Abstract: Surgical instrumentation and methods for reaming a bone are disclosed. In some cases, the bone is a glenoid of a shoulder. The surgical instrumentation can include a bushing that acts as a guide for a reamer, which reams the bone.

Abstract: Various implant systems and methods of implantation are disclosed herein. The systems and methods allow a surgeon to accurately determine a suitable fastener trajectory for attaching certain components of the implant system to bone. In this manner, an appropriate fastener trajectory can be selected and used during a surgical procedure to ensure better purchase and attachment of the various components of the implant system to the bone.

Abstract: Various different porous screws and pegs are disclosed herein, as are methods of manufacturing such porous pegs or screws. The porous screws and pegs, in certain examples, are formed through additive manufacturing and have improved porosity for bone ingrowth. In certain cases, additive manufacturing or another manufacturing technique can be used to cover only part or all of the threads of the screws or pegs disclosed herein with a porous material. Such screws or pegs can have porosity but also threads that are capable of effectively digging into bone.

Abstract: The present disclosure relates, in some aspects, to orthopaedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopaedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Abstract: An anchor for securing an implant within bone. In one embodiment, the anchor is used to aid in securing an acetabular cup within an acetabulum. The anchor may be implanted within an ischial defect of the pelvis, and is attached to an outer surface of the acetabular cup shell. The anchor is made at least in part of, and may be made entirely of, a porous metal material to facilitate the ingrowth of surrounding bone into the anchor for osseointegrating the anchor into the surrounding bone. The anchor may be secured to the acetabular shell by a screw fastener or by cement, for example. The anchor may be secured to the acetabular shell before the anchor and the acetabular shell are together implanted into the acetabulum, or the anchor may be implanted into the ischial defect, followed by seating the acetabular shell in the acetabulum and then securing the acetabular shell to the anchor.

Abstract: An implant and methods for use in various procedures are disclosed. According to an example of the present application, an orthopedic implant is disclosed. The implant can include a base and a body. The base can comprise a porous metal material configured to encourage bone ingrowth into the base. The body can be coupled to the base and can comprise a second material that differs from the porous metal material of the base.

Abstract: Various implant systems and methods of implantation are disclosed herein. The systems and methods allow a surgeon to accurately determine a suitable fastener trajectory for attaching certain components of the implant system to bone in this manner, an appropriate fastener trajectory can be selected and used during a surgical procedure to ensure better purchase and attachment of the various components of the implant system to the bone.

Abstract: Surgical instrumentation and methods for reaming a bone are disclosed. In some cases, the bone is a glenoid of a shoulder. The surgical instrumentation can include a bushing that acts as a guide for a reamer, which reams the bone.

Abstract: Fastener systems and methods for attaching two or more parts are disclosed. A fastener can include a nut component configured to extend into at least a portion of an aperture in a first part and at least a portion of an aperture in a second part. The fastener can further include a compression body configured to fit into an enlarged portion of the aperture in the second part, and a screw component having a head portion configured to engage with a top notch formed in the compression body and an elongated portion configured to engage with the nut component. A diameter of the head portion of the screw component can be less than a diameter of the top notch in the compression body such that the screw component can move in a radial direction relative to the compression body during placement of the fastener to attach two or more parts.

Abstract: Various different porous screws and pegs are disclosed herein, as are methods of manufacturing such porous pegs or screws. The porous screws and pegs, in certain examples, are formed through additive manufacturing and have improved porosity for bone ingrowth. In certain cases, additive manufacturing or another manufacturing technique can be used to cover only part or all of the threads of the screws or pegs disclosed herein with a porous material. Such screws or pegs can have porosity but also threads that are capable of effectively digging into bone.

Abstract: Augments systems and methods for attaching two or more augments to an underside (50) of a tibial baseplate (16) are disclosed. An augment system (100) can include a first augment (102) having a superior surface (106) and an inferior surface (108), the superior surface configured for attachment to the underside of the tibial baseplate. The augment system can include a second augment (104) having a superior surface (110) and an inferior surface (112), the superior surface configured for attachment to the inferior surface of the first augment. The first and second augments can be formed of different materials. One or more additional augments can be used with the first and second augments, and the augment system can be stacked on a resected surface of the tibia. In an example, the augment that directly contacts the resected surface of the tibia can be formed of a porous material, such as to facilitate bone growth.

Abstract: The present disclosure relates, in some aspects, to orthopaedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopaedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Abstract: The present disclosure relates, in some aspects, to orthopedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Abstract: An anchor for securing an implant within bone. In one embodiment, the anchor is used to aid in securing an acetabular cup within an acetabulum. The anchor may be implanted within an ischial defect of the pelvis, and is attached to an outer surface of the acetabular cup shell. The anchor is made at least in part of, and may be made entirely of, a porous metal material to facilitate the ingrowth of surrounding bone into the anchor for osseointegrating the anchor into the surrounding bone. The anchor may be secured to the acetabular shell by a screw fastener or by cement, for example. The anchor may be secured to the acetabular shell before the anchor and the acetabular shell are together implanted into the acetabulum, or the anchor may be implanted into the ischial defect, followed by seating the acetabular shell in the acetabulum and then securing the acetabular shell to the anchor.

Abstract: An orthopedic device holder and related system and method are disclosed. The orthopedic device holder can include a body member, a cannulated plunger, and a resilient member. The body member can include a longitudinal main body and an extension portion. The cannulated plunger can be slidably mounted inside the body member and movable between a first position and a second position. The plunger can be configured such that in the second position, a plunger distal end extends past a main body distal end, and in the first position, the plunger distal end assumes a more proximal position. The resilient member can be positioned adjacent a plunger proximal end and can be configured to urge the plunger towards the second position. The extension portion of the body member can project distally from the main body distal end and can include a locking member, which can be configured to fit into a mating recess of an orthopedic device.

Abstract: A tibial support structure includes a platform portion and a medullary portion that are monolithically formed as a single piece. The medullary and platform portions of the augment component are adapted to accommodate and mechanically attach to a tibial baseplate, and are individually shaped and sized to replace damaged bone stock both within the tibia, as well at the tibial proximal surface. The monolithic formation of the tibial support structure provides a strong and stable foundation for a tibial baseplate and facilitates restoration of the anatomic joint line, even where substantial resections of the proximal tibia have been made. The tibial support structure may be made of a bone-ingrowth material which facilitates preservation and rebuilding of the proximal tibia after implantation, while also preserving the restored joint line by allowing revision surgeries to be performed without removal of the tibial support structure.

Abstract: An anchor for securing an implant within bone. In one embodiment, the anchor is used to aid in securing an acetabular cup within an acetabulum. The anchor may be implanted within an ischial defect of the pelvis, and is attached to an outer surface of the acetabular cup shell. The anchor is made at least in part of, and may be made entirely of, a porous metal material to facilitate the ingrowth of surrounding bone into the anchor for osseointegrating the anchor into the surrounding bone. The anchor may be secured to the acetabular shell by a screw fastener or by cement, for example. The anchor may be secured to the acetabular shell before the anchor and the acetabular shell are together implanted into the acetabulum, or the anchor may be implanted into the ischial defect, followed by seating the acetabular shell in the acetabulum and then securing the acetabular shell to the anchor.

Abstract: Punch instruments (5) are provided in some embodiments for cutting tissue in a resected proximal tibia. Such instruments can include an elongate handle (10) and a cutting head (20) disposed at the distal end of the elongate handle (10). The cutting head (20) can include a first annular blade member (25) with a first leading cutting edge (29) that extends generally transversely to a longitudinal axis of the elongate handle (10). The cutting head (20) can include a second annular blade member (26) that is situated inwardly of the first annular blade member (25) and which includes a second leading cutting edge (30) that extends generally transversely to the longitudinal axis of the elongate handle (10).

Abstract: Fastener systems and methods for attaching two or more parts are disclosed. A fastener can include a nut component configured to extend into at least a portion of an aperture in a first part and at least a portion of an aperture in a second part. The fastener can further include a compression body configured to fit into an enlarged portion of the aperture in the second part, and a screw component having a head portion configured to engage with a top notch formed in the compression body and an elongated portion configured to engage with the nut component. A diameter of the head portion of the screw component can be less than a diameter of the top notch in the compression body such that the screw component can move in a radial direction relative to the compression body during placement of the fastener to attach two or more parts.

Abstract: Augments systems and methods for attaching two or more augments to an underside (50) of a tibial baseplate (16) are disclosed. An augment system (100) can include a first augment (102) having a superior surface (106) and an inferior surface (108), the superior surface configured for attachment to the underside of the tibial baseplate. The augment system can include a second augment (104) having a superior surface (110) and an inferior surface (112), the superior surface configured for attachment to the inferior surface of the first augment. The first and second augments can be formed of different materials. One or more additional augments can be used with the first and second augments, and the augment system can be stacked on a resected surface of the tibia. In an example, the augment that directly contacts the resected surface of the tibia can be formed of a porous material, such as to facilitate bone growth.