An implant, prosthesis and method of use are described. The implant comprises an articulation component having a bearing surface and a reverse surface arranged to couple to a proximal neck portion of an arthroplasty implant coupled to a bone. A collar is arranged to couple to the reverse surface of the articulation component. The collar defines a neck hole arranged to pass around the coupling between the articulation component and the proximal neck portion of the arthroplasty implant. The collar and the articulation component comprise complementary coupling features to secure the collar to the articulation component. The collar further comprises a plurality of attachment portions to couple the collar to bone fragments or soft tissues. The prosthesis comprises the implant and an arthroplasty implant having a distal portion arranged to be coupled to an end of a long bone and a proximal neck portion.

A device for fixation of bone fragments (4, 8) comprises a locking plate (1) for fixation on the outside of an outer bone fragment (4). The locking plate has a distal portion (1 a) with at least one first hole (6), extending through the locking plate, for a distal fixing means (2) and a proximal portion (1 b) with a second hole (7), extending through the locking plate, for a proximal fixing means (3). The locking plate (1) is configured also with a third hole (9) which is located between said at least one first hole (6) in the distal portion (1 a) of the locking plate and said second hole (7) in the proximal portion (1 b) of the locking plate and this third hole extends as the other holes through the locking plate. The device further comprises a rotary-preventing and load-carrying means (10) which is configured for insertion and fixation in said third hole (9) in the locking plate (1) and by cooperating with the proximal fixing means (3) prevent rotation of the proximal fixing means but permit displacement thereof in its longitudinal direction relative to the rotary-preventing and load-carrying means during compression after surgery of the outer and inner bone fragments (4, 8) and facilitate for the proximal fixing means to carry loading forces acting on the inner bone fragment (8).

A bone fixation system comprises an elongated implant shaft extending from a proximal end to a distal end along a central longitudinal axis and including a first channel extending from the proximal end to a side opening formed in a side wall of the implant shaft along a first channel axis. The bone fixation system further comprises a bone plate having a first plate portion and a second plate portion, the first plate portion having a first opening extending therethrough along a first opening axis and the second plate portion having a second opening extending therethrough along a second opening axis, the second opening being configured to receive the implant shaft therethrough to permit insertion thereof into a head of a bone.

An orthopaedic assembly. The orthopaedic assembly includes a first member adapted to be coupled to a bone and an adjustable connector assembly including an adjuster having a threaded end and a tapered end. The assembly also includes an articulation component including a bearing surface and adapted to be coupled to the tapered end of the adjustable connector assembly. The threaded end is adapted to engage the fixation plate.

Orthopedic surgical implant methods include placing an implant plate against a lateral greater trochanteric surface of a femur; installing at least one proximal compression fastener through the implant plate and through a greater trochanter and one of a fractured bone, a pretrochanteric neck fracture and a femoral neck fracture and into a femoral head of the femur, respectively; and installing at least one distal tension fastener through the implant plate and through a portion of a diaphysis of the femur and through the fractured femoral neck and into the femoral head of the femur, respectively, the at least one distal tension fastener intersecting the at least one proximal compression fastener in the femoral head. Orthopedic surgical implants are also disclosed.

A bone anchoring element comprising a shaft (2) for anchoring in a bone, with a plurality of barb elements (7) arranged in at least one helical line around the shaft axis (M) is described, wherein said barb elements are elastically movable relative to the shaft. The bone anchoring element (1) is easy to press into a core hole bore in a bone. The barb elements (7) act in a similar manner as do the threads on a conventional bone screw and thus provide for depth positioning. Moreover, the barb elements at the same time secure the bone anchoring element and prevent it from sliding-out.

An intramedullary nail includes one or more nail openings extending therethrough. The intramedullary nail is implantable within a medullary canal of the bone. A bone plate is configured to engage an outer surface of the bone. The bone plate includes one or more plate openings extending therethrough. The plate openings are spaced about the bone plate such that the bone plate is positionable to axially align the plate openings with the nail openings when the intramedullary nail is implanted within the medullary canal of the bone. An aiming guide includes one or more targeting openings. The targeting openings are spaced about the aiming guide such that the aiming guide is positionable to axially align the targeting openings with the plate openings and the nail openings for extending one or more stabilizing fasteners therethrough when the intramedullary nail is implanted within the medullary canal of the bone.

A bone plate includes (a) a body having a first surface which, in an operative configuration, faces away from a bone on which the plate is to be mounted and a second surface, which in the operative configuration, faces the bone, the body including a first section extending along a first longitudinal axis and a second section extending along a second longitudinal axis angled with respect to the first longitudinal axis; (b) a first hole extending through the body from the first surface to the second surface and defining a first hole axis, the first hole being structured to lockingly engage a head of a first bone anchor inserted therein such that a shaft of the first bone anchor extends along the first hole axis; and (c) a second hole extending through the body and spaced apart from the first hole. The second hole defines a second hole axis and is structured to lockingly engage a head of a second bone anchor inserted therein such that a shaft of the second bone anchor extends along the second hole axis. The first and second hole axes defines a single plane and intersecting at a point on a side of the bone plate facing the second surface.

A femur supporting device includes a femoral stem having a plurality of inclined passages. The femoral stem includes an inner side and an outer side. Each inclined passage includes an outlet in the inner side and an inlet in the outer side. Each inclined passage inclines upward from the inlet to the outlet. A plurality of supporting rods extends through the inclined passages. A first engaging end of each supporting rod extends out of the outlet of one of the inclined passages. A second engaging end of each supporting rod extends out of the inlet of one of the inclined passages. The first engaging end of each supporting rod is engaged with one of a plurality of first engaging portions in a trochanter head. The second engaging end of each supporting rod is engaged with one of a plurality of second engaging portions of a fixing unit.

A method of creating a mass-customized femoral bone base plate comprising: (i) establishing anatomical landmarks across a plurality of bone models of a statistical atlas; (ii) establishing instrument landmarks across the plurality of bone models of the statistical atlas; (iii) establishing definitions for a reference plane calculation across the plurality of bone models of the statistical atlas, where the reference plane represents a boundary of a prosthetic implant; (iv) establishing an attachment site for a mass-customized femoral bone base plate using the anatomical landmarks, the instrument landmarks, and the reference plane; and, (v) fabricating the mass-customized femoral bone base plate configured to be attached to a femur, where the attachment sites of the mass-customized femoral bone base plate are predetermined to avoid impingement with the prosthetic implant when implanted.