Abstract: The ancillary tool according to the invention comprises a plate which defines a convex surface intended to bear against the glenoid cavity of a patient's scapula and which forms a directional guide for a drilling, fashioning or like member. To allow the surgeon to apply this member in a chosen direction, the tool comprises means for adjusting the position of the guide with respect to the plate.

Abstract: A compression pin for urging two bone regions together includes a pin body having a distal end, an opposed proximal end, a first threaded region, and a second threaded region. The first threaded region is positioned near the distal end, and the second threaded region is positioned near the first threaded region. The first threaded region includes a first thread having a FT leading surface that is at a FT leading angle, and the second threaded region includes a second thread having a ST leading surface that is at a ST leading angle that is different than the FT leading angle. During insertion of the compression pin, the first threaded region and the second threaded region cooperate to aggressively compress the bone regions together.

Abstract: A screw assembly (10) for insertion into a bone region (12A) (12B) includes a screw body (14) and a washer (16). The screw body (14) includes a distal end (218), a proximal end (224), and a distal threaded area (220), and a proximal threaded area (226). The distal threaded area (220) is positioned near the distal end (218) and the proximal threaded area (226) is positioned near the proximal end (224). The washer (16) includes a washer threaded area (238) that engages the proximal threaded area (226) to selectively secure the washer (16) to the screw body (14). With this design, the washer (16) can be selectively attached to the screw body (14) and different sized washers (16) can be alternatively and selectively secured to the screw body (14). As a result thereof, the person inserting the screw assembly (10) can pick the washer (16) size best suited to retain the bone region (12A) (12B) in which the screw assembly (10) is being inserted.

Abstract: An orthopedic device for ball and socket joint reconstruction. The anchor stem is adapted to be anchored in a medullary canal. A proximal portion of the anchor stem includes a threaded hole oriented along a longitudinal axis thereof. Metaphyseal portion includes a proximal end with recess and a longitudinal bore in fluid communication with the recess, and a distal end adapted to interface with the proximal portion of the anchor stem. An anti-rotation structure is preferably located at an interface of the anchoring stem to the metaphyseal portion to prevent rotation of the anchor stem relative to the metaphyseal portion around the longitudinal axis. A fastener is provided to extend through the longitudinal bore and to engage with the threaded hole on the anchor stem to fix the metaphyseal portion to the anchoring stem. The locking assembly is located in the recess and mechanically couples the head of the fastener to the metaphyseal portion to limit rotation of the fastener relative to the metaphyseal portion.

Abstract: A surgical instrument including at least one tibial phantom generally corresponding to at least certain features of the tibial implant. The tibial phantom includes a top surface adapted to move freely against the prepared bottom end of the tibia. At least one talus phantom generally corresponding to at least certain features of the talus implant is engaged with the prepared top surface of the talus. At least one phantom skid is located between the tibial phantom and the talus phantom. The phantom skid is engaged with the tibial phantom such that dynamic engagement between the phantom skid and the talus phantom through at least extension and flexion of the ankle joint positions the tibial phantom on the prepared bottom end of the tibia. The phantom skid can either be a part of the tibial phantom or a separate component.

Abstract: A subtalar implant device includes a rounded end cap region, a threaded region having threads, and a core having a first end, a second end, a core exterior and a longitudinal axis. The threads can have a shape that varies between the first end and the second end of the core. For example, the threads can include an outer edge having an edge width that varies. Further, the threads can include a thread depth that can vary between the first end and the second end of the core. A thread radius of curvature varies at a different rate than a core radius of curvature. The core can define one or more core apertures that extend through the core at various angles relative to the longitudinal axis. In one embodiment, two core apertures are positioned at an angle greater than zero degrees relative to each other.

Abstract: A method and apparatus for replacing an articular surface of a bone. The implant includes at least one head with a bore and a lateral articular surface generally perpendicular to an axis of the bore. A holding element includes a stem at a proximal end adapted to attach to the bone. A member at a distal end of the holding device is adapted to engage with the bore in the head so that the lateral articular surface is positioned to engage transverse loads. The bore permits limited lateral translation of the head in at least one direction generally perpendicular to a longitudinal axis of the member.

Abstract: A glenoid component for a shoulder prosthesis adapted to be mounted in a glenoid cavity of a shoulder. An elongated keel adapted to engage with the glenoid cavity is attached to the internal surface of the base. The keel extends along a longitudinal axis of the base. The keel includes various configurations of transverse members extending away from the longitudinal axis. The surgeon selects a glenoid component with a keel and transverse member configuration that is anatomically optimized for the patient. Glenoid components properly optimized provide mechanical strength and stability superior to prior art devices. The glenoid components disclosed herein are particularly well suited for use in an anatomical total shoulder prosthesis, but may are also suited to partial shoulder prostheses and reverse shoulder prostheses.

Abstract: A suture anchor for securing soft tissue to bone may include a threaded body, a head extending along a longitudinal axis, and a plurality of eyelets that extend though the anchor head and that are each configured to receive a suture. The eyelets are offset from one another along an axis that is transverse to the longitudinal axis of the suture anchor. Each eyelet may have a desired shape and cross section. Surgical kits including one or more suture anchors and one or more surgical tools are also described.

Abstract: Systems, apparatuses and methods for securing tissue to bone using a bone anchoring system are described. Methods and apparatuses may allow transformation between locked and unlocked states, thereby allowing adjustment of the tension in the suture. The apparatus and/or methods may allow unidirectional movement of a suture, while preventing slippage or movement of the suture and tissue in the opposite direction. Ends of a suture may be individually tensioned to adjust positioning of a tissue with respect to a bone.

Abstract: A system for providing power suitable for electrosurgery from a self-contained direct current (DC) energy source according to embodiments of the present invention includes a voltage-affecting circuit having an input and an output, wherein the voltage-affecting circuit is configured to receive energy from the DC energy source at the input and provide boosted DC energy at the output, the boosted DC energy having a voltage greater than a voltage of the DC energy source, and an inverter operable to invert the boosted DC energy to alternating current (AC) energy. The inverter may include a bridge circuit including an arrangement of switches and having an input and an output, wherein the boosted DC energy is received at the bridge circuit input, and a bridge controller operable to control the arrangement of switches to selectively connect the bridge circuit input to the bridge circuit output.

Abstract: A bone screw driver (12) for inserting a bone screw (14) into a bone region (218A) includes a driver shaft (12B) that selectively engages the bone screw (14). The bone screw (14) includes a screw threaded region (14A) and a screw engagement region (14B). The screw engagement region (14B) includes a screw shaft (14D) and an engager ring (14E). The driver shaft (12B) includes a shaft aperture (322), a first resilient member (324A), and a first shaft projection (326A). The shaft aperture (322) receives at least a portion of the screw shaft (14D), the first resilient member (324A) engages the screw shaft (14D) to inhibit movement of the screw shaft (14D), and the first shaft projection (326A) engages the engager ring (14E) so that rotation of the driver shaft (12B) results in rotation of the bone screw (14).

Abstract: This surgical apparatus comprises, on the one hand, means for spatial marking-out of the patella and femur of a patient to be operated on, and, on the other hand, means for simultaneous and relative representation of this patella provided virtually with a patellar implant of the prosthesis, and of this femur provided virtually with a femoral implant of the prosthesis, in a transverse plane passing both through the patella and through the trochlea of the aforementioned femoral implant. Using this apparatus, the surgeon can easily and quickly check the congruent position of the patellar implant with respect to the prosthetic femoral trochlea in order to reduce the risks of subsequent dislocations of the patella fitted with the prosthesis.

Abstract: A method for implanting a malleolar implant in an ankle joint. A spacer block is positioned between a lower portion of a tibia and an upper portion of an astragalus in the ankle joint. A guide attached to the spacer block is positioned opposite an outer surface of a fibular malleolus. A bore aligned with the guide is formed through the fibular malleolus. The spacer block is removed from between the tibia and the astragalus. A shank of the malleolar implant is engaged with the bore from an inner surface of the fibular malleolus. The shank is advanced into the bore so an inner surface of a head of the malleolar implant engages the inner surface of the fibular malleolus.

Abstract: Method and set of surgical instruments for fitting a shoulder prosthesis, and the shoulder prosthesis. The proposed method seeks to interpose a bone graft between the previously prepared glenoid surface of a scapula of a patient's shoulder and the face of a glenoid prosthetic component opposite the articular surface. The set of instruments permit the bone graft to be taken from the upper epiphysis of the humerus, either in situ or ex vivo.

Abstract: A surgical system for assisting in the implanting of a glenoid component of a shoulder prosthesis in a patient includes a guide having guide features for guiding application of the bone preparation tool to the glenoid and a series of graphic representations of the glenoid component shown being implanted on the glenoid with different implant positions, each of which is associated with one of the graphic representations.

Abstract: The knee prosthesis with rotary plate comprises a metal base (2) and a tibia plate (3) which are equipped with guide means (22, 22?, 22?, 26, 29, 5, 6, 5?, 9, 50, 51, 52, 13, 15, 18; 34, 34?, 34?, 35, 37, 7, 8, 10, 12, 53, 54, 55, 10?, 17) defining a center of rotation (C,C?) which may be offset from that of the tibia bone axis (YY?), so as to allow the tibia plate (3) to slide in rotation over the said base, the said guide means being positioned a certain distance away from the center of rotation (C, C?).

Abstract: A glenoid component having an offset center of articulation and associated systems and methods.

Abstract: A humeral component, forming a first articulating surface, and an ulnar component forming a second articulating surface adapted to be disposed around a part of the first articulating surface and to pivot about its longitudinal axis. This ulnar component is provided with structure for mounting a locking element which forms a third articulating surface extending the second and adapted likewise to be disposed around a part of the first surface. These mounting structure comprise guiding structures adapted to cooperate with complementary structure provided on the locking element in order to guide this element in translation with respect to the ulnar component, up to a position where blocking structure provided respectively on the locking element and on the ulnar component may be employed to immobilize this element on this component, these blocking structure being able to be employed only in this position.