Abstract: Systems and methods are provided for planning placement of an acetabular implant for a patient based on pelvic tilt. The system includes one or more sensors to be placed on the patient to provide measurements of a pelvic tilt angle of the patient taken with the patient in various functional positions to produce patient-specific data based on pelvic tilt from which to plan an inclination angle and a version angle of the acetabular implant for the patient.

Abstract: A three-dimensional structure is formed when layers of a material are deposited onto a substrate and scanned with a high energy beam to at least partially melt each layer of the material. Upon scanning the layers at predetermined locations at least a first segment overlapping a second segment and underlapping a third segment is formed.

Abstract: A three-dimensional structure is formed when layers of a material are deposited onto a substrate and scanned with a high energy beam to at least partially melt each layer of the material. Upon scanning the layers at predetermined locations at least a first segment overlapping a second segment and underlapping a third segment is formed.

Abstract: A method is used for aligning an acetabular cup insertion instrument by taking a single lateral view pre-operative digital x-ray of a standing patient's pelvis. The natural pelvic tilt angle is determined by locating an anterior pelvic plane (APP) which is defined by first, second and third points on the anterior of the pelvis and determining the angle between the APP and a coronal plane perpendicular to the surface on which the patient is standing. The patient is then placed on a surface of an operating room table in a supine position. A position tracking device is placed on the patient's pelvis to track movement. Thereafter an operating room navigation or orientation system is used to relocate the APP defined by the first, second and third points. A cup insertion instrument having a position tracking device thereon is oriented using the navigation or orientation system.

Abstract: A method for avoiding impingement between an implanted prosthetic hip stem and acetabular cup uses at least one digital x-ray of a standing patient preferably including a lateral x-ray to determine a pelvic tilt angle of the patient. A hip stem is virtually implanted at an initial stem version angle into a virtual femur constructed from the digital x-ray. Data of at least one hip joint motion is obtained from at least one individual. A range of inclination and anteversion angles is calculated for a virtually implanted acetabular cup that avoids impingement with the virtually implanted hip stem. The calculated range of inclination or anteversion angles is based at least in part on the pelvic tilt angle of the patient, the initial hip stem version angle and the obtained joint motion data.

Abstract: A method is used for aligning an acetabular cup insertion instrument by taking a single lateral view pre-operative digital x-ray of a standing patient's pelvis. The natural pelvic tilt angle is determined by locating an anterior pelvic plane (APP) which is defined by first, second and third points on the anterior of the pelvis and determining the angle between the APP and a coronal plane perpendicular to the surface on which the patient is standing. The patient is then placed on a surface of an operating room table in a supine position. A position tracking device is placed on the patient's pelvis to track movement. Thereafter an operating room navigation or orientation system is used to relocate the APP defined by the first, second and third points. A cup insertion instrument having a position tracking device thereon is oriented using the navigation or orientation system.

Abstract: A three-dimensional structure is formed when layers of a material are deposited onto a substrate and scanned with a high energy beam to at least partially melt each layer of the material. Upon scanning the layers at predetermined locations at least a first segment overlapping a second segment and underlapping a third segment is formed.

Abstract: A method is used for aligning an acetabular cup insertion instrument by taking a single lateral view pre-operative digital x-ray of a standing patient's pelvis. The natural pelvic tilt angle is determined by locating an anterior pelvic plane (APP) which is defined by first, second and third points on the anterior of the pelvis and determining the angle between the APP and a coronal plane perpendicular to the surface on which the patient is standing. The patient is then placed on a surface of an operating room table in a supine position. A position tracking device is placed on the patient's pelvis to track movement. Thereafter an operating room navigation or orientation system is used to relocate the APP defined by the first, second and third points. A cup insertion instrument having a position tracking device thereon is oriented using the navigation or orientation system.

Abstract: A method for avoiding impingement between an implanted prosthetic hip stem and acetabular cup uses at least one digital x-ray of a standing patient preferably including a lateral x-ray to determine a pelvic tilt angle of the patient. A hip stem is virtually implanted at an initial stem version angle into a virtual femur constructed from the digital x-ray. Data of at least one hip joint motion is obtained from at least one individual. A range of inclination and anteversion angles is calculated for a virtually implanted acetabular cup that avoids impingement with the virtually implanted hip stem. The calculated range of inclination or anteversion angles is based at least in part on the pelvic tilt angle of the patient, the initial hip stem version angle and the obtained joint motion data.

Abstract: A method for coating an orthopedic implant made of a titanium or titanium alloy substrate with a cobalt-chrome molybdenum alloy uses multi-arc physical vapor deposition (MA-PVD). The substrate has a first bearing surface coated with a coating made of the deposited cobalt-chromium molybdenum alloy. The bearing surface slidably receives a second bearing surface of the prosthetic joint component. The MA-PVD cobalt-chromium molybdenum alloy coating forming the first bearing surface is made up of hexagonal close packed (HCP) grains having a columnar structure with a length of about 1 ?m and a width of about 0.1 ?m with the length of each HCP grains being oriented generally perpendicular to the titanium substrate bearing surface.

Abstract: An acetabular trialing system has a trial cup including a body comprising an outer surface, a part-spherical inner surface and a rim extending between the inner and outer surface with a plurality of spaced inwardly resiliently deflectable rim members each connected at a first end to the body outer surface. The part-spherical inner surface has a plurality of spaced resilient deflectable bearing members each forming part of the body part-spherical inner surface. The bearing members have a first end deflectable towards the body outer surface. Upon inward deflection, one of the plurality of deflectable rim members is capable of contacting the first end of a corresponding one of the plurality of deflectable bearing members and moving the bearing member towards the body outer surface and into contact an electrical signaling device mounted on the body intermediate the outer surface thereof and the deflectable bearing member.

Abstract: An alignment system for aligning an acetabular cup insertion instrument utilizes pre-operative preferably standing x-rays and intra-operative x-rays to allow the surgeon to compensate for the position of a patient on an operating room table. The system uses a programmable computer connected to a digital x-ray system and an navigation tracking system to provide input for calculating the inclination and anteversion angles of an acetabular cup impactor based on a pre-operative plan developed from the standing x-rays. The system calculates changes in lengths and angles between anatomic landmarks on the pelvis to alter the intra-operative orientation of the acetabular reaming and impacting instruments to produce the desired inclination and anteversion angles when the pelvis is reoriented as the patient is placed on an operating table.

Abstract: An alignment system for aligning an acetabular cup insertion instrument utilizes pre-operative preferably standing x-rays and intra-operative x-rays to allow the surgeon to compensate for the position of a patient on an operating room table. The system uses a programmable computer connected to a digital x-ray system and an navigation tracking system to provide input for calculating the inclination and anteversion angles of an acetabular cup impactor based on a pre-operative plan developed from the standing x-rays. The system calculates changes in lengths and angles between anatomic landmarks on the pelvis to alter the intra-operative orientation of the acetabular reaming and impacting instruments to produce the desired inclination and anteversion angles when the pelvis is reoriented as the patient is placed on an operating table.

Abstract: A method is used for aligning an acetabular cup insertion instrument by taking a single lateral view pre-operative digital x-ray of a standing patient's pelvis. The natural pelvic tilt angle is determined by locating an anterior pelvic plane (APP) which is defined by first, second and third points on the anterior of the pelvis and determining the angle between the APP and a coronal plane perpendicular to the surface on which the patient is standing. The patient is then placed on a surface of an operating room table in a supine position. A position tracking device is placed on the patient's pelvis to track movement. Thereafter an operating room navigation or orientation system is used to relocate the APP defined by the first, second and third points. A cup insertion instrument having a position tracking device thereon is oriented using the navigation or orientation system.

Abstract: A bone fastener for use in orthopedic surgery for fixing an implant to bone includes a shaft and a head. The shaft is configured to drive into bone when rotated in a first direction. The head is formed on one end of the shaft and has proximal and distal sections. The head also has at least one cutting flute on the distal section of the head. The bone fastener may be used with a prosthetic implant, such as an acetabular shell or bone plate. In use, the bone fastener is driven into the bone through a hole in the prosthetic implant, with at least a portion of the head protruding beyond the hole of the implant. As the head is driven beyond the hole of the implant, the cutting flutes in the head help secure the head of the bone fastener into the bone, increasing the stability of the system.

Abstract: An orthopedic implant has a prosthetic joint component made, for example, of polyethylene and another component made of a titanium or titanium alloy substrate. The substrate has a first bearing surface coated with a coating made of a cobalt-chromium molybdenum alloy. The bearing surface slidably receives a second bearing surface of the prosthetic joint component. The cobalt-chromium molybdenum alloy coating forming the first bearing surface is made up of hexagonal close packed (HCP) grains having a columnar structure with a length of about 1 ?m and a width of about 0.1 ?m with the length of each HCP grains being oriented generally perpendicular to the titanium substrate bearing surface.

Abstract: An acetabular trialing system has a trial cup including a body comprising an outer surface, a part-spherical inner surface and a rim extending between the inner and outer surface with a plurality of spaced inwardly resiliently deflectable rim members each connected at a first end to the body outer surface. The part-spherical inner surface has a plurality of spaced resilient deflectable bearing members each forming part of the body part-spherical inner surface. The bearing members have a first end deflectable towards the body outer surface. Upon inward deflection, one of the plurality of deflectable rim members is capable of contacting the first end of a corresponding one of the plurality of deflectable bearing members and moving the bearing member towards the body outer surface and into contact an electrical signaling device mounted on the body intermediate the outer surface thereof and the deflectable bearing member.

Abstract: A system for cutting bone includes a cutting guide including a metal block having a guide surface provided thereon, and an oscillating tip saw having a cutting blade assembly extending from a distal end thereof. At least one element of the cutting blade assembly is magnetic for generating a magnetic attraction to the guide surface of the cutting guide so as to control the orientation of the cutting blade assembly during a bone cutting procedure. The cutting guide may also be magnetic.