Abstract: An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Abstract: An acetabular shell assembly according to the principles of the present disclosure includes a substrate and a screw hole plug. The substrate can have an inner surface, an outer surface, and a screw hole extending through the inner and outer surfaces and configured to receive a screw to fix the substrate to bone within an acetabulum. The screw hole plug can be configured to be selectively retained relative to the substrate.

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: 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: An orthopedic implant. The implant includes a metal portion having an internal three-dimensional cavity, the cavity having an opening to an outer surface of the metal portion, a ledge circumferentially surrounding at least a portion of the opening, and a porous metal insert formed in a three-dimensional shape conforming to the shape of the cavity and enclosed by the cavity without being bonded to the cavity. The insert is retained inside the cavity by the ledge.

Abstract: A patellar implant includes a posterior portion and an anterior portion. The posterior portion can have a first radial sidewall that extends between an outboard face and an inboard face. The outboard face can include an articulating surface. The inboard face can include one of a stem and a recess, and one of an annular central hub and an annular radial pocket. The anterior portion can have a second radial sidewall that extends between a tissue engaging surface and a posterior portion engaging surface.

Abstract: A prosthetic device for replacement of a first pelvic portion of a pelvis of a patient opposite to a second pelvic portion relative to a median plane includes an acetabular component a flange component and a pubis component. The acetabular component has a first connecting portion and a second connecting portion at an angle relative to the first connecting portion, the angle selected for a corresponding anatomy of the patient. The flange component is coupled to the first connecting portion and configured to attach to a healthy pelvic portion on a same side of the median plane from the first pelvic portion. The pubis component is connected to the second connecting portion of the acetabular component and having a clamping portion configured to attach to a healthy pubis bone on an opposite side of the median plane from the first pelvic portion.

Abstract: A prosthetic system for replacement of a portion of a hip bone including a plurality of acetabular components and a plurality of flange components. The prosthetic system also includes a plurality of pubis components. Each of the pubis components and each of the flange components are operable to connect to each of the acetabular components. Each of the pubis components define a clamping portion that is configured to attach to an opposed healthy pubis bone. An angle between the flange component and the pubis component varies among the acetabular components.

Abstract: An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Abstract: A patellar implant includes a posterior portion and an anterior portion. The posterior portion can have a first radial sidewall that extends between an outboard face and an inboard face. The outboard face can include an articulating surface. The inboard face can include one of a stem and a recess, and one of an annular central hub and an annular radial pocket. The anterior portion can have a second radial sidewall that extends between a tissue engaging surface and a posterior portion engaging surface.

Abstract: An intramedullary fixation device and associated method. The intramedullary fixation device includes a first intramedullary component having a first bone-attachment end and a first elongated member, a second intramedullary component having a second bone-attachment end and a second elongated member, and a compliant member coupling the first and second intramedullary components for applying bone-compressing stress. The second intramedullary component defines a sleeve such that the first elongated member can pass therethrough.

Abstract: A patellar implant includes a posterior portion and an anterior portion. The posterior portion may define an articulating surface and a first retaining feature. The anterior portion may define a tissue engaging portion and a second retaining feature adapted to advance into a mechanical interlock with the first retaining feature in an assembled position. The mechanical interlock between the first and second retaining features may cooperate to resist separation of the posterior and anterior portions in the assembled position.

Abstract: A prosthetic device for replacement of a hip bone that includes an acetabular component configured to connect to a femoral implant and a pubis member. The pubis member connects to the acetabular component and includes a clamping portion that is configured to attach to an opposed healthy pubis bone. The pubis member further includes a worm or other clamping method drive that is configured to tighten the clamping portion against the opposed healthy pubis bone thereby providing stability to the prosthetic hip bone and avoiding the use of bone screws in the opposed healthy pubis bone.

Abstract: A system and method for attaching soft tissue to a prosthetic implant can include a prosthetic component that defines a soft tissue attachment region having an attachment surface thereon. A first construct can be formed of porous metal and be removably coupled to the attachment surface. A second construct can be positioned outboard of the soft tissue. A fastener can be engaged to the second construct and capture the soft tissue against the first construct. The fastener can be coupled on a distal end to the first prosthetic component.

Abstract: An orthopedic implant. The implant includes a metal portion having an internal three-dimensional cavity, the cavity having an opening to an outer surface of the metal portion, a ledge circumferentially surrounding at least a portion of the opening, and a porous metal insert formed in a three-dimensional shape conforming to the shape of the cavity and enclosed by the cavity without being bonded to the cavity. The insert is retained inside the cavity by the ledge.

Abstract: A patellar implant includes a posterior portion and an anterior portion. The posterior portion may define an articulating surface and a first retaining feature. The anterior portion may define a tissue engaging portion and a second retaining feature adapted to advance into a mechanical interlock with the first retaining feature in an assembled position. The mechanical interlock between the first and second retaining features may cooperate to resist separation of the posterior and anterior portions in the assembled position.

Abstract: A prosthetic system for replacement of a portion of a hip bone including a plurality of acetabular components and a plurality of flange components. The prosthetic system also includes a plurality of pubis components. Each of the pubis components and each of the flange components are operable to connect to each of the acetabular components. Each of the pubis components define a clamping portion that is configured to attach to an opposed healthy pubis bone. An angle between the flange component and the pubis component varies among the acetabular components.

Abstract: An intramedullary fixation device and associated method. The intramedullary fixation device includes a first intramedullary component having a first bone-attachment end and a first elongated member, a second intramedullary component having a second bone-attachment end and a second elongated member, and a compliant member coupling the first and second intramedullary components for applying bone-compressing stress. The second intramedullary component defines a sleeve such that the first elongated member can pass therethrough.

Abstract: A process for preparing an ion-exchangeable media within a moving-bed or simulated moving-bed device, which can create a true or simulated media flow, comprising the steps of packing the bed with ion-exchangeable media and passing a solution, containing a mixture of ionic species, through the media, wherein the solution is passed partly or completely counter-current to the media flow direction such that the ionic species are loaded to a desired level upon equilibration.

Abstract: A process for preparing an ion-exchangeable media within a moving-bed or simulated moving-bed device, which can create a true or simulated media flow, comprising the steps of packing the bed with ion-exchangeable media and passing a solution, containing a mixture of ionic species, through the media, wherein the solution is passed partly or completely counter-current to the media flow direction such that the ionic species are loaded to a desired level upon equilibration.