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.

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 glenoid implant system may include a main body formed of a polymer, a base, and an anchor formed of metal. The main body may define an articulating surface and an opposite bone-contacting surface. The base may be formed in the bone-contacting surface of the main body, the base including a hole formed therein. The anchor may have a main section and a threaded post extending from the main section. The anchor may include a plurality of ribs extending in a longitudinal direction of the main section, the plurality of ribs being spaced apart from one another in a circumferential direction of the main section. The anchor may further include a plurality of wedges disposed on a base of the anchor, the plurality of wedges adapted to contact the base formed in the bone-contacting surface of the main body when the threaded post is received within the threaded hole.

Abstract: A multi-layered shielding apparatus for reducing the heating of an implanted device within a patient during an MRI scan is disclosed. The shield comprises four internal layers circumferentially surrounded by a waterproof fabric pouch for maintaining composure of the shield and providing a comfortable interface for the patient. The second layer is a thin high conductive energy permeable layer for absorbing a substantial amount of RF energy. The first and third layers are thick low conductive energy absorbent layers that surround the second layer to absorb the RF currents produced by the interaction between the RF energy and the high conductive layer. The fourth layer is a nonconductive polymer layer for insulating the human tissue from any RF currents produced among the other layers.

Abstract: A device for attaching a soft tissue graft to bone includes a body with a smooth contoured first surface and a second surface opposite the first surface having a plurality of outwardly extending fixation members. The second surface is at least partially formed of a porous material adapted for bone ingrowth. A channel extends at least partially through the body in between the first and second surfaces for receiving a portion of the graft. The channel is at least partially formed of a porous material adapted for tissue ingrowth, bone ingrowth or a combination thereof.

Abstract: In one embodiment of the disclosure, a prosthetic bone implant includes a prosthesis and a tissue attachment structure connected to the prosthesis. The tissue attachment structure includes a connective structure connected to the prosthesis and an interface structure connected to the connective structure. The interface structure is configured for attachment of tissue thereto. When the interface structure is subject to tension, the connective structure changes in shape.

Abstract: A patellar resection guide includes a frame, a first jaw, and a second jaw. The frame includes a first end, at which the first jaw is disposed, and a second end opposed to the first end at which the second jaw is disposed. The guide further includes an arm with a planar surface for guiding a cutting tool. The arm is either or both of rotatable and translatable relative to the frame.

Abstract: Systems, devices, and methods for treating the spine are disclosed herein. Medical devices can be positioned along a subject's spine to treat various conditions and diseases. The medical device can include an actuator assembly and a clamp assembly. The actuator assembly can be positioned at an interspinous space between a superior spinous process and an inferior spinous process. The actuator assembly can be used to reconfigure the clamp assembly such that the clamp assembly clamps onto the superior and inferior spinous processes.

Abstract: A resection guide includes an anchor having bone anchoring features, a cutting block having a cutting guide defined therein, and a linkage flexibly connecting the cutting block to the anchor. The flexibility of the linkage provides the cutting block with six degrees of freedom of motion relative to the anchor.

Abstract: A porous apparatus includes a first layer and a second layer. The second layer has a plurality of struts. At least some of the struts define a porous geometry defining a plurality of faces, at least one of the plurality of the faces at least partially confronting the first layer. Each face is bounded by intersecting struts at vertices. Less than all of the vertices of each face of the porous geometry at least partially confronting the first layer are connected by a strut to the first layer. A process of producing the at least partially porous structure includes depositing and scanning metal powder layers. At least some of the scanned metal powder layers form either one or both of a portion of a first section of the structure and a portion of a second section of the structure formed by at least the struts defining the porous geometry.

Abstract: A method of implanting a medical implant comprises the steps of reaming a tapered bore to a first depth and a counter bore, coaxial to the tapered bore, to a second depth less than the first depth in a long bone. The counter bore has a larger diameter than the tapered bore. The method further includes inserting a medical implant into the tapered bore and counter bore. The medical implant includes a stem and a collar disposed around a portion of the stem. Inserting the medical implant include fully seating a portion of the stem into the tapered bore to form a press-fit between the stem and the long bone. The collar may be moved into the counter bore to a depth less than the second depth.