Abstract: A template operable to reestablish the center of rotation of a native femoral head at the head of an implanted prosthesis. The template includes a first member with a marking passage and optional cutting guide and a second member with a target. The first member of the template can be placed on a femur and the second member can be moved in the proximal-distal, medial-lateral and anterior-posterior directions to fix the center of the target at the center of rotation of a femoral head. The head of a prosthesis can be manipulated to come in contact with the target to reestablish the center of rotation of the native femoral head.

Abstract: A device and method of delivering a medical tool which may be a memory resector, cutter, probe, or the like, including a memory blade compacted in a small diameter state which expands in a relaxed memory state is disclosed. Said delivery may include using a hollow sheath to pre-compact or preload a memory blade into a compact position, transferring said compacted memory blade into a cannula, and deploying said memory blade from the distal end of said cannula whereby the memory blade returns to its normal expanded memory state.

Abstract: An orthopedic device includes a patient-specific acetabular guide that can be used for preparing an acetabulum of a patient to receive an acetabular implant and/or placement of an acetabular prosthesis. The acetabular guide has a body with an outer three-dimensional surface configured to match an acetabulum of a specific patient's hip joint designed from data of the patient's hip joint. The acetabular guide can further include a peripheral annular rim.

Abstract: An apparatus and method for locating the position of a spinal implant in an intradiscal space patient during surgery, comprising a spinal implant formed of radiolucent material and a releasably attached inserter comprising a positioning element including thereon a marker of material more radiopaque than the material of the spinal implant. The positioning element extends into the implant such that the marker is positioned at a predetermined location within the implant, the positioning element with the radiopaque maker being removable from the spinal implant after insertion. In a particular method of locating the position of the spinal implant, the spinal implant is inserted from the lateral approach.

Abstract: Methods and devices for performing knee arthroplasty including but not limited to bicruciate retaining knee arthroplasty are provided. Methods and devices for preparing a proximal tibia for a tibial implant are also provided. These methods and devices, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures.

Abstract: A securing element is intended for connecting a ligament to a bone part of a human or animal. The securing element comprises a wire or thread which is intended to be connected to the ligament. A clamping element of the securing element clamps' at least one part of the wire or thread in a releasable manner, for which purpose the clamping element comprises a first clamping part and a second clamping part. The first clamping part is provided with a conical first surface and the second clamping part is provided with a corresponding conical second surface on a side facing the first clamping part, in order for the at least one part of the ligament coupling element to be clamped between the first and second surfaces. The clamping element can be actuated from outside the body.

Abstract: The invention relates to a method for assigning position values, detected by means of a position detection system, to a topographic image of an object or body part, which comprises the following steps: providing a topographic model of an object or body part, scanning a surface of the object or body, detecting position values during the scanning and assigning detected position values to corresponding positions in the topographic model, the detected position values being assigned to points of a virtual surface of the topographic model, which has a distance from a model surface which corresponds to a radius of a partly spherical scanning tip of a scanning instrument, by means of which the surface of the object or body part is scanned in each case.

Abstract: A system and method for measuring medial-lateral tilt of a bone is disclosed. The bone is coupled to a joint of the muscular-skeletal system. The method comprises coupling a three-axis accelerometer to a prepared bone surface of a bone. The three-axis accelerometer is configured to measure position, rotation, and tilt. The joint is rotated between two points. The rotation between the two points traverses an arc having a maximum therebetween. The joint pivots off of a surface to which the bone is coupled. In one embodiment, a pivot point and joint rotation relates to a mechanical axis of the joint and bone. The three-axis accelerometer measures data points along the arc as it is rotated between the two points. Multiple passes along the arc generates sufficient data points to determine the maximum. The position of the maximum is used to calculate the medial-lateral tilt of the bone.

Abstract: A system and method for repairing an area of defective tissue reduces the removal of healthy tissue at the margins of the defect. During excision of diseased or damaged tissue, the system tracks the movement and function of a tissue resection tool within a monitored surgical space. This movement is continuously recorded to create a three-dimensional set of data points representative of the excised volume of tissue. This data set is then communicated to a custom implant forming device which creates a custom implant sized to fit the void created by the excision. The system and method of the present disclosure allows a surgeon to exercise intraoperative control over the specific shape, volume and geometry of the excised area. Moreover, the surgeon may utilize a “freehand” resection method to excise only that tissue deemed to be diseased and/or damaged, because the custom-formed implant will accommodate an irregularly-shaped resection volume.

Abstract: A humeral cut guide system for resectioning or resurfacing a humeral head. The humeral cut guide system includes a primary cut guide member configured to be removably coupled to the humeral head. The primary cut guide member includes a patient-specific bone-engaging surface, a primary elongate slot that defines a primary cutting plane, and a pair of cylindrical apertures configured to receive a pair of guide pins. A secondary cut guide member includes a pair of through-holes configured to mate with the pair of guide pins, and the secondary cut guide member includes a secondary elongate slot that defines a secondary cutting plane.

Abstract: A device for orthopedic measurements includes a main housing, a center member, a measurement indicator, and a flexible member. The main housing has a proximal end with a top opening and a distal end with a side opening, and defines a longitudinal axis and includes a main housing cavity. The center member is disposed along the longitudinal axis within the main housing cavity. The measurement indicator is operatively connected to the center member, and is configured and adapted to display a measurement of a distance. The flexible member is threaded through the main housing cavity, and includes a first end and an opposed second end with an eyelet disposed proximate the side opening of the main housing. The eyelet is configured to be drawn away from the main housing, extending the flexible member outward with respect to the side opening to display a measurement on the measurement indicator.

Abstract: A variety of configurations of implant management devices are provided. The configurations provide different combinations of features for maintaining a location of an implant with respect to the device and managing filaments of the implant. One exemplary embodiment of a device includes a generally rectangular-shaped body having an implantable body retainer, an opening disposed a distance apart from the retainer and configured to receive a ligament graft therein, and a fold extending across the body and intersecting the opening. Folding one end of the body towards a bottom surface of the body along the fold can form a filament loop engaging region to hold in tension a filament loop extending from the implant. Additional filament(s) associated with the implant can be managed by various filament retention features. Methods for preparing a ligament graft for implantation by relying upon indicia formed on a surface of the device body are also provided.

Abstract: One embodiment of a system described herein can include an axis guide for placement over a patient's right and left ASIS and at least two guides attachable to the axis guide to provide a through hole that is perpendicular to the axis guide. The system can further include at least two probes that can fit through the through holes and extend beyond an end of the axis guide by a predetermined distance, as well as at least two bone engaging pins that fit through the through holes. When the guides are assembled to the axis guide and the probes are assembled to the guides, the axis guide can be placed so that the probes contact the patient's pelvis and the probes can be replaced by the pins to mount the pins to the patient's pelvis in a known orientation.

Abstract: A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

Abstract: A device for accurately positioning the acetabular cup in a minimally invasive total hip arthroplasty (THA), comprising the steps of (a) placing the cup in roughly the correct position in the acetabulum using a acetabular component placement tool, (b) taking a first abduction reading and a first anteversion reading using a gyroscopic positioning unit aligned with the acetabular component placement tool, (c) taking an image of at least a portion of the cup using a radiography unit, (d) using the image to determine the actual orientation of the cup and required position of the cup to properly orient the acetabular component, (e) incrementally altering the position of the cup by using a striking tool, (f) taking new abduction and anteversion readings using the gyroscopic unit to determine the relative movement of the cup caused by the tapping, and (g) repeating any of the steps as necessary.

Abstract: A tool and method for locating a proper position for a portal incision for hip arthroplasty, the tool having at least one generally straight body defining an axis, the generally straight body having a slot at one end, the slot being angled at an approximately 45 degree angle relative to the axis of the generally straight body, the slot configured to receive a cutting member or guide tool. A second generally straight body may be connected to the first generally straight body to form a right angle. If the lengths of the two generally straight bodies are substantially equivalent, then when the second generally straight body is inserted into the acetabulum, the first generally straight body positions the slot in the proper location such that sliding a guide tool or cutting member through the slot allows a portal incision to be created in the proper location. In some embodiments, the generally straight bodies may have adjustable lengths.

Abstract: A bone block assembly including a bone block having a proximal end, a distal end, a central axis defined therethrough, and a hole formed therethrough, and a threaded screw having a proximal end, a distal end, and a first eyelet formed on the proximal end of the threaded screw, the threaded screw configured to be received within the hole of the bone block. The first eyelet of the threaded screw is, at least partially, exposed on the proximal end of the bone block when the threaded screw is fully engaged with the bone block. The first eyelet of the threaded screw is configured to receive a suture.

Abstract: A system and method for use during hip surgery includes a position frame that is removably secured to the patient's femur. The system further includes a tracking unit and navigation engine that establish a pelvic coordinate system and, with the patient's leg placed in a predetermined orientation, capture the location of the femoral position frame within the pelvic coordinate system. The system further includes an image generator configured to display one or more images for directing the surgeon to return the patient's leg to the predetermined orientation following a trial reduction based upon the previously captured position. A leg change determination engine compares the current, post-reconstruction position of the femoral position tracking frame with the previously captured, pre-reconstruction position to derive leg length, offset, and anterior-posterior change values. The change values are then provided to the surgeon for evaluating the suitability of the trial reduction.

Abstract: A method for planning the implantation of a prosthetic joint component in a prosthesis-receiving bone is described. Surrounding soft tissue is retracted to expose the prosthesis-receiving bone. A prosthetic joint component planning template comprising a planar template body having a unitary structure is provided. The planning template is positioned in a superimposed orientation with a curvilinear surface of an exposed prosthesis-receiving bone. The position of the planning template is adjusted into a desired superimposed orientation with respect to the prosthesis-receiving bone. At least one of a size and an orientation of the prosthetic joint component is determined through visualization of the planning template and the prosthesis-receiving bone. An apparatus for assisting a user with determining at least one of a size and an orientation of a prosthetic joint component is also provided.

Abstract: A surgical positioning apparatus (400) comprises a surgical positioning device (412) and a levelling device (422). The surgical positioning device (412) comprises a securing assembly (416), a locating arrangement (418) securable to the securing assembly in a selected position of the locating arrangement, and an indicating arrangement (420) securable to the securing assembly in a selected position of the Indicating arrangement. The locating arrangement (418) comprises a locating member (432) to locate the positioning device in a desired orientation relative to a first article. The indicating arrangement (420) comprises an indicating member (488) to indicate the position of a second article relative to the first article. The levelling device (422) can be mounted on the surgical positioning device (412) to facilitate orientation of the surgical positioning device relative to the vertical.

Abstract: A thickness gage including a transparent measurement tube configured to receive and be slidingly engaged over a tubular shaft of a retrograde reamer. The tubular shaft has linear graduation marks on its surface for identifying linear measures for use in measuring a thickness of a bridge bone gap. The linear graduation marks are located on the tubular shaft surface such that at least some of the linear graduation marks can be observed through the transparent measurement tube. Each linear graduation mark, when aligned with a proximal end of the measurement tube, provides a linear measure of the distance between a distal end of the measurement tube and a cutting member of the retrograde reamer positioned so that its central axis is disposed at a non-zero angle relative to a longitudinal axis of the tubular shaft. Such a distance corresponds to the thickness of the bridge bone gap.

Abstract: Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.

Abstract: An applicator device is provided including a connecting unit. The connecting unit includes a first connector coupled to a first colpostat and a second connector coupled to a second colpostat. The first connector includes a first contact portion and a body portion, the first contact portion being immovably fixed to the body portion. The second connector includes a second contact portion and a third contact portion, the second contact portion being configured to contact and pivotally engage the first contact portion. The first connector further includes a fourth contact portion configured to contact the third contact portion. The second contact portion and the third contact portion are disposed between the first contact portion and the fourth contact portion, and the first contact portion are disposed in closer proximity to a point of delivery of a radiation source than the second, third, or fourth contact portions.

Abstract: A method for determination of mechanical integrity of bone includes embedding a threaded rod into the bone, extracting the threaded rod out of the bone, and measuring the force required to extract the threaded rod from the bone, wherein the force required to extract the threaded rod is indicative of the mechanical integrity of the bone. A device for determining the mechanical integrity of bone includes a housing, a rod holder mounted to the housing and configured to hold a threaded rod which is embedded in the bone, a pulling force applicator which applies a pulling force to the rod holder to extract the threaded rod from the bone, and a pulling force measuring instrument which measures the pulling force applied to the rod holder by the pulling force applicator as the threaded rod is extracted from the bone.

Abstract: A surgical instrument alignment guide comprising a mount (2) arranged to be coupled to a bone of a patient, an alignment rod (4), a guide rod (24) and an indicator (26). The alignment rod (4) has a first end pivotally coupled to the mount (2) such that the inclination of the alignment rod (4) relative to the mount (2) is adjustable. The guide rod (24) is couplable to a second end of the alignment rod (4) at an adjustable angle and orientation such that the guide rod (24) can extend transverse to the alignment rod (4). The indicator (26) is coupled to the guide rod (24) to indicate when the guide rod (24) lies at a desired angle relative to a horizontal axis. Also disclosed is a method of aligning a surgical instrument using the surgical instrument alignment guide.

Abstract: An instrument for establishing orientation of a pelvic prosthesis comprises a tripod having an angularly adjustable guide rod on it. The tips of the legs define a plane, and the guide rod is set by the surgeon to a defined orientation with respect to this plane on the basis of preoperative studies. In use, two of the legs of the instrument are positioned by the surgeon at defined anatomical locations on the pelvis (e.g., a point in the region of the posterior/inferior acetabulum and a point on the anterior superior iliac spine). The third leg then lands on the pelvis at a point determined by the position of the first two points, as well as by the separations between the third leg and the other two legs. The position of the guide rod then defines with respect to the actual pelvis the direction for insertion of a prosthesis.

Abstract: Aspects of the present disclosure involve systems, methods, computer program products, and the like, for utilizing a series of images of a patient's anatomy to determine a cut plane for use during a hip replacement procedure. To determine a cut plane for use during the procedure, the computer program determines a best fit line through the center of the neck of the femur, as well as a best fit line through the femoral shaft. In one particular embodiment, a cut plane through the femur may then be determined as perpendicular to the center line through the neck of the femur. Further, the location of these features in the images may be determined by analyzing the gray scale value of one or more pixels around a selected point on the image. The pixel with the lowest gray scale value may then be assumed to be the edge of the cortical bone in the 2D image.

Abstract: Corpectomy calipers are provided that are capable of measuring both the distance and the angle between two bodies, in particular between two vertebral bodies in an individual. The calipers provided are capable of providing reliable measurements without the need for repeated measurements. The calipers described herein offer a simple and inexpensive solution. Methods of using the calipers are provided, for example, in determining the size and spacing of a void in a corpectomy or intervertebral fusion procedure.

Abstract: An instrument and method for determining the location of the anatomical epicondylar axis between the condyles of a femur is provided. The instrument includes first and second gauges each for measuring a radius of a femoral condyle and a frame. At least one of the gauges is movably connected to the frame. The method includes positioning the measuring end of each gauge against a separate condyle of a femur, actuating a pivoting member of each gauge to determine the radius of each condyle, measuring the distance between the condyles, and determining the location of the anatomical epicondylar axis of the femur. A measurement can be taken from a measuring scale provided on the gauge and from another scale provided on the frame. Determining the location of the axis can further include performing a calculation utilizing the radii of the condyles and the distance between the condyles.

Abstract: A bone depth gauge having a distal handle to which a tip is releasably connected. The tip is formed by photochemical machining to produce a tip and hook on the distal end with an approximate hexagonal cross section. The manufacturing costs of the tip are low enough to provide it in a one use package. A tubular element is releasably telescoped over the tip and handle to enable determination of the depth of a hole formed in a bone.

Abstract: The present invention discloses handheld tracking systems and devices comprising of at least one handheld tracking device for intra-operative aligning or positioning of surgical implant systems and instruments with reference to the anatomy of a patient. The handheld tracking system further comprises of at least one trackable element. The handheld device is mounted at the proposed implantation site using the holding means while trackable element(s) is/are mounted at predetermined location(s) such that data from said deployed trackable element(s) relating to the position of the patient and the surgical instruments are input continuously into the handheld devices. The handheld device then processes the data on the basis of pre-loaded preoperative scanned images in the processing means to monitor the accurate placement of said implant system onsite in sterile environment.

Abstract: A surgical resection guide comprising: a housing (36); a stylus arm (38) extending through the housing (36) arranged such that when the housing (36) is coupled to the side of a bone, a tip of the stylus arm (38) is arranged to contact an end of a bone; and a linear adjustment mechanism. The linear adjustment mechanism comprises: a shaft (30) at least partially received within a bore extending through the housing (36) such that the shaft (30) can slide along its longitudinal axis relative to the housing (36), the shaft (30) incorporating a shaft tooth or groove (50); and a dial (44) rotatably coupled to the housing (36) and incorporating a helical dial groove or rib (48) defining a longitudinal axis offset from the longitudinal axis of the shaft (30).

Abstract: A protractor for use with an external fixation frame is provided. The protractor may include a face having angle designations thereon and a set of opposed and extending flanges projecting from said face. The flanges may connect to a portion of an external fixation frame, such as a ring (or other component) of the frame. The face may also include a post member to which a rotatable dial is mounted. An elongate member may be pivotally connected to a portion of the post member and may include a clamp. The clamp may be used to connect to an alternate portion of an external fixation frame, such as a strut of the frame. Thus, the protractor may be connected to two points on an external fixation frame so as to measure the angle between such points. Related methods of using the aforementioned protractor are also disclosed.

Abstract: A bone graft compaction pliers with removable inserts defines a bone graft harvesting and deployment system applicable to a wide variety of bone graft sized for use with bone anchors such as those employed in ACL repair. Cannulated bone anchors for encouraging bone regrowth employ an anchor with a axial cannulated bore and a plurality of fenestrations surrounding the bore to facilitate bone regrowth. A variety of sizes of single use inserts corresponding to a bone graft shape, or diameter, engage a single compaction pliers for forming various sized bone grafts from a single tool. A transparent transfer tube and corresponding base receives the formed bone graft for length adjustment, and engages protrusions on the recipient bone anchor for aligning the transfer tube to the anchor for disposing the bone graft into the cannulated bore of the anchor.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee join to be distracted by a distance equal to the height of a particular shim.

Abstract: Instruments for use in implanting an orthopedic ankle prosthesis includes a center-transfer instrument and a number of bone cutting blocks. A method of using such instruments is also disclosed.

Abstract: Exemplary embodiments are directed to instruments, methods and systems for harvesting and implanting graft materials, including instruments for capturing a surface topography of an anatomical location, instruments for defining an implant region, and graft harvesting devices. Exemplary embodiments are also directed to methods for capturing a surface topography of an anatomical location, methods for defining an implant region, and methods for harvesting a donor plug. The exemplary instruments, methods and systems generally include capturing a surface topography of a defect region, creating a defect region cavity, and harvesting a donor plug configured and dimensioned to be implanted in the defect region cavity.

Abstract: An apparatus for locating a central axis of a spinal column and method of using the same is disclosed. The apparatus and method includes one or more members capable of spanning a center line which may then be identified by at least one additional member positioned therebetween. Furthermore, the device may contain or be capable of accommodating various additional tools for marking the location of the central axis of a spinal column.

Abstract: An instrument for measuring the medullary canal of a long bone in order to determine the proper size for a stem centralizer is provided. The instrument includes an elongated central portion defining opposed first and second ends and a contact portion. The contact portion extends from the first end or the second end of the elongated central portion. The contact portion has a contact area for contact with the medullary canal and defines a relief area for providing clearance between the instrument and the medullary canal.

Abstract: An assembly tool for assembly of a first component of a prosthesis to a second component of the prosthesis for use in joint arthroplasty is provided. The tool includes a first member in contact with the first component and a second member connected to the second component. The first member defines a first member longitudinal axis. The first member and the second member provide for the assembly of the first component of the prosthesis to the second component of the prosthesis. The second member provides relative motion of the second member with respect to the first member when the second member is rotated relative to the first member about the first member longitudinal axis. The first member and the second member have relative motion features adapted to reduce friction that cooperate with each other to provide the relative motion of the first member with respect to the second member.

Abstract: A method for measuring the depth for installing a pedicle screw comprises utilizing a pedicle depth measuring apparatus which comprises an outer tubular member comprising a first end and a second end. A head member is joined to the second end. The head member comprises a base surface comprising an opening. An inner member is slidable within the outer tubular member. The inner member comprises a first end and a second end, the second end being slidable through the opening. The second end further comprises a marker disposed at a distal end. The marker comprises a material that is radiographically distinguishable, in which a placement of the marker within a cannulation of a patient's pedicle is observable. An indicator member is operable for indicating a distance between the marker and the base surface, in which the distance indicates a choice of a size of a pedicle screw for mitigating damage to the patient's nerve root.

Abstract: An optimized press-fit between a resected bone and an articular implant may, for instance, reduce undesirable qualities, including excess micromotion, stress transmission, and/or strain. By taking into account heterogeneous bone properties, the parameters of a bone resection can be determined as to optimize the press-fit between a resected bone and an articular implant. An optimized press-fit is obtained by determining ideal engagement characteristics corresponding to the fit between the fixation features of an articular implant and a bone. Then, taking into account a bone's heterogeneous properties, the parameters of a bone resection that would substantially achieve the determined ideal engagement characteristics are determined.

Abstract: A system for enabling and disabling a medical device. The system includes a cradle having a magnet for generating a magnetic field. The cradle supports and aligns the medical device in a predetermined orientation. Medical device placed in the cradle exposes a magnetic sensitive switch to the magnetic field of the magnet that produces a change in state of the magnetic sensitive switch. Medical device further includes a switch, indicator, logic circuitry, delay circuit, and detect circuit for coupling a power source to electronic circuitry. In a first mode of operation the medical device can be turned on and then turned off. In a second mode of operation the medical device cannot be turned off after being turned on.

Abstract: A system for assessing an intervertebral disc space comprises an elongated catheter with proximal and distal ends and an expandable body attached to the distal end of the elongated catheter. The expandable body includes proximal and distal end portions. The system further comprises a securing mechanism encircling at least one of the proximal or distal end portions of the expandable body to tighten the expandable body against the elongated catheter.

Abstract: Devices and methods for aiding practitioners in the implementation of arthroplasty prosthetics. Example devices may include a base and an alignment arm, and may be used for finding and recording the native alignment of a bone head, such as the femoral or humeral head. The base may be attached to the bone and the alignment arm may be adjusted to reflect the native alignment of the bone. Once the alignment is recorded, the native bone head may be removed and the prosthetic bone head may be attached to the bone, and properly oriented using the alignment arm of the device.

Abstract: A system and method for detecting and measuring changes in angular position with respect to a reference plane is useful in surgical procedures for orienting various instruments, prosthesis, and implants with respect to anatomical landmarks. One embodiment of the device uses dual orientation devices of a type capable of measuring angular position changes from a reference position. One such device provides information as to changes in position of an anatomical landmark relative to a reference position. The second device provides information as to changes in position of a surgical instrument and/or prosthesis relative to the reference position.

Abstract: Orthopedic systems and methods are provided for use in preparing joints for implants. Specifically, hip preparation systems and methods are disclosed which can include a surgical orientation device. The hip preparation systems and methods can be used, for example, to orient the hip during the procedure, determine the orientation of an anatomical plane or planes, and orient a prosthetic component or components.

Abstract: A system for preparing an implant for implantation includes a trial implant including a first dialable component and a datum, a final implant including a second dialable component, and an instrument including (i) a base assembly configured to support the trial implant so that the datum is in a predetermined orientation, (ii) a fixture supported on the base assembly, the fixture including a domed element, and an alignment tool configured to engage the first dialable component when the trial implant is supported by said base assembly, and (iii) a locking assembly including a guide member defining a spherical surface for nested engagement with said domed element, the locking assembly configured to record the angular orientation of said alignment tool relative to said fixture with said alignment tool engaged with the first dialable component, and to replicate the recorded angular orientation with the alignment tool and a second dialable component.

Abstract: Methods, systems, and apparatus for determining anatomical orientations are described. Data is received that indicates a position of a reference device configured to move with a pelvis of a subject. Data is received that indicates locations corresponding to a reference surface. Data is received that indicates locations on the pelvis. One or more anatomical orientations are determined based on the locations corresponding to the reference surface and the locations on the pelvis. The anatomical orientations are registered to the reference device.

Abstract: A kit for use in performing a trail reduction in joint arthroplasty is provided. The kit includes a trail stem assembly including a first component, a second component selectably moveable with respect to the first component, and a fastener for securing the first component to the second component. The kit also includes an articulating trial component removeably fixedly secured to the trail stem assembly and a driver for cooperation with the fastener to secure the first component to the second component. The kit also includes a handle. The handle has a first feature for permitting the driver to pass through the handle and a second feature for orientably connecting the handle to the articulating trial component.