Abstract: Embodiments of the present invention include a convertible prosthesis that is capable of conversion from a humeral head replacement to a reverse reconstruction without any removal of parts integrated into the patient's bony anatomy (e.g. implant stems). A desired overall implant inclination angle may be achieved by matching various implant stems with various reverse inserts, thus permitting a resection surface to be matched with an implant stem selection while also permitting a desired overall implant inclination angle to be achieved through the selection of an appropriate insert.

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 shoulder assembly is provided which includes a base member including a collar; a helical structure extending from the collar in a distal direction; and a first pathway projecting distally of the collar and through the helical structure adjacent to an inner periphery thereof, the first pathway being generally transverse to the helical structure and extending in a space between successive portions of the helical structure; and a locking device comprising a proximal support and a first arm projecting distally of the proximal support, the first arm configured to be disposed in the first pathway projecting distally of the collar when the proximal support is disposed adjacent to the collar; where the first arm is disposed through bone in the space between successive portions of the helical structure when the shoulder assembly is implanted.

Abstract: A method of guiding a glenoid prosthesis is disclosed. The method includes preoperatively determining a position and an orientation of a guide feature of a glenoid guide of the present disclosure based on a scapula of a specific patient, and engaging the glenoid guide with the scapula; and inserting a pin having an axis through the guide feature to or through the scapula.

Abstract: Embodiments of the present invention include a convertible prosthesis that is capable of conversion from a humeral head replacement to a reverse reconstruction without any removal of parts integrated into the patient's bony anatomy (e.g. implant stems). A desired overall implant inclination angle may be achieved by matching various implant stems with various reverse inserts, thus permitting a resection surface to be matched with an implant stem selection while also permitting a desired overall implant inclination angle to be achieved through the selection of an appropriate insert.

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 glenoid implant for a shoulder prosthesis for implantation in the glenoid of a scapula according to embodiments of the present invention includes a central fixation element; an articular body configured for articulation with a humerus, the articular body comprising a plate, the plate comprising a side configured to be oriented toward the glenoid, the side comprising a central protrusion, wherein the central fixation element comprises a means for mechanically engaging with the central protrusion; a first means for locking rotation of the central fixation element with respect to the glenoid; and a second means for locking rotation of the articular body with respect to the glenoid.

Abstract: A system for guiding a glenoid prosthesis is disclosed. The system includes a glenoid guide that includes: a guide feature; at least three arms having a first end coupled with the guide feature and a second end disposed away from the guide feature; at least three peripheral pegs, each peripheral peg extending from the second end of a corresponding arm and includes an engagement surface configured to engage the scapula of the patient; and a strut extending laterally from the guide feature.

Abstract: A glenoid implant for a shoulder prosthesis for implantation in the glenoid of a scapula according to embodiments of the present invention includes a central fixation element; an articular body configured for articulation with a humerus, the articular body comprising a plate, the plate comprising a side configured to be oriented toward the glenoid, the side comprising a central protrusion, wherein the central fixation element comprises a means for mechanically engaging with the central protrusion; a first means for locking rotation of the central fixation element with respect to the glenoid; and a second means for locking rotation of the articular body with respect to the glenoid.

Abstract: The invention relates to packaging (E, E?) for a medical device (D, 100?), the packaging comprising: —a first container (300, 300?) receiving the medical device (D, 100?), —a second container (400, 400?) receiving the first container (300, 300?) and closed by a closure means (410, 4101), the packaging being characterised in that it comprises a frame (300, 600?) for supporting the medical device (D), the support frame (300, 600?) being preformed so as to have two walls which are arranged opposite each other and between which the medical device (D) is supported by means of at least one transversely arranged movable bearing stop (500, 61 T, 621?).

Abstract: Methods of implanting a prosthesis to repair a joint include exposing a first bone of the joint; resecting an end portion of the first bone to form a resected end defining a resection plane; forming a concavity in the resected end portion of the first bone using a shaping tool, the concavity extending at least through a full hemispherical arc; selecting a diameter of the prosthesis to be implanted; and implanting a prosthesis having the selected diameter in the concavity.

Abstract: Various apparatus and methods for implanting glenoid prostheses are disclosed. In various embodiments, a kit for shoulder surgery can include a partial reaming guide having a patient-matched surface shaped to conform to a scapula of a patient, the partial reaming guide configured to limit glenoid reaming about a reaming axis to only a portion of a glenoid; and an anchor peg channel guide having a patient-matched surface shaped to conform to a portion of the glenoid, the anchor peg channel guide having a channel offset from the reaming axis.

Abstract: An orthopedic milling burr includes a hub, wherein the burr is configured for rotation about an axis of the hub, the hub including: a bore adapted to receive an orthopedic guide pin, wherein the bore is centered on the axis of the hub and passes axially through the hub; a transverse slot that extends axially through the hub's length connecting a proximal end of the hub to a distal end of the hub and providing an opening to the bore; a milling body that extends transversely from the hub and consists of a crown portion spaced radially from the hub and connected to the hub by one or more radial lugs; and a counterweight portion that extends transversely from the hub and arranged diametrically opposite the crown portion.

Abstract: A shoulder assembly is provided which includes a base member including a collar; a helical structure extending from the collar in a distal direction; and a first pathway projecting distally of the collar and through the helical structure adjacent to an inner periphery thereof, the first pathway being generally transverse to the helical structure and extending in a space between successive portions of the helical structure; and a locking device comprising a proximal support and a first arm projecting distally of the proximal support, the first arm configured to be disposed in the first pathway projecting distally of the collar when the proximal support is disposed adjacent to the collar; where the first arm is disposed through bone in the space between successive portions of the helical structure when the shoulder assembly is implanted.

Abstract: An orthopedic milling machine includes an orthopedic guide pin including a bone engaging end and a burr including a hub, the burr being configured for rotation about an axis of the hub, the hub including a bore adapted to receive the orthopedic guide pin, and the burr can be moved laterally toward the guide pin at any location along the length of the guide pin until the guide pin is positioned in the bore.

Abstract: Disclosed is a method for manufacturing a connecting rod between attachment elements secured to the spine of a patient, the method including:—planning the manufacturing of a first virtual rod based on the patient's anatomical data,—positioning and securing the attachment elements on the patient's body,—intraoperatively acquiring the position of the attachment elements for the purpose of creating a second virtual rod,—analyzing the first and second virtual rods for the purpose of creating a third virtual rod,—intraoperatively manufacturing a real rod from the third virtual rod by a bending device. Also disclosed are the device and the connecting rod allowing the method to be carried out.

Abstract: Various apparatus and methods for implanting glenoid prostheses are disclosed. In various embodiments, a method for performing shoulder surgery can include guiding a guide pin into the glenoid surface along a reaming axis. A partial reaming guide can be placed in contact with the glenoid surface over the guide pin. A reamer can be guided over the guide pin to ream the glenoid surface. The reamer can be further advanced over the guide pin until the reamer contacts the partial reaming guide, whereby such contact limits reaming to only a portion of the glenoid surface.

Abstract: Methods of implanting a prosthesis to repair a joint include displacing a first bone from the joint formed by an intersection between the first bone and a second bone. An end portion of the first bone is resected to define a resected end. A concavity is formed into the resected end using a shaping tool. The bone is compacted to form a support layer lining the concavity. The prosthesis is implanted in the concavity against the support layer without attaching the prosthesis to the support layer. The joint is reformed with the prosthesis such that the prosthesis remains unattached to the support layer and the first and second bones articulate about the prosthesis.

Abstract: A prosthesis assembly is provided that includes a base member that has a helical structure and one or more pathways. The helical structure extends between a first end and a second end. The pathway is accessible from the second end and is directed toward the first end through the helical structure. The pathway is located inward of an outer periphery of the helical structure, e.g., adjacent to an inner periphery of the helical structure. The pathway extends in a space between successive portions of the helical structure. The prosthesis assembly includes a locking device that has a support member and an arm that projects away from the support member. The arm is configured to be disposed in the pathway when the support member is disposed adjacent to the second end of the base member. The arm is disposed through bone in the space between successive portions of the helical structure when the prosthesis assembly is implanted.

Abstract: The present disclosure are directed toward an articular assembly configured to be coupled with a bone anchor. The articular assembly may include an articular body having a first end and a second end with an articular surface disposed on or adjacent to the first end. The articular body may include a bone anchor interface disposed between the first end and the second end of the articular body. The bone anchor interface may include a channel formed in a circumferential surface of the articular body, a locking member disposed in the channel, and/or a deflectable portion disposed between the locking member and the second end of the articular body.