Abstract: A method of preparing an assembly for a surgical procedure while an implant is engaged with a bone includes mounting a first insert component, configured to mount to the implant with a first predetermined orientation, with a first mating component fixed thereto in a replication instrument at a second predetermined orientation, and determining an angular position of the provided first mating component with respect to the first insert component using the replication instrument. The first insert component and the first mating component are removed from the replication instrument and a second insert component configured to mount to the implant with the first predetermined orientation is mounted in the replication instrument at the second predetermined orientation and the determined angular position is replicated with the mounted second insert component and a second mating component.

Abstract: A surgical procedure method includes accessing an implanted joint prosthesis having an implant engaged within a bone of the joint and a first articulating component mounted by a first mating component to a first insert component removably mounted to the implant, and partially disassembling the accessed implanted joint prosthesis by removing the first insert component with the first articulating component fixed thereto from the implant while the implant is engaged with the bone. The angular position of the first mating component with respect to the first insert component is then determined and replicated with a second insert component and a second mating component. The second insert component and the second mating component are then fixed at the replicated angle and the fixed second insert component and second mating component are mounted to the implant engaged within the bone. A new articulating component is then mounted to the second mating component.

Abstract: A surgical procedure method includes accessing an implanted joint prosthesis having an implant engaged within a bone of the joint and a first articulating component mounted by a first mating component to a first insert component removably mounted to the implant, and partially disassembling the accessed implanted joint prosthesis by removing the first insert component with the first articulating component fixed thereto from the implant while the implant is engaged with the bone. The angular position of the first mating component with respect to the first insert component is then determined and replicated with a second insert component and a second mating component. The second insert component and the second mating component are then fixed at the replicated angle and the fixed second insert component and second mating component are mounted to the implant engaged within the bone. A new articulating component is then mounted to the second mating component.

Abstract: A method for preparing an articulating component of a joint prosthesis, the prosthesis having an implant engaged within a bone of the joint, the method including inserting a first articulating component into a first insert in the implant within the bone of the joint, determining an angular orientation of the inserted first articulating component relative to the implant within the bone of the joint, positioning a second articulating component within a second insert component, replicating the angular orientation of the first articulating component in the second articulating component positioned within the second insert, fixing the second articulating component to the second insert component at the replicated angular orientation, and mounting the second insert component with the fixed second articulating component to the implant engaged within the bone of the joint.

Abstract: An orthopedic surgical instrument that includes an elongated body having a longitudinal axis extending through a distal end and a proximal end, and a plurality of cutting teeth are extending from a medial side of the elongated body. Each cutting tooth includes a first curved medial edge, and a curved outer surface that extends distally from the first curved medial edge to a second curved medial edge. When the instrument is viewed in a coronal plane, the curved outer surface of each medial cutting tooth extends parallel to the longitudinal axis of the elongated body.

Abstract: A method for preparing an articulating component of a joint prosthesis, the prosthesis having an implant engaged within a bone of the joint, the method including inserting a first articulating component into a first insert in the implant within the bone of the joint, determining an angular orientation of the inserted first articulating component relative to the implant within the bone of the joint, positioning a second articulating component within a second insert component, replicating the angular orientation of the first articulating component in the second articulating component positioned within the second insert, fixing the second articulating component to the second insert component at the replicated angular orientation, and mounting the second insert component with the fixed second articulating component to the implant engaged within the bone of the joint.

Abstract: A method for preparing an articulating component of a joint prosthesis having an implant engaged within a bone of the joint, the method including inserting a first articulating component into a first insert in the implant within the bone of the joint, determining an angular orientation of the inserted first articulating component relative to the implant within the bone of the joint, positioning a second articulating component within a second insert component, replicating the angular orientation of the first articulating component in the second articulating component positioned within the second insert, fixing the second articulating component to the second insert component at the replicated angular orientation, and mounting the second insert component with the fixed second articulating component to the implant engaged within the bone of the joint.

Abstract: A method includes inserting a stem into a bone, positioning a solid articulating portion of a mounting element within a tapered bore so that the mounting element is substantially free to pivot in multiple degrees of freedom relative to the stem while maintaining substantially contiguous engagement between the solid articulating portion and a portion of a surface of the tapered bore defining a circle, engaging the joint component to the mounting element, manipulating the mounting element to vary an angular position of the joint component with the mounting element positioned in the tapered bore while maintaining the substantially contiguous engagement, and mechanically locking the solid articulating portion in the tapered bore to fix a position of the mounting element relative to the stem after manipulating the mounting element by forcing the solid articulating portion toward a bottom of the tapered bore.

Abstract: A prosthesis system includes at least one stem including a cavity, a plurality of heads having a head coupling portion, at least one first coupler including a first upper coupling portion and a first lower coupling portion, the first upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the first lower coupling portion configured to couple with the stem with a predetermined version angle and a predetermined inclination angle, and at least one second coupler including a second upper coupling portion and a second lower coupling portion, the second upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the second lower coupling portion configured to couple with the stem with any of a plurality of version angles and any of a plurality of inclination angles.

Abstract: An orthopaedic surgical instrument that includes an elongated body having a longitudinal axis extending through a distal end and a proximal end, and a plurality of cutting teeth are extending from a medial side of the elongated body. Each cutting tooth includes a first curved medial edge, and a curved outer surface that extends distally from the first curved medial edge to a second curved medial edge. When the instrument is viewed in a coronal plane, the curved outer surface of each medial cutting tooth extends parallel to the longitudinal axis of the elongated body.

Abstract: A method for preparing an articulating component of a joint prosthesis having an implant engaged within a bone of the joint, the method including inserting a first articulating component into a first insert in the implant within the bone of the joint, determining an angular orientation of the inserted first articulating component relative to the implant within the bone of the joint, positioning a second articulating component within a second insert component, replicating the angular orientation of the first articulating component in the second articulating component positioned within the second insert, fixing the second articulating component to the second insert component at the replicated angular orientation, and mounting the second insert component with the fixed second articulating component to the implant engaged within the bone of the joint.

Abstract: A joint prosthesis includes a bone engaging portion, such as a stem, and articulating component, such as a humeral head, and an insert component that supports the articulating component and is removable from the stem. A mating component mates with the humeral head and is configured to engage the insert component at adjustable angles according to the anatomy of the patient's joint. In a revision surgery, the stem remains within the patient's bone while the insert component is removed with the mating component and humeral head fixed to the insert component. A new insert component may be prepared with the mating component and humeral head oriented to replicate the angular orientation of the previous prosthesis. The new insert component is then mounted within an insert cavity in the implanted stem and rigidly fastened to complete the revision.

Abstract: A system for preparing an implant for implantation includes a trial implant including a first dialable component and a datum, a final implant including a second dialable component, and an instrument including (i) a base assembly configured to support the trial implant so that the datum is in a predetermined orientation, (ii) a fixture supported on the base assembly, the fixture including a domed element, and an alignment tool configured to engage the first dialable component when the trial implant is supported by said base assembly, and (iii) a locking assembly including a guide member defining a spherical surface for nested engagement with said domed element, the locking assembly configured to record the angular orientation of said alignment tool relative to said fixture with said alignment tool engaged with the first dialable component, and to replicate the recorded angular orientation with the alignment tool and a second dialable component.

Abstract: A system for preparing an implant for implantation includes a trial implant including a first dialable component and a datum, a final implant including a second dialable component, and an instrument including (i) a base assembly configured to support the trial implant so that the datum is in a predetermined orientation, (ii) a fixture supported on the base assembly, the fixture including a domed element, and an alignment tool configured to engage the first dialable component when the trial implant is supported by said base assembly, and (iii) a locking assembly including a guide member defining a spherical surface for nested engagement with said domed element, the locking assembly configured to record the angular orientation of said alignment tool relative to said fixture with said alignment tool engaged with the first dialable component, and to replicate the recorded angular orientation with the alignment tool and a second dialable component.

Abstract: An instrument for recording or replicating the orientation of an adjustable component of an implant with respect to a stem portion of the implant includes a base assembly configured to clamp the stem portion of the implant in a predetermined orientation, and a fixture supported on the base assembly in a predetermined orientation with respect to the base assembly, the fixture including a locking assembly configured to be adjusted in three dimensions and locked in a configuration which angularly locks an alignment tool relative to the fixture in the three dimensions when the alignment tool is engaged with the adjustable component and the adjustable component is operably assembled with the stem portion and the stem portion is clamped by the base assembly.

Abstract: A method includes inserting a stem into a bone, positioning a solid articulating portion of a mounting element within a tapered bore so that the mounting element is substantially free to pivot in multiple degrees of freedom relative to the stem while maintaining substantially contiguous engagement between the solid articulating portion and a portion of a surface of the tapered bore defining a circle, engaging the joint component to the mounting element, manipulating the mounting element to vary an angular position of the joint component with the mounting element positioned in the tapered bore while maintaining the substantially contiguous engagement, and mechanically locking the solid articulating portion in the tapered bore to fix a position of the mounting element relative to the stem after manipulating the mounting element by forcing the solid articulating portion toward a bottom of the tapered bore.

Abstract: An instrument for recording or replicating the orientation of an adjustable component of an implant with respect to a stem portion of the implant includes a base assembly configured to clamp the stem portion of the implant in a predetermined orientation, and a fixture supported on the base assembly in a predetermined orientation with respect to the base assembly, the fixture including a locking assembly configured to be adjusted in three dimensions and locked in a configuration which angularly locks an alignment tool relative to the fixture in the three dimensions when the alignment tool is engaged with the adjustable component and the adjustable component is operably assembled with the stem portion and the stem portion is clamped by the base assembly.

Abstract: A prosthesis system includes at least one stem including a cavity, a plurality of heads having a head coupling portion, at least one first coupler including a first upper coupling portion and a first lower coupling portion, the first upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the first lower coupling portion configured to couple with the stem with a predetermined version angle and a predetermined inclination angle, and at least one second coupler including a second upper coupling portion and a second lower coupling portion, the second upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the second lower coupling portion configured to couple with the stem with any of a plurality of version angles and any of a plurality of inclination angles.

Abstract: An instrument for recording and replicating the spatial orientation of a dialable component of an implant relative to a bone engaging component of the implant includes a base assembly configured to support the trial implant so that the datum is in a predetermined orientation, a fixture supported on said base assembly, said fixture including an alignment tool configured to engage the first dialable component of the trial implant when the trial implant is supported by said base assembly, and a locking assembly configured to record the angular orientation of said alignment tool relative to said fixture with said alignment tool engaged with the first dialable component, and to replicate the recorded angular orientation with the alignment tool and a second dialable component.

Abstract: A joint prosthesis includes a bone engaging portion having a first recess portion, and an internal wall defining a second recess portion, an articulating component, an insert component having (i) a first insert portion configured to snugly fit within said second recess portion in contact with the internal wall, and (ii) a projecting portion that fixedly projects from said first insert portion and is configured to snugly fit with the first recess portion so as to rotationally fix the first insert portion within the second recess portion, said insert component also having a first coupling portion, and a mating component configured to mate with said articulating component and having a second coupling portion configured to mate with the first coupling portion to form a fixed male/female couple at variable version and inclination angular orientations with respect to the insert component.