Abstract: A method is disclosed for making a glenoid guide that includes obtaining scapula surface profile information of a specific patient, providing a manufacturing plan for making the glenoid guide having at least one patient specific contact surface configured to contact a portion of the glenoid rim or glenoid surface and for making the guide having a rotation control feature forming member, and adapting the manufacturing plan to specify the location of the rotation control forming feature relative to a portion of the glenoid determined to benefit from augmentation based on the surface profile information.

Abstract: A reaming guide for reaming a bone is disclosed. The reaming guide includes a peripheral member configured to mate with a peripheral guide feature; a rigid body extending from the peripheral member to adjacent to a reaming head of a reamer, where the rigid body is configured to be mounted to the reamer proximal of the reaming head; and a depth stop coupled with the rigid body, the depth stop having a distal portion configured to contact a first reamed glenoid surface when the reaming head has fully reamed a second reamed surface to a planned depth, the second reamed surface being angled to the first reamed surface.

Abstract: Provided is a method of resecting a humerus, including positioning a multi-part guide on the humerus, where the multi-part guide includes a support portion and a positioning jig; advancing at least two mounting pins through the support portion along diverging paths; removing the positioning jig; and resecting the humerus with reference to a cutting surface of the support portion.

Abstract: Provided is a method of resecting a humerus, including positioning a multi-part guide on the humerus, where the multi-part guide includes a support portion and a positioning jig; advancing at least two mounting pins through the support portion along diverging paths; removing the positioning jig; and resecting the humerus with reference to a cutting surface of the support portion.

Abstract: A reaming guide for reaming a bone is disclosed. The reaming guide includes a peripheral member configured to mate with a peripheral guide feature; a rigid body extending from the peripheral member to adjacent to a reaming head of a reamer, where the rigid body is configured to be mounted to the reamer proximal of the reaming head; and a depth stop coupled with the rigid body, the depth stop having a distal portion configured to contact a first reamed glenoid surface when the reaming head has fully reamed a second reamed surface to a planned depth, the second reamed surface being angled to the first reamed surface.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A method is disclosed for making a glenoid guide that includes obtaining scapula surface profile information of a specific patient, providing a manufacturing plan for making the glenoid guide having at least one patient specific contact surface configured to contact a portion of the glenoid rim or glenoid surface and for making the guide having a rotation control feature forming member, and adapting the manufacturing plan to specify the location of the rotation control forming feature relative to a portion of the glenoid determined to benefit from augmentation based on the surface profile information.

Abstract: Provided is a method of resecting a humerus, including positioning a multi-part guide on the humerus, where the multi-part guide includes a support portion and a positioning jig; advancing at least two mounting pins through the support portion along diverging paths; removing the positioning jig; and resecting the humerus with reference to a cutting surface of the support portion.

Abstract: A humeral guide is provided that has a first portion or member configured to be positioned on a portion of a proximal humerus. The first portion or member can be configured to rest in a complementary manner on the portion of the proximal humerus. The humeral guide can be configured with apertures defining trajectories through bone, the pin trajectories being diverging in some case and in some cases being selected to enhanced support. A second portion or member and a third portion or member of the humeral guide are configured to be positioned on first and second lateral portions of the humerus distal to a location intended for resection, e.g., between an anatomical neck and a distal end of the humerus. The second and third portions or members or portions are configured to rest in a complementary manner on the first and second lateral portions of the humerus. The humeral guide can be configured to avoid soft tissue between a bone facing side and the humerus. The humeral guide can have a removeable jig portion.

Abstract: A glenoid bone augment component is provided that includes a first side, a second side, and a body that extends between the first side and the second side. The first side is configured to be disposed away from a glenoid of a patient. The second side is configured to be placed on the glenoid. The body is configured to adjust the spacing from the glenoid of a prosthesis component coupled with the first side when the second side of the glenoid bone augment component is coupled with the glenoid. The body has one or both of a central channel and a plurality of peripheral anchor channels disposed therethrough. The channels can be configured to receive a tool for forming an opening in the glenoid. A peripheral reinforcement structure is disposed around at least one of the peripheral anchor channels of the plurality of peripheral anchor channels and/or a central reinforcement structure is disposed around the central channel.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A humeral guide is provided that has a first portion or member configured to be positioned on a portion of a proximal humerus. The first portion or member can be configured to rest in a complementary manner on the portion of the proximal humerus. The humeral guide can be configured with apertures defining trajectories through bone, the pin trajectories being diverging in some case and in some cases being selected to enhanced support. A second portion or member and a third portion or member of the humeral guide are configured to be positioned on first and second lateral portions of the humerus distal to a location intended for resection, e.g., between an anatomical neck and a distal end of the humerus. The second and third portions or members or portions are configured to rest in a complementary manner on the first and second lateral portions of the humerus. The humeral guide can be configured to avoid soft tissue between a bone facing side and the humerus. The humeral guide can have a removeable jig portion.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.