The present invention comprises the provision and use of new and improved arthroscopic instrumentation for (i) harvesting a tissue biopsy from a non-critical section of a joint, and (ii) sizing and seating an autologous graft at an implant site.

The strength of bone implant attached to a bone is improved by using hybrid inserts which have stems and wings having bone ingrowth surface features and caps having outer surfaces of cured polymethyl methacrylate (PMMA). The stems and wings of the hybrid inserts are inserted into living bone and the bone implant is attached to the hybrid inserts with PMMA cement. Over time, the bone grows into the bone ingrowth surface features. The bone ingrowth strengthens the bonding of the hybrid inserts and the bone implant with the bone over time. The hybrid inserts increase the shear, tensile and torque strength of the bone implants. Bone inserts that do not have ingrowth surface features loosen over time.

A stem for a hip prosthesis, with fixed or modular neck, which includes a stem body divided into a proximal region and a distal region, the body of the stem forming an anterior wall, a posterior wall, a medial wall, and a lateral wall. The anterior wall, the posterior wall, and the medial wall are provided at least partially with a porous structure with undercuts, the lateral wall being provided with a machining allowance.

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.

A mosaic implant (2010) comprises a mesh support frame comprising a plurality of polygonal support rings (2040 A, B, C) connected by a plurality of struts (2014), and a plurality of mosaic plates (2012). The support rings are positioned within the mosaic plates; the struts extend between adjacent plates. An implant (1510) for filling a bore hole comprises a plate (1512) and a support frame (1520) having a central portion (1522) located at least partially within the plate, a polygonal outer rim (1524) having a plurality of fastening points for attaching the implant to bone surrounding a bore hole, and a plurality of arms (1530) extending between the central portion and the outer rim. The plurality of arms extend inwardly and downwardly away from the outer rim such that the central portion is located below the plane of the outer rim and the upper surface of the plate is flush with or slightly above the upper surface of the outer rim.

Surgical kits comprising a tool having a handle and a shaft affixed to the handle at one end and a free end having a threaded connection, at least two disc inserts, each disc insert comprising a rounded square having an annular wall surrounding a top surface and a bottom surface, wherein a threaded catch is formed in each disc insert to mate with the threaded connection, and wherein the interface between the disc insert top surface and annular wall forms a first perimeter and the interface between the disc insert bottom surface and the annular wall forms a second perimeter. At least a portion of the disc inserts can be radiopaque and a portion can be radiolucent. Also provided are kits having one or more disc inserts and one or more trial plates, each trial plate comprising a plurality of positioning guides.

Methods and systems for retention and use of historical patient-specific information in selecting and/or designing patient-adapted articular repair systems are disclosed herein. Various embodiments include articular repair system components that are selected and/or designed based, at least in part, on both current patient-specific information and historical patient-specific information. According to certain embodiments, a method of making an implant component for intended treatment of a diseased or damaged joint of a patient is disclosed.

Embodiments of the invention described herein thus provide systems and methods for providing improved surgical implants. Embodiments of the implants may include a thin porous sheet formed on a mandrel. The porous sheet that is formed has an interconnected pore structure that may be compressed by a heat compression mold without losing porosity. Additional membrane materials or other layer materials may be applied to one of the face surfaces of the porous sheet or to one of the edges of the porous sheet. For example, a solid membrane surface may be compressed, bonded, welded, or secured a surface face or an edge of the porous sheet. The solid membrane may be compressed or laminated to the upper surface, lower surface, or both. The solid membrane may be welded to at least one edge of the porous sheet (by, for example, being butt welded, thermally bonded, or heat compressed to the at least one edge).

A method of tailoring a spinal implant to correspond to a specific patient's needs includes: pre-operatively evaluating a patient to determine a desired spinal segment response; and modifying one or more features of flexures of an implant to provide the desired spinal segment response. Modifying one or more features of flexures of the implant can include modifying one or more of a thickness, width, length and/or shape of the features of the flexures. Various systems for executing the methodologies taught herein are also provided.

An orthopedic component having multiple layers that are selected to provide an overall modulus that is substantially lower than the modulus of known orthopedic components to more closely approximate the modulus of the bone into which the orthopedic component is implanted. In one exemplary embodiment, the orthopedic component is an acetabular shell. For example, the acetabular shell may include an outer layer configured for securement to the natural acetabulum of a patient and an inner layer configured to receive an acetabular liner. The head of a femoral prosthesis articulates against the acetabular liner to replicate the function of a natural hip joint. Alternatively, the inner layer of the acetabular shell may act as an integral acetabular liner against which the head of the femoral prosthesis articulates.