Abstract: Medical implant surface treatments and methods are described. Such a surface treatment may provide an uneven texture that is configured to interlock with adjoining bone and/or an uneven texture on another implant, such as an augment for an acetabular cup for revision hip surgery. At least one of the uneven texture of the cup bone-facing surface and the uneven texture of the augment cup-facing surface may include a web of rods. The rods may be configured to interlock with each other when the two implants are urged together.

Abstract: Medical implant surface treatments and methods are described. Such a surface treatment may provide an uneven texture that is configured to interlock with adjoining bone and/or an uneven texture on another implant, such as an augment for an acetabular cup for revision hip surgery. At least one of the uneven texture of the cup bone-facing surface and the uneven texture of the augment cup-facing surface may include a web of rods. The rods may be configured to interlock with each other when the two implants are urged together.

Abstract: An assembly may include a retractor pivotally coupled to a guide rod. The retractor may include a generally arcuate projection having a convex retractor surface, a concave cutting shield surface, and a retractor coupling feature. The guide rod may include an elongate member and a rod coupling feature that may be configured to engage the retractor coupling feature to pivotably couple the guide rod to the retractor. The assembly may be placed on a lateral side of a medial collateral ligament of a knee joint to retract the medial collateral ligament away from a tibial plateau of the knee joint and protect the medial collateral ligament during a tibial plateau resection procedure.

Abstract: A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.

Abstract: Implants include fixation features which slidingly receive fixation elements. The fixation features may be negative or positive features, such as undercut channels or posts. Examples include unicompartmental tibial trays having a ridge protruding from the bone-facing side, an undercut channel formed within the ridge. Instruments are disclosed for preparing a ridge-receiving feature in bone. Implants and fixation elements are configured for implantation without penetrating a cortical wall of a bone. Instruments and surgical methods are disclosed.

Abstract: A knee joint prosthesis may be for implantation in a knee of a patient. The knee prosthesis may comprise a tibial component configured to be implanted on the tibia and a femoral component configured to be implanted on the femur. The femoral component may comprise a medial condyle with a medial articulation surface and a lateral condyle with a lateral articulation surface. The medial articulation surface and the lateral articulation surface may be shaped substantially symmetrically to each other across a femoral component plane bisecting the femoral component. The tibial component may comprise an articulation surface with a medial articulation side configured to articulate with the medial articulation surface and a lateral articulation side configured to articulate with the lateral articulation surface. The medial articulation side and the lateral articulation side may be shaped substantially asymmetrically to each other across a tibial component plane bisecting the tibial component.

Abstract: A prosthesis for replacing a natural articular surface on a bone may have a joint facing side with an articular surface, a bone anchoring side with a bone engagement surface, and a bone engagement pad secured to at least part of the bone engagement surface. The bone engagement pad may have a transverse portion extending transverse to a length of the bone, and one or more protruding portions extending generally perpendicular to the transverse portion. The transverse portion may have a pad bone-facing surface with a first porosity level, and a pad joint-facing surface on an opposite side of the transverse portion from the pad bone-facing surface, with a second, lower porosity level. The bone engagement surface may be formed via a first manufacturing process selected from the group consisting of forging, milling, and casting. The bone engagement pad may be formed via an additive manufacturing process.

Abstract: A unicompartmental orthopedic knee implant may include a tibial tray including a body having a joint-facing side, a bone-facing side opposite the joint-facing side, a side wall extending about a periphery of the body, and a channel extending through the bone-facing side from one of the joint-facing side or the side wall, the channel being angled relative to the bone-facing side of the body. The implant may also include a fixation element coupled to the body. The fixation element may include a rail for insertion into the channel of the body, a support extending from the rail, and a bone engagement feature connected to the support, the bone engagement feature including an edge operable to penetrate the tibia, wherein the bone engagement feature is inserted through the channel.

Abstract: A method of implanting a unicompartmental orthopedic knee implant may include positioning a tibial tray onto a resected patient's tibia, the tibial tray including a body having a joint-facing side opposite a bone-facing side, and inserting a tibial anchor guide into the body of the tibial tray, wherein the tibial anchor guide includes a slot. The method may further include forming a tibia channel in the patient's tibia by inserting a cutting device into the slot of the tibial anchor guide, removing the cutting device from the tibial anchor guide, and inserting a fixation element into the tibia channel, wherein compression is created between the bone-facing side of the body of the tibial tray and the tibia when the fixation element is inserted.

Abstract: A unicompartmental orthopedic knee implant may include a tibial tray having a body including a joint-facing side, a bone-facing side opposite the joint-facing side, and a channel provided in the bone-facing side. The bone-facing side includes a bottom surface and a bone-contacting layer applied to the bottom surface. The bone-contacting layer configured to contact a tibia. The channel extends through the bone-contacting layer. The tibial tray may also include a protrusion for insertion into a corresponding opening in the tibia, the protrusion extending from the bottom surface at a non-zero angle. The implant may also include a fixation element coupled to the bone-facing side of the body. The fixation element may include a rail for insertion into the channel of the body, a support extending from the rail, and a bone engagement feature connected to the support, the bone engagement feature including an edge operable to penetrate the tibia.

Abstract: A prosthesis for replacing a natural articular surface on a bone may have a joint facing side with an articular surface, a bone anchoring side with a bone engagement surface, and a bone engagement pad secured to at least part of the bone engagement surface. The bone engagement pad may have a transverse portion extending transverse to a length of the bone, and one or more protruding portions extending generally perpendicular to the transverse portion. The transverse portion may have a pad bone-facing surface with a first porosity level, and a pad joint-facing surface on an opposite side of the transverse portion from the pad bone-facing surface, with a second, lower porosity level. The bone engagement surface may be formed via a first manufacturing process selected from the group consisting of forging, milling, and casting. The bone engagement pad may be formed via an additive manufacturing process.

Abstract: Implants include fixation features which slidingly receive fixation elements. The fixation features may be negative or positive features, such as undercut channels or posts. Examples include unicompartmental tibial trays having a ridge protruding from the bone-facing side, an undercut channel formed within the ridge. Instruments are disclosed for preparing a ridge-receiving feature in bone.

Abstract: A system for preparing a knee may include a marking guide with a handle and a tibial marking portion extending from the handle. The handle may have a tibial alignment feature shaped to be aligned with a first corresponding feature of a tibia and a tibial marking guide shaped to guide motion of a marking instrument to provide, on the tibia, a tibial mark that identifies a tibial location at which a tibial component is to be placed on the tibia. The marking guide may further have a femoral marking portion with a femoral alignment feature shaped to align the femoral marking portion with the tibial marking portion and/or the tibial mark, and a femoral marking guide shaped to guide motion of a marking instrument to provide, on a femur, a femoral mark that identifies a femoral location at which a femoral component is to be placed on the femur.

Abstract: Medical implant surface treatments and methods are described. Such a surface treatment may provide an uneven texture that is configured to interlock with adjoining bone and/or an uneven texture on another implant, such as an augment for an acetabular cup for revision hip surgery. At least one of the uneven texture of the cup bone-facing surface and the uneven texture of the augment cup-facing surface may include a web of rods. The rods may be configured to interlock with each other when the two implants are urged together.

Abstract: Implant assemblies, systems, and methods for replacing a knee joint may include a method of revising a knee joint prosthesis implanted in a knee of a patient to provide increased stability to the knee joint prosthesis by replacing a first tibial insert with a second tibial insert that provides more constraint that the first tibial insert. A knee joint prosthesis system and kit are also provided that may include a tibial baseplate component, a femoral component, and a tibial insert that is selectively interchangeable with other tibial inserts to provide varying levels of constraint and stability to the knee joint prosthesis.

Abstract: An apparatus, system, and method may be used to replace a natural or artificial articular surface of a joint, and to repair a bone that is associated with the joint. In some embodiments, the apparatus, system, and method may include a joint replacement prosthesis with a prosthetic articular surface, a support structure securable to the bone, and a first attachment interface. The system may also include a bone plate with a bone engagement surface securable to the bone on either side of a fracture formed in the bone, or a damaged area of the bone. The bone plate may include a second attachment interface that is attachable to the first attachment interface of the joint replacement prosthesis in order to couple the bone plate to the joint replacement prosthesis.

Abstract: Implant assemblies, systems, kits, and methods for replacing a knee joint may include a universal femoral trial component for preparing and trialing a femoral bone of a patient to receive a plurality of different femoral implant types. The assembly may include a body and drill guide and an attachment mechanism including first and second compressible tabs and a rotatable handle operationally connected to the first and second tabs. The universal femoral trial component may be configured to receive any of a plurality of femoral bone preparation attachments and any of a plurality of femoral trial attachments in order to facilitate the preparation and trialing of the femoral bone to receive the plurality of different femoral implant types.

Abstract: Arthroplasty components include an articular surface and a bone-facing surface. The bone-facing surface includes a concave arrangement of planar surfaces which converge as they approach a middle portion of the articular surface. Instruments and implantation methods are also disclosed.

Abstract: An apparatus, system, and method may be used to replace a natural or artificial articular surface of a joint, and to repair a bone that is associated with the joint. In some embodiments, the apparatus, system, and method may include a joint replacement prosthesis with a prosthetic articular surface, a support structure securable to the bone, and a first attachment interface. The system may also include a bone plate with a bone engagement surface securable to the bone on either side of a fracture formed in the bone, or a damaged area of the bone. The bone plate may include a second attachment interface that is attachable to the first attachment interface of the joint replacement prosthesis in order to couple the bone plate to the joint replacement prosthesis.

Abstract: A posterior spinal fusion system may include a plurality of cannulas that mate with cages polyaxially coupled to pedicle screws. The cannulas maintain access to the pedicle screws to facilitate percutaneous insertion of a fusion rod into engagement with the cages. Each cannula has a pair of blades that may be held together by an abutment member that at least partially encircles the blades. Each abutment member abuts the skin to define a variable subcutaneous length of the corresponding cannula. Each abutment members is also lockably removable from the corresponding blades to enable the blades to pivot with respect to the connecting element to a position in which they can be withdrawn from the connecting element. The blades of each cannula are spaced apart to provide first and second slots of each cannula, through which the fusion rod can be percutaneously inserted.