A femoral stem prosthesis features a proximal section and a distal section, both of which have a medial edge and a lateral edge. The proximal section is generally wider in a medio-lateral direction than the distal section. The proximal section and the distal section both taper inwardly in a medio-lateral direction such that an anterior-posterior thickness of the medial edge is greater than an anterior-posterior thickness of the lateral edge.

A bone void forming assembly includes a support member having a head portion and an elongate portion extending therefrom. A guide member is connected to the support member and has a guide body including a channel extending therethrough. The channel defines an axis offset and obliquely angled relative to an axis of the elongate portion. The assembly also includes reamer having a cutting head and a stop member. A bushing is slidably connected to the reamer between the stop member and cutting head and is slidably connectable to the guide body via the channel.

A bone void forming assembly includes a support member having a head portion and an elongate portion extending therefrom. A guide member is connected to the support member and has a guide body including a channel extending therethrough. The channel defines an axis offset and obliquely angled relative to an axis of the elongate portion. The assembly also includes reamer having a cutting head and a stop member. A bushing is slidably connected to the reamer between the stop member and cutting head and is slidably connectable to the guide body via the channel.

Disclosed are femoral stem for hip implants, and methods of design and manufacture thereof. A femoral stem for a hip implant, comprising a femoral neck extending from a proximal end of the femoral stem towards a distal end of the femoral stem; an upper section connected to and extending from the femoral neck towards the distal end of the femoral stem, wherein the upper section comprises at least one proximal-distal solid rib flanked by an open lattice; and a lower section connected to and extending from the upper section to the distal end of the femoral stem, wherein the lower section comprises a closed lattice enclosed in a solid skin. Such femoral stems for hip implants are customized and manufactured using 3D printing technologies and provide a lightweight alternative to conventional him implants.

A method for manufacturing an implant includes pre-selecting a designed porous microstructure having a lattice composed of cells, including selecting one or more predetermined cell topologies, selecting a predetermined porosity, cell strut thickness and packing factor of the lattice, and selecting an arrangement of the cells within the lattice to have a periodic and/or aperiodic arrangement. Additive manufacturing is used to form the designed porous lattice microstructure in at least a region of at least an external surface of the implant.

A bufferable femoral implant includes a metallic main body, and an elastomer member integrally formed or connected to a lower portion of the metallic main body, whereby when an external force acts upon the femoral implant as implanted in a patient's femur, the elastomer member as packed within the medullary cavity in the femur will bufferably dampen such an external force for safely protecting the patient's femur, the femoral implant and the related hip bones.

A prosthetic stem is configured to reduce the perioperative and intraoperative risk of catastrophic medical complications and death that may be caused by BCIS. The prosthetic stem includes one or more internal channels that are configured to self-regulate intramedullary pressure within a prepared bone channel as the stem is inserted into the channel, thus reducing the likelihood of BCIS without sacrificing biomechanics and maintaining a reliable and repeatable implantation process. The stem includes a head and a body, wherein the head is configured to serve as a joint replacement and the body is configured for insertion into the prepared bone channel of a patient. One or more internal channels in the stem are configured to control the pressure within the prepared bone channel during insertion of the stem into the channel, particularly by forming a path through which excess cement may flow as the stem proceeds into the prepared bone channel. By so limiting pressurization of cement during this process, the risk of BCIS complications and other potential harmful effects are reduced while still maintaining sufficient fixation of the prosthetic stem in the prepared bone channel.

A void filling prosthesis, which includes first and second ends that define a length therebetween and outer and inner surfaces that define a sidewall therebetween. The sidewall is at least partially curved about an axis that extends along the length of the prosthesis. The prosthesis also includes a fixation prominence extending from the outer surface. The fixation prominence includes a first aperture extending in a direction toward the sidewall and a second aperture extending in a direction transverse to the sidewall.

A short-stem femoral implant suitable for use in hip arthroplasty configured to self-stabilise against sliding across the endo-cortex when implanted in a subject's femur. The femoral implant includes a distal end configured to engage in abutment with the lateral endo-cortex of the subject's femur at two distal locations such that when implanted, the femoral implant has a reduced tendency for sliding across the endo-cortex.

Hip implant systems described herein can include a distal stem, a proximal body, and a fastener. In some embodiments, the distal stem can include a cavity configured to receive the fastener when a portion of the distal stem is positioned within the proximal body. In some embodiments, the distal stem can include a threaded exterior surface configured to mate with a fastener when a portion of the distal stem is positioned within the proximal body. In some embodiments, a distal end of the distal stem can include an anterior relief configured to conform to interior surface of a femoral canal of a patient.