Abstract: Unicompartmental tibial components are described herein. A first unicompartmental component (10) comprises a plate (12) having a bearing surface (18) and an opposing surface (22) that is configured to be secured to a proximal end of a patient's tibia, wherein the plate further comprises an anterior end (24), an outer side (25), a posterior end (26) and an inner side (27), wherein a mediolateral width W of the plate is defined between the outer and inner sides, and a longitudinal anteroposterior axis (28) extends between the anterior and posterior ends approximately one third of the width of the plate (i.e. 1/3 W) from the lateral side, and defines a longitudinal axis length L of the plate. A first elongate peg (14) protrudes from the opposing surface in the anterior portion, the first elongate peg defining a first peg axis (32). A second elongate peg (16) protrudes from the opposing surface in the anterior portion, the second elongate peg defining a second peg axis (34).

Abstract: Devices for adjusting or correcting the curvature of a vertebral column are described. One such device comprises a spring and at least three fixation members for attaching the spring to the vertebral column in at least three different locations. Another such device comprises a plurality of springs, each spring for attaching to at least two attachment locations of the vertebral column, and at least three fixation members for attaching the plurality of springs to the attachment locations of the vertebral column such that the plurality of springs are attached longitudinally along a length of the vertebral column. A method of adjusting the curvature of a vertebral column is also described.

Abstract: A ligament assembly comprising a first ligament anchor (9) connected to a second ligament anchor (14) by a ligament (18) a resilient element (40) being associated with the first ligament anchor (9) and a ligament tension adjuster (44, 50) being associated with the second ligament anchor (14). The resilient element (40) may be disposed within the first ligament anchor (9) and the ligament tension adjuster (44, 50) may be disposed within the second ligament anchor (14).

Abstract: A rotary mill comprising a body portion having a milling surface for milling a first bone, a guide portion having a guide body, and inter-engageable guide formations formed on the body portion and guide portion, the guide body having a projection which is adapted to hold a second bone away from the rotary mill during the milling operation.

Abstract: A ligament assembly (2) comprising a resilient element (20) connected to a bone anchor (4) and a ligament (18), the resilient element (20) acting m a cantilever and resisting toads transmitted between the bone anchor (4) and the ligament (18) by virtue of the resistance to bending of the resilient element. The ligament (18) may comprise an artificial ligament (18) which is adapted to replace a human or animal ligament. The resilient element (20) may comprise a spiral spring and may act as a biasing element/shock absorber operatively coupled to the artificial ligament (18) to control the effective stiffness of the artificial ligament (18). Consequently, the resilient element (20) enables an effective stiffness of the artificial ligament (18) to be achieved that more closely approximates the stiffness of a natural ligament.

Abstract: An artificial ligament is provided having an elongate body and two ends, with a loop being provided at least one of the ends and a loop liner being provided within the loop. A kit of artificial ligaments is also provided with each ligament in the kit having a different fixed length. Also provided are methods for determining a length of artificial ligament to be used within a prosthetic knee joint, selecting a ligament from a range or kit of ligaments, and implanting a prosthetic knee joint assembly comprising an artificial ligament.

Abstract: A system for a unicompartmental knee replacement is described. The system can include a femoral prosthesis component, a tibial prosthesis component and a meniscal bearing. The meniscal bearing can be insertable between the femoral prosthesis component and the tibial prosthesis component. The meniscal bearing can include a first bearing surface configured to bear against the femoral prosthesis component, a second bearing surface opposed to the first bearing surface and configured to bear against the tibial prosthesis component, and a sidewall separating the first bearing surface from the second bearing surface, wherein the sidewall has a retention groove formed in a portion thereof, and wherein the meniscal bearing and the tibial prosthesis component are configured such that the retaining flange enters the retention groove on movement of the meniscal bearing relative to the tibial prosthesis component towards the medial wall.

Abstract: A ligament assembly (2) comprising a resilient element (20) connected to a bone anchor (4) and a ligament (18), the resilient element (20) acting m a cantilever and resisting toads transmitted between the bone anchor (4) and the ligament (18) by virtue of the resistance to bending of the resilient element. The ligament (18) may comprise an artificial ligament (18) which is adapted to replace a human or animal ligament. The resilient element (20) may comprise a spiral spring and may act as a biasing element/shock absorber operatively coupled to the artificial ligament (18) to control the effective stiffness of the artificial ligament (18). Consequently, the resilient element (20) enables an effective stiffness of the artificial ligament (18) to be achieved that more closely approximates the stiffness of a natural ligament.

Abstract: A rotary mill is disclosed comprising a body portion (4) having a milling surface (10) and a central bore (30) extending along an axis of rotation (18) of the body portion (4); and a guide portion (6) having a guide body (22) and a guide peg (24) extending from the guide body (22), the guide peg (24) operable to be received in the central bore (20) of the body portion (4), the guide body (22) having at least one alignment feature (28, 30) which is the same as that of a prosthesis component.

Abstract: A bearing component 2 for a joint replacement prosthesis comprises a first bearing element 4; a second bearing element 6, and a linking element 8, operatively connecting the first and second bearing elements 4, 6 and permitting relative motion there between. The flexible linking element 8 prevents dislocation of mobile bearings in a total knee replacement prosthesis. The invention also relates to a bridging element which retains the linking element 8 with some play, which acts as a ligament support 2051, and which causes a deflection of the line of action of a ligament 1018. A joint replacement prosthesis is also disclosed comprising a biasing element 1140 or a tensioning element 1220 operatively coupled to the artificial ligament 1018. The biasing element 1140 or tensioning element 1220 may be housed in the stem of a tibia tray 1006.

Abstract: A prosthesis (100, 200) comprising a bone attachment component (106) having one or more fixation structures (124, 224), wherein the prosthesis is configured to be selectively convertible between a mobile bearing prosthesis, in which a barrier (120) is secured to the bone attachment component (106) using the fixation structures, and a constrained bearing prosthesis, in which a bearing component (204) is secured to the bone attachment component (106) using the fixation structures (124, 224).

Abstract: Devices for adjusting or correcting the curvature of a vertebral column are described. One such device comprises a spring and at least three fixation members for attaching the spring to the vertebral column in at least three different locations. Another such device comprises a plurality of springs, each spring for attaching to at least two attachment locations of the vertebral column, and at least three fixation members for attaching the plurality of springs to the attachment locations of the vertebral column such that the plurality of springs are attached longitudinally along a length of the vertebral column. A method of adjusting the curvature of a vertebral column is also described.

Abstract: A ligament assembly (2) comprising a resilient element (20) connected to a bone anchor (4) and a ligament (18), the resilient element (20) acting m a cantilever and resisting toads transmitted between the bone anchor (4) and the ligament (18) by virtue of the resistance to bending of the resilient element. The ligament (18) may comprise an artificial ligament (18) which is adapted to replace a human or animal ligament. The resilient element (20) may comprise a spiral spring and may act as a biasing element/shock absorber operatively coupled to the artificial ligament (18) to control the effective stiffness of the artificial ligament (18). Consequently, the resilient element (20) enables an effective stiffness of the artificial ligament (18) to be achieved that more closely approximates the stiffness of a natural ligament.

Abstract: A rotary mill comprising a body portion having a milling surface for milling a first bone, a guide portion having a guide body, and inter-engageable guide formations formed on the body portion and guide portion, the guide body having a projection which is adapted to hold a second bone away from the rotary mill during the milling operation.

Abstract: A femoral component (101) for a knee prosthesis, the femoral component (101) comprising: a body portion (103) having: a lateral portion (109) and a medial portion (111) when in an implanted configuration, wherein a parasagittal plane is located at the intersection between the lateral portion (109) and the medial portion (111); and a patella track (105) extending anterior-posteriorly around the body portion (103), wherein the patella track (105) comprises a first patella track portion (105a) that is directed laterally away from the parasagittal plane as it extends towards a posterior end of the patella track (105).

Abstract: Devices for adjusting or correcting the curvature of a vertebral column are described. One such device comprises a spring and at least three fixation members for attaching the spring to the vertebral column in at least three different locations. Another such device comprises a plurality of springs, each spring for attaching to at least two attachment locations of the vertebral column, and at least three fixation members for attaching the plurality of springs to the attachment locations of the vertebral column such that the plurality of springs are attached longitudinally along a length of the vertebral column. A method of adjusting the curvature of a vertebral column is also described.

Abstract: A kit of parts for use in unicondylar meniscal bearing knee replacement comprises a plurality of meniscal bearings, each meniscal bearing comprising a body defining a dished first bearing surface on one side thereof and a second surface on an opposing side of the body. Each meniscal bearing has an entrapment between 3.2 mm and 3.8 mm. Meniscal bearings and methods of performing unicondylar meniscal bearing replacements are also described.

Abstract: The invention concerns a tibial prosthetic component comprising a plate (100) for forming a tibial plateau of a tibia (16), wherein a peripheral region of the plate (100) has a thickness of less than 3 mm. The invention also concerns a tibial prosthetic component having a keel of depth less than 9 mm. The invention also concerns a method of selecting a tibial prosthetic component comprising receiving measurements of at least one physical attribute of an individual into whom the tibial prosthetic component is to be implanted, selecting a thickness of a plate (100) and depth of keel of the tibial prosthetic component based on the measurements and providing a tibial prosthetic component comprising a plate (100) having the selected thickness and a keel having the selected depth.

Abstract: A ligament assembly comprising a first ligament anchor (9) connected to a second ligament anchor (14) by a ligament (18) a resilient element (40) being associated with the first ligament anchor (9) and a ligament tension adjuster (44, 50) being associated with the second ligament anchor (14). The resilient element (40) may be disposed within the first ligament anchor (9) and the ligament tension adjuster (44, 50) may be disposed within the second ligament anchor (14).

Abstract: A ligament assembly comprising a first ligament anchor (9) connected to a second ligament anchor (14) by a ligament (18) a resilient element (40) being associated with the first ligament anchor (9) and a ligament tension adjuster (44, 50) being associated with the second ligament anchor (14). The resilient element (40) may be disposed within the first ligament anchor (9) and the ligament tension adjuster (44, 50) may be disposed within the second ligament anchor (14).