A method of preparing an assembly for a surgical procedure while an implant is engaged with a bone includes mounting a first insert component, configured to mount to the implant with a first predetermined orientation, with a first mating component fixed thereto in a replication instrument at a second predetermined orientation, and determining an angular position of the provided first mating component with respect to the first insert component using the replication instrument. The first insert component and the first mating component are removed from the replication instrument and a second insert component configured to mount to the implant with the first predetermined orientation is mounted in the replication instrument at the second predetermined orientation and the determined angular position is replicated with the mounted second insert component and a second mating component.

The invention provides a sleeve element (1) to be placed on a neck (53) of a prosthetic hip (51) or shoulder implant, wherein the sleeve element is made of a biodegradable elastically deformable material comprising a medical active agent to be released from the sleeve element. The sleeve element may comprise a longitudinal channel (2) and a longitudinal slit (3) extending over the length of the longitudinal channel and between the longitudinal channel and an outer surface of the sleeve element, wherein the sleeve element is elastically deformable between a closed state and an opened state, wherein a width of the longitudinal slit in the opened state is larger than the width of the longitudinal slit in the closed state. The invention also provides a prosthetic kit, comprising a prosthetic hip or shoulder implant having a neck, and the above sleeve element.

Disclosed is a prosthetic joint assembly for joining a humerus bone to a scapula bone, comprising a humeral component adapted for engagement with said humerus bone and a concave dish; a scapular component adapted for engagement with said scapula bone and a convex surface adapted to engage said concave dish; wherein when said components are implanted and engaged in a rest position said prosthetic center of rotation is displaced in a direction that is inferior and medial relative to a natural center of rotation and said humerus bone is displaced in a direction that is inferior relative to said natural center of rotation.

A surgical procedure method includes accessing an implanted joint prosthesis having an implant engaged within a bone of the joint and a first articulating component mounted by a first mating component to a first insert component removably mounted to the implant, and partially disassembling the accessed implanted joint prosthesis by removing the first insert component with the first articulating component fixed thereto from the implant while the implant is engaged with the bone. The angular position of the first mating component with respect to the first insert component is then determined and replicated with a second insert component and a second mating component. The second insert component and the second mating component are then fixed at the replicated angle and the fixed second insert component and second mating component are mounted to the implant engaged within the bone. A new articulating component is then mounted to the second mating component.

The invention concerns a method for manufacturing a prosthesis (11) for a fractured long bone of a patient, the method comprising the steps of: A) providing data representative of the fractured long bone, the fractured long bone comprising a diaphyseal fragment (2) comprising a medullary cavity (8); B) based on said data, designing the prosthesis specifically to the patient, the prosthesis comprising a stem part (12) configured to be inserted into the medullary cavity, step B) comprising: a sub-step of choosing, specifically to the patient, a contact zone (40) of the medullary cavity onto which a respective chosen mechanical stress is planned to be applied by the stem part, and a sub-step of designing the stem part so that the stem part may be inserted into the medullary cavity and thus apply the chosen mechanical stress to said contact zone; and C) manufacturing the prosthesis designed at step B).

Provided is a method of assembling an articular component of a prosthetic shoulder joint. The method includes: engaging an end of a coupler of a joint implant with a coupling portion of another component of the joint implant; providing relative rotation between the end of the coupler and the coupling portion of the other component of the joint implant along a continuous range of rotational positions while the end is engaged with the coupling portion of the other component of the joint implant; selecting an amount of eccentricity corresponding to a position within the continuous range of rotational position; and securing the other component of the joint implant to the end of the coupler at the selected amount of eccentricity.

A stemless humeral head replacement system including a base plate and a humeral head implant. The base plate includes a bone facing side, an implant side opposite the bone facing side, a curvate perimeter, at least one fin protruding from the bone facing side a first distance and extending linearly a length along the bone facing side, and an implant engagement structure on the implant side. The humeral head implant includes a curvate implant surface and a base plate engagement structure opposite the curvate implant surface, the base plate engagement structure configured to couple to the implant engagement structure of the base plate.

A selection system comprises a ring, a plurality of shims, a measurement device, and at least one glenoid component. The ring is configured to couple to a humerus. A shim of the plurality of shims is configured to couple to the ring. The measurement device is configured to couple to the shim. Each shim of the plurality of shims has a different height when coupled to the ring. The selection system generates measurement data to support the selection of at least one prosthetic component for a shoulder joint in a surgical environment. The shoulder joint geometry can be adjusted by changing shims, changing glenoid component or both. The selection system is removed after the selection of the final prosthetic components for the shoulder joint. The final prosthetic components are installed in the shoulder joint. The measurement device is placed in the shoulder joint and measurement data is generated to verify performance.

An implant includes a body including a substrate and a bone interfacing lattice disposed on the substrate. The bone interfacing lattice includes at least two layers of elongate curved structural members. In addition, the at least two layers of elongate curved structural members include a first layer adjacent the substrate and a second layer adjacent the first layer. Also, the first layer has a first deformability and the second layer has a second deformability, wherein the second deformability is greater than the first deformability. Further, one or more of the elongate curved structural members may have a spiraling geometry.

A system for aligning components of a prosthetic includes a mounting plate, a fastener and an adapter coupling plate. The mounting plate comprises: a first major surface; a second major surface opposing the first major surface; an adapter accommodation hole extending through the mounting plate; and sizing indicia located on the second major surface. The fastener extends from the mounting plate. The adapter coupling plate comprises: a third major surface; a fourth major surface opposing the third major surface; an adapter coupling hole extending through the adapter coupling plate and surrounded by the adapter accommodation hole; and an indicator located on the fourth major surface to point to the sizing indicia on the mounting plate. The adapter coupling plate can be slidable along a slot surrounding the fastener or a tongue and groove system connecting the adapter coupling plate and the mounting plate and locked via the fastener.