Abstract: Methods and apparatus for arthroscopic tenodesis using sockets in bone created by retrograde cutting. A cannulated pin is drilled through bone and into a joint space in the normal, antegrade direction, guided by a drill guide. A strand provided through the cannulated pin is used to draw a retrodrill cutter into the joint space. The retrodrill cutter is threaded onto the cannulated pin, which is turned for retrograde cutting of a socket into the bone. The method is used to form a pair of sockets in the joint, which accept the respective ends of a replacement graft. The graft is brought into position in the joint space using loops formed in the strands, in a manner similar to introduction of the retrodrill cutter. The reconstruction is completed by securing suture attached to the graft ends with a button implant installed at the bone surface.

Abstract: Osteochondral sockets are formed using a retrograde drill assembly. The retrograde drill assembly includes a guide pin having a fluted tip and an externally threaded portion. A removable cutter head has internal threads that engage the threads of the guide pin. The guide pin is drilled through bone, exposing the external threads in a joint space requiring repair. The cutter is threaded onto the guide pin, and the assembly is retrograded with rotation to form a socket in the bone. The cutter is disengaged from the guide pin for disassembly and removal from the bone, making way for an implant to be installed in the pocket. The implant can be drawn into the socket using an attached strand threaded through the bone socket and out of the bone.

Abstract: The present invention relates to a screw assembly for fixing the human spine, in particular, the spine column. The fixing screw assembly uses a cap for fixing a rod arranged in spine implants in order to stabilize the spine column.

Abstract: An apparatus for positioning an introducer sheath includes a sheath having a distal end including first and second ports, the second port being located distally from the first port. An obturator is slidable within the sheath that includes a distal region that sealingly engages an interior surface of the sheath. The obturator includes first and second openings in the distal region that are alignable with the first and second ports in the sheath. A housing is slidable on the exterior of the sheath that releasably holds a closure element. The sheath may be inserted into an incision communicating with a blood vessel, the first and second ports providing backbleed indication of the depth of the insertion of the sheath into the vessel. The housing is actuated to deploy the closure element to engage and close the incision.

Abstract: An orthopaedic reamer, including a generally hemispherical shell having a plurality of tongues. Each tongue partially defines a corresponding C-shaped opening with a substantially constant width. Each tongue includes a cutting segment. The cutting segment includes at least one notch and a plurality of cutting teeth. Adjacent cutting teeth are separated by a corresponding notch.

Abstract: Disclosed is an endoprosthetic implant for a human spinal disc. The structure of the implant allows it to be inserted posteriorly. This insertion is accomplished by performing a partial discectomy in the affected region. An intervertebral space is then created by removing the fibrocartilage between the facing surfaces of adjacent vertebrae. The implant is then inserted into the intervertebral space. The implant is thus adapted to replace damaged or worn intervertebral discs. Furthermore, the structure of the implant, and its posterior insertion, alleviate most spinal pathologies.

Abstract: A method of operating a surgical burr during performance of an orthopaedic procedure includes monitoring the position of the surgical burr during the procedure and adjusting operation of the surgical burr based thereon. An orthopaedic surgical system is also disclosed.

Abstract: The present invention is an apparatus for cutting allograft bone implants from donor bone. Die sets of standard sizes are installed in a press. Donor bone is then placed in position between the upper and the lower parts of a matched cutting set comprising a hollow cylindrical cutting blade, a mandrel, and a table which establishes a gap around the mandrel which guides the blade. After the bone to be shaped has been properly placed, a shaped cutting blade is driven through the donor bone, producing a precisely shaped allograft implant. The invention provides for rapid change out of blades, rapid cleaning, and easy maintenance.