Abstract: A modular humeral head system includes a housing having an outer surface and an inner surface. A hemispherical socket formed on one end of the inner surface and threads formed on the other end of the inner surface. A cap is attached at the threaded end of the housing. The cap has one or more threaded holes that run from the top surface to bottom surface of the cap. A screw may be inserted in each hole. The modular humeral head system also includes an intermediate piece having a hemispherical head at one end of a tapered shaft. The tapered shaft is inserted in a humeral stem. The hemispherical head and the hemispherical socket form a ball and socket coupling. A trial head may be impacted on the housing. The trial head has one or more holes that are aligned with the screws inserted in the cap. In use, the assembly of the trial head, cap and housing can be adjusted to be in any angular orientation about hemispherical head. The tightening of the one or more screws fixes the angular position of the trial head.

Abstract: A prosthetic endplate having articulation surfaces whose relative positions can be post-operatively adjusted.

Abstract: The present invention relates to a non-invasive expandable implant utilizing energy from an epiphyseal growth plate of a human long bone to expand the implant. A bone replacement section includes a housing, an expansion shaft, a connection system, and an implant member. An anchoring member is secured to the second bone portion and spaced from the implant member. The expansion shaft is configured to translate a first distance between the housing and the first bone member. Growth of the bone causes an increase of a second distance between an implant portion and the anchoring member. The increase of the second distance causes the anchoring member to exert a force on a connection system causing an increase of the first distance, thus expanding the implant.

Abstract: A radial head replacement system includes a radial head replacement, an apparatus for guiding the resection of a radial head, and a kit including bone plug and bone plug insertion instrument. The radial head replacement has a separate adjustable head portion that may be secured on an implanted stem such that the implanted radial head replacement smoothly interfaces with the capitellum of the humerus. In another form, the radial head replacement uses crossed bone screws that serve to more securely anchor the stem of the radial head replacement in the intramedullary canal of the radius. The resection guide includes a movable cutting guide which ensures a precise resection of the radial head and thereby allows for better positioning of the implanted radial head replacement. The bone plug limits the travel of bone cement beyond the area of affixation of the stem portion of a radial head replacement to the radius.

Abstract: A modular long bone prosthesis is provided having a proximal component and a retroversion component. The proximal component is configured at a proximal end to receive a head forming a portion of a joint and is formed at a distal end to mate with additional prosthesis components. The proximal component is formed to simulate an angle inherent in the proximal end of the bone to be replaced and includes an indicator adjacent the distal end to facilitate rotational alignment of the proximal component and additional prosthesis components. The retroversion component includes a proximal end configured to mate with the distal end of the proximal component. The proximal end includes alignment indicia for positioning relative to the indicator on the proximal component.

Abstract: An expandable medical implant for supporting bone structures is disclosed. The implant may include an outer member and an inner member receivable in the outer member. One of the outer and inner members includes a tapered surface and the other of the outer and inner members includes a scalloped surface. The implant may also include a locking element disposed between the tapered surface and the scalloped surface. The tapered surface may be movable relative to the locking element to transversely shift the locking element into engagement with the scalloped surface to inhibit a decrease in the overall implant height.

Abstract: This description provides for various tools and tool systems that may be used for introducing a prosthetic intervertebral disc as a replacement for a natural disc in a spine.

Abstract: The present invention provides an implant for use in fusing adjacent bony structures. The implant comprises a plurality of pieces of bone and a flexible mechanism including one or more flexible, elongate, biocompatible connectors interconnecting the pieces of bone.

Abstract: An adjustable tibial trial insert includes an upper plate having an upper articular surface and a lower plate. A height-adjustment mechanism of the insert is coupled to and positioned generally between the upper plate and the lower plate and is configured to move between a closed position where the upper and lower plates are adjacent each other and an opened position where the upper and lower plates are spaced-apart from each other in order to adjust a height or thickness of the insert.

Abstract: A stem-like bone implant includes longitudinal structural members and tension cables that provide curvature control and support, and rigidity against bending and buckling. The longitudinal structural members and tension cables may become an integral part of a composite regenerated bone having a substantially increased strength over natural bone. The flexibility of the implant is controlled by specifically varying the structural geometry of certain portions of the implant, and by adjusting the tension in the tension cables before, during and after the implantation operation to thereby adjust the stiffness of the implant. The tension cables may be adjusted to produce asymmetric or non-uniform levels of tension in the longitudinal structural members.

Abstract: Two spacer components and a retaining ring are part of an orthopaedic system. The system may also include trial or implant stem components that are inserted or implanted in the proximal and distal ends of the long bone. One spacer segment has a male portion and the other spacer segment has a transverse female slot. The male portion and female slot are positioned to allow the male portion to be moved into and out of the female slot in a direction other than the proximal-distal direction. The retaining ring is then threaded into a locked position to limit relative movement between the male portion and female slot. The spacer segments can thus be connected after the segments have been connected to the native bone without damaging the soft tissue at the native bone through distraction.

Abstract: Adjustable prostheses and related methods provide a wide range of adjustment along or about multiple axes. The prostheses and related methods make possible a straightforward, yet robust way of securing, e.g., a humeral head prosthesis in a desired position and maintaining the prosthesis in the desired position during use.

Abstract: The present invention provides a two-part telescopic intramedullary orthopedic device comprising a first section inserted into the medullary cavity of one of the fractured or severed bone ends, and secured thereto, and a second section inserted into the medullary cavity of the other fractured or severed bone end and secured thereto, wherein the first section is telescoped within the internal space of the second section, and wherein one of the sections comprises a ferromagnetic material and the other section is either constructed entirely of a non-magnetic material or comprises a ferromagnetic material, wherein the ferromagnetic section(s) are actuable by an external axially directed magnetic field, such that one section may be caused to move axially (either bidirectional or essentially unidirectional) in relation to the other section. In addition, the invention encompasses a method for changing bone length as well as a method for enhancing bone fracture healing.

Abstract: An intercalary prosthesis spans a space in the shaft of a long bone between native proximal and distal ends of the long bone. The intercalary prosthesis has first and second intercalary segments connected to proximal and distal stem components. The stem components are implanted in the proximal and distal ends of the long bone. One of the intercalary segments has a male dovetail and the other has a female dovetail. The male and female dovetails are positioned to allow the male dovetail to be moved into the female dovetail in a direction other than the proximal-distal direction. The intercalary segments can thus be connected after the segments have been implanted without damaging the soft tissue at the native bone through distraction. The intercalary segments and stem components are provided as part of a kit. The method of implanting the intercalary prosthesis is also disclosed.

Abstract: A prosthesis device for hip surgery replacement has a main body portion which is implanted in the femur of a patient. A series of adapters are provided from which one is selected. Each adapter has a tapered shank which is received a corresponding tapered bore in the main body portion forming a first lock therein. The adapter has tapered teeth which engage corresponding tapered teeth in the bore in the main body portion, forming a second lock. The adapter is indexed with respect to the main body portion. A method of use is disclosed.

Abstract: A tripartite attachment mechanism for a modular prosthesis comprises a body, a sleeve and a shaft. The body has a top end, a bottom end, an internal surface bounding a bore extending between the top and bottom ends, and an external prosthetic surface. The sleeve has a channel extending therethrough, an external prosthetic surface, and a protrusion having an outer surface adapted to be received in the bore. The shaft is adapted to be slidingly received in the bore and the channel. With the shaft in the bore and the channel, sliding the protrusion into the bore causes the internal surface of the bore to bias against the external surface of the protrusion and further causes the internal surface of the channel to bias against the shaft, thereby locking the body, sleeve, and stem in a fixed relative position.

Abstract: An endoprosthesis for replacing osseous areas in the diaphysial and metaphysial region of a bone and for connecting separate segments of the bone includes at least one intramedullary securing member and an intermediate member having at least one end region and being divided longitudinally into two detachably connected part elements. Each at least one end region defines a respective recess so that when the two part elements are connected together, each at least one end region forms an axially extending passage that retains one of the at least one intramedullary securing members.

Abstract: Prosthetic devices suitable for replacing bone material that has been extracted from a cadaver, such as for use as transplants. The prosthetic devices include multiple elongate members and devices for securing the elongate members together. According to one embodiment, a first elongate member has a longitudinal axis, oppositely-disposed first and second ends, an exterior surface between the first and second ends, and a channel in the exterior surface and contiguous with the second end. A second elongate member is disposed in the channel so as to have a first end disposed in the channel and a second end that extends beyond the second end of the first elongate member. The elongate members and the securing device are formed from materials that do not release carcinogenic byproducts when burned, such as wood or another cellulosic material.

Abstract: An intercalary prosthesis spans a space in the shaft of a long bone between native proximal and distal ends of the long bone. The intercalary prosthesis has first and second intercalary segments connected to proximal and distal stem components. The stem components are implanted in the proximal and distal ends of the long bone. One of the intercalary segments has a male dovetail and the other has a female dovetail. The male and female dovetails are positioned to allow the male dovetail to be moved into the female dovetail in a direction other than the proximal-distal direction. The intercalary segments can thus be connected after the segments have been implanted without damaging the soft tissue at the native bone through distraction. The intercalary segments and stem components are provided as part of a kit. The method of implanting the intercalary prosthesis is also disclosed.

Abstract: The present invention relates to a modular joint prosthesis for replacement of an affected joints and, particularly, an affected shoulder joint. The joint prosthesis of the current invention comprises a head having multiple components which can be assembled with each other in-situ during the course of a surgery. Consequently, the patient implanted with the modular joint prosthesis would experience minimized incision, accelerated recovery, and decreased scarring.

Abstract: An apparatus for the correction of wall chest deformities, such as “Pectus Carinatum”, comprising: a bar (10) having a flattened cross-section, having a minimum bending strength according to the values defined by ASTM F382-95, plates (20) having a slot (21) in the medium portion so as to fit the corresponding end of the bar (10) and peripheral holes (23) for securing the bone parts. The bar ends comprise planar grooves (11-11′) determining the wall thickness substantially similar to the height of the slot (21) of the plate (20). The wall of the grooves (11-11′) has aligned holes (13) in order to form with the respective plate (20) and by using screws (30), a fixed removable attachment that allows the axial registration of the bar (10). Method for the correction of Pectus Carinatum using said apparatus in order to achieve a normal anatomic shape of the chest wall.

Abstract: A laterally expandable spinal implant includes a central body and two wings that are adapted to be received within an inner chamber formed within the central body. The wings have guide rails that fit into grooves defined in the central body. To ensure that the implant is properly secured, each guide rail has an outer end with a cutting surface that cuts into vertebral end plates when the wings are extended. The two wings are connected together through a central turnbuckle shaft that has geared teeth and threading on both ends that engage threaded cavities in the wings. Through the gear teeth, the turnbuckle shaft is able to be rotated so as to laterally extend the wings from the central member. A locking mechanism locks the turnbuckle shaft to prevent the wings from retracting.

Abstract: The invention relates to a reinforcement endoprosthesis for use in a femoral bone which is resected at an end of a hip joint and at an end of a knee joint. The endoprosthesis includes a stem part of an artificial hip joint and a condyle part of an artificial knee joint. The connecting part between the stem part and the condyle part is configured as a two-piece intramedullary nail which extends inside the femoral bone. One part of the intramedullary nail is a massive intramedullary nail with a connecting portion for a thread and a thread attached thereto and another part of the intramedullary nail is a hollow intramedullary nail with a female thread matching the thread of the first part. The female thread can be screwed with the thread, thereby allowing a length adjustment of the endoprosthesis.

Abstract: A surgical distraction device is provided for applying extending or tensioning force non-invasively to a patient's skeleton or to an implant which comprises anchoring means for attaching first and second components of the device to a bone or to adjoining bones, said components being connected by a linkage of an extendible length, a magnet connected to the linkage via a reduction gearbox and actuating means located externally of the patient for generating a moving or varying electro-magnetic field, thereby causing the magnet to rotate and the linkage to be extended.

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: A long bone prosthesis includes upper and lower articulating components, with the free ends of the components configured to engage a corresponding prosthetic joint. The overall length of the articulating components is adjustable to approximate the length of a patient's long bone, such as the humerus. The articulating components include a stem and collet arrangement for fixing the relative axial and rotational position of the components. A tapered lock nut is threaded onto the outer threaded surface of the collet portion to provide a pressure engagement of the articulating elements. Various surface features can be implemented among the components of the prosthesis to enhance the pressure fixation, restrict rotation or provide indexed movement of the articulating components relative to each other.

Abstract: A tripartite attachment mechanism for a modular prosthesis comprises a body, a sleeve and a shaft. The body has a top end, a bottom end, an internal surface bounding a bore extending between the top and bottom ends, and an external prosthetic surface. The sleeve has a channel extending therethrough, an external prosthetic surface, and a protrusion having an outer surface adapted to be received in the bore. The shaft is adapted to be slidingly received in the bore and the channel. With the shaft in the bore and the channel, sliding the protrusion into the bore causes the internal surface of the bore to bias against the external surface of the protrusion and further causes the internal surface of the channel to bias against the shaft, thereby locking the body, sleeve, and stem in a fixed relative position.

Abstract: A long bone prosthesis includes upper and lower articulating components, with the free ends of the components configured to engage a corresponding prosthetic joint. The overall length of the articulating components is adjustable to approximate the length of a patient's long bone, such as the humerus. The articulating components include a stem and collet arrangement for fixing the relative axial and rotational position of the components. A tapered lock nut is threaded onto the outer threaded surface of the collet portion to provide a pressure engagement of the articulating elements. Various surface features can be implemented among the components of the prosthesis to enhance the pressure fixation, restrict rotation or provide indexed movement of the articulating components relative to each other.

Abstract: Alloplastic replacement for a long bone, in particular for young persons. It comprises a length-adjustable part with a threaded spindle (7), a nut (11) which can be screwed onto the latter, and a sleeve (5) receiving the spindle (7) as far as the nut (11), which are provided with rotation-locking means (9, 12) in connection with a groove (8) included in the threaded spindle (7).

Abstract: The present invention relates to devices for moving a two bodies 1, 2 relative to each other. The device of the invention is essentially characterized by the fact that it comprises two parts 11, 12, a projecting portion 14 mounted to co-operate with one of the two parts, a cavity 13 formed in the other part and complementary in shape to the projecting portion 14, the two parts 11, 12 being mounted to move relative to each other in such a manner that the projecting portion 14 penetrates into the cavity 13, the projecting portion 14 forming a closed loop made of an electrically conductive material which completely surrounds a magnetic core 101 which is not completely surrounded by the means 100 for interconnecting the projecting portion 14 and the first part 11. The invention is applicable in particular to a bone prosthesis, a medullary nail for lengthening bones, a rod for correcting and supporting the spinal column.

Abstract: An endoprosthesis for replacing osseous areas in the diaphysial and metaphysial region of a bone and for connecting separate segments of the bone includes at least one intramedullary securing member and an intermediate member having at least one end region and being divided longitudinally into two detachably connected part elements. Each at least one end region defines a respective recess so that when the two part elements are connected together, each at least one end region forms an axially extending passage that retains one of the at least one intramedullary securing members.

Abstract: An implantable, spinal, vertebral replacement device comprises a tubular cage for fitting into a space left by a missing vertebral body and for optionally retaining bone graft material. First and second transverse plates are respectively positioned at opposed ends of the tubular cage for supporting the respective cage ends and for pressing a plate face against an adjacent vertebral body in spinal column-supporting relation. The transverse plates are each joined in transverse relation to a vertebral attachment plate which, in use, extends generally parallel to the spine. The vertebral attachment plate defines screw holes for preferably open helix screw securance to the pair of adjacent vertebral bodies that bracket the space left by the missing vertebral body.

Abstract: Skeletal implant of the type to be used for connecting at least two elements of the skeleton. The implant has at least two parts. Each of the parts is capable of being connected to one of the elements. The implant also uses at least one shock-absorbing device located between the at least two parts. The shock-absorbing device has an adjustable coefficient of resistance.

Abstract: The invention concerns an endoprosthesis (1) for replacing osseous areas in the diaphysial and metaphysial regions of an elongate bone, said endoprosthesis comprising an intermediate member (2) and devices (3, 4, 20, 21) for securing the latter in the intramedullary area. The intermediate member (2) is divided longitudinally, the interconnected part elements (2.1, 2.2) of the intermediate member (2) each forming with a recess (12.1) provided at their end regions an axially extending passage (12) through which an intramedullary securing device (3, 4, 20, 21) passes.

Abstract: Adjustable prostheses and related methods provide a wide range of adjustment along or about multiple axes. The prostheses and related methods make possible a straightforward, yet robust way of securing, e.g., a humeral head prosthesis in a desired position and maintaining the prosthesis in the desired position during use.

Abstract: An implantable device for lengthening and correcting malpositions of skeletal bones, which device has an elongate shape comprising a first end, a second end, a length dimension and a cross-sectional dimension. The device further comprises a lengthening body for bringing the first and second ends into displacement from each other to a predetermined distance between each other after an activation. Thereby, the lengthening body comprises an absorbent body, which is arranged for bringing the first and second ends to the predetermined distance by means of a controlled swelling after the activation, while the length dimension increases more than the cross-sectional dimension. The implantable device can advantageously be implemented for lengthening and also for correcting rotational and angular malpositions of skeletal bones, for example in connection with stabilizing fractures, post-traumatic bone defects, bone shortenings, malpositions, congenital malformations, and bone defects after tumor surgery.

Abstract: The present invention relates to skeletal reconstruction cages and a method of providing variable fit for a skeletal reconstruction cage. The skeletal reconstruction cages include a central body having first and second ends, a first end cap coupled to one end of the central body, and a second end cap coupled to the other end of the central body. At least two of the central body, first end cap, and second end cap are formed from bone. Each of the central body, first end cap, and second end cap may be provided in different sizes so that cages with varying overall heights, and related angulations, may be created.

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