Abstract: A method of resecting an end of bone comprising inserting a cutting guide having a guide surface into a void in an end of bone such that the guide surface is beneath an end surface of the bone, and resecting the bone along the guide surface while the cutting guide remains disposed within the void in the end of the bone.

Abstract: Disclosed herein are patellar implants and methods to prepare bone for receiving the same. The patellar implant may include an articulating surface with an elliptically shaped median ridge. The anterior surface of the patellar implant may have a non-planar surface to engage with a resected natural patella. The non-planar surface may allow for varying thickness of the patellar implant. The patellar implant may include dual attachment features to secure patellar implant to a resected patella by onlay and inlay techniques. A method for attaching a patellar implant to a patella may include onlay and inlay techniques and may further include bone preparation at the implant-bone interface.

Abstract: A bone repair device includes a plate having a pathway and a flexible structure. The plate includes opposing top and bottom surfaces and a first side extending between the top and the bottom surfaces. The flexible structure is directly attached to and extends from the first side of the plate. In operation, the bone repair device is placed around and over a plurality of bone parts. The plate is secured to the plurality of bone parts with a cable inserted through the pathway and wrapped around the bone parts.

Abstract: Disclosed herein are orthopedic revision systems including a base member having a collar portion and at least one stabilization portion extending outwardly from the collar portion. The systems may further include a stem member having an attachment portion and a shaft portion, the stem member configured to be received at least partially through an opening in the collar portion such that the attachment portion lies adjacent the collar portion and the shaft portion lies adjacent the at least one stabilizing portion. In a method of performing revision surgery with such orthopedic systems includes forming an opening in the collar of the base member for receipt of the stem member by removing an inner portion of the collar portion and inserting the stem member at least partially through the opening in the collar portion such that the attachment portion lies adjacent the collar portion and the shaft member lies adjacent the at least one stabilizing portion.

Abstract: Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.

Abstract: A resection guide system for resecting an end of bone includes an anchoring block having an elongate shaft and an opening extending through the anchoring block at one end thereof. The opening is sized to receive a rod therein and defines an axis. A translation member includes a housing and a shaft extending therefrom. The housing is engageable to the shaft of the anchoring block in a first configuration in which the shaft of the translation member is oriented at a first angle relative to the axis of the opening and a second configuration in which the shaft of the translation member is oriented at a second angle relative to the axis of the opening. A resection guide assembly connects to the shaft of the translation member and has a resection guide surface adapted to guide a cutting instrument along a plane defined by the resection guide surface.

Abstract: A method of inserting an intervertebral disc implant into a disc space includes accessing a spinal segment having a first vertebral body, a second vertebral body and a disc space between the first and second vertebral bodies. The method includes securing a first pin to the first vertebral body and a second pin to the second vertebral body, using the first and second pins for distracting the disc space, and providing an inserter holding the intervertebral disc implant. The method also desirably includes engaging the inserter with the first and second pins, and advancing the inserter toward the disc space for inserting the intervertebral disc implant into the disc space, whereby the first and second pins align and guide the inserter toward the disc space.

Abstract: A method of generating a correction plan for a knee of a patient includes obtaining a ratio of reference bone density to reference ligament tension in a reference population. A bone of the knee of the patient may be imaged. From the image of the bone, a first dataset may be determined including at least one site of ligament attachment and existing dwell points of a medial femoral condyle and lateral femoral condyle of the patient on a tibia of the patient. Desired positions of contact in three dimensions of the femoral condyles of the patient with the tibia of the patient may be obtained by determining a relationship in which a ratio of bone density to ligament tension of the patient is substantially equal to the ratio of reference bone density to reference ligament tension.

Abstract: Provided herein is a wedge for implantation into a distal radius fracture. The wedge has a longitudinal axis and includes a wedge-shaped body and an anchorage reinforcement member having a securement member. The wedge shaped body has opposing tapered surfaces extending from a proximal end wall to a distal end wall and tapering toward the longitudinal axis in the proximal to distal direction. The wedge-shaped body includes an aperture extending through the opposing tapered surfaces. The anchorage reinforcement member is received within the wedge-shaped body and is rotatable relative thereto. At least a portion of the securement member is adapted to extend through the aperture for engaging with and securing to the radius bone.

Abstract: A prosthetic knee implant system includes a prosthetic femoral component and a prosthetic tibial component. The femoral component includes a lateral condyle, a medial condyle, a bone-contacting surface that may be formed of porous metal, and an articular surface that may be formed of PAEK/PEEK. The tibial component includes medial and lateral condylar portions, a bone-contacting surface that may be formed of porous metal, and a second surface opposite the bone-contacting surface. Recesses extend a depth into the second surfaces of the medial and lateral condylar portions. Medial and lateral bearing inserts with flat proximal faces are positioned with the recesses of the medial and lateral condylar portions. Flexible medial and lateral meniscal components are positioned to surround the medial and lateral inserts, respectively, and extend proximal to the second surface of the insert.

Abstract: A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.

Abstract: The present invention relates to packages and methods of using packages that provide a sterile enclosure for an implant so that the implant can be transported and retrieved without being contaminated. In one embodiment, the package includes an insert with an implant disposed therein and a tray. The insert includes a first engagement feature and the tray includes a second engagement feature corresponding to the first engagement feature. The insert is sized to fit within and engage with the tray through engagement of the first and second engagement features, where in a first position the implant is secured within the package and in a second position, the implant is retrievable from the insert. The insert moves relative to the tray between the first and positions, but remains secured to it in both positions.

Abstract: Disclosed herein are implants with threaded inserts and methods for attaching the same to the implants. The threaded insert may define a first external dimension and include an internally threaded hole to receive a fastener. The implant may include a receiving hole with a proximal portion having a proximal diameter and a distal portion having a distal diameter. The distal diameter may be greater than the proximal diameter and substantial the same as the first dimension of the insert to secure the insert in the receiving hole. A method of attaching a threaded insert to a receiving hole of an implant with an insertion tool is also disclosed.

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 bioactive filamentary structure includes a sheath coated with a mixture of synthetic bone graft particles and a polymer solution forming a scaffold structure. In forming such a structure, synthetic bone graft particles and a polymer solution are applied around a filamentary structure. A polymer is precipitated from the polymer solution such that the synthetic bone graft particles and the polymer coat the filamentary structure and the polymer is adhered to the synthetic bone graft particles to retain the graft particles.

Abstract: In one embodiment, the present invention includes a knotless suture anchor for implanting in bone including an outer tubular member having a distal end, a proximal end, an outer wall, and an at least one aperture through the outer wall; an inner member being rotatably disposed within the outer tubular member, the inner member having an at least one aperture for receiving at least one suture thread; a pointed tip configured to facilitate impaction of the anchor into the bone; and at least one suture thread guide positioned on the outer tubular member, wherein the at least one suture thread is positioned through the at least one suture thread guide, the at least one aperture of the outer tubular member, and the at least one aperture of the inner member.

Abstract: A hinge knee system includes a tibial assembly having a baseplate component and an axle component. The baseplate component has an opening that extends therein from a proximal end toward a distal end thereof. The axle component has a shaft portion receivable within the opening of the baseplate component and an axle connected to the shaft portion that extends in a direction transverse to a longitudinal axis of the shaft portion. The system also includes a femoral assembly that includes a distal femoral component. The distal femoral component includes condylar portions and an intercondylar portion disposed between the condylar portions. The intercondylar portion includes a bearing surface that defines a recess configured to rotatably receive the axle for articulation therewith.

Abstract: A method of forming an implant having a porous tissue ingrowth structure and a bearing support structure. The method includes depositing a first layer of a metal powder onto a substrate, scanning a laser beam over the powder so as to sinter the metal powder at predetermined locations, depositing at least one layer of the metal powder onto the first layer and repeating the scanning of the laser beam.

Abstract: Disclosed herein are systems and methods for identifying the proper implant for use in an arthroplasty procedure and preparing a bone surface for the placement of such implant. In one embodiment, a centering guide system includes a cannulated post and a translucent surface trial where the cannulated post includes a slit defining legs that flex to engage the post when inserted in a hole of the surface trial. The system is used to confirm a suitable implant size and place a pilot wire in preparation for implant placement. The cannulated post and the translucent surface trial provide comprehensive visibility of the glenoid surface. When inserted into the surface trial, an extension of the cannulated post beyond an articulating surface of the surface trial is minimal or nonexistent. In this way, the congruence of a reamed glenoid surface can be evaluated prior to implantation of the implant.

Abstract: Disclosed herein are systems and methods for shaping bone voids during revision procedures of total knee replacements. The systems disclosed herein generally include a cannulated reamer assembly, a reaming guide assembly, a guide tube assembly, a trial stem assembly, and an optional insertion/removal tool. Metaphyseal reconstruction devices can be used to fill the bone voids in conjunction with the systems and methods disclosed herein.