The present invention relates to a method of treating a hip joint of a human patient, the hip joint comprising an acetabulum, the acetabulum being a part of the pelvic bone, and a caput femur, the caput femur being the proximal part of the femoral bone, said method comprising the steps of: cutting the skin of the human patient, dissecting an area of the pelvic bone on the opposite side from the acetabulum, creating a hole in said dissected area, said hole passing through the pelvic bone and into the hip joint of the human patient, and performing an action in the hip joint, through said hole in the pelvic bone.

A ceramic acetabular cup (10) devoid of a separate liner comprises a part-spherical inner articulating surface (12) for non-captively receiving a femoral head, and an outer surface (14) for enabling direct to bone fixation. An inner radius at or adjacent to a rim (22) of the cup (10) extends to or adjacent to a surface edge of the inner articulating surface (12) to prevent or reduce undesirable effects of impingement of an associated femoral head and/or neck. An inner radius of the inner articulating surface (12) defines an active arc (A) over which an in use femoral head can articulate, and an uppermost portion of the rim (22) defines an offset datum plane (D). An offset (O) between an equatorial centre (E) of the inner articulating surface (12) and the offset datum plane (D) is in a range of around 1 mm towards a pole (24) of the inner articulating surface (12) and around 3.5 mm away from the said pole (24). The active arc (A) extends in a range from around (150) degrees to less than 180 degrees, and a distance between the inner articulating surface, (12) and outer surface (14) on a straight line from the said equatorial centre (E) and passing through the surface edge is equal to or less than 4 mm.

An implantable medical device for implantation in a hip joint is provided. The medical device comprises: at least one artificial hip joint surface adapted to replace at least the surface of at least one of the caput femur and acetabulum. At least one artificial hip joint surface comprises: a positioning hole with at least one opening in said at least one artificial hip joint surface. The hole is adapted to be placed and dimensioned such that the medical device is adapted to be fitted using a positioning shaft and at least partly surround the shaft, for positioning the at least one artificial hip joint surface in a desired position in the hip joint. The hole is adapted to be fitted using the positioning shaft, when the shaft is stabilized and placed in at least one of the femoral bone and the pelvic bone for positioning said medical device inside the hip joint.

An orthopedic implant has an implant body defining a longitudinal axis extending in a direction of implantation of the orthopedic implant, the implant body having a first end portion and a second end portion. A porous structure extends circumferentially around the implant body and has a first circumferentially-extending zone exhibiting a first coefficient of friction with bone tissue and a second circumferentially-extending zone exhibiting a second coefficient of friction with bone tissue, wherein the second coefficient of friction is greater than the first coefficient of friction. The first circumferentially-extending zone of the porous structure is offset from the second circumferentially-extending zone along the longitudinal axis such that during implantation of the orthopedic implant, the first circumferentially-extending zone of the porous structure contacts bone before the second circumferentially-extending zone of the porous structure.

A method of treating a hip joint of a human patient using a pelvic drill comprising a driving member, a bone contacting and an operating device for operating said driving member. The method comprise the steps of cutting the skin of the human patient, dissecting an area of the pelvic bone on the opposite side from the acetabulum, creating a hole in said dissected area using said pelvic drill, said hole passing through the pelvic bone and into the hip joint of the human patient, and providing at least one hip joint surface to the hip joint, through said hole in the pelvic bone of the human patient. In one embodiment the method includes inserting a needle or tube like instrument into the patient's body for filling a part of the patient's body with gas and thereby expanding a cavity within the body.

A method of treating a hip joint of a human patient using a pelvic drill comprising a driving member, a bone contacting and an operating device for operating said driving member. The method comprise the steps of creating a hole passing through the pelvic bone and into the hip joint of the human patient, and providing at least one hip joint surface to the hip joint, through said hole in the pelvic bone of the human patient. In one embodiment the method includes inserting a needle or tube like instrument into the patient's body for filling a part of the patient's body with gas and thereby expanding a cavity within the body.

A surgical instrument for operating hip joint osteoarthritis in a human patient is provided. The hip joint comprises an acetabulum, being a part of the pelvic bone, and a caput femur, being the proximal part of the femoral bone. The surgical instrument is adapted to assist in the operating of the hip joint osteoarthritis from the abdominal side of the pelvic bone of said human patient.

An implantable medical device for implantation in a hip joint of a human patient is provided. The medical device comprises: at least one artificial hip joint surface adapted to replace at least the surface of at least one of the caput femur and acetabulum. At least one artificial hip joint surface comprises: a positioning hole with at least one opening in said at least one artificial hip joint surface. The hole is adapted to be placed and dimensioned such that the medical device is adapted to be fitted using a positioning shaft and at least partly surround the shaft, for positioning the at least one artificial hip joint surface in a desired position in the hip joint. The hole is adapted to be fitted using the positioning shaft, when the shaft is stabilized and placed in at least one of the femoral bone and the pelvic bone for positioning said medical device inside the hip joint.

A surgical pelvic drill for operating hip osteoarthritis adapted to create a hole in the pelvic bone of a human patient is provided. The pelvic drill is adapted to create a through-going hole placed in the acetabulum area from the abdominal side of the pelvic bone of the human patient. The pelvic drill comprises: a driving member, a bone contacting organ in connection with said driving member, an operating device adapted to operate said driving member. The bone contacting organ is adapted to create a hole in the acetabulum area starting from the abdominal side of the pelvic bone through repetitive or continuous movement. A surgical and a laparoscopic/arthroscopic method of using said pelvic drill is further provided.

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.