Abstract: A system for generating a model of a patient specific cut guide instrument for harvesting a graft comprises a model of a graft defined by an implant interface surface, a bone interface surface, and a spatial geometry therebetween, the model being specific to a patient.

Abstract: Various embodiments disclosed relate to antioxidant-stabilized materials including ultra high molecular weight polyethylene (UHMWPE), methods of making the same, and medical implants including the same. In various embodiments, the present invention provides a method of adding antioxidant to UHMWPE. The method includes obtaining or providing a porous solid material including UHMWPE. The method includes coating the porous solid material with a liquid composition including at least one antioxidant such that at least some of the liquid composition enters void space of the porous solid material, to provide an antioxidant-infused solid material. The method also includes melt-consolidating the antioxidant-infused solid material, to provide a melt-consolidated material.

Abstract: A surgical instrument suitable for preparing an intervertebral disc space includes an outer sleeve, an instrument head, an inner shaft, a handle, a universal joint, a coupling member, and a drive mechanism. The outer sleeve includes a proximal end, a distal end and a longitudinal axis. The instrument head defines a longitudinal axis and is disposed at the distal end of the outer shaft. The inner shaft is slidably disposed within the outer sleeve and includes a proximal end, a distal end and a longitudinal axis coaxially aligned with the longitudinal axis of the outer sleeve. The drive mechanism is coupled between the outer sleeve and the inner shaft and actuates the outer sleeve axially relative to the inner shaft, thereby setting an angle of the longitudinal axis of the instrument head in relation to the longitudinal axis of the inner shaft.

Abstract: An orthopedic knee prosthesis is provided including a tibial baseplate component having a distal, bone-contacting surface with one or more fixation structures extending distally therefrom, in which the fixation structures are asymmetrically arranged within the baseplate periphery.

Abstract: An orthopedic implant screw driver includes drive shaft. A first gear is operably coupled to the drive shaft and in meshing engagement with a hollow gear which rotates in response to rotation of the drive shaft. The hollow gear includes a passage defining an inwardly facing screw engagement periphery configured to receive and drivingly rotate a threaded portion of the screw. A method of securing an orthopedic implant to a bone includes positioning a screw within the passage which is configured to drivingly engage a threaded portion of the screw and rotating a drive shaft in driving engagement with the gear causing the gear to engage the screw along the threaded portion of the screw and rotatably drive the screw via the threaded portion.

Abstract: The present application provides a tool for minimally invasive surgical procedures. The tool includes a first and second portion where each portion has an outer blade and an inner blade that is slidable along the outer blade. A removable connector connects the first and second portions. When removed, the first and second portions are separated by a gap extending the length of the tool.

Abstract: Systems and apparatuses including apparatuses that can be used in a knee replacement procedure are disclosed. According to one example, an assembly for a knee replacement surgery is disclosed. The assembly can comprise an adjustment member, a carrier assembly, a posterior slope housing assembly, and a boom. The carrier assembly can be configured to selectively couple with the adjustment member such that the carrier assembly is moveable relative to the adjustment member to a desired position. The posterior slope housing assembly can be connected to the adjustment member and can be configured to pivot the adjustment member relative to a portion of the posterior slope housing and a tibia. The boom can be coupled to the posterior slope housing assembly and can be configured to couple with a mounting component to mount the posterior slope housing assembly, the carrier assembly and the adjustment member relative to the tibia.

Abstract: A surgical bone rasp includes a body having posterior, anterior, medial, and lateral surfaces. The medial surface includes a proximal curved portion shaped to extend substantially along a concave medial curve. The proximal curved portion includes a plurality of teeth. Each tooth in the plurality includes a tooth gullet wall, a tooth undercut, and a tooth land between the proximal and tooth undercuts. The tooth lands can be generally flat and can extend along the concave medial curve. The tooth gullet walls can be parallel to one another and can be angled to extend away from the body between a distal direction and a medial direction. The tooth undercuts can be parallel to one another, can be angled to extend away from the body in a medial direction, and can be equally spaced apart along the longitudinal axis.

Abstract: A system for reduction of vertebral bodies (or vertebrae) in various embodiments includes a reducer, and extender, and a hollow tube. The reducer couples to the extender, which in turn couples to an elongated member, such as a rod, and to a bone fastener assembly. The reducer allows reduction of the vertebral body incrementally, and by a desired amount. The reducer may include or may be used in conjunction with a holding device or holder in order to hold or keep the amount of reduction constant or steady once the desired amount of reduction has been obtained. The reducer may use one of several embodiments, including embodiments that use threaded assemblies or members, inclining members or wedges, offset cams, scissor jacks, and/or levers.

Abstract: A device for fixing a rod to an osseous structure. The device is configured to receive the rod with the main axis oriented in a first direction. The device includes a main body, a first fastening member directly connected to the main body and accessible from an outer surface of the main body for fastening the rod to the main body, and a second fastening member, also directly connected to the main body, offset with respect to the first fastening member in said first direction, and separately accessible from an outer surface of the main body for fastening to the main body. A flexible elongate member is provided to attach the main body to the osseous structure. The first and second fastening members are arranged so that the flexible elongate member can be fastened adjacent to the rod.

Abstract: A system and method determines a user's compliance with a prescribed therapeutic pneumatic compression treatment by applying external pressure to a body limb using a pneumatic compression sleeve having a pneumatically fillable cell; measuring pneumatic pressure within the pneumatically fillable cell; generating a pressure signal corresponding to the measured pneumatic pressure; determining biological events associated with the user based upon the pressure signal; generating a positive detection signal for each determined biological event associated with the user; and determining a user's compliance with a prescribed therapeutic pneumatic compression treatment when a predetermined number of positive detection signals have been generated within a predetermined time interval.

Abstract: An apparatus (10) includes a fastener (16) engageable with a bone portion to connect a longitudinal member (12) to the bone portion. A housing (40) has a first passage (42) configured to receive the longitudinal member (12) and a second passage (44) extending transverse to the first passage. The fastener (16) extends through an opening (50) in the housing (40) into the second passage (44). A longitudinal axis (18) of the fastener (16) is positionable in any one of a plurality of angular positions relative to a longitudinal axis (46) of the second passage (44). A spacer (60) received in the second passage (44) of the housing (40) is engageable with the fastener (16) and the longitudinal member (12). A member (70) applies a force to prevent relative movement between the fastener (16) and the housing (40) and permit manual movement of the fastener (16) relative to the housing (40) against the force when the longitudinal member (12) is disengaged from the spacer (60).

Abstract: A system for generating a patient-specific implant is described which includes a means for generating a three dimensional electronic representation of a human anatomical feature including size and curvature features matching the human anatomical feature, a means for selecting a prosthetic implant template from a database of prosthetic implant templates, the database being formed of the prosthetic implant templates by a means for generating a series of the virtual implant templates, a means for designing the patient-specific implant to imitate the size and curvature features based at least in part on the selected prosthetic implant template, and a means for virtually testing fit of the patient-specific implant using the three dimensional electronic representation of the human anatomical feature.

Abstract: A patient-specific cutting assembly comprises a model file including geometrical data of a bone of the patient, of an intramedullary canal of the bone, and a planned orientation of a cutting block. A fixing rod is adapted to be longitudinally inserted in and extending partially from the intramedullary canal. A patient-specific cutting block is connectable to the fixing rod. The patient-specific cutting block includes a structure having a patient specific geometry corresponding to the model file of the patient, the structure configured to be connected to a portion of the fixing rod projecting from the bone in a unique coupling orientation. A cutting guide is connected to the structure, the cutting guide being in the planned orientation when the structure is connected to the portion of the fixing rod projecting from the bone.

Abstract: Apparatuses, kits, and methods for cementing an orthopedic implant to a bone, post attachment, are disclosed in some aspects of the present disclosure. A kit can include a prosthetic component and a cement applicator. The prosthetic component can include an attachment profile that corresponds to a mating profile formed on or in a bone. The cement applicator can be configured to apply a bone cement between the bone and the prosthetic component following alignment between the prosthetic component and the bone or another prosthetic component. The kit can also include a bone cement. A method can include positioning the prosthetic component adjacent to the bone, aligning the prosthetic component relative to the bone or another prosthetic component, and applying a bone cement between the bone and the aligned prosthetic component.

Abstract: During hip replacement surgery, a practitioner can attach a distal stem to a femur of the patient and can then fixedly attach a proximal body to the distal stem using a bolt. Prior to tightening, the bolt can be heated to an elevated temperature greater than average human core body temperature. The practitioner can tighten the bolt to a specified torque while the bolt is at the elevated temperature. After tightening, the bolt cools to average human core body temperature and experiences a tensile stress due to the effects of thermal expansion. The tensile stress in the bolt produces a compressive force between the distal stem and the proximal body. The compressive force can increase the attachment strength of the bolt to the distal stem and the proximal body, beyond what can be achieved by solely torquing the bolt to the specified level during surgery without first heating the bolt.

Abstract: A prosthetic system that includes a prosthetic implant and a support structure secured to an inner surface of the cavity in the end of the bone is disclosed. The support structure defines a channel that extends through the length of the support structure. The prosthetic implant is received in the channel, and a portion of the prosthetic implant is secured to an inner surface of the channel by an adhesive. The stem of the prosthesis beyond the channel may be cemented or uncemented. The support structure may have an approximately funnel shape. The support structure may be a hollow porous cylindrical sleeve. The support structure may comprise a pair of partially hemispherical components arranged in spaced apart relationship thereby defining a channel between the pair of components. The support structure may comprise a plurality of pedestals secured to the inner surface of the cavity of the bone.

Abstract: An assembly tool for assembling components of an implant can include a finger assembly, a handle assembly, and a crossbar assembly. The finger assembly can include first and second fingers oriented parallel to each other, and sized and shaped to releasably engage first and second components of the implant during assembly. The handle assembly can include first and second handles pivotally connected to each other and configured to control movement of the first and second fingers. The crossbar assembly can be configured to maintain the first and second fingers substantially parallel to each other during movement of the first and second fingers. The assembly tool can be used for assembling a bearing assembly to an ulnar component of an elbow prosthesis.

Abstract: An elbow prosthesis can include a humeral component having a yoke, an ulnar component having a head, a humeral bearing positionable in a base of the humeral component, an ulnar bearing assembly configured to engage with the head, and a pin extendable through the bearing assembly and the head. The pin can be extendable into first and second ears of the yoke to enable pivotable movement of the ulnar component relative to the humeral component. The elbow prosthesis can include a first fastener insertable through the first ear of the yoke and configured to engage with the pin, and a second fastener insertable through the second ear of the yoke and configured to engage with the pin.

Abstract: An orthopedic tibial prosthesis includes a tibial baseplate with features designed for use with small-stature knee-replacement patients. The tibial prosthesis may include a shortened tibial keel, tibial keel fins which define a large angle with respect to a longitudinal axis of the keel, and/or tibial keel fins which extend along less than the entire longitudinal extent of the keel.