Abstract: A femoral trialling kit and method for assessing acetabular cup orientation during a left hip joint surgical procedure and a right hip joint surgical procedure are described. The kit includes a trial femoral head (104, 414, 514, 614, 814) having an inner wall defining a cavity extending along a head axis and a visual alignment guide on an outer surface of the trial femoral head and a trial femoral neck (126, 412, 512, 612, 812) having a taper at a free end, the taper being receivable within the cavity. One of the taper and the inner wall has a first anti-rotation feature (684, 698) and a second anti-rotation feature (686, 700), the first anti-rotation feature and the second anti-rotation feature being inclined, and the other of the taper and the inner wall has a third anti-rotation feature (702).

Abstract: Provided is an artificial joint that can improve fatigue strength while achieving the ability to fix to a bone. An artificial joint 1 includes a stem portion 2. The stem portion 2 has a distal end for insertion into a bone and a proximal end opposite the distal end and includes a roughened surface portion 4 which is provided in a proximal end-side portion, which has a rougher surface than a distal end-side portion, and which is larger in cross-sectional area than the distal end-side portion. The roughened surface portion 4 includes a distal end-side edge section 7 and a proximal end-side section 7, the distal end-side edge section 7 including a distal end-side edge portion of the roughened surface portion 4, the proximal end-side section 7 being configured as a section closer to the proximal end than the distal end-side edge section 7 is to the proximal end. The distal end-side edge section 7 has a surface roughness Ra1 lower than a surface roughness Ra2, Ra3 of the proximal end-side section.

Abstract: An integral humeral stem includes a diaphyseal portion which has, orthogonal to a diaphyseal axis, an octagonal cross-section with convex rounded angles, and a metaphyseal portion in the form of a flared corolla which extends the diaphyseal portion up to a proximal face, which has, orthogonal to a central axis, an octagonal cross-section with convex rounded angles so that the humeral stem has a peripheral surface provided with eight lateral facets and eight rounded fillets which continuously extend from the diaphyseal portion to the metaphyseal portion. On the metaphyseal portion, the rounded fillets progressively widen and the lateral facets progressively narrow from the diaphyseal portion in the direction of the proximal face.

Abstract: The invention relates to a revision prosthesis shaft of a revision joint endoprosthesis for anchoring in an elongate bone (9), in particular femur. The surface is designed for adhesive agent-free fastening in the proximal epimetaphysis (91) and the diaphysis (92) of the bone. According to the invention, a distal epimetaphyseal extension (2) is provided at the far end of the shaft (12), the tip of which extension reaches into the distal epimetaphysis (93) of the bone. The extension (2) is designed for fastening in the distal epimetaphysis (93) by means of an adhesive agent (3), in particular bone cement. The invention combines the advantages of cement-free fastening, namely of the shaft in itself in the diaphysis (92), with the advantages of cemented fastening, namely of the extension in the distal epimetaphysis (93). Even in difficult cases in which sufficient hold previously could not be achieved for lack of fastening distance in the diaphysis, stable anchoring can thus be achieved.

Abstract: An apparatus and method for measuring a version angle of a restored neck of a femur during a hip replacement procedure. The apparatus includes a broach. The broach has a distal end that is insertable into a medullary canal of the neck of the femur. The broach also has a proximal end that extends along a neck axis of the broach. The apparatus also includes a protractor. The protractor includes a rod which is attachable to the proximal end of the broach to extend away from the neck axis of the broach for measuring the version angle of the restored neck of the femur relative to a vertical direction. The method includes inserting the broach, flexing the knee at approximately ninety degrees, orienting the tibia vertically, attaching the protractor to the proximal end of the broach and using it to measure the version angle.

Abstract: A hip stem prosthesis is provided for treating a deficient hip joint.

Abstract: A component is configured for implantation during a total hip replacement procedure being performed on a patient having an anterior and posterior. The component includes a stem configured for intraosseous femoral implantation. The stem has a distal end configured for femoral insertion and a proximal end opposite the distal end. The component has a neck attached to the stem at a neck-stem junction. The neck has a proximal end proximate the neck-stem junction and a distal end opposite the proximal end. The neck is configured for extraosseous implantation. The component also has a head attached to the neck proximate the distal end of the neck. The head is configured for coupling with a ball configured for coupling with a socket implanted in an acetabulum of a pelvis of the patient during the procedure, thereby forming a total hip replacement. The head is anteriorly offset relative to the stem.

Abstract: Methods and apparatuses for attaching tissue structures to orthopaedic implants. In one exemplary embodiment, the methods and apparatuses are used to attach soft tissue and/or bone to a proximal tibial implant. In another exemplary embodiment, the methods and apparatuses are used to attach soft tissue and/or bone to a proximal femoral implant.

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 hip stem prosthesis is provided for treating a deficient hip joint.

Abstract: A femoral component for a hip prosthesis has a proximal end for disposition at a superior position in a femur and a distal end opposite the proximal end. The femoral component has opposite medial and lateral sides and opposite anterior and posterior faces extending between the medial and lateral sides. At least a proximal part of the femoral component has a first superior-to-inferior taper so that a medial to lateral dimension decreases gradually from the proximal end toward the distal end, a second superior-to-inferior taper so that an anterior to posterior dimension of the femoral component decreases gradually from the proximal end toward the distal end and a lateral-to-medial taper so that an anterior to posterior dimension of the femoral component decreases gradually from the lateral side toward the medial side.

Abstract: A hip prosthesis is provided for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the longitudinal axis.

Abstract: A modular femoral prosthesis for use during performance of a hip revision procedure includes a proximal body component, a distal stem component, and a locking bolt. Surgical instruments and methods for use in implanting such a modular femoral prosthesis are disclosed.

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 method for preparing a femoral neck for receiving a neck implant includes resecting a femoral head from a femoral neck of a patient according to a pre-operative patient-specific plan. The method also includes removing only cancellous bone from the femoral neck and proximal femoral bone of the patient using a patient-specific broach. The patient-specific broach has a three-dimensional cutting surface matching as a negative mold a cortical/cancellous bone interface surface of the femoral neck of the patient.

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: The present invention relates to a straight stem (10) for the implantation into a proximal femur, the stem (10) comprising a proximal stem section (12) and a distal stem section (14), the distal stem section (14) having a distal end (24) and a distal tip (26) arranged directly adjacent to the distal end (24) and defining a distalmost point of the distal end (24), the stem (10) having, in an anterior-posterior view, a medial contour and a lateral contour, and the stem (10) having a straight stem center axis (20) between the medial contour and the lateral contour, wherein the distal end (24), in an anterior-posterior view, has a convexly curved contour, and wherein the convexly curved contour of the distal end (24) merges with straight sections (46, 48) of the medial contour and of the lateral contour at a medial merging point (22) and a lateral merging point (28), respectively, wherein the medial merging point (22) and the lateral merging point (28) are offset with respect to each other in a direction parallel

Abstract: “A femoral stem, particularly for a hip prosthesis, provided with a recess for the mating of a neck, the recess having a rough inner surface, the roughness being constituted by scoring lines adapted to allow optimum mating between the neck and the stem.

Abstract: A method for preparing a femoral neck for receiving a neck implant includes obtaining image data of a proximal femoral bone and femoral neck of a patient by a medical imaging method and constructing a three-dimensional image model of the proximal femoral bone and neck of the patient using the image data. The method further includes identifying a three-dimensional cortical boundary surface at an interface between cortical and cancellous bone of the patient using the image model. A patient-specific broach having a three-dimensional cutting surface closely matching and complementary to the cortical boundary surface of the patient using the image model is designed and manufactured.

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: The invention relates to a femur prosthetic stem (1) having a front portion and a back portion, said stem being characterized in that it has a back hollow portion (2).

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 femoral prosthesis for use during performance of a hip revision procedure includes a proximal body component, a distal stem component, and a locking bolt. Surgical instruments and methods for use in implanting such a modular femoral prosthesis are disclosed.

Abstract: A hip prosthesis is provided for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the longitudinal axis.

Abstract: Prosthetic hip stems and acetabular cups for use in prosthetic hip joints. The hip stem may include a core having a stem portion and a neck portion, a polymer matrix layer substantially covering the stem portion of the core, and a porous metal layer substantially covering the polymer matrix layer. The polymer matrix layer connects the core and the porous metal layer and provides a stiffness for the hip stem which more closely mimics the stiffness of bone than do known hip stems. The hip stems and acetabular cups additionally include a number of improvements adapted for more optimized results with certain types of patient anatomy, such as the anatomy of female patients, for example.

Abstract: A femoral stem hip implant for insertion into a surgically created aperture in a femur includes a monolithic femoral stem made of shape memory material. The stem is configured to be inserted into the aperture, has a proximal portion and a longitudinal axis. The shape memory material within the proximal portion has a cross-section perpendicular to the longitudinal axis. At least a portion of the shape memory material within the proximal portion is in a compressed state by application of a plurality of compressive forces at a temperature below an austenitic finish temperature of the shape memory material so that the cross-section expands through shape memory effect via the formation of austenite in response to a temperature increase after insertion into the aperture thereby causing a locking-force to be exerted against an inner surface of the aperture, the locking force being sufficient to stabilize the implant in the aperture.

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 method of optimizing the geometry of a femoral stem of a hip joint prosthesis is disclosed. The femoral stem comprises a neck and an anchoring blade that is attached to the neck and that tapers towards a distal end with a lateral narrow side comprising a distal straight portion and a proximal arcuate portion corresponding to a curve. The transition between the distal straight portion and the proximal arcuate portion occurs at an outer lateral point. The method comprises a means of optimizing the profile of the curve of said proximal arcuate portion by a process of iterative modeling steps using a series of curves each defined by a path traced by the outer lateral point on withdrawal of a profile of the stem from a cavity of complementary shape to the stem. Preferably, during withdrawal of the profile of the stem from the cavity contact between lateral-distal and proximal-medial stem contours and respective associated boundaries of the cavity are maintained.

Abstract: A hip prosthesis is provided for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the longitudinal 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: The specified implant for use as a femur component in a hip joint prosthesis comprises a shaft, being intended for the implantation in a cavity of a proximal femur, a head section, for fastening a femoral head prosthesis and a femoral neck section, being arranged between the shaft and the head section. The femoral neck section comprises a femoral head axis and a contour in a cross-section perpendicular to the femoral neck axis, tapering in a V-shape or wedge-shape to medial and at least an anterior straight section and at least a posterior straight section, wherein the straight sections define the tapering.

Abstract: A hip prosthesis for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the stem. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the stem.

Abstract: Prosthetic hip stems and acetabular cups for use in prosthetic hip joints. The hip stem may include a core having a stem portion and a neck portion, a polymer matrix layer substantially covering the stem portion of the core, and a porous metal layer substantially covering the polymer matrix layer. The polymer matrix layer connects the core and the porous metal layer and provides a stiffness for the hip stem which more closely mimics the stiffness of bone than do known hip stems. The hip stems and acetabular cups additionally include a number of improvements adapted for more optimized results with certain types of patient anatomy, such as the anatomy of female patients, for example.

Abstract: Provided is a novel hip replacement implant system that includes a ball assembly having a ball trunnion, the ball assembly being configured as a replacement for the head of the femur and capable of being secured by the ball assembly trunnion to a calcar implant element that can be securely seated in the calcar bone of the femoral neck, thus maintaining the load transfer function of the calcar bone of the femoral neck. A method of using the device is also provided.

Abstract: Novel femoral implants for use in hip arthroplasty are described and illustrated. The femoral implant comprise a stem and neck portion, with the neck portion having a novel configuration that provides for improved range in motion for the prosthesis without compromising strength of the implant.

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: The invention relates to an implant system having at least one shaft of a prosthesis, in particular a hip joint prosthesis, which can be anchored without cement, and a set of instruments for the preparation of the bone in which the shaft is to be anchored, wherein the shaft has an arcuate base body with a trapezoidal or rectangular cross-section and the set of instruments includes a first instrument which is shaped in accordance with the arcuate shape of the shaft and with which a recess serving for the reception of the base body can be established in the bone; and wherein the shaft is provided with ribs in the proximal region and the set of instruments includes a guide body shaped in accordance with the arcuate shape of the shaft for a second instrument with which structures can be manufactured in the bone serving to fix a path for the shaft ribs when the guide body is located in the recess.

Abstract: A flat shaft of a hip-joint prosthesis for anchoring in a femur. The shaft expands on all sides towards a proximal end from a distal end of the shaft and medially merges with a curved section that is continuous with a prosthesis neck. The shaft is additionally expanded in a proximal region along a proximal direction on at least one of an anterior and posterior surfaces.

Abstract: A method of implanting at least a stem member of a femoral insert into an intramedullary canal of a femur. The method includes making an anterior incision for accessing the intramedullary canal, and inserting a stem member of the femoral insert into the intramedullary canal through the incision along an arcuate path defined by an arcuate profile of the stem member.

Abstract: The present invention relates in certain embodiments to components of a hip-joint prosthesis. More particularly, embodiments of the invention relate to a leaf-like femoral shaft for use as part of a hip-joint prosthesis, and instruments (e.g., a rasp) and methods for implanting the shaft. The shaft includes an anchoring section extending between a proximal region and a distal end of the shaft. The shaft has a cross-sectional contour that defines a lateral side, a medial side, an anterior side and a posterior side. A corresponding rasp is preferably provided for each femoral shaft. The rasp is inserted into the femur to form a cavity having generally the same configuration as the rasp. The shaft is configured to be over-dimensioned in at least one of the anterior-posterior direction and medial-lateral direction relative to the rasped femur cavity.

Abstract: Blade-like stem (10) of a hip joint prosthesis for anchoring in the femur, having a portion (19) comprising a prosthesis neck (18) on the one hand and a femur-anchoring portion (21) tapering towards a distal end (20) on the other hand, the lateral narrow side (22) of which comprises a distal straight portion (23) and a proximal arcuate portion (11), the straight portion (23) extending over a length (LD) of from 60% to 75% of the total length (LG) of the stem (10).

Abstract: A modular prosthesis that may be implanted in a highly minimally invasive manner. Specifically, the modular prosthesis may include a neck and an anchor. Both the neck and the anchor are configured to be inserted and connected together through a lateral aspect of a long bone adjacent to the proximal end of the long bone. In one exemplary embodiment, the neck includes a body having a head end, configured for attachment to another prosthetic component, such as a corresponding articulating component, and an aperture extending therethrough. The anchor may be sized for receipt within the aperture formed in the neck. Additionally, the anchor may be configured such that the anchor engages the walls forming the aperture in the neck to secure the components together.

Abstract: A modular prosthesis is provided having a first and second prosthesis component and a locking nut. The first prosthesis component is configured to include a mating surface and a threaded shaft extending from the mating surface. The locking nut is formed to include a distal end having a shaped surface. The second prosthesis component is configured to include a mating surface, a nut-receiving cavity and a bore. The mating surface of the second prosthesis component is configured to mate with the mating surface of the first prosthesis component. The nut-receiving cavity is configured to receive the locking nut therein and to have a shaped bottom wall configured to engage the shaped surface of the locking nut. The bore communicates with the nut-receiving cavity through the shaped bottom wall and the mating surface and is sized to receive the threaded shaft therethrough.

Abstract: Leaflike shaft (1) of a hip-joint prosthesis for anchoring in the femur, according to a towards a distal end (5), with a femur-anchoring section (1a, . . . 1i) having a long axis (A) and with a prosthesis neck (2), wherein the femur-anchoring section (1a, . . . 1i) has a substantially rectangular external contour in a plane perpendicular to the long axis (A), optionally with recesses in the side edges and/or at the corners.

Abstract: The specified implant for use as a femur component in a hip joint prosthesis comprises a shaft, being intended for the implantation in a cavity of a proximal femur, a head section, for fastening a femoral head prosthesis and a femoral neck section, being arranged between the shaft and the head section. The femoral neck section comprises a femoral head axis and a contour in a cross-section perpendicular to the femoral neck axis, tapering in a V-shape or wedge-shape to medial and at least an anterior straight section and at least a posterior straight section, wherein the straight sections define the tapering.

Abstract: A femoral component of a hip implant is disclosed. The femoral component may be used specifically in a neck sparing resection (i.e., any process or device that avoids removing the femoral neck) and may include a shortened stem (with respect to a conventional stem) having a terminal flare portion for internally contacting a medial calcar portion of the proximal femur, and a significant curvature on its medial side. Other features of the femoral component include, flat side portions on the anterior and posterior sides of the stem, a lateral fin or a wing or T-back to aid in resisting torsional forces. The femoral component may also include a sagittal slot for proper fitting and placement in the femoral canal. The femoral component may also include a neck component that is modular with respect to the stem component. A head component, whether monoblock or modular with respect to the neck component, may also be utilized as part of the femoral component.

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: Disclosed are a femoral stem for artificial coxal articulation, in which portions of the femoral stem interfering with and contacting an insertion in the joint movement of the femoral stem are removed from the femoral stem so as to maximize the range of the joint movement thereof while maintaining the cross sectional area thereof, and a method for processing a neck portion of the femoral stem. The method includes cutting symmetrical portions of the outer circle of a circular rod to form cutting planes inwardly inclined such that the cutting planes contact a virtual inner circle having the same center as that of the outer circle; and rounding a portion between the cutting planes along the inner circle so that the inner part of the outer circle is shorter than the outer part of the outer circle.

Abstract: Prosthetic hip stems and acetabular cups for use in prosthetic hip joints. The hip stem may include a core having a stem portion and a neck portion, a polymer matrix layer substantially covering the stem portion of the core, and a porous metal layer substantially covering the polymer matrix layer. The polymer matrix layer connects the core and the porous metal layer and provides a stiffness for the hip stem which more closely mimics the stiffness of bone than do known hip stems. The hip stems and acetabular cups additionally include a number of improvements adapted for more optimized results with certain types of patient anatomy, such as the anatomy of female patients, for example.