Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment.

Systems, devices, and methods for providing orthopedic augments having recessed pockets that receive a fixation material. The orthopedic augments include an outer surface that interfaces with a patient's tissue or bone, an inner surface that interfaces with an implant and having a recessed pocket configured to receive a fixation material, a rim around at least a portion of the recessed pocket, and a port in the rim, wherein the recessed pocket extends along the inner surface in at least a lateral direction from the port.

An acetabular cage or device (100) is disclosed. In one embodiment, the acetabular cage includes a cup portion (110) configured for implantation in an acetabulum and a flange (120) extending from the cup portion. The flange including a first, bone contacting surface (126) configured to face bony tissue surrounding the acetabulum when the cup portion is implanted into the acetabulum and a second, top surface (127) opposite the first surface. The flange includes a flexible portion (130) and a fixation portion (122), the fixation portion including one or more fixation features (124) configured to facilitate fixation of the flange to the bony tissue surrounding the acetabulum. The flexible portion is arranged and configured to enable the flange, and hence the fixation portion, to move relative to the cup portion to facilitate placement of the flange relative to the bony tissue.

An augment device for a joint endoprosthesis, the device including a sleeve surrounding a channel extending through the sleeve. The sleeve is formed of porous material for ingrowth of bony material, the sleeve comprising an inner face and an outer face. The sleeve further comprises a wall surrounding the channel, the wall being made of solid material and forming a sandwich structure with the porous material, wherein the wall forms a bulkhead between the inner face and the outer face. Thereby, the bulkhead wall will stop inflow of any cement across the sleeve from its inner to its outer face. The porous material on the outer face will be kept free from cement and its capability to promote bone ingrowth is reliably preserved. The augment devices are preferably provided as a set having different sizes and straight or stepped bottoms for improved versatility and maximum preservation of natural bone matter.

Prostheses, acetabular apparatuses, and methods of use are disclosed. In some embodiments, an acetabular apparatus includes an acetabular cup and an acetabular cage disposed within an interior of the acetabular cup. The acetabular cage may include a central portion including a first section and a second section rotatably coupled together, and a first flange extending from the first section and a second flange extending from the second section. The acetabular prosthesis may further include a fastener extending through each of the acetabular cup and the central portion of the acetabular cage.

A bone insert includes a cap having a convex top surface, an elongated stem, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a space volume between the host bone and a bone implant. The cap can be made of a material and/or have surface features that create a strong bond with the cement when the liquid cement cures. The stem can be made of a material and/or have bone ingrowth surface features that create a strong bond with the bone.

The invention relates to a device for producing a spacer having a casting mold lower part (1) with a cavity (2), a casting mold wall (3) which extends peripherally away from an edge of the cavity (2) and which is open on the opposite side, a casting mold upper part (5) with a shaping surface (6), wherein the casting mold upper part (5) can be inserted into an interior (4) of the casting mold lower part (1) and is displaceable in the direction of the cavity (2), such that a hollow space is formed which is delimited by the cavity (2), the shaping surface (6) and the casting mold wall (3) and in which the spacer is moldable, at least one container (7) for receiving excess bone cement paste, and at least one opening (8) in the shaping surface (6) and/or in the cavity (2), which opens into the at least one container (7) for receiving excess bone cement paste.

The invention also relates to a method for producing spacers using such a device.

A bone implant includes a body having a porous structure and having a size and shape configured for fitting to a bone, preferably in a bone defect. The porous structure is comprised of regularly arranged elementary cells whose interior spaces form interconnected pores, the elementary cells are formed by basic elements arranged in layers, wherein the basic elements are shaped like tetrapods, the tetrapods in each layer being arranged in parallel orientation and being positioned in-layer rotated with respect to tetrapods of an adjacent layer. The layers with rotated and non-rotated tetrapods are alternatingly arranged. Thereby a porous structure can be achieved which features improved mechanical characteristics, leading to improved biocompatibility.

The invention relates to a revision prosthesis shaft of a revision joint endoprosthesis for anchoring in an elongate bone (9), in particular femur. The surface is designed for adhesive agent-free fastening in the proximal epimetaphysis (91) and the diaphysis (92) of the bone. According to the invention, a distal epimetaphyseal extension (2) is provided at the far end of the shaft (12), the tip of which extension reaches into the distal epimetaphysis (93) of the bone. The extension (2) is designed for fastening in the distal epimetaphysis (93) by means of an adhesive agent (3), in particular bone cement. The invention combines the advantages of cement-free fastening, namely of the shaft in itself in the diaphysis (92), with the advantages of cemented fastening, namely of the extension in the distal epimetaphysis (93). Even in difficult cases in which sufficient hold previously could not be achieved for lack of fastening distance in the diaphysis, stable anchoring can thus be achieved. This increases the safety and longevity of the revision. The invention further relates to a corresponding implantation method.

A bone insert includes a cap having a convex top surface, an elongated stem, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a space volume between the host bone and a bone implant. The cap can be made of a material and/or have surface features that create a strong bond with the cement when the liquid cement cures. The stem can be made of a material and/or have bone ingrowth surface features that create a strong bond with the bone.