An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

A prosthetic hip joint implant comprises an acetabular liner having an acetabular liner inner surface and defining an acetabular recess, and a femoral component comprising a head having a head outer surface and defining a head recess, a shaft having a shaft proximal end and a shaft distal end disposed within the head recess, and a covering disposed on and fixedly secured to the head outer surface, the shaft distal end, head, and covering disposed within the acetabular liner recess such that the covering is in continuous contact with the acetabular liner inner surface. Polyaxial movement of the shaft distal end produces movement of the covering along the acetabular liner inner surface within the acetabular liner recess without producing relative movement between the covering and the head.

A femoral head prosthesis is a multilayer composite having a metal neck stem component thread or press fit into a hollow rigid shell of metal or ceramic, a polymeric core filling the interior volume under the hollow rigid shell and around a forward part of the neck stem, and a smooth, void-free polymeric articulation layer of at most 12 mm over the exterior of the shell. The prosthesis is formed by a polymeric molding process wherein polymerizing resin or heated thermoplastic material is flowed in a mold through a set of holes through the hollow shell into the interior volume and around the shell's exterior. Once the resin has cured or the thermoplastic cooled, the stem, core, shell and articulation layer collectively form an integral prosthesis of a desired head diameter matching a patient's anatomy.

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 joint implant component (1, 1′; 101; 201) for administering a pharmaceutical product is disclosed, which comprises an implant shaft (10, 10′; 110; 210), a joint section (20, 20′; 120; 220) arranged at the proximal end of the implant shaft, a flush supply opening (3, 3′; 103; 203) and a backflush opening (4, 4′; 104; 204). At least one shaft flush channel (11, 11′; 111; 211) and one shaft backflush channel (12, 12′; 112; 212) extend along the implant shaft inside the implant shaft. The shaft flush channel is connected to the outside of the implant shaft via shaft flush holes (13, 13′; 112; 113) for discharging the pharmaceutical product, and the shaft backflush channel is connected to the outside of the implant shaft via at least one shaft backflush hole (14, 14′; 114; 214) for receiving the discharged pharmaceutical product. The flush supply opening is fluidically connected to the proximal end of the shaft flush channel and the backflush opening is fluidically connected to the proximal end of the shaft backflush channel. Also disclosed is a joint implant comprising two such joint implant components which are connected to one another by means of joint surface parts (30, 40; 230) and are pivotable relative to one another.

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.

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.

A femoral hip joint spacer. The spacer has a prosthesis body with a ball head, a neck, a stem and an anchoring sleeve which encloses the stem on a proximal side of the stem with a circumferential fastening area, irrigation liquid inlet and outlet openings in the body surface, at least one irrigation liquid discharge opening on a distal side of the stem and at least one irrigation liquid intake opening on the ball head or on the neck. The discharge opening is connected in a liquid-permeable manner to the inlet opening but not to the outlet opening and the intake opening is connected inside the prosthesis body in a liquid-permeable manner to the outlet opening but not to the inlet opening. A cavity open on two sides is formed inside the anchoring sleeve and connects a proximal side to a distal side of the sleeve in a liquid-permeable manner.

A femoral hip joint spacer including a prosthesis body having a ball head with a sliding surface, a neck, a collar and a stem. A fastening area is arranged on the stem. The femoral hip joint spacer further has a first connector for feeding a medical irrigation liquid into the body, a second connector for draining the irrigation liquid from the body, and an irrigation liquid inlet opening. The first connector is connected in a liquid-conveying manner to the irrigation liquid inlet opening and an irrigation liquid outlet opening. The second connector is connected in a liquid-conveying manner to the irrigation liquid outlet opening, an irrigation liquid discharge opening and an irrigation liquid intake opening. The irrigation liquid discharge opening is connected inside the body to the irrigation liquid inlet opening and the irrigation liquid intake opening is connected inside the body to the irrigation liquid outlet opening.