Modular endoprosthesis for at least partial replacement of a tubular bone, comprising, as module components, a stem for insertion into a bone cavity of the tubular bone, and an end piece comprising a support body with a neck part arranged on the medial aspect thereof. Said module components being able to be coupled to each other and released from each other along a longitudinal axis of the shaft. The end piece has at least two different surface configurations on its support body, namely a closed surface (6′) on a medial aspect, and a porous configuration of the surface on the opposite, lateral aspect. The latter permits and positions the adhesion of muscle tissue, specifically without suturing. The muscle trauma caused by suturing, and the peak loads that occur at the respective suture points, can thus be avoided by virtue of the invention, by means of the location-specific direct adhesion of the muscle. It is thus possible to achieve quicker and reliable mobilization of the patient, and this with a reduced risk of complications.

The invention relates to an endoprosthesis shaft system for elongate bones, comprising an anchoring part (10) and a shaft (1), which is formed from module elements that can be coupled by means of a plug-in connection (45), wherein a mutual rotation of the elements along the shaft (1) is adjustable and is blocked by means of an anti-rotation mechanism. In order to adjust the rotation, a rotation piece (5) is provided as a further module element, which has a self-contained rotation adjustment device (6) and a clamping device (7) as a mechanism for blocking the rotation. The rotation piece (5) comprises two end faces for the plug-in connection (45) and a sleeve (77). 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.

A hip prosthesis device including a femoral stem, the femoral stem including an elongate stem sleeve having a blind hole extending in a longitudinal direction and a hole opening at an upper frontal end of the stem sleeve; a stem core having an elongate stem shaft inserted in the blind hole and slidable in the longitudinal direction, a neck having a lower neck portion and an upper neck portion, a lower end of a lower neck portion attached to an upper end of the stem shaft, the upper neck portion attachable to a femoral head; a shock absorber mechanism operatively provided between the stem shaft and the stem sleeve to act against a downwardly directed longitudinal sliding motion of the stem shaft relative to the stem sleeve; and a closure cap positioned to close the hole opening with a through hole which the neck extends with its lower neck portion.

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected by pressing the two device parts against each other and by applying ultrasonic vibration to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other.

The invention relates to a connecting sleeve for anchoring shafts of two oppositely arranged prostheses, preferably on an elongate bone such as a femur or humerus. The reinforcing sleeve comprises two receiving bushes (1, 2) for one prosthesis shaft each and comprises a separable coupling region (3) arranged therebetween for connection in such a manner as to resist shear forces and rotation. According to the invention, each receiving bush (1, 2) has, on the side thereof facing the coupling region, one fork (31, 32) of a pair of forks that interact with each other, and a fitting block (4) is arranged on a base of the fork, the lateral surfaces (44) of which fitting block have a distance that corresponds to an inner width of the fork, and the lateral surfaces (44) are designed to contact flanks of the fork in a planar manner, at least one fastening screw (5) being arranged transversely through the fork. The fork connection is simpler to produce than the known wedge connection and yet is sufficiently robust. Unlike in the case of the wedge connection, an exact fit is not required; a clearance fit between the fork (31, 32) and the fitting block (4) is sufficient in principle, excessive play being eliminated by means of the fastening screw (5).

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.

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.

The invention relates to a connecting sleeve for anchoring shafts of two oppositely arranged prostheses, preferably on an elongate bone such as a femur or humerus. The reinforcing sleeve comprises two receiving bushes for one prosthesis shaft each and comprises a separable coupling region arranged therebetween for connection in such a manner as to resist shear forces and rotation. According to the invention, each receiving bush has, on the side thereof facing the coupling region, one fork of a pair of forks that interact with each other, and a fitting block is arranged on a base of the fork, the lateral surfaces of which fitting block have a distance that corresponds to an inner width of the fork, and the lateral surfaces are designed to contact flanks of the fork in a planar manner, at least one fastening screw being arranged transversely through the fork. The fork connection is simpler to produce than the known wedge connection and yet is sufficiently robust. Unlike in the case of the wedge connection, an exact fit is not required; a clearance fit between the fork and the fitting block is sufficient in principle, excessive play being eliminated by means of the fastening screw.

The invention relates to a modular interim joint prosthesis that can be inserted into a long bone, for replacing an explanted joint endoprosthesis, wherein the interim joint prosthesis has a main body having a main-body coupling segment and has a shaft having a shaft coupling segment and the shaft coupling segment can be detachably coupled to the main-body coupling segment.

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected by pressing the two device parts against each other and by applying ultrasonic vibration to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other.