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).

Disclosed herein is a kit that includes a humeral stem having a central longitudinal axis, the humeral stem configured to attach to a resected bone; a first tuberosity component having a first thickness relative to the central longitudinal axis of the humeral stem; a second tuberosity component having a second thickness relative to the central longitudinal axis of the humeral stem, wherein the first thickness of the first tuberosity component is different than the second thickness of the second tuberosity component; and at least one proximal segment configured to engage at least one of the first tuberosity component and the second tuberosity component. In an embodiment, the first thickness of the first tuberosity component is at least 20 mm relative to the central axis of the humeral stem, and the second thickness of the second tuberosity component is at least 20 mm relative to the central axis of the humeral stem.

The present inventions relate to devices and methods that improve the positioning and fit of orthopedic reconstructive joint replacement stem implants relative to existing methods. For example, an embodiment of the device provides a stem component comprising proximal and distal body portions that can be configured to mimic a geometric shape of a central cavity region created in a bone of a joint for improving conformance and fixation of the stem component thereto. Further, another embodiment provides a system of stem implants that each have a unique medial offset for facilitating the matching of an implant to the geometry of a central cavity region of a bone. Additionally, an inclination angle of a resection surface of each of the implants in the system can remain constant or vary as a function of the medial offset.

In one embodiment, a humeral implant is provided that includes a hollow stem and a mounting end. The hollow stem has a sharp distal edge. The mounting end has a mounting hole and a mounting channel disposed about the mounting hole. The mounting hole is configured to receive a tapered projection of an anatomic articular body. The mounting channel is configured to receive an annular projection of a reverse articular body.

A hip/shoulder prosthesis includes: a head component; a metaphyseal component; a diaphyseal nail, and a locking device. The head component includes: a front face and rear face; with a bore, and first and second shaped recesses in the rear face. The metaphyseal component includes: a central transverse aperture at an angle to the metaphyseal component's axis; a first end configured for threaded engagement within the bore of the head component; and a longitudinal hole that begins at the second end, transects the transverse aperture and reaches the first end, to receive the locking device. The diaphyseal nail is inserted in the femoral or humeral canal, and includes: fastening apertures that receive corresponding screws for fastening the diaphyseal nail to the femur or humerus; a portion configured to be received within, and engage, the transverse aperture of the metaphyseal component, and a transverse hole configured to receive the locking device.

An integral humeral stem includes a diaphyseal portion which has, orthogonal to a diaphyseal axis, an octagonal cross-section with convex rounded angles, and a metaphyseal portion in the form of a flared corolla which extends the diaphyseal portion up to a proximal face, which has, orthogonal to a central axis, an octagonal cross-section with convex rounded angles so that the humeral stem has a peripheral surface provided with eight lateral facets and eight rounded fillets which continuously extend from the diaphyseal portion to the metaphyseal portion. On the metaphyseal portion, the rounded fillets progressively widen and the lateral facets progressively narrow from the diaphyseal portion in the direction of the proximal face.

A modular humeral implant for an inverted shoulder prosthesis includes a humeral stem having, on the one hand, a diaphyseal keel of elongate shape, extending along a diaphyseal axis and shaped to be engaged in a medullary cavity of a humerus, and, on the other hand, a metaphyseal portion. A humeral spacer is mounted on the metaphyseal portion of the humeral stem and has a lower face facing the metaphyseal portion, the lower face having a peripheral portion projecting laterally from the metaphyseal portion and covered at least partially with a porous or rough metal surface coating promoting an osseointegration. A humeral insert is fastened on the humeral spacer and has a hemispherical cap shaped to receive a glenosphere of a glenoid implant.

Methods for achieving an anatomically accurate reconstruction with a modular arthroplasty assembly that includes a generally disc shaped coupler component having a prosthesis component side that includes a recess configured to interchangeably engage a prosthesis component selected from a concave cup and a convex head that is either hemispherical or hemielliptical.

An implant is disclosed that has a base member, an articulating member, and a coupling portion that secures the base member to the articulating member. The implant can be a shoulder implant (100, 200, 300) that has a baseplate (102, 230, 310), an articulating component (104, 210), and a fixation component (106, 270, 342). The baseplate includes a first side (110, 234, 314) with a projection (108, 240, 320) that has a first Morse taper and may be offset from a center line of the baseplate and a second side (116, 236, 316) that has a post or stem (114, 250, 330) that is offset from the center line of the baseplate. The articulating component includes a cavity (122, 220) with a second Morse taper that is offset from a center line of the articulating component. The articulating component is attachable to the baseplate when the projection is received in the cavity of the articulation component. A threaded through hole (130, 222) extends from the cavity of the articulating component to a second, convex side or articulating surface (120, 212) thereof. The through hole can be aligned with the cavity. The fixation component (106, 270, 342) can engage the through hole and is contained within a cavity (132, 322, 242) of the baseplate by a spring (138, 262, 360) and a cap (140), a second fixation member (280), or an engagement member (370).

A modular reverse shoulder prosthesis according to embodiments of the present invention includes a stem having a proximal taper and a primary stem axis, the proximal taper extending from the stem about a metaphyseal axis, the metaphyseal axis at an angle with respect to the primary stem axis, a metaphysis having a proximal end, a distal end, a first aperture in the distal end configured to be placed over the proximal taper, and a second aperture in the proximal end having an insert axis that is eccentrically offset from the metaphyseal axis, the metaphysis configured for attachment to the stem at any rotational position of the metaphysis about the metaphyseal axis, and a reverse insert, the reverse insert having a proximal end and a distal end, wherein the proximal end comprises a concave cup formed about a cup axis and configured to receive a glenosphere, and wherein the distal end comprises a locking protrusion, wherein the locking protrusion has an outer surface with a cross-sectional shape that is rotationally symmetrical about the insert axis with respect to a corresponding inner surface of the second aperture, wherein the rotational symmetry has an order of six, seven, eight, nine, or ten.