An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

A device is used to treat periprosthetic fractures, such as a fracture below the stem of a total hip replacement (THR). The device includes a clamp that is fixed to the exposed stem of the THR and a coupling, such as a morse taper, extending distally away from the stem. A post is inserted into the canal of the distal femur below the fracture. The post has a coupling extending proximally away from the distal femur. The couplings on the clamp and post are joined to create a stable connection between the patient's hip and distal femur. Instead of connecting the clamp with the post directly, one or more adapters may be provided to adjust the length and angulation of the treated limb. The device may also connect a THR stem with a Total Knee Arthroplasty (TKA) that includes a stem.

The invention relates to an endoprosthesis shaft system for elongate bones, comprising an anchoring part and a shaft, which is formed from module elements that can be coupled by means of a plug-in connection, wherein a mutual rotation of the elements along the shaft is adjustable and is blocked by means of an anti-rotation mechanism. In order to adjust the rotation, a rotation piece is provided as a further module element, which has a self-contained rotation adjustment device and a clamping device as a mechanism for blocking the rotation. The rotation piece comprises two end faces for the plug-in connection and a sleeve. The invention provides, with the rotation piece, a particular module element for the shaft, which as a structural unit allows both an adjustment of the rotation and a blocking against undesired rotation in a self-contained unit.

Expandable hip stem implants, systems, and methods of implanting a hip stem during a hip arthroplasty are provided. The implant may include a proximal body having a neck terminating at a free end, a distal stem having a proximal portion coupled to the proximal body and a distal portion, and a plurality of expandable bodies aligned around the distal stem. The plurality of expandable bodies have a collapsed configuration and an expanded configuration such that the plurality of expandable bodies expand radially outward away from one another.

An improved modular rotational device includes a first and second threaded coupler for affixation along the stem of an endoprosthetic device, for example, a humeral prosthesis or a femoral prosthesis. The rotational device axis of rotation is coaxial with the stem, and its axis of rotation is located in close proximity to the intramedullary stem of the prosthesis or in close proximity to the distal articulation of the prosthesis. A housing has a proximal and distal end with an axial bore therethrough for receiving an elongated stem of the device. A lobe ring may be utilized to limit the axis of rotation of the device. Additional endoprosthetic devices may be attached to male or female threaded couplers, or to Morse tapers. A plurality of suture attachments facilitates attachment of soft tissue thereto.

In one embodiment, the present disclosure relates to a kit for providing fixation of a proximal portion of a femur of a patient. The kit includes an implant including a stem and a neck extending from the stem along a first axis, and the stem includes a stem opening for receipt of a locking bolt. The stem opening is centered along a second axis transverse to the first axis, and the first axis extends through a first plane defined by a first end of the stem, a second end of the stem, and the first axis. The kit also includes a bone plate which includes a bone plate opening for receipt of the locking bolt, and the locking bolt is configured to pass through the bone plate opening and into the stem opening to secure the bone plate to the implant.

A trial neck for hip surgery and a method of attaching a trial neck to a femoral canal implement. The trial neck includes a body portion including a bore for receiving a proximal end of a femoral canal implement. The trial neck also includes an elongate neck extending from the body portion. The trial neck further includes a locking mechanism comprising a lever. The lever has a first end. The lever also has a second end. The lever further has an engagement surface. The second end of the lever is actuable to urge the engagement surface against the proximal end of the femoral canal implement to secure the proximal end of the femoral canal implement within the bore.

An improved modular rotational device includes a first and second threaded coupler for affixation along the stem of an endoprosthetic device, for example, a humeral prosthesis or a femoral prosthesis. The rotational device axis of rotation is coaxial with the stem, and its axis of rotation is located in close proximity to the intramedullary stem of the prosthesis or in close proximity to the distal articulation of the prosthesis. A housing has a proximal and distal end with an axial bore therethrough for receiving an elongated stem of the device. A lobe ring may be utilized to limit the axis of rotation of the device. Additional endoprosthetic devices may be attached to male or female threaded couplers, or to Morse tapers. A plurality of suture attachments facilitates attachment of soft tissue thereto.

The improved endoprosthetic device surface treatment encourages soft tissue attachment thereto. A porous mesh surface treatment creates on an outer surface of the endoprosthetic device a three-dimensional surface structure similar to cancellous bone. Suture attachment features are provided at various locations around the treated surface structure to initially affix a vascularized soft tissue to the treated surface. As the patient heals the soft tissue grows and infiltrates the porous mesh surface to achieve an attachment strength substantially equal to the surrounding tissue.

A trial neck for hip surgery and a method of attaching a trial neck to a femoral canal implement. The trial neck includes a body portion including a bore for receiving a proximal end of a femoral canal implement. The trial neck also includes an elongate neck extending from the body portion. The trial neck further includes a locking mechanism comprising a lever. The lever has a first end. The lever also has a second end. The lever further has an engagement surface. The second end of the lever is actuable to urge the engagement surface against the proximal end of the femoral canal implement to secure the proximal end of the femoral canal implement within the bore.