An insert (240) arranged and configured for use in a dual mobility acetabular implant (100) is disclosed. The insert includes a plurality of chamfers (260, 262, 264) arranged and configured to contact the femoral neck (172) and/or head (170) of a femoral implant (175). The insert includes a plurality of chamfers such as, for example, two or three chamfers to define a plurality of differently arranged contact surfaces for contacting the femoral component to accommodate a variety of different femoral component configurations and/or impingement conditions in order to reduce contact stress between the insert and the femoral component.

An acetabular hip implant and method includes an acetabular shell component having a first feature and a first insert having a second feature that cooperates with the first feature of the acetabular shell component and further includes a third feature. The implant further includes a second insert having a fourth feature that cooperates with the third feature of the first insert and further includes a fifth feature. A femoral head component includes a sixth feature that cooperates with the fifth feature. Interaction between the first and second features, between the third and fourth features, and between the fifth and sixth features mechanically constrains the acetabular hip implant to prevent dislocation of the femoral head during rotation.

A modular acetabular cup assembly includes an acetabular cup, and a liner seated in the cup. The cup includes an end face, an apex opposite the end face, and a central axis extending between the apex and a center point of the end face. The liner includes an articular surface having a center of rotation which defines a pivot point of the acetabular cup assembly. In certain embodiments, the pivot point is laterally offset from the center point such that the end face is located between the pivot point and the apex.

A modular acetabular cup assembly includes an acetabular cup, and a liner seated in the cup. The cup includes an end face, an apex opposite the end face, and a central axis extending between the apex and a center point of the end face. The liner includes an articular surface having a center of rotation which defines a pivot point of the acetabular cup assembly. In certain embodiments, the pivot point is laterally offset from the center point such that the end face is located between the pivot point and the apex.

A reverse hip prosthesis include an acetabular cup arrangement configured for insertion into an acetabulum of a patient and fixation therein, an acetabular ball configured for threaded attachment to the acetabular cup arrangement, a femoral stem configured for insertion into an intramedullary femoral canal of the patient, and a femoral cup arrangement configured for attachment to the femoral stem and to operatively receive the acetabular ball therein. The acetabular cup arrangement includes an anchor portion which becomes fixed to the patient's acetabulum and is the largest size suitable for the patient, and an insert which comes in different sizes and are connectable to the anchor portion, so that the most appropriate insert for the patient may be used. The acetabular cup arrangement and ball are interconnected with a threaded stem that also functions as an artificial Ligamentum Teres.

An acetabular hip implant and method includes an acetabular shell component having a first feature and a first insert having a second feature that cooperates with the first feature of the acetabular shell component and further includes a third feature. The implant further includes a second insert having a fourth feature that cooperates with the third feature of the first insert and further includes a fifth feature. A femoral head component includes a sixth feature that cooperates with the fifth feature. Interaction between the first and second features, between the third and fourth features, and between the fifth and sixth features mechanically constrains the acetabular hip implant to prevent dislocation of the femoral head during rotation.

An acetabular shell component includes a solid substrate, a porous outer layer coupled to the solid substrate, a porous inner layer coupled to the solid substrate, and an inner bearing coupled to the porous inner layer. One or more adjuncts extend outward from the porous outer layer. Each adjunct includes an outer surface that defines a customized patient-specific negative contour shaped to conform to a positive contour of a patient's bone. A method for manufacturing the acetabular shell component using an additive manufacturing process is also disclosed.

An acetabular implant for hip arthroplasty includes an acetabular shell to be attached to an acetabulum. The acetabular shell includes an inner surface defining a shell cavity and having a tapered shell section. The acetabular shell includes a tool interlocking structure that mates with a shell insertion tool to inhibit rotation relative to the shell insertion tool. The acetabular shell includes a snap-fit receiver. An acetabular liner is sized and shaped to be disposed in the shell cavity of the acetabular shell. The acetabular liner including an outer surface having a tapered liner section corresponding to the taper of the tapered shell section and engages the tapered shell section to inhibit movement of the acetabular liner relative to the acetabular shell. The acetabular liner includes a snap-fit retainer received by the snap-fit receiver of the acetabular shell to form a snap-fit connection between the acetabular liner and the acetabular shell.

A method for securing a first object to a second object comprising providing apparatus comprising an elongated body having a lumen; an enlargement; a first elongated element, the distal end of the first elongated element being connected to the enlargement and the proximal end of the first elongated element extending through the lumen; and a second elongated element connected to the first elongated element external to the elongated body; inserting the elongated body into the second object; moving the second elongated element proximally so as to cause proximal movement of the first elongated element so as to cause the enlargement to move into a second portion of the lumen, whereby to laterally expand the elongated body; and securing the first object to the second object with the second elongated element.

The invention relates to traumatic surgery and orthopedics and is intended for hip acetabular replacement. In a spherical cup of an acetabular implant, in the region of the apex of a hemisphere, a through opening is provided for osteoplasty of the acetabular floor, and the spherical segment of the surface between the edge of the rim of the cup and an opening for a screw for fastening in the ilium is larger than the spherical segments of the surface between said edge and openings for screws for fastening in the pubis and the ischium, thus forming a supporting ledge in the region of the body of the ilium. Said ledge can be extended into the region of an outer spherical surface of the cup which is formed by an angle ? in a range of 1?-30? between diametral planes and which is adjacent to the equatorial plane of the hemisphere. On the portions of the segments of the spherical surface between the edge and the openings for the screws for fastening in the pubis and the ischium, the spherical cup can be additionally cropped to prevent conflict the between soft tissues and implant components. The resulting additional undercut can be cropped in the region of outer spherical surface, which is formed by the angle ? between the diametral planes in the range of 1? to 20? and which is adjacent to the equatorial plane of said hemisphere.