Kits and methods for use in intraoperative trialling of hip prostheses to determine an appropriate length for the femoral neck component of a prosthetic hip joint, are described. A kit for use in selecting a femoral neck component of an orthopaedic joint prosthesis kit comprises a first and a second broach. Each of the first and second broaches has a neck connection element comprising a projection extending from a proximal surface of the broach, each projection having a length. The projection on the first broach has a different length than the projection on the second broach. The kit also includes a trial femoral neck component having a neck connection element in the form of a recess in a distal surface. The recess is configured to mate with the projection on each of the first or second broaches such that mating of the trial femoral neck component with the first broach provides an assembly with a first neck length, and the mating of the trial femoral neck component with the second broach provides an assembly with a second neck length.

A spacer comprised of individual components as joint replacement in the arthroplasty of shoulder, knee, and hip for the temporary surgical care of infections in the joint. The problems addressed by the invention are those of avoiding an adhesion of the bone to the spacer and a release of wear products, achieving that the patient does substantially not experience any mobility restriction, and keeping the wear and tear of the spacer as little as possible. These problems are solved in that at least one component of the spacer is made of a ceramic material, of a plurality of ceramic materials, or of a non-ceramic material having a ceramic coating.

This invention revolves around medical devices, especially the non-metal ball-headed hip joint prosthesis, including acetabular cup, non-metal femoral head and femoral stem prostheses. In this invention, the acetabular cup is combined with the lining as a metal cup, and the traditional metal or ceramic ball head is replaced by non-metal femoral head prosthesis with metal inner core.

There is provided an acetabular cup liner for a total hip replacement (THR) prosthesis comprising an inner surface with a hemispherical portion having a radius of curvature. The hemispherical portion is disposed about a centerline and it intersects a hemisphere plane perpendicular to the centerline so that the intersection of the hemispherical portion and the plane define a circle having a radius equal to the radius of curvature. The liner further comprises a capture portion continuous with the hemispherical portion that has the same radius of curvature as the hemispherical portion and connects with the hemispherical portion at the hemispherical plane along a first arc of the circle on the plane, and extends a first distance out of the plane. The liner further comprises an insertion portion continuous with the hemispherical portion. The insertion region is connected with the hemispherical portion along a second arc of the circle on the plane. The distance from the centerline to the insertion portion is greater than the radius. The cup liner constrains the femoral ball portion of the THR prosthesis. The femoral ball portion is engaged with the liner by orienting the ball at an angle so that the shoulder portion of the ball aligns with the insertion portion, pressing the ball into the liner, and orienting the ball away from the angle.

A prosthetic implant is disclosed comprising: a first component comprising a first inner surface and a first outer surface, a second component comprising a second outer surface adapted to contact and engage with the first inner surface, the second component further comprising a second inner surface, a third component comprising a third outer surface adapted to contact and engage with the second inner surface, the third component further comprising a third inner surface, and a fourth component comprising a fourth outer surface adapted to contact and engage with the third inner surface; wherein the second component is rotatable relative to the first component about a first axis, the third component is rotatable relative to the second component about a second axis perpendicular to the first axis, and the fourth component is rotatable relative to the third component about a third axis perpendicular to the first axis and second axis; the first inner surface and the second outer surface are each formed with a first partial cylindrical shape, the first inner surface and the second outer surface each comprise a flat surface normal to the first axis and are engageable with one another such that the second component is rotatable relative to the first component about the first axis only, the second inner surface and the third outer surface are each formed with a second partial cylindrical shape, the second inner surface and the third outer surface each comprise a flat surface normal to the second axis and are engageable with one another such that the third component is rotatable relative to the second component about the second axis only, and the third inner surface and the fourth outer surface are each formed with a third partial cylindrical shape, the third inner surface and the fourth outer surface each comprise a flat surface normal to the third axis and are engageable with one another such that the fourth component is rotatable relative to the third component about the third axis only.

Kits and methods for use in intraoperative trailing of hip prostheses to determine an appropriate length for the femoral neck component of a prosthetic hip joint, are described. A kit for use in selecting a femoral neck component of an orthopaedic joint prosthesis kit comprises a first (10) and a second (110) broach. Each of the first and second broaches has a neck connection element comprising a projection (12, 112) extending from a proximal surface (14, 114) of the broach, each projection having a length (L). The projection on the first broach has a different length than the projection on the second broach. The kit also includes a trial femoral neck (30) component having a neck connection element in the form of a recess (36) in a distal surface (34). The recess is configured to mate with the projection on each of the first or second broaches such that mating of the trial femoral neck component with the first broach provides an assembly with a first neck length, and the mating of the trial femoral neck component with the second broach provides an assembly with a second neck length.

A connection arrangement (4, 4′) of two components (1, 2) according to the invention has a curved surface portion having a contact point on at least one of these components. The curved surface portion can extend over the entire surface of a groove, for example. The other component has a taper. When assembling the two components before a force is applied, a line connection is created from the 2-contact point connection and when force is applied, the line connection changes through plastic deformation into a strip connection, on the basis of which the two components (1, 2) hold together.

A hip/shoulder prosthesis includes: a head component; a metaphyseal component; a diaphyseal nail, and a locking device. The head component includes: a front face and rear face; with a bore, and first and second shaped recesses in the rear face. The metaphyseal component includes: a central transverse aperture at an angle to the metaphyseal component's axis; a first end configured for threaded engagement within the bore of the head component; and a longitudinal hole that begins at the second end, transects the transverse aperture and reaches the first end, to receive the locking device. The diaphyseal nail is inserted in the femoral or humeral canal, and includes: fastening apertures that receive corresponding screws for fastening the diaphyseal nail to the femur or humerus; a portion configured to he received within, and engage, the transverse aperture of the metaphyseal component, and a transverse hole configured to receive the locking device.

A hip/shoulder prosthesis includes: a head component; a metaphyseal component; a diaphyseal nail, and a locking device. The head component includes: a front face and rear face; with a bore, and first and second shaped recesses in the rear face. The metaphyseal component includes: a central transverse aperture at an angle to the metaphyseal component's axis; a first end configured for threaded engagement within the bore of the head component; and a longitudinal hole that begins at the second end, transects the transverse aperture and reaches the first end, to receive the locking device. The diaphyseal nail is inserted in the femoral or humeral canal, and includes: fastening apertures that receive corresponding screws for fastening the diaphyseal nail to the femur or humerus; a portion configured to be received within, and engage, the transverse aperture of the metaphyseal component, and a transverse hole configured to receive the locking device.

There is provided an acetabular cup liner for a total hip replacement (THR) prosthesis comprising an inner surface with a hemispherical portion having a radius of curvature. The hemispherical portion is disposed about a centerline and it intersects a hemisphere plane perpendicular to the centerline so that the intersection of the hemispherical portion and the plane define a circle having a radius equal to the radius of curvature. The liner further comprises a capture portion continuous with the hemispherical portion that has the same radius of curvature as the hemispherical portion and connects with the hemispherical portion at the hemispherical plane along a first arc of the circle on the plane, and extends a first distance out of the plane. The liner further comprises an insertion portion continuous with the hemispherical portion. The insertion region is connected with the hemispherical portion along a second arc of the circle on the plane. The distance from the centerline to the insertion portion is greater than the radius. The cup liner constrains the femoral ball portion of the THR prosthesis. The femoral ball portion is engaged with the liner by orienting the ball at an angle so that the shoulder portion of the ball aligns with the insertion portion, pressing the ball into the liner, and orienting the ball away from the angle.