Abstract: An orthopedic device includes a monolithic patient-specific guide. The patient-specific guide includes a three-dimensional contact surface preoperatively configured from medical scans of a specific patient as a negative surface of a medial portion of a proximal femoral bone of the patient according to a preoperative surgical plan for the patient. The guide also includes a proximal planar surface configured for guiding a resection of a femoral neck of the patient, and a scale formed on the planar surface. The scale is configured for indicating a preoperatively planned femoral version of a femoral stem implant and deviations therefrom.

Abstract: A device for positioning a femoral tunnel during ACL reconstruction, the device comprising: a shaft having a lumen, the lumen defining a longitudinal axis; and a distal offset projection, at least a portion of the distal offset projection extending distally from the elongated shaft; and a single lateral reference member configured to reference a portion of a patient's anatomy, e.g., a PCL or a portion of the femoral notch, the lateral reference member located on one of the left or the right side of the device, wherein, on a second one of the left or the right side of the device, the device defines a void. Two devices may be employed to provide a set.

Abstract: A guide for positioning a femoral tunnel during an ACL repair. The device may include a shaft having a distal end and a femoral surface engagement member. The femoral surface engagement member may be selectively deployable relative to the distal end of the shaft. The femoral surface engagement member may have a relatively sharp distal end, that is configured to alter, e.g., pierce, a surface of the femur.

Abstract: Surgical guiding tools for surgery on a bone head which include a cutting component, a guiding component and a collar having a patient-specific component are disclosed. The surgical guiding tools are interconnected which ensures secure and accurate placement of the guiding tool and thus guarantees accurate implementation of the pre-operative planning of the surgical intervention.

Abstract: A device for a patient-specific acetabular and/or femoral guide. The guides can be used in a selected resection of at least one of a femur and an acetabulum to increase a range of motion of the femur relative to the acetabulum. Generally, a natural acetabulum and femoral head are maintained.

Abstract: In an embodiment, the methodology of the present invention is based on the use of an intraoperative navigation system and of a compact alignment guide for alignment of implant components. In an embodiment, an alignment guide of the present invention includes a first component fixable to a bone element; a second mobile component, and a third mobile component, wherein the second mobile component and two control mechanisms form a first link, wherein the two control mechanisms are working in parallel to perform adjustments in two degrees of freedom, wherein the third mobile component and three control mechanisms form a second link, wherein the three control mechanisms are working in parallel to perform adjustments in three additional degrees of freedom, and wherein the first link adjustments and the second link adjustments are performed in series to provide a total adjustment of five degrees of freedom relative to the first component.

Abstract: Total knee replacement surgery is improved through custom cuts on the distal femur without resorting to expensive computer navigation. The method involves measurement, on plain radiographs prior to surgery, the amount of bone that would be resected on each knee, medially and laterally on the distal femur. In the preferred embodiments, the predetermined distance is in the range of 8-10 mm, more preferably 10 mm, and the resulting distance from the second line to the apex of the lateral condyle is in the range of 6 to 7 mm. A cutting fixture is provided and used to resect the medial condyle at the predetermined distance and the lateral condyle at the measured resulting distance.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: A stylus assembly is adapted to be attached to a surgical jig. The stylus assembly comprises a body having first and second arms with a space therebetween for receiving a portion of the surgical jig, a stylus adjustably mounted relative to the body, and a locking member in use, actuation of the locking member from an unlocked to a locked position enables locking of the body to the surgical jig and locking of the stylus relative to the body.

Abstract: A guide for positioning a femoral tunnel during an ACL repair. The device may include a shaft having two or more lumen extending longitudinally therethrough. The device may also include a distal offset projection, at least a portion of the distal offset projection extending distally from the elongated shaft.

Abstract: A cutting guide for removing a lesion from a neck area of a femur has a body having first and second side rails. The first and second side rails are spaced in a direction perpendicular to the head neck axis of the femur when mounted adjacent a neck of the femur. A third rail has ends slidably mounted on the first and second side rails. The third rail can be resiliently deformable toward a surface of the neck of the femur. A carrier element slidably mounted on the third rail for movement therealong between the first rail and the second rail. A bone cutting tool such as a burr is mountable in the carrier element. The first and second rails are connected by a proximal rigid cross-member at first ends thereof adjacent a femoral head. The cross-member is shaped to conform to an outer surface of the femoral neck adjacent the femoral head. The second ends of the first and second rails are connected by a member having a mounting element thereon adjacent a trochanter area of the femur.

Abstract: A method for preparing a femur for receiving a prosthesis can include positioning an intramedullary (IM) member in the femur. A femoral trial component can be positioned onto a distal end of the femur. The femoral trial component can have an attachment portion and at least two cut surfaces thereon. A modular boss assembly can be attached to the attachment portion of the femoral trial component. The modular boss assembly can have a boss stem that is configured to operably connect to the IM member. A desired contact between the femoral trial component and the distal femur can be confirmed based on the attaching. The femoral trial component can be fixed to the distal femur based on the confirming. The modular boss assembly can be removed from the femoral trial component. A reamer bushing can be coupled relative to the femoral trial component.

Abstract: A single use cutting jig for use in cutting a bone in orthopaedic surgery, the cutting jig having: a first face shaped to receive the end of the bone to be cut, a second face provided with one or more cutting slot, the or each slot extending through the cutting jig from the second face to the first face and being shaped for receiving a cutting device, wherein the cutting jig is molded from plastic, and wherein the interior surface of the or each cutting slot is provided with a metal coating.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: In some examples, a method for at least one of preparation or machining of a femoral head formed on a neck of a femur includes selecting an instrument including probing forceps and a guide element including a centering axis. The guide element is coupled to the probing forceps at first and second coupling points disposed along the centering axis such that the centering axis is disposed in a central plane of the probing forceps independent of an opening angle of the probing forceps. The probing forceps are closed with probing jaws symmetrically contacting the neck of the femur at opposite sides with respect to an axis of the neck of the femur. The guide element self-adjusts with closing of the probing forceps so that the centering axis is automatically aligned in the middle with respect to the two oppositely disposed sides of the neck of the femur.

Abstract: The invention relates to a device for determining the mechanical leg axis of a femur. Said device is provided with a shaft (3) that comprises, on one of its ends, a securing device (5) that is connected to the shaft and that can be blocked at various angles, in order to obtain a fastening that can be blocked in an angle stable manner and that fastens the shaft (3) to the knee joint of a femur, and comprises a gripping element (10) on its other end. A force-torque measuring device (14) is arranged between the gripping element (10) and the shaft (3), said device enabling the longitudinal and/or transversal force components of force (Fz) exerted via the shaft (3) upon the knee joint to be measured by means of the gripping element (10) and/or torque produced thereby. The invention also relates to a method for determining the mechanical leg axis of a femur by means of the above mentioned device.

Abstract: An orthopedic implant comprising: (a) a distal femoral component comprising a first condyle bearing surface having a first profile comprising at least three consecutive arcs of curvature; and (b) a proximal tibial component comprising a first condyle bearing surface having a second profile comprising at least three parallel arcs of curvature. The disclosure also includes a method of designing and fabricating an orthopedic implant, the method comprising: (a) evaluating images of distal femurs of a particular ethnicity to extract common shape features exhibited across an ethnicity that are unique to the ethnicity to create an ethnic specific template; (b) designing a distal femoral component comprising a first condyle surface using the ethnic specific template; and, (c) fabricating a distal femoral component embodying the first condyle surface.

Abstract: A guide for positioning a femoral tunnel during an ACL repair. The device may include a shaft having a lumen, the lumen defining a longitudinal axis, and a distal offset projection, at least a portion of the distal offset projection extending distally from the elongated shaft, wherein the distal offset projection and the shaft are moveable relative to each other.

Abstract: A femoral condyle cutting and shaping device includes a first bone shaping and cutting tool and at least one assistant shaft which are mounted in a sliding gearbox; at least one driven shaft mounted in a sliding gearbox; a first connecting member and a second connecting member, with one end of the first connecting member joining with one end of the second connecting member so as to form a hinge fitting; at least one other bone shaping and cutting tool mounted on the relevant driven shaft; an adjusting mechanism, which is connected with one driven shaft to change the relative position between the first bone shaping and cutting tool and the at least one other bone shaping and cutting tool. A bone shaping and cutting tool is also disclosed, which has flat or helical structure.

Abstract: A system for use in a total knee arthroplasty procedure can include a first cutting guide, an alignment guide and a femoral prosthetic implant. The first cutting guide can include at least one planar guide surface adapted to guide a cutting tool to cut femur. The alignment guide can contact the femur and provide for markings to be made in the femur that dictate a location and orientation of the first cutting guide. The implant is adapted to be implanted on the resected femur. The implant can have an inwardly protruding structure to provide medial-lateral fixation stability, and can have an anterior fixation path that diverges proximally away from a long axis of the femur and a posterior fixation path that converges proximally towards the long axis such that the posterior fixation path and anterior fixation path converge toward one another proximally of a distal contact surface.

Abstract: The invention relates to an instrument for preparing and/or machining a femoral head (11) embodied on a femoral neck (19). Said instrument comprises tactile forceps (91) that are provided with two forked levers (13, 15) and two tactile jaws (23, 25), each of which is assigned to one of the forked levers (13, 15). The forked levers are interconnected at a fulcrum (93). The inventive instrument features a manipulating end and a working end. The tactile jaws are located at the working end of the instrument. A guiding element (28) is provided which encompasses a centering pin (21) and is mounted and/or guided at least at two points (105, 107) spaced apart from each other in the direction of the centering pin (21) in such a way that the centering pin (21) always lies on a central plane (12) of the tactile forceps (91) regardless of an opening angle of the tactile forceps (91), said central plane (12) containing the fulcrum (93).

Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

Abstract: A femoral head surgical resurfacing aid that includes a C-shaped band with an interior surface conformed to fit a femoral neck of a patient is presented. An arch extends from one side of the C-shaped band to the other side of the C-shaped band and further extends over a femoral head of the patient. An alignment tube guide is positioned along the arch and extends outward from the arch.

Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

Abstract: An assembly includes a holder having a first arm and a second arm, the holder being movable between a first configuration and a second configuration. The assembly further includes an actuator movable in relation to the holder between a first position and a second position. Movement of the actuator from the first position to the second position causes movement of the holder from the first configuration to the second configuration. The first arm has a first bone plate contact portion, and the second arm has a second bone plate contact portion. The first bone plate contact portion and the second bone plate contact portion are separated by a first distance when the holder is in the first configuration. The first bone plate contact portion and the second bone plate contact portion are separated by a second distance when the holder is in the second configuration. The first distance is greater than the second distance.

Abstract: A femur bone cutting guide system (100) for use in a knee replacement surgical procedure includes a positioning guide in the form of a moulding (132), a bone cutting guide assembly 18 comprising bone cutting guide components (140, 142); and a guide mounting arrangement comprising a pair of mounting plates (144.1 and 144.2). The moulding (132) is constructed from anatomical data of the femur permitting it to be securely fitted to the lower extremity of the femur. Two attachment posts (154.1 and 154.2) which are connected to the moulding (132) provide for removable mounting of the components (140, 142) to the moulding. The components (140, 142) define guide formations for guiding a cutter for cutting prosthetic joint locating faces in the femur. The plates (144.1, 144.2) are removably mounted to the components (140, 142) and fixed to opposite sides of the femur. The components (140, 142) are then removed allowing removal of the moulding (132). Thereafter, the components are remounted to the plates (144.1, 144.

Abstract: A device for the implementation of osteotomies on the distal femur in knee-joint replacement surgery with a base element (11), which comprises an anterior cutting-guide block (12) disposed on the base element (11), which specifies an anterior section plane (14), and a posterior cutting-guide block (13) disposed on the base element (11), which specifies a posterior section plane (16). In this context, the distance between the anterior section plane (14) and the posterior section plane (16) is variable.

Abstract: Novel cutting guides and surgical methods for use in knee arthroplasty are described. Embodiments of the inventive cutting guide apparatus include fixed and adjustable cutting guide blocks having a series of slots designed to accommodate a cutting saw. The cutting guides and surgical method are designed to allow for the provision of all desired surgical cuts upon the distal end of the femur, for subsequent implantation of a prosthesis thereto, without having to remove the cutting guide block.

Abstract: Patient-specific instruments for preparing bones, such as a proximal femur and an acetabulum in a total hip arthroplasty, to receive respective orthopedic prostheses. The guides include a femoral resection guide and a bone canal preparation guide, each having a surface conforming to at least one of a metaphysis and a femoral neck of a femur. The femoral resection guide includes a cut referencing surface to guide a cutting instrument, and the bone canal preparation guide includes a guide aperture sized to guide a rasping instrument. An acetabular guide includes a surface conforming to an acetabulum and a guide aperture for guiding a surgical instrument such as a reaming instrument. The patient-specific, conforming surfaces of each of the guides may be designed based on patient-specific anatomical data obtained from the use of imaging technology.

Abstract: Patient-matched surgical instruments, and methods for making patient-matched surgical instruments, may include patient-matched surgical instruments having an anatomy facing side with several discrete, physically separate anatomy contacting portions configured to match the anatomy of a particular patient. The anatomy contacting portions may be one or more of non-uniform in distribution, non-uniform in shape or non-uniform in surface area.

Abstract: A replacement knee implant has a femoral implant and a tibial implant, each of which are inset in a bone surface. The tibial implant is generally elongated with one end rounded and an opposite end conforming to the shape of the tibia, and is made of a metal alloy or a ceramic. The upper surface is dished while the lower surface is planar and can be parallel or sloped relative to the upper surface, and can have a keel for fixation. The femoral implant for implementation in a femoral condyle is rounded such that, when implemented, the femoral implant is flush at the anterior and posterior sides and protruding away from the femur between the anterior and posterior ends. The femoral implant can have an elongated keel for extending into the femur, and can be made from a highly cross-linked polyethylene.

Abstract: The invention relates to an insertion instrument for an endoprosthesis (1), which comprises a neck part (12) and a shaft part (10) which is to be inserted into a medullary cavity, comprising a clamping device (2) which is provided with a holding fork (25) and a thrust bearing (26), which are embodied in such a manner that the endoprosthesis (1) is held fixedly in a clamped state and is released in an unclamped state, in addition to a striker device (3). The aim of the invention is to simplify the safe and precise insertion thereof such that a guide rail (23) for a striker element is arranged in a fixed manner on the clamping device (2) and is oriented in such a manner that a path, which is determined by the guide rail, leads to an end face of the endoprosthesis (1) which is held in the clamping device (2).

Abstract: Tools and methods for implanting hip resurfacing femoral prostheses along a path defined by the axis of a shaped femoral head surface are described. The prostheses are stemless partial ball components having an outer surface shaped to conform to an acetabular socket and may be a two part design having a mating sleeve component with an internal bore adapted to receive the shaped femoral head. The tools and methods are capable of accurately implanting both one and two piece ball components and sleeves without requiring the prosthesis to have a central stem or the preparation of a stem cavity in the femoral head and neck.

Abstract: An orthopaedic implant system includes a set of provisional orthopaedic implants having different implant sizes. Each provisional implant facilitates an intraoperative selection of the next-smallest implant size without removing the provisional implant from the bone. All of the implant sizes share a common sagittal configuration of distal and anterior bone contacting surfaces, but have variable sagittal configurations only in the posterior bone contacting surfaces. Thus, where a relatively larger femoral provisional component is mounted to a femur, changing to a smaller provisional component (i.e., “downsizing”) can be accomplished by recutting only two of five original femoral cuts. Cut slots provided in each provisional implant are sized and positioned to correspond to the posterior bone contacting surface geometry of the next-smallest provisional implant size, so that the cut slots can be used to further resect posterior femoral surfaces to accept the next-smallest implant component size.

Abstract: A surgical jig and method of use in image guided and non-guided surgery are described. The jig is for use in determining an axis of a body part. The jig includes a handle at a proximal end and a mouth at a distal end. The mouth is engagable about the body part and defines a substantially flat plane. A guide has a channel with an axis substantially perpendicular to the plane and a support attaches the guide to the jig. The guide can be translatable relative to the mouth while maintaining the axis substantially perpendicular to the plane. The method determines an axis relative to a body part using the jig. The method comprises engaging the mouth about the body part and translating the guide relative to the mouth so as to align the axis of the channel with the axis of the body part.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: A femoral prosthesis. The femoral prosthesis includes an implant body having a proximal end and a distal end and a shoulder at the proximal end, the shoulder being structured and dimensioned for a tight press fit into the neck of a femur. The implant body includes a trunk at the distal end, the trunk having a wedge formed by a tapered portion extending in the direction of the distal end of the implant body. The implant body also includes a medial column extending from the shoulder toward the distal end and a lateral column extending from the shoulder toward the distal end. The wedge, the medial column, and the lateral column to provide multi-planar stability for the implant body and surface area for fixation of the implant body.

Abstract: Disclosed is a guided orthopedic bone reamer (10a) for cutting a profile relief shape (21a) into a joint bone (20). The reamer (10a) has a cutting head (30a) and an axial guide assembly (70). The cutting head (30a) has a profile cutting form (24a) with a rim (34) and an apex (38a). The apex (38a) connects to the cutting form (24a) by a set of struts (94). An axial guide assembly (70) has one end (44a) fixed to the apex (38a) and at the other end has a bayonet mechanism (76) connectable to a drive handle. Rim cutting teeth (36a) are set into the rim (34) to cut a cylindrical profile (21a), and bevel cutting teeth (96) integral to the struts (94) cut a bevel (25) onto the cylindrical form (21a) cut into the bone (20). A guide pin bore (12a) passes through the apex (38a) and the guide assembly (70) concentric with the axis of rotation (18) to receive a guide pin (14) to guide the reamer (10a) in cutting alignment relative to the joint bone (20) to be cut.

Abstract: A multi-piece knee resection instrument for use in forming an anterior cut, an anterior chamfer cut, a posterior cut and a posterior chamfer cut on a distal femur which has already had a distal surface thereof resected which cuts are for the mounting of a prosthetic implant, has a first resection guide for attachment to the medial or lateral side of the distal femur. The first resection guide has a first surface facing generally anteriorly when mounted and a second surface extending distally from the first surface and angled thereto and a third surface extending generally parallel to the resected distal surface of the femur. A second resection guide is mounted on the first and second surfaces of the first resection guide for performing the anterior and anterior chamfer cuts. A third resection guide is mounted on the third surface of the first resection guide and extends in a medial-lateral direction therefrom across at least part of the resected distal femoral surface.

Abstract: A femoral caliper having one or more anatomical referencing members for placement against portions of the femur, such as the anterior cortex and posterior portion of the femoral condyles, to measure the femur for sizing of the femoral component. A reference mark positioning guide of the femoral caliper is connected to the anatomical referencing member and is capable of guiding placement of a reference mark on the femur that facilitates positioning of the femoral component. The femoral caliper includes an adjustment mechanism capable of displacing the reference mark positioning guide relative to the anatomical referencing member. This allows adjustment of the position of the reference mark (and hence the femoral component) on the femur to account for the up or down sizing of the femoral component. Preferably, the adjustment mechanism adjusts the reference mark positioning guide in the anterior-posterior direction to allow balancing of the tightness or laxity of the selected component.

Abstract: A device and a method for establishing a position and orientation for a preliminary saw cut in a distal end of a femur to prepare the femur for installation of a prosthetic knee joint. A guide block defining a cutting plane is carried on an adjustably positioned locating arm that is supported on an alignment body that can be mounted on a femur either with or without an intramedullary rod in place in the distal end of the femur. Adjustment screws and horizontal slots in the alignment body provide for varus/valgus angular adjustment of the position of the alignment body. An adjustment guide block may have a saw guiding face defining a differently oriented cutting plane.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: A method of positioning a femoral cutting guide on a distal end of a femur establishes at least a first reference plane to perform a distal femoral planar cut. The method includes inserting a mounting member into an intramedullary canal of the femur and coupling a bridge member to the mounting member. The method also includes placing a cutting guide member over a medial anterior portion of the distal femur. The cutting guide member has a first channel that establishes the first reference plane. The bridge member has a bridge channel. A wall of the bridge channel is inserted into the first channel of the cutting guide member. A mounting mechanism generates resistance between the bridge member and the cutting guide member. The resistance is overcome by positioning the cutting guide member relative to the femur.

Abstract: A system for preparing a proximal femur can include a broach that includes a broach body having an anterior side, a posterior side, a lateral side and a medial side. The medial side can have a roughened cutting surface. The lateral side can have a smooth, non-cutting surface. The system can further comprise a cutting scribe assembly and a cutting guide assembly.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: Various embodiment of the present invention provide a distal femoral trial that allows a surgeon to cut the central box geometry of a distal femur using an implant-shaped trial. The trial includes a cutting guide that is removable from the trial and adjustable with respect to the trial. The guide is intended to control the depth and direction of the cutting instruments used to prepare the femur for the a posterior stabilized implant.

Abstract: New apparatuses and methods for their design and use are disclosed that can be used to assist a surgeon in placing a guide pin during hip surgery. Specifically, a hip surgery method is disclosed in which an image of a patient's femur can be obtained and used to design and prepare a mold that contains an aperture for guiding a drill at the desired location and angle. During surgery the mold can be quickly and accurately positioned on the exposed femur head. Then, a drill bit can be inserted through the aperture and an opening for a pin can be drilled into the femur head. The mold can have a unique contoured surface adapted to fit to the femur head in a single unique position such that the opening is made in a unique desired position. The apparatuses and methods facilitate faster, more accurate surgery and are less invasive.

Abstract: A multi-piece knee resection instrument for use in forming an anterior cut, an anterior chamfer cut, a posterior cut and a posterior chamfer cut on a distal femur which has already had a distal surface thereof resected which cuts are for the mounting of a prosthetic implant, has a first resection guide for attachment to the medial or lateral side of the distal femur. The first resection guide has a first surface facing generally anteriorly when mounted and a second surface extending distally from the first surface and angled thereto and a third surface extending generally parallel to the resected distal surface of the femur. A second resection guide is mounted on the first and second surfaces of the first resection guide for performing the anterior and anterior chamfer cuts. A third resection guide is mounted on the third surface of the first resection guide and extends in a medial-lateral direction therefrom across at least part of the resected distal femoral surface.

Abstract: A system of surgical instruments for use with at least a first implant and a second implant of the same type but different sizes is provided. The system includes a first container containing at least a first surgical instrument of a first type that is size specific and a second surgical instrument of a second type that is size specific; a second container containing at least a third surgical instrument of the first type and a fourth surgical instrument of the second type, wherein both the third and fourth instruments are of a second size that is different from the first size and that corresponds to the second implant; and a third container containing at least a fifth surgical instrument of a third type that is size independent.

Abstract: Implants, and processes for installing them, which replace the medial condyle and portions of the patellofemoral channel but preferably not portions of the lateral condyle that articulate relative to the tibia. Processes are provided which allow proper location and orientation of an anterior resection and a distal resection on the femur, which make use of a transition point which can be designated on the bone, for navigating proper positioning of such implants. Proper positioning of the implant relative to the femur for insuring a smooth transition between lateral portions of the implant and the lateral condyle is thus reduced to determining proper medial/lateral location of the implant on the anterior and distal resections.