Abstract: A collar (2) arranged to couple to a prosthetic component for implantation at the end of a long bone, the prosthetic component having a distal portion arranged to couple to the bone and a proximal neck portion arranged to couple to an articulation component. The collar (2) comprises a plate including a neck hole (4) to receive a neck portion, such that the collar can rotate about the neck portion. The collar (2) further comprises a plurality of attachment portions (12) for coupling the plate to bone fragments or soft tissues. The collar (2) is lockable to the neck portion to prevent further rotation. A prosthesis comprising a combination of a collar (2), a prosthetic component and an articulation component, and a surgical method of using the collar (2) are also disclosed.

Abstract: A method of implanting a shoulder prosthesis in a scapula of a patient includes the step of placing a guide over a primary glenoid component previously implanted within the scapula of the patient. The method further includes the steps of removing the primary glenoid component from the scapula and preparing the scapula for implantation of a secondary glenoid component, wherein the removing and preparing steps occur simultaneously.

Abstract: A femoral implant includes a main shaft with a proximal end and a smooth distal end. A porous circumferential collar is provided between the proximal end and distal end, and a porous distally-extending portion extends distally from the collar to provide for additional bone ingrowth.

Abstract: Disclosed are systems, methods, devices and surgical techniques for joint arthroplasty, including implant components that facilitate the position and implantation of a hip replacement using cutting guides and various femoral implant arrangements.

Abstract: A cementless femoral stem prosthesis for use in hip replacement surgery is disclosed. The stem has a collar and a body having a fixed end and a shank end. The shank end is divided into a pair of adjustable endosteal plates that are secured to the cortical bone of the femur by screws. The present invention provides an improved femoral stem structure because the screws through the endosteal plates transfer the load to the cortical bone rather than the cancellous bone, the medial endosteal plate has a plurality of spurs to engage with the cancellous bone to increase the number of stress-strain points, and the collar transfers the load directly to the cortical bone. All of these features work in tandem to reduce the risk of stress shielding, bone resorption, prosthetic loosening, and other difficulties associated with femoral stem prostheses.

Abstract: A hip prosthesis has an oblong plate with at one head end a mounting pin provided with a hinge ball, and at the opposite head end a fastening pin for fastening the hip prosthesis in a shaft of a bone. A first part of the plate extends on a first side of the mounting pin. The mounting pin forms an angle ? smaller than 90 degrees with the first part of the plate and the tangent to the fastening pin at the location of the connection between the fastening pin and the first part of the plate forms an angle ? greater than 90 degrees with the first part of the plate. In order to insert the hip prosthesis into a bone in a simple manner, the fastening pin includes a curved shape from the plate onwards in a direction to the first part of the plate.

Abstract: An implant stem (1, 2) for implantation in a femur, comprising: a base portion (3) disposed at the proximal end (4) of the stem and a stem portion (5) extending to the distal end (6) of the stem, wherein the base portion (3) has an engagement means (7) for engaging, in use, with the resected end of the femur. An implant comprising such a stem (1, 2) and a head. A method for implanting such implants in a femur.

Abstract: A modular prosthesis kit includes a sleeve. The sleeve has a central portion and a fin. At least part of the central portion includes a plurality of adjacent terraces. The fin includes a pair of tapered outer surfaces that are continuous, non-terraced and define a wedge-shape to stabilize the position of the sleeve when implanted. The sleeve may include a single terraced spout or wing with such a fin or may not have any spouts or wings extending out from the central portion. The kit may also include sleeves with two spouts or wings extending out from the central portion.

Abstract: A femoral prosthesis. The femoral prosthesis includes an implant body having a proximal end and a distal end and a shoulder at the proximal end, the shoulder being structured and dimensioned for a tight press fit into the neck of a femur. The implant body includes a trunk at the distal end, the trunk having a wedge formed by a tapered portion extending in the direction of the distal end of the implant body. The implant body also includes a medial column extending from the shoulder toward the distal end and a lateral column extending from the shoulder toward the distal end. The wedge, the medial column, and the lateral column to provide multi-planar stability for the implant body and surface area for fixation of the implant body.

Abstract: A ready-for-use polymer cement spacer device for the replacement of a permanent joint prosthesis during a two-stage replacement, includes a shank includes for attachment for placing to the supporting bone and a head in the joint region. The spacer device includes two complementary members incorporating rigid members for assembly between them, the first member being loaded with a first active substance and the second member being loaded with a second active substance. The first and second active substances are preferably antibiotics, selected from gentamycin, trobamycin, vancomycin, erythromycin, fucidin, tetracycline or other suitable antibiotics. The temporary joint implant maintains a suitable space for the time necessary for the operation of replacing a permanent prosthesis to prevent tissues from occupying the space released by removal of the permanent prosthesis and ensures effective treatment of resistant infections by local treatment of the joint area through at least two different active substances.

Abstract: This invention relates to an orthopaedic joint prosthesis implant kit (2). The implant kit comprises a stem component (4) of an orthopaedic joint prosthesis which is intended for articulation with a mating component of the joint. The stem component has a distal end (6) and a proximal end (8), and a neck part (10) at the proximal end, and is configured for fixation in a bone cavity-using bone cement material with the distal end within the cavity and the proximal end at the opening of the cavity, and with the neck part protruding from the cavity towards the mating component of the joint. The implant kit further comprises a positioning kit (18), at least one spacer (20, 22, 24) for location between the wall of the cavity and the stem component at its proximal end, and a delivery device (26).

Abstract: Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprises a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.

Abstract: A femoral prosthesis. The femoral prosthesis includes an implant body having a proximal end and a distal end and a shoulder at the proximal end, the shoulder being structured and dimensioned for a tight press fit into the neck of a femur. The implant body includes a trunk at the distal end, the trunk having a wedge formed by a tapered portion extending in the direction of the distal end of the implant body. The implant body also includes a medial column extending from the shoulder toward the distal end and a lateral column extending from the shoulder toward the distal end. The wedge, the medial column, and the lateral column to provide multi-planar stability for the implant body and surface area for fixation of the implant body.

Abstract: A femoral prosthesis. The femoral prosthesis includes an implant body having a proximal end and a distal end and a shoulder at the proximal end, the shoulder being structured and dimensioned for a tight press fit into the neck of a femur. The implant body includes a trunk at the distal end, the trunk having a wedge formed by a tapered portion extending in the direction of the distal end of the implant body. The implant body also includes a medial column extending from the shoulder toward the distal end and a lateral column extending from the shoulder toward the distal end. The wedge, the medial column, and the lateral column to provide multi-planar stability for the implant body and surface area for fixation of the implant body.

Abstract: A modular implant system includes a set of anatomically-designed diaphyseal fitting and filling modular implant components and adapters for connection to another implant component such as a modular articular component, a segmental component or an intercalary component. The other end of each diaphyseal component is a tapered porous surface. The tapered porous surface is received with a tapered bore in the bone diaphysis that is prepared to match the size and shape of the tapered porous surface. The diaphyseal implant is easy to insert and remove, does not bind before fully seating, and is designed to prevent stress shielding. The diaphyseal sleeve eliminates the long lever arm created when fixation occurs only at the tip of the stem, and should therefore eliminate related stem loosening.

Abstract: Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprises a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.

Abstract: A system and method for trialing a modular hip replacement system (10) permits evaluation and replication of the anatomic anteversion rotational angle of the femur. A distal stem component (18) of the hip replacement system (10) includes a proximal portion (34) having a locator feature (35) that is externally accessible when the stem component is mounted within the femur. A proximal trial body assembly (60) is mounted on the proximal portion (34) of the distal stem component (18) to permit rotation of a trial neck component (62). The trial neck component (62) also includes a locator feature (126) that can be externally referenced to determine the anteversion angle.

Abstract: A system and method for trialing a modular hip replacement system permits evaluation and replication of the anatomic anteversion rotational angle of the femur. In one embodiment, a femoral hip implant kit includes at least one distal implant and a plurality of femoral heads, each of the plurality of femoral heads having a diameter different from the diameter of the other of the plurality of femoral heads. The kit includes a proximal trial housing with a bore within the housing, the bore configured to receive a portion of the distal implant, a collet located within the bore, the collet including an outer wall portion extending between a top surface portion and a bottom surface portion, a collapsing member for engaging the portion of the distal implant and for forcing the top surface portion of the collet toward the bottom surface portion of the collet along a first axis.

Abstract: Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprises a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.

Abstract: Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprising a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.

Abstract: A femoral prosthesis including a stem for insertion in a femoral canal and a shoulder and/or neck portion characterized by a proximal sleeve having an outer circumferential wall and comprising two or more proximal sleeve components, each of which provides part of the circumferential outer surface of the sleeve, and means for securing the proximal sleeve components in position at the proximal end of the stem.

Abstract: A prosthetic femoral implant for use in a hip joint, as a ball and socket type joint, is disclosed. The implant includes a modular neck having a variety of adjustable positions to adjust the lateral offset and version angle of the femoral implant in relation to the femur. The implant further includes a broad, full collar for providing a compression force increasing the interdigitation between the interface of the bone, implant and cement. The implant also includes a stem having a depression having a roughened porous surface for resisting the increased torsional loads placed on the implant due to the increased lateral offset and version angle. The stem further comprises three distinct zones, each zone having its own roughened surface creating a tripartite differential porosity.

Abstract: Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprising a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.

Abstract: A articulating hemiarthroplasty prosthesis (10) for use in arthroplasty is provided. The prosthesis includes a stem (12) for implantation at least partially within the medullary canal (14) of a long bone (16) and a collar (20). The collar (20) is operably associated with the stem (12) and extends outwardly therefrom. At least a portion of the collar (20) includes a resorbable material. The prosthesis includes a head (30) and a cup (46) for engagement with the head (30).

Abstract: Apparatus and methods are disposed for maintaining the proper positioning of a prosthetic implant having proximal and distal ends within a prepared bone cavity during cement injection and curing. First stabilization means, implantable within the bone cavity, minimize lateral movement of the distal end of the implant, while second stabilization means, physically separate from the means for minimizing lateral movement of the distal end of the implant, minimize both the lateral movement of the proximal end of the implant and the rotational movement of the implant overall. In the preferred embodiment, the second stabilization means includes an apertured cap removably securable to the end of a bone having the prepared cavity through which the implant is inserted and held in place.

Abstract: A cementless femoral hip stem component. The hip stem component includes an elongate stem, a proximal body, and a collar disposed on the proximal body and extending outward therefrom in a sideways direction to form a ledge. The proximal body defines at least a majority of a frustoconical shape. The ledge formed by the collar includes a tapered undersurface, beneath which extends the proximal body. The tapered undersurface of the ledge and the proximal body extend in different directions and thereby cooperatively define a double-flared contact surface configured to enable subsidable engagement of said double-flared contact surface with the femur at two different rates of subsidence within the femur. An abrupt, male corner is formed by the stem and the proximal body and is sufficiently abrupt to provide enhanced bone ingrowth stimulation.

Abstract: A prosthesis for implantation in a bone includes a collar having a first surface and a second surface generally on an opposite side of the collar for engaging the bone and transferring forces to the bone. A neck extends outwardly from the first surface and is adapted to receive a ball thereon. A stem extends outwardly from the second surface of the collar for reception in the bone. The second surface is shaped to promote force transmitting engagement of the second surface with the bone over at least a substantial portion of the second surface, to limit engagement of the second surface with the bone at an area of stress concentration in the second surface, and to inhibit line contact between the second surface and bone.

Abstract: Disclosed is a modular femoral prosthesis having a neck element 18 that can be selectively positioned atop a stem element 12 by inserting a grooved shaft 26 that extends downward from the bottom of the neck element 18 into a corresponding slotted recess 32 originating on a top portion of the stem element 12 and continuing longitudinally partially therethrough. The axial orientation of the neck element 18 relative to the stem element 12 can thus be rotated accordingly during insertion of the grooved shaft 26 into the slotted recess 32. The stem 13 can be cylindrical in form or tapered. Locking screw 30 is provided to secure the neck element 18 to the stem element 12.

Abstract: A prosthetic device and method of using the device is disclosed. The device may include a busing insert, a femoral head component, a neck component that may be either integral or modular, and a stem component having a proximal body portion and a distal portion. The proximal body portion may include such features as a recess for receiving a portion of the modular neck, a proximal conical flare having a bottom surface with a rounded contour, an anterior metaphyseal tapering flare, as well as other features. The distal portion may include a coronal slot, a sagittal slot, a helical slot, or a combination thereof. The above features may be provided for increasing the intrinsic stability of the device and for resisting torsional loads placed on the device.

Abstract: A joint prosthesis assembly includes a stem for disposition in a canal of a first bone constituting a first portion of the joint, a neck fixed to the stem, a collar fixed on the neck and having a peripheral groove, and an articulating head fixed on the neck. The assembly further includes a cup for disposition in a second bone constituting a second portion of the joint, an insert disposed in the cup to provide an interior lining for the cup, the insert being configured to receive the articulating head for movement therein, and the insert having a peripheral groove therein. A sleeve-shaped membrane is provided with a first O-ring fixed thereto at a first end thereof for disposition in the insert groove, and a second O-ring fixed thereto at a second end thereof for disposition in the collar groove. The membrane is thereby disposed to capture particulate debris generated by the articulating head in the insert. There is further contemplated a method for installing the assembly.

Abstract: A prosthesis for implantation in a bone includes a collar having a first surface and a second surface generally on an opposite side of the collar for engaging the bone and transferring forces to the bone. A neck extends outwardly from the first surface and is adapted to receive a ball thereon. A stem extends outwardly from the second surface of the collar for reception in the bone. The second surface is shaped to promote force transmitting engagement of the second surface with the bone over at least a substantial portion of the second surface, to limit engagement of the second surface with the bone at an area of stress concentration in the second surface, and to inhibit line contact between the second surface and bone.

Abstract: A prosthetic femoral implant for use in a hip joint, as a ball and socket type joint, is disclosed. The implant includes a modular neck having a variety of adjustable positions to adjust the lateral offset and version angle of the femoral implant in relation to the femur. The implant further includes a broad, full collar for providing a compression force increasing the interdigitation between the interface of the bone, implant and cement. The implant also includes a stem having a depression having a roughened porous surface for resisting the increased torsional loads placed on the implant due to the increased lateral offset and version angle. The stem further comprises three distinct zones, each zone having its own roughened surface creating a tripartite differential porosity.

Abstract: A cement jacket for a cemented artificial joint stem, the cement jacket including a main body with a hollow interior and an open upper end for receiving and enclosing at least a part of a stem of an artificial joint, the cement jacket being shaped and adapted for longitudinal insertion in an opening formed in a bone canal of a human body, the cement jacket being made of cement and reinforced by imbedded wire or fiber and having an inner surface coated with a plastic film having a high resistance to abrasion, and the outer surface of the cement jacket is formed with discharging paths in the longitudinal direction so that excessive cement paste previously poured into the bone canal for the surgical purpose can be easily discharged upward at the time of inserting the jacket.

Abstract: A cementless femoral hip stem component. The hip stem component includes an elongate stem, a proximal body, and a collar disposed on the proximal body and extending outward therefrom in a sideways direction to form a ledge. The proximal body defines at least a majority of a frustoconical shape. The ledge formed by the collar includes a tapered undersurface, beneath which extends the proximal body. The tapered undersurface of the ledge and the proximal body extend in different directions and thereby cooperatively define a double-flared contact surface configured to enable subsidable engagement of said double-flared contact surface with the femur at two different rates of subsidence within the femur. An abrupt, male corner is formed by the stem and the proximal body and is sufficiently abrupt to provide enhanced bone ingrowth stimulation.

Abstract: Novel prostheses, particularly femoral prostheses, are provided. The subject devices are characterized by the presence of a curvilinear collar. Also provided are methods of implanting a prosthesis in a manner sufficient to provide for a pressure profile at the collar interface in which the pressure increases from the endosteal to the periosteal surface of the bone.

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 present invention relates to a prosthetic device for placement in an implant area of the body. The prosthetic device comprises an elongated stem portion, a neck portion, and a head portion. Each of the stem, neck, and head portions comprise a material impregnated with an antibiotic agent such that, when the prosthetic device is inserted into the implant area in place of a weight-bearing prosthesis, the antibiotic agent can leach out of the material to fight infection in the implant area. As an added benefit, the structure of the prosthetic device maintains adequate joint spacing in opposition to contraction of the muscles and tendons of the patient over a period of time so that a weight-bearing prosthesis can again be implanted into the implant area after the infection has been overcome.