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.

Implants suitable for use in a carpometacarpal joint includes an upper surface, a lower surface, and sidewalls extending between the upper surface and the lower surface. The implant includes hydrogel material such as polyvinyl alcohol (PVA) hydrogel. Kits can include systems for preparing an implantation site, creating a cavity, and/or deploying the implant. Methods of treating a carpometacarpal joint include deploying an implant in a recess in a carpometacarpal bone.

A prosthesis for replacing a joint between a first bone and a second bone in a human hand or foot includes first and second rigid blocks (110, 120) interconnected by a flexible bridging structure (130). In certain embodiments, the flexible bridging structure employs a helical spring oriented with its central axis aligned with a central axis of a bone anchor portion of the first rigid block. One or more shear-limiting element (101, 140) is deployed within an internal volume of the helical spring (130) to limit an extent of shear deformation applied to the helical spring. Other aspects of the invention relate to adjustable bone-abutment flanges, an alternative bridging structure employing a helically-twisted leaf spring, and a structure and method for bridging between the first metacarpal and the scaphoid in case of removal of the trapezium from the hand.

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.

An implant couples a first bone of a hand to a second bone of the hand. The implant includes a body that defines a median plane. The body also defines a first joint surface having a first central region that articulates with the first bone. The body further defines a second joint surface having a second central region that articulates with the second bone, and the second central region is disposed on an opposite side of the median plane of the body relative to the first central region. The first and second central regions correspond to profiles of first and second axial segments, respectively, the first and second axial segments are each one of a cylinder, a cone and a torus and are centered on first and second axes, respectively, and the first and second axes, as projected on the median plane, are substantially perpendicular to each other.

The present disclosure includes systems, methods, kits, and individual tools (e.g., trial sizers and delivery devices) for medical procedures involving a soft-tissue allograft for the correction of skeletal impairments (e.g., misalignments, arthritis, etc.).

The invention relates to an attachment member (2) and a connecting member (16) for a carpometacarpal thumb joint prosthesis (1) as well as to said thumb joint prosthesis. The attachment member (2) comprises a screw-like part (4) for attachment by screwing into the second metacarpal bone and a locking device (8) for locking the screw-like part to the connecting member (16). The connecting member comprises an elongated, arcuate element (16) which at one end portion (16a) thereof is configured with a hole (14) for connection to the attachment member (2) for the second metacarpal bone and which at the opposite end portion (16b) thereof is configured with a hole (15) for connection to an attachment member (3) for the first metacarpal bone. The joint prosthesis (1) comprises said attachment member (2) for the second metacarpal bone, an attachment member (3) with a screw-like part (5) for attachment by screwing into the first metacarpal bone and with an articulating ball element (6) as well as a corresponding articulating socket element (7), and said connecting member (16).

Provided herein are methods, constructs, and kits for positioning a first bone segment relative to a second bone segment within a subject's body, for example, in order to establish a reduced position of the first and second bone segments. The present disclosure provides, among other things, alternatives to traditional ligament reconstruction and tendon interposition (LRTI) and suture suspension arthroplasty procedures.

An implant couples a first bone of a hand to a second bone of the hand. The implant includes a body that defines a median plane. The body also defines a first joint surface having a first central region that articulates with the first bone. The body further defines a second joint surface having a second central region that articulates with the second bone, and the second central region is disposed on an opposite side of the median plane of the body relative to the first central region. The first and second central regions correspond to profiles of first and second axial segments, respectively, the first and second axial segments are each one of a cylinder, a cone and a torus and are centered on first and second axes, respectively, and the first and second axes, as projected on the median plane, are substantially perpendicular 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.