A prosthesis including a subacromial spacer having a surface contoured to maintain an acromion in chosen distance to a humeral head upon rotation and fixation means to fixate the subacromial spacer to a humeral medullary cavity and/or an intramedullary fixator implanted or configured for implantation in the humeral medullary cavity. A surgical kit includes the prosthesis and a proximal humeral nail. The fixating means are connectable into a proximal opening of the proximal humeral nail. A method may include: creating a percutaneous passage from an outer-body space to a portion of a humeral head; removing bony tissue to facilitate direct communication between the outer-body space and a humeral medullary cavity enclosed in the humeral head; providing a prosthesis including a subacromial spacer having a surface; and/or fixating the subacromial spacer to the humeral medullary cavity and/or an intramedullary fixator implanted or configured for implantation in the humeral medullary cavity.

A hinged articulating spacer system for revision knee arthroplasty includes a femur rod for a femur, and a tibia rod for a tibia. The tibia rod is hingedly couplable to the femur rod to form a hinged rod assembly. A pre-formed femoral spacer component includes bone cement impregnated with an antibiotic. The pre-formed femoral spacer defines an opening that receives the hinged rod assembly. A pre-formed tibial spacer component includes bone cement impregnated with an antibiotic. The pre-formed tibial spacer defines an opening that receives the hinged rod assembly.

A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.

A temporary spacer device for a joint of the human body such as a knee joint includes a first component or femoral component, adapted to be constrained to a bone or to the femoral bone of a patient, at the joint of the human body; a second component or tibial component, adapted to be constrained to a bone or tibial bone of a patient, at the joint of the human body, and at least one stem having a proximal end, wherein the first component or femoral component and/or the second component or tibial component include at least one housing seat for the proximal end of the at least one stem, adapted to allow the inclination and/or rotation of the at least a stem with respect to an insertion axis of the proximal end into the at least one housing seat.

An acetabular spacer device, of a type that is temporary and disposable, adapted to be implanted in use in a bone cavity placed at a joint of the human body, such as a hip or shoulder joint, has a cup-like shape, substantially hemispherical, and includes a first convex surface, adapted to be positioned at the bone cavity, a second concave surface, which defines a cavity, further includes at least one pharmaceutical or medical substance, such as at least one antibiotic, adapted to treat during use an ongoing infection in the bone cavity.

Implantable medical devices are provided. In one embodiment, a device includes a body having an external surface defining an outer profile of the device. The body includes a porous matrix including a series of interconnected macropores defined by a plurality of interconnected struts each including a hollow interior. A filler material substantially fills at least a portion of the series of interconnected macropores. The external surface of the body includes a plurality of openings communicating with the hollow interior of at least a portion of the plurality of interconnected struts. In a further aspect of this embodiment, the external surface includes exposed areas of the filler material and porous matrix in addition to the exposed openings. In another aspect, the porous matrix is formed from a bioresorbable ceramic and the filler material is a biologically stable polymeric material. Still, other aspects related to this and other embodiments are also disclosed.

A method of augmenting a bone defect in proximity to an acetabulum, comprising: implanting an acetabular cup implant into a bone; after implanting the acetabular cup implant, driving a drill bit into the bone so as to form a first void having a geometry corresponding to that of the drill bit; and inserting a void filler into the void formed by the drill bit such that a portion of the void filler is in a working relationship with the acetabular cup implant and another portion of the void filler is disposed within the void.

Core for a spacer, including a main body that comprises a plurality of through openings, adapted to be secured in a corresponding residual bone bed of a previous implant; the main body being adapted to be covered with a layer (S) of a coating material or a material including acrylic bone cement added or that can be added with one or a plurality of pharmaceutical products or active and/or therapeutic substances.

The invention relates to a device for producing a spacer having a stem mold (1) which has an inner space (2), wherein the inner space (2) is accessible via a proximal opening (3) and wherein the stem mold (1) has a proximal wall (4) which peripherally delimits the proximal opening (3) of the stem mold (1), a head mold (5) which has in the interior thereof a hollow space (6), wherein the hollow space (6) has a spherical surface-shaped inner surface (7) and is accessible via a distal opening (8), wherein the head mold (5) has a distal wall (9) which peripherally delimits the distal opening (8) of the head mold (5), a metal core (10) which has a stem part (12), a head part (14) and a flange (16), wherein the flange (16) projects out from the metal core (10), is arranged between the stem part (12) and the head part (14) and has a proximal surface (18) and a distal surface (20), wherein the stem mold (1) and the stem part (12) are shaped such that the stem part (12) is arranged in the inner space (2), when the proximal wall (4) is resting against the distal surface (20), and wherein the head mold (5) and the head part (14) are shaped such that the head part (14) is arranged in the hollow space (6), when the distal wall (9) is resting against the proximal surface (18). The invention also relates to a set with such a device and to a method for producing spacers with such a device.

An interbody distraction and stabilisation device, comprising an implant comprising a casing for containing a filling material and a distraction element that is associated with the casing and that has opposing first and second sides, the distraction element having a first state in which the distraction element has a first height and a second state in which the distraction element has a second height greater than the first height so as to keep body parts spaced apart from each other.