Abstract: A glenoid system (100) includes a baseplate (102) configured to attach to a glenoid cavity of a patient. In a primary configuration, a biocompatible plastic liner (332) can snap into a circumferential groove (120) on the baseplate, to attach to a lateral facing surface (104) of the baseplate, at one or more locations around the groove. In a reverse configuration, a glenosphere (544, 644) can attach to an adapter (542, 642), which in turn can attach to the lateral-facing surface of the baseplate. The adapter can introduce lateral and/or angular offsets between the baseplate and the glenosphere, which can correct for unwanted offsets or inclinations. A middle peg extension (752) can screw onto a medial end of the middle peg (114), which can offer different combinations of peg length and peg material. The baseplates can be made available in various discrete sizes, each of which has the same distance between the middle peg and an inferior screw hole (112).

Abstract: An instrument for use in a procedure for inserting a spinal implant between human vertebrae may include a shaft and an end member. The end member may rotate with respect to the shaft. An angle of the end member with respect to the shaft may be varied when the end member is in a disc space between the human vertebrae. The instrument may include a slide for securing the end member at selected angles relative to the shaft. The end member may be separable from the shalt when the end member is in a selected orientation with the shaft. An instrument kit may include a shaft assembly and modular end members for various steps in a surgical procedure, such as disc space preparation, disc space evaluation, and spinal implant insertion.

Abstract: Patient-specific instrumentation for use when performing articular joint repair is provided. A patient-specific jig is adapted to be positioned over a bone at an articular surface thereof for assisting in preparing the bone surface for reception of a prosthesis. The jig comprises a bone contacting portion adapted to matingly contact a portion of the articular surface of the bone and a cutting slot adapted to receive therein a saw blade for resecting the articular surface of the bone. The cutting slot may be press-fitted into the opening of a cut guide. A patient-specific plate and a patient-specific rotational guide are also provided for guiding a positioning of the prosthesis over the resected surface of the bone. A method for manufacturing the patient-specific jig is further provided.

Abstract: A system for creating a patient-specific instrument model for chondral graft plugging comprises a bone model generator for producing a bone/cartilage model of an articular region of a bone from images thereof. A defect geometry identifier identifies a graft geometry from a defect region of said bone/cartilage model. A donor locator locates an autograft at a donor site or identifies an allograft from a database, using said bone/cartilage model and the graft geometry. A patient-specific instrument model generator creates a model of a graft-plugging patient-specific instrument from said bone/cartilage model, and the graft geometry, the graft-plugging patient-specific instrument model comprising a bone/cartilage interface surface shaped as a function of the bone/cartilage model for the at least one graft-plugging patient-specific instrument to be selectively positioned on the bone/cartilage to pose the autograft or the allograft at the defect region.

Abstract: A prosthetic femoral component (10) for an orthopaedic prosthesis has a canted patellar groove adapted for optimal patella/component interaction, with the component configured to have a medial or lateral cant depending upon the method of implantation. The femoral component defines a distal “component transverse plane,” which is a plane tangent to the distal-most points of the component condyles (12, 14). In a “mechanical” implantation, the component transverse plane is substantially normal to the mechanical femoral axis of the femur after the component has been implanted. Where the femoral component is configured to be “mechanically oriented” in this manner, the component has a medially canted patellar groove. On the other hand, an “anatomic” implantation is one in which, after the component has been implanted, the component transverse plane is substantially parallel to an “anatomic” transverse plane.

Abstract: A bone fastener assembly for connecting a bone to a stabilizing construct includes a connecting member, a fastener seat, and a bone fastener. The connecting member includes a connecting member axis, a first opening, a second opening, and a first spherical surface. The connecting member axis extends from a proximal end to a distal end. The first opening is adjacent the proximal end. The second opening is adjacent the distal end. The fastener seat includes a first end, a second end, a passageway, and a second spherical surface. The passageway extends from the first end to the second end along a seat axis. The second spherical surface is configured to slidably engage the first spherical surface. The bone fastener includes a shank and a head. The shank extends though the passageway. The head engages a head-mating surface of the fastener seat.

Abstract: A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.

Abstract: Technology disclosed herein relates to retractors and methods of use for surgical procedures, and in particular, spinal surgical procedures. In one embodiment, a surgical retractor includes a pair of pivotable armatures and a translatable armature. A body for supporting the armatures is provided, with a handle connected thereto. The handle includes a first rotary actuator, wherein a rotation of the first rotary actuator moves the pair of pivotable armatures in opposite arcuate directions, and a second rotary actuator, wherein a rotation of the second rotary actuator translates the translatable armature in a linear direction.

Abstract: There is described a method for tracking a patient in a coordinate system of a surgical tool using an optical waveguide modeling system having one multicore optical fiber with a portion attached to the surgical tool and a portion attached to the patient. The method generally includes receiving a patient model representing a shape and orientation of at least one of a limb and a bone of the patient, generating a waveguide model representing a shape and orientation of the multicore optical fiber as attached to the surgical tool and to the patient, and tracking the patient model in the coordinate system by registering the patient model in the coordinate system using the waveguide model and known spatial relationships relating to the surgical tool, the portion of the multicore optical fiber attached to the surgical tool, and the portion of the multicore optical fiber attached to the patient.

Abstract: An implant for a human rib can include an elongate body, a plurality of bores, and a placement tool interface. The elongate body can include a first portion including a flat outer face where the elongate body can be curved along a plane perpendicular to the flat outer face. The second portion can extend from the first portion to form a curved outer face. The plurality of bores can extend through the flat outer face of the first portion and into the second portion. The bores can extend partially into the curved outer face of the second portion. The placement tool interface can extend into the body.

Abstract: An implant and methods for use in various procedures are disclosed. According to an example of the present application, an orthopedic implant is disclosed. The implant can include a base and a body. The base can comprise a porous metal material configured to encourage bone ingrowth into the base. The body can be coupled to the base and can comprise a second material that differs from the porous metal material of the base.

Abstract: A fastener cartridge can be used with a shaft of a tool during an orthopedic procedure. The fastener cartridge can have a main housing that can be attached to fastener housing including a fastener chamber and a backstop component. The fastener chamber includes a plurality of non-flexible tabs and the backstop component includes a plurality of resiliently flexible tabs. The fastener housing is configured to include a plurality of fasteners that are arranged therein such that the longitudinal axes of the fastener chamber and the plurality of fasteners are collinear. The plurality non-flexible tabs prevent one of the fasteners from inadvertently passing entirely out of an outlet of the fastener chamber and the plurality of resiliently flexible tabs allow the fasteners to move axially in the first direction and restrict movement of the fasteners in a second direction opposite the first direction.

Abstract: According to one example, a tibial bearing component for articulation with a medial condyle and a lateral condyle of a femoral component in a knee replacement procedure is disclosed. The tibial bearing component can include a distal surface and an articular surface opposing the distal surface. The articular surface can include a medial compartment and a lateral compartment configured for articulation with the medial condyle and the lateral condyle of the femoral component, respectively. The lateral compartment can have a lateral articular track with a lateral anterior-posterior extent. The lateral articular track can comprise a plurality of distal-most points along a proximal surface of the lateral compartment that are contacted by the lateral condyle during rollback of the femoral component. The medial compartment can differ in configuration from the lateral compartment and can have an anterior lip height of between about 9 mm and about 13 mm.

Abstract: An expandable intervertebral fusion device is provided including a core, an upper endplate for contacting a first vertebral body and a lower endplate for contacting a second vertebral body. The expandable intervertebral fusion device is configurable in a first state, a second state and a third state. In the first state, the upper and lower endplates are generally planar to one another and define a first height. In the second state, the upper and lower endplates remain generally planar to one another and define a second height greater than the first height. In the third state, a lordotic angle is defined between the upper and lower endplates.

Abstract: The embodiments provide provides devices, instruments, and associated methods for treating joint pain. A joint is evaluated using magnetic resonance imaging to detect any defects in the subchondral bone. For example, using T2-weighted MRI images, bone marrow lesions or edemas can be identified, and using T1-weighted MRI images, associated regions of sclerotic bone adjacent to the bone marrow lesion can be identified. The treatment method may involve introducing a bone void filler material at the site to address the bone marrow lesion or edema, and/or drilling and inserting an implant to address the sclerotic bone, bone marrow lesion or edema, and insufficiency or stress fractures. An access path is mapped to a location in the subchondral region where the insufficiency fracture resides. The access path attempts to preserve an articular surface of the joint. A reinforcing member that stabilizes the insufficiency fracture is then implanted via the access path.

Abstract: Surgical methods and tibial implants for accommodating the anterior cruciate ligament during unicompartmental or bi-unicompartmental knee arthroplasty procedures.

Abstract: Methods, techniques and apparatuses are disclosed including exemplary methods of performing a knee arthroplasty of the tibia. One exemplary method can include determining at least a depth of a distal fixation feature of a tibial implant, and forming a metaphyseal recess in a proximal portion of the tibia. The recess can be configured to receive the distal fixation feature therein and can be sized to exceed at least the depth of the distal fixation feature such that when a distal surface of the tibial implant contacts a proximal surface of the proximal portion of the tibia and the distal fixation feature is received in the metaphyseal recess, a gap remains between the distal fixation feature and one or more surfaces that form a portion of the metaphyseal recess.

Abstract: A system and method for generating a patient specific instrumentation jig model for implant revision comprises an anchor surface identifier to identify anchor surface(s) from a patient specific bone model of a bone requiring implant revision and from data related to an implanted implant on the bone. The anchor surface is in close proximity to the implanted implant. A PSI revision jig model generator generates a jig model using at least the identified anchor surface and a model of a replacement implant, the PSI revision jig model generator outputting a jig model comprising patient specific contact surface(s) corresponding to the identified anchor surface, and at least one tool interface portion positioned and/or oriented relative to the at least one contact surface, the at least one tool interface portion adapted to be interfaced to a tool altering the bone for subsequently installing an implant on the bone.

Abstract: An orthopedic device holder and related kit are disclosed. The orthopedic device holder can include a body portion having a proximal end and a distal end, the body portion defining a bore positioned between the proximal end and the distal end, a plunger portion having a proximal end and a distal end, the plunger portion extending into an opening of the body portion and defining a second bore, and a locking lever that, when activated, is configured to move between a first position and a second position and transition the first bore and the second bore from a locked configuration to an unlocked configuration.

Abstract: In one embodiment, a spinal stabilization apparatus includes a vertebral anchor having a head portion and a bone attachment portion. An elongate, flexible guide is removably coupled to the head portion of the vertebral anchor and has a channel extending longitudinally thereof and communicating with a slot in the head portion of the anchor. An elongate cord may be received within the channel to facilitate inserting and securing a spacer between pairs of anchors installed into adjacent vertebrae of a person's spine.