Improved hip arthroplasty trial devices and hip arthroplasty trial systems are described. A hip arthroplasty trial device has a head member having a central axis and defining an inner chamber, a head member opening providing access to the inner chamber, and a cavity extending inward from the outer surface of the head member. A rotatable member is disposed in the inner chamber and along an axis between the central axis and one side of the head member. The cavity extends along an axis between the central axis and another, opposite side of the head member. A spacer is disposed within the head member opening and is moveable between a spacer first position and a spacer second position. Rotational movement of the rotatable member moves the spacer from the spacer first position to the spacer second position.

The present invention relates to a method of treating a hip joint of a human patient by providing at least one hip joint surface, said hip joint comprising a caput femur and an acetabulum, said method comprising the steps of: cutting the skin of said human patient, dissecting an area of the pelvic bone on the opposite side from said acetabulum, creating a hole in said dissected area, said hole passing through said pelvic bone and into said hip joint of said human patient, and providing at least one hip joint surface to said hip joint, through said hole in said pelvic bone of said human patient.

Apparatus and method of removing a liner attached to an implanted acetabular shell. A surgical site is accessed where the acetabular shell has already been implanted into a patient. A rim plate having a through opening is placed over the acetabular shell. A pilot hole is then drilled into the attached liner through the opening in the placed rim plate. After the drilling, the rim plate is removed to expose the drilled hole. A removal tool is inserted into the drilled pilot hole. The attached liner is then disengaged from the implanted acetabular shell with the inserted removal tool.

A medical device system for implantation in a hip joint for providing at least one artificial hip joint surface for a patient is disclosed. The medical device system comprises an artificial acetabulum surface being at least partly bowl-shaped. The artificial surface comprises a largest cross-sectional distance being variable such that the medical device system can be inserted through a hole in the pelvic bone, from the abdominal side of the pelvic bone, the hole having a diameter smaller than said largest cross-sectional distance. Finally, the artificial acetabulum surface comprises at least two parts which are adapted to be interconnected to form an interconnected medical device when in use.

A method for locating a material having thermoplastic properties in pores of bone tissue includes providing a pin having the material having thermoplastic properties and a core, wherein the material having thermoplastic properties is arranged on the circumferential surface of the core constituting an outer region of the pin. An opening is provided in the bone tissue, and the pin is positioned at least partly in the opening. The outer region of the pin is then impinged with mechanical vibration energy for a time sufficient for liquefying at least part of the material having thermoplastic properties, and, in a liquefied state, pressing it into the pores of the bone tissue surrounding the opening. The vibration energy is stopped for a time sufficient for re-solidification of the liquefied material, and then the core is removed.

A device, for example a medical implant, and a method of making the same, the device having a metal or metal alloy substrate, for example cobalt chrome, and a diffusion hardened metallic surface, for example a plasma carburized surface, contacting a non-diffusion hardened surface or a diffusion hardened surface having a diffusion hardening species different from that of the opposing surface.

An engineered medical device for treatment of osteonecrosis is provided where the size, porosity and ceramic content of the device can be personalized based on an individual patient's anatomical and physiological condition. The device distinguishes different segments mimicking anatomically-relevant cortical and cancellous segments, in which the cortical segments of the device can sustain mechanical loading, and the cancellous segment of the device can promote bone ingrowth, osteogenesis and angiogenesis.

An apparatus, system, and method may be used to replace a natural or artificial articular surface of a joint, and to repair a bone that is associated with the joint. In some embodiments, the apparatus, system, and method may include a joint replacement prosthesis with a prosthetic articular surface, a support structure securable to the bone, and a first attachment interface. The system may also include a bone plate with a bone engagement surface securable to the bone on either side of a fracture formed in the bone, or a damaged area of the bone. The bone plate may include a second attachment interface that is attachable to the first attachment interface of the joint replacement prosthesis in order to couple the bone plate to the joint replacement prosthesis.

Dual mobility hip prosthesis has a liner rim that recessed with respect to an acetabular cup rim thereof so that an adjacent contact surface of the neck impinges the acetabular cup rim at extreme positions without impinging the liner rim. Furthermore, the acetabular cup rim defines an inner contact face correspondingly angled to the adjacent contact surface of the neck at the extreme positions to reduce point contact loading between the acetabular cup rim and the adjacent contact surface of the neck. As such the present prosthesis tolerates prosthetic impingement between the rim of the acetabular cup and the neck of the femoral component by mitigating against point contact loading force whilst eliminating impingement of edges of the polymeric liner between an edge of the neck and the rim of the acetabular cup and also allowing for sufficiently deep acetabular componentry with reduced likelihood of dislocation.

A cap component for an endoprosthesis includes a convex or flat sliding surface. The cap component is designed to enclose part or all of an associated bone joint part. The cap component and/or a first base material of the cap component have a modulus of elasticity that is about equal to bone material of the associated bone joint part. A facing surface of the cap component facing the associated bone joint part is at least partially coated with a first metal or with particles of the first metal.