An expansible, multi-chambered implant for use in a tissue prosthesis receiving cavity including an expansible envelope having a plurality of chambers, wherein the expansible envelope includes a first member, a second member and at least one collapsible partition extending in an interior of the expansible envelope between the first member and the second member, and a filler tube operatively connected to the expansible envelope such that the filler tube includes a plurality of delivery tubes, wherein one of the plurality of delivery tubes is operatively connected to one of the plurality of chambers and another of the plurality of delivery tubes is operatively connected to another of the plurality of chambers in order to independently fill each of the plurality of chambers.

An antibiotic delivery system including an intramedullary stem that is adapted to be removably mounted into a medullary canal of a bone. The stem includes a body having an inlet adapted to be in fluid communication with a source of liquid-borne antibiotic and a plurality of outlets disposed along the stem. A channel extends between the inlet and the plurality of outlets for delivering a fluid-borne antibiotic from the inlet to the plurality of outlets so as to distribute the antibiotic along the medullary canal in a controlled fashion. A method of treating an infected joint during a two-stage re-implantation of an orthopedic implant is also disclosed.

An articular ball impactor having a heat resistant material used during heat shrink fit process for providing secure fixation of Morse taper components in modular orthopedic implants. The female Morse component of the articular ball is heated by electromagnetic unit providing thermal expansion. Subsequently, itis impacted over the male Morse taper component and then cooled by commonly used sterile irrigation fluid allowing the female Morse component to shrink thus providing considerable compression, fit and significant reduction of micromotion that has been so widely responsible of fretting and mechanical corrosion.

The present invention relates generally to devices and methods for firmly joining together components of a modular orthopedic prosthesis by securing female to male parts thereof together, and in particular a male part present in a modular component into a correspondingly configured female part (i.e., bore or recess) present in a further modular component thereof. Preferably the male part is tapered, and the bore or recess is correspondingly configured to provide a close tolerance fit therewith. In a preferred embodiment a securement device is used to join the components which securement device includes a heat resistant part or region which shields a heated part from its ambient environment; the securement device is useful in holding a component of an orthopedic prosthesis. In a further preferred embodiment the invention also comprises a heat treatment device which is issued to provide a suitable heat treatment to a component (or part thereof) of a modular orthopedic prosthesis. Methods of utilizing the securement device and the heat treatment device during surgical implantation of modular orthopedic prosthesis is also disclosed.

An apparatus for transferring a viscous material comprising: a) a first container capable of containing a viscous material; b) a transfer piston insertable in the first container so that the piston forms a circumferential seal with respect to the container, the transfer piston including a hole; and c) a mechanism for attaching an aperture of a second container to the hole in the transfer piston wherein insertion of the transfer piston into the first container causes the viscous material to pass through the aperture into the second container.

A system for repairing a defect on an articular surface of a patient's trochlear region, the system comprising a guide block comprising a body having an exterior surface configured to engage with the saddle portion and ridge portions of the patient's trochlear region, a protrusion extending generally from the body and configured to be received in a first bore formed in the articular surface along a reference axis, and a first cavity extending through the body configured to establish a first working axis displaced from the reference axis, wherein the exterior surface of the body and the protrusion are configured to secure the location of the guide block about the patient's trochlear region. A method for preparing an implant site in bone, comprising: establishing a reference axis extending from the bone; creating a bore in the bone by reaming about the reference axis; securing a guide block about the articular surface; establishing a first working axis extending from the bone using the guide block, the first working axis is displaced from the reference axis; and creating a first socket in the bone by reaming about the first working axis, wherein the first socket partially overlaps with the bore.

A partial resurfacing implant for use in repairing an articular cartilage defect site that includes a top articulating portion having a top surface that is configured with at least one radius of curvature to approximate the surface contour of the articular cartilage surrounding the defect site. The implant also includes a supporting plate that has a top surface and a bottom surface. The top surface is attached to the top articulating portion by a locking mechanism. The bottom surface of the supporting plate is constructed to facilitate the insertion of the implant into the defect site. Extending from the bottom surface of the supporting plate is at least one implant fixation portion. The at least one implant fixation portion is integrally connected to and is oriented about normal relative to the bottom surface. A method of repairing an articular cartilage defect with the partial joint resurfacing implant is also disclosed.

An implant for repairing an articular cartilage defect site including an implant fixation portion with an upper segment and at least one bone interfacing segment and a top articulating portion with an articulating surface and an engagement surface. The upper segment includes a supporting plate with a first locking mechanism segment. The engagement surface includes a second locking mechanism segment. The first locking mechanism segment with at least two channels is structured to couple to the second locking mechanism segment with at least two protrusions. The at least one bone interfacing segment structured for insertion into the articular cartilage defect site. An implant including an implant fixation portion, a top articulating portion, and a locking mechanism with a first locking segment coupled to the upper segment and a second locking segment coupled to the at least one engagement surface and structured to couple to the first locking segment.

A method of surgically preparing a sacroiliac joint comprising: a) approaching a sacroiliac joint space with a joint preparation tool comprising a cutting element including an exterior having an asymmetric cutting band such that the first side includes a first surface having a first texture and the second side includes a second surface having a second texture, the first and second textures being different such that the first texture is substantially smoother than the second texture; and b) delivering at least a portion of the cutting element non-transversely into the sacroiliac joint space for decortication, the cutting element being oriented in the sacroiliac joint space such that the first surface opposes the generally softer sacrum and the second surface opposes the generally harder ilium in order to more aggressively prepare the surface of the ilium while not over-preparing the sacrum to provide a robust biologic environment for intra-articular fusion.

Surgical tools and kits are disclosed for repairing hyaline or meniscal cartilage, using membrane segments to protect and promote the growth and activity of cartilage-generating cells. These kits include: (i) a set of dilator tubes, adapted from similar tubes used in spinal surgery except shorter, that will allow a surgeon to progressively enlarge an insertion tunnel for inserting a membrane segment into an articulating joint that is being repaired; and, (ii) an assortment of membrane tamping devices, with smooth rounded tamping heads (or tips, etc.), and with a size and length that allow the tool tip to pass through the longest dilator tube while being held by the surgeon. Additional components (including disposable supplies) that can help facilitate these types of surgery can be included in any such kit, or in supplemental kits that can be bundled and shipped with these primary kits.