Abstract: An elbow prosthesis includes a stem structure and an articulating component. The stem structure is operable to be positioned in a bone of a joint and includes a stem portion and a C-shaped body portion. The stem portion is operable to be positioned in the bone. The C-shaped body portion includes a first articulating surface bound by a medial wall and a lateral wall. The medial and lateral walls are separated by a first distance. The articulating component includes a second articulating surface positioned between a medial side surface and a lateral side surface. The medial and lateral side surfaces are separated by a second distance that is less than the first distance. The second articulating surface is configured to slidably communicate in a medial/lateral direction along the first articulating surface of the C-shaped body portion.

Abstract: A cutting guide includes a jig assembly that is configured to attach to a second surface of a bone. The jig assembly includes a guide block that defines a jig recess and that is configured to be disposed adjacent to the first surface. Also, the cutting guide includes a tool support that is moveably coupled to the jig assembly, and the tool support is configured to couple to the cutting tool and moveably support the cutting tool on the jig assembly. Moreover, the cutting guide includes an adapter that is removably received within the jig recess to adapt a dimension of the jig recess according to a corresponding dimension of the pocket. The adapter includes at least one adapter surface that is configured to abut the guide portion of the cutting tool to thereby limit movement of the cutting portion relative to the first surface of the bone.

Abstract: An elbow prosthesis includes a capitellar implant having an articulating head and a stem. The articulating head includes a first passage along a first axis, a second passage along a second axis, and a receiving groove. The stem includes a proximal end and a connecting end. The connecting end includes a curved body having a bore. The curved body selectively mates with the receiving groove such that the bore axially aligns with the first axis of the first passage in an assembled position for collectively receiving a securing member.

Abstract: A system for use in graft fixation in a knee reconstruction procedure can include a first femoral fixation member adapted to be retained relative to a first end of a femoral tunnel and a first self-locking adjustable flexible member construct having a passage portion with a pair of free ends and a pair of self-locking adjustable loops. The first flexible member construct can be interconnected to the first femoral fixation member. A second femoral fixation member can be coupled to the first flexible member construct and can be adapted to be positioned in the femoral tunnel relative to a second end of the femoral tunnel adjacent a joint space between the femur and a tibia. A second self-locking adjustable flexible member construct having a passage portion with a pair of free ends and a pair of self-locking adjustable loops can be interconnected to the second femoral fixation member.

Abstract: An elbow prosthesis can include a capitellar implant that has an articulating head and a stem. The articulating head can have a first substantially hemispherical portion and a second portion that collectively extend between lateral and medial sides of the articulating head and are separated by a plane. The first and second portions can generally extend between the lateral and medial sides. The second portion can generally have an attachment lobe that extends on the lateral side and that defines a passage therethrough. The passage can extend at least partially on the second portion.

Abstract: An elbow prosthesis according to the present teachings can include a stem structure and an articulating component. The stem structure can be operable to be positioned in a bone of a joint. The stem structure can include a stem portion that is operable to be positioned in the bone and a C-shaped body portion having a first retaining mechanism formed thereon. The articulating component can have a second retaining mechanism formed thereon. One of the first and second retaining mechanisms can include an extension portion and a first anti-rotation portion. The other retaining mechanism can include a receiving portion and a second anti-rotation portion. The articulating component can be advanced from an insertion position to an assembled position, such that the first and second mechanisms cooperatively interlock to inhibit translation and rotation of the articulating component relative to the C-shaped body portion of the stem structure.

Abstract: A system for use in graft fixation in a knee reconstruction procedure can include a first femoral fixation member adapted to be retained relative to a first end of a femoral tunnel and a first self-locking adjustable flexible member construct having a passage portion with a pair of free ends and a pair of self-locking adjustable loops. The first flexible member construct can be interconnected to the first femoral fixation member. A second femoral fixation member can be coupled to the first flexible member construct and can be adapted to be positioned in the femoral tunnel relative to a second end of the femoral tunnel adjacent a joint space between the femur and a tibia. A second self-locking adjustable flexible member construct having a passage portion with a pair of free ends and a pair of self-locking adjustable loops can be interconnected to the second femoral fixation member.

Abstract: A method for repairing a soft tissue or bone defect can include selecting one of a plurality of sizing guides having a base perimeter size corresponding to a size of the defect, where each base has a different perimeter size and a plurality of apertures spaced apart a predetermined distance from each other, with the predetermined distance being the same for each of the sizing guides. The selected sizing guide base can be positioned against a distal end of the femur relative to the defect. A plurality of guide wires can be positioned through the plurality of apertures in the sizing guide base and the guide wires can be fixed to the femur such that the guide wires are parallel to each other. A first guide can be positioned over the guide wires and against the distal end of the femur to guide a first cutting member relative to the femur.

Abstract: An apparatus can include a plate member having a top surface, a bottom surface and a hole extending between the top and bottom surfaces. The plate member hole can have a spherically shaped sidewall. A right-hand helical thread can be formed in the sidewall of the plate member hole, and a left-hand helical cut can be formed in the sidewall of the plate member hole intersecting the right-hand helical thread. The left-hand helical cut can be configured to reduce a portion of a contact surface area of the right-hand helical thread and the sidewall of the plate member hole.

Abstract: An elbow prosthesis constructed in accordance to one example of the present teachings can include a first stem structure that is operable to be positioned in a first bone of a joint. The first stem structure can include a first stem portion and a cage structure. The first stem portion may be operable to be positioned in the first bone. The cage structure can be formed generally between an inner sidewall and an outer surface. The stem portion can have opposing surfaces that define a disconnect formed entirely through the cage structure from the inner sidewall to the outer surface. A first bearing component can have an exterior cage opposing surface. The first bearing component can be selectively inserted into the cage structure from an insertion position to an installed position. A fastener can be threadably advanced into an engaged position with the cage structure to reduce a gap defined between the opposing surfaces of the disconnect while radially contracting the cage structure around the first bearing.

Abstract: A method and apparatus for securing soft tissue to bone can include loading a suture through an eyelet of a suture anchor. The suture anchor can have a longitudinal axis and a distal tip. An anchor inserter assembly can be positioned in contact with the suture anchor. The anchor inserter assembly can include a sleeve portion and an impacting portion. The suture can be engaged with a suture engaging member on the suture inserter assembly at a location adjacent to the eyelet. The sleeve portion can be translated relative to the impacting portion from an alignment position to an insertion position thereby moving the suture a first distance offset from the eyelet in a direction away from the distal tip. The anchor insert assembly can be advanced to a driven position thereby advancing the suture anchor into the bone. The suture engaging member can be released from the suture.

Abstract: A joint prosthesis is provided and may include first and second stem structures and first and second bearing members. The first stem structure may include a generally U-shaped portion having first and second legs. The second stem structure may include first and second bearing surfaces. The first bearing member may be removably coupled to the first leg and may include a first laterally facing bearing surface rotatably contacting the first bearing surface. The second bearing member may be removably coupled to the second leg and may include a second laterally facing bearing surface rotatably contacting the second bearing surface. The first laterally facing bearing surface may be disposed between the first leg and a first lateral side of the second stem. The second laterally facing bearing surface may be disposed between the second leg and a second lateral side of the second stem. The second lateral side may oppose the first lateral side.

Abstract: A method for repairing a soft tissue or bone defect can include selecting one of a plurality of sizing guides having a base perimeter size corresponding to a size of the defect, where each base has a different perimeter size and a plurality of apertures spaced apart a predetermined distance from each other, with the predetermined distance being the same for each of the sizing guides. The selected sizing guide base can be positioned against a distal end of the femur relative to the defect. A plurality of guide wires can be positioned through the plurality of apertures in the sizing guide base and the guide wires can be fixed to the femur such that the guide wires are parallel to each other. A first guide can be positioned over the guide wires and against the distal end of the femur to guide a first cutting member relative to the femur.

Abstract: A construct is disclosed that may be used to repair or replace a natural ligament. The construct may be formed of materials for biocompatibility and/or resorbtion. The construct may be provided or connected to a soft anchor for connection to a bone portion.

Abstract: A flexible suture for coupling tissue includes a first suture portion extending to a first end and a second suture portion extending to a second end. A plurality of braided strands form the first and second suture portions. An identifier characteristic is formed into the plurality of braided strands. The identifier characteristic extends from the first end of the first suture portion to the second end of the second suture portion, and the identifier characteristic distinguishes the first suture portion from the second suture portion.

Abstract: A system for repairing a soft tissue or bone defect can include a C-shaped guide member having a first end and a second end and configured to extend around a condyle area of a femur of a patient. The guide member includes a threaded bore at the first end, and the second end configured to rest on a tibia of the patient. The system includes a cannulated bullet threadably received in the threaded bore and configured to be threadably advanced to secure the guide member relative to the femur. The system also includes a drilling member insertable through the bullet and configured to drill a femoral bore through the femur.

Abstract: A prosthetic wrist can replace a portion of an anatomical wrist. A bone replacing portion can be provided that also includes an augment member to assist in fixation of the bone portion or the prosthesis to the bone. The various prosthesis embodiments can allow for a hemi- or total, or revision wrist arthroplasty. Modular portions can allow for intraopertative customization.

Abstract: Assemblies for securing fractured bone are provided. The assembly includes a first fixation element, a second fixation element, and an adjustable flexible member construct. The first fixation element having a male or a female sleeve is secured within a first portion of the fractured bone. The second fixation element having the other of the male or female sleeve telescopically received within the one of the male or female sleeve is secured within a second portion of the fractured bone. The adjustable flexible member construct extends between the first and second fixation elements and has at least one adjustable loop coupled to the first fixation element and the second fixation element and a pair of adjusting ends extending through an opening in the first fixation element. The pair of adjusting ends can be pulled to reduce a diameter of the adjustable loop and to compress fragments of the fractured bone.

Abstract: A tensioner system for use in tensioning graft strands in a knee reconstruction procedure can include a handle assembly, a tensioner assembly coupled relative to the handle assembly, and a drive shaft slidably received through and supported by the handle assembly. The tensioner assembly can include an arm support member rotatably coupled to the handle assembly and first and second arm members each rotatably coupled to lateral sides of the arm support member. Each arm member can include at least one graft attachment area adapted to be coupled to a graft strand. The arm support member can be configured to rotate about an axis perpendicular to a longitudinal axis of the tensioner system and perpendicular to an axis of rotation of each of the arm members. The drive shaft can include proximal and distal ends that extend beyond respective proximal and distal ends of the handle assembly.

Abstract: A cutting guide includes a jig assembly that is configured to attach to a second surface of a bone. The jig assembly includes a guide block that defines a jig recess and that is configured to be disposed adjacent to the first surface. Also, the cutting guide includes a tool support that is moveably coupled to the jig assembly, and the tool support is configured to couple to the cutting tool and moveably support the cutting tool on the jig assembly. Moreover, the cutting guide includes an adapter that is removably received within the jig recess to adapt a dimension of the jig recess according to a corresponding dimension of the pocket. The adapter includes at least one adapter surface that is configured to abut the guide portion of the cutting tool to thereby limit movement of the cutting portion relative to the first surface of the bone.