Abstract: A resection guide locator includes a bone engagement portion with surfaces that are complementary to the surface topographies of a bone to be resected during surgery. A housing includes a socket defined by a resilient annular wall that is sized and arranged so to accept a resection guide by press-fit to thereby position and hold the resection guide within the socket. The resection guide is maintained in a predetermined, preferred position while the surfaces are releasably locked in position on the bone. A method is disclosed for forming and using the resection guide locator.

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: Instruments and components for improving the accuracy of resection of the proximal tibia in a kinematic alignment total knee arthroplasty (“TKA”). Instruments include an adjustable double tibial stylus instrument comprising: a first wide convex stylus tip and a second wide convex stylus tip at a second distal end of the second stylus. The wide convex stylus tips may be fixed components of the adjustable double stylus instrument, or the wide convex stylus tips may be detachable.

Abstract: A method of producing a customized tibial resection guide locator comprising: mapping a contoured surface of the proximal tibia onto a digital model of a resection guide locator to create a digital model of a customized resection guide locator; and manufacturing the customized resection guide locator to include: a complementary surface of the proximal tibia, a wall having a shape that is complementary to an outer profile of a tibial resection guide such that a pocket is defined that is configured to receive the tibial resection guide therein.

Abstract: A system for establishing an intramedullary path includes a body sized and configured to be received within a resected bone space. The body defines a first aperture that extends through the body and is sized and configured to receive a surgical tool therethrough. A first bone engaging structure extends from the body in a first direction and includes a first surface that is complementary to a surface topography of a first bone. When the first surface of the bone engaging structure engages the surface topography of the first bone to which the first surface is complementary, an axis defined by the first aperture is substantially collinear with a mechanical axis of the first bone.

Abstract: A system for making a proximal resection of tibia having localized anatomical surface features prior to resection, comprising: a resection guide locator including a body, the body including opposing medial and lateral wings extending outwardly from the body, the body defining a recess being a socket defined by an annular wall, the annular wall including an upper wall, a lower wall, a resection guide having a body defining a resection slot, at least a portion of the resection guide body sized and configured to be received within the recess defined by the resection guide locator.

Abstract: Assemblies, systems, kits, and methods related to the positioning of the distal femoral resection guide anteromedially on an exposed condyle of the distal femur. Assemblies, systems, kits, and methods related to the positioning of the proximal tibial resection guide anteromedially on an exposed proximal tibia.

Abstract: A cup remover instrument assembly for removing an acetabular cup in a revision hip procedure comprising: a positioning member supporting a cutting assembly having a cutting blade and a detachable drive member for selectively rotating the cutting assembly to cut around a cup to detach the cup from a patient's natural acetabulum. In embodiments, the positioning member is sized and configured to operate in a main incision, while the drive member is sized and configured to operate in a portal incision. In embodiments, the cutting blade is detachable for use in selecting blades for cup sizes. In embodiments, the cutting blade is selectively extendable from the cutting assembly. In other embodiments, the cutting blade is hemispherical and is rotated by a power driver.

Abstract: The present disclosure relates to a tibial component for an endoprosthetic knee implant comprising a tibial baseplate and a keel extending from a lower surface of the tibial baseplate. The tibial baseplate is disposed at a keel posterior angle relative to the keel, and the tibial baseplate is also disposed at a keel varus angle relative to the keel. The disclosure further describes modular keel embodiments, exemplary instruments that can be used to implant exemplary tibial components into and onto the proximal tibia, methods related thereto, and kits therefore.

Abstract: Systems and methods for ascertaining a position of an orthopedic element in space comprising: capturing a first and second images of an orthopedic element in different reference frames using a radiographic imaging technique, detecting spatial data defining anatomical landmarks on or in the orthopedic element using a deep learning network, applying a mask to the orthopedic element defined by an anatomical landmark, projecting the spatial data from the first image and the second image to define volume data, applying the deep learning network to the volume data to generate a reconstructed three-dimensional model of the orthopedic element; and mapping the three-dimensional model of the orthopedic element to the spatial data to determine the position of the three-dimensional model of the orthopedic element in three-dimensional space.

Abstract: A surgical device includes an body extending from a proximal end to a distal end. The distal end of the body defines a notch sized and configured to receive a reamer. A coupling assembly is supported by the body and includes a reamer guide body disposed at the distal end of the body. The reamer guide body configured to move between a first position and a second position in which the reaming guide body extends at least partially across the notch. A locking assembly is supported by the body and is configured to releasably engage the coupling assembly to maintain the reamer guide body in the second position.

Abstract: Assemblies, systems, kits, and methods related to an endoprosthetic rotating hinge assembly. The exemplary embodiments disclosed herein can comprise a preassembled rotating hinge subassembly having a hingedly rotating femur box configured to be mechanically engaged to a femoral component via a femur fastening mechanism, the femur fastening mechanism being non-axially aligned with a tibial axis of rotation when the knee is in flexion or extension.

Abstract: Systems and methods for generating patient-specific surgical guides comprising: capturing a first and second images of an orthopedic element in different reference frames using a radiographic imaging technique, detecting spatial data defining anatomical landmarks on or in the orthopedic element using a neural network, applying a mask to the orthopedic element defined by an anatomical landmark, projecting the spatial data from the first image and the second image to define volume data, applying the neural network to the volume data to generate a reconstructed three-dimensional (“3D”) model of the orthopedic element; and calculating dimensions for a patient-specific surgical guide configured to abut the orthopedic element.

Abstract: A system includes a cartridge having an elongate body extending from a first end to a second end and having a top side and a bottom side. The cartridge defines a first hole adjacent to the first end that extends through the cartridge from the bottom side to the top side. The top side of the cartridge defines a pair of parallel slots that extend perpendicular with respect to a longitudinal axis of the cartridge. Each slot of the pair of parallel slots is equidistant from a central axis defined by the first hole.

Abstract: Systems and methods for calculating external bone loss for alignment of pre-diseased joints comprising: generating a three-dimensional (“3D”) computer model of an operative area from at least two two-dimensional (“2D”) radiographic images, wherein at least a first radiographic image is captured at a first position, and wherein at least a second radiographic image is captured at a second position, and wherein the first position is different than the second position; identifying an area of bone loss on the 3D computer model; and applying a surface adjustment algorithm to calculate an external missing bone surface fitting the area of bone loss.

Abstract: A surgical device includes an elongate body extending from a proximal end to a distal end. The distal end of the elongate body defines a notch sized and configured to receive a reamer. A coupling assembly is supported by the elongate body and includes a reamer guide body disposed at the distal end of the elongate body. The reamer guide body configured to move between a first position and a second position in which the reaming guide body extends at least partially across the notch. A locking assembly is supported by the elongate body and is configured to releasably engage the coupling assembly to maintain the reamer guide body in the second position.

Abstract: A system includes a cartridge having an elongate body extending from a first end to a second end and having a top side and a bottom side. The cartridge defines a first hole adjacent to the first end that extends through the cartridge from the bottom side to the top side. The top side of the cartridge defines a pair of parallel slots that extend perpendicular with respect to a longitudinal axis of the cartridge. Each slot of the pair of parallel slots is equidistant from a central axis defined by the first hole.

Abstract: A system for making a proximal resection of tibia having localized anatomical surface features prior to resection, comprising: a resection guide locator including a body, the body including opposing medial and lateral wings extending outwardly from the body, the body defining a recess being a socket defined by an annular wall, the annular wall including an upper wall, a lower wall, a resection guide having a body defining a resection slot, at least a portion of the resection guide body sized and configured to be received within the recess defined by the resection guide locator.

Abstract: A minimally invasive surgical procedure for replacing a hip joint is provided. A main incision is initiated at a point being a projection of a tip of a greater trochanter and extends proximally about a distance in the range of from 1 cm to 8 cm in line with the femoral axis. An inline capsulotomy is performed, while keeping muscles and posterior capsule intact, to expose the hip joint capsule for accessing the hip joint. The femoral canal is prepared for receipt of a femoral implant. The femoral head is resected and removed out of the acetabulum. A step of acetabular preparation is performed using a retractor comprising two tip rails, each tip rail having a plurality of tines. Related tools, devices, systems and methods are also provided.

Abstract: A method includes mapping a contoured surface of at least one bone onto a digital model of a resection guide locator using a processor to create a digital model of a customized resection guide locator and manufacturing the customized resection guide locator. The customized resection guide locator includes a complementary surface of the at least one bone and a wall having a shape that is complementary to an outer profile of a resection guide and defining a pocket. A first elongate slot and at least one first hole are positioned within the pocket such that the first elongate slot aligns with a second elongate slot defined by the resection guide and the at least one first hole aligns with at least one second hole defined by the resection guide when the resection guide is received within the pocket of the customized resection guide locator.