A ceramic femoral resurfacing head prosthesis (110) comprises a ceramic convex outer contact surface (112) engagable with an acetabulum of a patient or an acetabular cup prosthesis and a concave inner fixation surface (114) having an inner-land portion (128), the ceramic convex outer contact surface (112) and the concave inner fixation surface (114) extending to intersect each other at a rim (116). A ceramic stem (120) projects from the concave inner fixation surface (114), and is adapted to be received by a stem bore. The concave inner fixation surface (114) includes a skirt (134) which is cylindrical or substantially cylindrical, or frusto-conical or substantially frusto-conical, and at least one circumferentially elongate recess (136) at the skirt (134).

A ceramic femoral resurfacing head prosthesis (110) comprises a ceramic convex outer contact surface (112) engagable with an acetabulum of a patient or an acetabular cup prosthesis and a concave inner fixation surface (114) having an inner-land portion (128), the ceramic convex outer contact surface (112) and the concave inner fixation surface (114) extending to intersect each other at a rim (116). A ceramic stem (120) projects from the concave inner fixation surface (114), and is adapted to be received by a stem bore. The concave inner fixation surface (114) includes a skirt (134) which is cylindrical or substantially cylindrical, or frusto-conical or substantially frusto-conical, and at least one circumferentially elongate recess (136) at the skirt (134).

A medical device for implantation in a hip joint of a human patient is provided. The natural hip joint having a ball shaped caput femur as the proximal part of the femoral bone with a convex hip joint surface towards the centre of the hip joint and a bowl shaped acetabulum as part of the pelvic bone with a concave hip joint surface towards the centre of the hip joint. The caput femur has a centrally placed longitudinal extension, extending through the center of the caput and collum femur, aligned with the collum femur, defined as the caput and collum femur center axis. The medical device comprising; an artificial acetabulum, comprising a concave surface towards the centre of the hip joint. The artificial concave acetabulum is adapted to, when implanted, be fixated to the femoral bone of the human patient, and be in movable connection with an artificial caput femur fixated to the pelvic bone of the patient.

A method for fixating an artificial convex caput femur surface to the pelvic bone of a patient, the method comprising the steps of: exposing the acetabulum surface, creating a hole or recess in the pelvic bone from the acetabulum side of the pelvic bone, providing the artificial convex caput femur, comprising an elongated member to the hip joint, inserting said elongated member in said hole, and performing an action on the acetabulum side of the pelvic bone such that the elongated member is structurally changed on the abdominal side of the pelvic bone or inside the pelvic bone.

A medical device for fixation in a femoral bone of a patient is provided, the medical device comprises: a connecting portion adapted to be connected to a prosthetic hip joint contacting portion, an expanding portion, and a bone contacting surface on the expanding portion. The expanding portion could be adapted to be at least partially inserted into the femoral bone of a patient and to expand within the femoral bone, such that the bone contacting surface is placed in contact with the inside of the femoral bone for fixating the medical device to the femoral bone. By the fixation using an expanding portion a sturdy fixation is achieved without the need to go into or penetrate bone, or the need for fixation using bone cement.

A system can form a pilot hole to secure a securable element, such as an acetabular cup. A saddle can removably attach to the securable element. The saddle can confine a translator and allow the translator to move along a translator axis between a first translator position and a second translator position. A punch element can be movably coupled to the saddle and the translator such that when the saddle is removably attached to the securable element, moving the translator from the first translator position toward the second translator position can advance a tip of the punch element from the saddle through the securable element along a punch axis that is angled with respect to the translator axis. An impaction stem can be coupled to the translator by a joint, such as a ball-and-socket joint, and can impart motion to the translator.

A method of treating a hip joint of a human patient using a pelvic drill comprising a driving member, a bone contacting and an operating device for operating said driving member. The method comprise the steps of cutting the skin of the human patient, dissecting an area of the pelvic bone on the opposite side from the acetabulum, creating a hole in said dissected area using said pelvic drill, said hole passing through the pelvic bone and into the hip joint of the human patient, and providing at least one hip joint surface to the hip joint, through said hole in the pelvic bone of the human patient. In one embodiment the method includes inserting a needle or tube like instrument into the patient's body for filling a part of the patient's body with gas and thereby expanding a cavity within the body.

Disclosed is a reconfigurable hip joint prosthesis and elements therefor which is adapted to be surgically implantable in a human body, a part in the upper femur, another part in the pelvis. The implantable prosthesis may be configured in a reversible manner, and provide alternative configurations as may be desired or necessary. The present invention also includes a method of implanting into a human body a prosthesis as described herein, and subsequently reconfiguring the prosthesis as may be desired or necessary. A still further aspect of the invention is a kit of component parts used in providing a configured implantable prosthesis.

An implantable medical device for implantation in a hip joint is provided. The medical device comprises: at least one artificial hip joint surface adapted to replace at least the surface of at least one of the caput femur and acetabulum. At least one artificial hip joint surface comprises: a positioning hole with at least one opening in said at least one artificial hip joint surface. The hole is adapted to be placed and dimensioned such that the medical device is adapted to be fitted using a positioning shaft and at least partly surround the shaft, for positioning the at least one artificial hip joint surface in a desired position in the hip joint. The hole is adapted to be fitted using the positioning shaft, when the shaft is stabilized and placed in at least one of the femoral bone and the pelvic bone for positioning said medical device inside the hip joint.

A method for implanting a medical device for lubricating a joint in a human body, said method comprising the steps of creating an opening reaching from outside of the human body into the joint, providing an artificial contacting surface to said joint, fixating the artificial contacting surface to the joint, implanting a reservoir in the human body, and lubricating said artificial contacting surface by pressurizing a lubricating fluid contained in said reservoir.