The invention relates to a device for producing a spacer having a casting mold lower part (1) with a cavity (2), a casting mold wall (3) which extends peripherally away from an edge of the cavity (2) and which is open on the opposite side, a casting mold upper part (5) with a shaping surface (6), wherein the casting mold upper part (5) can be inserted into an interior (4) of the casting mold lower part (1) and is displaceable in the direction of the cavity (2), such that a hollow space is formed which is delimited by the cavity (2), the shaping surface (6) and the casting mold wall (3) and in which the spacer is moldable, at least one container (7) for receiving excess bone cement paste, and at least one opening (8) in the shaping surface (6) and/or in the cavity (2), which opens into the at least one container (7) for receiving excess bone cement paste.

The invention also relates to a method for producing spacers using such a device.

Orthopedic guide, and methods of using the guide, for alignment of bone under fluoroscopic imaging. In an exemplary embodiment, the guide may include a radiopaque rod, a radiolucent carrier, and a radiopaque indicator held by the carrier. The rod and the indicator may be parallel to the same plane, and may form an angle between one another of less than 90 degrees when projected orthogonally onto the plane. The rod may be configured to be aligned with an axis defined by one or more bones of the leg, and the indicator aligned with a joint of the leg, in an anterior-posterior, fluoroscopic view of the leg. The angle formed between the rod and the indicator may correspond to an anatomic orientation of the axis and the joint relative to one another in a frontal plane of the leg.

An acetabular hip implant includes a plurality of rings secured to an acetabular shell component. A method of fabricating a customized, patient-specific version of such an implant is also disclosed.

A system for use during an orthopaedic surgical procedure includes a femoral broach, an acetabular cup component, and an acetabular alignment guide. The femoral broach includes a mounting post positioned at a superior end of an elongated body. The cup component includes a distal rim and a curved surface extending inwardly from the rim to define a cavity. The alignment guide includes a distal end configured to be coupled to the mounting post and a proximal end configured to be coupled to the distal rim. When coupled to the femoral broach, the guide instrument is sized to orient the acetabular cup component relative to the femoral broach. The acetabular cup component may be a prosthetic cup component or a trial instrument corresponding to the prosthetic cup component.

A device provides a variety of fracture fixation options should a fracture occur after total hip arthroplasty or total knee arthroplasty, and provides associated methods and apparatus for application of provided fixation. The ability to pre-engineer fracture fixation contingent solutions into femoral or tibial components provides for a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Said methods and apparatus include targeting devices which allow for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic, femoral nail, or other components including additional fixation components. Such apparatus and methods further include the use of alignment devices and other components to allow for ease of repair of fractures utilizing the pre-engineered solutions.

An assembly for attachment to a first implant component has a size and shape of a second implant component to be implanted together with the first implant component. The assembly includes a first body defining a protrusion and a second body including a recess into which the protrusion is insertable. When the protrusion is seated within the recess, the first and second bodies are removably connected such that the first and second bodies are prevented from separating. A modular kit includes a plurality of the first bodies each having a different size or shape, and a plurality of the second bodies each having a different size or shape. A method of assembling the assembly includes removably connecting the protrusion of the first body into the recess of the second body, such that the first and second bodies are prevented from separating, and positioning the assembly on the first implant component.

The invention relates to a joint prosthesis component (200) adapted to be fixed to a first bone extremity (250) of a joint of a single patient having compromised anatomy, said joint prosthesis component (200) comprises: —at least one fastening portion (202, 205, 206, 207) adapted to be in contact with the first bone extremity; —at least one joint portion (4) adapted to be directly coupled with second bone extremity of the joint or with a conjugate second joint prosthesis component, in turn fixed to the second bone extremity. Advantageously, the fastening portion is at least partially customized to be specifically shaped with respect to the morphology of the first bone extremity processed by means of at least one surgical instrumentation.

An implantable medical device for implantation in a hip joint of a human patient is provided. The medical device comprises: at least one artificial hip joint surface adapted to replace at least the surface of at least one of the caput femur and acetabulum. At least one artificial hip joint surface comprises: a positioning hole with at least one opening in said at least one artificial hip joint surface. The hole is adapted to be placed and dimensioned such that the medical device is adapted to be fitted using a positioning shaft and at least partly surround the shaft, for positioning the at least one artificial hip joint surface in a desired position in the hip joint. The hole is adapted to be fitted using the positioning shaft, when the shaft is stabilized and placed in at least one of the femoral bone and the pelvic bone for positioning said medical device inside the hip joint.

Method of installing a medical device in a hip joint of a human patient, said medical device comprising a first piece comprising a convex contacting surface and a second piece comprising a concave contacting surface for creating a prosthetic joint, said medical device further comprising a releasing member configured to in a first state hold said first piece attached to said second piece, and in a second state release said first piece from said second piece said method comprising the steps of exposing the hip joint through a surgical or arthroscopic procedure, fixating said first piece of said medical device to a pelvic bone, fixating said second piece of said medical device to a femoral bone, placing said first piece in connection with said second piece, and holding said first piece to said second piece using said releasing member.

A method of treating a hip joint of a human is provided. The method comprises a step of dissecting an area of the pelvic bone, comprising at least one of the following: dissecting an area between peritoneum and the pelvic bone, dissecting an area between the pelvic bone and the surrounding tissue, dissecting an area of the pelvic region, and dissecting an area of the inguinal region, or, the method comprises at least two of the following steps: dissecting an area of the abdominal cavity, penetrating the hip joint capsule, dissecting an area between peritoneum and the pelvic bone, dissecting an area of the pelvic bone which comprises: dissecting an area between the pelvic bone and the surrounding tissue, or dissecting an area of the pelvic region, or dissecting an area of the inguinal region, and removing or penetrating the tissue surrounding the pelvic bone in the area opposite to acetabulum.