Abstract: Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Mounting members include, for example, flanges, blades, hooks, and plates. In some embodiments, the orthopedic attachments may be adjustably positionable about the base member or other attachments, thereby providing modularity for assembling and implanting the device, and various securing and/or locking mechanisms may be used between the components of the implant.

Abstract: A pre-assembled orthopaedic implant adapted for improved gas sterilization. The implant includes a first component adapted for assembly with a second component such that a mating surface of the first component is in close proximity with a mating surface of the second component. At least one gas conduit associated with the mating surface of the first component facilitates a sterilizing gas to penetrate into and dissipate from the interface defined by the mating surfaces.

Abstract: An intramedullary implant for mounting within an intramedullary canal of a bone is disclosed. The intramedullary implant includes a lower stem portion, an upper stem portion, and a modular sleeve body. The modular sleeve body is connected to one of the lower stem portion or the upper stem portion. The sleeve body includes an inner portion that covers at least a segment of the upper stem portion and has one or more longitudinally extending bone engagement members for engagement with the bone.

Abstract: A pre-assembled orthopaedic implant adapted for improved gas sterilization. The implant includes a first component adapted for assembly with a second component such that a mating surface of the first component is in close proximity with a mating surface of the second component. At least one gas conduit associated with the mating surface of the first component facilitates a sterilizing gas to penetrate into and dissipate from the interface defined by the mating surfaces.

Abstract: An apparatus (10) for removing bone material comprises a distal cutting instrument (12) and a proximal cutting instrument (14). The distal cutting instrument has at least one first cutting edge (30), a shoulder (20), and a shaft portion (22). The shaft portion (22) has an anti-rotation feature. The at least one first cutting edge (30) removes bone material when moved in a first direction. The proximal cutting instrument (14) is removably attached to the shaft portion (22). The proximal cutting instrument (14) has a first end portion (68) and a second end portion (66). The second end portion (66) contacts the shoulder (20) of the distal reamer (12) when the proximal reamer is mounted to the shaft portion (22). The proximal reamer (14) has at least one second cutting edge (32) and an aperture. The aperture is adapted to receive the anti-rotation feature of the shaft portion (22) of the distal reamer (12). The at least one second cutting edge (32) removes bone material when moved in a second direction.

Abstract: A reference guide comprising an attachment portion configured to abut with and attach to an anatomical feature such as a bone. The reference guide further comprises a reference indicator that may be formed integrally with, or selectively secureable to, the attachment portion and that indicates a reference point with respect to the attachment portion. The reference guide may be used to identify a target location during a surgical procedure even in the absence of traditional landmarks.

Abstract: An intramedullary implant for mounting within an intramedullary canal of a bone is disclosed. The intramedullary implant includes a lower stem portion, an upper stem portion, and a modular sleeve body. The modular sleeve body is connected to one of the lower stem portion or the upper stem portion. The sleeve body includes an inner portion that covers at least a segment of the upper stem portion and has one or more longitudinally extending bone engagement members for engagement with the bone.

Abstract: A revision hip implant comprises a stem, sleeve, and neck. A proximal IM portion and a distal IM portion of the stem are generally aligned along a long axis of the stem. A body portion of the stem is proximally oriented and has a surface extending generally radially out from the long axis of the stem. The sleeve is configured to be received over the distal intramedullary canal portion of the stem and further has an inner surface configured to mate with the distally extending taper surface of the proximal intramedullary canal portion. The neck is configured to be received in the body portion of the stem. The body portion of the stem has a neck receiving surface configured to mate with a neck taper portion of the neck. The neck taper portion is oriented at an angle relative to the long axis.

Abstract: There is provided a system of modular orthopaedic devices. The system comprises one or more hip implants or trials, each hip implant or trial having a femoral stem and one of at least two neck segments having different geometries. Each neck segment comprises a proximal end configured to receive a femoral head portion and a distal end configured to be operably received by a proximal portion of the femoral stem. Each proximal end comprises a central portion generally representative of a femoral head center. When each of the at least two neck segments are joined with the femoral stem, the central portion is displaced a predetermined distance in a single direction relative to the femoral stem. The neck segments provided, therefore, advantageously allow a user to independently adjust any one of a height, an offset, or a version angle of an orthopaedic device for best performance and fit.

Abstract: A system (10) for preparing a long bone for a prosthetic, the long bone having a long axis comprises a distal instrument (12) and a proximal instrument (14). The distal instrument (12) is configured to remove bone from a distal portion of bone. The distal instrument (12) has a bone removing portion (16) configured to remove bone along the long axis of the long bone and a shaft (18) extending from the bone removing portion (16) along the long axis of the long bone. The proximal instrument (14) is configured to overlie the shaft (18) of the distal element (12) within the long bone. The distal shaft (18) guides the proximal instrument (14) to prepare the proximal portion of the long bone after the distal instrument (12) has prepared the distal portion of the long bone.

Abstract: An intramedullary stem that provides enhanced distal fixation and flexibility and methods for implanting the stem. Certain embodiments of the stem have primary and secondary flutes (or ridges or wedges). Other embodiments have transitional regions.

Abstract: An intramedullary stem that provides enhanced distal fixation and flexibility and methods for implanting the stem. Certain embodiments of the stem have primary and secondary flutes (or ridges or wedges). Other embodiments have transitional regions.

Abstract: Various embodiments of the invention relate to sleeves (30) having lengths that allow the sleeve to engage a patient's femoral intramedullary canal in a mid to distal region rather than only proximally. In preferred embodiments, the sleeve length is between about 60 millimeters to about 150 millimeters. In certain embodiments, the sleeve is adapted to extend beyond the lesser trochanter, to or near or beyond a patient's isthmus, and provide diaphyseal fixation.

Abstract: Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable used in conjunction with an orthopedic implant device, a bone, and/or bone implant or structure. Systems and methods provide a clamping body, a clamping mechanism, and a force application member that cooperate to allow tensioning and re-tensioning of a surgical cable.

Abstract: Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable used in conjunction with an orthopedic implant device, a bone, and/or bone implant or structure. At least one apparatus and system in accordance with various embodiments of the invention include a clamping body adapted to positioning within a patient's body; and a clamping mechanism adapted to securing an orthopedic cable to the clamping body, creating a first tension in the orthopedic cable, releasing the tension in the orthopedic cable, and re-securing the orthopedic cable relative to the clamping body to secure another tension in the orthopedic cable. A sequence for a method in accordance with various embodiments the invention includes providing a surgical cable clamp and an orthopedic surgical cable. Next, mounting a portion of the surgical cable to the surgical cable clamp.

Abstract: Shrouds for use with an implant in order to allow a surgeon to determine when the implant has been inserted into the femoral canal (or other bone as applicable) a proper distance during implantation. Such a shroud is useful to ensure that the patient's limb after prosthesis implantation is the correct length. The shrouds described have a distal surface which, when properly positioned relative to the implant, indicate proper insertion distance, such as by abutting a portion of the femur upon reaching correct insertion distance. The shrouds may contain a cavity which receives all or part of the neck or taper of the implant in order to position the distal surface correctly. The shrouds described can also help determine correct version of the implant, retain cement in the bone canal or cavity during implantation, pressurize the cement, and protect surfaces of the implant during the implantation.