Abstract: An instrument assembly can include a handle and an instrument. The handle can include an inner member and an outer member. The inner member can include a rod and a first tip. The outer member can include a second tip and can define a cannulation. The instrument can define a pocket configured to receive the second tip of the outer member. The handle can be adjustable at a desired angle relative to the instrument when the second tip of the outer member is disposed in the pocket and the first tip of the inner member is positioned in the cannulation spaced apart from the second tip. The first tip can be configured to expand the second tip radially outward such that the second tip engages the pocket and locks the handle at the desired angle when the first tip is positioned in the cannulation in engagement with the second tip.

Abstract: An orthopedic device includes a first patient-specific element having a first patient-specific surface preoperatively configured to mate and conform to a first anatomic portion of a specific patient based on medical scans of the patient. The orthopedic device includes a second patient-specific element having a second patient-specific surface preoperatively configured to mate and conform to a second anatomic portion of a specific patient based on medical scans of the patient. An arcuate bridge couples the first and second patient-specific portions. The arcuate bridge is configured to provide clearance the patient's anatomy between the first and second anatomic portions.

Abstract: A method for providing a porous metal implant. A mixture of a biocompatible metal, a spacing agent, and a binder is provided. The mixture is formed into a shaped the spacing agent is removed to form a plurality of pores in the implant. A shaped porous metal implant is also provided.

Abstract: A drill guide for use with a bone plate is provided in accordance with various aspects of the present teachings. The drill guide can include a body and a quick-connect coupling arrangement. The body can have a proximal end, a distal end and can define a guide passage therebetween. The distal end can have a bone plate engaging portion. The quick-connect coupling arrangement can be associated with the bone plate engaging portion, and can include first and second lobes projecting radially outward from an outer surface of the bone plate engaging portion. The bone plate engaging portion and the first and second lobes can be operable to be slidably received in a bone screw hole in the bone plate so as to removably couple the drill guide to the bone plate in a predetermined orientation relative to the bone screw hole.

Abstract: A tissue retractor generally includes a pair of arms that are pivotally coupled to each other and each have a finger grip portion on a first end and a working portion arranged on an opposite second end. Each of the second ends comprises an elongated shaft that extends along an axis. A pair of paddles each having a planar engagement body and a mounting portion are pivotally coupled to a corresponding elongated shaft. The paddles are selectively rotatable around the respective axes.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a fixation procedure. For example, a system is provided that includes a bone plate having a first plurality of apertures and a targeting arm having a second plurality of apertures. Each of the second plurality of apertures of the targeting arm are configured for targeting of a bone fastener to one of first plurality of apertures. An imaginary targeting line extends from a first aperture of the first plurality of apertures to a first aperture of the second plurality of apertures. The system includes a mounting member, which includes a first end secured to the bone plate and a second end secured to the targeting arm. The second end of the mounting member is offset from the first end such that the second end is spaced from the imaginary targeting line.

Abstract: A system and method of implanting a distal wrist implant relative to a host bone is presented. A distal radial component having a body including a first connection portion couplable to a stem is coupled to a second prosthetic coupled to a medial surface of the body. The second prosthetic replaces at least a portion of the sigmoid notch.

Abstract: Biologic coatings on a surface of a prosthesis or implantable device.

Abstract: A method of implanting a knee replacement system in a leg with a femur and a tibia of a patient can include, implanting a femoral component onto a condyle of the femur and placing a trial tibial component on a tibial plateau of the tibia. The tension of a posterior cruciate ligament can be adjusted. The tension of an anterior cruciate ligament can be adjusted. The posterior position of the trial tibial component can be adjusted. The knee condition at toe off onset can be simulated during walking.

Abstract: A glenoid component used for shoulder arthroplasty is adapted to be implanted into a scapula and engaged by a head of a humeral component. The glenoid component includes a body having a first articulating surface and a second medial surface opposite to the first articulating surface. The first articulating surface is adapted to engage with a humeral head. A plurality of removable fixed pegs each have a first end adapted to engage a cavity formed in the scapula and a second end extending from the medial surface. A central peg fixation mechanism is provided that is configured to couple an optional central fixation peg to the medial surface.

Abstract: A modular prosthesis system for replacement of a head portion of a radius. The prosthesis system includes a head component having a first connection portion that connects to a second connection portion and a collar component having the second connection portion and a third connection portion. The system also includes a stem component including a fourth connection portion that connects with the third connection portion, the stem component having a stem anchoring portion that connects to the radius. The collar component provides the modular geometry to the prosthesis without having to have an increased number of head components and stem components with variable lengths and angles.

Abstract: An instrument for measuring a depth of a hole in bone can comprise an instrument body having a cannulated sleeve that extends between a first end and a second end. A first reference portion can be disposed at the first end and a second reference portion can be disposed at the second end. A probe can selectively and alternatively translate in first and second opposite directions through the cannulated sleeve between a first measuring position and a second measuring position. The probe extends outwardly a distance spaced from the first reference portion in the first measuring position and extends outwardly a distance spaced from the second reference portion in the second measuring position.

Abstract: An implantable subcutaneous electrical socket and corresponding percutaneous plug are disclosed for controlling and/or energizing an implanted medical device, such as a bone distraction motor, within a patient. The subcutaneous electrical socket is accessed percutaneously by the plug, to connect data and power electrodes deployed from the plug into the socket to conduct control signals and electrical power from an external source to an implanted medical device within the patient. The socket and plug include insulating materials to prevent electrical shock to the patient.

Abstract: A system for compressing a fracture can include a first bone plate having a first proximal end and a first distal end, and a second bone plate having a second proximal end and a second distal end. The second bone plate can be spaced apart from the first bone plate. The system can include an expansion member coupled to the second proximal end of the second bone plate. The movement of the expansion member relative to the second bone plate can cause the first distal end of the first bone plate and the second distal end of the second bone plate to move toward each other to compress the fracture.

Abstract: A method and apparatus of performing a procedure relative to the glenohumeral joint. Resection of the glenoid and/or the humerus can proceed through an incision formed near the glenohumeral joint. The incision can be formed generally near a superior-lateral portion near the glenohumeral joint and allow less invasive access to the glenohumeral joint and the portions that form the glenohumeral joint. The procedure can be performed with no or little detaching of the subscapularis, and with no or little dislocating of the glenohumeral joint.

Abstract: An assembly tool comprises in an assembled configuration a proximal implant fastener, a distal implant fastener, and a compression member. The assembly tool is operable to hold in the assembled configuration a proximal implant partially engageable with a distal implant during implantation and axial impaction. Axial impaction is exerted through the compression member of the assembly tool. The assembly tool is also operable to securely lock the tapers of proximal and distal implants after impaction by rotating the compression member.

Abstract: A prosthesis to replace a portion of the anatomy, such as the humerus, can include a first shell. A second prosthesis can be positioned relative to the shell to provide the bearing surface to articulate with a glenoid prosthesis or glenoid. The second prosthesis can include a connection portion to engage a connection portion in the shell.

Abstract: An orthopedic device includes a femoral implant having a non-custom internal bone engagement surface. The femoral implant includes at least nine parameters adjusted preoperatively to correspond to a specific patient. The parameters can include patient-specific lengths, such as, for example, medial and lateral condyle widths and notch height, and patient-specific medial and lateral angles.

Abstract: Solid-state deformation processing of crosslinked high molecular weight polymers such as UHMWPE, for example by extrusion below the melt transition, produces materials with a combination of high tensile strength and high oxidative stability. The materials are especially suitable for use as bearing components in artificial hip and other implants. Treated bulk materials are anisotropic, with enhanced strength oriented along the axial direction. The material is oxidatively stable even after four weeks of accelerated aging in a pressure vessel containing five atmospheres of oxygen (ASTM F2003). Because of its oxidative stability, the deformation processed material is a suitable candidate for air-permeable packaging and gas sterilization, which has thus far been reserved for remelted crosslinked UHMWPE.

Abstract: An orthopedic device for preparing a knee joint for a prosthesis in a patient includes a femoral alignment guide. The femoral alignment guide has a patient-specific three-dimensional curved inner surface preoperatively configured from medical image scans of the knee joint of the patient to nestingly conform and mate and match only in one position to a corresponding three-dimensional femoral surface of a joint surface of the patient. The femoral alignment guide has a first guiding aperture corresponding to a distal portion of the femoral surface and a second guiding aperture corresponding to an anterior portion of the femoral surface.