Abstract: A method of implanting a medical device including forming a tunnel at least partially through a patient's bone, placing the medical device on the bone so that a stress-diffusion element (i.e., a stem) extending from the medical device at least partially extends into the tunnel, and securing the medical device to the bone. The medical device includes a hemispherical cup having a bone-abutment exterior surface, an interior surface defining a cavity, a circumferential rim extending between the exterior surface and the interior surface, and at least one aperture extending between the exterior surface and the interior surface. The stress-diffusion element is formed to extend from and be oriented with respect to the cup based on whether the surgical implant is to be used on a left side or right side of the patient for reconstruction of the segmental acetabular defect.

Abstract: Various embodiments of a seal for a stent-valve, and methods of production, are described. In some embodiments, the seal or a skirt comprises a fabric wall portion and a polymeric material fused to the fabric wall portion, the polymeric material having a melting temperature that is lower than that of the fabric wall portion. The fibres of the fabric may remain unmelted at the interface with the polymeric material, the polymeric material being attached to material to the fibres of the fabric wall portion by fusion. The polymeric material may provide a welded joint to another fabric wall portion and/or may reinforce the fabric and/or may occlude pores of the fabric.

Abstract: The present invention relates to an assembly having a acetabular cup has at least two snapping rims; the gripper is a subassembly separated from the handle, including a snapping teeth suitable for engaging with the snapping rims included by the acetabular cup. The gripper includes a movable pusher, capable, during its movement, of exerting thrust on the acetabular cup along the axis of revolution of said acetabular cup, so as to disengage the snapping rims comprised by the acetabular cup from their engagement with the snapping teeth included by the gripper; and the assembly includes an actuating device for actuating the movable pusher.

Abstract: An orthopaedic surgical instrument is disclosed. The instrument includes an impactor head and a suction cup coupled to the impactor head. The suction cup including a distal opening that is defined by an outer rim positioned proximal of the impaction surface of the impactor head. The suction cup is configured to engage the orthopaedic prosthetic component to couple the impactor head to the orthopaedic prosthetic component.

Abstract: A prosthetic joint includes: (a) first member having a balanced centroidal axis, and comprising a rigid material and a concave interior defining a cup surface, the cup surface including: (i) a cantilevered first flange defining a wear-resistant protruding first contact rim, the first flange being asymmetric relative to the balanced centroidal axis; and (ii) a cantilevered second flange defining a wear-resistant protruding second contact rim; (b) a second member comprising a rigid material with a wear-resistant, convex contact surface; (c) where the first and second contact rims bear against the contact surface of the second member, to transfer loads between the first and second members, while allowing pivoting motion therebetween; and (d) wherein the flanges are shaped and sized so as to deform elastically and permit the first and second contact rims to conform in an irregular shape to the contact surface, when the joint is under load.

Abstract: A medical implant includes a first member adapted to be implanted to bond and having a substantially rigid first contact surface; and a second member adapted to be implanted to bone and having a substantially rigid second contact surface which bears against the first contact surface so as to transfer load from one member to the other while allowing relative motion between the two members; At least one of the first and second contact surfaces is adapted to have resilient properties when placed under load.

Abstract: The present invention is directed to a prosthesis for an arthroplasty in a long bone and a methods for achieving a press fit of the metaphyseal element of the prosthesis into a metaphysis of the long bone and the extraction of the prosthesis when indicated. The prosthesis includes a metaphyseal element attached at a proximal end of a stem, the metaphyseal element of the prosthesis is configured to optimize placement of bone marrow about, and in some embodiments, within the metaphyseal element to achieve a press-fit in the metaphysis of the long bone. The prosthesis also includes one or more apertures formed in the joint base member of the prosthesis. Preferably each slot includes a frangible wall which is readily penetrated to accommodate passage of an osteotome of other tool to break the metaphyseal element free from bony in-growth that occurs against the metaphyseal element.

Abstract: A cup having an inner cavity, for an articulation organ, and a metallic outer layer and in a portion of a spheroid, the outer layer including networks of meshes with nodes and struts, where the struts are tapered struts each having a tapered shape and being arranged such that the tapered shapes are uniformly oriented.

Abstract: Trials for a reverse shoulder system are described. The trials generally include an insert housed within a humeral cup. The insert has a proximal end and a distal end, the proximal end having a concave recess therein adapted to receive a glenosphere prosthesis. The distal end of the insert includes a shaft, the shaft is substantially housed within the confines of the humeral cup. A distal end of the humeral cup is inserted in a humeral stem.

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

Abstract: A prosthesis comprising: an inner layer (4) formed from a polyaryletherketone; a first outer layer (2a) adjacent to said inner layer formed from a porous polyaryletherketone, at least some of said pores having located therein material to promote osteointegration; and a second outer layer (2b) adjacent to said first outer layer formed from a porous polyaryletherketone, a portion of said pores being free of material to promote osteointegration. The invention also relates to a method of manufacture of the prosthesis.

Abstract: A joint resurfacing prosthetic implant system is disclosed having an anatomically-shaped implant to replace a joint at a pedal digit or finger, including a head having an elliptical bearing surface disposed for engaging the end of an adjacent bone and a seating surface opposite the bearing surface, an elongated stem extending distally from the seating surface, and a flange on the circumference of the device and extending distally from the seating surface. The flange includes one or more portals and a removed section configured to avoid impinging upon a tendon during and after implantation of the prosthetic. A specialized tool is also provided to facilitate the resection of the bone for implantation. The specialized tool includes an elliptical template having a cutting edge and a center insert that is sized and configured to match a reamer used to bore into the bone for insertion of the implant.

Abstract: A bone void filling prosthesis including a body and at least one leg. The body has a frustoconical profile, a length defined between a first end and a second end, and an aperture extending through the entirety of the length. The aperture defines a sidewall having a thickness spanning between an outer surface and an inner surface of the body. The at least one leg has a frustoconical profile, and a first and second end. The at least one leg is coupled to and extends away from the body such that the first end of the at least one leg is disposed between the first and second ends of the body.

Abstract: A joint prosthesis device comprises a head configured to fit within a cup and in one embodiment includes a first member for attachment to a first bone in a joint and including a first articulation surface portion defined by a first radius of curvature and a second member for attachment to a second bone in the joint and including a second articulation surface portion defined by a second radius of curvature and a third articulation surface defined by a third radius of curvature, wherein each of the second radius of curvature and the third radius of curvature has a length that is different from the length of the first radius of curvature by less than 0.05 millimeters and wherein the origin of the second radius of curvature is not coincident with the origin of the third radius of curvature.

Abstract: Multi-layered prosthetic constructs, kits, and methods are disclosed. A prosthetic construct can include a first ceramic component having a first surface, the first ceramic component comprising a first ceramic material, and a second ceramic component having a second surface disposed on the first surface of the first ceramic component, the second ceramic component comprising a second ceramic material. The second ceramic material of the second ceramic component can exert a compressive force on the first ceramic material. A ceramic material of the second ceramic component can include a different coefficient of thermal expansion than a ceramic material of the first ceramic component. Optionally, a ceramic construct can include a ceramic component and a membrane disposed onto and bonded to at least a portion of the ceramic component, the membrane configured to provide fracture reinforcement to the ceramic component.

Abstract: Methods for performing a hemiarthroplasty procedure. In some implementations, the method may comprise providing a component of an endoprosthesis, such as a femoral component of a hip prosthesis. The component may comprise a silicon nitride ceramic material, and may further comprise a coated articulating surface. The coated articulating surface may comprise a coating configured to reduce a coefficient of friction of the articulating surface. The method may further comprise positioning the endoprosthesis such that the coated articulating surface is positioned adjacent to a patient's native articular cartilage. In this manner, the coated articulating surface may articulate with the native articular cartilage following the procedure.

Abstract: Disclosed is an orthopedic implant that includes an anchor, a bore, and a compressible and expandable mesh. The anchor is configured to secure the implant at an implantation site and defines a longitudinal axis. The bore is defined by the anchor and extends along the longitudinal axis. The compressible and expandable mesh is aligned along the longitudinal axis and defines a plurality of openings. The mesh is configured to compress along the longitudinal axis and expand from the longitudinal axis to engage surrounding bone or tissue at the implantation site to secure the implant at the implantation site.

Abstract: A joint prosthesis system, specifically a shoulder prosthesis, for shoulder replacement, revision and repair. The implants provide fixation into the best bone available to a surgeon. The implants are used in a superior-inferior and anterior-posterior construct forming a type of cross or X-shape. The implants allow for interchangeability of the articulating component as well as rotational orientation. The systems will allow for augments to accommodate bone loss. The implants may allow for additional security using screws or anchors inserted into the scapula.

Abstract: A prosthetic joint member includes: a generally concave cup with an outer surface that is bone-implantable, the cup including a first indexing feature; a concave insert disposed inside the cup, the insert comprising a rigid material and including a concave interior defining a nominal surface, the interior including a cantilevered flange defined by an undercut in the insert, the flange defining a wear-resistant first contact surface which protrudes inward relative to the nominal surface, the insert including a second indexing feature. The first and second indexing features engage each other so as to retain the insert in a fixed angular orientation relative to the cup.

Abstract: Photodynamic devices for replacement of an articular head of a bone are provided. In an embodiment, a photodynamic device includes a photodynamic support member and an articular member attachable, either fixedly or removably, to the photodynamic support member and having a bearing surface. In an embodiment, the articular member includes a recess designed to receive the photodynamic support member. In an embodiment, the photodynamic support member includes an opening into which a shaft of the articular member can be inserted to attach the articular member to the photodynamic support member.

Abstract: An implant is set forth having at least one first element and a second element, wherein the first element is provided in a pre-determined relative location to the second element, in particular at least partly in a recess of the second element. The first element has a pre-positioning location having play with respect to the second element and allowing a fully area gas sterilization of both elements and can be displaced from this pre-positioning location into an end positioning location corresponding to a fixed connection of both elements.

Abstract: An osteoconductive backing implant for joint revisions is provided that may enhance bone healing and, for cementless implants, bony integration of the implant. The backing implant comprises a generally planar surface that may be formed into a generally hemispherical shape. In one embodiment, the backing implant comprises a disc having an inner hole and an outer edge, at least one slit extending from the inner hole to the outer edge. The disc may be formed from a coherent mass of elongate, mechanically entangled demineralized bone particles.

Abstract: A joint resurfacing prosthetic implant system is disclosed having an anatomically-shaped implant to replace a joint at a pedal digit or finger, including a head having an elliptical bearing surface disposed for engaging the end of an adjacent bone and a seating surface opposite the bearing surface, an elongated stem extending distally from the seating surface, and a flange on the circumference of the device and extending distally from the seating surface. The flange includes one or more portals and a removed section configured to avoid impinging upon a tendon during and after implantation of the prosthetic. A specialized tool is also provided to facilitate the resection of the bone for implantation. The specialized tool includes an elliptical template having a cutting edge and a center insert that is sized and configured to match a reamer used to bore into the bone for insertion of the implant.

Abstract: A prosthetic joint member includes: a generally concave cup with an outer surface that is bone-implantable, the cup including a first indexing feature; a concave insert disposed inside the cup, the insert comprising a rigid material and including a concave interior defining a nominal surface, the interior including a cantilevered flange defined by an undercut in the insert, the flange defining a wear-resistant first contact surface which protrudes inward relative to the nominal surface, the insert including a second indexing feature. The first and second indexing features engage each other so as to retain the insert in a fixed angular orientation relative to the cup.

Abstract: A prosthetic joint member includes: a generally concave cup with an outer surface that is bone-implantable, the cup including a first indexing feature; a concave insert disposed inside the cup, the insert comprising a rigid material and including a concave interior defining a nominal surface, the interior including a cantilevered flange defined by an undercut in the insert, the flange defining a wear-resistant first contact surface which protrudes inward relative to the nominal surface, the insert including a second indexing feature. The first and second indexing features engage each other so as to retain the insert in a fixed angular orientation relative to the cup.

Abstract: A prosthetic joint includes: (a) first member having a balanced centroidal axis, and comprising a rigid material and a concave interior defining a cup surface, the cup surface including: (i) a cantilevered first flange defining a wear-resistant protruding first contact rim, the first flange being asymmetric relative to the balanced centroidal axis; and (ii) a cantilevered second flange defining a wear-resistant protruding second contact rim; (b) a second member comprising a rigid material with a wear-resistant, convex contact surface; (c) where the first and second contact rims bear against the contact surface of the second member, to transfer loads between the first and second members, while allowing pivoting motion therebetween; and (d) wherein the flanges are shaped and sized so as to deform elastically and permit the first and second contact rims to conform in an irregular shape to the contact surface, when the joint is under load.

Abstract: A joint prosthesis device comprises a head configured to fit within a cup and in one embodiment includes a first member for attachment to a first bone in a joint and including a first articulation surface portion defined by a first radius of curvature and a second member for attachment to a second bone in the joint and including a second articulation surface portion defined by a second radius of curvature and a third articulation surface defined by a third radius of curvature, wherein each of the second radius of curvature and the third radius of curvature has a length that is different from the length of the first radius of curvature by less than 0.05 millimeters and wherein the origin of the second radius of curvature is not coincident with the origin of the third radius of curvature.

Abstract: A prosthetic knee joint includes: (a) a femoral member comprising rigid material with a convex, wear-resistant femoral contact surface including a convex ridge; (b) a tibial assembly including: (i) at least one cup comprising rigid material with a body and a rim substantially thicker than the body defining a wear-resistant cup contact surface; (ii) a rigid base; and (iii) a spring support interconnecting the cup and the base, the spring support elastically deflectable permitting controlled pivoting of the at least one cup; (c) wherein the cup contact surface bears against the femoral contact surface, transferring axial and lateral loads between the cup and femoral member, while allowing pivoting between the cup and femoral member; and (d) wherein the at least one cup allows the rim to deform elastically, permitting the cup contact surface to conform in an irregular shape to the femoral contact surface, when the knee joint is loaded.

Abstract: A cup component of an orthopaedic joint prosthesis comprises a hollow shell wherein the head part of a mating component of the joint can be received. The shell has a flange at its open face extending around at least part of its periphery with at least two major threaded bores extending through the flange. The flange also provides at least one minor threaded bore, wherein the diameter of the minor bore is less than that of the major bores and the pitch of the thread in the minor bore is less than that of the thread in the major bores. The cup component includes at least two fixation screws whose shanks have approximately equal diameters, each of which is threaded on its external surface (i) to engage the thread a respective one of the bores in the shell flange, and (ii) to threadingly engage the bone, and a temporary screw having a self-drilling tip for forming a bore in a bone, and a diameter and a thread which are suitable for threadingly engaging the thread in the minor bore.

Abstract: An extraction device for removing a liner from an acetabular cup is provided. The extraction device includes a body and an actuator. The actuator is operably connected to the body. The extraction device also includes a jaw for cooperation with the liner. The jaw includes a portion of the jaw for penetrating into the liner. The jaw is operably connected to the actuator. The actuator is adapted to cooperate with the jaw to provide a first position for the jaw spaced from the liner and a second position for the jaw in contact with the liner.

Abstract: A prosthetic joint includes: (a) a first member comprising rigid material including a wear-resistant, concave cup surface; and (b) a second member comprising rigid material with a wear-resistant, convex contact surface; (c) one of the surfaces includes: (i) an annular first flange defining a protruding wear-resistant first contact rim at or near an apex of the member; and (ii) an annular second flange defining a protruding wear-resistant second contact rim, at or near an outer periphery of the member; (d) the first and second contact rims bear directly against the contact surface, so as to transfer loads between the first and second members, while allowing pivoting motion therebetween; and (e) the flanges are shaped and sized so as to deform elastically and permit the contact rims to conform in an irregular shape to the surface of the opposite member, when the joint is placed under a predetermined load.

Abstract: A prosthetic joint includes: (a) a bone-implantable first member comprising a rigid material and including a body having an annular flange extending outward at a first end thereof, the first end of the body and the flange cooperatively defining a wear-resistant concave first contact surface having a protruding rim and a recessed central portion; and (b) a bone-implantable second member comprising a rigid material with a wear-resistant convex second contact surface; (c) where the first and second contact surfaces bear directly against each other so as to transfer axial and lateral loads from one of the members to the other, while allowing pivoting motion between the two members; (d) wherein the flange is shaped so as to deform elastically and permit the first contact surface to conform to the second contact surface when the joint is placed under a predetermined load.

Abstract: A cup assembly of an orthopaedic joint prosthesis comprises a cup-shaped component which is rotationally symmetrical about a polar axis, and which is hollow to receive a rotationally symmetrical head of an component of the joint prosthesis. The cup-shaped component has a groove in its outer surface which extends around the component in a plane which is approximately perpendicular to the polar axis. A spacer component comprises a plurality of spaced apart spacer elements which are connected by a spacer web. The spacer web, but not the spacer elements, can be fitted into the groove in the outer surface of the cup-shaped component.

Abstract: The process for realizing biologically-compatible three-dimensional elements comprises sintering in forming means (6) and at a sintering temperature (T1), by passing an electrical current and applying a pressure, a volume (11) of forming material, obtaining formed concave and/or convex elements (1). Before the sintering operation, a granular material (12) is added to the volume (11) of forming material, which granular material (12) is removable from the formed concave and/or convex elements (1), having a melting temperature (T2) which is higher than the sintering temperature (T1); in this way pores (5) are obtained.

Abstract: A cotyle including a metallic insertion acetabular shell having an outer, essentially hemispherical, convex anchoring face formed in such a way as to be anchored in a cotyloid cavity of the pelvis of a patient, and a concave receiving face. The cotyle also includes a fixed definitive articular ceramic insert having an outer face engaging in the concave receiving face of the metallic insertion acetabular shell, and an inner receiving face including a concave, essentially hemispherical, articular surface for allowing the engagement and pivoting of a femoral prosthesis head or a mobile articular insert. The cotyle is packed in its assembled sterile state, with the definitive fixed articular ceramic insert engaged in the metallic insertion acetabular shell having a peripheral receiving structure that can receive means for fixing an impacter for positioning a cotyle and is designed in such a way that the impacter can be fixed to the cotyle in the presence of the definitive fixed articular ceramic insert.

Abstract: A joint prosthesis device comprises a head configured to fit within a cup and in one embodiment includes a first member for attachment to a first bone in a joint and including a first articulation surface portion defined by a first radius of curvature and a second member for attachment to a second bone in the joint and including a second articulation surface portion defined by a second radius of curvature and a third articulation surface defined by a third radius of curvature, wherein each of the second radius of curvature and the third radius of curvature has a length that is different from the length of the first radius of curvature by less than 0.05 millimeters and wherein the origin of the second radius of curvature is not coincident with the origin of the third radius of curvature.

Abstract: An implant is set forth having at least one first element and a second element, wherein the first element is provided in a pre-determined relative location to the second element, in particular at least partly in a recess of the second element. The first element has a pre-positioning location having play with respect to the second element and allowing a fully area gas sterilization of both elements and can be displaced from this pre-positioning location into an end positioning location corresponding to a fixed connection of both elements.

Abstract: One embodiment of the present invention relates to a prosthesis, comprising: an acetabular cup, wherein the cup has an open end and a closed end, wherein the open end of the cup is defined by a rim and wherein the rim has an outer facing surface; at least one cavity disposed in the rim, wherein the cavity extends from a first end of the cavity at the outer facing surface to a second end of the cavity that is towards the closed end of the cup, and wherein the cavity comprises an undercut at the second end of the cavity; a locking ring; and at least one tab extending from the locking ring, wherein the tab comprises a first leg and a second leg having a separation therebetween, wherein each leg has a first end and a second end, wherein the first end of each leg is at the locking ring, wherein the second end of the first leg comprises a tab protrusion, and wherein at least the second leg is resilient such that the separation between the first leg and the second leg is reduced when the second leg is deflected towa

Abstract: Prosthetic wrist implants and methods are provided. The prosthetic wrist implant includes a radial component including a base member having an upper bearing surface and a lower surface having an elongated radial stem for fixation to a radius bone. The elongated radial stem can be in an off-center position in relation to a center of the lower surface. A carpal component is also provided including a substantially planar base member having an upper surface and a lower surface with at least one socket protrusion extending therefrom, and may further included an elongated carpal post member for fixation to one or more carpal bones. An articulating bearing component for placement between the radial and carpal components is provided and includes an upper surface defining at least one socket recess and a lower bearing surface for cooperative engagement with the upper bearing surface of the radial component.

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

Abstract: A spacing device for supporting a joint adjacent to diseased bone or missing bone tissue, comprising a support piece and a semi-resilient pad. The pad is shaped to cradle and support the healthy bone joint. The reverse side of the pad is fixedly connected to one end of the support piece. The other end of the support piece is shaped to straddle healthy tissue adjacent the damaged area, such as the ilium when supporting a hip joint and is to be fixedly connected to the adjacent healthy tissue, using a suitable mechanism, such as biocompatible Steinman pins. Diseased, damaged, or necrotic tissue can be removed without requiring removal of the natural bone joint. Because the undamaged bone joint is not replaced, the problems commonly experienced during and following bone joint replacement are avoided. In particular, blood loss during surgery, surgical cost, surgical time, and rehabilitation of the patient after surgery is reduced.

Abstract: The invention relates to joint prosthesis elements, to a method of manufacturing prostheses, and to a kit for putting said prostheses into place. The prosthesis element which is put into place in a resection in the joint surface is defined by a contact surface C, a fixing surface F and, interconnecting said surfaces, a peripheral surface P which co-operates with a projecting rim R of the resection. An anchoring element A projects from the fixing face and penetrates into a corresponding anchoring hole D.