Abstract: A modular shoulder prosthesis is provided. The modular prosthesis includes a stem, an anatomic insert, and a reverse insert. The stem is a unitary body that includes a distal shaft portion and a proximal portion. The proximal portion includes a stem face configured to directly couple to both the anatomic insert and reverse insert. The stem face includes a first engagement feature configured to couple directly to the reverse insert and a second engagement feature configured to couple directly to the anatomic insert. The stem can also include a metaphyseal portion between the shaft portion and proximal portion designed for use in humeral fracture repair procedures. The metaphyseal portion can include a medial arm and two lateral arms extending between the shaft portion and proximal portion, A window can be defined between the medial arm and the lateral arms, and a gap can be formed between the lateral arms.

Abstract: The instrumentation makes it possible to implant in a long bone, such as the humerus, the femur or the tibia, an implant, such as an osteosynthesis nail or a prosthetic rod, defining a longitudinal axis and including, in alignment along the longitudinal axis, two opposite terminal parts and a running part that separates the two terminal parts from one another. The instrumentation comprises a targeting ancillary tool that is adapted to target one and/or the other of the terminal parts of the implant, if applicable percutaneously, along at least one targeting axis that is transverse, or even perpendicular, to the longitudinal axis. The targeting ancillary tool is designed to be fastened laterally to the running part of the implant so as to position the targeting ancillary tool and the implant relative to one another in a predetermined configuration.

Abstract: A patient specific glenoid guide is provided to facilitate properly aligned implantation of a glenoid prosthesis into a patient. The guide shape is designed preoperatively based on the unique configuration of the scapula of the patient. The guide orientation is chosen preoperatively based on one or more of the bone structure of the patient, the wear pattern of the patient's glenoid cavity, the anchoring means of the glenoid prosthesis, or other aspects.

Abstract: A modular shoulder prosthesis is provided. The modular prosthesis includes a stem, an anatomic insert, and a reverse insert. The stem is a unitary body that includes a distal shaft portion and a proximal portion. The proximal portion includes a stem face configured to directly couple to both the anatomic insert and reverse insert. The stem face includes a first engagement feature configured to couple directly to the reverse insert and a second engagement feature configured to couple directly to the anatomic insert. The stem can also include a metaphyseal portion between the shaft portion and proximal portion designed for use in humeral fracture repair procedures. The metaphyseal portion can include a medial arm and two lateral arms extending between the shaft portion and proximal portion, A window can be defined between the medial arm and the lateral arms, and a gap can be formed between the lateral arms.

Abstract: A patient specific glenoid guide is provided to facilitate properly aligned implantation of a glenoid prosthesis into a patient. The guide shape is designed preoperatively based on the unique configuration of the scapula of the patient. The guide orientation is chosen preoperatively based on one or more of the bone structure of the patient, the wear pattern of the patient's glenoid cavity, the anchoring means of the glenoid prosthesis, or other aspects.

Abstract: Embodiments of the invention include an orthopedic milling machine for preparing a glenoid bone. The milling machine uses a hub and a sleeve. The hub includes reliefs arranged to cut or mill the bone and the sleeve couples to the hub to transfer rotational motion to the hub. The hub has an axial bore sized to receive an orthopedic guide pin. The hub also has a lateral passage slot that allows the hub to move laterally towards the guide pin in order to place the guide pin within the axial bore.

Abstract: Embodiments of the invention include an orthopedic milling machine for preparing a glenoid bone. The milling machine uses a hub and a sleeve. The hub includes reliefs arranged to cut or mill the bone and the sleeve couples to the hub to transfer rotational motion to the hub. The hub has an axial bore sized to receive an orthopedic guide pin. The hub also has a lateral passage slot that allows the hub to move laterally towards the guide pin in order to place the guide pin within the axial bore.

Abstract: A prosthesis assembly is provided that includes a base member (104) that has a helical structure (224) 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 (108) that has a support member and an arm (110) I/O 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: This shoulder prosthesis glenoid component (2) has on one of its faces an articulation surface (SA) adapted to cooperate with a humeral head and having, on an opposite face (SG) adapted to be immobilized on the glenoid cavity (G) of a shoulder, a keel (4) for anchoring it in the glenoid cavity (G). This keel (4) comprises a body (5) that extends from the opposite face (SG). The keel (4) comprises at least one fin (6) projecting from the body (5) 2 which runs over at least a part of the perimeter of the body (5).

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: 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: This positioning system (100) for a bone resecting instrumentation comprising a resection driver (2), comprises at least one of a gyroscopic sensor (8) integral in motion with the resection driver (2) and adapted to sense a deviation angle (?) with respect to a reference direction (X), and at least one positioning marker (12; 140) marking a fixed position on the reference direction (X), and a depth sensor (10; 18) integral in motion with the resection driver (2), for detecting a resection depth (d) based on the relative longitudinal positions of the positioning marker (12; 140) and the depth sensor (10). The invention also concerns a positioning kit including such a positioning system and a separate electronic device.

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 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: 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: A glenoid component for coupling to a scapula of a subject includes a body. The body includes an articulation surface adapted to articulate with a humeral component, and the body further includes a distal surface adapted to face the glenoid of the scapula. The distal surface includes a base surface portion adapted to face a first portion of the glenoid. The distal surface further includes an augmented surface portion adapted to face a second portion of the glenoid. The base surface portion and the augmented surface portion define an obtuse angle therebetween.

Abstract: The glenohumeral component of the invention comprises a first side and a second side, which are opposite each other and which, in an implanted state in which the glenohumeral component is free-floating with respect to a humerus and a glenoid of a human shoulder, are in contact respectively with an end portion of the humerus and with a glenoid component intended to be secured to the glenoid. The first side of the glenohumeral component includes a convex articular surface that is designed to articulate with a concave bone surface prepared within the end portion of the humerus. The second side of the glenohumeral component includes a concave articular surface that is designed to articulate with a convex articular surface of the glenoid component. The corresponding shoulder prosthesis is thus reversed.

Abstract: This system comprises: at least one vibrational sensor which is operable to produce data each time an impact application device applies an impact from a user to the prosthetic component during assembly between the prosthetic component and with the support member, the produced data representing acoustic vibrations generated in the air and/or material vibrations generated in the impact application device, an analysis unit which is configured both to calculate a frequency characterization of the vibrations for each impact applied by the impact application device to the prosthetic component, from the corresponding data produced by the at least one vibrational sensor, and to compare the frequency characterizations that are respectively calculated for successive impacts so as to provide at each of the successive impacts either a first indication when the assembly between the prosthetic component and the support member is not fully seated or a second indication when the assembly between the prosthetic component and

Abstract: A modular shoulder prosthesis is provided. The modular prosthesis includes a stem, an anatomic insert, and a reverse insert. The stem is a unitary body that includes a distal shaft portion and a proximal portion. The proximal portion includes a stem face configured to directly couple to both the anatomic insert and reverse insert. The stem face includes a first engagement feature configured to couple directly to the reverse insert and a second engagement feature configured to couple directly to the anatomic insert. The stem can also include a metaphyseal portion between the shaft portion and proximal portion designed for use in humeral fracture repair procedures. The metaphyseal portion can include a medial arm and two lateral arms extending between the shaft portion and proximal portion, A window can be defined between the medial arm and the lateral arms, and a gap can be formed between the lateral arms.

Abstract: Joint prosthesis methods and apparatuses are provided. A bone graft blank is placed in the chamber of the bone press facing a contoured surface. The contoured surface can be part of the bone press or can comprise a surface of a patient specific negative that can be inserted into the bone press. A bone contact surface of the bone graft blank is disposed in the chamber to face the contoured surface of the patient specific insert negative. The bone contact surface of the bone graft blank is compressed against the contoured surface. The bone contact surface can be reshaped to form a patient specific bone graft.