Abstract: A radial head assembly is provided that includes a stem, a collar, a locking ring, and an articular member. The stem has a convex articular head on one end thereof. The locking ring has a ring wall, which has a ring opening. The ring wall has an angular outer surface and a slot configured to permit the ring wall to radially expand. The angular outer surface engages an angular portion of an interior surface of the collar. The articular member and the locking ring define an articular space within the collar. The articular space is configured to receive the convex articular head.

Abstract: An orthopedic assembly includes a tibial prosthesis that includes a body that defines an anterior side and a posterior side. The body further incudes a recess in the anterior side of the joint prosthesis and a plurality of openings that extend through the body from the anterior side to the posterior side thereof. At least a first and second opening of the openings are positioned at respective lateral and medial sides of a longitudinal axis of the tibial prosthesis. A modular insert is positioned within the recess of the body such that at least a portion of the modular insert is positioned between the openings of the body. The modular insert is formed separately from the tibial prosthesis and has a porous outer surface to promote tissue ingrowth.

Abstract: A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.

Abstract: This disclosure describes a surgical implant device comprising a body that includes a porous material forming at least a portion of the body, wherein the porous material is configured to promote bone ingrowth and is porous to a fluid. In addition, one or more fluid channels are formed in the body. The one or more fluid channels are arranged to define a fluidic path that exits into the porous material.

Abstract: In one embodiment of the present invention, a fixation device including a sleeve member including an interior and an exterior surface along a length defined between a first end and a second end, and at least two openings positioned along the length and extending from the interior and through the exterior surface; and a filament including a first free end and a second free end and a length therebetween, the filament positioned relative to the sleeve member such that the free ends extend from the sleeve member at the first and second ends of the sleeve member, the filament being disposed inside the interior from the first end to a first opening, outside the sleeve member from the first opening to a second opening, and inside the interior from the second opening to the second end of the sleeve member.

Abstract: A humeral implant configured for implantation at a distal end portion of a humerus. The humeral implant can be configured to articulate with a portion of an ulna. The humeral implant may include a body portion having a first end, a second end, and a side surface that extends between the first end and the second end, where the side surface includes a concave region that defines a first cross-sectional diameter that is a minimum cross-sectional diameter of the body portion.

Abstract: Various apparatus and methods for implanting glenoid prostheses are disclosed. In various embodiments, a kit for shoulder surgery can include a partial reaming guide having a patient-matched surface shaped to conform to a scapula of a patient, the partial reaming guide configured to limit glenoid reaming about a reaming axis to only a portion of a glenoid; and an anchor peg channel guide having a patient-matched surface shaped to conform to a portion of the glenoid, the anchor peg channel guide having a channel offset from the reaming axis.

Abstract: A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and/or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and/or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.

Abstract: A system for implanting an expandable interbody implant into an intervertebral space includes an elongated tool, the distal end of which is removably securable to the implant. The proximal end of the tool has an attachment interface for detachable securement to a plurality of different modules, each of which is adapted to effectuate a different function of the delivery system. The different functions include: grasping the implant delivery tool, providing an impaction surface for driving the advancement of the implant, supplying a graft material into the implant, and actuating the expansion of the implant. One of the modules may include a fluid delivery system for supplying hydraulic fluid to expand the implant. A fluid reservoir of the fluid delivery system may be oriented transverse to the cannula that delivers the fluid to the implant. A grafting block can be used to help pre-pack the implant with graft material.

Abstract: A shoulder assembly is provided which includes a base member including a collar; a helical structure extending from the collar in a distal direction; and a first pathway projecting distally of the collar and through the helical structure adjacent to an inner periphery thereof, the first pathway being generally transverse to the helical structure and extending in a space between successive portions of the helical structure; and a locking device comprising a proximal support and a first arm projecting distally of the proximal support, the first arm configured to be disposed in the first pathway projecting distally of the collar when the proximal support is disposed adjacent to the collar; where the first arm is disposed through bone in the space between successive portions of the helical structure when the shoulder assembly is implanted.

Abstract: Disclosed herein is a humeral head trial, a system for humeral trialing, and a method for removing a humeral head trial from a humeral stem. The humeral head trial may include a first portion, a second portion, and a post extending from the second portion. The first portion may define a convex articular surface with a movable surface substantially flush with the convex articular surface. The post may define a first length in a first configuration and a second length in a second configuration. The first length may be greater than the second length. The post may change from the first configuration to the second configuration by moving the movable surface with respect to the convex articular surface.

Abstract: A method of bone fixation includes placing a bone plate adjacent to a lesser trochanter on a medial aspect of a femur such that at least a portion of the lesser trochanter is positioned between appendages of the bone plate, wrapping cables coupled to the bone plate about a first and second bone fragment of a proximal femur, and tightening the cables to secure the first and second bone fragments together.

Abstract: A femoral implant for articulation with a patella or a patellar implant includes a body having an articular surface defining a trochlear groove. The trochlear groove is defined by a first trochlear radius at a first location along the trochlear groove and by a second trochlear radius at a second location along the trochlear groove, the first radius being different than the second radius. The configuration of the trochlear groove is such that it narrows as a patella or patellar implant moves from an extension configuration to a flexion configuration. A kit includes the femoral implant along with a patellar implant. A method of trialing involves use of the femoral implant or kit to ensure a smooth transition of the patella or the patellar implant from the femoral component to the adjacent bone.

Abstract: A spinal implant for placement between vertebral bodies includes a first member for engaging one of the vertebral bodies, a second member for engaging an opposing one of the vertebral bodies, and at least one extendable support element for inducing movement of the entire first member away from the second member. The first member is connected to the second member such that the first member moves away from the second member by a larger distance at a first end of the implant than at a second end of the implant. A connecting member may connect the first and second members together at the second end of the implant. The connecting member may include one or more rotatable linkages, or the connecting member may be an extension of one of the first and second members slidably received within a track defined within the other of the first and second members.

Abstract: Aspects of the present disclosure relate generally to preparing models of three-dimensional structures. In particular, a model of a three-dimensional structure constructed of porous geometries is prepared. A component file including a porous CAD volume having a boundary is prepared. A space including the porous CAD volume is populated with unit cells. The unit cells are populated with porous geometries having a plurality of struts having nodes on each end. The space is populated with at least one elongated fixation element extending beyond the boundary to produce an interlocking feature enabling assembly or engagement with a mating structure.

Abstract: A trial template for visualizing the placement of a bone screw includes a bone facing side, a visualization side opposite the bone facing side, a trial periphery defining an outer perimeter of the trial, and first and second support members positioned within the trial periphery and each having a length extending in a direction transverse to an axis that extends through the bone facing and visualization sides The first and second support members define a viewing window therebetween that extends through the second component from the visualization side to the bone facing side. The trial template also includes a visualization member extending between the first and second support members and across the viewing window. The visualization member includes a position within the second component periphery that corresponds with a desired bone screw location in a bone.

Abstract: Various apparatus and methods for implanting glenoid prostheses are disclosed. In various embodiments, a method for performing shoulder surgery can include guiding a guide pin into the glenoid surface along a reaming axis. A partial reaming guide can be placed in contact with the glenoid surface over the guide pin. A reamer can be guided over the guide pin to ream the glenoid surface. The reamer can be further advanced over the guide pin until the reamer contacts the partial reaming guide, whereby such contact limits reaming to only a portion of the glenoid surface.

Abstract: A trial humeral prosthesis may include a trial stem for implantation into a humerus, and a trial proximal body configured to couple to a trial articulating component. A plurality of trial spacers may be configured to couple the trial stem to the trial proximal body, the plurality of trial spacers including a first trial spacer and a second trial spacer. The first and second trial spacers may each include a proximal post and a tab extending radially outward from the proximal post, and a distal body having a larger outer diameter than an outer diameter of the proximal post, a slot being formed in the distal body. The slot of the distal body of the first trial spacer may be configured to receive the tab of the second trial spacer when the proximal post of the second trial spacer is received within the distal body of the first trial spacer.

Abstract: A patient specific shoulder guide is provided that includes a plurality of peripheral members coupled with a peripheral body. The peripheral members have a patient specific contact surface. An open space (e.g., a single open space) is or can be provided radially between a central channel and an inner periphery of the peripheral body. The open space(s) can extend from a side of a spoke to another side of the same or a different spoke. The spoke can be a single spoke in some embodiments. The single open space can extend more than 120 degrees between circumferential ends of the open space.

Abstract: A prosthesis assembly is provided that includes a base member that has a helical structure and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.