1. Orthopedic Implants

6. Orthopedic Prosthetics & Implants Ankles, Heels & Toes Prostheses Bone Cements & Fillers Bone Fixators Collagens & Bone Grafts Elbow Prostheses External Orthotics Finger Prostheses Hip Prostheses Knee Prostheses Shoulder Prostheses Soft Tissue Fasteners Spinal Fixators & Implants Tendon & Ligament Prostheses Wrist Prostheses Cartilage prosthesis

7. Active Companies in Orthopaedic Synthes Stryker Johnson & Johnson Biomet DJO Acumed Arthrex Abbott Cytori Therapeutics Wright Medical Technology Smith & Nephew Zimmer Holdings Elekta Integra Lifesciences Holdings Orthofix Orthohelix Surgical Designs Omni Rail Products Orthopediatrics B. Braun Medical Tornier Deroyal Industries Exactech Ascension Orthopedics Ferguson Medical Group Pioneer Surgical Technology Medtronic

12. Example: OrthoSorb® Pins perform similar to metallic fixation for protection against shear and rotational forces, while eliminating most of its disadvantages. A gradual rate of absorption allows for an optimal transfer of support to the bone as it heals. OrthoSorb® pins are made of poly-p-dioxanone (PDS), an alternative to metal fixation for selected applications

15. Absorbable polymers are used to make pins, screws, and rods for orthopedic applications

16. Biodegradable PGA bone screws

20. From left: Richard-Hirschorn plate; AO compression plate; Sherman plate, Egger's plate

21. Dynamic Compression Plate

22. Bolt Nut Washers Used for: – fixation of fractures of the proximal or distal end of long bones – condylar fractures of the femur – fusion of a joint – surgical procedures that involve cutting a bone Companies: – Pioneer Surgical Technology, Synthes, Arthrex, Smith &Nephew, Zimmer Holdings, Acumed, Conmed, Johnson &Johnson 39 approved products from 9 different companies

23. Use of shape memory alloy in closing the jaw bone: Before applying heat; After applying heat

24. Memory™ Staple Achieve optimum compression for fusions and osteotomies – Delivered in its frozen state – The nitinol temperature-sensitive memory metal structure reacts to the ambient temperature as well as the temperature of the patient when it is inserted – The oval strap section opens and the arms close, drawing the bone fragments or joint together in a controlled and predictable process Companies: – Smith & Nephew, Medtronic, Johnson & Johnson, Stryker, Biomet, Wright Medical Technology, Arthrex, Covidien, Orthofix, Acumed

25. External Fixation System Used for – open and closed long bone fracture fixation to include tensioned wire fixation of – Periarticular fractures – Arthrodesis – Limb lengthening – Osteotomy – Reconstruction – Pseudoarthrosis – Correction of bony or soft tissue defects and deformities

26. Hoffman (Ilizarov and Taylor) external long-bone fracture fixation device

27. External Fixation (Tempfix®) used for the treatment of periarticular fractures of the lower extremity The frame is made with unique, lightweight, radiolucent material – patient comfort with multiple degrees of freedom – enables x-ray and MRI viewing of the fracture

28. Interamedullary Nail

31. Physiological motion

32. Total Hip Replacement

36. Schematic illustration of hip joint implantation procedure

37. FDA Approved Hip joint metal/polymer/metal semiconstrained porous-coated uncemented prosthesis

38. FDA Approved Hip joint metal constrained cemented or uncemented prosthesis Hip joint metal/polymer constrained cemented or uncemented Hip joint metal/metal semi-constrained, with a cemented acetabular component, prosthesis Hip joint metal/metal semi-constrained, with an uncemented acetabular component, prosthesis Hip joint metal/composite semi-constrained cemented prosthesis Hip joint metal/polymer semi-constrained cemented prosthesis Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis

39. FDA Approved Hip joint femoral (hemi-hip) metallic cemented or uncemented prosthesis Hip joint (hemi-hip) acetabular metal cemented prosthesis Hip joint metal/polyacetal cemented prosthesis Hip joint femoral (hemi-hip) metal/polymer cemented or uncemented prosthesis Hip joint femoral (hemi-hip) metallic resurfacing prosthesis Hip joint metal/polymer or ceramic/polymer semiconstrained resurfacing cemented prosthesis Hip joint femoral metallic cemented prosthesis Hip joint femoral (hemi-hip) metallic prosthesis