Abstract: A patient-specific instrument is disclosed for performing an osteotomy. The patient-specific instrument includes a body that includes a proximal side, a distal side, a medial side, a lateral side, and an inferior side having a bone engagement surface shaped to match at least one of a first surface of a first bone, a second surface of a second bone, a third surface of a third bone, and a fourth surface of a fourth bone of adjacent joints. The instrument also includes a superior side having one or more guide features that are positioned to guide resection of at least one of the first bone, the second bone, the third bone, and the fourth bone. The body is configured to seat transverse to the adjacent joints with the bone engagement surface engaging at least one of the first surface, the second surface, the third surface, and the fourth surface.

Abstract: An apparatus, system, and method are disclosed for remediating a condition present in a patient. In some implementations, the device may include one or more temporary fasteners configured to engage one or more bones of a patient's foot. In addition, the device may include a pivoting resection guide having: a first bone attachment feature configured to receive at least one of one or more temporary fasteners; a second bone attachment feature configured to receive at least one of one or more temporary fasteners; a cutter guide coupled between the first bone attachment feature and the second bone attachment feature, the cutter guide configured to guide a cutting tool as the cutter guide rotates about a pivot axis coupled to the first bone attachment feature and the second bone attachment feature.

Abstract: Systems and methods are disclosed for maintaining spacing between a superior spinous process and a superior lamina, and an inferior spinous process and an inferior lamina of adjacent vertebrae of a spine. A system may include an implant having a proximal superior surface with a superior concavity shaped to receive the superior spinous process, a proximal inferior surface with an inferior concavity shaped to receive the inferior spinous process, a distal superior surface, distal to the proximal superior surface, that faces the superior lamina, and a distal inferior surface, distal to the proximal inferior surface, that faces the inferior lamina. The implant may further have a threaded member extending along a proximal-distal direction, that rotates to urge the implant to move from a retracted configuration to a deployed configuration by urging the distal superior surface and the distal inferior surface to move apart.

Abstract: An apparatus, system, and method are disclosed for remediating a condition present in a patient. In some implementations, the apparatus may include a body and a trajectory port that extends through the body. The trajectory port guides a tool to form a bone tunnel in a bone of a patient. The trajectory port is defined at least partially on a bone model of at least a portion of bone of the patient. The apparatus may include a bone engagement feature that extends from the body, the bone engagement feature configured to engage at least a portion of the bone such that the bone engagement feature positions the bone tunnel guide in a position that corresponds to a modeled position of a bone tunnel guide model engaging a bone model.

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: A method may be used to correct a condition present in a patient. The method may include obtaining a first bone model of a first bone of one or more bones of the patient's foot, and using at least the first bone model to generate a cutting guide model. The cutting guide model may define a first bone engagement surface shaped to match a first contour on the first bone, and a first guide feature that, with the first bone engagement surface overlying the first contour, is positioned to guide resection of the one or more bones as part of a surgical osteotomy for correcting the condition. The surgical procedure may be selected from a first group consisting of a bunion correction osteotomy, an Evans calcaneal osteotomy, and a medializing calcaneal osteotomy. The first bone may be selected from a second group consisting a metatarsus, a cuneiform, and a calcaneus.

Abstract: A method may be used to correct a condition present in a patient. The method may include obtaining a first bone model of a first bone of one or more bones of the patient's foot and using at least the first bone model to generate a cutting guide model. The cutting guide model may define a first bone engagement surface shaped to match a first contour on the first bone, and a first guide feature that, with the first bone engagement surface overlying the first contour, is positioned to guide resection of the one or more bones as part of a surgical osteotomy for correcting the condition. The surgical procedure may be selected from a first group consisting of a bunion correction osteotomy, an Evans calcaneal osteotomy, and a medializing calcaneal osteotomy. The first bone may be selected from a second group consisting of a metatarsus, a cuneiform, and a calcaneus.

Abstract: An apparatus, system, and method are disclosed for remediating a condition present in a patient. In some implementations, the apparatus may include a resection guide having: a body having an anterior side, a posterior side, a medial side, a lateral side, a superior side, and an inferior side. The resection guide also includes a first resection feature configured to guide a cutting tool to form a first osteotomy in a first bone. The first osteotomy is defined based at least partially on user directions and at least partially on a bone model of at least a portion of the first bone. The bone model is based on medical imaging of a patient's foot. The resection guide includes bone attachment feature configured to secure the resection guide to the first bone.

Abstract: An apparatus, system, and method is disclosed for correcting a condition present in a patient. In some aspects, the apparatus may include a resection guide having: a body, resection features that define trajectories that are at least partially determined based on a bone model of at least a portion of the patient's foot. The bone model can be based on medical imaging of the patient's foot. The apparatus includes a first bone attachment feature and second bone attachment feature configured to secure the resection guide to the bone. Also, the apparatus may include at least one complementary component selected from the group having of: an alignment guide; a rotation guide; a compression guide; a correction guide; a positioning guide; a pin guide; and a fixation guide.

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 apparatus, system, and method is disclosed for correcting a condition present in a patient. In some implementations, the apparatus may include a proximal end. In addition, the apparatus may include a distal end. The apparatus may include a body having a superior side, an inferior side, a medial side, a lateral side, a proximal side, and a distal side. Moreover, the apparatus may include a marker configured to identify a location for a reference feature that corresponds to a model reference for a bone of the patient's foot. Also, the apparatus may include a bone engagement surface configured to register to an anatomical structure of the bone, the bone engagement surface defined based on medical imaging taken of the bone.

Abstract: An apparatus, system, and method is disclosed for correcting a condition present in a patient. The apparatus may include a body having a superior side, an inferior side, a medial side, a lateral side, a proximal side, and a distal side. In addition, the apparatus may include a resection feature between a proximal end and a distal end that guides resection of a metatarsal of a patient's foot. Moreover, the apparatus may include a bone attachment feature configured to couple the body to the metatarsal. Also, the apparatus may include a bone engagement surface configured to register to the metatarsal based on medical imaging taken of the patient's foot.

Abstract: An apparatus, system, and method is disclosed for correcting a condition present in a patient. The apparatus may include a bone positioner having: a bone attachment feature configured to couple the bone positioner to at least one of a first bone and a second bone; and a positioning member configured to position the second bone a patient-specific distance relative to the first bone for remediating a condition present in a patient's foot. The apparatus may also include a trajectory guide configured to guide one or more fasteners into one or more bones at a patient-specific trajectory.

Abstract: An expandable intervertebral implant that includes an upper endplate having: a proximal end with a proximal ramp, and a distal end with a distal ramp. The proximal ramp includes a pair of upper proximal rails and the distal ramp includes a pair of upper distal rails. The expandable intervertebral implant also includes a lower endplate that includes a proximal end, a proximal ramp, a distal end, and a distal ramp. The proximal ramp includes a pair of lower proximal rails and the distal ramp includes a pair of lower distal rails. The at least one of the lower distal rails and the lower proximal rails is closer to a central plane than one or more of the upper distal rails and the upper proximal rails. The central plane divides a left side from a right side of the expandable intervertebral implant.

Abstract: In some implementations, the interbody implant may include an anterior side, a posterior side, a cephalad side, a caudal side, a right side, and a left side. In addition, the interbody implant may include a proximal end and a distal end. The interbody implant may include a mesh having a first set of pores having a first diameter based on a first relationship to a first locus and a second set of pores having a second diameter based on a second relationship to the first locus. Moreover, the interbody implant may include where at least one of the anterior side, posterior side, left side, right side, cephalad side, and caudal side may include the mesh.

Abstract: A patient-specific instrument is disclosed for performing an osteotomy. The patient-specific instrument includes a body that includes a proximal side, a distal side, a medial side, a lateral side, and an inferior side having a bone engagement surface shaped to match at least one of a first surface of a first bone, a second surface of a second bone, a third surface of a third bone, and a fourth surface of a fourth bone of adjacent joints. The instrument also includes a superior side having one or more guide features that are positioned to guide resection of at least one of the first bone, the second bone, the third bone, and the fourth bone. The body is configured to seat transverse to the adjacent joints with the bone engagement surface engaging at least one of the first surface, the second surface, the third surface, and the fourth surface.

Abstract: Systems and methods are disclosed for maintaining spacing between a superior spinous process and a superior lamina, and an inferior spinous process and an inferior lamina of adjacent vertebrae of a spine. A system may include an implant having a proximal superior surface with a superior concavity shaped to receive the superior spinous process, a proximal inferior surface with an inferior concavity shaped to receive the inferior spinous process, a distal superior surface, distal to the proximal superior surface, that faces the superior lamina, and a distal inferior surface, distal to the proximal inferior surface, that faces the inferior lamina. The implant may further have a threaded member extending along a proximal-distal direction, that rotates to urge the implant to move from a retracted configuration to a deployed configuration by urging the distal superior surface and the distal inferior surface to move apart.

Abstract: A patient specific instrument is disclosed for correcting a condition present in a patient. The patient specific instrument includes a body that includes an inferior side having a bone engagement surface shaped to match a first surface of a first bone and a second surface of a second bone of a joint. The instrument also includes a superior side having a first guide feature and a second guide feature that together, with the bone engagement surface overlying the first surface and the second surface, are positioned to guide resection of the first bone and the second bone during a surgical osteotomy for correcting the condition. The body is configured to seat transverse to the joint with the bone engagement surface engaging the first surface of the first bone and the second surface of the second bone.

Abstract: An expandable intervertebral implant that includes an upper endplate having: a proximal end with a proximal ramp, and a distal end with a distal ramp. The proximal ramp includes a pair of upper proximal rails and the distal ramp includes a pair of upper distal rails. The expandable intervertebral implant also includes a lower endplate that includes a proximal end, a proximal ramp, a distal end, and a distal ramp. The proximal ramp includes a pair of lower proximal rails and the distal ramp includes a pair of lower distal rails. The at least one of the lower distal rails and the lower proximal rails is closer to a central plane than one or more of the upper distal rails and the upper proximal rails. The central plane divides a left side from a right side of the expandable intervertebral implant.

Abstract: Systems and methods are disclosed for maintaining spacing between a superior spinous process and a superior lamina, and an inferior spinous process and an inferior lamina of adjacent vertebrae of a spine. A system may include an implant having a proximal superior surface with a superior concavity shaped to receive the superior spinous process, a proximal inferior surface with an inferior concavity shaped to receive the inferior spinous process, a distal superior surface, distal to the proximal superior surface, that faces the superior lamina, and a distal inferior surface, distal to the proximal inferior surface, that faces the inferior lamina. The implant may further have a threaded member extending along a proximal-distal direction, that rotates to urge the implant to move from a retracted configuration to a deployed configuration by urging the distal superior surface and the distal inferior surface to move apart.