Abstract: Provided is a tibial tray component in an ankle replacement prosthetic system that comprises modular fixation elements that provide surgeons with variety of interchangeable fixation options. Also provided is a tapered peg that provides enhanced bone plate fixation.

Abstract: An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.

Abstract: Disclosed is a method of preparing a tibial intramedullary canal for receiving a tibial implant such as a stem component of a total ankle replacement prosthesis where an extended cavity is prepared in the tibial intramedullary canal by pulling a tibial reamer bit in the proximal direction from the distal end of a tibia into the tibial intramedullary canal by using a flexible neck tooling introduced through the tibial intramedullary canal from a position proximal to the distal end of the tibia.

Abstract: A partial ankle prosthesis includes a tibial component including a superior surface configured to be attached to a lower end of a patient's tibia; a poly component that is fixedly attached to the tibial component and includes a concave inferior surface of an anti-friction material; and a talar component including an inferior surface configured to be attached to a patient's talus and a single convex superior surface configured to mate with the inferior surface of the poly component; and the partial ankle prosthesis is configured to be implanted in a single compartment of a patient's ankle.

Abstract: A system that provides a guide arm, a ratchet arm frame configured to be coupled to the guide arm, a ratchet arm configured to be coupled to the ratchet arm frame, and a sagittal sizing guide body configured to be coupled to the ratchet arm. The sagittal sizing guide body includes a first radiopaque object disposed at a first position and a second radiopaque object disposed at a second position that is spaced apart from the first position. The first radiopaque object has a length that corresponds to a length of a second prosthesis component. When the surgical alignment system is positioned for use on a patient, the first radiopaque object identifies a location at which a first resection of a first bone is to be performed. The second radiopaque object has a profile that corresponds to a profile of a first prosthesis component for installation on a second bone.

Abstract: A calcaneal prosthesis system includes a body having a dorsal surface, a plantar surface, an anterior surface, and a posterior end. The posterior end has a tuberosity. The anterior surface has at least a concavity or convexity shaped for receiving a cuboid bone or mid-foot bone. The dorsal surface includes a convex or concave surface for engaging a talus bone or distal tibia. An integrally formed intramedullary (IM) nail extends from the dorsal surface.

Abstract: A device comprises a base. A support is attached to the base. The support is shaped to receive a calf of a person and adapted to receive a wire or pin for securing a tibia of a person. A foot plate is attachable to the base. The foot plate has a plurality of attached members. The members are configured for receiving at least a first wire or pin to fix a foot of the person relative to the foot plate while the foot plate is oriented normal to a superior-inferior direction of the foot. The foot plate is rotatable relative to the base while the foot plate is attached to the base.

Abstract: A method to remove a memory metal orthopedic staple from that is implanted in a bone repair site is disclosed. The orthopedic staple is in its relaxed state and the method includes (a) attaching an inserter tool/cartridge assembly to the orthopedic staple's bridge portion; (b) actuating the inserter tool to change the orthopedic staple from its relaxed state to its insertion state in which the two legs of the orthopedic staple are substantially parallel to each other; and (c) removing the orthopedic staple from the bone repair site.

Abstract: A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.

Abstract: A surgical guide includes a body having four sides. The body comprises a first base at the first side, a second base at the second side and an elongated extension between the first and second base. The first base defines at least one first hole and the second base defines at least a second hole. The body is sized and configured to be installed above a joint line of a calcaneus and a talus bone and approximately mid-way along a longitudinal axis of a tibia. The first base is configured to receive at least one dowel of a second surgical guide in the at least one first hole and the second base is configured to receive at least one pin sleeve and pin in the second hole. Systems and methods are also disclosed.

Abstract: A guide for use in cutting a bone is disclosed. The guide includes a bone contacting surface contoured to conformably mate with a first bone surface when placed against the first bone surface, and a guide surface that is spaced apart from the bone contacting surface. At least one prescribed patient-specific depth of cut information is provided on the guide surface that corresponds to the desired depth of cut being made using the guide.

Abstract: A talar implant system comprises a body. The body includes a bone contact surface and an articulation surface located opposite the bone contact surface. The body defines at least one angled fastener hole extending therethrough from the articulation surface to the bone contact surface along a longitudinal axis. The articulation surface is configured to mimic articulation of the talar dome. A fastener is sized and configured to be received within the at least one fastener hole at a first angle with respect to the longitudinal axis of the fastener hole. A fastener cap is sized and configured to be received within a proximal end of the at least one fastener hole. The fastener cap couples the body to the fastener.

Abstract: A surgical device includes a body having a first side with a first surface that is complementary to a surface of a foreign object disposed within a patient based on preoperative imaging of the patient. The body defines at least one hole positioned relative to the body to facilitate insertion of an elongate device at a predetermined location relative to the foreign object.

Abstract: A system is provided that includes a first implant including first and second screw receiving holes having respective first and second longitudinal axes. A second implant includes third and fourth screw receiving holes having respective third and fourth longitudinal axes. At least one drill guide has respective fifth and sixth longitudinal axes. A targeting guide is provided for aligning the drill guides with each of the first and second implants simultaneously, so that the first, third and fifth longitudinal axes lie along a same line as each other, and the second, fourth and sixth longitudinal axes lie along a same line as each other.

Abstract: A packaging system includes a packaging container and a packaging element. The packaging container include a first half having a base surface and an outer wall defining an inset receiving area, a second half sized and configured to couple to the first half in a locking relationship, and a coupling element extending from the base surface of the first half. The packaging element includes a central coupling body defining an opening sized and configured to receive the coupling element of the packaging container therethrough and a plurality of secondary coupling elements each coupled to an outer perimeter of the central coupling body. A plurality of surgical elements are each coupled to one of the plurality of secondary coupling elements.

Abstract: A surgical guide includes a first guide arm extending from a first end to a second end on a first longitudinal axis. The first guide arm defines a first plurality of openings sized and configured to receive a first guide element therethrough. A second guide arm extends from a first end to a second end on a second longitudinal axis. The second guide arm defines a second plurality of openings sized and configured to receive a second guide element therethrough. A pivot element couples the first end of the first guide arm to the first end of the second guide arm such that an angular distance between the first guide arm and the second guide arm can be adjusted in a first plane.

Abstract: A system can include a first component having a first body and a second component having a second body. The first body can have a first side and an opposed second side. The first side can have at least one patient-specific surface configured to engage at least one bone in a predetermined manner. The first body can also have a coupling element. The second body can be sized and configured to engage the coupling element to couple the second component to the first component. The second body can include at least one guide surface, and a position of the at least one guide surface can be configured to be adjusted relative to the first component intraoperatively. Methods of using such systems also are disclosed.

Abstract: An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.

Abstract: A system comprises a first implant including first and second screw receiving holes having respective first and second longitudinal axes. A second implant includes third and fourth screw receiving holes having respective third and fourth longitudinal axes. First and second drill guides have respective fifth and sixth longitudinal axes. A targeting guide is provided for aligning the first and second drill guides with each of the first and second implants simultaneously, so that the first, third and fifth longitudinal axes lie along a same line as each other, and the second, fourth and sixth longitudinal axes lie along a same line as each other.

Abstract: A system and method fare provided for preparing the distal tibia in an ankle replacement via an extra-medullary jig. An extra-medullary jig or C-bracket is positioned on the tibia with a registration reference and positioned with respect to a resection in the distal tibia via an anterior mounting block which is independent of the surface of the tibia. The mounting block allows the adjustment of the stem cartridge with respect to the registration reference such that the stem cartridge is properly aligned within the resection. The C-bracket is further attached to the tibia via an adjustable proximal alignment arm which attaches to a pin embedded in the proximal tibia. The C-bracket aligns the tibia, foot and ankle and the trajectory of the reamer, and is universal with respect to the left and right ankle.