Medical implants, specifically small to large orthopedic implant joint replacements. Systems and methods for manufacturing orthopedic implant joint replacements and their instrumentation.

Disclosed is a device for assisting in the placement of a trapeziometacarpal prosthesis including a cup to be fixed in the trapezium of a patient and a stem to be fixed in the patient's first metacarpal. The device includes a first guide to be interposed between the trapezium and the first metacarpal, the first guide including a first body having a first surface to be positioned on the articular surface of the trapezium, the first surface congruent with the articular surface of the trapezium and a second surface to face the articular surface of the first metacarpal before resection, the second surface preferably being congruent with the articular surface of the first metacarpal so as to be positionable on the articular surface of the first metacarpal. The first guide also includes locating members carried by the first body and arranged to define resection lines for the first metacarpal.

A sling suspension system for supporting the thumb of a patient after basal joint arthroplasty, the sling suspension system comprising: an index metacarpal anchor, a thumb metacarpal anchor and a sling for securing the thumb metacarpal anchor to the index metacarpal anchor; the index metacarpal anchor comprising at least one bone-engaging element for engaging the index metacarpal and a sling-engaging element for capturing the sling to the index metacarpal anchor; the thumb metacarpal anchor comprising at least one bone-engaging element for engaging the thumb metacarpal and a sling-engaging element for capturing the sling to the thumb metacarpal anchor; and the sling comprising an elongated body having a first anchor-engaging element for securing the sling to the sling-engaging element of the index metacarpal anchor, and a second anchor-engaging element for securing the sling to the sling-engaging element of the thumb metacarpal anchor, wherein the second anchor-engaging element is adjustable.

The invention relates to a device for producing spacers, which comprises a lower part and an upper part, wherein the lower part can be connected to the upper part, and wherein the lower part comprises a first mold cavity, and the upper part comprises a second mold cavity, wherein the first mold cavity is configured to jointly form a hollow space together with the second mold cavity, wherein the first mold cavity comprises a spacer body mold for forming a spacer body, and the second mold cavity comprises a shaft mold for forming a shaft.

An implant (30) for a mammalian bone joint (3) for spacing a first bone (2) of the joint from a second bone (1) of the joint while allowing translational movement of the second bone in relation to the first bone is described. The implant comprises (a) a distal part (31) configured for intramedullary engagement with an end of the second bone, (b) a proximal part (34) having a platform (15) configured for non-engaging abutment of an end of the first bone and translational movement thereon, and (c) an articulating coupling (10, 16) provided between the distal and proximal ends allowing controlled articulation of the first and second bones. The bone-abutting platform is shaped to conform to and translate upon the end of the first bone. A kit for assembly to form the implant of the invention, and the use of the implant to treat osteoarthritis in a bone joint, are also described.

A sling suspension system for supporting the thumb of a patient after basal joint arthroplasty, the sling suspension system comprising: an index metacarpal anchor, a thumb metacarpal anchor and a sling for securing the thumb metacarpal anchor to the index metacarpal anchor; the index metacarpal anchor comprising at least one bone-engaging element for engaging the index metacarpal and a sling-engaging element for capturing the sling to the index metacarpal anchor; the thumb metacarpal anchor comprising at least one bone-engaging element for engaging the thumb metacarpal and a sling-engaging element for capturing the sling to the thumb metacarpal anchor; and the sling comprising an elongated body having a first anchor-engaging element for securing the sling to the sling-engaging element of the index metacarpal anchor, and a second anchor-engaging element for securing the sling to the sling-engaging element of the thumb metacarpal anchor, wherein the second anchor-engaging element is adjustable.

The invention provides surgical methods, devices, apparatus, and systems for supporting the thumb of a patient after basal joint arthroplasty. The embodiments of the invention comprise at least one index metacarpal anchor, at least one thumb metacarpal anchor, at least one sling for positioning the thumb metacarpal anchor relative to the index metacarpal anchor, and at least one anchor washer for tightening and securing the sling(s) without the need to tie the suture(s) components of the sling(s) into knots. Index and thumb metacarpal anchors comprise at least one bone-engaging element for engaging the respective metacarpal. The anchor washer may incorporate one or more sling-engagement mechanisms. Increasing the number of sling-engagement mechanisms associated with the anchor washer increases the surface area of the sling(s) and provides multiple sling elements to provide redundancy and increase the pull force of the sling(s) attachment(s) used to affix the thumb and index metacarpal anchors into a position relative to each other.

An implant (30) for a mammalian bone joint (3) for spacing a first bone (2) of the joint from a second bone (1) of the joint while allowing translational movement of the second bone in relation to the first bone is described. The implant comprises (a) a distal part (31) configured for intramedullary engagement with an end of the second bone, (b) a proximal part (34) having a platform (15) configured for non-engaging abutment of an end of the first bone and translational movement thereon, and (c) an articulating coupling (10, 16) provided between the distal and proximal ends allowing controlled articulation of the first and second bones. The bone-abutting platform is shaped to conform to and translate upon the end of the first bone. A kit for assembly to form the implant of the invention, and the use of the implant to treat osteoarthritis in a bone joint, are also described.

A joint prosthesis is provided that includes a proximal implant for attachment to a first portion of skeletal anatomy, the proximal implant including a proximal bone attachment portion and a distal cup portion. The prosthesis also includes a distal implant for attachment to a second portion of skeletal anatomy, the distal implant including a distal bone attachment portion and a proximal cup portion. An inter-joint element is located between the distal cup and the proximal cup. The inter-joint element includes surface portions shaped to complement said cups and is preferably formed as an ovoid. Each of the proximal implant, distal implant and inter-joint element include magnetic regions whereby the inter-joint element is attracted to both the proximal cup portion and to the distal cup portion to thereby provide stability across a large angular motion.

The concepts disclosed herein offer a new simple and reliable reconstructive option for the treatment of first carpal-metacarpal joint (basal joint) arthritis and consists of an intra-articular basal joint stabilizer sling combined with a surgical method of implantation.