Abstract: Methods and devices for performing an osteotomy on a bone are presented. In one example of the invention, a method of performing an osteotomy on a bone includes removing a portion of bone from a first side of the bone to create a gap on the first side of the bone; making a cut on a second side of the bone, opposite the first side; and rotating the bone from a first position to a second position to close the gap on the first side of the bone and open the cut on the second side of the bone to create a gap on the second side of the bone.

Abstract: A touch/orientation apparatus having, for orienting a saw template: an adjusting element, a moving element having a profiled indentation, a feeler that is movable relative to the adjusting element, a scale for measuring the height of the adjusting element relative to the moving element, at least one first stop formed on the adjusting element, and at least one second stop formed on the scale or acting as a scale and being provided and adapted to function as a resistance to the first stop. The second stop and/or the first stop resiliently deflects the respective other stop.

Abstract: Various embodiments disclosed herein relate to a humeral resection guide. The humeral resection guide can include a cutting block having a side surface and a cutting surface. The cutting surface can be configured to constrain at least one degree of freedom of movement of a cutting instrument during surgical alteration of the humerus. The humeral resection guide can include a boom extending away from the cutting surface of the cutting block, the boom comprising a cut depth adjustment feature disposed along at least a portion of a length of the boom. The humeral resection guide can include a cut depth indicator disposed at a population derived location along the length of the boom. The cut depth indicator can be configured to indicate that the cutting surface is at a target cut depth for the alteration of the humerus when the cut depth indicator is aligned with a support.

Abstract: A bone cutting guide may include a support that contains a shaft movable relative to the support. The shaft may carry a guide member having one or more cut guides through which a clinician inserts a cutting member to cut bone positioned under the guide cut guides. In operation, a clinician may fixate the support of the bone cutting guide to a bone and translate the guide member until the one or more cut guides are positioned at a desired cut location. The clinician may then perform a cut through the cut guide.

Abstract: In various embodiments, a targeting guide is disclosed. The targeting guide includes a handle defining a targeting hole and a targeting tower configured to be coupled to the handle. The targeting tower defines at least a first guide hole and a second guide hole. Each of the first and second guide holes are sized and configured to receive a respective first guide pin and second guide pin therethrough. The first and second guide pins are configured to indicate alignment of a k-wire inserted through the targeting hole defined by the handle. Methods of using a targeting guide are also disclosed.

Abstract: In some embodiments, the present disclosure relates to a system that includes an insertion tool and a drill guide. The insertion tool includes a body with a distal portion and a distal end. The body has a first engagement feature extending longitudinally along the distal portion and two arms extending longitudinally from the distal end of the body. The drill guide includes two bores and an open faced channel therebetween. The open faced channel includes a second engagement feature slidably engageable with the first engagement feature on the body of the insertion tool. The two bores are adapted for the disposal of a fastener driver tool therethrough.

Abstract: A device for preparing a femur of a patient for receipt of a knee implant in both extension and flexion relative to a resected tibia plateau based on applying tension to medial and lateral collateral ligaments of said patient, comprising a tibial baseplate, a tensioner, the tensioner comprising a tensioner body having a tensioner portion, the tensioner portion affixed to the tibial baseplate, and an expander arm comprising an elongated body portion, a superior side of the elongated body portion having a spiked tip adjacent a posterior end thereof. The spiked tip interacts with an intracondylar notch under tension. The expander arm is operatively connected to the tensioner body via the tensioner portion, the tensioner portion configured for use in selectively raising and lowering the expander arm relative to the tibial baseplate to apply tension to the medial and lateral collateral ligaments in extension or flexion.

Abstract: A system that provides a guide arm, a ratchet arm frame configured to be coupled to the guide arm, a ratchet arm configured to be coupled to the ratchet arm frame, and a sagittal sizing guide body configured to be coupled to the ratchet arm. The sagittal sizing guide body includes a first radiopaque object disposed at a first position and a second radiopaque object disposed at a second position that is spaced apart from the first position. The first radiopaque object has a length that corresponds to a length of a second prosthesis component. When the surgical alignment system is positioned for use on a patient, the first radiopaque object identifies a location at which a first resection of a first bone is to be performed. The second radiopaque object has a profile that corresponds to a profile of a first prosthesis component for installation on a second bone.

Abstract: A bone displacement system includes an anchoring portion, a tool engaging portion, a compression distraction mechanism, a lateral body and a distal body. The anchoring portion has an aperture for receiving a wire to connect the anchoring portion to a proximal bone. The anchoring portion is connectable to a downwardly depending member for holding a tissue portion. The tool engaging portion is connected to the anchoring portion and is configured to connect a tool thereto. The compression-distraction mechanism is connected to the anchoring portion. The lateral body is connected to the compression-distraction mechanism and engageable with a lateral bone. The distal body is connected to the compression-distraction mechanism. The distal body has an aperture for receiving a wire to connect the distal body to a distal bone. The compression-distraction mechanism is configured to move the anchoring portion relative to the distal body.

Abstract: A kit of parts for use in a unicondylar knee replacement procedure having a keel punch, a unicondylar tibial trial and an impactor. The keel punch including a cutting formation on the inferior side configured to form a slot in a resected part of a patient's tibia, and a first attachment formation on the superior side. The unicondylar tibial trial having a body defining a slot passing therethrough between an upper surface and a lower surface that extends parallel to a longitudinal axis extending from an anterior end to a posterior end of the body. The slot configured to slidably receive the keel punch. The impactor includes a second attachment formation and is releasably attachable to the keel punch by slidingly engaging the second attachment formation with the first attachment formation. An assembly for use in and methods of trialing during a unicondylar knee replacement procedure are also disclosed.

Abstract: Patient specific instruments, systems and methods for maintaining, correcting and/or resurfacing joint surfaces. A tibia alignment guide including a body with a first surface and a second surface, a base portion coupled to and extending away from the first surface of the body, and a tower portion coupled to and extending away from a top surface of the body.

Abstract: The presently disclosed invention relates to devices and methods for conducting bone surgery on an animal using a bone surgery tool comprising a base, a fixed arm fixed to the base, the fixed arm including a shoulder and a jaw, a sliding arm releasably fixable to the base, the sliding arm including a head that receives an implant and a cartridge in a slot, the method comprising hooking the bone with the jaw, moving the head toward the jaw capturing the bone, accessing the bone with a drill through cartridge bores in the cartridge, and drilling holes, accessing the bone with a self-shearing screw attached to a screw driver through cartridge bores in the cartridge, and attaching the implant to the bone, and moving the head away from the jaw releasing the bone.

Abstract: A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.

Abstract: The present invention relates generally to minimally invasive, cost-effective, adaptable methods, systems, and devices used to repair anatomical joint conditions. The repair may be necessitated by trauma, disease or other conditions. The anatomical joint may specifically include mammalian joints such as the knee, shoulder, elbow, wrist, finger, hip, spine, toe and ankle, for example. The methods, systems, and devices disclosed herein include leveraging the significant (and often unappreciated) role the subchondral bone plays in the health status of the afflicted anatomical joint.

Abstract: Described within are systems, methods and apparatus for a bone mounted robotic-assisted orthopedic surgery system for precise implant position, soft tissue balancing and guidance of tools during a surgical procedure, particularly partial or total knee replacement procedure. The system features a bone mounted robotic arm with end-effector for precise positioning of surgical tool, positioning of implants and balancing of soft tissues. The reconfigurable robotic system requires minimal training by surgeons, is intuitive to use similar to conventional instrumented surgery and has a small footprint. The system works with existing, conventional instruments, patient specific instruments, sensor-assisted systems and computer-assisted systems and does not require increased surgical time and safely provides the enhanced precision achievable by robotic-assisted systems and computer-assisted technologies.

Abstract: Guides, systems, and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The guide system including a cut guide, an alignment guide, and at least one directional wire. The cut guide including a base portion, an extension member extending away from a bottom surface of the base portion, and at least one arm extending away from an end of the base portion. The alignment guide, including a base portion, a first extension member extending away from a bottom surface of the base portion in a first direction, and a second extension member extending away from the bottom surface of the base portion in a second direction. Methods of using a guide system for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: A device comprises a base. A support is attached to the base. The support is shaped to receive a calf of a person and adapted to receive a wire or pin for securing a tibia of a person. A foot plate is attachable to the base. The foot plate has a plurality of attached members. The members are configured for receiving at least a first wire or pin to fix a foot of the person relative to the foot plate while the foot plate is oriented normal to a superior-inferior direction of the foot. The foot plate is rotatable relative to the base while the foot plate is attached to the base.

Abstract: A robotic surgery system includes a robotic manipulator and a cutting guide to be coupled to the robotic manipulator. The cutting guide is configured to guide a cutting tool so that the cutting tool cuts tissue of the patient. A control system is coupled to the robotic manipulator to control a location of the cutting guide and/or the cutting tool relative to the tissue.

Abstract: A method and one or more devices for a capitolunate fusion includes a cutting block for attaching to the capitate bone and for cutting the capitate and lunate bones to fit a corresponding plate. The cutting block is removed and a fusion plate is fixed to the capitate and lunate bone with the plate having a capitate section and a lunate section with the capitate section and lunate section of the plate in a generally perpendicular arrangement to allow optimal fusion of the capitate and lunate bones. Further devices include a three and four bone fusion cutting block and fusion plate.

Abstract: An implant having a unitary body includes an intramedullary portion and an extramedullary portion. The intramedullary portion is sized and structured to be received within an intramedullary canal of a first bone and defines a longitudinal axis. The extramedullary portion includes a surface defining an axis that is disposed at an angle with respect to the longitudinal axis. An aperture defined along the extramedullary portion is sized and configured to receive a fastener therein for coupling the extramedullary portion of the implant to a second bone.

Abstract: Methods of designing and manufacturing a number of low-profile metallic customized, patient-specific orthopaedic surgical instruments are disclosed.

Abstract: Systems (100, 900, 1100), devices, and methods may be used to print or use a patient-specific waterjet cut guide (104, 302, 902, 1102). A method may include receiving, at a processor, image data of a bone (102, 308) of a patient (702), rendering a model of the bone (102, 308) (704) and generating a cut guide model using the model of the bone (102, 308) (706). The method may include printing, using a three-dimensional (3D) printer, a waterjet cut guide (104, 302, 902, 1102) using the cut guide model. A method may include using the patient-specific waterjet cut guide (104, 302, 902, 1102) to perform a resection using a waterjet cutting device, the waterjet cutting device including a nozzle (108, 306, 406, 500A, 500B) insertable into a cut guide slot (106B, 304, 310, 906, 1104) of the patient-specific waterjet cut guide (104, 302, 902, 1102).

Abstract: The present disclosure provides for a wrist arthroplasty system and method that enable an expedient surgical procedure, maintain wrist motion, and reduce the likelihood of implant loosening. The system includes a capitate implant, a radial implant, and a resection instrument. The capitate implant includes a convex head formed to interface with a concave socket of the radial implant. The capitate implant includes a single stem formed to be secured within a patient's capitate bone. The radial implant includes lips formed to increase wrist joint motion and to help prevent dislocation of the capitate implant from the radial implant. The resection instrument may be used in combination as a measurement tool for determining the proper implant size, a guide for properly positioning the implants, and a trial tool for testing trial implant components before securing the final radial and capitate implants.

Abstract: A footplate assembly for ankle includes a footplate base; a slider arm that is rotatably coupled to the footplate base, the slider arm being configured to be couplable to external ankle instrumentation; a locking fastener configured to lock the slider arm in a chosen orientation relative to the footplate base; and a knob coupled to the footplate base having a scale to display the angle of the slider arm relative to the footplate base.

Abstract: A stemless humeral head replacement system including a base plate and a humeral head implant. The base plate includes a bone facing side, an implant side opposite the bone facing side, a curvate perimeter, at least one fin protruding from the bone facing side a first distance and extending linearly a length along the bone facing side, and an implant engagement structure on the implant side. The humeral head implant includes a curvate implant surface and a base plate engagement structure opposite the curvate implant surface, the base plate engagement structure configured to couple to the implant engagement structure of the base plate.

Abstract: A system determining a location for a surgical procedure, the system including a jig having a frame, a first marker fixed to the frame, wherein the first marker includes a scanable label, and a second marker moveably connected to the frame, such that the second marker can move positions independent of the frame, and wherein the second marker includes a scanable label. The system also includes a mixed reality headset configured to scan the scanable label of the first marker and the scanable label of the second marker, to provide location data to the mixed reality headset.

Abstract: An orthopaedic surgical instrument includes a polymer cutting block having a number of metallic cutting guides secured thereto. A pair of metallic bushings function as saw stops at the medial and lateral ends of the cutting slot during an orthopaedic surgical procedure.

Abstract: A device comprises a base. A support is attached to the base. The support is shaped to receive a calf of a person and adapted to receive a wire or pin for securing a tibia of a person. A foot plate is attachable to the base. The foot plate has a plurality of attached members. The members are configured for receiving at least a first wire or pin to fix a foot of the person relative to the foot plate while the foot plate is oriented normal to a superior-inferior direction of the foot. The foot plate is rotatable relative to the base while the foot plate is attached to the base.

Abstract: Patient-specific guides for the Latarjet procedure, as well as surgical systems and methods of performing the Latarjet procedure to treat glenohumeral instability using such patient-specific guides are disclosed. A patient-specific coracoid guide and a patient-specific glenoid guide may be configured based on preoperatively generated three-dimensional models of the patient's shoulder anatomy. Guides may be configured for coracoid graft preparation and glenoid decortication. The coracoid graft may be placed in the desired position based on three-dimensional (3D) preoperative planning.

Abstract: Systems and methods for performing an osteotomy are presented. Examples include forming a fusion osteotomy at a metatarsocuneiform joint of the first ray of a human foot.

Abstract: A bone cut guide includes a first portion having a first cut slot and having an aperture for receiving a wire to connect the first portion to a first bone. A second portion has a second cut slot and a second aperture for receiving a second wire to connect the second portion to a second bone. The first portion and the second portion are movably connected to each other to allow the first bone and the second bone to move relative to each other.

Abstract: An instrument for establishing orientation of a pelvic prosthesis comprises a hub, a first arm attached to and extending from the hub, and a second arm attached to and extending from the hub. The first and second arms define a nominal plane of the apparatus, and may extend from the hub at an angle relative to each other. Distances between the first and second legs and between the first and third legs are adjustable. The first, second, and third legs have tips, and the tips of the first, second, and third legs define a plane having a predefined geometric relationship to the nominal plane of the apparatus.

Abstract: The present disclosure relates to a system and method for repairing an articular surface. A guide pin may be secured to an articular surface of a glenoid, wherein the guide pin defines a working axis and the working axis is positioned at an angle ? relative to the articular surface, wherein angle ? is less than or equal to 90 degrees. An excision device may be advanced over the guide pin, wherein the excision device includes a cannulated shaft and at least one cutter, wherein the at least one cutter is generally aligned in a single plane. A generally hemi-spherical excision site may be formed with the excision device within the articular surface of the glenoid.

Abstract: There is provided a tracing platform configured to rigidly attach to an anatomy of a patient that has at least one surface configured to provide a defined path (represented by path definition data) for tracing by a surgical instrument. An intra-operative computing unit receives pose data for the instrument when tracing the path and calculates a location of the defined path using the pose data and the path definition data. A change in location may be determined from pose data of different traces. Tracing the defined path generates a plurality of pose data which may increase accuracy of the location calculations. Redundant trace data may be received to eliminate bias. A geometric feature (e.g. V-groove), shape and/or magnetic properties of the platform may assist with tracing. The platform may rigidly attach to a bone using at least one of spikes, a bone screw, a cerclage wire, and a bone clamp.

Abstract: A glenoid guide has an upper surface and a lower surface, wherein the lower surface is a patient-specific surface configured as a negative surface of a glenoid face based on a three-dimensional image of a shoulder joint of a patient reconstructed preoperatively from image scans of the shoulder joint of the patient. The glenoid guide includes an anatomic tubular drill guide extending from the upper surface along an anatomic alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a glenoid implant into the glenoid face for anatomic shoulder arthroplasty. The glenoid guide includes a reverse tubular drill guide extending from the upper surface along a reverse alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a glenoid baseplate into the glenoid face for reverse shoulder arthroplasty.

Abstract: A verification method of an osteotomy guide tool, a verification system and a detection element are disclosed. The verification method includes obtaining a pose parameter of a feature portion of an osteotomy guide tool in a coordinate system of a trackable element; then comparing the obtained pose parameter of the feature portion of the osteotomy guide tool with a corresponding standard value to obtain an offset between the pose parameter of the feature portion of the osteotomy guide tool and the standard value; if the offset is greater than an expected value, the osteotomy guide tool is determined as deformed. With this configuration, the osteotomy guide tool can be verified to avoid deformation of the osteotomy guide tool during repeated use or transportation, affecting its positioning accuracy and affecting the operation.

Abstract: A surgical guide device can be attached to a patient's bone for assisting an open wedge osteotomy. This device includes two parts which are joined together by way of removable securing unit, namely: a proximal part, including a lower border defining at least one portion of the upper edge of a guide window, and a distal part having an upper edge defining at least one portion of the lower edge of the guide window. The proximal and distal parts are each provided with a plurality of through holes adapted for receiving members temporarily implantable in the bone and/or adapted to guide a drilling of holes in the bone. The arrangement of the through holes of the surgical guide device advantageously takes into account the planned open wedge osteotomy and anticipates the final position of the screw locations of the reported osteosynthesis plate for freezing the two bone fragments.

Abstract: Instruments, guides, systems and related methods for total ankle prostheses are disclosed. The instruments, guides, systems and related methods facilitate preparation of a tibia and/or talus of a patient for implantation of a total ankle prosthesis therein. The instruments, guides, systems and related methods also facilitate selection of a particular size of a tibial component, a talus component and/or a tibial insert of the total ankle prosthesis that suits the patient. The instruments, guides, systems and related methods include a tibial trial component, a talar trial component and tibial insert trial component that replicate one or more aspects of the tibial component, the talus component and the tibial insert, respectively, of the total ankle prosthesis. The talar trial component includes an articulation surface that articulates with the tibial insert trial component, and slots that facilitate chamfered resection of the patient's talus for the implantation of the talus component thereon.

Abstract: An implant is provided for use in an ankle joint between reconditioned end surfaces established on a distal end of an upper tibia bone and an opposing lower talus bone. The implant comprises a substantially porous rigid component adapted to be anchored against the upper tibia reconditioned end surface and the lower talus reconditioned end surface. The component defining an opening therethrough. An intramedullary nail is configured to pass through the opening in the component when the nail is driven through the talus and into the tibia.

Abstract: Embodiments of the present disclosure are directed to instrumentation that facilitate coracoid-glenoid fixation in Latarjet procedures. For example, a single instrument, a coracoid resection tool, may be provided/utilized to prepare a coracoid bone graft for size, flatness, and hole drilling. A glenoid drill guide may further be provided/utilized that uses sized offsets for placement of the coracoid graft flush with the glenoid. Further embodiments of the disclosure are directed to corresponding methods that employ this instrumentation. For example, a surgeon may employs the coracoid resection tool as a guide to plane the inferior coracoid surface that will serve as the coracoid graft surface. The coracoid resection tool may further guide the placement of coracoid holes along the length of the coracoid and orient the holes approximately perpendicular to the planed coracoid graft surface. For example a proximal coracoid hole may be positioned towards the proximal end (i.e.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: An accurate and precise surgical guide for dental procedures, especially a procedure involving a subject with few or no teeth as well as methods for making and use of such guides.

Abstract: A patient-specific guiding system for guiding an instrument relative to a portion of an anatomical feature of a patient. The patient-specific guiding system includes a patient-specific guide. The guide includes a first portion having a first patient-specific inner surface that conforms to a first surface of the anatomical feature and an outer surface opposite the first patient-specific inner surface. The first portion also includes a guide surface for use in guiding the instrument relative to the anatomical feature. The guide also includes a second portion having a second patient-specific inner surface that conforms to a second surface of the anatomical feature and an outer surface opposite the second patient-specific inner surface. The second portion is removably connected to the first portion.

Abstract: A saw blade of a bone saw machine includes a distally arranged or configured row of saw teeth and a proximally arranged or configured coupling region for coupling the saw blade with an oscillating rotating tool receptacle of the bone saw machine. The saw blade is designed with two counter-rotating curvatures or bends approximately in the manner of an S shape.

Abstract: Surgical methods are presented for sizing and adjusting a spacer and trial relative to a joint so as to properly position a cutting guide for resection of a bone. The trial may be inserted into a resected space in a first bone, and the spacer may be inserted into one or more channels defined by the trial. The laxity of one or more ligaments may be assessed relative to at least one of the trial and the spacer.

Abstract: A biopsy device for acquiring a tissue sample is disclosed. The biopsy device comprises a tissue-engaging outer element, a handle and a trocar. Multiple tissue samples may be collected.

Abstract: Methods and devices for performing an osteotomy produce a bone cut producing a multi-planar change in the alignment of a bone portion by rotating it relative to another bone portion.

Abstract: In some embodiments, the present disclosure relates to a system that includes an insertion tool and a drill guide. The insertion tool includes a body with a distal portion and a distal end. The body has a first engagement feature extending longitudinally along the distal portion and two arms extending longitudinally from the distal end of the body. The drill guide includes two bores and an open faced channel therebetween. The open faced channel includes a second engagement feature slidably engageable with the first engagement feature on the body of the insertion tool. The two bores are adapted for the disposal of a fastener driver tool therethrough.

Abstract: In order to position an ankle prosthesis including a tibial implant and a talus implant provided with a talo-calcaneal anchoring keel, the invention proposes a surgical instrumentation assembly including: a tibial phantom (60) of the tibial implant, adapted so as to be attached to the tibia (T) of a patient, and an aiming guide (80) adapted for setting into place an instrumentation element (90) through the talus (A) and the calcaneus (C) of the patient, along an axis (Z-Z) for implanting the talo-calcaneal anchoring keel, the tibial phantom and the aiming guide mechanically cooperating with each other to restrict movement of the tibial phantom and the aiming guide relative to each other along vertical and medio-lateral directions, wherein the aiming guide is configured to guide placement of the instrumentation element.

Abstract: A system for creating decision support material indicating damage to an anatomical joint of a patient. The system is configured to: i) receive a series of radiology images of at least a part of the anatomical joint; ii) obtain a three-dimensional image representation of the at least part of the anatomical joint; iii) identify tissue parts of the anatomical joint using image analysis; iv) determine damage to the anatomical joint by analyzing said image representation; v) mark damage to the anatomical joint in the obtained three-dimensional image representation; and vi) generate decision support material. The analysis comprises: detecting an irregular shape of a contour of a tissue part; and/or detecting that the intensity in an area within or adjacent to bone and/or cartilage parts differs from a predetermined value; and/or comparing at least one identified tissue part with a template representing a predefined damage pattern for an anatomical joint.