US20070225821A1 - Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction - Google Patents

Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction Download PDF

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Publication number
US20070225821A1
US20070225821A1 US11/689,470 US68947007A US2007225821A1 US 20070225821 A1 US20070225821 A1 US 20070225821A1 US 68947007 A US68947007 A US 68947007A US 2007225821 A1 US2007225821 A1 US 2007225821A1
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Prior art keywords
stem
bone
joint
proximal
approximately
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US11/689,470
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Inventor
Leo Reubelt
Peter Verrillo
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Tornier Inc
Nexa Orthopedics Inc
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Axiom Orthopaedics Inc
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Priority to US11/689,470 priority Critical patent/US20070225821A1/en
Assigned to AXIOM ORTHOPAEDICS reassignment AXIOM ORTHOPAEDICS ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: REUBELT, LEO M., VERRILLO, PETER L.
Publication of US20070225821A1 publication Critical patent/US20070225821A1/en
Assigned to NEXA ORTHOPEDICS, INC. reassignment NEXA ORTHOPEDICS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: AXIOM ORTHOPAEDICS, INC.
Assigned to TORNIER, INC. reassignment TORNIER, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: NEXA ORTHOPEDICS, INC.
Assigned to BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT reassignment BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT PATENT SECURITY AGREEMENT Assignors: TORNIER, INC.
Assigned to TORNIER, INC. reassignment TORNIER, INC. TERMINATION AND RELEASE OF SECURITY INTEREST IN PATENTS Assignors: BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
Priority to US15/250,606 priority patent/US10898336B2/en
Assigned to MIDCAP FINANCIAL TRUST, AS AGENT reassignment MIDCAP FINANCIAL TRUST, AS AGENT SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: TORNIER, INC.
Priority to US17/149,527 priority patent/US20210128310A1/en
Abandoned legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0062—Kits of prosthetic parts to be assembled in various combinations for forming different prostheses

Definitions

  • the present inventions relates generally to orthopedic implants, and more specifically, to a reconstructive joint replacement implant and a method of positioning and fitting such an implant.
  • a joint is generally a movable junction between two or more bones.
  • joint is a broad term that is meant to include the different kinds of ligaments, tendons, cartilages, bursae, synovial membranes and bones comprising the mobile skeletal system of a subject in various quantities and configurations.
  • the hip joint is a ball and socket joint comprising the “ball” at the head of the thigh bone (femur) with a cup-shaped “socket” (acetabulum) in the pelvic bone.
  • the ball normally is held in the socket by powerful ligaments that form a complete sleeve around the joint (i.e., the joint capsule).
  • the joint capsule has a delicate lining (the synovium).
  • Cartilage which covers the head of the femur and lines the socket, cushions the joint, and allows the bones to move on each other with very little friction.
  • the spherical head of the thighbone (femur) moves inside the acetabulum of the pelvis. Normally, all of these components replace the worn-out hip socket.
  • the shoulder is the body's most mobile joint, in that it can turn in many directions.
  • the shoulder is a ball-and-socket joint that is made up of three bones: the upper arm bone (humerus), shoulder blade (scapula) and collarbone (clavicle).
  • the acromioiclavicular (AC) joint joins one end of the collarbone with the shoulder blade; it is located between the acromion (the part of the scapula that forms the highest point of the shoulder) and the clavicle.
  • the other end of the collarbone is joined with the breastbone (sternum) by the sternoclavicular joint.
  • the glenohumeral joint commonly called the shoulder joint, is a ball-and-socket type joint that helps move the shoulder forward and backward and allows the arm to rotate in a circular fashion or hinge out and up away from the body.
  • the ball of glenohurneral joint is the top, rounded portion of the humerus;
  • the socket, or glenoid is a dish-shaped part of the outer edge of the scapula into which the ball fits.
  • the socket of the glenoid is surrounded by a soft-tissue ring of fibrocartilage (the glenoid labrum) that runs around the cavity of the scapula (glenoid cavity) in which the head of the humerus fits.
  • the labrum deepens the glenoid cavity and effectively increases the surface of the shoulder joint, which helps stabilize the joint.
  • the bones of the shoulder are held in place by muscles, tendons (tough cords of tissue that attach the shoulder muscles to bone and assist the muscles in moving the shoulder) and ligaments (bands of fibrous tissue that connects bone to bone or cartilage to bone, supporting or strengthening a joint).
  • a smooth, durable surface (the articular cartilage) on the head of the arm bone, and a thin lining (synovium) allows smooth motion of the shoulder joint.
  • the joint capsule a thin sheet of fibers that encircles the shoulder joint, allows a wide range of motion yet provides stability of the joint.
  • the capsule is lined by a thin, smooth synovial membrane.
  • the front of the joint capsule is anchored by three geneohumeral ligaments.
  • the rotator cuff a structure composed of tendons and associated muscles that holds the ball at the top of the humerus in the glenoid socket, covers the shoulder joint and joint capsule.
  • the rotator cuff provides mobility and strength to the shoulder joint.
  • a sac-like membrane (bursa) between the rotator cuff and the shoulder blade cushions and helps lubricate the motion between these two structures.
  • the shoulder is an unstable joint easily subject to injury because of its range of motion, and because the ball of the humerus is larger than the glenoid that holds it. To remain stable, the shoulder must be anchored by its muscles, tendons and ligaments. Some shoulder problems arise from the disruption of these soft tissues due to injury or overuse, or underuse of the shoulder. Other problems can arise from degenerative processes.
  • instability of the shoulder joint can refer to situations that occur when one of the shoulder joints moves or is forced out of its normal position.
  • the two basic forms of shoulder instability are subluxations and dislocations.
  • a partial or incomplete dislocation of the shoulder joint (subluxation) means the head of the humerus is partially out of the socket (glenoid).
  • a complete dislocation of the shoulder joint means that the head of the humerus is completely out of the socket.
  • Anterior instability for example, can refer to a type of shoulder dislocation where the shoulder slips forward, meaning that the humerus moved forward and down out of its joint.
  • Anterior instability may occur when the arm is placed in a throwing position. Both partial and complete dislocation cause pain and unsteadiness in the shoulder joint. Patients with repeat dislocation usually require surgery.
  • Bursitis or tendonitis can occur with overuse from repetitive activities, which cause rubbing or squeezing (impingment) of the rotator cuff under the acromion and in the acromioclavicular joint.
  • Partial thickness rotator cuff tears most often the result of heavy lifting or falls, can be associated with chronic inflammation and the development of spurs on the underside of the acromion or the AC joint.
  • Full thickness rotator cuff tears most often are the result of impingement.
  • Osteoarthritis and rheumatoid arthritis can cause destruction of the shoulder joint and surrounding tissue and degeneration and tearing of the capsule or rotator cuff.
  • the articular surface of the joint wears thin.
  • Rheumatoid arthritis is associated with chronic inflammation of the synovium lining, which can produce substances that eventually destroy the inner lining of the joint, including the articular surface.
  • humeral stems are implanted using a fairly common procedure. First the head is resected and the humeral canal is reamed to a best fit diameter. The humerus is then broached or reamed, using the canal as a guide, to accept the proximal body.
  • This method poses several basic problems. First, because the distal stem is meant to be a tight fit with respect to the reamed cavity, it dictates the position of the stem and therefore, the position of the head. Since the size, location, and orientation of the head with respect to the humeral canal vary greatly from person to person, a single stem geometry per size cannot accommodate natural head placement or proximal body shape.
  • proximal body position and orientation are governed by the distal canal, the proximal body must be made small enough to fit the smallest possible envelope within the proximal humerus. This excessively small proximal body causes poor proximal fixation and leads to over-reliance on distal fixation. Over time, when too much emphasis is placed on distal fixation, the strength of the proximal bone begins to deteriorate. This, in turn leads to stem loosening and potentially fracture. While some companies have tried to improve upon this model by offering different neck angles, they typically use the same proximal body geometry and simply vary the resection angle. While this may improve head center placement, it offers little to accommodate varying shapes of the proximal body.
  • an embodiment of the present inventions is an orthopedic device for joint reconstruction that comprises an implantable stem component comprising a proximal section or proximal body portion.
  • the proximal body of the stem component can be inserted into a central cavity region created in a bone of a joint.
  • the orthopedic device optionally comprises a distal section or distal body portion, wherein the distal section of the implantable stem component is placed at least one distal stem angle with respect to the proximal body component of the implantable stem component of the device.
  • a longitudinal axis of the distal body portion can be oriented at a discrete angle with respect to a neck axis of the proximal body portion.
  • the stem component can taper from the proximal body portion toward the distal body portion to define medial and lateral curved surfaces.
  • the medial and lateral curved surfaces can be configured to mimic the geometric shape of the bone for improving conformance and fixation of the stem component to the central cavity region of the bone.
  • the proximal body of the stem component can be inserted into a central cavity region created in the bone of a joint.
  • the attachment portion can be tapered.
  • the bone can be a humerus.
  • the humerus can comprise a proximal portion having a shape and a distal portion.
  • the medial and lateral curved surfaces can conforms to the shape of the proximal portion of the implant.
  • the distal section of the stem component can have a cylindrical, elliptical, tapered, or irregular shape.
  • the distal body portion of the stem component can further comprise at least one feature selected from the group consisting of: a groove, a slot, a cutout, and a protrusion.
  • the joint is a hip joint.
  • the joint is a shoulder joint.
  • the bone is a humerus.
  • the humerus comprises a proximal portion having a shape and a distal portion.
  • the proximal body shape of the device conforms to the shape of the proximal portion of the humerus.
  • the bone is a femur.
  • the distal section of the stem component of the device has a tapered shape.
  • the distal section of the stem component of the device has a cylindrical, elliptical, tapered, or irregular shape.
  • the distal section of the stem component of the device further comprises at least one feature selected from the group consisting of a groove, a slot, a cutout, and a protrusion.
  • the distal section of the stem component of the device further comprises a ball.
  • a system of orthopedic devices for joint reconstruction surgery can comprise a plurality of stem components, wherein each stem component comprising a distal body portion and a proximal body portion.
  • the stem component can be sized and configured to be implanted to within a cavity of a bone.
  • the distal body portion can define a longitudinal axis
  • the proximal body portion can define a neck axis and a head center.
  • the proximal body portion can comprise a resection surface.
  • the head center can be spaced from the longitudinal axis at a medial offset, and the resection surface can be oriented at an inclination angle with respect to the longitudinal axis.
  • each stem component of the system can be configured with a different medial offset when compared to other of the stem components of the system.
  • the system can thus provide a variety of potential matching geometries for a surgeon when performing the joint reconstruction surgery.
  • the proximal body of a given stem component can be insertable into a central cavity region created in a bone of the joint.
  • each stem component of the system can have the same inclination angle. Further, the inclination angle of each stem component can vary as a function of the medial offset of the respective stem component. In some embodiments, the system can be configured such that each of the stem components of the system has a medial offset of between approximately 4 mm and approximately 15 mm. In addition, in other embodiments, the medial offset can be varied while the inclination angle is constant.
  • the system can include, for example, at least three stem components. Accordingly, a first stem component can have a medial offset of approximately 12 mm, a second stem component can have a medial offset of approximately 8 mm, and a third stem component can have a medial offset of approximately 5 mm. Additionally, the first stem component can have an inclination angle of approximately 44 degrees, the second stem component can have an inclination angle of approximately 49 degrees, and the third stem component can have an inclination angle of approximately 54 degrees. The inclination angle can be between approximately 30 degrees and approximately 55 degrees.
  • an orthopedic reconstructive joint replacement stem implant is also provided in accordance with another embodiment.
  • the method can comprise: resecting a head of a bone of a joint; using a single instrument to successively broach and ream a central cavity region in the bone of the joint; and inserting a proximal body portion of the stem implant into the central cavity region of the bone of the joint.
  • embodiments disclosed herein can facilitate the insertion of the proximal body portion into the central cavity region of the bone of the joint can be performed without damaging the supraspinatus.
  • the method can further comprise the step of resecting a neck of the bone of the joint.
  • the bone can be, for example, a femur or a humerus.
  • the joint can be, for example, a hip joint or a shoulder joint.
  • Another embodiment of the method can further comprise the step of selecting a stem implant in response to a geometric shape of the central cavity region of the bone.
  • the stem implant can taper from the proximal body portion toward a distal body portion to define medial and lateral curved surfaces.
  • the method can be implemented such that the medial and lateral curved surfaces can be configured to mimic the geometric shape of the central cavity region of the bone for improving conformance and fixation of the stem implant to the central cavity region of the bone.
  • an instrument for creating a central cavity region in a bone of a joint.
  • the instrument comprises a broaching section, a reaming section, and a handle.
  • the reaming section can be disposed at a distal end of the instrument.
  • the reaming section can be sized and configured to facilitate reaming of the bone.
  • the broaching section can be disposed axially adjacent to the reaming section and can be sized and configured to facilitate broaching of the central cavity region of the bone successive to the reaming of the bone by the reaming section.
  • the handle can be disposed at a proximal end of the instrument and being coupled to the broaching and reaming sections for facilitating driving of the broaching and reaming sections.
  • FIG. 1 is a side cross-sectional view of a prior art implant with a distal stem inserted into a humeral canal.
  • FIG. 2 is top view schematic illustration of a prior art eccentric head, which is used to adjust medial and posterior offset.
  • FIG. 3 is a cross-sectional side cross-sectional view of a prior art implant.
  • FIG. 4 is a side view of a humeral bone and implant illustrating stem fracture.
  • FIG. 5A is a side view of a prior art implant illustrating a unique head orientation of a proximal portion thereof.
  • FIG. 5B is a side view of another prior art implant illustrating a unique head orientation of a proximal portion thereof.
  • FIG. 6A is a side view of an embodiment of a humeral stem having certain features and advantages according to the present inventions.
  • FIG. 6B is a side view of another embodiment of a humeral stem having certain features and advantages.
  • FIG. 7 is a side view of a humeral stem positioned within a proximal humerus, according to another embodiment.
  • FIG. 8 is a schematic illustration of a proximal end of a broach, according to an embodiment.
  • FIG. 9A illustrates a humeral stem, according to another embodiment.
  • FIG. 9B illustrates a femoral stem, according to another embodiment.
  • FIG. 10A is a side view of an embodiment of the stem wherein a proximal body portion thereof is oriented at an inclination angle with respect to a distal body portion thereof.
  • FIG. 10B is a side view of another embodiment of the stem wherein the proximal body portion is oriented at another inclination angle with respect to the distal body portion.
  • FIG. 10C is a side view of yet another embodiment of the stem wherein the proximal body portion is oriented at yet another inclination angle with respect to the distal body portion.
  • FIG. 10D is a side view of yet another embodiment of the stem wherein the proximal body portion is oriented at yet another inclination angle with respect to the distal body portion.
  • FIG. 11A is a side view of an implant of a system of implants wherein an inclination angle of the implant changes relative to a medial offset thereof, according to an embodiment.
  • FIG. 11B is a side view of another implant of the system, according to another embodiment.
  • FIG. 11C is a side view of yet another implant of the system, according to yet another embodiment.
  • FIG. 12 shows how the broach can be inserted into the humerus.
  • FIG. 13 shows the broach when it is fully inserted to the correct size marking.
  • FIG. 14 shows a stem with a shortened distal region.
  • FIG. 15 shows how a reamer is inserted into a broached humeral cavity.
  • FIG. 16 shows how the broach is guided by the conforming proximal humerus.
  • FIG. 17 shows an instrument that combines a broach and a reamer.
  • a stem is a broad term that is used to designate a device that is implanted into the bone for the purpose of supporting a functional component of a joint replacement and resisting the loads applied to the functional component.
  • a stem can be a device implanted into a humerus or femur to support a modular prosthetic humeral or femoral head (i.e. the supported structure).
  • the supported structure can be an integral part of the stem, as with a monolithic stem and head.
  • Femoral and humeral stems typically include distal and proximal sections as well as a taper or other coupling device to which the functional component is attached.
  • femoral stems typically include a neck section that extends the distance between the proximal section and the head.
  • the neck is not embedded in the bone, but sits proud.
  • neck can refer to the portion of a femoral stem that does not reside within the femur bone, and extends the distance between the proximal body and the head.
  • proximal body can refer to the portion of the humeral or femoral stem that resides within the bone and is nearer to the head (more proximal).
  • the proximal limit of the proximal body is typically denoted by the resection plane or coupling device.
  • the distal limit of the proximal body is typically denoted by a transition from a substantially diverging shape to a slightly diverging or substantially elongated shape. These shapes are intended to somewhat mimic the shapes of the bone in their corresponding locations.
  • distal region can refer to the portion of the humeral or femoral stem that resides in the bone and is farther from the head.
  • the proximal limit of the distal region is typically denoted by a transition from a slightly diverging or substantially elongated shape, to a substantially diverging shape. These shapes are intended to somewhat mimic the shapes of the bone in their corresponding locations.
  • distal stem angle can refer to the angle between the best fit central axis of the distal region of the stem and the resection plane.
  • the term “cavity” can refer to the entire prepared hole in which the stem will be implanted.
  • central a proximal location is implied because the distal humerus and femur are very elongated distally and consequently dictate central placement.
  • the term “bone canal” can refer to the portion of the humerus or femur that is substantially elongated and accepts the distal region of the stem.
  • the proximal limit of the distal region is typically denoted by a transition from a slightly diverging or substantially elongated shape, to a substantially diverging shape.
  • the term “broach” can refer to a bonecutting tool comprising a series of progressively taller points mounted on a single piece of metal, typically used to enlarge a circular hole into a larger noncircular shape such as a square or other desired shape.
  • the amount of material removed by each broach tooth (or chisel) varies with the material being cut.
  • a broach also may also be designed to be pushed or pulled through an existing hole.
  • the term “broaching” as used herein, can refer to this bone-removal process.
  • the term “reaming” can refer to a process whereby a hole is enlarged to an accurate size. Although generally reaming must be preceded by a drilling or boring operation, that is not true in embodiments disclosed herein, for example, where the starting material is a hole or other shape that is being cleaned up. Reaming can also be performed on surfaces such as a sphere or other concave or convex surfaces as it is when a glenoid is reamed with a spherical reamer.
  • the term “resect,” “resecting,” or “resection” as used herein can refer to a process whereby a portion of a structure is cut off or cut out.
  • subject as used herein includes animals of mammalian origin, including humans.
  • the head end is referred to as the cranial end
  • the tail end is referred to as the caudal end.
  • rostral can refer to the direction toward the end of the nose
  • caudal is used to refer to the tail direction.
  • proximal On the limbs or other appendages, a point closer to the joint contact is “proximal”; a point farther away is “distal.” This principle shall be followed in relation to embodiments of the apparatuses disclosed herein; a point closer to the main body of the apparatus shall be referred to as “proximal;” a point farther away shall be referred to as “distal.”
  • a “sagittal” plane divides the body into left and right portions.
  • the “midsagittal” plane is in the midline, i.e. it would pass through midline structures such as the spine, and all other sagittal planes are parallel to it.
  • a “coronal” plane divides the body into dorsal and ventral portions.
  • a “transverse” plane divides the body into cranial and caudal portions.
  • a transverse, axial, or horizontal plane is an X-Y plane, parallel to the ground, which separates the superior/head from the inferior/feet.
  • a corona] or frontal plane is an Y-Z plane, perpendicular to the ground, which separates the anterior from the posterior.
  • a sagittal plane is an X-Z plane, perpendicular to the ground and to the corona] plane, which separates left from right.
  • the midsagittal plane is the specific sagittal plane that is exactly in the middle of the body.
  • Structures near the midline are called medial and those near the sides of animals are called lateral. Therefore, medial structures are closer to the midsagittal plane, lateral structures are further from the midsagittal plane. Structures in the midline of the body are median. For example, the tip of a human subject's nose is in the median line.
  • Ipsilateral means on the same side, contralateral means on the other side and bilateral means on both sides. Structures that are close to the center of the body are proximal or central, while ones more distant are distal or peripheral. For example, the hands are at the distal end of the arms, while the shoulders are at the proximal ends.
  • a symmetric subject is assumed when the terms “medial,” “lateral,” “inferior,” “superior,” “anterior,” and “posterior,” are used to refer to an implant.
  • Embodiments disclosed herein relate to a method that can improve the positioning and fit of orthopedic reconstructive joint replacement implants.
  • One of the goals in performing an orthopedic reconstructive joint replacement is to place a stem implant centrally within the bone and to provide good proximal fill. This not only more evenly loads the bone, but also eliminates the need for head position adjustment.
  • specific explanations will refer to either the shoulder (humerus) or the hip (femur), the methods disclosed herein are mutually exclusive and can be used alone or in combination as a general method for reconstructing joints.
  • FIG. 1 a prior art stem implant 10 that is implanted into a humerus bone 12 is shown.
  • a head 14 of the humerus bone 12 is resected in order to accommodate a tool (not shown) used to ream or broach a humeral canal 16 of the bone 12 in preparation for implantation.
  • the humeral canal 16 defines a best fit diameter.
  • the humeral canal 16 of the humerus bone 12 is then used as a guide to accept the stem implant 10 .
  • the stem implant 10 can include distal and proximal body portions 20 , 22 .
  • the distal body portion 22 of the stem implant 10 is inserted into the humeral canal 16 until the distal body portion 22 is tightly fitted into a distal area of the humeral canal 16 .
  • the proximal body portion 20 or head portion of the stem implant 10 is positioned in a proximal area 23 of the humeral canal 16 .
  • the distal body portion 22 is configured to form a tight fit with respect to the reamed humeral canal 16 , the canal 16 dictates the position of the distal body portion 22 and therefore, the position of the proximal body portion 20 of the implant 10 .
  • the proximal body portion 20 of such prior art implants does not fill the proximal area 23 of the humeral canal 16 , and causes detrimental reliance on distal stem geometry and fit, as described below.
  • FIG. 2 since the size, location, and orientation of the head portion 45 with respect to the humeral canal 16 vary greatly from person to person, a single stem geometry per size cannot accommodate natural placement or shape of the head portion 45 .
  • proximal body portion 20 An additional problem in the prior art is that the position and orientation of the proximal body portion 20 are governed by the distal area of the canal 16 , as shown in FIG. 3 . As such, the proximal body portion 20 must be made small enough to fit the smallest possible envelope within the proximal area of the humerus 12 . An excessively small proximal body portion 20 can cause poor proximal fixation of the implant 10 to the humerus 12 and lead to over-reliance on distal fixation of the implant 10 . Over time, when too much emphasis is placed on distal fixation, the strength of the proximal area of the bone 12 begins to deteriorate. This, as shown in FIG. 4 , can lead to loosening of the stem implant 10 and potentially fracture of the implant 10 .
  • implants 50 While some companies have tried to improve upon this model by offering different neck angles, such as with implants 50 having different configurations, as illustratively shown in FIGS. 5 A-B. As illustrated, such implants 50 use the same geometry for the proximal body portion 52 and simply vary a resection angle 54 of the implant 50 . While this may improve placement of the head portion, it offers little to accommodate varying shapes of the proximal body portion 52 .
  • an angle of a distal section of a stem implant can be varied with respect to an entire proximal body instead of changing an angle of a resection cut or a neck. This means that, for different distal angles, the proximal body will move with respect to the humeral canal.
  • the stem implant 100 defines a proximal body 102 and a distal body 104 .
  • the distal body 104 of the implant 100 can be configured at a variety of angular orientations 106 ′, 106 ′′, 106 ′′′ relative to the proximal body 102 .
  • the result, as shown in FIG. 6B is that the proximal body 102 of the implant 100 can be configured at a variety of angular orientations 108 ′, 108 ′′, 108 ′′′ relative to the proximal body 102 .
  • a plurality of implants 100 can be provided to a surgeon such that the surgeon can select one of the implants 100 depending on the configuration required for the implant procedure.
  • the surgeon can be provided with a kit that comprises a variety of implants 100 with a variety of angular orientations 108 ′, 108 ′′, 108 ′′′ relative to the proximal body 102 .
  • FIG. 7 illustrates that the stem 100 can be selected based on the shape and sizing of the proximal body 102 and the angle of the humeral canal, which is accommodated with one of the implants 100 that provides the best fitting distal angle from a selection of multiple angles.
  • the proximal body 102 need not be fitted at a single orientation into the humerus bone 110 , the proximal body 102 can be larger and more conforming with a cortical portion 112 of the humerus bone 110 , thus providing better proximal fixation and bone loading.
  • the proximal body 102 is more conforming to the shape a cavity 118 of the humerus 110 , and the stem 100 will tend to center itself during insertion, accommodating proper placement of the stem 100 and potentially eliminating the need for offset adjustment of a head 120 of the stem 100 .
  • stem sizes of embodiments disclosed herein can be based on a continuous and progressive curvature.
  • a single broach 130 could be used to prepare the cavity 118 of the humerus 110 for multiple sizes, simply by adjusting the depth that the broach 130 is inserted.
  • the prior art implants referred to above currently require a different broach for each size, and in order to determine the proper size for use with a particular patient, one must experiment with multiple broaches, which can make it difficult to determine whether the next size is too large.
  • an embodiment disclosed herein provides for a broach 130 having a progressive curvature.
  • the broach 130 can be used to prepare the cavity 118 of the bone 110 for implants 100 of any size.
  • the broach 130 can be configured to include a depth indicator 132 , which can comprise a plurality of markings 134 .
  • a depth indicator 132 can comprise a plurality of markings 134 .
  • FIG. 9A illustrates an embodiment of a stem implant 150 for use in a shoulder prosthesis.
  • the implant 150 can comprise: a distal section 152 (optional stems without the distal section 152 can be used); a proximal section 154 ; a resection plane or neck 156 ; and a coupling device 158 .
  • various configurations of the implant 150 can also be provided such that a surgeon can use a particularly configured implant 150 that suits the shape of the humeral cavity.
  • Such variations in the implant 150 can be performed by altering the angular orientation of the distal section 152 and the proximal section 154 with respect to each other.
  • the distal section 152 of the implant 150 can define a longitudinal axis 160 and the proximal section 154 of the implant 150 can define a neck axis 162 .
  • various configurations of the implant 150 can be designed with the longitudinal axis 160 of the distal section 152 being placed at a discrete angle 166 with respect to the neck axis 162 of the proximal section 154 .
  • Additional embodiments of the implant 150 can be configured with the longitudinal axis 162 of the distal section 152 being oriented at another discrete angle 168 with respect to the resection plane 156 .
  • the angle 166 can be varied while the angle 168 remains constant, and vice versa.
  • prior art stems vary the angle between the resection plane and the longitudinal axis by simply varying the resection angle.
  • the angle between the resection plane and the longitudinal axis is varied by adjusting the angle between the distal section of the stem and the proximal section such that in certain embodiments the entire proximal section is pivoted about a point.
  • the coupling device 158 can be a tapered shape or other device for attachment of the humeral or femoral head.
  • the term “tapered shape” can refer to a shape that is gradually narrower or thinner toward one end.
  • the shape of the proximal portion 154 of the implant 150 can curve medially to approximate the contours of the natural proximal humerus (as noted and illustrated above with respect to the embodiment shown in FIG. 7 ) and allow self-centered broaching.
  • the hip stem implant 180 can comprise: a distal section 182 (optional stems without the distal section 182 can be used); a proximal section 184 ; a resection plane or neck 186 ; and a coupling device 188 .
  • various configurations of the implant 180 can also be provided such that a surgeon can use a particularly configured implant 180 that suits the shape of the humeral cavity.
  • Such variations in the implant 180 can be performed by altering the angular orientation of the distal section 182 and the proximal section 184 with respect to each other.
  • the distal section 182 of the implant 180 can define a longitudinal axis 190 and the proximal section 184 of the implant 180 can define a neck axis 192 .
  • various configurations of the implant 180 can be designed with the longitudinal axis 190 of the distal section 182 being placed at a discrete angle 196 with respect to the neck axis 192 of the proximal section 184 .
  • Additional embodiments of the implant 180 can be configured with the longitudinal axis 190 of the distal section 182 being oriented at another discrete angle 198 with respect to the resection plane 186 .
  • the angle 196 can be varied while the angle 198 remains constant, and vice versa.
  • the distal section 182 is tapered.
  • the coupling device 188 can be a tapered shape or other device for attachment of the humeral or femoral head.
  • the shape of the proximal portion 184 of the implant 180 can curve medially to approximate the contours of the natural proximal humerus (as noted and illustrated above with respect to the embodiment shown in FIG. 7 ) and allow self-centered broaching.
  • FIGS. 10 A-D illustrate an embodiment of a stem implant 200 comprising proximal and distal body portions 201 , 202 .
  • the proximal body portion 201 can be angularly oriented with respect to the distal body portion 202 at a plurality of angles, thus yielding a plurality of potential configurations of the stem implant, indicated as 200 , 200 ′, 200 ′′, and 200 ′′′.
  • the proximal body portion 201 can define a head center 203 and a resection plane 204 .
  • the head center 203 can lie in the resection plane 204 , and in particular, in a central location of the proximal body portion 201 in the resection plane 204 .
  • the distal body portion 202 can define a longitudinal axis 205 that is oriented at an inclination angle 206 with respect to the resection plane 204 .
  • the head center 203 and the longitudinal axis 205 are spaced apart at a medial offset 207 .
  • the medial offset 207 can be the distance between the head center 203 of the proximal body portion 201 and a closest point along the longitudinal axis 205 . If illustrated graphically, the medial offset 207 would be the length of a line oriented perpendicularly to the longitudinal axis 205 and extending between the head center 203 and the longitudinal axis 205 . Therefore, in accordance with a preferred embodiment, the stem implant 200 can be configured such that the inclination angle 206 remains constant while the medial offset 207 varies.
  • the medial offset 207 can be between approximately 4 mm and approximately 15 mm, and is preferably between approximately 5 mm to approximately 11 mm.
  • a plurality of implants 200 such as four, can be provided, and that the implants can have medial offsets of approximately mm, approximately 7 mm, approximately 9 mm, and approximately 11 mm, respectively. Accordingly, each implant would have a different medial offset, but all of the implants could have the same inclination angle.
  • Other embodiments and combinations can be created by one of skill utilizing these teachings.
  • FIGS. 11 A-C illustrate a system of implants 200 ′, 200 ′′, and 200 ′′′. As similarly described with respect to the embodiment shown in FIG.
  • each of the implants 200 ′, 200 ′′, and 200 ′′′ can include proximal and distal body portions 201 ′, 201 ′′, 201 ′′′ and 202 ′, 202 ′′, 202 ′′′, respectively, as well as medial offsets 207 ′, 207 ′′, 207 ′′′ defined as the distance between head centers 203 ′, 203 ′′, 203 ′′′ of the respective ones of the proximal body portions 201 ′, 201 ′′, 201 ′′′ and longitudinal axes 205 ′, 205 ′′, 205 ′′′ of the respective ones of the distal body portions 202 ′, 202 ′′, 202 ′′′.
  • FIGS. 11 A-C illustrate an embodiment of a system of implants 200 ′, 200 ′′, 200 ′′′ wherein the medial offsets 207 ′, 207 ′′, 207 ′′′ change as a function of inclination angle 206 ′, 206 ′′, 206 ′′′, respectively.
  • the medial offset 207 ′ is approximately 12 mm while the inclination angle 206 ′ is approximately 45 degrees.
  • the medial offset 207 ′′ is approximately 8 mm while the inclination angle 206 ′′ is approximately 41 degrees.
  • FIG. 11A the medial offset 207 ′ is approximately 12 mm while the inclination angle 206 ′ is approximately 45 degrees.
  • the medial offset 207 ′′ is approximately 8 mm while the inclination angle 206 ′′ is approximately 41 degrees.
  • the medial offset 207 ′′′ is approximately 5 mm while the inclination angle 206 ′′′ is approximately 37 degrees. These measurements are those of exemplary embodiments for purposes of illustration only. It is contemplated that the medial offset can be in the range of approximately 4 mm to approximately 15 mm, and that the inclination angle can be in the range of approximately 30 degrees to approximately 55 degrees.
  • FIGS. 12-13 an embodiment of a procedure will be described for preparing a humeral cavity 210 of a humerus bone 212 and implanting the stem into the prepared cavity 210 .
  • an initial or pilot hole 216 may be drilled in the center of the resected head.
  • a broach 220 can then be inserted through a central area of the resection surface 214 , through the pilot hole 216 , and driven into the humerus 212 with a mallet or other impaction device.
  • the broach 220 As the broach 220 is being driven in, it is guided by a proximal area 222 of the humerus bone 212 .
  • the broach 220 can be configured for use with multiple sizes, and a depth indicator 224 , such as graduations, marking, or other visual or physical devices used on or with the broach 220 .
  • a depth indicator 224 such as graduations, marking, or other visual or physical devices used on or with the broach 220 .
  • the depth indicator 224 can illustrate the depth or distance required to further insert the broach 220 in order to reach a given stem implant size, as illustrated in FIG. 13 .
  • the sizing of a proximal body 226 of the broach 220 can be configured such that it increases in size in the proximal direction. Such increases in size can be progressive, if desired, depending on the geometry of the implants being used. Thus, one broach 220 could be used to prepare the cavity 210 for an implant of small size or of large size, depending on how much of the proximal body 226 of the broach 220 is inserted to within the bone 212 during preparation. Because of this, a single broach 220 can be used to prepare a cavity 210 for several sizes simply by changing the depth of insertion. This will make it very simple for a surgeon to determine the proper size. For example, if the broach is inserted for a size 3, the depth indicator 224 can show the location for a size such that the difference in insertion depth is clearly illustrated.
  • the surgeon may trial one or many implants to determine what size of the distal portion of the implant is necessary. If the surgeon feels that stem stability will be sufficient without the distal portion, he/she may opt to stop the preparation of the cavity 210 at that point and implant a short stem. Thus, the surgeon can exercise caution and discretion in incrementally reaming the cavity 210 so that a stem 230 with a shorter distal portion 232 can be used if desired, as shown in FIG. 14 .
  • the next step is to ream the canal 210 of the humerus 212 using a tapered or cylindrical reamer 240 .
  • the reamer 240 is inserted into the humeral canal 210 at a base 242 of the cavity 210 and reamed to a desired depth. Once the canal 210 has been reamed to its proper depth, a trial of the reamer 240 can be used to determine which of the angled stems is needed, and the stem can then be implanted.
  • the humeral canal must be reamed if a stem with a distal section is to be used.
  • the angle of the stem of the certain embodiments can be adjusted by varying the angle of the distal section with respect to the proximal body. Because of this, instead of fitting the stem to the humeral canal and forcing a non-conforming proximal body to be poorly placed in the humerus, a conforming proximal body can be fit to the proximal humerus and different distal stem angles can be used to fit the canal.
  • a set of stems can be provided that have three discrete stem angles of approximately 35, approximately 40, and approximately 45 degrees (as measured between the longitudinal axis and the resection plane, discussed in FIGS. 9 A-B). Alternate embodiments comprising more angles and/or a wider range also may be used. With a five degree interval between angles, a maximum 2.5 degree mismatch could exist between the stem distal angle and the humeral canal; however, such a mismatch could still allow proper placement of the stem. In some embodiments, the distal portions of the reamer and the stem implant can be tapered to help accommodate this difference.
  • a broach 250 can be configured to have a medial curve/surface 252 and a lateral curve/surface 254 that are configured to provide the broach 250 with a shape that facilitates proper alignment of the stem 250 within a cavity 256 of a bone 258 such that the broach 250 can be centered within a cortical portion 260 of the bone 258 .
  • the medial curve 252 and to a somewhat lesser extent, the lateral curve 254 , can be designed to mimic the general shape of the proximal area of the humerus 258 .
  • the broach 250 will want to follow the path of least resistance, which will be through the weakest bone at the center of the humerus 258 and not through the cortical portion 260 thereof.
  • the final result is that a proximal body 262 of the broach 250 can be placed in the center of a resected surface 264 of the humerus 258 regardless of its position with respect to the humeral canal 256 .
  • proximal bodies 262 of large sizes can be used and that they will be supported by more structural bone than a traditional humeral stem. Since the proximal body 262 can be placed essentially in the center of the humerus 258 , little or no adjustment of the proximal portion 262 will be required.
  • a reamer guide could be placed into the prepared proximal cavity to eliminate any angular mismatch between sizes instead of reaming using the canal for guidance.
  • more angled stems could be added to reduce the potential for mismatch.
  • the humeral canal could be reamed and the proximal cavity could be broached using the reamer for guidance, instead of broaching before reaming. While this could somewhat influence proximal stem placement, the benefit of multiple distal angles would still vastly improve placement and fill over current stems.
  • curves that mimic the proximal body shape could be used in areas other than the medial and lateral curves/surfaces. They could be placed anterior and posterior or at any number of regular intervals around the stem.
  • the distal stem shape could also have a local increase in size at its tip (such as, but not limited to, a ball on the end of the distal section). This would help accommodate any mismatch between the distal section and the reamed humeral canal. The distal increase would contact the reamed cavity and the gap after the increase would allow the distal stem center to vary slightly from the humeral canal center.
  • the shape of the distal section of the stem and/or reamer can be cylindrical, elliptical, or irregularly shaped instead of being tapered.
  • elliptical can refer to a shape that resembles an elongated or flattened circle
  • cylindrical can refer to a shape that is round in cross section, and equally wide throughout its length
  • intraregularly shaped can refer to a shape that does not vary consistently in shape or size, for example, a distal region that is substantially tapered, but has one area that has a significantly increased size.
  • the shape of the distal section of the stem and/or reamer can incorporate any grooves, slots, or cutouts for flexibility, fit, or fixation.
  • the term “groove” can refer to an elongated channel in the distal region of the stem. These grooves are typically narrow and distributed around the distal region at close intervals, creating narrow raised ridges between them. When inserted with slight interference with the bone, these ridges can embed themselves within the bone, providing mechanical locking and allowing a tight fit with some mismatch in shape between the canal and the distal region.
  • the term “slot” can refer to an elongated opening in the distal region of the stem placed to increase the flexibility of that portion of the stem.
  • a single slot can extend through the entire thickness of the distal region of the stem, dividing it in two. If multiple slots are used, they can intersect and end near the central axis of the distal region of the stem, dividing the distal region in as many sections as there are slots.
  • the term “cut out” can refer to a recess in the distal region of the stem that is meant to increase the flexibility of that portion of the stem. These cutouts are typically on one or more sides of distal region of the stem and are placed around the periphery, not through the center.
  • the entire cavity could be prepared by broaching instead of by broaching and then reaming.
  • the cavity could be broached first and then reamed using a reamer that was guided by the broach or ream first and use a broach that was guided by the reamer instead of broaching and reaming independently.
  • an instrument 300 is provide that incorporates a reaming section 302 and a broaching section 304 that are coupled together with a handle or driving member 306 .
  • the reaming section 302 can be disposed at a distal end of the instrument 300 and be used to ream the bone for preparation thereof for implantation.
  • the broaching section 304 can incorporate a broach and be disposed intermediate the reaming section 302 and the handle 306 , such that during use, after the reaming section 302 has reamed the cavity of the bone, the instrument 300 can continue to be driven into the bone such that the broaching section 304 can be used to broach a proximal portion of the cavity.
  • a single tool can be used to perform both of the broaching and reaming operations in preparation for implantation of a stem.
  • the instrument 300 can incorporate a joint 310 that would allow for slight angular adjustments of the orientation of the reaming section 302 relative to the broaching section 304 .
  • the distal region of the stem could be angled in the anterior/posterior direction as well as the medial/lateral direction,
  • the neck of the stem could be made modular, such that a given stem would accept multiple necks that would be fixed to the stem using a taper or other locking mechanism.
US11/689,470 2006-03-21 2007-03-21 Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction Abandoned US20070225821A1 (en)

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Cited By (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070244564A1 (en) * 2006-04-13 2007-10-18 Tornier Glenoid component with an anatomically optimized keel
US7678150B2 (en) 2004-06-15 2010-03-16 Tornier Sas Total shoulder prosthesis of an inverted type
US20100262254A1 (en) * 2009-04-09 2010-10-14 Solana Surgical LLC Metatarsal bone implant
US7887544B2 (en) 2003-03-10 2011-02-15 Tornier Sas Ancillary tool for positioning a glenoid implant
EP2338422A1 (fr) * 2009-12-23 2011-06-29 Aesculap Ag Râpe de prothèse modulaire
FR2961684A1 (fr) * 2010-06-25 2011-12-30 T O Set d'instruments chirurgicaux de preparation d'un fut femoral
WO2012024288A3 (fr) * 2010-08-16 2012-07-05 Smith & Nephew, Inc. Outil d'alignement acétabulaire adapté à un patient
FR2972627A1 (fr) * 2011-03-18 2012-09-21 Fx Solutions Tige humerale de prothese d'epaule, et ensemble forme par cette tige et par un element de reconstruction apte a etre assemble a cette tige
US8277511B2 (en) 2006-04-21 2012-10-02 Tornier Sas Shoulder or hip prosthesis and method for setting same
US8303665B2 (en) 2004-06-15 2012-11-06 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
WO2014022506A1 (fr) * 2012-08-01 2014-02-06 Exactech, Inc. Dispositifs prothétiques conçus pour améliorer la mécanique des articulations en arthroplastie
EP2710969A1 (fr) * 2012-09-20 2014-03-26 DePuy (Ireland) Instrument chirurgical orthopédique
US8864834B2 (en) 2007-01-30 2014-10-21 Tornier Sas Method and apparatus for fitting a shoulder prosthesis
US8974536B2 (en) 2007-01-30 2015-03-10 Tornier Sas Intra-articular joint replacement
DE102014012853B3 (de) * 2014-09-03 2015-10-29 Implantec Deutschland Gmbh Set mit einer Anzahl Hüftschaft-Implantaten
US9408652B2 (en) 2010-04-27 2016-08-09 Tornier Sas Intra-articular joint replacement and method
US9433507B2 (en) 2006-03-21 2016-09-06 Tornier, Inc. Non-spherical articulating surfaces in shoulder and hip replacement
US9474619B2 (en) 2006-03-21 2016-10-25 Tornier, Inc. Glenoid component with improved fixation stability
US9532879B2 (en) 2012-09-20 2017-01-03 Depuy Ireland Unlimited Company Femoral knee prosthesis system with augments and multiple lengths of sleeves sharing a common geometry
US9681960B2 (en) 2014-05-16 2017-06-20 Howmedica Osteonics Corp. Guides for fracture system
US20170340282A1 (en) * 2016-05-24 2017-11-30 AOD Holdings, LLC Hip Broach with Embedded Sensor and a Feedback Broach System
US9956083B2 (en) 2013-12-30 2018-05-01 Deltoid, Llc Instruments and techniques for orienting prosthesis components for joint prostheses
US10034759B2 (en) * 2012-10-29 2018-07-31 Tornier Orthopedics Ireland Ltd. Reverse shoulder implants
US10265083B2 (en) 2011-12-30 2019-04-23 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis
US10433967B2 (en) 2014-12-10 2019-10-08 Tornier Convertible stem / fracture stem
US10433969B2 (en) 2013-12-30 2019-10-08 United Orthopedic Corp. Arthroplasty implants and methods for orienting joint prosthesis
CN110338943A (zh) * 2019-07-17 2019-10-18 天津市天津医院 计算机辅助设计个体化肱骨假体及制作方法
US10548737B2 (en) 2011-10-31 2020-02-04 Tornier Orthopedics Ireland Ltd. Reverse shoulder prostheses with anti-rotation features
US10575968B2 (en) 2014-05-16 2020-03-03 Howmedica Osteonics Corp. Guides for fracture system
US10610367B2 (en) 2015-09-11 2020-04-07 United Orthopedic Corp. Arthroplasty components
US10631993B2 (en) 2010-10-22 2020-04-28 Tornier, Inc. Set of glenoid components for a shoulder prosthesis
US10702286B2 (en) 2016-01-11 2020-07-07 Aesculap Ag Medical instrumentarium
US10893874B2 (en) 2017-08-15 2021-01-19 Howmedica Osteonics Corp. Instruments and methods for preparing a bone to receive a prosthesis
US10898336B2 (en) 2006-03-21 2021-01-26 Tornier, Inc. Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction
US10987226B2 (en) 2016-04-19 2021-04-27 Imascap Sas Pre-operatively planned humeral implant and planning method
US11173034B2 (en) 2015-01-12 2021-11-16 Howmedica Osteonics Corp. Bone void forming apparatus
USD938590S1 (en) 2019-10-01 2021-12-14 Howmedica Osteonics Corp. Humeral implant
US11197764B2 (en) 2017-03-31 2021-12-14 Howmedica Osteonics Corp. Modular humeral head
US11224517B2 (en) 2019-06-26 2022-01-18 DePuy Synthes Products, Inc. Mechanically coupled revision hip system and method
US11369479B2 (en) 2016-08-24 2022-06-28 Howmedica Osteonics Corp. Humeral head implant system
US11931264B2 (en) 2018-10-02 2024-03-19 Howmedica Osteonics Corp. Modular humeral head

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9512445B2 (en) 2009-08-31 2016-12-06 The Cleveland Clinic Foundation Humeral joint replacement component
CN113301861A (zh) * 2019-01-10 2021-08-24 新特斯有限责任公司 具有植入物定尺寸特征部的外科器械柄部

Citations (132)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3815157A (en) * 1971-11-30 1974-06-11 Nat Res Dev Prosthetic shoulder joint devices
US3864758A (en) * 1973-08-31 1975-02-11 Sam Savo Yakich Hip joint bearing prosthesis
US3869730A (en) * 1973-07-25 1975-03-11 Barry A Skobel Surgically implantable joint prosthesis
US3978528A (en) * 1975-06-26 1976-09-07 Howmedica, Inc. Bone and joint prosthesis
US3979778A (en) * 1976-01-14 1976-09-14 Stroot Jerome H Shoulder prosthesis
US4003095A (en) * 1976-04-29 1977-01-18 Howmedica, Inc. Trispherical prosthetic shoulder device
US4011686A (en) * 1975-08-04 1977-03-15 Carmine Foods, Inc. Door interlock security device
US4030143A (en) * 1975-01-31 1977-06-21 National Research Development Corporation Endoprosthetic bone joint devices
US4135517A (en) * 1977-07-21 1979-01-23 Minnesota Mining And Manufacturing Company Femoral prosthesis trial fitting device
US4206517A (en) * 1977-12-01 1980-06-10 Biomedical Engineering Corp. Floating center prosthetic joint
US4261062A (en) * 1979-03-22 1981-04-14 The Regents Of The University Of California Natural shoulder joint prosthesis
US4330531A (en) * 1976-03-26 1982-05-18 Howard Alliger Germ-killing materials
US4693723A (en) * 1983-05-02 1987-09-15 Commissariat A L'energie Atomique Shoulder prosthesis
US4795471A (en) * 1982-01-18 1989-01-03 Indong Oh Conversion femoral endoprosthesis
US4822370A (en) * 1986-01-14 1989-04-18 Orthoplant Endoprothetik Hip joint femoral prosthesis
US4846840A (en) * 1986-09-09 1989-07-11 Sylvain Leclercq Joint prosthesis
US4865609A (en) * 1988-03-02 1989-09-12 Bioconcepts, Inc. Modular joint prosthesis assembly and method of removing
US4865605A (en) * 1988-02-02 1989-09-12 Dines David M Modular shoulder prosthesis
US4892549A (en) * 1989-01-31 1990-01-09 Osteonics Corp. Dual-radius acetabular cup component
US4919670A (en) * 1988-02-03 1990-04-24 Intermedics Orthopedics, Inc. Modular humeral prosthesis
US4957510A (en) * 1987-08-03 1990-09-18 Patrizio Cremascoli Hip prosthesis structure adapted for easy fitting to the patient coxo-femural articulation
US5032132A (en) * 1990-01-22 1991-07-16 Boehringer Mannheim Corporation Glenoid component
US5080673A (en) * 1988-02-03 1992-01-14 Intermedics Orthopedics, Inc. Glenoid prosthesis and method of use
US5080685A (en) * 1986-08-15 1992-01-14 Boehringer Mannheim Corporation Modular hip prosthesis
US5127920A (en) * 1987-03-27 1992-07-07 Macarthur A Creig Prosthesis and methods for subtotal dome arthroplasty of the hip joint
US5135529A (en) * 1989-11-03 1992-08-04 Dow Corning Wright Corporation Instrument for implanting modular hip joint prosthesis with adjustable anteversion and method of using said instrument
US5181928A (en) * 1986-08-15 1993-01-26 Boehringer Mannheim Corporation Modular hip prosthesis
US5192329A (en) * 1991-03-07 1993-03-09 Joint Medical Products Corporation Oblong acetabular cup
US5201882A (en) * 1989-11-03 1993-04-13 Paxson Robert D Modular hip joint prosthesis with adjustable anteversion
US5206925A (en) * 1990-06-29 1993-04-27 Hitachi Cable Limited Rare earth element-doped optical waveguide and process for producing the same
US5222984A (en) * 1990-03-15 1993-06-29 Forte Mark R Implantable acetabular prosthetic hip joint with universal adjustability
US5314479A (en) * 1986-08-15 1994-05-24 Depuy Inc. Modular prosthesis
US5314487A (en) * 1991-02-14 1994-05-24 Smith & Nephew Richards Inc. Acetabular prosthesis with anchoring pegs
US5383936A (en) * 1992-09-26 1995-01-24 Joachim Theusner Artificial joint as an endoprosthesis for the human shoulder joint
US5425779A (en) * 1992-08-05 1995-06-20 U.S. Medical Products, Inc. Prosthetic implant for joint structures
US5443519A (en) * 1993-04-22 1995-08-22 Implex Corporation Prosthetic ellipsoidal acetabular cup
US5507824A (en) * 1993-02-23 1996-04-16 Lennox; Dennis W. Adjustable prosthetic socket component, for articulating anatomical joints
US5507817A (en) * 1994-02-22 1996-04-16 Kirschner Medical Corporation Modular humeral prosthesis for reconstruction of the humerus
US5507818A (en) * 1994-06-30 1996-04-16 Mclaughlin; John A. Multipolar joint endoprosthesis
US5549682A (en) * 1994-06-16 1996-08-27 Roy; Stephen C. Shoulder joint prosthesis with angular adjustment
US5723018A (en) * 1992-11-17 1998-03-03 Cyprien; Jean-Maxwell Shoulder-joint endoprosthesis
US5728161A (en) * 1995-06-08 1998-03-17 Depuy Orthopedics, Inc. Large taper modular shoulder prosthesis
US5741335A (en) * 1994-12-08 1998-04-21 Cedior Total shoulder prosthesis
US5755807A (en) * 1996-06-17 1998-05-26 Folsom Metal Products Implant module unit and rotating seal for prosthetic joint
US5800551A (en) * 1997-03-10 1998-09-01 Biomet, Inc. Apparatus and method for shoulder arthroplasty
US5879405A (en) * 1995-11-27 1999-03-09 Smith & Nephew, Inc. Acetabular cup body prosthesis
US5902340A (en) * 1996-10-29 1999-05-11 Hayes Medical, Inc. Method of assembling a modular prosthesis used for bone replacement
US5910171A (en) * 1993-03-12 1999-06-08 Hospital For Joint Diseases Components for a modular shoulder and hip prosthesis
US5928285A (en) * 1997-05-30 1999-07-27 Bristol-Myers Squibb Co. Orthopaedic implant having an articulating surface with a conforming and translational surface
US5944758A (en) * 1996-10-09 1999-08-31 Minnesota Mining And Manufacturing Company Shoulder prosthesis
US6015437A (en) * 1997-04-18 2000-01-18 Headcorn Instrumentation Ltd. Shoulder prosthesis
US6045583A (en) * 1997-03-25 2000-04-04 Sulzer Orthopaedie Ag Twin-shelled artificial hip joint and its manufacture
US6045582A (en) * 1998-09-25 2000-04-04 Sulzer Orthopedics Inc. Implantable humeral shoulder prosthesis having extended articular surface
US6102953A (en) * 1998-03-17 2000-08-15 Acumed, Inc. Shoulder prosthesis
US6197063B1 (en) * 1997-04-11 2001-03-06 Smith & Nephew, Inc. Modular humeral prosthesis and method
US6197062B1 (en) * 1999-01-11 2001-03-06 Howmedica Osteonics, Corp. Modular shoulder prosthesis system
US6203575B1 (en) * 1998-01-16 2001-03-20 Sulzer Orthopaedie Ag Modular system for shaft prostheses
US6206925B1 (en) * 1997-09-12 2001-03-27 Tornier Sa Elbow prosthesis with indexed sphere
US6212467B1 (en) * 1998-05-05 2001-04-03 Daimlerchrysler Ag Electronic engine control system
US6228120B1 (en) * 1998-01-09 2001-05-08 Alain Leonard Surgical equipment for implanting a total shoulder prosthesis, and total shoulder prosthesis constituting same
US6267767B1 (en) * 1998-11-06 2001-07-31 Karl Storz Gmbh & Co. Kg Instrumentarium and method for implanting a cruciate ligament replacement in a knee joint
US20010011193A1 (en) * 2000-01-28 2001-08-02 Cremascoli Ortho S.A. Shoulder endoprosthesis for fractures of the upper end of the humerus
US6283999B1 (en) * 1999-01-29 2001-09-04 Depuy Orthopaedics, Inc. Shoulder prothesis with humeral fracture stem
US6334874B1 (en) * 1999-06-09 2002-01-01 Tornier Sa Humeral prosthesis
US20020032484A1 (en) * 2000-06-13 2002-03-14 Hyde Edward R. Magnetic array implant and prosthesis
US6364910B1 (en) * 2001-07-11 2002-04-02 Biomet, Inc. Method and apparatus for use of a glenoid component
US6368353B1 (en) * 1999-02-24 2002-04-09 Michel A. Arcand Shoulder prosthesis apparatus and methods
US20020049502A1 (en) * 1998-08-20 2002-04-25 Decarlo Alfred F. Bone engaging prosthesis
US6398812B1 (en) * 2000-02-10 2002-06-04 Medidea, Llc Shoulder prosthesis with anatomic reattachment features
US6406496B1 (en) * 1998-01-22 2002-06-18 Sulzer Orthopedics Ltd. Humerus head prosthesis
US6406495B1 (en) * 1998-12-22 2002-06-18 Sulzer Orthopedics Ltd. Glenoid prosthesis and a modular system with glenoid prostheses
US20020099445A1 (en) * 2001-01-23 2002-07-25 Maroney Brian J. Method and apparatus for performing a shoulder replacement procedure in the treatment of cuff tear arthropathy
US20020099381A1 (en) * 2001-01-23 2002-07-25 Maroney Brian J. Method and apparatus for resecting a greater tubercle from a humerus of a patient during performance of a shoulder replacement procedure
US6436147B1 (en) * 1999-06-23 2002-08-20 Plus Endoprothetik Ag Hip-joint endoprosthesis system
US6436144B1 (en) * 1999-09-28 2002-08-20 Aap Implantate Ag Shoulder joint endoprosthesis
US20020138148A1 (en) * 2001-01-16 2002-09-26 Hyde Edward R. Transosseous core approach and instrumentation for joint replacement and repair
US20030009171A1 (en) * 2001-07-09 2003-01-09 Alain Tornier Ancillary tool for fitting a humeral component of an elbow prosthesis
US6506214B1 (en) * 2000-05-02 2003-01-14 R. Michael Gross Method and means for cementing a liner onto the face of the glenoid cavity of a scapula
US6508840B1 (en) * 1999-04-07 2003-01-21 Depuy Orthopaedis, Inc. Collarless shoulder arthroplasty prosthesis
US6514287B2 (en) * 1998-06-09 2003-02-04 Depuy Orthopaedics, Inc. Modular glenoid assembly having bearing insert
US6530957B1 (en) * 2001-08-23 2003-03-11 Howmedica Osteonics Corp. Modular joint prosthesis with multiple offset humeral head component and method
US6569202B2 (en) * 2001-04-02 2003-05-27 Whiteside Biomechanics, Inc. Tray and liner for joint replacement system
US6589282B2 (en) * 1999-12-31 2003-07-08 Implex Corporation Modular shoulder prostheses
US20030149486A1 (en) * 1998-03-17 2003-08-07 Huebner Randall J. Shoulder prosthesis
US20030171816A1 (en) * 2002-03-06 2003-09-11 Christopher Scifert Intramedullary trial fixation device
US6626946B1 (en) * 1996-06-25 2003-09-30 Tornier Sa Shoulder prosthesis and humeral stems for such a prosthesis
US6673115B2 (en) * 1997-09-09 2004-01-06 Stryker Technologies Corporation Anatomic glenoid shoulder prosthesis together with methods and tools for implanting same
US6673114B2 (en) * 2000-05-03 2004-01-06 Smith & Nephew, Inc. Multi modular trialing system and instrumentation
US20040006392A1 (en) * 2001-04-19 2004-01-08 Grusin N. Kelly Prosthesis with compressible stem
US6679916B1 (en) * 2002-04-29 2004-01-20 Mark A. Frankle Shoulder prosthesis system
US20040064190A1 (en) * 2002-09-30 2004-04-01 Ball Robert J. Reverse-type humeral prosthesis
US6719799B1 (en) * 1998-09-11 2004-04-13 Argomedical Ag Implantable prosthesis having at least two sections which can be displaced in relation to one another, and the use of displaceable sections
US6723102B2 (en) * 2001-06-14 2004-04-20 Alexandria Research Technologies, Llc Apparatus and method for minimally invasive total joint replacement
US6736851B2 (en) * 2002-06-28 2004-05-18 Depuy Orthopaedics, Inc. Modular shoulder prosthesis
US6749637B1 (en) * 1999-09-24 2004-06-15 Baehler Andre Endoprosthesis for a shoulder joint
US6755866B2 (en) * 2002-08-20 2004-06-29 Depuy Products, Inc. Prosthetic stem with bearings
US20040133276A1 (en) * 2002-10-07 2004-07-08 Imaging Therapeutics, Inc. Minimally invasive joint implant with 3-Dimensional geometry matching the articular surfaces
US6761740B2 (en) * 2002-02-15 2004-07-13 Tornier Glenoid component of a shoulder prosthesis and complete shoulder prosthesis incorporating such a component
US20040148033A1 (en) * 2003-01-24 2004-07-29 Schroeder David Wayne Wear surface for metal-on-metal articulation
US20040153161A1 (en) * 2003-02-04 2004-08-05 Stone Kevin T. Humeral stem with anatomical location of taper access for fixation of humeral head
US6783549B1 (en) * 2001-07-27 2004-08-31 Biomet, Inc. Modular humeral head resurfacing system
US20040193277A1 (en) * 2003-03-31 2004-09-30 Long Jack F. Extended articulation orthopaedic implant and associated method
US20040193276A1 (en) * 2003-03-31 2004-09-30 Maroney Brian J. Modular articulating surface replacement prosthesis
US20050008672A1 (en) * 2002-12-12 2005-01-13 John Winterbottom Formable and settable polymer bone composite and method of production thereof
US20050015154A1 (en) * 2003-06-25 2005-01-20 Baylor College Of Medicine Office Of Technology Administration Tissue integration design for seamless implant fixation
US20050043805A1 (en) * 2003-08-11 2005-02-24 Chudik Steven C. Devices and methods used for shoulder replacement
US20050049709A1 (en) * 2003-08-25 2005-03-03 Alain Tornier Glenoid component of a shoulder prosthesis and complete shoulder prosthesis incorporating such a component
US6863690B2 (en) * 2002-09-27 2005-03-08 Depuy Products, Inc. Humeral shoulder prosthesis
US20050065612A1 (en) * 2003-09-24 2005-03-24 Winslow Nathan A. Extended articular surface resurfacing head
US6875234B2 (en) * 2001-02-21 2005-04-05 The New York, Society For The Ruptured And Crippled Maintaining Hospital For Special Surgery Dual-radius glenoid prosthetic component for total shoulder arthroplasty
US20050085921A1 (en) * 2003-07-22 2005-04-21 Amitava Gupta Prosthetic wrist implant
US20050085919A1 (en) * 2003-10-17 2005-04-21 Zimmer Technology, Inc. Method and instruments for positioning humeral component during shoulder arthroplasty
US6887277B2 (en) * 2001-11-21 2005-05-03 Centerpulse Orthopedics Ltd. Shoulder joint prosthesis
US6890358B2 (en) * 2002-03-29 2005-05-10 Depuy Products, Inc. Distal component for wrist prosthesis
US20050107882A1 (en) * 2001-07-27 2005-05-19 Stone Kevin T. Modular humeral head resurfacing system
US20050113931A1 (en) * 2002-05-15 2005-05-26 Willi Horber Endoprosthesis for replacing a joint, especially a shoulder joint
US20050119531A1 (en) * 2000-09-01 2005-06-02 Minnesota Scientific, Inc. Method of performing shoulder surgery
US20050143829A1 (en) * 2003-12-30 2005-06-30 Jeff Ondrla Joint prosthesis with infinitely positionable head
US20050165490A1 (en) * 2003-12-19 2005-07-28 Alain Tornier Shoulder or hip prosthesis and process for fitting same
US20050177241A1 (en) * 2004-02-05 2005-08-11 Laurent Angibaud Shoulder prosthesis with humeral fracture stem
US20060004492A1 (en) * 2004-07-01 2006-01-05 Terlson Brad A Devices and methods for providing configuration information to a controller
US20060009852A1 (en) * 2001-07-27 2006-01-12 Biomet Manufacturing Corp. Modular humeral head resurfacing system
US20060020344A1 (en) * 2002-07-10 2006-01-26 Biomet Manufacturing Corp. Shoulder implant assembly
US20060030946A1 (en) * 2002-03-26 2006-02-09 Ball Robert J Wrist prosthesis
US7033396B2 (en) * 2002-07-05 2006-04-25 Tornier Shoulder or hip prosthesis facilitating abduction
US7066959B2 (en) * 2001-07-16 2006-06-27 Spinecore, Inc. Artificial intervertebral disc having limited rotation using a captured ball and socket joint with a solid ball, a compression locking post, and an interference pin
US7166132B2 (en) * 2001-02-27 2007-01-23 Incumed, Inc. Adjustable bone prostheses and related methods
US7175663B1 (en) * 2003-10-08 2007-02-13 Biomet Manufacturing Corp. Shoulder implant assembly
US7195645B2 (en) * 2003-07-11 2007-03-27 Depuy Products, Inc. In vivo joint space measurement device and method
US7238207B2 (en) * 2001-12-21 2007-07-03 Mathys Ag Bettlach Shoulder prosthesis
US7329284B2 (en) * 2002-09-27 2008-02-12 Depuy Products, Inc. Concave resurfacing prosthesis
US7338498B2 (en) * 2003-03-31 2008-03-04 Depuy Products, Inc. Prosthetic implant, trial and associated method

Family Cites Families (199)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH426096A (de) 1965-01-29 1966-12-15 Maurice E Prof Dr Med Mueller Hüftgelenk-Prothese
CH507704A (de) 1969-03-05 1971-05-31 Osteo Ag Arzt Und Krankenhausb Schenkelkopfprothese
GB1324990A (en) 1969-08-25 1973-07-25 Nat Res Dev Prosthetic shoulder joint devices
GB1438950A (en) 1972-09-04 1976-06-09 Nat Res Dev Prosthetic devices
FR2248820A1 (en) 1973-10-29 1975-05-23 Benoist Girard & Cie Complete artificial joint between bones - has interlocked rings permanently attached together
GB1522603A (en) 1974-08-07 1978-08-23 Nat Res Dev Prosthetic devices
US3916451A (en) 1974-10-25 1975-11-04 Frederick F Buechel Floating center prosthetic joint
GB1504055A (en) 1975-06-02 1978-03-15 English T Femoral prosthesis
US4054955A (en) 1976-01-29 1977-10-25 Arnold Ivanovich Seppo Orthopaedic endoapparatus designed to grow a new live shoulder and hip joint, to reconstruct a deformed joint or to restore a pathologically dysplastic and congenitally luxated joint
US4179758A (en) 1976-04-29 1979-12-25 Howmedica, Inc. Fixation stem for prosthetic device
SU749392A1 (ru) 1978-06-02 1980-07-23 Ворошиловградский государственный медицинский институт Эндопротез плечевого сустава
CH640407A5 (de) * 1979-10-11 1984-01-13 Sulzer Ag Hueftgelenkprothese.
US4550450A (en) 1984-07-24 1985-11-05 Kinnett James G Total shoulder prosthesis system
FR2574283B1 (fr) 1984-12-07 1989-09-08 Tornier Sa Prothese du col du femur a boule excentree
FR2618065A1 (fr) 1987-07-15 1989-01-20 Bourgogne Universite Prothese totale de l'epaule
US5261914A (en) 1987-09-02 1993-11-16 Russell Warren Surgical fastener
US4963155A (en) 1989-08-30 1990-10-16 Zimmer, Inc. Attachment mechanism for modular surgical products
FR2652498B1 (fr) 1989-10-04 1997-12-26 Medinov Ensemble modulaire pour prothese de l'epaule.
SE8904053L (sv) 1989-11-30 1991-05-31 Volvo Ab Hoeftledsprotes
US5133760A (en) * 1990-02-12 1992-07-28 Alvarado Orthopedic Research, Inc. Universal modular prosthesis stem extension
ATE151621T1 (de) 1990-06-06 1997-05-15 Ronald Sekel Hüftprothese
FR2664809B1 (fr) 1990-07-19 1997-12-26 Erato Ste Civile Systeme de prothese d'epaule.
GB2251795B (en) 1991-01-17 1995-02-08 Minnesota Mining & Mfg Orthopaedic implant
US5108451A (en) * 1991-01-31 1992-04-28 Forte Mark R Femoral component of a hip joint prosthesis
US5163961A (en) 1991-04-17 1992-11-17 Harwin Steven F Compression-fit hip prosthesis and procedures for implantation thereof
FR2679611B1 (fr) 1991-07-26 1993-10-08 Snr Roulements Roulement combine radial axial.
DE9115283U1 (fr) 1991-12-10 1992-02-13 Howmedica Gmbh, 2314 Schoenkirchen, De
FR2685633B1 (fr) 1991-12-27 1998-02-27 Tornier Sa Prothese humerale modulaire.
IT1256891B (it) * 1992-07-24 1995-12-27 Stelo femorale per la protesi totale dell'anca
DE9216094U1 (fr) 1992-11-26 1993-01-14 S + G Implants Gmbh, 2400 Luebeck, De
FR2699400B1 (fr) 1992-12-18 1995-02-24 Medinov Sa Tige humérale pour prothèse d'épaule.
FR2703241B1 (fr) 1993-03-30 1995-05-19 Landanger Landos Tête pour prothèse modulaire d'épaule et de hanche.
DE4401952C1 (de) 1994-01-24 1995-05-24 S & G Implants Gmbh Schulterendoprothese
FR2718954B1 (fr) 1994-04-25 1996-08-02 Euros Sa Ensemble prothétique modulaire pour l'articulation de l'épaule.
FR2721200B1 (fr) 1994-06-17 1999-09-17 Cremascoli France Prothèse de hanche du type comportant une tige avec logement pour col amovible.
FR2726994B1 (fr) 1994-11-17 1997-04-11 Caffiniere Jean Yves De Cage agrafe pour fracture de l'extremite superieure de l'humerus
FR2727002B1 (fr) 1994-11-18 1997-01-03 Tornier Sa Prothese humerale a sphere
WO1996017553A1 (fr) 1994-12-05 1996-06-13 Wright Medical Technology, Inc. Prothese humerale modulaire, instrument modulaire pour preparer l'humerus destine a recevoir cette prothese et procede d'implantation de cette prothese
DE4444140A1 (de) 1994-12-12 1996-06-13 Akzo Nobel Nv Lösungsmittelgesponnene cellulosische Filamente
DE19509037C1 (de) 1995-03-14 1996-09-12 Sq Services Ag Humeruskopfprothese
US6312467B1 (en) 1995-07-18 2001-11-06 Iowa State University Research Foundation, Inc. Method of restructuring bone
FR2737107B1 (fr) 1995-07-26 1997-09-05 Medinov Sa Dispositif d'assemblage entre deux parties d'un element prothetique notamment
US20020143402A1 (en) 1995-09-04 2002-10-03 Limber Ltd. Hip joint prostheses
FR2741796B1 (fr) 1995-11-30 1998-03-27 Tornier Sa Dispositif pour la fixation d'une prothese et notamment d'une prothese glenoidienne de l'omoplate
US5782930A (en) 1996-02-13 1998-07-21 Hommedica Inc. Polyetheretherketone (PEEK) retaining ring for an acetabular cup assembly
US5879401A (en) 1996-05-17 1999-03-09 Johnson & Johnson Professional, Inc. Acetabular trial
GB9611060D0 (en) 1996-05-28 1996-07-31 Howmedica Tibial element for a replacment knee prosthesis
DE19630298A1 (de) 1996-07-26 1998-01-29 Basim A Dr Fleega Schulter-Totalendoprothese
FR2751868B1 (fr) 1996-08-02 1999-04-16 Tornier Sa Prothese ajouree de l'extremite superieure de l'humerus
FR2758256B1 (fr) 1997-01-16 1999-02-26 Aesculap Sa Prothese humerale a evidement obturable
GB2323034B (en) 1997-03-13 2001-07-25 Zimmer Ltd Prosthesis for knee replacement
FR2767674B1 (fr) * 1997-08-29 1999-12-31 Vecteur Orthopedic Prothese de l'extremite superieure de l'humerus
FR2768922B1 (fr) 1997-10-01 2000-01-14 Tornier Sa Prothese destinee a etre ancree dans un os long
US6162256A (en) 1997-12-29 2000-12-19 Depuy Orthopaedics, Inc. Acetabular prosthesis
US5984927A (en) 1998-03-03 1999-11-16 Ethicon, Inc. Device for sutureless attachment of soft tissue to bone
WO1999049792A1 (fr) 1998-04-01 1999-10-07 Bionx Implants Oy Dispositif de fixation chirurgical bioabsorbable utilise dans le traitement des tissus
US7189261B2 (en) 1998-04-03 2007-03-13 Smith & Nephew, Inc. Modular humeral prosthesis and method
AU2695799A (en) 1998-05-22 1999-12-02 Howmedica Osteonics Corp. Acetabular cup assembly with selected bearing
WO1999065413A1 (fr) 1998-06-13 1999-12-23 Pfefferkorn & Co. Gmbh Element de pression pour exercer une pression sur une surface
DE19841612A1 (de) 1998-09-11 2000-03-16 Argomedical Ag Implantierbare Prothese mit zumindest zwei gegeneinander verstellbaren Abschnitten sowie Verwendung verstellbarer Abschnitte
US6129764A (en) 1998-11-24 2000-10-10 Stryker Technologies Corporation Modular prosthetic joint components
US6702854B1 (en) 1999-06-01 2004-03-09 Apex Surgical, Llc Implantable joint prosthesis
US6251143B1 (en) 1999-06-04 2001-06-26 Depuy Orthopaedics, Inc. Cartilage repair unit
FR2795304B1 (fr) 1999-06-28 2001-08-03 Aston Medical Ltd Ensemble prothetique d'articulation de l'epaule
US6187012B1 (en) 1999-07-08 2001-02-13 Medidea, Llc Prosthetic element removal apparatus and methods
DE29918669U1 (de) 1999-10-22 1999-12-30 Keramed Medizintechnik Gmbh Schulter-Endoprothese
FR2802799B1 (fr) 1999-12-23 2002-08-16 Depuy France Ensemble de prothese d'epaule
ATE287246T1 (de) * 2000-03-14 2005-02-15 Smith & Nephew Inc Variable geometrie des randabstandstückes einer gelenkpfanne
WO2001067988A2 (fr) * 2000-03-16 2001-09-20 Eugene M. Wolf M.D. Inc Appareil et procede d'arthroplastie totale facile de l'epaule
US6911047B2 (en) 2000-03-17 2005-06-28 Depuy Orthopaedics, Inc. Apparatus and method for securing a cementless glenoid component to a glenoid surface of a scapula
US6458136B1 (en) 2000-05-11 2002-10-01 Zimmer, Inc. Orthopaedic instrument for sizing implant sites and for pressurizing bone cement and a method for using the same
US20020016634A1 (en) 2000-07-28 2002-02-07 Brian Maroney Device and method for positioning an eccentric humeral head of a humerus prothesis for a shoulder arthroplasty
ATE265832T1 (de) 2000-11-16 2004-05-15 Willi Horber Endoprothese für ein schultergelenk
EP1333782B1 (fr) 2000-11-16 2004-09-15 Willi Horber Prothese d'articulation
DE50104992D1 (de) 2000-11-16 2005-02-03 Willi Horber Gelenkprothese
GB0029318D0 (en) 2000-12-01 2001-01-17 Depuy Int Ltd An orthopaedic joint prosthesis
US6648894B2 (en) 2000-12-21 2003-11-18 Stryker Spine Bone graft forming guide and method of forming bone grafts
US20070162140A1 (en) 2001-02-27 2007-07-12 Mcdevitt Dennis M Method and apparatus for reconstructing a joint
US20020156534A1 (en) 2001-04-19 2002-10-24 Grusin N. Kelley Modular humeral head with eccentric connector
US6942699B2 (en) 2001-07-11 2005-09-13 Biomet, Inc. Shoulder prosthesis
US8795379B2 (en) 2001-07-11 2014-08-05 Biomet Manufacturing, Llc Variable prosthesis
DE20120241U1 (de) 2001-12-14 2003-04-24 Keramed Medizintechnik Gmbh Gelenk-Endoprothese
US6790234B1 (en) 2002-01-04 2004-09-14 Frankle Mark A Reverse shoulder prosthesis system
FR2835425B1 (fr) 2002-02-04 2004-04-09 Tornier Sa Element prothetique comprenant deux composants et procede d'assemblage d'un tel element prothetique
AU2003229001A1 (en) 2002-05-10 2003-11-11 Bret A. Ferree Prosthetic components with cushioning elements
US7001389B1 (en) 2002-07-05 2006-02-21 Navarro Richard R Fixed and variable locking fixation assembly
EP1415621B1 (fr) 2002-08-21 2016-09-14 Zimmer GmbH Prothèse de l'épaule
EP1393697B1 (fr) 2002-08-30 2006-02-15 Zimmer GmbH Système d'opération
DE10250390A1 (de) 2002-10-29 2004-05-13 Plus Endoprothetik Ag Gerät zum Setzen oder Entfernen von Gelenkpfannen, insbesondere eines künstlichen Hüftgelenks
US7887544B2 (en) 2003-03-10 2011-02-15 Tornier Sas Ancillary tool for positioning a glenoid implant
FR2852229B1 (fr) 2003-03-10 2005-12-16 Prothese totale d'epaule.
US20040193278A1 (en) 2003-03-31 2004-09-30 Maroney Brian J. Articulating surface replacement prosthesis
ITUD20030094A1 (it) 2003-04-30 2004-11-01 Lima Lto Spa Protesi inversa per l'articolazione della spalla.
ITUD20030092A1 (it) 2003-04-30 2004-11-01 Lima Lto Spa Protesi per l'articolazione della spalla.
US7186269B2 (en) 2003-05-16 2007-03-06 Jean-Maxwell Cyprien Composite shoulder prosthesis
US20040254646A1 (en) * 2003-06-16 2004-12-16 Stone Kevin T. Provisional coupling mechanism
US7615080B2 (en) 2003-06-30 2009-11-10 Depuy Products, Inc. Joint prosthesis having infinitely adjustable head
US8357204B2 (en) * 2003-09-18 2013-01-22 Adler Ortho S.R.L. Set of mobile necks for inserting into the stem of a hip prosthesis
US7435263B2 (en) 2003-09-30 2008-10-14 Depuy Products, Inc. Modular long bone prosthesis for partial or total bone replacement
FR2860425B1 (fr) 2003-10-01 2006-05-26 Biomet Merck France Implant humeral pour prothese de l'epaule
CA2481663A1 (fr) 2003-10-01 2005-04-01 Biomet Deutschland Gmbh Dispositif pour melanger et deverser des matieres liquides et pulverulentes a des fins medicales
US8070820B2 (en) 2003-10-08 2011-12-06 Biomet Manufacturing Corp. Shoulder implant assembly
US20050216092A1 (en) 2004-03-23 2005-09-29 Sdgi Holdings, Inc. Constrained artificial implant for orthopaedic applications
KR100566584B1 (ko) * 2004-05-28 2006-03-30 주식회사 코렌텍 인공 고관절용 대퇴스템 및 상기 대퇴스템의 경부 가공방법
US7678150B2 (en) 2004-06-15 2010-03-16 Tornier Sas Total shoulder prosthesis of an inverted type
US8303665B2 (en) 2004-06-15 2012-11-06 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
FR2871371B1 (fr) 2004-06-15 2007-04-06 Tornier Sas Composant glenoidien de prothese d'epaule, jeu d'elements constitutifs d'un tel composant et prothese totale d'epaule incorporant un tel composant
FR2871368B1 (fr) * 2004-06-15 2006-08-25 Tornier Sas Jeu de composants humeraux pour prothese totale d'epaule
US7727271B2 (en) 2004-06-24 2010-06-01 Boston Scientific Scimed, Inc. Implantable prosthesis having reinforced attachment sites
FR2872025B1 (fr) 2004-06-28 2006-08-25 Tornier Sas Prothese d'epaule ou de hanche
US8273093B2 (en) 2004-06-29 2012-09-25 Depuy Products, Inc. Instrumentation for recording and replicating orthopaedic implant orientation
US20060069445A1 (en) 2004-09-27 2006-03-30 Ondrla Jeffrey M Extended articulation prosthesis adaptor and associated method
FR2876899A1 (fr) 2004-10-25 2006-04-28 Depuy Ireland Ltd Prothese humerale modulaire pour prothese d'epaule inversee
US8444698B2 (en) 2004-12-29 2013-05-21 Depuy Products, Inc. Joint prosthesis with infinitely positionable head
DE202005001040U1 (de) 2005-01-22 2005-03-31 Aesculap Ag & Co Kg Kupplung zur formstabilen Verbindung eines Prothesenteils mit einem Halteelement
US7998217B1 (en) 2005-02-02 2011-08-16 Biomet Manufacturing Corp. Modular offset stem implants
US7445638B2 (en) 2005-03-03 2008-11-04 Biomet France Humeral implant for shoulder prosthesis
US8052758B1 (en) 2005-03-09 2011-11-08 Biomet Manufacturing Corp. Method and apparatus for trialing a modular humeral head
US20060241775A1 (en) 2005-04-21 2006-10-26 Buss Daniel D Humeral joint prosthesis
AU2006201835B2 (en) 2005-05-09 2012-08-30 Smith & Nephew, Inc. Orthopaedic implants and methods for making the same
ITRM20050265A1 (it) 2005-05-27 2006-11-28 Enrico Russo Protesi modulare perfezionata per osteosintesi, in particolare per l'osteosintesi dell'omero.
WO2007031575A1 (fr) 2005-09-16 2007-03-22 Zimmer Gmbh Plateau et coquille d'un dispositif de reception d'une rotule
EP1782765A1 (fr) 2005-09-23 2007-05-09 Biomet Manufacturing Corp. Ensemble implant scapulaire.
GB0519994D0 (en) 2005-10-01 2005-11-09 Depuy Ireland Ltd Humeral component of a shoulder joint prosthesis
CA2631580C (fr) 2006-01-20 2015-01-13 Zimmer Technology, Inc. Systeme pour arthroplastie de l'epaule
ES2328984T3 (es) 2006-01-20 2009-11-19 Zimmer Gmbh Componente de humero.
US7959680B2 (en) 2006-02-02 2011-06-14 Biomet Manufacturing Corp. Method and apparatus for performing a shoulder implant procedure
EP1996123B1 (fr) 2006-03-21 2019-08-28 Tornier, Inc. Surfaces complexes non sphériques d'articulations pour prothèses de l'épaule et de la hanche
US9474619B2 (en) 2006-03-21 2016-10-25 Tornier, Inc. Glenoid component with improved fixation stability
WO2007109340A2 (fr) 2006-03-21 2007-09-27 Axiom Orthopaedics, Inc. Géométrie des tiges fémorale et humérale et techniques d'implantation pour reconstruction orthopédique d'articulation
FR2899790B1 (fr) 2006-04-13 2008-06-13 Tornier Sas Composant glenoidien pour prothese totale d'epaule, jeu de tels composants, et prothese totale d'epaule comprenant un tel composant
US20070244565A1 (en) 2006-04-17 2007-10-18 Stchur Robert P Prosthetic humeral device and method
FR2902993B1 (fr) 2006-06-28 2008-09-05 Trois S Ortho Sa Prothese d'epaule et ensemble d'instruments pour l'implantation de cette prothese
US7802503B2 (en) 2006-07-14 2010-09-28 Couvillion Roy J Method and apparatus for preparing bone grafts, including grafts for lumbar/thoracic interbody fusion
ITMI20061568A1 (it) 2006-08-03 2008-02-04 Plustek S R L Protesi di spalla
GB2443163C (en) 2006-10-23 2018-10-03 Innovative Design Orthopaedics Ltd Shoulder prosthesis
FR2911773B1 (fr) 2007-01-30 2009-03-27 Tornier Sas Methode et ensemble d'instrumentation chirurgicale pour poser une prothese totale d'epaule inversee,et prothese correspondante
US8014984B2 (en) 2007-03-06 2011-09-06 The Cleveland Clinic Foundation Method and apparatus for preparing for a surgical procedure
US7572294B2 (en) 2007-03-07 2009-08-11 Biomet Manufacturing Corp. Method and apparatus for removing an acetabular bearing
US8231684B2 (en) 2007-03-20 2012-07-31 Tornier, Inc. Humeral head augment device and method for use in a shoulder prosthesis
GB0705911D0 (en) 2007-03-28 2007-05-09 Depuy Int Ltd A head component of an orthopaedic joint prosthesis
US8257363B2 (en) 2007-10-12 2012-09-04 Howmedica Osteonics Corp. Expandable reverse shoulder trial
DE102008010478A1 (de) 2008-02-21 2009-08-27 Smith & Nephew Orthopaedics Ag Schultergelenkprothese, insbesondere inverse Schultergelenkprothese
FR2932678B1 (fr) 2008-06-24 2011-12-09 Tornier Sa Dispositif de prehension d'une prothese.
US9700431B2 (en) 2008-08-13 2017-07-11 Smed-Ta/Td, Llc Orthopaedic implant with porous structural member
WO2010059360A1 (fr) 2008-10-30 2010-05-27 Biomet Manufacturing Corporation Implant modulaire pour prothèse d'articulation
WO2010093950A1 (fr) 2009-02-12 2010-08-19 Osteotech, Inc. Cartouche pour système d'administration
IT1399951B1 (it) 2009-04-20 2013-05-09 Grappiolo Protesi d'anca.
EP2485685A4 (fr) 2009-10-10 2015-11-04 Simplicity Orthopedics Inc Procédé et dispositif de restauration d'une articulation au moyen d'une prothèse d'articulation à réglage longitudinal et en rotation
GB201007656D0 (en) 2010-05-07 2010-06-23 Depuy Ireland Ltd Rotatable collar for a prosthetesis
WO2012075183A2 (fr) 2010-11-30 2012-06-07 Shoulder Innovations, Llc Tige destinée à être utilisée dans une arthroplastie articulaire
US9039710B2 (en) 2010-12-07 2015-05-26 Zimmer, Inc. Prosthetic inserter
ES2438168T3 (es) 2011-01-11 2014-01-16 Arthrex, Inc. Implante de hombro sin vástago
EP2474289A1 (fr) 2011-01-11 2012-07-11 Arthrex, Inc. Composant de l'humérus d'une prothèse d'épaule
US20120253467A1 (en) 2011-02-13 2012-10-04 Mark Frankle Shoulder Arthroplasty Systems and Configurations for Components Thereof
JP5647373B2 (ja) 2011-03-25 2014-12-24 ジンマー ゲーエムベーハー 肩関節プロテーゼ
US20120253350A1 (en) 2011-03-31 2012-10-04 Depuy Products, Inc. Bone graft shaper
GB2494388A (en) 2011-08-31 2013-03-13 Rangan Implants & Procedures Ltd Stemless shoulder implant assembly
US9084680B2 (en) 2011-10-05 2015-07-21 Biomet Manufacturing, Llc Multiple bearing humeral prosthesis
US9271772B2 (en) 2011-10-27 2016-03-01 Toby Orthopaedics, Inc. System and method for fracture replacement of comminuted bone fractures or portions thereof adjacent bone joints
EP2604226A1 (fr) 2011-10-31 2013-06-19 Tornier Orthopedics Ireland Ltd. Prothèse d'épaule réversible modulaire
US8702804B2 (en) 2011-12-02 2014-04-22 Biomet Manufacturing, Llc Variable prosthesis
FR2984113B1 (fr) 2011-12-15 2014-06-27 Fx Solutions Embase d'ancrage osseux et ensemble d'elements incluant cette embase
US8945234B2 (en) 2012-04-26 2015-02-03 Optimus Orthopedic Designs LLC Prosthesis having a metaphyseal element
US8906102B2 (en) 2012-05-31 2014-12-09 Howmedica Osteonics Corp. Lateral entry insert for cup trial
MX2014014635A (es) 2012-05-31 2015-12-16 Exactech Inc Soportes adaptadores humerales de hombro inverso.
US8663334B2 (en) 2012-05-31 2014-03-04 Howmedica Osteonics Corp. Lateral entry insert for cup trial
US9662219B2 (en) 2012-07-03 2017-05-30 Smith & Nephew, Inc. Orthopedic prosthesis with suture anchor features
JP6064043B2 (ja) 2012-07-05 2017-01-18 リマコルポラテ エッセピアＲｉｍａｃｏｒｐｏｒａｔｅ Ｓｐａ 肩プロテーゼ用の上腕骨インプラント
EP2710982B1 (fr) 2012-09-21 2016-08-31 WALDEMAR LINK GmbH & Co. KG Implant d'articulation
FR2997290B1 (fr) 2012-10-26 2015-11-06 Aston Medical Implant humeral pour prothese d'articulation inversee de l'epaule
US10034759B2 (en) 2012-10-29 2018-07-31 Tornier Orthopedics Ireland Ltd. Reverse shoulder implants
AU2014226016B2 (en) 2013-03-08 2018-06-21 Mayo Foundation For Medical Education And Research Shoulder prosthesis with variable inclination humeral head component
US20160346091A1 (en) 2013-04-30 2016-12-01 Universiti Malaya A method for manufacturing a customized implant
ITUD20130080A1 (it) 2013-06-06 2014-12-07 Limacorporate Spa Protesi omerale modulare
EP2815726B1 (fr) 2013-06-19 2015-08-12 Arthrex, Inc. Implant huméral
EP2873392B1 (fr) 2013-11-14 2016-03-30 Arthrex, Inc. Implant d'épaule avec tige
WO2015103313A1 (fr) 2013-12-30 2015-07-09 Shoulder Options, Inc. Instrument et techniques pour orienter des composants de prothèse pour des prothèses articulaires
WO2015112307A1 (fr) 2014-01-24 2015-07-30 Tornier Inc. Ancre humérale sans tige
US10456264B2 (en) 2014-01-24 2019-10-29 Tornier, Inc. Humeral implant anchor system
FR3025089B1 (fr) 2014-08-29 2019-05-24 Jean Marc Chaudruc Tige de prothese pour epaule
FR3029769A1 (fr) 2014-12-10 2016-06-17 Tornier Sa Kit pour une prothese d'epaule
GB2534141A (en) 2015-01-13 2016-07-20 Imp Innovations Ltd Hip stem
US9597190B2 (en) 2015-01-15 2017-03-21 DePuy Synthes Products, Inc. Modular reverse shoulder orthopaedic implant and method of implanting the same
US9566162B2 (en) 2015-03-03 2017-02-14 Biomet Manufacturing, Llc Adjustable humeral tray for shoulder arthroplasty
US10120328B2 (en) 2015-07-30 2018-11-06 Ricoh Company, Ltd. Drive device and image forming apparatus incorporating the drive device
CA2938576A1 (fr) 2015-08-12 2017-02-12 Howmedica Osteonics Corp. Methodes de formation de structures de soutien
JP6839176B2 (ja) 2015-08-27 2021-03-03 ジンマー，インコーポレイティド 指向性係止用逆肩プロテーゼ及びシステム
EP3419534B1 (fr) 2016-02-28 2022-11-23 Integrated Shoulder Collaboration, Inc. Système d'implant pour arthroplastie de l'épaule
CA3059036A1 (fr) 2016-04-19 2017-10-26 Imascap Sas Implant humeral planifie avant operation et procede de planification
KR101848406B1 (ko) 2016-10-19 2018-04-12 주식회사 케이씨스 인공고관절용 스템 및 스템 설치 방법
CA3057623A1 (fr) 2017-03-24 2018-09-27 Mayo Foundation For Medical Education And Research Procede de modelisation de l'anatomie humerale et optimisation de la conception de composants
US11197764B2 (en) 2017-03-31 2021-12-14 Howmedica Osteonics Corp. Modular humeral head
JP1621250S (fr) 2017-05-22 2018-12-25
IT201700101751A1 (it) 2017-09-12 2019-03-12 Permedica S P A Protesi totale di spalla perfezionata
FR3074037B1 (fr) 2017-11-28 2019-12-13 Shoulder Friends Institute Tige humerale pour un implant humeral de prothese d’epaule
FR3074038B1 (fr) 2017-11-28 2022-06-17 Shoulder Friends Inst Implant humeral modulaire pour prothese d’epaule inversee
EP3520738B1 (fr) 2018-01-31 2021-01-06 Tornier Prothèse pour un os long fracturé
AU2019234645A1 (en) 2018-03-12 2020-10-29 Shoulder Innovations, Inc. Convertible total shoulder prosthesis

Patent Citations (144)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3815157A (en) * 1971-11-30 1974-06-11 Nat Res Dev Prosthetic shoulder joint devices
US3869730A (en) * 1973-07-25 1975-03-11 Barry A Skobel Surgically implantable joint prosthesis
US3864758A (en) * 1973-08-31 1975-02-11 Sam Savo Yakich Hip joint bearing prosthesis
US4030143A (en) * 1975-01-31 1977-06-21 National Research Development Corporation Endoprosthetic bone joint devices
US3978528A (en) * 1975-06-26 1976-09-07 Howmedica, Inc. Bone and joint prosthesis
US4011686A (en) * 1975-08-04 1977-03-15 Carmine Foods, Inc. Door interlock security device
US3979778A (en) * 1976-01-14 1976-09-14 Stroot Jerome H Shoulder prosthesis
US4330531A (en) * 1976-03-26 1982-05-18 Howard Alliger Germ-killing materials
US4040131A (en) * 1976-04-29 1977-08-09 Howmedica, Inc. Trispherical prosthetic shoulder device
US4003095A (en) * 1976-04-29 1977-01-18 Howmedica, Inc. Trispherical prosthetic shoulder device
US4135517A (en) * 1977-07-21 1979-01-23 Minnesota Mining And Manufacturing Company Femoral prosthesis trial fitting device
US4206517A (en) * 1977-12-01 1980-06-10 Biomedical Engineering Corp. Floating center prosthetic joint
US4261062A (en) * 1979-03-22 1981-04-14 The Regents Of The University Of California Natural shoulder joint prosthesis
US4795471A (en) * 1982-01-18 1989-01-03 Indong Oh Conversion femoral endoprosthesis
US4693723A (en) * 1983-05-02 1987-09-15 Commissariat A L'energie Atomique Shoulder prosthesis
US4822370A (en) * 1986-01-14 1989-04-18 Orthoplant Endoprothetik Hip joint femoral prosthesis
US5080685A (en) * 1986-08-15 1992-01-14 Boehringer Mannheim Corporation Modular hip prosthesis
US5314479A (en) * 1986-08-15 1994-05-24 Depuy Inc. Modular prosthesis
US5181928A (en) * 1986-08-15 1993-01-26 Boehringer Mannheim Corporation Modular hip prosthesis
US4846840A (en) * 1986-09-09 1989-07-11 Sylvain Leclercq Joint prosthesis
US5127920A (en) * 1987-03-27 1992-07-07 Macarthur A Creig Prosthesis and methods for subtotal dome arthroplasty of the hip joint
US4957510A (en) * 1987-08-03 1990-09-18 Patrizio Cremascoli Hip prosthesis structure adapted for easy fitting to the patient coxo-femural articulation
US4865605A (en) * 1988-02-02 1989-09-12 Dines David M Modular shoulder prosthesis
US5080673A (en) * 1988-02-03 1992-01-14 Intermedics Orthopedics, Inc. Glenoid prosthesis and method of use
US4919670A (en) * 1988-02-03 1990-04-24 Intermedics Orthopedics, Inc. Modular humeral prosthesis
US4865609A (en) * 1988-03-02 1989-09-12 Bioconcepts, Inc. Modular joint prosthesis assembly and method of removing
US4892549B1 (en) * 1989-01-31 1999-10-05 Stryker Corp Dual-radius acetubular cup component
US4892549A (en) * 1989-01-31 1990-01-09 Osteonics Corp. Dual-radius acetabular cup component
US5135529A (en) * 1989-11-03 1992-08-04 Dow Corning Wright Corporation Instrument for implanting modular hip joint prosthesis with adjustable anteversion and method of using said instrument
US5201882A (en) * 1989-11-03 1993-04-13 Paxson Robert D Modular hip joint prosthesis with adjustable anteversion
US5032132A (en) * 1990-01-22 1991-07-16 Boehringer Mannheim Corporation Glenoid component
US5222984A (en) * 1990-03-15 1993-06-29 Forte Mark R Implantable acetabular prosthetic hip joint with universal adjustability
US5206925A (en) * 1990-06-29 1993-04-27 Hitachi Cable Limited Rare earth element-doped optical waveguide and process for producing the same
US5314487A (en) * 1991-02-14 1994-05-24 Smith & Nephew Richards Inc. Acetabular prosthesis with anchoring pegs
US5192329A (en) * 1991-03-07 1993-03-09 Joint Medical Products Corporation Oblong acetabular cup
US5425779A (en) * 1992-08-05 1995-06-20 U.S. Medical Products, Inc. Prosthetic implant for joint structures
US5383936A (en) * 1992-09-26 1995-01-24 Joachim Theusner Artificial joint as an endoprosthesis for the human shoulder joint
US5723018A (en) * 1992-11-17 1998-03-03 Cyprien; Jean-Maxwell Shoulder-joint endoprosthesis
US5507824A (en) * 1993-02-23 1996-04-16 Lennox; Dennis W. Adjustable prosthetic socket component, for articulating anatomical joints
US5910171A (en) * 1993-03-12 1999-06-08 Hospital For Joint Diseases Components for a modular shoulder and hip prosthesis
US5443519A (en) * 1993-04-22 1995-08-22 Implex Corporation Prosthetic ellipsoidal acetabular cup
US5507817A (en) * 1994-02-22 1996-04-16 Kirschner Medical Corporation Modular humeral prosthesis for reconstruction of the humerus
US5549682A (en) * 1994-06-16 1996-08-27 Roy; Stephen C. Shoulder joint prosthesis with angular adjustment
US5507818A (en) * 1994-06-30 1996-04-16 Mclaughlin; John A. Multipolar joint endoprosthesis
US5741335A (en) * 1994-12-08 1998-04-21 Cedior Total shoulder prosthesis
US6368352B1 (en) * 1995-06-08 2002-04-09 Depuy Orthopaedics, Inc. Large taper modular shoulder prosthesis
US5728161A (en) * 1995-06-08 1998-03-17 Depuy Orthopedics, Inc. Large taper modular shoulder prosthesis
US6033439A (en) * 1995-06-08 2000-03-07 Depuy Orthopaedics, Inc. Large taper modular shoulder prosthesis
US7238208B2 (en) * 1995-06-08 2007-07-03 Depuy Products, Inc. Large taper modular shoulder prosthesis
US5879405A (en) * 1995-11-27 1999-03-09 Smith & Nephew, Inc. Acetabular cup body prosthesis
US5755807A (en) * 1996-06-17 1998-05-26 Folsom Metal Products Implant module unit and rotating seal for prosthetic joint
US6626946B1 (en) * 1996-06-25 2003-09-30 Tornier Sa Shoulder prosthesis and humeral stems for such a prosthesis
US5944758A (en) * 1996-10-09 1999-08-31 Minnesota Mining And Manufacturing Company Shoulder prosthesis
US5902340A (en) * 1996-10-29 1999-05-11 Hayes Medical, Inc. Method of assembling a modular prosthesis used for bone replacement
US5800551A (en) * 1997-03-10 1998-09-01 Biomet, Inc. Apparatus and method for shoulder arthroplasty
US6045583A (en) * 1997-03-25 2000-04-04 Sulzer Orthopaedie Ag Twin-shelled artificial hip joint and its manufacture
US6197063B1 (en) * 1997-04-11 2001-03-06 Smith & Nephew, Inc. Modular humeral prosthesis and method
US6015437A (en) * 1997-04-18 2000-01-18 Headcorn Instrumentation Ltd. Shoulder prosthesis
US5928285A (en) * 1997-05-30 1999-07-27 Bristol-Myers Squibb Co. Orthopaedic implant having an articulating surface with a conforming and translational surface
US6673115B2 (en) * 1997-09-09 2004-01-06 Stryker Technologies Corporation Anatomic glenoid shoulder prosthesis together with methods and tools for implanting same
US6206925B1 (en) * 1997-09-12 2001-03-27 Tornier Sa Elbow prosthesis with indexed sphere
US6228120B1 (en) * 1998-01-09 2001-05-08 Alain Leonard Surgical equipment for implanting a total shoulder prosthesis, and total shoulder prosthesis constituting same
US6203575B1 (en) * 1998-01-16 2001-03-20 Sulzer Orthopaedie Ag Modular system for shaft prostheses
US6406496B1 (en) * 1998-01-22 2002-06-18 Sulzer Orthopedics Ltd. Humerus head prosthesis
US6102953A (en) * 1998-03-17 2000-08-15 Acumed, Inc. Shoulder prosthesis
US20030149486A1 (en) * 1998-03-17 2003-08-07 Huebner Randall J. Shoulder prosthesis
US6212467B1 (en) * 1998-05-05 2001-04-03 Daimlerchrysler Ag Electronic engine control system
US6514287B2 (en) * 1998-06-09 2003-02-04 Depuy Orthopaedics, Inc. Modular glenoid assembly having bearing insert
US20020049502A1 (en) * 1998-08-20 2002-04-25 Decarlo Alfred F. Bone engaging prosthesis
US6719799B1 (en) * 1998-09-11 2004-04-13 Argomedical Ag Implantable prosthesis having at least two sections which can be displaced in relation to one another, and the use of displaceable sections
US6045582A (en) * 1998-09-25 2000-04-04 Sulzer Orthopedics Inc. Implantable humeral shoulder prosthesis having extended articular surface
US6267767B1 (en) * 1998-11-06 2001-07-31 Karl Storz Gmbh & Co. Kg Instrumentarium and method for implanting a cruciate ligament replacement in a knee joint
US6406495B1 (en) * 1998-12-22 2002-06-18 Sulzer Orthopedics Ltd. Glenoid prosthesis and a modular system with glenoid prostheses
US6197062B1 (en) * 1999-01-11 2001-03-06 Howmedica Osteonics, Corp. Modular shoulder prosthesis system
US6283999B1 (en) * 1999-01-29 2001-09-04 Depuy Orthopaedics, Inc. Shoulder prothesis with humeral fracture stem
US6368353B1 (en) * 1999-02-24 2002-04-09 Michel A. Arcand Shoulder prosthesis apparatus and methods
US6508840B1 (en) * 1999-04-07 2003-01-21 Depuy Orthopaedis, Inc. Collarless shoulder arthroplasty prosthesis
US6334874B1 (en) * 1999-06-09 2002-01-01 Tornier Sa Humeral prosthesis
US6436147B1 (en) * 1999-06-23 2002-08-20 Plus Endoprothetik Ag Hip-joint endoprosthesis system
US6749637B1 (en) * 1999-09-24 2004-06-15 Baehler Andre Endoprosthesis for a shoulder joint
US6436144B1 (en) * 1999-09-28 2002-08-20 Aap Implantate Ag Shoulder joint endoprosthesis
US6589282B2 (en) * 1999-12-31 2003-07-08 Implex Corporation Modular shoulder prostheses
US20010011193A1 (en) * 2000-01-28 2001-08-02 Cremascoli Ortho S.A. Shoulder endoprosthesis for fractures of the upper end of the humerus
US6520994B2 (en) * 2000-01-28 2003-02-18 Cremascoli Ortho S.A. Shoulder endoprosthesis for fractures of the upper end of the humerus
US6398812B1 (en) * 2000-02-10 2002-06-04 Medidea, Llc Shoulder prosthesis with anatomic reattachment features
US20050090902A1 (en) * 2000-02-10 2005-04-28 Masini Michael A. Shoulder prosthesis with anatomic reattachment features
US6506214B1 (en) * 2000-05-02 2003-01-14 R. Michael Gross Method and means for cementing a liner onto the face of the glenoid cavity of a scapula
US6673114B2 (en) * 2000-05-03 2004-01-06 Smith & Nephew, Inc. Multi modular trialing system and instrumentation
US20020032484A1 (en) * 2000-06-13 2002-03-14 Hyde Edward R. Magnetic array implant and prosthesis
US20050119531A1 (en) * 2000-09-01 2005-06-02 Minnesota Scientific, Inc. Method of performing shoulder surgery
US6589281B2 (en) * 2001-01-16 2003-07-08 Edward R. Hyde, Jr. Transosseous core approach and instrumentation for joint replacement and repair
US20020138148A1 (en) * 2001-01-16 2002-09-26 Hyde Edward R. Transosseous core approach and instrumentation for joint replacement and repair
US6620197B2 (en) * 2001-01-23 2003-09-16 Depuy Orthopaedics, Inc. Method and apparatus for performing a shoulder replacement procedure in the treatment of cuff tear arthropathy
US20020099381A1 (en) * 2001-01-23 2002-07-25 Maroney Brian J. Method and apparatus for resecting a greater tubercle from a humerus of a patient during performance of a shoulder replacement procedure
US20020099445A1 (en) * 2001-01-23 2002-07-25 Maroney Brian J. Method and apparatus for performing a shoulder replacement procedure in the treatment of cuff tear arthropathy
US6780190B2 (en) * 2001-01-23 2004-08-24 Depuy Orthopaedics, Inc. Method and apparatus for resecting a greater tubercle from a humerus of a patient during performance of a shoulder replacement procedure
US20040034431A1 (en) * 2001-01-23 2004-02-19 Maroney Brian J. Method and apparatus for performing a shoulder replacement procedure in the treatment of cuff tear arthropathy
US6875234B2 (en) * 2001-02-21 2005-04-05 The New York, Society For The Ruptured And Crippled Maintaining Hospital For Special Surgery Dual-radius glenoid prosthetic component for total shoulder arthroplasty
US7166132B2 (en) * 2001-02-27 2007-01-23 Incumed, Inc. Adjustable bone prostheses and related methods
US6569202B2 (en) * 2001-04-02 2003-05-27 Whiteside Biomechanics, Inc. Tray and liner for joint replacement system
US20040006392A1 (en) * 2001-04-19 2004-01-08 Grusin N. Kelly Prosthesis with compressible stem
US6723102B2 (en) * 2001-06-14 2004-04-20 Alexandria Research Technologies, Llc Apparatus and method for minimally invasive total joint replacement
US20030009171A1 (en) * 2001-07-09 2003-01-09 Alain Tornier Ancillary tool for fitting a humeral component of an elbow prosthesis
US6364910B1 (en) * 2001-07-11 2002-04-02 Biomet, Inc. Method and apparatus for use of a glenoid component
US7066959B2 (en) * 2001-07-16 2006-06-27 Spinecore, Inc. Artificial intervertebral disc having limited rotation using a captured ball and socket joint with a solid ball, a compression locking post, and an interference pin
US20060009852A1 (en) * 2001-07-27 2006-01-12 Biomet Manufacturing Corp. Modular humeral head resurfacing system
US20050107882A1 (en) * 2001-07-27 2005-05-19 Stone Kevin T. Modular humeral head resurfacing system
US6783549B1 (en) * 2001-07-27 2004-08-31 Biomet, Inc. Modular humeral head resurfacing system
US6530957B1 (en) * 2001-08-23 2003-03-11 Howmedica Osteonics Corp. Modular joint prosthesis with multiple offset humeral head component and method
US6887277B2 (en) * 2001-11-21 2005-05-03 Centerpulse Orthopedics Ltd. Shoulder joint prosthesis
US7238207B2 (en) * 2001-12-21 2007-07-03 Mathys Ag Bettlach Shoulder prosthesis
US6761740B2 (en) * 2002-02-15 2004-07-13 Tornier Glenoid component of a shoulder prosthesis and complete shoulder prosthesis incorporating such a component
US20030171816A1 (en) * 2002-03-06 2003-09-11 Christopher Scifert Intramedullary trial fixation device
US20060030946A1 (en) * 2002-03-26 2006-02-09 Ball Robert J Wrist prosthesis
US6890358B2 (en) * 2002-03-29 2005-05-10 Depuy Products, Inc. Distal component for wrist prosthesis
US6679916B1 (en) * 2002-04-29 2004-01-20 Mark A. Frankle Shoulder prosthesis system
US20050113931A1 (en) * 2002-05-15 2005-05-26 Willi Horber Endoprosthesis for replacing a joint, especially a shoulder joint
US6736851B2 (en) * 2002-06-28 2004-05-18 Depuy Orthopaedics, Inc. Modular shoulder prosthesis
US7033396B2 (en) * 2002-07-05 2006-04-25 Tornier Shoulder or hip prosthesis facilitating abduction
US20060020344A1 (en) * 2002-07-10 2006-01-26 Biomet Manufacturing Corp. Shoulder implant assembly
US6755866B2 (en) * 2002-08-20 2004-06-29 Depuy Products, Inc. Prosthetic stem with bearings
US7329284B2 (en) * 2002-09-27 2008-02-12 Depuy Products, Inc. Concave resurfacing prosthesis
US6863690B2 (en) * 2002-09-27 2005-03-08 Depuy Products, Inc. Humeral shoulder prosthesis
US20040064190A1 (en) * 2002-09-30 2004-04-01 Ball Robert J. Reverse-type humeral prosthesis
US20040133276A1 (en) * 2002-10-07 2004-07-08 Imaging Therapeutics, Inc. Minimally invasive joint implant with 3-Dimensional geometry matching the articular surfaces
US20040138754A1 (en) * 2002-10-07 2004-07-15 Imaging Therapeutics, Inc. Minimally invasive joint implant with 3-Dimensional geometry matching the articular surfaces
US20050008672A1 (en) * 2002-12-12 2005-01-13 John Winterbottom Formable and settable polymer bone composite and method of production thereof
US20040148033A1 (en) * 2003-01-24 2004-07-29 Schroeder David Wayne Wear surface for metal-on-metal articulation
US20040153161A1 (en) * 2003-02-04 2004-08-05 Stone Kevin T. Humeral stem with anatomical location of taper access for fixation of humeral head
US20040193277A1 (en) * 2003-03-31 2004-09-30 Long Jack F. Extended articulation orthopaedic implant and associated method
US20040193276A1 (en) * 2003-03-31 2004-09-30 Maroney Brian J. Modular articulating surface replacement prosthesis
US7338498B2 (en) * 2003-03-31 2008-03-04 Depuy Products, Inc. Prosthetic implant, trial and associated method
US20050015154A1 (en) * 2003-06-25 2005-01-20 Baylor College Of Medicine Office Of Technology Administration Tissue integration design for seamless implant fixation
US7195645B2 (en) * 2003-07-11 2007-03-27 Depuy Products, Inc. In vivo joint space measurement device and method
US20050085921A1 (en) * 2003-07-22 2005-04-21 Amitava Gupta Prosthetic wrist implant
US20050043805A1 (en) * 2003-08-11 2005-02-24 Chudik Steven C. Devices and methods used for shoulder replacement
US20050049709A1 (en) * 2003-08-25 2005-03-03 Alain Tornier Glenoid component of a shoulder prosthesis and complete shoulder prosthesis incorporating such a component
US20050065612A1 (en) * 2003-09-24 2005-03-24 Winslow Nathan A. Extended articular surface resurfacing head
US7175663B1 (en) * 2003-10-08 2007-02-13 Biomet Manufacturing Corp. Shoulder implant assembly
US20050085919A1 (en) * 2003-10-17 2005-04-21 Zimmer Technology, Inc. Method and instruments for positioning humeral component during shoulder arthroplasty
US20050165490A1 (en) * 2003-12-19 2005-07-28 Alain Tornier Shoulder or hip prosthesis and process for fitting same
US20050143829A1 (en) * 2003-12-30 2005-06-30 Jeff Ondrla Joint prosthesis with infinitely positionable head
US20050177241A1 (en) * 2004-02-05 2005-08-11 Laurent Angibaud Shoulder prosthesis with humeral fracture stem
US20060004492A1 (en) * 2004-07-01 2006-01-05 Terlson Brad A Devices and methods for providing configuration information to a controller

Cited By (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7887544B2 (en) 2003-03-10 2011-02-15 Tornier Sas Ancillary tool for positioning a glenoid implant
US8187282B2 (en) 2003-03-10 2012-05-29 Tornier Sas Ancillary tool for positioning a glenoid implant
US11523907B2 (en) 2004-06-15 2022-12-13 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
US10610363B2 (en) 2004-06-15 2020-04-07 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
US7678150B2 (en) 2004-06-15 2010-03-16 Tornier Sas Total shoulder prosthesis of an inverted type
US9545312B2 (en) 2004-06-15 2017-01-17 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
US8303665B2 (en) 2004-06-15 2012-11-06 Tornier Sas Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component
US9474619B2 (en) 2006-03-21 2016-10-25 Tornier, Inc. Glenoid component with improved fixation stability
US10898336B2 (en) 2006-03-21 2021-01-26 Tornier, Inc. Femoral and humeral stem geometry and implantation method for orthopedic joint reconstruction
US9433507B2 (en) 2006-03-21 2016-09-06 Tornier, Inc. Non-spherical articulating surfaces in shoulder and hip replacement
US20070244564A1 (en) * 2006-04-13 2007-10-18 Tornier Glenoid component with an anatomically optimized keel
US8080063B2 (en) 2006-04-13 2011-12-20 Tornier Sas Glenoid component with an anatomically optimized keel
US8277511B2 (en) 2006-04-21 2012-10-02 Tornier Sas Shoulder or hip prosthesis and method for setting same
US9089435B2 (en) 2007-01-30 2015-07-28 Tornier Sas Intra-articular joint replacement
US10413416B2 (en) 2007-01-30 2019-09-17 Tornier Sas Method and apparatus for fitting a shoulder prosthesis
US10251755B2 (en) 2007-01-30 2019-04-09 Tornier Sas Method and apparatus for fitting a shoulder prosthesis
US8974536B2 (en) 2007-01-30 2015-03-10 Tornier Sas Intra-articular joint replacement
US8864834B2 (en) 2007-01-30 2014-10-21 Tornier Sas Method and apparatus for fitting a shoulder prosthesis
US11185417B2 (en) 2007-01-30 2021-11-30 Tornier Sas Method and apparatus for fitting a shoulder prosthesis
US11547572B2 (en) 2007-01-30 2023-01-10 Tornier Sas Intra-articular joint replacement
US20100262254A1 (en) * 2009-04-09 2010-10-14 Solana Surgical LLC Metatarsal bone implant
US8454611B2 (en) 2009-12-23 2013-06-04 Aesculap Ag Modular prosthesis rasp
EP2338422A1 (fr) * 2009-12-23 2011-06-29 Aesculap Ag Râpe de prothèse modulaire
US20110160733A1 (en) * 2009-12-23 2011-06-30 Aesculap Ag Modular prosthesis rasp
US9408652B2 (en) 2010-04-27 2016-08-09 Tornier Sas Intra-articular joint replacement and method
US10695195B2 (en) 2010-04-27 2020-06-30 Tornier Sas Intra-articular joint replacement and method
US11771568B2 (en) 2010-04-27 2023-10-03 Tornier Sas Intra-articular joint replacement and method
FR2961684A1 (fr) * 2010-06-25 2011-12-30 T O Set d'instruments chirurgicaux de preparation d'un fut femoral
WO2012024288A3 (fr) * 2010-08-16 2012-07-05 Smith & Nephew, Inc. Outil d'alignement acétabulaire adapté à un patient
KR20140018175A (ko) 2010-08-16 2014-02-12 스미스 앤드 네퓨, 인크. 환자-맞춤형 관골구 정렬 도구
US11304815B2 (en) 2010-10-22 2022-04-19 Howmedica Osteonics Corp. Set of glenoid components for a shoulder prosthesis
US10631993B2 (en) 2010-10-22 2020-04-28 Tornier, Inc. Set of glenoid components for a shoulder prosthesis
FR2972627A1 (fr) * 2011-03-18 2012-09-21 Fx Solutions Tige humerale de prothese d'epaule, et ensemble forme par cette tige et par un element de reconstruction apte a etre assemble a cette tige
US11679006B2 (en) 2011-10-31 2023-06-20 Tornier Orthopedics Ireland, Ltd. Systems for shoulder prostheses
US10548737B2 (en) 2011-10-31 2020-02-04 Tornier Orthopedics Ireland Ltd. Reverse shoulder prostheses with anti-rotation features
US11877757B2 (en) 2011-12-30 2024-01-23 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis
US10265083B2 (en) 2011-12-30 2019-04-23 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis
US11172940B2 (en) 2011-12-30 2021-11-16 Howmedica Osteonics Corp. Systems and methods for preparing bone voids to receive a prosthesis
WO2014022506A1 (fr) * 2012-08-01 2014-02-06 Exactech, Inc. Dispositifs prothétiques conçus pour améliorer la mécanique des articulations en arthroplastie
US10905561B2 (en) 2012-08-01 2021-02-02 Exactech, Inc. Prosthetic devices to improve joint mechanics in arthroplasty
US10543097B2 (en) 2012-09-20 2020-01-28 Depuy Ireland Unlimited Company Method and surgical instrument system with multiple lengths of broaches sharing a common geometry
US10583011B2 (en) 2012-09-20 2020-03-10 Depuy Ireland Unlimited Company Method and system including sleeves and broaches for surgically preparing the patient's bone
US11648127B2 (en) 2012-09-20 2023-05-16 Depuy Ireland Unlimited Company Method and system including sleeves and broaches for surgically preparing the patient's bone
US9320603B2 (en) 2012-09-20 2016-04-26 Depuy (Ireland) Surgical instrument system with multiple lengths of broaches sharing a common geometry
EP2710969A1 (fr) * 2012-09-20 2014-03-26 DePuy (Ireland) Instrument chirurgical orthopédique
US9532879B2 (en) 2012-09-20 2017-01-03 Depuy Ireland Unlimited Company Femoral knee prosthesis system with augments and multiple lengths of sleeves sharing a common geometry
US10034759B2 (en) * 2012-10-29 2018-07-31 Tornier Orthopedics Ireland Ltd. Reverse shoulder implants
US10973645B2 (en) 2012-10-29 2021-04-13 Tornier Orthopedics Ireland, Ltd. Systems for reverse shoulder implants
US10433969B2 (en) 2013-12-30 2019-10-08 United Orthopedic Corp. Arthroplasty implants and methods for orienting joint prosthesis
US10751190B2 (en) 2013-12-30 2020-08-25 United Orthopedic Corporation Instruments and techniques for orienting prosthesis components for joint prostheses
US9956083B2 (en) 2013-12-30 2018-05-01 Deltoid, Llc Instruments and techniques for orienting prosthesis components for joint prostheses
US9681960B2 (en) 2014-05-16 2017-06-20 Howmedica Osteonics Corp. Guides for fracture system
US10575968B2 (en) 2014-05-16 2020-03-03 Howmedica Osteonics Corp. Guides for fracture system
DE102014012853B3 (de) * 2014-09-03 2015-10-29 Implantec Deutschland Gmbh Set mit einer Anzahl Hüftschaft-Implantaten
US11471291B2 (en) 2014-12-10 2022-10-18 Tornier Sas Convertible stem/fracture stem
US11173037B2 (en) 2014-12-10 2021-11-16 Tornier Sas Convertible stem / fracture stem
US10433967B2 (en) 2014-12-10 2019-10-08 Tornier Convertible stem / fracture stem
US11173034B2 (en) 2015-01-12 2021-11-16 Howmedica Osteonics Corp. Bone void forming apparatus
US10610367B2 (en) 2015-09-11 2020-04-07 United Orthopedic Corp. Arthroplasty components
US10702286B2 (en) 2016-01-11 2020-07-07 Aesculap Ag Medical instrumentarium
US10987226B2 (en) 2016-04-19 2021-04-27 Imascap Sas Pre-operatively planned humeral implant and planning method
US20170340282A1 (en) * 2016-05-24 2017-11-30 AOD Holdings, LLC Hip Broach with Embedded Sensor and a Feedback Broach System
US10575781B2 (en) * 2016-05-24 2020-03-03 AOD Holdings, LLC. Hip broach with embedded sensor and a feedback broach system
US11576615B2 (en) 2016-05-24 2023-02-14 AOD Holdings, LLC Hip broach with embedded sensor and a feedback broach system
US11369479B2 (en) 2016-08-24 2022-06-28 Howmedica Osteonics Corp. Humeral head implant system
US11607320B2 (en) 2016-08-24 2023-03-21 Howmedica Osteonics Corp. Humeral head implant system
US11197764B2 (en) 2017-03-31 2021-12-14 Howmedica Osteonics Corp. Modular humeral head
US11925563B2 (en) 2017-03-31 2024-03-12 Howmedica Osteonics Corp. Modular humeral head and related methods
US10893874B2 (en) 2017-08-15 2021-01-19 Howmedica Osteonics Corp. Instruments and methods for preparing a bone to receive a prosthesis
US11931264B2 (en) 2018-10-02 2024-03-19 Howmedica Osteonics Corp. Modular humeral head
US11224517B2 (en) 2019-06-26 2022-01-18 DePuy Synthes Products, Inc. Mechanically coupled revision hip system and method
CN110338943A (zh) * 2019-07-17 2019-10-18 天津市天津医院 计算机辅助设计个体化肱骨假体及制作方法
USD983373S1 (en) 2019-10-01 2023-04-11 Howmedica Osteonics Corp. Humeral implant
USD938590S1 (en) 2019-10-01 2021-12-14 Howmedica Osteonics Corp. Humeral implant

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EP1996124B1 (fr) 2019-10-30
EP1996124A4 (fr) 2009-12-30
WO2007109340A3 (fr) 2008-07-24
US20210128310A1 (en) 2021-05-06
EP1996124A2 (fr) 2008-12-03
US10898336B2 (en) 2021-01-26
US20160361173A1 (en) 2016-12-15
WO2007109340A2 (fr) 2007-09-27

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