Abstract: A suture construct includes a single filament of suture forming two cinchable loops from separate finger trap arrangements, with a fixed-length spanning portion extending between fixed portions of the two finger traps. A tail of the suture extends from each finger trap and is slidably disposed therein to cinch the respective loop. The construct can include an anchor slidably coupled to each of the first and second loops. An inserter for the construct includes first and second insertion devices, each having a proximal handle and distal insertion shaft. The two handles couple together to dispose the insertion shafts alongside each other, with a first shaft extending through the second handle shaft and beyond the second shaft. The first handle is coupled proximal to the second such that the first device can be decoupled from the second by removing it proximally, which withdraws the first shaft from the second handle.

Abstract: Implants are provided. In one exemplary embodiment, an implant includes a spacer configured to be implanted within a joint. The spacer includes an elongated central body extending from a first end to a second end with a longitudinal axis extending therebetween, and first and second wings extending from the first and second ends of the elongated central body, respectively. The elongated central body has a first maximum height in a direction transverse to the longitudinal axis, and each of the first and second wings has a maximum height greater than the first maximum height. When implanted and in the inflated state, at least one of the first wing and the second wing is configured to mechanically interlock with a portion of the anatomy to thereby self-anchor the spacer to the joint and inhibit migration of the spacer. Implant systems and methods for biomechanically augmenting muscle function are also provided.

Abstract: Methods and systems are provided for securing tissue to bone. A suture anchor system can include an inserter tool having a lumen and an inserter shaft with an anchor receiving portion that is proximal to a distal extension. The anchor receiving portion can have a drive feature and the distal extension can have a diameter less than the anchor receiving portion. An anchor can be disposed on the anchor receiving portion of the inserter tool, and can have a driven feature disposed in a lumen configured to engage the drive member of the anchor receiving portion and a bone-engaging feature disposed on an external surface. A suture seating member can be removably disposed on the distal extension, can be rotatable independent of the anchor, and can have a lumen with an opening on a distal end, where the distal end of the suture seating member has a suture seating surface.

Abstract: Various embodiments are directed to femoral and tibial bases that form structures of an implantable mechanical energy absorbing system. A bone facing surface of each type of base has a main surface portion and a plurality of protrusions extending from the main surface portion. The base can be attached to a bone so that the main surface portion is disposed in contact with but not penetrating into soft tissue at a substantially uniform distance from the bone.

Abstract: Various methods for treating a joint are disclosed herein. According to one method, a joint is surgically treated by performing a surgical repair treatment on tissue within the joint capsule; implanting a load reducing device at the joint and entirely outside of the joint capsule to reduce load transmitted by the treated tissue to allow for the tissue within the joint capsule to heal; and partially unloading the joint during healing of the surgical repair site.

Abstract: A medical fastening system for a modular knee prosthesis system includes a femoral component having a first surface, a second surface, and an aperture extending therebetween. A modular adapter element has a first end that is mountable adjacent the first surface of the femoral component and a second, mating end that is engagable with a second prosthesis component. The system also includes a first bolt that mates the adapter element to the femoral component. Various connection options are possible to secure different components of the system to each other.

Abstract: A knee joint prosthesis includes a femoral component, a tibial plateau, and a tibial bearing member. The design and geometry of the articulation surfaces of the condylar elements of the femoral component and tibial bearing member is such that contact area between the articulation surfaces is maximized during flexion of the prosthesis. This is achieved by increasing the coronal radius of the bearing surfaces of the femoral component in the anterior to posterior direction along the bearing surface, i.e., increasing the coronal radius of the bearing surfaces of the femoral component as the femoral component transitions from extension to flexion.

Abstract: A medical fastening system for a modular knee prosthesis includes a femoral component having an aperture. A washer having an aperture alignable with at least a portion of the aperture in the femoral component engages the femoral component to inhibit movement of the washer through the aperture in the femoral component. A bolt engages the washer and an elongate shaft portion of the bolt protrudes from the femoral component through the aperture in the washer and the aperture in the femoral component to engage a Morse taper post or femoral stem. The configuration of the washer aperture, its location in the washer, and the orientation of the washer within the femoral component determine the fore and aft positioning of the Morse taper post or femoral stem. The Morse taper post or femoral stem can be provided with a canted base to angle the post or stem with respect to the femoral component.

Abstract: A modular knee prosthesis includes a Morse taper post that is matable with a first portion of a femoral sleeve. A second portion of the femoral sleeve is joined with a femoral stem that is introducible within the medullary canal of a distal portion of a femur. In an exemplary embodiment, the modular knee prosthesis includes a femoral component, a bolt, and a Morse taper post. The femoral component has a superior surface, an inferior surface, and an aperture. The bolt includes a head portion engagable with the superior surface of the femoral component to inhibit movement of the bolt through the femoral component, and an elongate shaft portion that extends from the head portion of the bolt. The elongate shaft portion has a length sufficient to protrude through the aperture beyond the inferior surface of the femoral component.

Abstract: A patellar component is provided for fixation to a patella and a total knee arthroplasty surgical procedure in which multiple surfaces are provided on an outer ring on the inferior surface of the patellar component to provide multi-directional load bearing surfaces available to resist loosening of the patellar component and which requires minimal bone removal for implantation.

Abstract: An augmentation system for a femoral component of a knee prosthesis includes a main augmentation block and a secondary block disposed within the main augmentation block. The secondary block is adjustably positioned within the main augmentation block such that relative motion between the two facilitates easy and secure fixture of the augmentation system within a prosthesis. The augmentation system of the invention can be used with either left or right side prostheses.

Abstract: A modular knee prosthesis includes a femoral component having a pair of spaced apart condylar portions each having a superior articulating surface and an inferior surface, and a boss structure disposed between and connecting the condylar portions. The prosthesis further includes an elongate stem member that mounts within the medullary canal of a distal portion of a femur, a collar and at least one securing bolt. The collar mounts upon the external end of the stem member, and has a distal surface that is substantially transverse to a longitudinal axis of the stem member when mounted thereon. The collar distal surface and the inferior surface of the boss structure define a selected mounting angle therebetween, and the securing bolt, which is adapted to mount within an aperture formed in the boss structure, has a head portion with a spherical first surface from which an elongate shaft portion extends.