Abstract: An external fixation system may include first and second fixation rings and a plurality of adjustable length struts. Each adjustable length strut may have two joints, a rod, a tube, and an actuator configured to drive the rod axially relative to the tube to change an effective length of the strut. The system may include a plurality of controller modules each configured to couple to a corresponding strut. The external fixation system may have a manual mode of operation in which the controller modules are not coupled to the struts, and manual actuation of the actuators changes the effective lengths of the struts in discrete length increments. The external fixation system may have an automated mode of operation in which the controller modules are coupled to the struts, and automated actuation of the actuators changes the effective lengths of the struts in infinitesimally small length increments.

Abstract: An external fixation system may include first and second fixation rings and a plurality of adjustable length struts. Each adjustable length strut may have two joints, a rod, a tube, and an actuator configured to drive the rod axially relative to the tube to change an effective length of the strut. The system may include a plurality of controller modules each configured to couple to a corresponding strut. The external fixation system may have a manual mode of operation in which the controller modules are not coupled to the struts, and manual actuation of the actuators changes the effective lengths of the struts in discrete length increments. The external fixation system may have an automated mode of operation in which the controller modules are coupled to the struts, and automated actuation of the actuators changes the effective lengths of the struts in infinitesimally small length increments.

Abstract: A trial implant is provided. The implant includes a central portion. The central portion includes a top articulating surface extending between a first end and a second end and having a convex shape, a bottom surface configured to at least partially contact a first resected surface of a bone, and a first side surface extending between the top articulating surface and the bottom surface. The first side surface is sloped such that a width of the top articulating surface is greater than a width of the bottom surface. The implant further includes a first outer portion extending laterally from the central portion. The first side surface and the first outer portion are separated by a first opening shaped such that up to four resected surfaces of the bone are visible when the trial implant is seated on the bone.

Abstract: An external fixation system may include first and second fixation rings and a plurality of adjustable length struts. Each adjustable length strut may have two joints, a rod, a tube, and an actuator configured to drive the rod axially relative to the tube to change an effective length of the strut. The system may include a plurality of controller modules each configured to couple to a corresponding strut. The external fixation system may have a manual mode of operation in which the controller modules are not coupled to the struts, and manual actuation the actuators changes the effective lengths of the struts in discrete length increments. The external fixation may have an automated mode of operation in which the controller modules are coupled to the struts, and automated actuation of the actuators changes the effective lengths of the struts in infinitesimally small length increments.

Abstract: A trial implant is provided. The implant includes a central portion. The central portion includes a top articulating surface extending between a first end and a second end and having a convex shape, a bottom surface configured to at least partially contact a first resected surface of a bone, and a first side surface extending between the top articulating surface and the bottom surface. The first side surface is sloped such that a width of the top articulating surface is greater than a width of the bottom surface. The implant further includes a first outer portion extending laterally from the central portion. The first side surface and the first outer portion are separated by a first opening shaped such that up to four resected surfaces of the bone are visible when the trial implant is seated on the bone.

Abstract: An adjustable length strut for use in an external fixation system may include an outer tube, an inner tube within the outer tube, and a first adjustment knob. A plurality of texturized surfaces may extend in the length direction of the inner tube, each of the plurality of texturized surfaces of the inner tube being spaced apart from each other in the circumferential direction of the inner tube. Each circumferentially adjacent pair of texturized surfaces of the inner tube is separated by a non-texturized surface. The first adjustment knob may also include texturized surfaces separated by non-texturized surfaces, and may be rotatable relative to the outer tube and the inner tube between a locked condition and an unlocked condition. In the locked condition, the texturized surfaces engage each other, to prevent translation of the inner tube relative to the outer tube.

Abstract: A system for treating tissue of a patient's anatomy at a target site. A localizer generates location data associated with the anatomy. A display unit overlays visual content on the anatomy within a field of view observable by a user. A visualization program on a computing device generates a virtual reference frame, identifies viable and non-viable approaches for fixation elements to engage tissue and secure a stabilizer relative to the target site based on patient-specific imaging data, arranges a virtual viability model within the virtual reference frame based on the location data and comprising viable portions associated with viable approaches and non-viable portions associated with non-viable approaches, and renders the virtual viability model in the visual content displayed by the display unit overlaid onto the anatomy within the field of view to assist the user in visualizing at least one of viable approaches and non-viable approaches.

Abstract: A system for treating tissue of a patient's anatomy at a target site. A localizer generates location data associated with the anatomy. A display unit overlays visual content on the anatomy within a field of view observable by a user. A visualization program on a computing device generates a virtual reference frame, identifies viable and non-viable approaches for fixation elements to engage tissue and secure a stabilizer relative to the target site based on patient-specific imaging data, arranges a virtual viability model within the virtual reference frame based on the location data and comprising viable portions associated with viable approaches and non-viable portions associated with non-viable approaches, and renders the virtual viability model in the visual content displayed by the display unit overlaid onto the anatomy within the field of view to assist the user in visualizing at least one of viable approaches and non-viable approaches.

Abstract: A total ankle prosthesis that includes a talar component that has a bone contacting side for contacting a talus and an articular side opposite the bone contacting side. The articular side has first and second condyles separated by an intercondylar notch. The first condyle defines a spheroidal convex surface. The prosthesis also includes a tibial component that has a bone contacting side for contacting a tibia and an articular side. The articular side has first and second condyles separated by an intercondylar spine. The first condyle of the tibial component defines a concave surface. The concave surface has a condylar edge that defines a perimeter thereof and a plurality of articular portions positioned between anterior and posterior extents of the condylar edge. A first articular portion of the articular portions is spheroidal and a second articular portion is defined by a cylindrical helix.

Abstract: Methods of implanting a talar component during ankle surgery are provided. A method includes cutting at least medial and lateral cuts in a talus bone. The method includes driving a first self-cutting distal edge of a lateral side wall of the talar component into the lateral cut and a second self-cutting distal edge of a medial side wall of the talar component into the medial cut. A thickness of the lateral sidewall tapers to form the first self-cutting distal edge and a thickness of the medial sidewall tapers to form the second self-cutting edge.

Abstract: A method of utilizing a distractor in a joint replacement procedure is provided. The method includes releasably engaging a datum to a datum securement of the distractor and gripping a handle of the distractor in an insertion position. The handle includes a first handle portion and a second handle portion. The method includes disposing a paddle of a tissue engaging portion of the distractor against a tissue surface and adjusting the handle from the insertion position to the distraction position to thereby independently move the paddle with respect to both the second handle portion and the first handle portion such that the paddle remains at a generally constant angle against the tissue surface as the tissue surface is distracted. The paddle is attached directly and exclusively to a distal tip of the second handle portion such that the paddle pivots about an axis transverse to a length of the handle.

Abstract: A trial implant is provided. The implant includes a central portion. The central portion includes a top articulating surface extending between a first end and a second end and having a convex shape, a bottom surface configured to at least partially contact a first resected surface of a bone, and a first side surface extending between the top articulating surface and the bottom surface. The first side surface is sloped such that a width of the top articulating surface is greater than a width of the bottom surface. The implant further includes a first outer portion extending laterally from the central portion. The first side surface and the first outer portion are separated by a first opening shaped such that up to four resected surfaces of the bone are visible when the trial implant is seated on the bone.

Abstract: The present disclosure includes, in one embodiment, a talar component of an ankle joint prosthesis for engagement with a talus bone having a medial side wall and a lateral side wall, opposite the medial side wall, each side wall terminating at a distal edge, and the distal edges adapted to drive into the talus bone. When implanted, the side walls may form a seal between the talus bone and the component to prevent fluid from flowing under the component.

Abstract: In one embodiment, a surgical guide structure configured for placement on a resected bone surface includes a body with at least one aperture and an opening. The at least one aperture extends through the body and is sized for placement of a hole formation instrument therethrough. Additionally, the at least one aperture is defined by an inner wall that includes a first portion having a first slope and a second portion having a second slope different from the first slope so that a cross-section of the aperture varies over its depth. The opening is sized and positioned so that when the surgical guide structure is positioned on a first resected surface of a bone, the first resected surface and a second resected surface of the bone are visible through the opening.

Abstract: A tissue resection guide for use with a datum includes a base releasably engagable with the datum. The tissue resection guide has a first frame fixed relative to the base and the first frame has at least one integral first guide path that is sized and configured to at least partially capture and guide a first tissue resection tool relative to the first frame.

Abstract: A total ankle prosthesis that includes a talar component that has a bone contacting side for contacting a talus and an articular side opposite the bone contacting side. The articular side has first and second condyles separated by an intercondylar notch. The first condyle defines a spheroidal convex surface. The prosthesis also includes a tibial component that has a bone contacting side for contacting a tibia and an articular side. The articular side has first and second condyles separated by an intercondylar spine. The first condyle of the tibial component defines a concave surface. The concave surface has a condylar edge that defines a perimeter thereof and a plurality of articular portions positioned between anterior and posterior extents of the condylar edge. A first articular portion of the articular portions is spheroidal and a second articular portion is defined by a cylindrical helix.

Abstract: A system for treating tissue of a patient's anatomy at a target site. A localizer generates location data associated with the anatomy. A display unit overlays visual content on the anatomy within a field of view observable by a user. A visualization program on a computing device generates a virtual reference frame, identifies viable and non-viable approaches for fixation elements to engage tissue and secure a stabilizer relative to the target site based on patient-specific imaging data, arranges a virtual viability model within the virtual reference frame based on the location data and comprising viable portions associated with viable approaches and non-viable portions associated with non-viable approaches, and renders the virtual viability model in the visual content displayed by the display unit overlaid onto the anatomy within the field of view to assist the user in visualizing at least one of viable approaches and non-viable approaches.

Abstract: A tissue resection guide for use with a datum includes a base releasably engagable with the datum. The tissue resection guide has a first frame fixed relative to the base and the first frame has at least one integral first guide path that is sized and configured to at least partially capture and guide a first tissue resection tool relative to the first frame.

Abstract: In one embodiment, a surgical guide structure configured for placement on a resected bone surface includes a body with at least one aperture and an opening. The at least one aperture extends through the body and is sized for placement of a hole formation instrument therethrough. Additionally, the at least one aperture is defined by an inner wall that includes a first portion having a first slope and a second portion having a second slope different from the first slope so that a cross-section of the aperture varies over its depth. The opening is sized and positioned so that when the surgical guide structure is positioned on a first resected surface of a bone, the first resected surface and a second resected surface of the bone are visible through the opening.

Abstract: In one embodiment, the present invention includes a method of alignment for resection of tissue including obtaining a surgical device comprising an alignment guide, a first guide structure and a second guide structure; securing the alignment guide to a bone, the alignment guide including a positioning block; placing the first guide structure onto the positioning block of the alignment guide; viewing a target location of a first resection plane on the bone using the first guide structure; adjusting the target location of the first resection plane by adjusting a position of the first guide structure; attaching the second guide structure to the first guide structure; viewing a target location of a second resection plane on the bone using the second guide structure; and adjusting the target location of the second resection plane by adjusting a position of the second guide structure.