Abstract: Systems and methods may be used to perform robot-aided surgery. A system may include a robotic controller to monitor a position and orientation of an end effector coupled to an end of a robotic arm. The robotic controller may apply a force to a bone using the end effector, such as via a soft tissue balancing component. The robotic controller may determine soft tissue balance using information from a tracking system, such as a position of a first tracker affixed to the bone. The soft tissue balance may be output, such as to a display device.

Abstract: Systems and methods may be used for evaluating a patient after completion of an orthopedic surgery on a portion of a body part of the patient. In an example, the method includes capturing, using a camera of the device, a series of images of the patient in motion, determining respective lengths of the body part in each of the series of images based on comparing the body part in each of the series of images to a skeletal model, and identifying a maximum length of the body part from the respective lengths. The method may include displaying an indication corresponding to the maximum length.

Abstract: In some embodiments, a spinal stabilization system may be formed in a patient using quick-connect sleeve assemblies. Each quick-connect sleeve assembly can be coupled to a bone fastener assembly in a fast and intuitive way. In one embodiment, a quick-connect sleeve assembly has a detachable member and a movable member. Both members engage a collar of the bone fastener assembly. In one embodiment, the engagement can be locked via one or more locking features to facilitate screwing a bone fastener of the bone fastener assembly onto a vertebral body in a minimally invasive surgical procedure. Each quick-connect sleeve assembly has a low profile and is particularly shaped for minimally invasive entry.

Abstract: A bone fastener system can comprise a fastener and a first sizing component. The fastener can comprise a shaft that provides an anchoring footprint. The first sizing component can be configured to be connected to the shaft and can include a first anchoring feature, or circumferential bone engaging feature, to increase a size of the anchoring footprint. The first anchoring feature can comprise a sleeve that radially expands a diameter of the threaded shaft. The first anchoring feature can comprise axially extending teeth. The system can further comprise a second sizing component including a second anchoring feature to increase the size of the anchoring footprint, the second anchoring feature being different from the first anchoring feature. The second anchoring feature can expand the diameter of the threaded shaft a greater amount than the first anchoring feature. The second anchoring feature can have a length greater than the first anchoring feature.

Abstract: Methods and apparatuses including apparatuses that can be used in a unicompartmental knee replacement procedure, a bicompartmental knee replacement procedure comprised of two unicompartmental knee replacements, a knee replacement procedure that utilizes a single femoral component and two unicompartmental tibial components, and other types of knee replacement procedures are disclosed. According to one example, an apparatus for guiding a tibial bone cut during knee replacement surgery is disclosed. The apparatus can comprise a mounting portion and a cutting portion. The mounting portion can be configured to couple with an alignment mechanism. The cutting portion can be connected to the mounting portion and can define a capture for a proximal cut. The cutting portion can have an aperture disposed adjacent a first end of the capture.

Abstract: A system for installing a vertebral stabilization system. The system includes an installation tool including a handle portion and a shaft extending distally from the handle portion. The shaft includes a conduit and a staple mechanism. The system also includes a flexible implant member extending along the conduit configured to be advanced out from a distal end of the shaft, and a staple housed in the staple mechanism. The staple is configured to secure the flexible implant member to a vertebra. The handle portion is configured to selectively advance the flexible implant member from the shaft and to selectively actuate the staple mechanism.

Abstract: Disclosed herein are surgical impact tools and methods of use thereof. The surgical impact tools can include a roller assembly, an impact structure, and a tool holder. The roller assembly can be connected to a motor and include a plurality of rollers supported by a respective roller arm. The impact structure can define a spring and an impact cavity including forward and reverse impact surfaces. The impact structure can include a wall comprising a plurality of thread elements connected to the wall and engageable with the roller assembly. Each of the thread elements can include a pair of helical end surfaces and a pair of axially extending surfaces that are engaged by the plurality of rollers. During use rotation of the roller assembly against the helical ends of the thread elements can cause axial movement of the impact structure to apply a load on the spring and generate impact forces.

Abstract: A tibial spacer paddle comprises a spacer block comprising opposing bearing surfaces, an alignment slot extending into the spacer block; and a handle extending from the spacer block. The spacer block can include feet for passively engaging the femur or pegs for actively engaging a femoral component so that the spacer block is linked to the femur while the tibia rotates. A tibial spacer system comprises a provisional component having an alignment tab extending from a body and an alignment indicator located on the body, a femoral component and a pin extending from the femoral component. The pin can engage the alignment tab so that the provisional component is linked to the femur while the tibia rotates. In addition to or alternatively to the alignment tab and pin, the provisional component can include a tibial plate that can be rotationally connected to the provisional component.

Abstract: A rib implant securable to first and second rib portions of a rib. The rib implant can include a body, a first porous stem, and a second porous stem. The body can be configured to span a first rib portion of a rib and a second rib portion of the rib. The first porous stem can extend from the body and the first porous stem can be insertable into a first intramedullary canal of the first rib portion. The second porous stem can extend from the body opposite the first porous stem. The second porous stem can be insertable into a second intramedullary canal of the second rib portion to, together with the first porous stem, secure the first rib portion and the second rib portion.

Abstract: A robotically controlled depth limiter for a reamer, the depth limiter including a cylindrical housing configured to encompass a portion of a driveshaft of a reamer. The cylindrical housing can define a bore extending therethrough. The depth limiter can include a depth stop engaging the cylindrical housing within the bore, and define an opening configured to receive the driveshaft of the reamer. The depth stop can be configured to receive a signal via processing circuitry of a robotic arm to operate the depth stop to limit distal translation of the driveshaft relative to the cylindrical housing to control a cutting depth of the reamer.

Abstract: An orthopaedic tibial prosthesis includes a tibial baseplate with an asymmetric periphery which promotes proper positioning and orientation on a resected tibia, while also facilitating enhanced kinematics, soft-tissue interaction, and long-term fixation of the complete knee prosthesis. The asymmetric baseplate periphery is sized and shaped to substantially match portions of the periphery of a typical resected proximal tibial surface, such that proper location and orientation is evident by resting the baseplate on the tibia. The baseplate periphery provides strategically positioned relief and/or clearance between the baseplate periphery and bone periphery, such as in the posterior-medial portion to prevent deep-flexion component impingement, and in the anterior-lateral portion to avoid undue interaction between the anatomic iliotibial band and prosthesis components.

Abstract: A method of inserting an electrode into a cranial cavity of a cranium can include determining a length, between a target within the cranial cavity and a proximal end of a multipiece cannula, of the electrode for insertion of the electrode to the target. A distal end of the electrode can be inserted through a multipiece cannula supported by an instrument holder of a surgical arm. The surgical arm can be positioned such that a distance from the target to the proximal end of the cannula is equal to the length. The electrode can be fed through the cannula and through the anchor bolt into the cranial cavity. Feeding of the electrode through the cannula and into the cranial cavity can be stopped when the length of the electrode fed into the cavity reaches the length between the proximal opening of the multipiece cannula and the target.

Abstract: A bone plate system for use with fasteners for fixation of a fractured bone, including a bone plate having an elongate shaft for placement against the bone. The bone plate further has at least one threaded hole for receiving at least one fastener, with each hole having a central axis. The plate further has a bone contacting first surface, an opposite second surface, a thickness extending in a dimension between said first and second surfaces; and at least one tubular drill guide cap. The drill guide cap is engageable with a first hole of at least one threaded hole, the cap having a threaded exterior, an internal bore, a proximal end, and a distal end.

Abstract: Tool (1) for reaming a trapezium bone (2) when implanting a joint prosthesis (15, 16, 17) in the thumb (4), in which the tool has a head (5) and a handle (6) which extend along an axis (7), in which a connecting piece (8) is provided between the head and the handle, which connecting piece lies at a distance (9) from the axis in such a way that when rotating the head back and forth (13) using the handle the connecting piece moves at a distance from the thumb while the axis runs through the thumb.

Abstract: An anchor assembly, for securing a first portion and a second portion of a separated sternum, can include a lock, an anchor, and a cerclage. The anchor can include a body locatable between the first portion and the second portion of the sternum, where the body can define an end portion. The anchor can include a collar connected to the body and extending outward from the end portion of the body. The collar can engage an outer surface of the sternum to limit movement of the body beyond the outer surface of the sternum. The cerclage can be connected to and can extend from the anchor. The cerclage can be configured to at least partially surround the first portion and the second portion of the separated sternum.

Abstract: Various embodiments disclosed relate to a method for producing an implant model and associated systems. The method can include receiving patient specific data, producing a preliminary implant model based on the received patient specific data, running a simulation on the preliminary implant model to produce a revised implant model with a range of motion zone using the patient specific kinematics, optimizing the preliminary implant model with a dynamic simulation to determine a cup anteversion angle, analyzing the revised implant model for spino-pelvic risk, and outputting the implant model.

Abstract: An orthopaedic knee prosthesis includes a femoral component which exhibits enhanced articular features, minimizes removal of healthy bone stock from the distal femur, and minimizes the impact of the prosthesis on adjacent soft tissues of the knee.

Abstract: Implementations described herein may include a system for manipulating implants coupled by a cord. The system may include a tensioner and a counter tensioner. The tensioner may include a nose assembly and a cord lock assembly for applying tension to the cord. The nose assembly may include a piston having a lumen extending therethrough for receiving the cord and a spring positionable in contact with an indicator region of the piston. The counter may be releasably coupleable to a head of an implant at a proximal end thereof and may guide the cord to a port proximate the distal end thereof, the port for receiving the nose assembly. The counter tensioner may enable translation of the implant relative to another implant implanted in an adjacent or nearby vertebrae. The indicator region of the piston may be visible through a window in a tensioner main body and may indicate cord tension when the nose assembly of the tensioner is coupled to the port of the counter tensioner and engaged with the cord.

Abstract: An interbody implant can comprise a cage and a porous structure. The cage can comprise an anterior segment, a medial segment, a posterior segment and a lateral segment contiguously connected to each other to define an interior space. The porous structure can be located in the interior space and can be bounded by the cage. The porous structure can comprise opposed superior and inferior surfaces exposed through the cage, an internal cavity located in an interior of the porous structure, and a plurality of ports connecting the internal cavity to the superior and inferior surfaces. A superior-inferior stiffness of the interbody implant can be defined by the porous structure. The porous structure can be compressed within a patient by movement of the spine to biologically stimulate bone growth in vertebrae adjacent the interbody implant. The implant can be configured for lateral, anterior and posterior insertion at different spine levels.