Abstract: A modular patella trial system and method is provided. A modular patella trial includes an articular element and at least one sizing element. The articular element has a length, a width, and a thickness. The articular element has a posterior and anterior surfaces separated by their thickness. The anterior surface has protrusions extending outwardly. Any of the sizing elements have a length, width, and thickness. Any such sizing elements have posterior and anterior surfaces separated by their thickness. At least one aperture extends through the posterior and anterior surfaces of the sizing elements. Such apertures are capable of receiving a corresponding protrusion of the articular element. The modular patella trial has a thickness substantially equal to the total of the thicknesses of the articular element and the sizing elements used in conjunction with the articular element.

Abstract: A prosthesis alignment guide includes a guide body that has an opening that extends at least partially therein and a first alignment hole extending entirely therethrough. The opening is configured to receive a trunnion of a joint prosthesis for mounting the guide body to the joint prosthesis. An alignment member is disposed within the first alignment hole and is axially moveable therein. A locking member is engaged to the guide body and moveable from a first position in which the locking member is disengaged from the alignment member and a second position in which the locking member engages the alignment member and secures it from axial movement within the first alignment hole.

Abstract: A modular patella trial system and method is provided. A modular patella trial includes an articular element and at least one sizing element. The articular element has a length, a width, and a thickness. The articular element has a posterior and anterior surfaces separated by their thickness. The anterior surface has protrusions extending outwardly. Any of the sizing elements have a length, width, and thickness. Any such sizing elements have posterior and anterior surfaces separated by their thickness. At least one aperture extends through the posterior and anterior surfaces of the sizing elements. Such apertures are capable of receiving a corresponding protrusion of the articular element. The modular patella trial has a thickness substantially equal to the total of the thicknesses of the articular element and the sizing elements used in conjunction with the articular element.

Abstract: A modular patella trial system and method is provided. A modular patella trial includes an articular element and at least one sizing element. The articular element has a length, a width, and a thickness. The articular element has a posterior and anterior surfaces separated by their thickness. The anterior surface has protrusions extending outwardly. Any of the sizing elements have a length, width, and thickness. Any such sizing elements have posterior and anterior surfaces separated by their thickness. At least one aperture extends through the posterior and anterior surfaces of the sizing elements. Such apertures are capable of receiving a corresponding protrusion of the articular element. The modular patella trial has a thickness substantially equal to the total of the thicknesses of the articular element and the sizing elements used in conjunction with the articular element.

Abstract: A modular patella trial system and method is provided. A modular patella trial includes an articular element and at least one sizing element. The articular element has a length, a width, and a thickness. The articular element has a posterior and anterior surfaces separated by their thickness. The anterior surface has protrusions extending outwardly. Any of the sizing elements have a length, width, and thickness. Any such sizing elements have posterior and anterior surfaces separated by their thickness. At least one aperture extends through the posterior and anterior surfaces of the sizing elements. Such apertures are capable of receiving a corresponding protrusion of the articular element. The modular patella trial has a thickness substantially equal to the total of the thicknesses of the articular element and the sizing elements used in conjunction with the articular element.

Abstract: A modular patella trial system and method is provided. A modular patella trial includes an articular element and at least one sizing element. The articular element has a length, a width, and a thickness. The articular element has a posterior and anterior surfaces separated by their thickness. The anterior surface has protrusions extending outwardly. Any of the sizing elements have a length, width, and thickness. Any such sizing elements have posterior and anterior surfaces separated by their thickness. At least one aperture extends through the posterior and anterior surfaces of the sizing elements. Such apertures are capable of receiving a corresponding protrusion of the articular element. The modular patella trial has a thickness substantially equal to the total of the thicknesses of the articular element and the sizing elements used in conjunction with the articular element.

Abstract: A knee prosthesis that includes a tibial component and femoral component. The tibial component includes an articular surface, a posterior portion and an anterior portion. The posterior portion includes a recess for receipt of a posterior cruciate ligament. The anterior portion includes a post extending therefrom. The post includes a posterior surface. The femoral component includes a condylar portion and an intercondylar portion. The intercondylar portion includes a posterior recess for receipt of the posterior cruciate ligament, a cam, and an engagement recess for receipt of the post. The cam includes a sliding surface and is disposed between the engagement recess and posterior recess. The sliding surface of the cam slides along the posterior surface of the post for restricting anterior subluxation of a femur bone when the articular surface and the condylar portion articulates through flexion of a knee joint.

Abstract: A modular patella trial system and method is provided. A modular patella trial includes an articular element and at least one sizing element. The articular element has a length, a width, and a thickness. The articular element has a posterior and anterior surfaces separated by their thickness. The anterior surface has protrusions extending outwardly. Any of the sizing elements have a length, width, and thickness. Any such sizing elements have posterior and anterior surfaces separated by their thickness. At least one aperture extends through the posterior and anterior surfaces of the sizing elements. Such apertures are capable of receiving a corresponding protrusion of the articular element. The modular patella trial has a thickness substantially equal to the total of the thicknesses of the articular element and the sizing elements used in conjunction with the articular element.

Abstract: A knee prosthesis that includes a tibial component and femoral component. The tibial component includes an articular surface, a posterior portion and an anterior portion. The posterior portion includes a recess for receipt of a posterior cruciate ligament. The anterior portion includes a post extending therefrom. The post includes a posterior surface. The femoral component includes a condylar portion and an intercondylar portion. The intercondylar portion includes a posterior recess for receipt of the posterior cruciate ligament, a cam, and an engagement recess for receipt of the post. The cam includes a sliding surface and is disposed between the engagement recess and posterior recess. The sliding surface of the cam slides along the posterior surface of the post for restricting anterior subluxation of a femur bone when the articular surface and the condylar portion articulates through flexion of a knee joint.

Abstract: A hospital type of bandage integrates an absorbent pad and non-stick layer with a fluid-impermeable outer layer and an adhesive in a single composite structure. In a preferred embodiment the invention further includes means which may be used to turn the bandage inside out upon removal, so that surfaces once contacting a patient are no longer externally exposed. A bandage according to the invertible embodiment preferably includes a pocket formed on the side of the bandage facing away from the patient after application, this pocket being large enough to accommodate at least a portion of a human hand, and inside this pocket and located opposite the entrance is a means for grasping which may be pulled outwardly through pocket opening, thereby inverting the entire structure. Various forms of devices for grasping are possible as alternatives, including a string, a tab and a tab with one or more finger-receiving holes.

Abstract: Instruments and methods facilitate expeditious minimally invasive surgical procedures. A tissue fastener is provided with a female portion and a male portion with a head and a shaft configured to engage with the female portion. A first elongated member is used to hold the female portion of the fastener behind tissue to be repaired. A second elongated member is used to hold the male portion of the fastener in front of tissue to be repaired in alignment with the female portion. The second elongated member is slideable relative to the first elongated member, allowing a user to pierce and compress the tissue as the male portion engages with the female portion. In the preferred embodiment, the male and female portions of the fastener are constructed of a bioabsorbable material such as polylactic acid.

Abstract: A hospital type of bandage integrates an absorbent pad and non-stick layer with a fluid-impermeable outer layer and an adhesive in a single composite structure. In a preferred embodiment the invention further includes means which may be used to turn the bandage inside out upon removal, so that surfaces once contacting a patient are no longer externally exposed. A bandage according to the invertible embodiment preferably includes a pocket formed on the side of the bandage facing away from the patient after application, this pocket being large enough to accommodate at least a portion of a human hand, and inside this pocket and located opposite the entrance is a means for grasping which may be pulled outwardly through pocket opening, thereby inverting the entire structure. Various forms of devices for grasping are possible as alternatives, including a string, a tab and a tab with one or more finger-receiving holes.

Abstract: A surgical drape provides a volume to accommodate radiological equipment such as a C-arm x-ray device without pulling the bottom of the drape up which could otherwise interrupt the sterile field. In one preferred embodiment, the space is created with pleated or gathered section, which receives the equipment as it is brought up laterally without lifting any portion of the material overall. A different embodiment of the invention includes a tunnel or tent formed in the material, generally without pleating. In this case, the tunnel or tent extends from the bottom of the drape to or above a patient-contacting configurations, additional material may be included to form a slit to further shroud the radiological equipment when positioned for a medial-lateral exposure. As yet a further option to all embodiments, the bottom edge of the drape may include an adhesive, integral weights, or both, to keep the bottom edge in close proximity, or actually adhered, to the floor, to further prevent lifting.

Abstract: Apparatus and surgical techniques provide alternative cutting fixtures and other features to improve bone resection accuracy and joint stability. According to one embodiment, stabilizers are removably attached to a cutting guide to temporarily lengthen the surface against which a saw or other cutting device rests. Another embodiment provides differently shaped saw blades, having curved distal ends and right-angle bends applicable to box cuts of the type associated with cruciate sacrifice knee-replacement surgery. Methods are also disclosed whereby the box cuts, distal and posterior augment cuts may be approached from a distal perspective, both laterally and medially. A different embodiment provides a trial/cutting guide having flat surfaces as opposed to curved surfaces adapted for articulation within a joint. Yet a further alternative embodiment teaches a device for determining the joint line relative to a tibia using the fibula as reference.

Abstract: A bone plate adapted for distal radius fixation and other indications includes a first plate portion including one or more fastener-receiving apertures, a second plate portion also including one or more fastener-receiving apertures, and a mechanism coupling the first and second plate portions. The mechanism facilitates a first state, wherein the plate portions may be articulated to achieve a desired angular orientation, and a second state, wherein the plates are rigidly locked into position at the desired angular orientation. Patentably distinct plate extensions, locking screws, and drill guides are also disclosed.

Abstract: In knee-replacement surgery, restoration is achieved with respect to the patellar femoral joint in the distal plane is, thereby optimizing patellar femoral mechanics. The depth of the trochlea is increased with increasing implant size. In the preferred embodiment, this is achieved by referencing the extent of the lateral femoral condyle or trochlear region, and resecting the distal femur in accordance with the extent of the lateral femoral condyle or trochlear region. As an alternative, the invention provides for distal femoral and proximal tibial components having bone-contacting and articulating surfaces which account for the measured extent of the lateral femoral condyle or trochlear region. A method of preparing a distal femur according to the invention includes the steps of installing a rod or stem within the intramedullary canal, and attaching a referencing fixture thereto.

Abstract: Automated surgical procedures, including procedures carried out in conjunction with image-guided surgical navigation systems, are improved using tools and techniques to refine bone modifications. A system-level embodiment of the invention includes a memory for storing information relating to a desired modification of a bone, a bone-modification tool, and tracking apparatus for determining the position and orientation of the bone and the bone-modification tool to ensure that the modification performed by the tool corresponds to the desired modification. In the preferred embodiment, the bone-modification tool is used to refine a previously resected surface by a few millimeters or a few degrees to achieve the desired modification.

Abstract: A humeral prosthesis features improved anatomic attachment areas for tendon or bone. In the preferred embodiment, in contrast to existing devices, at least one set of tendon/bone attachment points are provided along a line, at least a portion of which is divergent with respect to the axis of the stem. One or more sets of attachment points may be further be provided along a line which is substantially parallel to the axis of the stem, resulting in a “T” “L” or “U” shape. Alternatively, attachment points having a changing degree of diversion with respect to the axis of the stem may be provided along a common, curved line. The attachment points may simply be apertures formed through the body of the implant though, in the preferred embodiment, the apertures are provided on raised tabs. An area of bone-ingrowth material may be provided adjacent the attachment points, and may include a separate fastening mechanism such as a threaded hole to receive a screw.

Abstract: Apparatus and methods are disposed for maintaining the proper positioning of a prosthetic implant having proximal and distal ends within a prepared bone cavity during cement injection and curing. First stabilization means, implantable within the bone cavity, minimize lateral movement of the distal end of the implant, while second stabilization means, physically separate from the means for minimizing lateral movement of the distal end of the implant, minimize both the lateral movement of the proximal end of the implant and the rotational movement of the implant overall. In the preferred embodiment, the second stabilization means includes an apertured cap removably securable to the end of a bone having the prepared cavity through which the implant is inserted and held in place.