Abstract: A pelvic implant includes a first surface including a recess configured for receiving a portion of a flange of an acetabular cage and a patient-specific second surface opposite to the first surface. The patient-specific second surface is preoperatively configured from a three-dimensional digital image of a pelvis of a patient to mate and closely conform to a corresponding surface of the pelvis under the flange in only one position.

Abstract: A method for providing a porous metal implant. A mixture of biocompatible metal, a spacing agent, and a binder is provided. The mixture is formed into a shape and the spacing agent is removed to form a plurality of pores in the implant. A shaped porous metal is also provided.

Abstract: An implant sleeve operable to center an implant at an implantation site. The implant sleeve includes a proximal end, a distal end, an annular sidewall, a mesh portion of the annular sidewall, and an interior area. The annular sidewall is between the proximal end and the distal end. The mesh portion defines a plurality of openings in the annular sidewall. The interior area is defined by the annular sidewall and is configured to receive a stem of the implant. A longitudinal axis of the implant sleeve extends along an axial center of the interior area. In response to force applied to the implant sleeve, the implant sleeve compresses and the mesh portion expands outward from the longitudinal axis.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as cartilage on the femoral head. A microfracture pick system for repairing cartilage on a femoral head is provided. The system can include a handle having a proximal end and a distal end. The system can also include an arcuate arm shaped to extend from the distal end of the handle and adapted to extend around the femoral head. The arcuate arm can have a distal tip extending toward the handle along a longitudinal axis of the handle. The system can also include an impaction member at the proximal end of the handle.

Abstract: An acetabular prosthesis assembly can include an acetabular cup and a first liner. The acetabular cup can have an outer surface, an inner surface and an upper rim extending between the outer surface and the inner surface. The acetabular cup can have a cup connection portion including a groove formed on an upper face of the upper rim. The first liner can have an outer cup engaging surface and a liner connection portion that extends from a flange of the first liner. The liner connection portion can have a finger that is received by the groove formed on the upper face of the acetabular cup that selectively couples the liner connection portion with the cup connection portion in an assembled position.

Abstract: A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum.

Abstract: A device for surgically coupling a soft tissue graft into a tunnel of a bone. The device includes a first member and a second member. The first member includes a first graft-engaging surface extending from a first end to a second end of the first member. The second member includes a second graft-engaging surface extending from a first end to a second end of the second member. The first graft-engaging surface and the second graft-engaging surface define a graft-accepting through-passage with a longitudinal axis extending therethrough when the first member is secured to the second member.

Abstract: A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.

Abstract: An orthopedic prosthesis for implantation into a bone of a patient includes a porous metal shell adapted to be affixed within the bone. The porous metal shell includes an outer surface adapted to receive bone ingrowth and an inner surface adapted to engage a liner. The porous metal shell is porous from the outer surface to the inner surface. A non-porous member may be affixed to the porous metal shell. The non-porous member may include a piercing member extending from the outer surface, the piercing member adapted to penetrate the bone in an implanted position. The non-porous member may include spikes or fins. In one example, the piercing member may define a reduced material cross section at an interface with the outer surface of the porous metal shell. The piercing member may be adapted to be broken at the reduced material cross section and removed from the porous metal shell.

Abstract: A prosthesis to replace a portion of the anatomy, such as the acetabulum, can include a first portion. A second prosthesis portion can be positioned relative to the shell to provide the bearing surface to articulate with a femoral head prosthesis or femoral head. The second prosthesis portion can include a connection portion to engage a connection portion in the shell.

Abstract: A method for inserting an acetabular cup into an acetabulum of a patient includes inspecting a preoperative plan including a three-dimensional image of a patient's acetabulum, selecting at least one of a patient-specific anteversion angle and a patient-specific abduction angle, and approving the preoperative plan. The method also includes preparing the patient's acetabulum for implantation, positioning a patient-specific first surface of an acetabular guide around a matched acetabular rim surface of the patient, and inserting an acetabular cup through an opening of the acetabular guide, the opening having a cylindrical inner surface oriented at the selected at least one of the patient-specific anteversion angle and patient-specific abduction angle.

Abstract: A labrum implant can include a body portion and an attachment member. The body portion can be formed of a biocompatible flexible polymer and can include a base, an opposed upper end opposite the base, an interior femoral head engaging side, and an opposed exterior side. The interior side can include an arcuate shape in cross-section adapted to conform to an articular surface of a femoral head. The body portion can include an arcuate shape in plan view adapted to conform to at least a portion of a rim of an acetabulum and a plurality of bores extending therethrough from the upper surface or the exterior side to the base. The attachment member can include at least a portion coupled to at least one of the bores and can be adapted to secure the implant to the acetabular rim such that the base engages the acetabular rim.

Abstract: Disclosed is a system for replacing a portion of cartilage in an acetabulum. A prosthesis can be positioned within an acetabulum to form a portion of the articulation surface within the acetabulum and to articulate with a femoral bone. For example, an acetabular prosthesis can be implanted to articulate with the natural femoral head.

Abstract: A method for treating a cartilage defect can include identifying an area of excessive boney growth on at least one of a femoral head and a femoral neck of a patient where the excessive boney growth area is covered with articular cartilage. A portion of the articular cartilage can be harvested from the identified area of excessive boney growth and an area of cartilage damage in an acetabulum of the patient can be identified. The harvested portion of the articular cartilage can be implanted into the identified area of cartilage damage in the acetabulum.

Abstract: A method and apparatus for surgically coupling a soft tissue replacement into a tunnel of a bone are disclosed. The method includes forming a loop of a soft tissue or soft tissue replacement. A pair of prosthetics are coupled to the loop of soft tissue to form an artificial bone-tendon-bone graft. The prosthetics and soft tissue are then placed within a tunnel formed in a bone. The relative position of the prosthetic is then fixed with respect to the tunnel.

Abstract: A device for partial acetabular replacement includes a patient-specific acetabular guide. The acetabular guide has a first surface configured to nestingly mate in only one position to the patient's acetabulum. The acetabular guide includes a patient-specific guiding formation configured to guide a cutting tool to remove damaged tissue from a defect of the patient's acetabulum and prepare a patient-specific implantation slot corresponding to the defect after removal of the damaged tissue. A patient-specific partial acetabular implant can be configured to nestingly mate with the patient-specific implantation slot.

Abstract: A method of performing hip surgery with a robotic guided system on a patient with femoral acetabular impingement can include identifying the femoral acetabular impingement on the patient. Data related to a proximal femur and an acetabulum of the patient is acquired. A three-dimensional model of at least one of the patient's proximal femur and acetabulum is created based on the data acquired. A location and amount of bone to be removed is determined. Dynamic movement limits of a cutting tool associated with the robotic guided system is set based on the determination. The determined bone of at least one of the proximal femur and acetabulum is removed with the tool while being inhibited from moving the tool outside of the dynamic limit by the robotic guided system.

Abstract: An acetabular cup system includes an acetabular cup having a wall with an inner surface and an outer surface. The acetabular cup includes a fixation opening through the wall, the fixation opening including a first wall portion adjacent to the inner surface and a second wall portion adjacent to the outer surface. The acetabular cup system also includes a fixation fastener including a head and a shaft with a bone-anchoring portion. The fastener can be inserted though the fixation opening. The head includes a first head portion engageable with the first wall portion and a second head portion engageable with the second wall portion.

Abstract: An acetabular system includes an acetabular guide having a first surface and a second surface opposite to the first surface, the first surface made to conform to an acetabular rim surface around an acetabulum of a patient in accordance with a three-dimensional image of the acetabulum of the patient. The acetabular guide includes an aperture having an inner surface oriented at selected anteversion and abduction angles relative to the first surface for guiding an acetabular implant into the acetabulum at the selected anteversion and abduction angles.

Abstract: An acetabular cup component can include a hemispherical first shell, an annular ring, and a second shell. The annular ring can laterally extend from and circumscribe an outer surface of the first shell and can include a first portion for engaging an anatomy. The second shell can include a second portion for engaging the anatomy adjoining the first portion. Another acetabular cup component can include a first shell, a second shell, and a support ring. The support ring can be coupled to an end portion of the first shell and can include a portion for engaging an anatomy and a rim for engaging a bearing. Another acetabular cup component can include a hemispherical inner shell composed of Cobalt, a hemispherical intermediate shell coupled to an outer surface of the inner shell by a diffusion bond, and a hemispherical outer shell coupled to an outer surface of the intermediate shell.