A prosthetic head for a femoral component has a metal shell with a tapered cavity. The shell has a part-spherical outer surface defining an inner portion terminating in an open end. A polymeric material completely fills the inner portion of the hollow shell extending from an inner surface of the shell to the open end. The polymeric material includes a conically tapered socket centered about the polar axis intermediate ends of the open end wherein the shell is a hollow titanium shell having an inner surface with a porous structure for receiving a portion of the polymeric material. The hollow titanium shell inner surface has at least one rib extending inwardly toward the conically tapered socket.

An orthopaedic implant can replace a joint in a patient. The orthopaedic implant includes a first component having a first component surface and a second component having a second component surface. The first component surface and the second component surface mate at an interface. The first component surface includes a metal substrate, a nanotextured surface, a ceramic coating, and a transition zone. The nanotextured surface is disposed directly upon the metal substrate and has surface features in a size of 10.sup.−9 meters. The ceramic coating conforms to the nanotextured surface and includes a plurality of bio-active sites configured to attract and retain calcium and phosphorous cations. The transition zone is disposed between the metal substrate and the ceramic coating. The transition zone includes a concentration gradient transitioning from the metal substrate to the ceramic coating and there is no distinct interface between the metal substrate and the ceramic coating.

A trial neck piece for a joint endoprosthesis is designed for temporary arrangement on a separate shaft body (60) that is insertable into a tubular bone (9). It comprises a fastening region (12) which can be plugged temporarily onto a head part (61) of the shaft body (60) by means of a plug connection (l l), and a neck region (IO) for receiving a joint element (19) of the joint endoprosthesis. The trial neck piece (I) is designed as a separate, plug-on attachment piece which, with its fastening region (12), can be plugged with form-fit engagement onto the head part (61) and locked. A latching device (2) is provided which comprises a plurality of latching stages for different height stages of the trial neck piece (I). The invention thus makes available an easily attachable trial neck piece which can be arranged in a defined manner in different height positions in order, on the one hand, to obtain a secure and defined arrangement and, on the other hand, to permit the setting of different heights. The invention further relates to an arrangement with a trial neck piece and with an excavating tool, in particular a reamer, and to an instrument set comprising a trial neck piece and an insertion instrument.

A prosthetic implant is disclosed comprising: a first component comprising a first inner surface and a first outer surface, a second component comprising a second outer surface adapted to contact and engage with the first inner surface, the second component further comprising a second inner surface, a third component comprising a third outer surface adapted to contact and engage with the second inner surface, the third component further comprising a third inner surface, and a fourth component comprising a fourth outer surface adapted to contact and engage with the third inner surface; wherein the second component is rotatable relative to the first component about a first axis, the third component is rotatable relative to the second component about a second axis perpendicular to the first axis, and the fourth component is rotatable relative to the third component about a third axis perpendicular to the first axis and second axis; the first inner surface and the second outer surface are each formed with a first partial cylindrical shape, the first inner surface and the second outer surface each comprise a flat surface normal to the first axis and are engageable with one another such that the second component is rotatable relative to the first component about the first axis only, the second inner surface and the third outer surface are each formed with a second partial cylindrical shape, the second inner surface and the third outer surface each comprise a flat surface normal to the second axis and are engageable with one another such that the third component is rotatable relative to the second component about the second axis only, and the third inner surface and the fourth outer surface are each formed with a third partial cylindrical shape, the third inner surface and the fourth outer surface each comprise a flat surface normal to the third axis and are engageable with one another such that the fourth component is rotatable relative to the third component about the third axis only.

A medical device for implantation in a hip joint of a human patient, the natural hip joint having a ball shaped caput femur as the proximal part of the femoral bone with a convex hip joint surface towards the center of the hip joint and a bowl shaped acetabulum as part of the pelvic bone with a concave hip joint surface towards the center of the hip joint. The medical device comprising; an artificial caput femur, comprising a convex surface towards the center of the hip joint. The artificial convex caput femur is adapted to, when implanted: be fixated to the pelvic bone of the human patient, and be in movable connection with an artificial acetabulum surface fixated to the femoral bone of the patient, thereby forming a ball and socket joint. The medical device further comprises a fixation element comprising a fixation surface adapted to be in contact with the surface of the acetabulum and adapted to fixate the artificial convex caput femur to at least the acetabulum of the pelvic bone.

Hip implant systems described herein can include a distal stem, a proximal body, and a fastener. In some embodiments, the distal stem can include a cavity configured to receive the fastener when a portion of the distal stem is positioned within the proximal body. In some embodiments, the distal stem can include a threaded exterior surface configured to mate with a fastener when a portion of the distal stem is positioned within the proximal body. In some embodiments, a distal end of the distal stem can include an anterior relief configured to conform to interior surface of a femoral canal of a patient.

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 including a plug having a projection, and a second body including a recess having an internal surface defining at least one indentation. In a temporary configuration, when the plug is disposed within the recess and the projection is disposed at least partially within one of the at least one indentations, the first and second bodies are removably connected such that the first and second bodies are prevented from separating. A method of assembling the assembly includes removably connecting the plug of the first body into the recess of the second body by locating the projection within an indentation, such that the bodies are prevented from separating, and positioning the assembly on the first implant component.

A femoral orthopaedic prosthesis includes a metallic core extending from a proximal end to a distal tip. The metallic core includes a neck that is positioned at the proximal end and is configured to receive a prosthetic femoral ball. An elongated stem extends distally from the neck to the distal tip. The stem includes a proximal section extending distally from the neck, and a distal section that extends proximally from the distal tip. The elongated stem also includes a pair of spaced-apart beams that connect the proximal section to the distal section. An aperture is defined in the stem between the pair of spaced apart beams.

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.

Kits and methods for use in intraoperative trailing of hip prostheses to determine an appropriate length for the femoral neck component of a prosthetic hip joint, are described. A kit for use in selecting a femoral neck component of an orthopaedic joint prosthesis kit comprises a first (10) and a second (110) broach. Each of the first and second broaches has a neck connection element comprising a projection (12, 112) extending from a proximal surface (14, 114) of the broach, each projection having a length (L). The projection on the first broach has a different length than the projection on the second broach. The kit also includes a trial femoral neck (30) component having a neck connection element in the form of a recess (36) in a distal surface (34). The recess is configured to mate with the projection on each of the first or second broaches such that mating of the trial femoral neck component with the first broach provides an assembly with a first neck length, and the mating of the trial femoral neck component with the second broach provides an assembly with a second neck length.