This invention corresponds to a prosthesis for total or hip resurfacing replacement, which comprises a prosthetic femoral head made of highly cross-linked polyethylene, with a diameter ranging from 38 mm to 64 mm, to articulate with a cup or acetabular component made of metal. When the invention applies to total hip replacement, the polyethylene head includes a metal core, which contains inside the female counterpart (14) to mate with the male counterpart (13) of a Morse taper, located at the upper end of the femoral component. The use of this type of head for total hip replacement, articulated with an ultra-polished acetabular cup, reduces the risk of dislocation, transmits less angular and torque forces to the Morse taper than large metal heads, and avoids the problems related to the metal-metal bearing or with the use of large metal heads with thin polyethylene. When the invention relates to hip resurfacing replacement, the highly cross-linked polyethylene femoral head has a lower polyethylene extension or stem with or without internal metal reinforcement (151) or a metal stem integrated into a metal-back (152). Using these types of heads for hip resurfacing replacement heads eliminates the problems associated with metal-on-metal resurfacing replacements.

An acetabular hip implant includes a plurality of rings secured to an acetabular shell component. A method of fabricating a customized, patient-specific version of such an implant is also disclosed.

Disclosed is a distal radio ulnar joint prosthesis system, and the method of use for the same, the system comprising an ulnar stem component, and ulnar head component, a set screw, and a sigmoid notch component, the system providing a prosthesis for replacement of the distal radio ulnar joint to restore the pronation-supination motion of the forearm as well as stability between the ulna and radius; a DRUJ prosthesis adapted for rotational alignment of the replacement joint along the axis of forearm rotation; a DRUJ prosthesis which allows for the use of a number of different sized heads having differing geometries; a DRUJ prosthesis adapted for variable pivoting alignment between the replacement distal ulnar head and the ulna; and a DRUJ prosthesis adapted for adjustment in the alignment between the articulating surface of the ulnar head and the sigmoid notch.

An improvised anthroplastic prosthetic implant having, in some embodiments, secondary screws with threaded shafts for forming pilot holes into the resected cancellous bone surface, such as the tibia, and primary screws with tapered heads for replacing the secondary screws and forming a Morse friction fit with the implant and seating the implant in close apposition to, and at less than 150 um in, resected bone thereby facilitating implant stability, wherein the heads of the primary screws are recessed into a counterbore in the baseplate to improve axial postoperative stability of the implant.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

A stemless humeral anchoring component for a shoulder prosthesis humeral implant includes an anchoring stud secured to anchoring wings extending radially along the periphery of the anchoring stud. The anchoring wings include a lateral anchoring wing and two medial anchoring wings angularly spaced by an angle between 110 and 130 degrees. The lateral anchoring wing has a radially measured length greater than the radially measured lengths of the medial anchoring wings.

According to an embodiment, a spinal implant for implantation in a spinal facet joint is disclosed. The spinal implant comprises a first plate having a first surface, a second plate having a second surface, and a biasing element having a first end and a second end, the biasing element coupled to the first surface of the first plate at the first end and the second surface of the second plate at the second end. The biasing element may be at least one of a waveform spring, a coil spring, and a flexible core. The spinal implant may be configured for use in a spinal facet joint, such as a cervical facet joint.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.