Abstract: Disclosed is a central augment. The central augment can include a body and a protrusion. The body can include a first curved surface shaped to interface with a central portion of a bone and a second surface opposite the first curved surface and defining a recess sized to receive a portion of a prosthetic component. The protrusion can extend from the second surface within the recess.

Abstract: An orthopedic implant manufacturing method. The method includes preparing a pre-operative surgical plan for a specific patient, the surgical plan including a three-dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, and receiving approval of the surgical plan and the resection plane by the surgeon. The method also includes providing automated osteophyte/protrusion removal control for surgeon manipulation, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant.

Abstract: Described is a femur fracture fixation device for treating a fractured, proximal end portion of a femur. The femur fracture fixation device comprises: an intramedullary nail; an extramedullary plate, including a main body portion for attachment to a lateral surface of the femur, and a posterior support portion extending from the main body portion for attachment to a posterior surface of the greater trochanter region of the femur; and a bone fastener, configured for insertion through an opening of the main body portion of the extramedullary plate, through an opening of the intramedullary nail, and into the head portion of the femur.

Abstract: A bone reamer includes a first member having a first hub and a second member having a second hub. The first hub can extend along a first axis and have a pair of elongated cutting arms that are fixed to the first hub. The elongated cutting arms can extend along a second axis that is generally perpendicular relative to the first axis. The first hub can define a track thereon. The second hub can extend along a third axis. The second member can have a second pair of elongated cutting arms that are fixed to the second hub and extend along a fourth axis that is generally perpendicular to the third axis. The second member can have a track follower extending thereon and that is configured to slidably advance along the track causing the first and second members to move between a collapsed position and an expanded position.

Abstract: A method for pre-operative orthopedic planning includes obtaining only a high-resolution knee-joint scan of a patient, determining hip rotation center and ankle rotation center from anthropometric data based on personal data of the patient, and determining a mechanical axis of the knee joint based on the anthropometric data. The method also includes preparing at least a two-dimensional image model of the knee joint using the knee-joint scan and the determined mechanical axis, and preparing a pre-operative surgical plan based on the image of the knee joint.

Abstract: Disclosed herein is an implant. The implant can include a body and a plurality of fixation members. The body can define an articular surface and a bone engaging surface opposite the articular surface. The bone engaging surface can define a groove that separates a first section of the bone engaging surface from a second section of the bone engaging surface. The plurality of fixation members can extend from the bone engaging surface.

Abstract: Devices used to capture sutures are described. More particularly, suture capture devices described herein include an elongate cannulated tool having a first end with a sharpened point configured to pierce tissue, and an elongate hook member positioned within a hollowed center region of the elongate cannulated tool that has a hook on a first end of the elongate hook member proximate the sharpened point of the elongate cannulated tool. The elongate hook member is capable of advancing and retracting within the elongate cannulated tool. The devices further include a handle positioned on a second end of the elongate cannulated tool that includes a trigger that advances the hook into or out of the first end of the elongate cannulated tool when pushed in a first or second direction. Methods of capturing a suture using such a device are also described.

Abstract: A method can include receiving, at a server, preoperative image data of a patient's bone, and accessing, at the server, a database of three-dimensional model data. A patient specific three-dimensional model of the patient's bone can be generated, at the server. A preoperative surgical plan can be generated at the server, which can include comparing aspects of the preoperative surgical plan with predetermined reliability criteria. An interactive user interface for use by a surgeon to review the preoperative surgical plan can be provided, from the server, to a user device. Approval of the preoperative surgical plan can be received, at the server, via the interactive user interface. Postoperative image data of the patient's bone can be received at the server. A postoperative outcome study report can be generated, at the server, and can include a comparison of the preoperative surgical plan with the postoperative image data.

Abstract: Joint implants, such as joint implants used for placement in toes to treat hammertoe are described. More particularly, joint implants that include a proximal portion configured to be inserted into a first bone, a distal portion configured to be inserted into a second adjacent bone, and an elongated body positioned between the distal and distal portion is described. The elongated body can define a length and include at least one metal rod extending from the proximal portion to the distal portion and a porous mesh extending along at least a portion of the elongated body length. The porous mesh can be configured to allow for bony in-growth upon implantation, wherein the elongated body defines a generally square cross section and is configured to be inserted into drilled circular holes in the first and second bones. Methods of fusing two adjacent phalanges of a two are also described.

Abstract: A glenoid guide has an upper surface and a lower surface, wherein the lower surface is a patient-specific surface configured as a negative surface of a glenoid face based on a three-dimensional image of a shoulder joint of a patient reconstructed preoperatively from image scans of the shoulder joint of the patient. The glenoid guide includes an anatomic tubular drill guide extending from the upper surface along an anatomic alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a glenoid implant into the glenoid face for anatomic shoulder arthroplasty. The glenoid guide includes a reverse tubular drill guide extending from the upper surface along a reverse alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a glenoid baseplate into the glenoid face for reverse shoulder arthroplasty.

Abstract: Systems including a provisional tibial prosthesis system are disclosed. The provisional system can include a tibial component, a base component, and a shim component. The tibial component can have a proximal surface and a distal surface, the distal surface can be configured to seat on a resected proximal surface of a tibia. The base component can have a proximal surface and can be configured to couple with the tibial component when disposed on the proximal surface thereof. The shim component can have a proximal surface and a distal surface. The proximal surface can be configured as an articulating surface sized and shaped to articulate with a femoral prosthesis and the distal surface can be configured to couple with the base component at the proximal surface thereof.

Abstract: A device for a patient-specific acetabular and/or femoral guide. The guides can be used in a selected resection of at least one of a femur and an acetabulum to increase a range of motion of the femur relative to the acetabulum. Generally, a natural acetabulum and femoral head are maintained.

Abstract: Methods are provided for modifying a porous surface of an implantable medical device by subjecting the porous surface to a modified micro-arc oxidation process to improve the ability of the medical device to resist microbial growth, to improve the ability of the medical device to adsorb a bioactive agent or a therapeutic agent, and to improve tissue in-growth and tissue on-growth of the implantable medical device.

Abstract: Various parallax-free indicator devices, systems, and methods are disclosed. The indicator device may have a housing defining an aperture and a light source assembly at least partially disposed in the housing. The housing may be selectively securable via a fastener to an instrument in a selected orientation relative to the instrument. The light source assembly may have a light source operably coupled to a power source via a power circuit. The light source may be positioned within the housing to emit through the housing aperture. Upon activation, the light source assembly emits a parallax-free alignment indicator along an alignment axis that may have at least one of a selected angle and a selected displacement relative to a selected reference axis. The alignment indicator may guide a surgical procedure.

Abstract: A method and apparatus for reattaching soft tissue to a boney structure using an expanding suture anchor. The method can include providing a suture anchor and forming a cavity in the boney structure for receipt of the suture anchor. The method can also include coupling the soft tissue to a suture and coupling the suture to the suture anchor. The method can further include deploying the suture anchor to fix the suture to the suture anchor and the suture anchor to the cavity.

Abstract: A system for repairing a glenoid defect of a specific patient can include a patient-specific punch and a patient-specific shaping block. The patient-specific punch can form a patient-specific glenoid implant from a bone puck. The patient-specific shaping block can shape the patient-specific glenoid implant to match and fill a glenoid defect of a specific patient.

Abstract: A patient-specific guiding system for guiding an instrument relative to a portion of an anatomical feature of a patient. The patient-specific guiding system includes a patient-specific guide. The guide includes a first portion having a first patient-specific inner surface that conforms to a first surface of the anatomical feature and an outer surface opposite the first patient-specific inner surface. The first portion also includes a guide surface for use in guiding the instrument relative to the anatomical feature. The guide also includes a second portion having a second patient-specific inner surface that conforms to a second surface of the anatomical feature and an outer surface opposite the second patient-specific inner surface. The second portion is removably connected to the first portion.

Abstract: Disclosed herein are bone plates, bone plate systems, and methods of use thereof that can include a bone plate that includes a plate frame and first and second anvils. The plate frame can have a first surface and define a first opening and a second opening. Each of the first and second anvils can include first and second plates, and a body located in between the first and second plates. The first plate can have a first surface arranged to rest against the first surface of the plate frame when the bone plate is implanted. The second plate can be sized to pass into each of the first and second openings. The body can define a through hole sized to receive a fastener. When the bone plate is implanted, the plate frame can be moveable relative to the first and second anvils.

Abstract: Described herein are examples of illustrative orthopedic staples, systems and methods. In an illustrative orthopedic staple for fusion of a foot or ankle bone fracture, the staple includes a bridge, a first staple leg and a second staple legs. The bridge of the illustrative staple extends from a first end portion to a second end portion along a first direction. The bridge also includes a step down region located between the first end portion and the second end portion, the step down region having a height along the insertion axis of the staple. In some examples, the first staple leg has a first staple leg height extending from the bridge to the first distal tip and the second staple leg has a second staple leg height extending from the bridge to the second distal tip, and the first staple leg height is greater than the second staple leg height.

Abstract: A bone reamer is provided and may include a shaft and a cutting element. The shaft may include a proximal end, a distal end, and a flexible portion. The flexible portion may be disposed between the proximal and distal ends. The cutting element may be carried by the shaft and may include a cutting surface facing the distal end of the shaft. The distal end of the shaft may be offset from the cutting surface.