Abstract: An orthopedic implant includes a metal core having a first end, a second end, a first elastic modulus, and a first porosity. A proximal body is fused directly onto the metal core between the first and second ends. The proximal body has a second elastic modulus, which is less than the first elastic modulus, and a second porosity, which is greater than the first porosity. The porosity of the proximal body may vary throughout.

Abstract: A modular prosthesis for replacing a portion of a bone having an articulating end includes a neck having a bore extending therethrough, a body having a bore extending therethrough, and an elongated stem. A proximal end of the stem is received within the bore of the body and the bore of the neck so that at least a self-locking taper connection or a press fit connection is formed between the stem and each of the neck and the body.

Abstract: An implant for the anatomy, which includes a connecting portion that can be used during a secondary or revisionary procedure to interconnect the first implant with a second anatomical implant. For example, an elongated shaft may be implanted into a femur to reinforce the femur. In addition, the elongated implant includes a connecting portion, which is covered by a temporary or provisional cap. If a revision or secondary procedure is necessary, the provisional cap may be removed to expose an interconnecting portion to receive a secondary implant during the revisionary procedure.

Abstract: An implant (1) for insertion into and permanent anchorage in bone tissue having an intraosseous anchoring structure (3). The anchoring structure (3) has a generally circular cross-section and comprises a first cylindrical section (11) of a first diameter, a second cylindrical section (13) of a second diameter less than the first diameter, said first and second cylindrical sections (11, 13) each being provided with a screw thread profile. The anchoring structure (3) also comprises a tapered connecting section (15) provided between an interconnecting said first and second cylindrical sections (11, 13).

Abstract: A femur head implant has an oblique neck. A ball portion of a hip joint is connected to a first neck end. A femur head hollow portion is connected to a second end of the oblique neck. A tubular shell is connected to a lower end of the hollow portion. A slot in the tubular shell permits changes in the inside diameter of a femur shaft passage through the tubular shell. Screws are tightened to reduce the inside diameter and clamp the implant to a femur shaft that is received in the shaft passage and extends into the femur head hollow portion. Passages are provided in the hollow portion for the insertion of bone cement into the hollow portion and the escape of gas from the hollow portion.

Abstract: Implantable prostheses fully or partially formed of polymer having a textured or porous outer surface. The surface permits and encourages osteogenesis into the prosthesis and enables it to become firmly and permanently anchored into surrounding bone. The prostheses include a femoral hip stem formed of a metallic core and a polymeric proximal body with a textured or porous surface formed from a laser texturing, machining, or grit blasting.

Abstract: The present invention essentially relates to a hip joint endoprosthesis stem for cement-free or cemented anchoring in bones that is anchored in the femural neck and in the proximal metaphysis and preserves the internal spongiosa and compact structures that reinforce the femur, that gives the design element axial access to the medullary canal, and possesses parabolically curved outer surfaces to optimize the transfer of force to the bone.

Abstract: A hip prosthesis constructed to transfer forces to the femur without relative movements that cause failures. The prosthesis stem has an open sided central bore. The proximal end of the prosthesis is configured to seat against interior surfaces of the femoral canal and support a femur head on a prosthesis shoulder that seats on the stem proximal end while maintaining the neck of the femur intact.

Abstract: Arthroplasty devices having improved bone in growth to provide a more secure connection within the body. Different embodiments disclosed include devices having threaded intramedullary components, devices configured to receive bone growth promoting substances, devices with resorbable components, and devices configured to reduce shear stress.

Abstract: In the figures, proximal centering apparatuses (4) for collar-less femur shaft prosthesis (1) which can be cemented in and which can be pushed from the medial onto the shaft (3) in the cemented region are shown. The centering apparatus (4) has at least in the medial region a centering wedge (6) which widens towards the proximal and which is connected via webs (7) to a clamping apparatus (8), with the clamping apparatus (8) being arranged in the cement-less region of the prosthesis neck (2) and being removable when the webs (7) are interrupted.

Abstract: A ball and socket joint prosthesis (10) for use in arthroplasty is provided. The prosthesis includes a body (32) for implantation at least partially within the medullary canal (24) of a long bone (12). The long bone defines trabeculae (60) in the proximal cancellous bone (22) and lamellae (71) in the cortical bone (65). The body includes a proximal portion (52) thereof and a distal portion (54). The proximal portion has a medial periphery (69) and includes surface features (64) 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: A modular prosthesis for replacing a portion of a bone having an articulating end includes a neck having a bore extending therethrough, a body having a bore extending therethrough, and an elongated stem. A proximal end of the stem is received within the bore of the body and the bore of the neck so that at least a self-locking taper connection or a press fit connection is formed between the stem and each of the neck and the body.

Abstract: A prosthetic femoral component is located in a prepared socket in a femur which has been resected at a position on the proximal side of its neck. The component includes an insert portion and an enlarged proximal head portion the distal end of the head portion being adapted for location in the prepared socket. The component takes advantage of the bone at the periphery of the socket which enables the insert and the part of the head concerned to be accurately and firmly located in the bone. The presence of the bone at the outer edges of the socket helps to stabilize the component. The insert portion can be dimensioned to pass through the neck of the femur with which it is to be used or to be shorter depending upon the requirements.

Abstract: A prosthetic implant system connected to the tissue of a living organism. The system contains a first device for measuring the mechanical strain in the implant in an area thereof which is not exposed to tissue regrowth, a second device for measuring the mechanical strain in the implant in an area thereof which is exposed to tissue regrowth, a device for continuously determining the stress/strain relationship of said implant, and a device for treating said tissue.

Abstract: The invention relates to a fixture for insertion into and permanent anchorage in a cavity (32) formed in bone tissue. The fixture is made of a fixture member (2), which has an insertion end surface (10) and a cylindrical peripheral surface (6) provided with screw threads, and a plurality of circumferentially-spaced cutting recesses (9), which are formed in a forward, self-tapping end portion (7) of the threaded peripheral surface (6) adjacent to the insertion end surface (10) and which open axially into the insertion end surface (10). A plurality of circumferentially-spaced tissue-collecting and tissue-distributing grooves (17) are formed in a rear, non-self-tapping portion (8) of the threaded peripheral surface (6).

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: Surface irregularities are removed from the inner wall of a femur cavity, preferably tapered. A tamp having an opening and a socket is disposed in the cavity. The tamp may be one of a plurality of tamps each having a different length for the opening. A guide, one of a plurality, fits snugly in the opening. The guide has a collar which cooperates with the tamp socket to limit the movement of the guide into the tamp. A working portion of each guide below the intermediate position has a bulbous shape which is tapered in accordance with the femur taper. Bone fragments between the guide working portion and the femur inner wall are packed against the inner wall when the tamp and the guide are driven into the femur cavity. Numerals on the guide adjacent a slot in the tamp indicate the disposition of the guide in the tamp.

Abstract: A series of humeral stems, each stem including an axial bore and longitudinal slots along the distal end to allow for distal compression. The compression force necessary to compress the distal diameter of each stem varies by stem diameter. Thus, as the stem diameter increases through the series, the compression force decreases.

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: Orthopedic implants comprising components of zirconium or zirconium-based alloys having surfaces coated with oxidized zirconium contacting other surface-coated oxidized zirconium are disclosed. Such implants provide low friction, highly wear resistant coatings especially useful in artificial joints, such as hip joints, knee joints, elbows, etc., but also useful in non-articulating implant devices such as bone plates, bone screws, etc.

Abstract: A profiled shaft for anchoring a hip-joint prosthesis in the femur is disclosed, with a shaft section and a fixation section that is formed at the end of the shaft section and that serves for the fixation of a spherical joint head, wherein the shaft section on the lateral surface in the proximal region merges with a trochanter wing at the edges of which beveled surfaces are formed. The essential point of the invention is that the angle formed between the plane of a beveled surface and the plane of the adjacent lateral surface is smaller than 135° and larger than 90°. In a construction of this kind the advantage of an improved filling of the empty space in the trochanter-wing region is achieved.

Abstract: The invention relates to a joint endoprosthesis and a method for fixing the seat thereof. The endoprosthesis has a shaft that is anchored in the marrow cavity of a tubular bone, and an ultra source that is placed in or on the shaft and the radiation characteristics of which enable ultrasound waves to reach a gap between the spongiosa of the tubular bone and the surface of the external covering of the shaft. The associated method applies impinging ultrasound waves upon the gap.

Abstract: An implantable prosthetic component, such as a femoral stem, includes a plurality of bone-engaging ribs which are configured so as to engage dense cancellous bone upon implantation. The ribs have a geometry and spacing for achieving optimal fixation in the medullary canal of the femur by engaging predetermined dense cancellous bone.

Abstract: A femoral hip-joint prosthesis having a tapered stem for implantation by cement. The prosthesis has a collarless shoulder at a proximal end and a stem extending therefrom to a distal end in tapered fashion. A logarithmically extending curvature of anterior and posterior side faces of a first subsidiary section of the stem combine with straight converging lines of a second subsidiary section of the stem to uniformly distribute pressure in the prosthesis within the femoral hip bone.

Abstract: A femoral neck endoprosthesis for an artificial hip joint, having an adapter for accommodating the joint ball, a support ring for guiding the adapter on the proximal side of the femur, and a support bearing for guiding the adapter on the lateral side of the femur. The aim of the invention is to increase the strength of the bone tissue for a prosthesis. To this end, the prosthesis is configured in such a way that the adapter is provided with a support shoulder and with a shaft which penetrates the femur approximately along the extended axis of the femoral neck. The support ring is mounted on the proximal side of the femur only with its support surface. An axial stop for the support shoulder and a bore for the shaft are arranged on the support ring for guiding the adapter. The bore is laterally offset in relation to the support surface. The support bearing is fixed only on the lateral side of the femur and the guide bore for the shaft can be aligned with the axis of the adapter.

Abstract: A proximal femoral prosthesis minimizes impingement, thereby affording an enhanced range of motion as compared to existing devices. The central portion of the neck of a prosthesis according to the invention is oriented distally relative to a straight line drawn between the ball portion and a point of interconnection to the exposed portion of the stem. Such a configuration reduces impingement in flexion/internal rotation and extension/external rotation, assuming an appropriately placed acetabular component. In the preferred embodiment, the neck is curved between the head and the neck. In alternative embodiments, the neck may be provided in straight and/or modular segments. The invention is compatible with neck-shaft angles, offsets, head sizes, and other dimensions commonly designated with respect to available implants.

Abstract: In the figures, proximal centering apparatuses (4) for collar-less femur shaft prosthesis (1) which can be cemented in and which can be pushed from the medial onto the shaft (3) in the cemented region are shown. The centering apparatus (4) has at least in the medial region a centering wedge (6) which widens towards the proximal and which is connected via webs (7) to a clamping apparatus (8), with the clamping apparatus (8) being arranged in the cement-less region of the prosthesis neck (2) and being removable when the webs (7) are interrupted.

Abstract: A femoral component for a hip replacement joint having a tapered collarless stem for being cemented in a medullary canal. The proximal portion of the stem has a taper and the distal segment is generally circular in cross-section and has a length equal to or greater than the proximal portion. The component can be made in two separate pieces and can be coupled in the metaphysical area of the femur. In one embodiment, at the proximal end of the stem, there is a pronounced laterally projecting heel adapted to extend into the greater trochanter of the femur of the femur into which it is to be filled. Thus, the distal facing part of the heel can provide a lateral portion which is greater than that of known collarless stems and which is particularly adapted to resist torque. In order to fit the femoral component in the medullary canal, it is necessary to broach the medullary canal so that there is a cavity within the greater trochanter.

Abstract: A modular orthopedic prosthesis has a body with a generally triangular cross-section near one end, allowing its angular corners to bite or incise into the surrounding bone cavity for rotational stability. A stem, which may be either unitary or modular in structure, is received within a through-bore of the body, having a proximal neck and distal shaft. A connecting sleeve receives the stem and is, in turn, received within the bore of the body, then actuated to lock the stem and body together.

Abstract: A femoral component of a replacement hip joint is provided which has a stem for fixing in cement in a medullary cavity by cement and having a separate proximal component provided with a neck for a ball head. An attachment system is provided for securing the proximal component to the stem which allows selection of an infinite number of angularly displaced positions about a proximal/distal axis, and adapted to allow fixation of the two parts after insertion of the stem into the prepared medullary cavity and without causing torsional loads on the stem. The stem extends proximally to the level of the bone cut which allows the proximal component to rotate after the stem is implanted. If an infinite number of angularly displaced positions is not required, then a Vernier coupling system with a large member of positions can be used.

Abstract: A femoral head-neck prosthesis (1) which allows natural straining of the upper femur to prevent bone loss. The natural angle of loading of the bone is determined prior to the operation, and the prosthesis is implanted with its longitudinal axis (AX-1) parallel to the natural angle (AX-5). The prosthesis is constructed to inhibit axial fixation and “splinting” of the prosthesis below the interface between the femur neck and the prosthesis on the upper femur. Splines (19) on a stem (13) of the prosthesis help to fix the prosthesis against rotation and toggling motion. The prosthesis is asymmetrical about its longitudinal axis to provide further stability when implanted. The prosthesis and its method of implantation preserve the trochanter and cap the femur to prevent microscopic debris from entering the interior bone.

Abstract: The shaft prosthesis (1) has a distal section (2) with a substantially circular cross-section and a proximal section (3) adjoining this distal section (2). A rib (4) is located at the lateral side of the prosthesis and protrudes in the ventral direction. The proximal section (3) enlarges in the upward direction. A neck (5) is provided in the upper end region on which a joint ball can be attached. The diameter of the shaft prosthesis (1) enlarges substantially conically on all sides starting from the distal end of the shaft prosthesis (1).

Abstract: A device for plugging the medullary canal of a bone to prevent the passage of locating cement and for centralising or guiding the stem of a prosthesis comprising a main body portion adapted to engage the wall of the canal to act as a plug and having a centralising or guide opening to receive the stem of the prosthesis.

Abstract: A prosthetic stem insertable in an intramedullary cavity to support an articulation component includes a proximal neck portion and a distal root portion. The proximal neck is solid metal and extends for a length effective to reach into the cavity and couple to surrounding bone for load bearing engagement therewith, while the distal root portion includes a stranded cable which fills the bone cavity but flexes to avoid significant transfer of bending stresses. The cable is tightly bunched at its junction with the neck, providing a transitional degree of stiffness to its distal part which is significantly more flexible and bends to accommodate natural displacement of the surrounding bone. The prosthesis may be formed of a compatible metal such as titanium, cobalt chromium, stainless steel or the like. The prosthesis has a section modulus characterized by three distinct regions.

Abstract: A hip-joint endoprosthesis with a stem to be anchored in the femur, and with a joint head supported by the stem via a neck. In order, upon implantation, to be able to use one and the same prosthesis with a different choice of resection plane within the neck of the head, the stem of the prosthesis is curved in a substantially uniform circular arc; the neck adjoins the upper end of the stem approximately in the same direction; the length of the stem is not greater than 150 mm; and the hip-joint endoprosthesis, while keeping the same stem shape, is available with different neck lengths, of which several are smaller than the length of an average natural femoral neck.

Abstract: A prosthetic component which can be in the form of a hip stem (1) is provided with a proximal portion (2) and a distal portion (4) terminating at a distal end (5). The distal portion (4) has at least two slots (6) disposed longitudinally in the distal portion (4). The distal portion (4) of the hip stem (1) has a hollow centre (8). The hip stem (1) can be compressed to expand the diameter of the distal portion (4) by buckling the legs (13) between the slots (6) in the form of a stent or Chinese lantern.

Abstract: A proximal femoral prosthesis minimizes impingement, thereby affording an enhanced range of motion as compared to existing devices. The central portion of the neck of a prosthesis according to the invention is oriented distally relative to a straight line drawn between the ball portion and a point of interconnection to the exposed portion of the stem. Such a configuration reduces impingement in flexion/internal rotation and extension/external rotation, assuming an appropriately placed acetabular component. In the preferred embodiment, the neck is curved between the head and the neck. In alternative embodiments, the neck may be provided in straight and/or modular segments. The invention is compatible with neck-shaft angles, offsets, head sizes, and other dimensions commonly designated with respect to available implants.

Abstract: The present invention provides a femoral prosthesis to be utilized as an implant into a human femur to connect the coxa. The femoral prosthesis comprises a stem body to be inserted into a femur bone, a neck portion fixed integrally at the proximal portion of the stem body, a spherical head member having an opening to receive the neck potion, and a cross pin for fixing the stem body to the femur bone, wherein the stem body is formed with a pinnig hole through a proximal portion thereof corresponding to a greater trochanter of the femur bone, and the cross pin is in a unthreaded cylindrical shape and inserted into the pinning hole, both ends of the cross pin being projected out of the stem body to be engaged with the bone wall of the femur bone.