Multi-hooded enarthrodial joint implant has a hard substance articulating cup including a hard substance head-receiving cup having an articular surface upon which a head of a joint can articulate, and which, in general, has a margin generally about a hemisphere more or less and at least two hoods that are marginally extended continuations of superior one-half or so of cup containment of a sufficient magnitude to reduce an overall dimension of socket outlet to less than a hemisphere, which can embrace and contain the head. The head is made of a hard substance and has a truncated generally circular cross section, a truncated surface with a feature for attachment of the stem, and an opposing articular surface for articulation against the articular surface of the ceramic head-receiving cup. As an ensemble, the cup is combined with the head, typically with a stem, for a total joint implant. The hard substance may be, for example, a composite substance, a metal or a metal alloy. Either the cup or the head, but not both, may be ceramic when employed in an ensemble.

An implant for a human includes a body having a superior surface, an inferior surface, a distal surface, and a proximal surface. The proximal surface is configured to engage the talus and the calcaneus of an adult human, and the distal surface configured to engage at least the first and fourth metatarsals of the adult human. The distal surface has a largest distal height and a largest distal width that is greater than the largest distal height, and the proximal surface has a largest proximal height and a largest proximal width that is greater than the largest proximal height.

A method of manufacturing an implant is disclosed. The method includes preparing a wax template assembly based upon anatomical characteristics of an implantation site. Post formation of the template assembly, a lamination layer is provided over the template assembly resulting in a laminated template assembly. The lamination layer is composed of at least one polymer dissolved in one or more solvents. One or more coating layers of a pre-defined coating material are provided over the laminated template assembly to prepare a mold. The mold may then be sand-rained to form a sand coated mold. The sand coated mold may be de-waxed and baked for melting out the template assembly to form a de-waxed mold. A casting material is then poured over the de-waxed mold to form a casted mold which is cooled and solidified to form a casted implant which is further heat treated and finished to form the implant.

An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

A tool for locating the insertion point of a radial component of a wrist prosthesis on a human distal radius bone, the guide comprising a handle; a guide face attached to the handle, the guide face being of a shape configured to engage an articular surface of the distal radius bone; the guide face comprising three visual cues respectively adapted to align with a palmar corner of a radio-ulnar joint located on the distal radius, a dorsal corner of a radio-ulnar joint located on the distal radius, and a tip of a radial styloid located on the distal radius; the guide face further comprising an opening designating the insertion point, the opening being at a designated location on the guide face relative to the visual cues; and the opening adapted to facilitate the marking of the insertion point on the articular surface of the distal radius bone.

The present disclosure provides an apparatus comprising a wire having a first end and a second end opposite the first end. A first portion of the wire including the first end comprises a malleable region that is configured to remain deformed after bending, and a second portion of the wire including the second end comprises a superelastic region that is configured to return to a straight configuration after bending.

A radiocarpal wrist joint replacement includes a radial member configured to be affixed to a portion of an end of the radial bone proximal to the wrist including a fixture to be affixed over a longitudinal aspect of the radial bone and a radial resurfacing plate having a substantially concave surface configured to be located at the end of the radial bone. A carpal capitate bone insert configured to be inserted and affixed into the carpal capitate bone. A bulbous component includes a first convex head and a second convex head, substantially opposite each other and connected by a neck between the first and the second convex head. The radial resurfacing plate of the radial member with the concave surface is configured to be operably coupled to the second convex head of the bulbous component so as to allow radial freedom of motion in the joint replacement.

There is a process for correcting a bone injury, an implant for correcting the bone injury and a kit for applying the implant for correcting the bone injury. The process can be made substantially uniform with the application of a standardized kit. In at least one application the process is for correcting a bunion on a patient. The process can include applying a first drill guide to a bone, and then a second drill guide. Once the drill guides have been applied and wires have been inserted into a bone, an implant can then be applied to correct a bone injury and to allow the bone injury to heal.

System, including apparatus and methods, for ankle fusion using a device for separating a first bone and a second bone of an ankle region. In some embodiments, the device may comprise an expandable spacer including first and second bone-contacting surface regions facing away from one another and configured to be abutted with the first and second bones, respectively. A distance between the first and second bone-contacting surface regions may be adjustable to change the separation of the first and second bones. The first bone-contacting surface region may correspond to a portion of a sphere and may be configured to be disposed at least partially in a concavity formed surgically in the first bone. The expandable spacer offers improved control over the length of the lower limb and the orientation of the foot during ankle fusion surgery.

A radiocarpal wrist joint replacement includes a radial member configured to be affixed to a portion of an end of the radial bone proximal to the wrist including a fixture to be affixed over a longitudinal aspect of the radial bone and a radial resurfacing plate having a substantially concave surface configured to be located at the end of the radial bone. A carpal capitate bone insert configured to be inserted and affixed into the carpal capitate bone. A bulbous component includes a first convex head and a second convex head, substantially opposite each other and connected by a neck between the first and the second convex head. The radial resurfacing plate of the radial member with the concave surface is configured to be operably coupled to the second convex head of the bulbous component so as to allow radial freedom of motion in the joint replacement.