Abstract: Surgical instrumentation and methods for reaming a bone are disclosed. In some cases, the bone is a glenoid of a shoulder. The surgical instrumentation can include a bushing that acts as a guide for a reamer, which reams the bone.

Abstract: Various implant systems and methods of implantation are disclosed herein. The systems and methods allow a surgeon to accurately determine a suitable fastener trajectory for attaching certain components of the implant system to bone. In this manner, an appropriate fastener trajectory can be selected and used during a surgical procedure to ensure better purchase and attachment of the various components of the implant system to the bone.

Abstract: Various different porous screws and pegs are disclosed herein, as are methods of manufacturing such porous pegs or screws. The porous screws and pegs, in certain examples, are formed through additive manufacturing and have improved porosity for bone ingrowth. In certain cases, additive manufacturing or another manufacturing technique can be used to cover only part or all of the threads of the screws or pegs disclosed herein with a porous material. Such screws or pegs can have porosity but also threads that are capable of effectively digging into bone.

Abstract: The present disclosure relates, in some aspects, to orthopaedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopaedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Abstract: An implant and methods for use in various procedures are disclosed. According to an example of the present application, an orthopedic implant is disclosed. The implant can include a base and a body. The base can comprise a porous metal material configured to encourage bone ingrowth into the base. The body can be coupled to the base and can comprise a second material that differs from the porous metal material of the base.

Abstract: Various implant systems and methods of implantation are disclosed herein. The systems and methods allow a surgeon to accurately determine a suitable fastener trajectory for attaching certain components of the implant system to bone in this manner, an appropriate fastener trajectory can be selected and used during a surgical procedure to ensure better purchase and attachment of the various components of the implant system to the bone.

Abstract: Surgical instrumentation and methods for reaming a bone are disclosed. In some cases, the bone is a glenoid of a shoulder. The surgical instrumentation can include a bushing that acts as a guide for a reamer, which reams the bone.

Abstract: Fastener systems and methods for attaching two or more parts are disclosed. A fastener can include a nut component configured to extend into at least a portion of an aperture in a first part and at least a portion of an aperture in a second part. The fastener can further include a compression body configured to fit into an enlarged portion of the aperture in the second part, and a screw component having a head portion configured to engage with a top notch formed in the compression body and an elongated portion configured to engage with the nut component. A diameter of the head portion of the screw component can be less than a diameter of the top notch in the compression body such that the screw component can move in a radial direction relative to the compression body during placement of the fastener to attach two or more parts.

Abstract: Various different porous screws and pegs are disclosed herein, as are methods of manufacturing such porous pegs or screws. The porous screws and pegs, in certain examples, are formed through additive manufacturing and have improved porosity for bone ingrowth. In certain cases, additive manufacturing or another manufacturing technique can be used to cover only part or all of the threads of the screws or pegs disclosed herein with a porous material. Such screws or pegs can have porosity but also threads that are capable of effectively digging into bone.

Abstract: An orthopedic system according to one embodiment of the disclosure comprises a first trial member capable of forming a broach cavity in a first bone of a patient. A second trial member is removeably coupleable to the first trial member in a fixed alignment with respect to the trial member. An alignment member is removeably coupleable in a fixed alignment with respect to the first trial member. The alignment member comprises indicia configured to provide for alignment of the alignment member with respect to at least one of the first bone and a second bone of the patient. The alignment of the second trial member with respect to the first trial member when coupled to the first trial member corresponds to the alignment of the alignment member with respect to the first trial member when coupled with the first trial member.

Abstract: Augments systems and methods for attaching two or more augments to an underside (50) of a tibial baseplate (16) are disclosed. An augment system (100) can include a first augment (102) having a superior surface (106) and an inferior surface (108), the superior surface configured for attachment to the underside of the tibial baseplate. The augment system can include a second augment (104) having a superior surface (110) and an inferior surface (112), the superior surface configured for attachment to the inferior surface of the first augment. The first and second augments can be formed of different materials. One or more additional augments can be used with the first and second augments, and the augment system can be stacked on a resected surface of the tibia. In an example, the augment that directly contacts the resected surface of the tibia can be formed of a porous material, such as to facilitate bone growth.

Abstract: The present disclosure relates, in some aspects, to orthopaedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopaedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Abstract: The present disclosure relates, in some aspects, to orthopedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Abstract: A trochanter attachment device can include a plate for attachment to an inner portion of a greater trochanter of a femur, a collar for attaching the plate to a hip implant, and a fastener for securing the collar to a hip implant. The trochanter attachment device can include a groove or other feature for receiving a reinforcing material, such as a wire or a cable, such as to reinforce an attachment of the device to the greater trochanter and/or the hip implant. The trochanter attachment device can include an insert attachable to the plate and configured to attach the plate to the greater trochanter. All or a portion of the plate and/or the insert can include a porous material, such as to promote bone ingrowth of the greater trochanter.

Abstract: A tibial support structure includes a platform portion and a medullary portion that are monolithically formed as a single piece. The medullary and platform portions of the augment component are adapted to accommodate and mechanically attach to a tibial baseplate, and are individually shaped and sized to replace damaged bone stock both within the tibia, as well at the tibial proximal surface. The monolithic formation of the tibial support structure provides a strong and stable foundation for a tibial baseplate and facilitates restoration of the anatomic joint line, even where substantial resections of the proximal tibia have been made. The tibial support structure may be made of a bone-ingrowth material which facilitates preservation and rebuilding of the proximal tibia after implantation, while also preserving the restored joint line by allowing revision surgeries to be performed without removal of the tibial support structure.

Abstract: Punch instruments (5) are provided in some embodiments for cutting tissue in a resected proximal tibia. Such instruments can include an elongate handle (10) and a cutting head (20) disposed at the distal end of the elongate handle (10). The cutting head (20) can include a first annular blade member (25) with a first leading cutting edge (29) that extends generally transversely to a longitudinal axis of the elongate handle (10). The cutting head (20) can include a second annular blade member (26) that is situated inwardly of the first annular blade member (25) and which includes a second leading cutting edge (30) that extends generally transversely to the longitudinal axis of the elongate handle (10).

Abstract: Fastener systems and methods for attaching two or more parts are disclosed. A fastener can include a nut component configured to extend into at least a portion of an aperture in a first part and at least a portion of an aperture in a second part. The fastener can further include a compression body configured to fit into an enlarged portion of the aperture in the second part, and a screw component having a head portion configured to engage with a top notch formed in the compression body and an elongated portion configured to engage with the nut component. A diameter of the head portion of the screw component can be less than a diameter of the top notch in the compression body such that the screw component can move in a radial direction relative to the compression body during placement of the fastener to attach two or more parts.

Abstract: Augments systems and methods for attaching two or more augments to an underside (50) of a tibial baseplate (16) are disclosed. An augment system (100) can include a first augment (102) having a superior surface (106) and an inferior surface (108), the superior surface configured for attachment to the underside of the tibial baseplate. The augment system can include a second augment (104) having a superior surface (110) and an inferior surface (112), the superior surface configured for attachment to the inferior surface of the first augment. The first and second augments can be formed of different materials. One or more additional augments can be used with the first and second augments, and the augment system can be stacked on a resected surface of the tibia. In an example, the augment that directly contacts the resected surface of the tibia can be formed of a porous material, such as to facilitate bone growth.

Abstract: An implant and methods for use in various procedures are disclosed. According to an example of the present application, an orthopedic implant is disclosed. The implant can include a base and a body. The base can comprise a porous metal material configured to encourage bone ingrowth into the base. The body can be coupled to the base and can comprise a second material that differs from the porous metal material of the base.

Abstract: The present disclosure relates, in some aspects, to orthopaedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopaedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.