Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system for implantation on a resected tibia can include a bearing component, a base component, and a shim component. The insertion of the shim component can provide spacing adjustment between the bearing and base components. The shim component can have a generally uniform height or thickness, or a variable height. A cut guide attachment, removably attachable to the prosthesis system, can be used to facilitate further resection of the tibia and create one or more additional resection surfaces on the tibia at an angle relative to the first resection surface. Multiple cut guide attachments can be available to the user to provide various resection angles. The cut guide attachment can include a modular design. The cut guide attachment can be configured to adjust the angle of the subsequent resection in at least one direction.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

Abstract: An orthopedic implant inserter is provided with removable jaws. The jaws are connected to handles of the inserter by retainers. Each retainer includes a shaft and a latch. The shaft is configured to be received within mounting bores of a jaw and the associated handle. The latch is connected to the shaft and movable between a release configuration and a retaining configuration. In the release configuration, the shaft is removable from the mounting bores and the jaw is thereby removable from the associated handle. In the retaining configuration, the shaft is secured within the mounting bores and the jaw is thereby secured to the associated handle.

Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system can include a bearing component, a base component, a shim component, and optionally a spacer component. The shim or spacer component can be inserted between an inferior surface of the bearing component and a superior surface of the base component. The insertion of the shim or spacer component can provide spacing adjustment between the bearing and base components. The shim component can include one or both of a medial edge having a different height than a lateral edge or an anterior edge having a different height than a posterior edge. The differing edge height of the shim component can provide a surgeon with knee joint kinematic insight regarding an angled bone cut before the cut is made, and can allow for sizing of an appropriately permanent prosthesis system using a reduced number of provisional components.

Abstract: The present disclosure provides knee prostheses that replicate at least a portion of the function of an individual patient's anterior cruciate ligament (ACL). An exemplary knee prosthesis includes a femoral component configured to be implanted on the distal end of the patient's femur and a tibial component configured to be implanted on the proximal end of the patient's tibia. In extension, the femoral component and the tibial component may cooperate to limit anterior movement of the tibial component relative to the femoral component. In flexion, the femoral component may be free to rotate relative to the tibial component.

Abstract: The present disclosure provides knee prostheses that replicate at least a portion of the function of an individual patient's anterior cruciate ligament (ACL). An exemplary knee prosthesis includes a femoral component configured to be implanted on the distal end of the patient's femur and a tibial component configured to be implanted on the proximal end of the patient's tibia. In extension, the femoral component and the tibial component may cooperate to limit anterior movement of the tibial component relative to the femoral component. In flexion, the femoral component may be free to rotate relative to the tibial component.

Abstract: A prosthetic inserter includes an inserter head having at least first and second bosses, at least one of the bosses movable from a first position to a second position, that couple the inserter to a femoral provisional component via a pair of corresponding apertures, such as drill holes, within the articulating surfaces of a selected one of a series of femoral provisional components. Each provisional component of the series is capable of having different aperture distances measured between a respective pair of apertures. The bosses of the inserter are biased into an engagement position in which the inserter can be secured to a femoral provisional component to eliminate the need for an external engagement force to be supplied to the inserter.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing, component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

Abstract: A prosthetic inserter includes an inserter head having at least first and second bosses, at least one of the bosses movable from a first position to a second position, that couple the inserter to a femoral provisional component via a pair of corresponding apertures, such as drill holes, within the articulating surfaces of a selected one of a series of femoral provisional components. Each provisional component of the series is capable of having different aperture distances measured between a respective pair of apertures. The bosses of the inserter are biased into an engagement position in which the inserter can be secured to a femoral provisional component to eliminate the need for an external engagement force to be supplied to the inserter.

Abstract: A knee prosthesis is provided for use in knee arthroplasty. In one exemplary embodiment, the present invention provides a tibial prosthesis having a tibial baseplate with a fixed medial bearing component and a mobile lateral bearing component. In one exemplary embodiment, the lateral bearing component is secured to the lateral portion of the tibial baseplate utilizing at least one prosthetic ligament. Additionally, in one exemplary embodiment, a stop is provided to limit anterior or posterior movement of the lateral bearing component relative to the tibial baseplate. For example, the stop may be defined by cooperating shoulders formed on the lateral bearing and the tibial baseplate.

Abstract: A knee prosthesis is provided for use in knee arthroplasty. In one exemplary embodiment, the present invention provides a tibial prosthesis having a tibial baseplate with a fixed medial bearing component and a mobile lateral bearing component. In one exemplary embodiment, the lateral bearing component is secured to the lateral portion of the tibial baseplate utilizing at least one prosthetic ligament. Additionally, in one exemplary embodiment, a stop is provided to limit anterior or posterior movement of the lateral bearing component relative to the tibial baseplate. For example, the stop may be defined by cooperating shoulders formed on the lateral bearing and the tibial baseplate.

Abstract: A virtual implant placement method and system comprising models of implants and/or bones linked to tracking assemblies mounted onto the bones. A joint model is constructed intraoperatively based on the positions of the tracking assemblies to determine the positions of cut planes.

Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system for implantation on a resected tibia can include a bearing component, a base component, and a shim component. The insertion of the shim component can provide spacing adjustment between the bearing and base components. The shim component can have a generally uniform height or thickness, or a variable height. A cut guide attachment, removably attachable to the prosthesis system, can be used to facilitate further resection of the tibia and create one or more additional resection surfaces on the tibia at an angle relative to the first resection surface. Multiple cut guide attachments can be available to the user to provide various resection angles. The cut guide attachment can include a modular design. The cut guide attachment can be configured to adjust the angle of the subsequent resection in at least one direction.

Abstract: An instrument (10) and method are provided for total knee arthroplasty (TKA). The instrument separates a patient's tibia and femur, in both extension and flexion, to measure a gap and an angle therebetween. The instrument includes various modular accessories (16, 54, 70, 80, 90, 100) that provide flexibility of usage throughout the TKA procedure and that accommodate different surgical philosophies.

Abstract: A surgical instrument and method determine the orientation of the mechanical axis of a femur. The instrument may include a rod with a first end of the rod rotatably secured at a first point on the surface of distal femur that corresponds to center of the knee joint so that the first end is coincident with the mechanical axis. The connection between the first end of the rod and the distal end of the femur defines a first point of rotation. The second end of the rod is slideably received within a sleeve that is rotatably connected to a support positioned distally away from the distal end of the femur. The connection between the sleeve and the support defines a second point of rotation. When the distance between the first and second points of rotation is minimized, a line drawn therebetween is coincident with the mechanical axis of the femur.

Abstract: A patellar resection instrument has an integral depth adjustment assembly that is easily, intuitively, and intra-operatively adjustable between a plurality of discrete positions. Each position corresponds to a particular, known depth of resection, and this depth may optionally be inscribed on the depth adjustment knob for easy visual selection and/or confirmation of the resection depth. The depth adjustment assembly provides positive tactile feedback as the stylus is moved between positions. The unique configuration of the depth adjustment assembly maintains the resection depth stylus in a chosen position throughout the patellar resection procedure, even if the procedure causes vibration or other forces to be transmitted to the patellar resection instrument.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

Abstract: A method and apparatus for remote alignment of a cut guide. The cut guide may be positioned on a base which is remote from a surgical site and positioned on a docking station. An alignment jig is removably positioned on a bone and is used to provide alignment information to the docking station. The docking station remotely aligns the cut guide relative to the base. Thereafter, the cut guide and base are removed from the docking station and positioned on the bone in place of the alignment jig. A surgical procedure using the cut guide may then be completed.

Abstract: An adapter to provide moveable configurations of securing structures such as fastener apertures or throughbores for fastening a surgical instrument to an anatomical structure, such as a bone. The adapter is connectable to the surgical instrument in a plurality of discrete locations on the surgical instrument, thereby allowing a surgeon to select an optimum fixation location for fastening the surgical instrument to the anatomical structure. The adapter may be cannulated to accommodate a fastener and may be slidably affixed to the surgical instrument while simultaneously providing stable fixation between the surgical instrument and the bone. The adapter may be configured to mate with another adapter having a similar configuration such that multiple fixation locations may be provided to the surgeon. Moreover, a plurality of adapters may be connected to the surgical instrument either directly or indirectly through another adapter to select multiple optimum fixation locations.