparatus includes a cap of hemispherical shape and stabilization structure (e.g., one or more non-shear fixation bars) that inserts into slots cut into the femoral head, so that the cap remains substantially immovable other than due northerly. A method of resurfacing the femoral head of a hip joint includes removing longitudinal slots or holes of bone in the femoral head, and attaching a hemispherical cap to the head, the cap having non-shear fixation bars or other stabilizing structure for mating engagement with the slots or holes.

Abstract: Prosthetic joints, components for prosthetic joints, superhard bearing and articulation surfaces, diamond bearing and articulation surfaces, substrate surface topographical features, materials for making joints, bearing and articulation surfaces, and methods for manufacturing and finishing the same, and related information are disclosed, including a diamond-surfaced femoral head for use in a prosthetic joint.

Abstract: A joint prosthesis (10) for cooperation with a long bone (12) and a second bone (26) for use in arthroplasty is provided. A cavity (20) is formed in the long bone (12) and defined by an inner wall (30) of the long bone (12). The prosthesis (10) includes a stem component (32) including a distal portion (34) of the stem component (32) for placement at least partially within the cavity (20) of the long bone (12) and for securing to the long bone (12). The stem component (32) defines a longitudinal axis (36) of the stem component (32). The prosthesis (10) also includes a second component (32) securable to the second bone (26) and for cooperation with the stem component (32). The prosthesis (10) further includes a bearing (40) for placement in the cavity (20) between the stem component (32) and the long bone (12) so that the distal portion of the stem component (32) is spaced from the inner wall (30) of the long bone (12).

Abstract: An elastomeric cover for an orthopedic implant, the elastomeric cover having a seamless articulating surface which is at least part of a three-dimensional curved surface, wherein a cross-section of a portion of the seamless articulating surface subtends an arc greater than 180 degrees. Methods for forming the elastomeric cover are disclosed.

Abstract: A prosthesis is disclosed at least of the surface of which is of metal, said metal being covered by a layer of aluminium oxide which comprises phosphate and/or pores containing bioactive material, optionally with a layer of aluminium or an alloy thereof between the metal and the porous aluminium oxide layer.

Abstract: The invention describes a surgical implant for providing stabilization of an intraosseous circumferential fracture within a femoral neck of a proximal femur. The surgical implant includes a bone barrel and a cortical side plate having at least one screw hole to allow rigid fixation of the implant to the proximal femur. The cortical side plate abuts a lateral cortex of the proximal femur having a lateral portal of entry to ensure the bone barrel remains substantially parallel to an inner bony surface of the lateral portal of entry at all times. The bone barrel ensures a collection of bone growth elements is retained intraosseously. An osteomedullary rod being coaxially aligned with the bone barrel includes an axial threading for securely engaging an internal mating thread of the bone barrel. The axial threading is adapted to allow clockwise axial rotation of the osteomedullary rod to position a compression head thereof in operational contact with an autogenous cancellous osteomedullary bone cylinder.

Abstract: The invention relates to a drilling jig for the determination of the axis of a femur head prosthesis. A guide tube (6), around whose longitudinal axis (14) a sensing probe can be rotated, has a rounded head (7) which is supported in a housing (3) pivotable in all directions and fixable by first clamping elements (5), in order to fix its longitudinal axis in a desired angle. The housing (3) is displaceable in all directions transversely to its longitudinal axis with respect to a base part (1) which can be anchored to the femur head (10) and fixable by two clamping elements (4) in order to define the position of the longitudinal axis (14) of the guide tube (6) by rotation of a sensing probe around this longitudinal axis (14) relative to the cross-section of the femur neck (16).

Abstract: To do a total replacement of the hip joint, complete access to the hip joint is achieved through separation of the trochanter, which protrudes from the upper portion of the upper leg bone (the femur) from the rest of the leg, together with dislocation of the hip joint itself. After dislocation the femoral ball is reamed down just enough to accommodate a hemispherical—hollow cap or shell which has approximately the same outside diameter as the patients existing femoral ball prior to reaming. Upon completion of the reaming process the femoral ball remains hemispherical with its diameter and surface reduced by from 4 mm to 5 mm in order to accommodate the metal alloy cap.

Abstract: A bone attachment assembly for a remaining portion of a long bone diaphysis following resection is provided. The assembly includes a main body, means for anchoring the device with respect to the remaining bone portion, such as an anchor body, and means for attaching the main body to the means for anchoring. The means for attaching the main body may preferably be in the form of one or more washer springs retained upon a connecting rod attached to the means for anchoring. The assembly may be connected to an orthopedic appliance, an interposed orthopedic appliance connected to a second bone attachment assembly, or a transcutaneous bar for attaching an external appliance. A reaming device for creating an intramedullary cavity, a guide device for guiding an aperture-forming procedure in a remaining bone portion, and a milling device for shaping an interface surface of the bone in a preselected geometry are also provided.

Abstract: The invention deals with trial balls for hip joint prostheses which have a cone connection between a prosthesis neck (24) with a cone (3) and fittable hip joint balls, with the hip joint balls and the trial balls (1) each having practically the same radii (21) and each having the same position of their conical counter surfaces (4) relative to the ball center (11). The trial balls have a separate insert (2) with a pre-determined spring effect for the contact to the cone (3), with the insert being able to be secured in the trial balls (1) at a different spacing (27) along the polar axis (13) to the ball center (11).

Abstract: An anatomic, neck-locking femoral prosthesis for use in total hip replacement is described. The asymmetric device fundamentally comprises a shell with a hollow bell-shape, which is anchored on the outside of retention neck and the trochantic bed of the femur. The prosthesis is mechanically fastened during the operation and further biologically secured by in-growing bone around the neck and trochantic bed area through the side holes on the shell and by growing into its interior porous coating surface of implant thereafter. The loading force on the femoral head would be well distributed on the shell and directly conducted into the cortex bone of the femoral shaft through the shell. The prosthesis would provide a simple and safe replacement method of hip prosthesis for most patients, particularly benefit for younger patient who has a defective head of femur.

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