Abstract: A posterior cruciate ligament retaining knee implant prosthesis comprising a femoral component including a medial condyle and a lateral condyle separated from one another by an intercondylar channel adapted to accommodate throughput of a native cruciate ligament, both the medial condyle and the lateral condyle posteriorly terminate individually, the medial condyle including a medial condyle bearing surface and the lateral condyle including a lateral condyle bearing surface, the femoral component including an anterior cam, and a tibial component including a medial condyle receiver having a medial condyle receiver bearing surface, the tibial component also including a lateral condyle receiver having a lateral condyle receiver bearing surface, the tibial component also including an anterior post.

Abstract: A surgical implant for a wrist bone fabricated on a patient-specific basis is based on a combination of the patient's own anatomy and an anatomical ideal from a database of scan data, and provides a patient-specific implant that minimizes spacing tolerance between adjacent bones to allow native cooperation between tightly spaced wrist bones. The three lower skeletal structures in the human wrist, including the trapezium, lunate and scaphoid bones, share a close, integrated geometry with the adjacent arm bones (radius, ulna) and remaining wrist bones. In contrast to conventional approaches that rely on reshaped connective tissue or generically shaped replacements, a patient-specific prosthetic restores the original geometry and spacing between wrist bones, allowing individual bone replacement without removal or fusing to adjacent bones, thus restoring a natural range of movement.

Abstract: A prosthetic implant surface cap adapted for securement to an interface region of the prosthetic defined by articulating prosthetic implants. 3D printing or additive manufacturing is employed to form the surface cap adapted for securement to an identified interface region, in which the interface region is defined by engaging contact with adjacent skeletal structures in response to patient movement. The surface cap is disposed on the implant surface to contact the adjacent skeletal structures during articulated movement, and is adhered to the interface region of the prosthetic implant for absorbing and distributing the contact and frictional forces of the articulating skeletal members.

Abstract: A patellar implant includes a body and at least one oblique anchoring pin. The body includes a bone-facing surface that is substantially planar and has a lateral end and a medial end. The body also includes an articulating surface opposite the bone-facing surface. The at least one oblique anchoring pin extends from the bone-facing surface at an acute angle toward the lateral end of the bone-facing surface. The at least one oblique anchoring pin includes a first end attached to the bone-facing surface and a second end spaced from the first end. A longitudinal axis extends from the first end to the second end. The longitudinal axis defines the acute angle with respect to the bone-facing surface. The at least one oblique anchoring pin extends into a surgically-prepared patella when the patellar implant is such that the surgically-prepared patella abuts the bone-facing surface.

Abstract: A total knee prosthesis to be implanted in a human patient includes a femoral element having a longitudinal axis, a tibial plateau having a longitudinal axis and a mobile plate. The mobile plate is interposed between the femoral element and the tibial plateau to form two joints with them wherein: a) the surfaces of mutual friction of the femoral element with the mobile plate and the surfaces of mutual friction of the tibial plateau with the mobile plate are entirely constituted by one and the same massive ceramic material; and b) the mobile plate includes two condylar bowls, and the femoral element includes two condyles, the condyles and the condylar bowls each having surfaces of mutual friction spaced apart from each other by a distance smaller than 100 ?m when the longitudinal axes of the femoral element and the tibial plateau form an angle of 0° to 75°.

Abstract: A posterior cruciate ligament retaining knee implant prosthesis comprising a femoral component including a medial condyle and a lateral condyle separated from one another by an intercondylar channel adapted to accommodate throughput of a native cruciate ligament, both the medial condyle and the lateral condyle posteriorly terminate individually, the medial condyle including a medial condyle bearing surface and the lateral condyle including a lateral condyle bearing surface, the femoral component including an anterior cam, and a tibial component including a medial condyle receiver having a medial condyle receiver bearing surface, the tibial component also including a lateral condyle receiver having a lateral condyle receiver bearing surface, the tibial component also including an anterior post.

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.

Abstract: A method and system provide and use a patellar implant. The patellar implant includes a superior portion, an inferior portion opposite to the superior portion, and an anterior portion. The superior portion being configured to reside below a patellar tendon and to elevate and/or tilt the patellar tendon. The inferior portion is configured to be seated in proximity to a tibia. The anterior portion is between the superior portion and the inferior portion. The anterior portion is placed in proximity to a patella. In one aspect, the method includes inserting the implant beneath the patellar tendon and between the patella and a position at which the patellar tendon is affixed to the tibia. In this aspect, the method also includes affixing the implant.

Abstract: A patellar implant is provided being of a two part construction having a strong base portion 32, 54, 72 and 92 (manufactured from a metal material or other medical grade strong material) with a molder outer material 34, 62, 80 and 100 (manufactured from a polymeric material or other softer, smoother material) at least on one side to provide a smooth friction surface to contact the femoral portion of a patient's knee.

Abstract: Certain disclosed examples provide methods for strengthening, reinforcing, and/or stimulating repair of residual patella bone to be resurfaced. Also provided in some examples are devices associated with the methods. These methods and devices may be utilized during or following total knee replacement (TKR) or total knee arthroscopy (TKA).

Abstract: A knee prosthesis system for total knee replacement procedures includes a plurality of distinctly-sized femoral components, a plurality of distinctly-sized fixed tibial components, a plurality of distinctly-sized mobile tibial components, a plurality of fixed inserts, and a plurality of mobile inserts. Each of the mobile inserts is sized and shaped such that each may be optimally matched to one of the femoral components and may be used with any one of the mobile tibial components. Each of the fixed inserts is sized and shaped such that each may be optimally matched to one of the femoral components and may be used with any one of the fixed tibial components.

Abstract: The present invention concerns to a total knee prosthesis including a femoral implant having an anterior wall that forms the upper portion of a prosthetic trochlea and two curved branches extending from the lower edge of said anterior wall, delimiting the lower portion of the prosthetic trochlea between them and forming condylar surfaces between them. The trochlea has a middle furrow bordered by two rounded convex surfaces. The trochlea has in its upper portion a flexion of approximately 50°. The trochlea has a depth smaller than the height of the longitudinal middle rib comprised by the patella and has a width larger than that of that same rib, such that the patella comes into contact with the femoral implant essentially by that rib and said concave side faces are situated at a distance from said rounded convex surfaces.

Abstract: Provided are processes comprising crosslinking polyethylene or using crosslinked polyethylene. Furthermore, the processes may include compacting and/or sintering the polyethylene. The polyethylene can comprise virgin ultrahigh molecular weight polyethylene having a weight average molecular weight of at least 1,000,000 g/mol, to provide a compacted composition comprising virgin ultrahigh molecular weight polyethylene.

Abstract: Implant apparatus and methods directed toward treating conditions involving the knee joint and the patella specifically are disclosed. Implants that maintain alignment or address misalignment of a patella through a full range of motion of the knee joint are disclosed.

Abstract: A method for preparing at least a first bone for receiving a prosthesis can include positioning an IM member in a bone. A scaffold, skeleton or frame can be located onto the bone at a desired location. An alignment assembly can be coupled to the frame. The alignment assembly can be moved relative to the IM member to position the frame at a desired location relative to the bone. The frame can be fixed to the bone at the desired location. A cavity can be reamed into the bone using at least a portion of the alignment assembly as a guide. The alignment assembly can be removed from the frame. A cutting block can be coupled to the first attachment portion. Cuts can be prepared in the bone using the cutting block as a guide.

Abstract: A knee joint prosthesis for implantation to replace a portion of a knee joint. The knee joint prosthesis includes a tibial tray and a bearing member that engages the tibial tray. The prosthesis also includes an insert with a base that is fixed to the bearing member and an extension portion that extends away from the bearing member and the tibial tray. The extension portion has an axis, and the extension portion includes a threaded portion. The prosthesis further includes a post that is rotatably coupled to the extension portion, and the post is rotatable about the axis of the extension portion relative to the insert. Furthermore, the prosthesis includes a retention member that threadably couples to the threaded portion of the insert to limit movement of the post along the axis away from the bearing member and the tibial tray.

Abstract: The invention relates to a base component for a tibial implant, comprising a lateral compartment (14), a medial compartment (12) and an anterior connection portion (16) which connects the lateral compartment (14) and the medial compartment (12) to one another at anterior. A portion (18) open to posterior is provided between the lateral compartment (14) and the medial compartment (12). The lateral component (14) and the medial component (12) each have a lower side and an upper side, with at least one of the lower sides being configured for the fastening of the base component to the tibia. A marginal web (22, 22?) is formed at at least one of the compartments (12, 14), starting from the upper side, said marginal web forming a receiving shell for a meniscus component (30, 32) of the tibial implant together with the upper side of the compartment.

Abstract: A femoral prosthetic component comprises a pair of condyles having an intercondylar notch interposed substantially therebetween. Each of the pair of condyles comprises an edge that borders the intercondylar notch. At least one of the pair of condyles comprises a condylar notch disposed within the respective edge of the at least one of the pair of condyles.

Abstract: A prosthetic device for forming at least a portion of a joint may have a plurality of segmented components fixed relative to a femur of a body including: a patellofemoral component and a condyle component. Each segmented component may be configured such that a placement at which the segmented component will be fixed relative to the femur is not constrained by a connection to another of the segmented components that is fixed relative to the femur. In an installed configuration, the patellofemoral and condyle components may be fixed relative to the femur such that: a gap is provided between an edge of the patellofemoral component and an opposing edge of the condyle component, and a transition region is provided that extends from a first femoral coronal plane that intersects the patellofemoral component to a second femoral coronal plane that intersects the condyle component.

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 prosthetic implant useful in a cementless application is disclosed. The implant may include a curved bone facing surface and one or more pegs or keels. Preferably, the implant is implanted on a bone surface that has been prepared so as to allow for a snap fit between the implant and the bone.

Abstract: An artificial knee joint that includes a femoral component with a specially shaped bearing surface and a tibial component, whose surface interacts with the femoral surfaces. The interaction provides for the motion and stability characteristics of the anatomic knee. The interaction between the femoral and tibial surfaces is such that as the knee is flexed to maximum, the femoral component moves posteriorly on the tibial surface, more so on the lateral side than on the medial side. This is accomplished by the interaction of a projecting tibial post inside a cupola in the center of the femoral component, and by the saggital radius on the medial side being smaller than that on the lateral side. The prevention of anterior sliding of the femur on the tibia in early flexion is accomplished by the interaction between a distal-anterior recess on the medial side of the femur and an apposing raised pad on the tibial surface.

Abstract: A prosthetic patellar implant has a posterior articulation surface and an anterior attachment surface. The anterior attachment surface has a medial attachment surface and a lateral attachment surface. The medial and lateral attachment surfaces can be planar and angled relative to one another, meeting at a common intersection medially offset from the sagittal centerline of the implant. The medial and lateral attachment surfaces can include convexities. The anterior attachment surface can have one or more pegs and/or recesses.

Abstract: Embodiments of the present invention provide patellar component designs that are optimally shaped to help reduce shear force and accommodate slight implantation error. Further, they help lessen anterior knee pain, particularly during deep-flexion activities and help ease the transition during the range of knee movement in a controlled way.

Abstract: Various embodiments of femoral trochlea prostheses useable in a knee joint. The knee joint includes a patella and a distal femur with a femoral trochlea, or patello-femoral groove. In one embodiment, a femoral trochlea prosthesis includes a nonarticulating surface including contoured surfaces and/or planar surfaces. The present disclosure also provides a method for preparing a bone surface for receiving the prostheses described herein.

Abstract: The present invention discloses methods for enhancing the wear-resistance of polymers, the resulting polymers, and in vivo implants made from such polymers. One aspect of this invention presents a method whereby a polymer is irradiated, preferably with gamma radiation, then thermally treated, such as by remelting of annealing. The resulting polymeric composition preferably has its most oxidized surface layer removed. Another aspect of the invention presents a general method for optimizing the wear resistance and desirable physical and/or chemical properties of a polymer by crosslinking and thermally treating it. The resulting polymeric compositions is wear-resistant and may be fabricated into an in vivo implant.

Abstract: The present invention discloses methods for enhancing the wear-resistance of polymers, the resulting polymers, and in vivo implants made from such polymers. One aspect of this invention presents a method whereby a polymer is irradiated, preferably with gamma radiation, then thermally treated, such as by remelting of annealing. The resulting polymeric composition preferably has its most oxidized surface layer removed. Another aspect of the invention presents a general method for optimizing the wear resistance and desirable physical and/or chemical properties of a polymer by crosslinking and thermally treating it. The resulting polymeric compositions is wear-resistant and may be fabricated into an in vivo implant.

Abstract: A total knee prosthesis comprises a femoral component and a patellar component. The femoral component has a patellar flange into which is built a twist or roller coaster configuration. The patellar component has an off-set dome with respective lateral and medial facets. The configuration of the patellar flange resists forces from a medial to a lateral direction, whilst the lateral and medial facets of the patellar component are respectively shaped to allow area contact and line contact respectively with the femoral component. Also disclosed is a device for intra-operative checking of patellar tracking to allow correct insertion of the femoral and patellar components.

Abstract: A method and system provide and use a patellar implant. The patellar implant includes a superior portion, an inferior portion opposite to the superior portion, and an anterior portion. The superior portion being configured to reside below a patellar tendon and to elevate and/or tilt the patellar tendon. The inferior portion is configured to be seated in proximity to a tibia. The anterior portion is between the superior portion and the inferior portion. The anterior portion is placed in proximity to a patella. In one aspect, the method includes inserting the implant beneath the patellar tendon and between the patella and a position at which the patellar tendon is affixed to the tibia. In this aspect, the method also includes affixing the implant.

Abstract: An orthopaedic implant includes a patella component having a posterior bearing surface configured to articulate with the femoral condyles of a femur, and an anterior surface having a number of pegs extending outwardly therefrom. The superior edge of the patella component is thickened relative to conventional dome-shaped patella components.

Abstract: An orthopaedic implant includes a patella component having a posterior bearing surface configured to articulate with the femoral condyles of a femur, and an anterior surface having a number of pegs extending outwardly therefrom. The superior edge of the patella component is thickened relative to conventional dome-shaped patella components.

Abstract: An improved method of performing surgery on a joint in a patient's body, such as a knee, includes making an incision in a knee portion of one leg while a lower portion of the one leg is extending downward from an upper portion of the one leg and while a foot connected with the lower portion of the one leg is below a support surface on which the patient is disposed. The incision is relatively short, for example, between seven and thirteen centimeters. A patella may be offset from its normal position with an inner side of the patella facing inward during cutting of a bone with a cutting tool. During cutting of the bone, one or more guide members having opposite ends which are spaced apart by a distance less than the width of an implant may be utilized to guide movement of a cutting tool.

Abstract: A patello-femoral prosthesis is provided for replacing the engagement surfaces between the patella and the femur. The prosthesis is configured to cover the trochlear groove and extend into the intercondylar notch without extending onto the articulating surfaces of the condyles. A method is also provided for implanting a patello-femoral prosthesis in which a portion of the trochlear groove and intercondylar notch are resected and the prosthesis is implanted over the femur that had portions resected.

Abstract: A prosthetic device for forming at least a portion of a joint may have a plurality of segmented components fixed relative to a femur of a body including: a patellofemoral component and a condyle component. Each segmented component may be configured such that a placement at which the segmented component will be fixed relative to the femur is not constrained by a connection to another of the segmented components that is fixed relative to the femur. In an installed configuration, the patellofemoral and condyle components may be fixed relative to the femur such that: a gap is provided between an edge of the patellofemoral component and an opposing edge of the condyle component, and a transition region is provided that extends from a first femoral coronal plane that intersects the patellofemoral component to a second femoral coronal plane that intersects the condyle component.

Abstract: A patello-femoral prosthesis is provided for replacing the engagement surfaces between the patella and the femur. The prosthesis is configured to cover the trochlear groove and extend into the intercondylar notch without extending onto the articulating surfaces of the condyles. A method is also provided for implanting a patello-femoral prosthesis in which a portion of the trochlear groove and intercondylar notch are resected and the prosthesis is implanted over the femur that had portions resected.

Abstract: An orthopaedic implant includes a knee prosthetic component, adaptor, and stem extension. The adaptor includes a first mounting end and a second mounting end. The first mounting end is coupled to the knee prosthetic component, and the second mounting end is coupled to the stem extension. The first mounting end of the adaptor defines a first axis, and the second mounting end of the adaptor defines a second axis. The first axis is offset from and parallel to the second axis when viewed in a first anatomical plane. Additionally, the first axis and second axis define an angle therebetween when viewed in a second anatomical plane. In some embodiments, the second mounting end may be movable with respect to the first mounting end. In other embodiments, the adaptor may be integral with the stem extension. Additionally, in some embodiments, the adaptor may be embodied as multi-piece adaptor.

Abstract: A patellar implant for a knee joint prosthesis including a femoral component and a tibial assembly having a post. The patellar implant includes an anterior anchoring surface, and a posterior surface articulating with the femoral component. The posterior surface has an articulating portion and a non-articulating portion, and the non-articulating portion defines a depression that substantially prevents impingement of the patellar implant on the post during flexion.

Abstract: Embodiments of the present invention provide patellar component designs that are optimally shaped to help reduce shear force and accommodate slight implantation error. Further, they help lessen anterior knee pain, particularly during deep-flexion activities and help ease the transition during the range of knee movement in a controlled way.

Abstract: An orthopedic implant device and method is disclosed. Specifically, a knee mold system is disclosed, including elastic tibial and femoral molds, each of which may be configured and dimensioned as a unitary mold for in situ placement during a surgical procedure. Each mold may be manufactured from an elastic material that may be disposable. The tibial mold may further comprise a sidewall forming a cavity, markings for relative depth measurement, and depth rings for use as a guide for scoring, cutting, and/or trimming and tearing away an excess portion of the tibial mold. The femoral mold may further comprise a sidewall defining a cavity, two legs extending from a body of the femoral mold for forming the artificial condyles, and an eyelet for aiding in placement and removal of the femoral mold. The resulting prosthetic tibial and femoral components may form an articulation surface that mimics, at least in part, the natural articulation surface of the knee.

Abstract: There are provided a knee joint prosthesis for a bi-compartmental knee replacement and surgical devices thereof, wherein the knee joint prosthesis for the bi-compartmental knee replacement, which is performed on a patient with degenerative arthritis at any one of an inside compartment and an outside compartment of the knee and between the femur and the patella, is configured to position a femoral component at the inside or outside of the femur of the patient, to position a tibial component at the inside or outside of the tibia, and to properly position a tibial bearing member between the femoral component and the tibial component, thereby having the effects of improving the range of sense and motion after surgery by preserving other normal joints and reducing blood loss compared to a conventional prosthesis; improving the accuracy of the surgery to prevent the malalignment of the prosthesis, reduce the shaking of the prosthesis and extend the use life of the prosthesis; significantly improving a securing forc

Abstract: A prosthetic device includes one or more components configured to be disposed in a joint. The component includes at least one feature configured to provide information about the component. The information can be used to determine or create the relationship between the component and the joint and/or other components. This relationship may be used to evaluate and/or modify the expected performance of the prosthetic device and assist in determining the optimal relationship between one or more components and a patient's anatomy.

Abstract: A knee replacement system provides a knee implant that may be used to more accurately replicate the diameter of a natural knee. In one embodiment, a patellofemoral component is connected to the posterior portion of a condylar component by screws that pass through the femur allowing the patellofemoral component and the condylar component to be torqued against opposing sides of the femur. Two additional screws are used to connect the patellofemoral component to an anterior portion of the condylar component. A gap may be left between the patellofemoral component and the anterior portion of the condylar component if needed to provide precise replication of the diameter of the natural knee from the patellofemoral component to the condylar component.

Abstract: Disclosed is a device and method of bicompartmental arthroplasty of the knee. The device permits arthroplasty of the medial or lateral and patellofemoral compartments of the knee while leaving the opposite compartments and the anterior and posterior cruciate ligaments intact. The device provides a femoral prosthesis component that includes a trochlear surface and a tibial prosthesis component which can be secured to the tibia. The femoral component is essentially “u” shaped having an anterior leg upon which the trochlear surface is positioned and a posterior leg which engages the posterior surface of the distal end of the femur. The femoral component also has a convex articulating surface which engages a concave articulating surface of the tibial prosthesis component to approximate the articulation of a healthy knee.

Abstract: Disclosed herein are methods and devices for repairing articular surfaces in a knee joint. The articular surface repairs are customizable or highly selectable for each patient and geared toward providing optimal fit and function. Kits are also provided to enable customized repairs to be performed.

Abstract: The present invention discloses methods for enhancing the wear-resistance of polymers, the resulting polymers, and in vivo implants made from such polymers. One aspect of this invention presents a method whereby a polymer is irradiated, preferably with gamma radiation, then thermally treated, such as by remelting of annealing. The resulting polymeric composition preferably has its most oxidized surface layer removed. Another aspect of the invention presents a general method for optimizing the wear resistance and desirable physical and/or chemical properties of a polymer by crosslinking and thermally treating it. The resulting polymeric compositions is wear-resistant and may be fabricated into an in vivo implant.

Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a 5 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 replacement device may be defined by four boundary points, and a first and a second surface. The first of four points is 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is near the bottom edge of the end of the natural articulatar cartilage. The third point is at the top ridge of the right condyle and the fourth point at the top ridge of the left condyle of the femur.

Abstract: A patello-femoral joint prosthesis is provided which allows smooth tracking of the articulating surfaces through a full range of joint motion. A novel configuration of a femoral implant component that facilitates superior adhesion to bone is also provided. Also provided is a patello-femoral joint replacement system, which permits precise, reproducible bone preparation techniques that uniquely permit later revision and full knee joint replacement procedures with minimal complications. Also provided are a drill guide and a cutting guide, each being configured to provide three point stabilization during operation.

Abstract: The invention relates to a knee joint prosthesis system adapted to replace the articulating knee portion of a femur and a tibia. The knee joint prosthesis system includes a first femoral component and a second femoral component. The first femoral component includes a first femoral engagement region and a first condylar portion having a first femoral bearing surface. The first femoral engagement region is operable to engage a resecting engagement surface of the femur and the first condylar portion includes a first posterior region having a first thickness. The second femoral component includes a second femoral engagement region and a second condylar portion having a second femoral bearing surface. The second femoral engagement region is operable to engage the resected engagement surface of the femur and the second condylar portion includes a second posterior region having a second thickness.

Abstract: A prosthetic patellar component includes a base and a bearing element that includes first and second femoral engaging surfaces disposed between first and second (superior/inferior) edge surfaces The edge surfaces are curved to provide a gradual transition from a posterior facing portion to a nearly vertical superior or inferior facing portion. Moreover, the inferior-superior dimension of the component is at least approximately 90% of the medial-lateral dimension. The relative height and gradually transitioning edges significantly reduce the likelihood of sudden posterior rotation during deep flexion movement. The edge surfaces extend from a substantially posterior facing portion proximate to the first and second femoral engaging surfaces and a substantially vertical facing portion proximate the base.

Abstract: A prosthetic patellar component includes a base and a bearing element. The base is operable to be affixed to an outer patellar surface. The bearing element includes first and second femoral engaging surfaces disposed between first and second edge surfaces and separated by a convex peak. The first and second edge surfaces include a gradual, or rounded, transition from a nearly posterior facing portion to a nearly superior or inferior facing portion, with adjacent surface portions having a relative angular displacement of less than about 30 degrees. The inferior-superior dimension is at least approximately 90% of the or medial-lateral dimension. The additional relative height and the gradually transitioning edges significantly reduce the likelihood of sudden posterior rotation during deep flexion movement. The patellar component may be employed in a PFJ system that engages a prosthetic femur implant that includes a trochlear groove.