A joint replacement device includes a male component with a structure to couple to a bone on one side of a joint, and an outer articulation surface that is attached to the structure via a neck. A female component is configured to couple to a bone on an opposite side of the joint and includes a cavity that is surrounded by an inner articulation surface. An opening of the cavity is shaped to enable insertion of the outer articulation surface into the cavity when the outer articulation surface is aligned with the opening, and to prevent separation of the male component from the female component when rotated so as not to align with the opening. The neck is located within the opening and the outer articulation surface is rotatable within the outer articulation surface with a rotation that is limited by dimensions of the opening and the neck.

A grooved slot is provided in a bone fixation device for osteosynthesis that permits adjustment of the bone fixation device relative to the bone, before the bone fixation device is finally fixed to the bone. The grooves are formed on the two longitudinally extending, facing walls of the slot, with the grooves on a first side wall of the slot having a vertical displacement of exactly one-half pitch relative to the grooves on the second, opposite side wall of the slot.

A bone joint repair and replacement assembly. A first portion comprising a bone plate is configured to attach to a distal or proximal end of a bone proximate the joint, generally coaxially with an axis defined by the bone. A second portion comprising an articular surface is configured to attach to the first portion, generally normal with respect to the axis, and inserted into the joint. Although versions of the assembly can be configured for use with several different pivotal joints, the invention is particularly suitable for full or partial replacement of an elbow, wherein the articular surface is pivotally attached to the first portion. Another embodiment of the invention is provided to repair a fractured bone head proximate the joint, and still another embodiment of the invention is provided to repair rotator cuff-related shoulder injuries.

A system and method facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.

A grooved slot is provided in a bone fixation device for osteosynthesis that permits adjustment of the bone fixation device relative to the bone, before the bone fixation device is finally fixed to the bone. The grooves are formed on the two longitudinally extending, facing walls of the slot, with the grooves on a first side wall of the slot having a vertical displacement of exactly one-half pitch relative to the grooves on the second, opposite side wall of the slot.

A radiocarpal wrist joint replacement includes a radial member configured to be affixed to a portion of an end of the radial bone proximal to the wrist including a fixture to be affixed over a longitudinal aspect of the radial bone and a radial resurfacing plate having a substantially concave surface configured to be located at the end of the radial bone. A carpal capitate bone insert configured to be inserted and affixed into the carpal capitate bone. A bulbous component includes a first convex head and a second convex head, substantially opposite each other and connected by a neck between the first and the second convex head. The radial resurfacing plate of the radial member with the concave surface is configured to be operably coupled to the second convex head of the bulbous component so as to allow radial freedom of motion in the joint replacement.

A surgical implant for total wrist replacement (TWR) includes a carpal portion and a radial portion to fully encompass both sides of the articulated joint defining wrist movement. The carpal portion is defined by a unitary structure that defines a fused form of the scaphoid, lunate and triquetrum, and bears against the radial portion for permitting articulated motion. The radial portion replaces a distal portion of the natural radius adjacent the wrist, and has the form of a T to combine a bearing surface with a stem adapted for implantation in the natural radius. The stem engages a receptacle or bore formed in a truncated end of the natural radius. Both the radial portion and the carpal portion patient-specific members are formed from image scans of the patient's own skeletal structures, and incorporate inverted, contralateral images of healthy structure based on an assessment of deformation in the replaced joint.

A prosthesis for primary artrodhesis can be used for artroplasty and a prosthesis for artroplasty comprises members for artrodhesis. The prosthesis (1b) for primary artrodhesis comprises a locking member (33b) with an attachment portion (16b) which is insertable into a hole (8b) in a first attachment member (4b) of the prosthesis for location of the locking member therein, and a lockable member (34b) integral with a second attachment member (5b) of the prosthesis. The lockable member (34b) is configured for adjustable setting thereof relative to the locking member (33b) and for fixation thereof, in set position, to the locking member. Alternatively, the lockable member comprises an attachment portion which is insertable into a hole in the second attachment member for location of the lockable member therein. At the prosthesis for artroplasty, the hole in the first screw-like attachment member is partly configured to define a press fit with an attachment pin of a socket member and partly threaded to permit, after removal of the socket member, during artrodhesis, securing by screwing in the hole of the locking member for cooperation with a lockable member which is configured for adjustable setting thereof relative to the locking member and for fixation thereof, in set position, to the locking member.

A two-piece socket for a ball-and-socket arrangement, including a base and a cap. The socket includes a leg on one of the cap or base of the socket and a receiving groove on the other of the cap or base of the socket, wherein there is at least one opening in the leg which lines up with a corresponding opening in the groove for a fastener to extend through these openings to releasably secure the cap to the base of the socket. The orientation of the fastener is such that the fastener is under shear loading when the cap is pulled apart from the base.

A system and method facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.