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: A provisional prosthetic system that replicates the characteristics of a corresponding, nonprovisional femoral prosthesis. The provisional prosthetic system may include a frame component and a shell component. The frame component of the provisional prosthetic system may be configured to be attached directly to a resected femur. In one exemplary embodiment, the frame component is impacted onto the resected femur to firmly seat therewith. Once the frame component is secured to the resected femur, a shell component of the provisional prosthetic system may be positioned on and secured to the frame component. In one exemplary embodiment, the frame component is made from a metallic material. This allows for the frame component to maintain the rigidity necessary to facilitate proper trialing. In another exemplary embodiment, the shell component is a plastic.

Abstract: The present disclosure provides an orthopedic plate, in particular a plate for osteosynthesis. The plate (31) comprising a body (33). The body (33) has a distal surface (15) adapted to be arranged facing the fractured bone and a proximal surface (13) adapted to be arranged facing away from the fractured bone. The surfaces (13, 15) define a distal and a proximal face of the plate (31), respectively. The body (33) further has a length measured along a longitudinal direction (23), a width measured along a transverse direction (51), and a thickness measured from the distal surface (15) to the proximal surface (13). The body (33) comprises two longitudinal plate ends (35) delimiting the body (33) in the longitudinal direction (23). The body (33) comprises at least one slotted longitudinal section (47). The slotted section (47) extends over a part of the length of the body (33), wherein within the slotted section (47) at least one slot (37) is arranged.

Abstract: A device can be provided that includes a bone plate having an upper surface and a bone-facing surface, wherein the bone plate includes one or more openings extending through the bone plate from the upper surface to the bone-facing surface, and one or more sliding elements each including a fastener receiving hole. The one or more openings can at least partially surround a periphery of one of the receiving holes. Further, the one or more openings can be at least partially filled with an elastomer to support elastic suspension of the one or more sliding elements in the bone plate, thereby enabling relative displacement between the one or more sliding elements and the bone plate. At least one sensor can also be provided that is operable to assess a dynamic parameter of one of the one or more sliding elements within the bone plate.

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

Abstract: A prosthetic hip stem for use in a prosthetic hip joint. The hip stem generally includes a core having a stem portion and a neck portion, a polymer matrix layer substantially covering the stem portion of the core, and a porous metal layer substantially covering the polymer matrix layer. The polymer matrix layer connects the core and the porous metal layer, and may be injection molded therebetween. The neck portion of the hip stem has a relatively thin or slender profile which allows for an increased degree of articulating movement of the hip stem with respect to the acetabular component of a prosthetic hip joint. The neck portion of the hip stem additionally includes a version indicator element, such as a bump or a protrusion, which may be tactilely felt by a surgeon to aid the surgeon in positioning the hip stem during a minimally invasive total hip arthroplasty procedure, for example, where direct visualization of the hip stem by the surgeon may not be possible.

Abstract: Embodiments disclosed herein provide a device for securing a ligature to an osseous structure, the device comprising a first part, a second part, a flexible elongate member for engaging the osseous structure, a closure element, and a deformable element between the first and second parts for holding open a gap G between them. The flexible elongate member is threaded through an orifice in the first part and the gap G. The closure element is configured for clamping the first and second parts against each other, overcoming the resilience of the deformable element, so as to frictionally lock the flexible elongate member threaded through the gap G. Embodiments disclosed herein also provide a method for using the device.

Abstract: The exemplary embodiments of the present disclosure are described and illustrated below to encompass methods and devices for designing patient specific prosthetic cutting jigs and, more specifically, to devices and methods for segmenting bone of the knee and the resulting cutting guides themselves. Moreover, the present disclosure relates to systems and methods for manufacturing customized surgical devices, more specifically, the present disclosure relates to automated systems and methods of arthroplasty cutting guides, systems and methods for image segmentation in generating computer models of knee joint.

Abstract: Methods for the prevention, or delayed onset or progression of, bone marrow edema or bone marrow lesion, and subchondral treatment to prevail the progression of osteoarthritis of a joint are disclosed. The methods involve treating the subchondral bone, while preserving, as much as possible, the joint's articular and cartilage surface. The methods could be performed before, during, or after an initial arthroscopic surgery to repair the joint. Associated devices and instruments for treatment of the subchondral bone are also disclosed.

Abstract: A dental implant has a body with a porous metal portion for engaging bone. The porous metal portion has an outer coronal to apical height and an outer diameter. Both the height and diameter are about 4 mm to about 6 mm. This permits the implant to be placed on a jaw with a reduced bone volume.

Abstract: Resection shift guides and methods providing anterior, posterior, clockwise, or counterclockwise adjustment of a 4-in-1 cut guide along a planar resected surface of a femur are disclosed. A resection shift guide can include a base member and a block member. The base member can include first and second arms. The block member can include a first end, rotatably coupled with the first arm, a second end, rotatably coupled with the second arm, and at least three surfaces extending between the first and second ends. Each of the at least three surfaces can include two or more drill holes arranged differently than drill holes of the other surfaces. A method can include removing a 4-in-1 cut guide from two original femoral lumens, drilling two adjusted femoral lumens using a resection shift guide, removing the resection shift guides, and attaching the 4-in-1 cut guide to the two adjusted femoral lumens.

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 at nature in a linear direction.

Abstract: Instruments and associated methods are disclosed for treating joints, and particularly bone tissue. In general, the embodiments relate to instruments and associated methods for the surgical treatment of a joint, and particularly to a subchondral bone defect at that joint region. More specifically, the embodiments relate to instruments that allow fast, easy, precise, and controllable subchondral delivery to, or removal of materials from, a bone joint being treated.

Abstract: The present invention relates to devices and techniques for securing bone segments across a fracture site, and more particularly relates to bone staples for achieving compression between segments. A method and apparatus for interosseous bone fixation uses a compression staple, generally U-shaped, having a pair of legs with proximal ends interconnected by a bridge portion that is resilient and bowed, the staple having an initial configuration and capable of a tensioned configuration by spreading apart the legs by a certain amount causing the curvature of the bowed bridge to lessen and the legs to move towards each other with certain compressive spring force.

Abstract: A surgeon can place a bone perforator in contact with a bone, and can hammer on the bone perforator. The hammering can drive teeth on the bone perforator into the bone, thereby creating a perforation in the bone. The surgeon can pry or break the bone along the perforation, can access tissue beneath the bone as needed, and can replace the bone along the perforation. In some examples, the bone perforator is formed as a bendable sheet having teeth in a fixed, single-file pattern, with a hammerable surface opposite the teeth. In other examples, the bone perforator has repositionable teeth.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A cross connector system for use during a spinal fixation procedure is provided. The system includes at least one bridge defining a coupling bore and having a pair of downwardly extending arms for coupling to a first fastener. The system includes a contoured bar having a first end offset from a second end, and a bore having a central axis. The system includes an expansion ring received within the bore, and a locking device received through the expansion ring and the coupling bore. The locking device is operable in a first state in which the contoured bar is movable about the central axis of the bore and in a second state in which the contoured bar fixed relative to the central axis of the bore.

Abstract: A locking mechanism for securing ends of an implantable fabric including a plate member having an aperture therethrough. A cam member is rotatable relative to the aperture between a locked state and an unlocked state. The implantable fabric is movable relative to the plate member when the cam member is in the unlocked state and restricted from moving relative to the plate member when the cam member is in the locked state.

Abstract: A slap hammer tool and associated instrumentation to engage with the slap hammer tool are disclosed herein. In some examples, a slap hammer tool including an end adapted for engagement with a quick release connector of an instrument is provided. The instrument can be adapted to receive the distal end of the slap hammer for engagement, the engagement being provided through rotation of the slap hammer relative to the instrument. Once the slap hammer and instrument are engageably coupled, the slap hammer can be used to provide force and accompanying motion away from the instrument in the direction of the slap hammer instrument. Force can be provided by the slap hammer tool to a coupled instrument, for example, to move or extract the coupled instrument from placement on a surgical area.

Abstract: A method of generating a patient specific prosthetic implant is described, which includes: generating a three dimensional electronic representation of a human anatomical feature of a unique patient; identifying one or more representative surface curvature features on the three dimensional electronic representation; and associating the three dimensional electronic representation with a virtual implant template of the human anatomical feature selected from a database of virtual implant templates, and comparing fit of the identified representative surface curvature features of the three dimensional electronic representation with corresponding surface curvature features of the virtual implant template. The virtual implant template is selected to have the most similar corresponding surface curvature features.