Abstract: A method and apparatus of performing a procedure relative to the glenohumeral joint. Resection of the glenoid and/or the humerus can proceed through an incision formed near the glenohumeral joint. The incision can be formed generally near a superior-lateral portion near the glenohumeral joint and allow less invasive access to the glenohumeral joint and the portions that form the glenohumeral joint. The procedure can be performed with no or little detaching of the subscapularis, and with no or little dislocating of the glenohumeral joint.

Abstract: A drill guide assembly for drilling a bone hole and implanting a suture anchor in the bone hole. The assembly includes a drill guide and a suture anchor. The drill guide includes a sidewall extending between a proximal end and a distal end of the drill guide. The sidewall defines a center cannulation configured to receive a drill. The suture anchor retention portion of the drill guide is configured to support a suture anchor for coupling with an inserter device pushed through the drill guide to implant the suture anchor in the bone hole.

Abstract: An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adaptor. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adaptor to a female taper of the head. For reverse arthroplasty, the method includes attaching the adaptor to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adaptor to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.

Abstract: A glenoid implant is provided and may include a body portion and a stem portion. The stem portion may extend from the body portion along a longitudinal axis. The body portion may include an articular side and a bone-engaging side opposite the articular side. At least a portion of the bone-engaging side may be disposed at a non-parallel angle relative to at least a peripheral edge of the articulation side.

Abstract: A bone fixation assembly can include a suture button, a bone plate, and a suture assembly. The suture button can include a body that has a first end surface, a second end surface, and a circumferential outer surface. A first pair of passages can be formed through the body from the first end surface to the second end surface. The circumferential outer surface can include at least one protrusion or retaining rib extending radially therefrom. The bone plate defines an aperture. The suture button is configured to be at least partially received into the aperture in an assembled position such that the retaining rib engages the bone plate and inhibits withdrawal of the suture button from the aperture in the assembled position. The suture assembly includes a suture engaging member and a suture configured to couple the suture engaging member in the suture button.

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

Abstract: A system for reaming a bone including a guiding wire configured to be attached to the bone; a tubular depth guide configured to cover at least a portion of the guiding wire, the tubular depth guide including a first end configured to abut the bone, and a second end opposite the first end; a reaming device including an elongate recess therein that extends between a reaming tool of the reaming device and an interior of a handle of the reaming device, wherein the elongate recess is configured to receive each of the guiding wire and depth guide therein, the elongate recess includes a reduced diameter section that defines a shoulder, and the shoulder is designed to abut the second end of the tubular depth guide to control a depth to which the bone is reamed.

Abstract: A system for reaming a bone including a guiding wire configured to be attached to the bone; a tubular depth guide configured to cover at least a portion of the guiding wire, the tubular depth guide including a first end configured to abut the bone, and a second end opposite the first end; a reaming device including an elongate recess therein that extends between a reaming tool of the reaming device and an interior of the reaming device, wherein the elongate recess is configured to receive each of the guiding wire and depth guide therein, the elongate recess includes a reduced diameter section that defines a shoulder, and the shoulder is designed to abut the second end of the tubular depth guide to control a depth to which the bone is reamed.

Abstract: An orthopedic plate assembly for supporting a bone can include a y-shaped first plate and a second plate separate from the first plate. The first plate can be attached to the bone and have a center line. The first plate can include an elongate body attachable to a first portion of the bone and extending along the center line and first and second arms transversely extending from an end of the body. The first and second arms can define an aperture in the first plate. The second plate can be attached to the bone. The second plate can have a first end and a second end opposite the first end configured to be disposed on and engaged with the first arm and the second arm, respectively. The second plate can be configured to span the aperture transverse to the center line when engaged with the first and second arms.

Abstract: An elbow prosthesis includes a stem structure and an articulating component. The stem structure is operable to be positioned in a bone of a joint and includes a stem portion and a C-shaped body portion. The stem portion is operable to be positioned in the bone. The C-shaped body portion includes a first articulating surface bound by a medial wall and a lateral wall. The medial and lateral walls are separated by a first distance. The articulating component includes a second articulating surface positioned between a medial side surface and a lateral side surface. The medial and lateral side surfaces are separated by a second distance that is less than the first distance. The second articulating surface is configured to slidably communicate in a medial/lateral direction along the first articulating surface of the C-shaped body portion.

Abstract: A method and apparatus of performing a procedure relative to the glenohumeral joint. Resection of the glenoid and/or the humerus can proceed through an incision formed near the glenohumeral joint. The incision can be formed generally near a superior-lateral portion near the glenohumeral joint and allow less invasive access to the glenohumeral joint and the portions that form the glenohumeral joint. The procedure can be performed with no or little detaching of the subscapularis, and with no or little dislocating of the glenohumeral joint.

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

Abstract: An implant includes a fixed bearing, a floating bearing, and a coupling member. The fixed bearing defines a generally first spherical articulating surface and a stop. The floating bearing includes a second spherical articulating surface and a planar articulating bearing surface. The coupling member defines a bearing surface that translates relative to the planar articulating bearing surface.

Abstract: An elbow prosthesis is provided and may include a first stem component attached to one of a humerus and an ulna, a second stem component attached to the other of the humerus and the ulna, and a joint disposed between and coupling the first stem component and the second stem component to permit relative movement between the first stem component and the second stem component about a first axis. The elbow prosthesis may additionally include a condyle extending from the joint and including an axis of rotation that is eccentric from the first axis.

Abstract: An elbow prosthesis according to the present teachings can include a stem structure and an articulating component. The stem structure can be operable to be positioned in a bone of a joint. The stem structure can include a stem portion that is operable to be positioned in the bone and a C-shaped body portion having a first retaining mechanism formed thereon. The articulating component can have a second retaining mechanism formed thereon. One of the first and second retaining mechanisms can include an extension portion and a first anti-rotation portion. The other retaining mechanism can include a receiving portion and a second anti-rotation portion. The articulating component can be advanced from an insertion position to an assembled position, such that the first and second mechanisms cooperatively interlock to inhibit translation and rotation of the articulating component relative to the C-shaped body portion of the stem structure.

Abstract: A shoulder can include a fixed bearing having a generally spherical articulating surface configured to be coupled to a glenoid. The implant can also include a floating bearing member defining a first spherical bearing surface and a second planar articulating bearing surface. The implant can include a stem defining a stem planar bearing surface coupled to the second planar articulating bearing surface. The second planar articulating bearing surface can cooperate with the stem planar bearing surface to enable the floating bearing to translate relative to the stem.

Abstract: A modular humeral head resurfacing implant including a head, an anchoring stem, and a modular extended articulation flange. The head includes an exterior hemispherical articulating surface defining a terminating rim, an interior concave surface opposite to the exterior articulating surface, and a first coupling mechanism proximate to the terminating rim. The anchoring stem is coupled to the interior concave surface and extends along a stem axis that extends through an axial center of the head. The articulation flange includes a second coupling mechanism configured to cooperate with the first coupling mechanism to fasten the articulation flange to the head and an outer articulating surface that is curved along substantially its entire length and is substantially flush with the exterior hemispherical articulating surface when the articulation flange is fastened to the head.

Abstract: A modular humeral head resurfacing implant including a head, an anchoring stem, and a modular extended articulation flange. The head includes an exterior hemispherical articulating surface defining a terminating rim, an interior concave surface opposite to the exterior articulating surface, and a first coupling mechanism proximate to the terminating rim. The anchoring stem is coupled to the interior concave surface and extends along a stem axis that extends through an axial center of the head. The articulation flange includes a second coupling mechanism configured to cooperate with the first coupling mechanism to fasten the articulation flange to the head and an outer articulating surface that is curved along substantially its entire length and is substantially flush with the exterior hemispherical articulating surface when the articulation flange is fastened to the head.

Abstract: An elbow prosthesis constructed in accordance to one example of the present teachings can include a first stem structure that is operable to be positioned in a first bone of a joint. The first stem structure can include a first stem portion and a cage structure. The first stem portion may be operable to be positioned in the first bone. The cage structure can be formed generally between an inner sidewall and an outer surface. The stem portion can have opposing surfaces that define a disconnect formed entirely through the cage structure from the inner sidewall to the outer surface. A first bearing component can have an exterior cage opposing surface. The first bearing component can be selectively inserted into the cage structure from an insertion position to an installed position. A fastener can be threadably advanced into an engaged position with the cage structure to reduce a gap defined between the opposing surfaces of the disconnect while radially contracting the cage structure around the first bearing.

Abstract: A method for implanting a reverse modular humeral implant into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.