Abstract: Touchless control of surgical devices. One example is a method of performing a surgical procedure, the method comprising: receiving, by a touchless-interface controller, a touchless command directly identifying an operational parameter of a target surgical controller of a plurality of surgical controllers used for performing the surgical procedure; generating, by the touchless-interface controller, a command value from the touchless command; and communicating, by the touchless-interface controller, a control command to the target surgical controller of the plurality of surgical controllers based on the command value.

Abstract: Methods, non-transitory computer readable media, and arthroscopic video analysis apparatuses and systems that facilitate improved analysis of videos of arthroscopic procedures are disclosed. With this technology, analytical data related to the video feed of an arthroscopic surgery can be obtained using machine learning models and associated with the video feed. The generated videos can be output in real-time to provide contextual information related to the surgical procedure, or can be saved for playback for training or informational purposes.

Abstract: An orthopedic fixation device (e.g., an intramedullary (“IM”) nail or bone plate) including a lag screw and a compression screw, the compression screw being nested with the lag screw. In accordance with one or more features of the present disclosure, the compression screw may include a partially non-threaded medial segment, an enlarged diameter, and/or a cannulated bore. In addition, and/or alternatively, the lag screw may be provided as an integrated assembly including a lag screw and an outer sleeve to enable the lag screw to telescope or slide relative to the outer sleeve and IM nail.

Abstract: A system for improving graft harvesting including a tendon harvesting instrument for producing a graft from a tendon. The instrument includes a handle, a shaft and a blade portion operatively coupled to the shaft. The blade portion defines a cutting edge that at least partially corresponds to the shape of a graft cross section of the graft. The blade portion is inserted into the tendon by axially rotating the instrument shaft. The blade portion may include a free end for piercing the tendon as the blade portion is rotated into the tendon. The harvesting instrument may also include amputating means for removing the end connection of the graft to the tendon, the amputating means including a means of changing an orientation of an end portion of the cutting edge.

Abstract: A delivery system for delivering an anchor member to a bone of a patient may include a bone punch including an elongate shaft, a head at a proximal end of the elongate shaft, and a piercing tip at a distal end of the elongate shaft. The piercing tip may be configured to be driven into the bone. An anchor member may be disposed over at least a portion of the piercing tip with the piercing tip extending distal of the anchor member. The anchor member may be configured to penetrate the bone of the patient in cooperation with the piercing tip.

Abstract: Devices, systems, and computer-implemented and surgical methods for providing and/or using optical, visual, and/or audio feedback when using a surgical instrument, such as to position and orient an implant are disclosed. A device includes a frame and a C-ring. The frame includes a fixation component optionally located at a first end and a tracking array optionally located at an opposing second end. The fixation component can be positioned at or near a center axis of the C-ring and is configured to releasably engage a surgical instrument. The tracking array may include tracking elements, such as reflective surfaces. The C-ring may include a plurality of light sources optionally arranged in a radial pattern. The light sources may be selectively illuminated based on a determined realignment to provide optical feedback with respect to at least a direction in which the surgical instrument should be moved to achieve a planned alignment.

Abstract: In one embodiment of the present disclosure a method may include reading, by a surgical controller through an arthroscope, a portion of a machine-readable pattern on a reamer visible within a surgical site. The method may include determining, by the surgical controller, an actual depth of the reamer within a bone based on the portion of the machine-readable pattern. The method may include displaying, by the surgical controller on a display device, a value indicative of the actual depth of the reamer within the bone. The method may include controlling, based on the value of the actual depth, operation of a drill associated with the reamer.

Abstract: A bone alignment system (100) and method for aligning a fractured bone is disclosed. The system enables moving or pushing a bone fragment away from a bone alignment device (e.g., bone plate). Thus arranged, the system may be used to medialize a bone fragment to produce proper reduction and alignment prior to final fixation of the fractured bone. In addition, the system may enable fine adjustment of the bone fragment after provisional fixation without loss of reduction. The system includes a bone alignment device (e.g., bone plate 112), a guide (130), and a push rod (150). The guide being operative coupled to the bone alignment device. The push rod being threadably coupled to the guide. The push rod including a tip to contact, move, and maintain the bone fragment away from the bone alignment device.

Abstract: A method for utilizing robotic surgical data for providing surgical training is disclosed. The method includes collecting, by a computing device, data related to a surgical procedure from one or more components of a computer-assisted surgical system. At least one of the one or more components is a robotically controlled surgical device. A graphical depiction representative of the surgical procedure is generated based on the collected data from the one or more components of the computer-assisted surgical system and one or more images providing a visual depiction of a patient's anatomy. A graphical user interface is output to a display device. The graphical user interface includes the graphical depiction of the surgical procedure and the collected data from the one or more components of the computer-assisted surgical system, to provide surgical training.

Abstract: Disclosed herein is a kit for augmenting a primary repair construct in an articulating joint. The kit includes a flexible member, a first implant that fixes a first end of the flexible member in a first bone adjacent to the primary repair construct and a second implant that may selectively couple to the flexible member, and thereby fix a second end of the flexible member in a second bone adjacent to the primary repair construct. The kit also includes a tension adjusting construct that may operatively couple to the flexible member and controllable adjust a tension on the flexible member disposed between the first and second implant, the tension adjustable so as to define an angle of joint articulation at which the flexible member changes from being passive to augment the primary repair construct.

Abstract: An orthopedic implant including an outer surface and at least one opening extending through the outer surface for receiving a fastener for coupling the implant to a patient's bone or bone portion/fragment. The opening including a plurality of fins circumferentially disposed about the opening for engaging threads formed on a head portion of the fastener to secure the fastener to the implant. The plurality of fins being arranged and configured in first and second vertically spaced rows of fins. At least one of the fins including a different configuration, property, etc. relative to at least one of the other plurality of fins. In one embodiment, each of the first and second fins in a vertically stacked relationship includes a different configuration from the other of the first and second fins in that stack. In one embodiment, the different configuration includes a different length, a different thickness, or a combination thereof.

Abstract: Embodiments of the invention include an external fixation system that includes at least one external fixation strut that is both acutely adjustable and precisely adjustable and related methods of adjustment. Acute adjustment may be accomplished using one or more mobile jaws that may be engaged with or disengage from a threaded rod of each external fixation strut. Precise adjustment of each external fixation strut may be accomplished after releasing a lock biased toward a locked position. When each external fixation strut's lock is released, a portion of each of the precise adjustment mechanism of each external fixation strut may be activated to increase and decrease the length of each of the at least one external fixation struts.

Abstract: Orthopaedic implants and corresponding instrumentation are disclosed. More particularly, a femoral implant and a corresponding broach are presented for surgically repairing a hip joint. The femoral implant includes an elongated stem configured to be inserted within an intramedullary canal of a patient's femur. The femoral implant configured to maximize “fit” within the intramedullary canal. The orthopedic broach may include differential tooth patterns. For example, the broach may include first, second, and third separate and unique tooth patterns. In use, the various tooth patterns are located in specific locations on the broach to achieve a specific purpose to thereby optimize engagement between the patient's intramedullary canal and the femoral implant. In various embodiments, the broach is specifically matched to mimic the femoral implant, and specifically the teeth (compaction teeth) formed on the proximal region of the broach are matched to the porous coating formed on the implant.

Abstract: Methods and system for characterizing ligament properties using elastography are disclosed. An ultrasound system capable of performing shear wave elasticity imaging and/or supersonic shear imaging may retrieve one or more images from a proposed surgical site. The one or more images may be provided to a surgical planning system that identifies one or more properties of ligaments proximate to the surgical site. Musculoskeletal simulations may be performed using the identified properties to preoperatively identify a surgical plan. Preoperative identification of a surgical plan may enable a surgeon to select from more fine-tuning options for a joint replacement than conventional systems.

Abstract: A pelvic bone plate (100) includes a brim segment (101) coupled to a quadrilateral surface (QLS) segment (102) via at least one bridge (103). The brim segment is configured to be affixed directly adjacent to the pelvic brim. The QLS is configured to be arranged directly adjacent to the QLS of the pelvis. A plurality of slots (110-112) is arranged on the brim segment and the QLS segment. Each of the plurality of slots is configured to receive a fastener to affix the bone plate to the pelvis. The plurality of slots includes at least one of a non locking slot, a locking slot, and an elongated slot (112). The at least one elongated slot is configured to facilitate adjustment of the bone plate in an adjustment direction during an implantation procedure.

Abstract: An orthopedic template configured to assist surgeons in removing a tibial implant previously implanted within a patient's bone. In use, the template provides a reference that mimics the underlying support member of the previously implanted tibial implant. That is, the template provides a representation or footprint that mimics the configuration of the underlying support member of a tibial implant, which cannot be readily seen when the tibial implant is inserted into a patient's bone. For example, the template may include a superiorly extending structure or a visual image that mimics the underlying configuration of the support member of the tibial implant. In use, the template may be positioned on a superior surface of the tibial implant. Thereafter, an instrument such as a bone cutter, can be used to trace the representation formed on the template while simultaneously cutting or removing bone beneath the tibial tray.

Abstract: Disclosed are techniques to navigate soft tissue structures based on preoperative imaging for joint arthroplasty. Particular embodiments are useful for direct anterior approach total hip arthroplasty but may be applicable in other approaches and/or other surgical procedures. In some embodiments, the patient is imaged with MRI safe markers on the skin prior to surgery. These markers remain on the patient prior to and during surgery. The position of various muscular, venous, and nervous structures can be provided to the surgeon prior to making the incision, allowing him or her to navigate the soft tissue during dissection.

Abstract: A system for displaying an intraoperative user interface for a surgical procedure is disclosed. The system comprises an arthroscopic imaging device, a display device, an input device, a processor, and a non-transitory, computer-readable medium. The arthroscopic imaging device is configured to capture one or more images of a patient anatomy within a joint of a patient. The input device is configured to receive input from a user. The processor is configured to receive the images from the arthroscopic imaging device and display a user interface on the display device that includes the images from the arthroscopic imaging device. The processor is also configured to receive the input from the input device, display one or more visual overlays over the one or more images based on the input, and apply one or more digital markers in a fixed location on the one or more images based on the input.

Abstract: Patient-specific guides for the Latarjet procedure, as well as surgical systems and methods of performing the Latarjet procedure to treat glenohumeral instability using such patient-specific guides are disclosed. A patient-specific coracoid guide and a patient-specific glenoid guide may be configured based on preoperatively generated three-dimensional models of the patient's shoulder anatomy. Guides may be configured for coracoid graft preparation and glenoid decortication. The coracoid graft may be placed in the desired position based on three-dimensional (3D) preoperative planning.