Abstract: An anchoring component for implanting with a prosthetic component comprises an annular body comprising an interior surface defining a socket for receiving a stem of the prosthetic component and an exterior surface for engaging bone, an internal void within the annular body and a functional component disposed within the internal void to provide supplemental functionality to the anchoring component. The functional component can comprise a treatment fluid or a sensor module.

Abstract: A system including a prosthesis assembly for a constrained knee including a tibial baseplate, a mobile bearing, and a fixed bearing. The tibial baseplate can include a distal surface and a proximal surface that can be configured to receive a hinge post. The mobile bearing can be configured to couple with the tibial baseplate and to rotate about at least a first axis approximated by a centerline of the hinge post. The rotation about at least the first axis can be limited by at least the first engagement feature. The fixed bearing can be configured to be coupled to the tibial baseplate. The fixed bearing can be restrained from rotating about the first axis by at least the first engagement feature of the tibial baseplate. The tibial baseplate can be configured to be assembled with either the mobile bearing or the fixed bearing.

Abstract: A prosthesis assembly may include a femoral component, a tibial bearing component engaged by the femoral component and a tibial baseplate. The prosthesis assembly may include a hinge post coupled to the femoral component and at least partially received in a recess in the tibial baseplate. The prosthesis assembly may include a bushing received in a recess in the tibial baseplate. The hinge post is at least partially received by the bushing and the bushing includes one or more engagement features configured to couple the bushing to the hinge post.

Abstract: The techniques described herein relate to a prosthesis assembly. The prosthesis assembly may include a femoral component, a tibial bearing component engaged by the femoral component and a tibial baseplate. The tibial baseplate can include a bushing received in a recess in the tibial baseplate and a hinge post coupled to the femoral component and the bushing. The hinge post can be at least partially received by the bushing. A prosthesis assembly may include a capture element coupled to the tibial baseplate. The capture element can be engaged by at least one of the bushing or the hinge post to limit distraction of the femoral component from the tibial bearing component and tibial baseplate.

Abstract: A tibial implant comprises a tibial tray component comprising a tray plate with proximal and distal surfaces, a stem and a segmented keel extending from the distal surface, the segmented keel including a first wing having a first notch proximate the stem, and a first taper extending along the stem in a first axial position axially aligned with the segmented keel. A sleeve for a stem of a prosthetic implant comprises an annular body, an inner passage extending through the annular body, the inner passage comprising a Morse taper, and a first slot extending into the annular body to intersect the inner passage and the Morse taper. A method comprises fabricating a stemmed prosthetic component from a metallic material, advancing a machining tool into a notch in a keel wing extending from the stem, and forming a Morse taper on the stem with the machining tool in the notch.

Abstract: The techniques described herein relate to prosthesis assembly including a baseplate with a medial/lateral midline extending between a medial compartment and a lateral compartment and a keel extending distally from the distal surface to define a longitudinal keel axis. The longitudinal keel axis is medially biased toward the medial compartment so as to be spaced a first distance medial of the medial/lateral midline. The prosthesis assembly includes a hinge post having an longitudinal axis, the hinge post received in a recess in the baseplate including in the keel.

Abstract: A prosthesis assembly can include a tibial tray, a tibial bearing component, a hinge post, a femoral component, a shackle, walls, a hinge axle, and a bump stop. The hinge post can extend through the tibial bearing component and be at least partially received in a recess of the tibial tray. The femoral component can contact an articular surface of the tibial bearing component. The shackle can be coupled to the hinge post and configured to be inserted between a medial and a lateral condyle of the femoral component. The walls can be positioned between the femoral component and the shackle. The hinge axle can be configured to secure the femoral component to the shackle. The bump stop can be removably attached to the femoral component and configured to contact the shackle at a set limit of rotation of the femoral component relative to the tibial bearing component.

Abstract: A prosthesis system may include a femoral component, a tibial bearing component configured to articulate with the femoral component, a baseplate, a plurality of bushings, one or more hinge posts and a capture element. The capture element can be configured to couple with the baseplate and can have a thru hole configured to allow at least a portion of the one or more hinge posts to pass therethrough. When coupled to the baseplate, the capture element is configured to be engaged by at least one of the plurality of bushings or one of the one or more hinge posts to limit distraction of the femoral component from the tibial bearing component and baseplate.

Abstract: In one aspect, a provisional tibial prosthesis system is shown and described. The provisional tibial prosthesis system optionally includes any one or combination of: a tibial component, a base component and a shim. The tibial component can have a rail that defines a pocket and a distal surface configured to seat on a resected proximal surface of a tibia. The base component can be configured to seat within the pocket of the tibial component when positioned thereon. When so positioned with the pocket, the base component can have a substantially flat proximal surface and a substantially flat distal surface. The shim can have a feature configured to couple with a second feature of the base component when disposed thereon. The shim can have a substantially flat proximal surface.

Abstract: Systems and methods for reaming an intramedullary canal of a long bone comprise a trial stem configured to extend into the long bone along an insertion axis and a guide device comprising an adapter configured to couple to the trial stem and a reaming guidepost extending from the adapter along a guide axis, wherein the guide axis and the insertion axis are non-aligned. A method of reaming an intramedullary canal of a long bone to form a complex shaped socket can comprise inserting a stem into the intramedullary canal along an insertion axis, connecting a guide device to the stem, the guide device comprising a guidepost extending along a guide axis and guiding a cannulated reamer along the guidepost to remove bone from the intramedullary canal to form the complex shaped socket, wherein the guide axis and the insertion axis are non-aligned.

Abstract: An impaction cradle (50) for supporting a femoral (10) or tibial (70) implant on a planar support surface such as a tabletop. The impaction cradle can orient the femoral or tibial implant on the impaction cradle such that an attachment feature of the implant for an intramedullary stem or metaphyseal sleeve is aligned with a vertical plane or parallel to the true vertical axis. In this position, the intramedullary stem or metaphyseal sleeve can be impacted along a generally vertical axis to drive the intramedullary stem or metaphyseal sleeve along an impaction axis parallel to a true vertical axis or positioned within a vertical plane. The generally vertical impaction angle can be easier for medical practitioners to accurately impact the intramedullary stem or metaphyseal sleeve, which lowers the risk of damage to the intramedullary stem, metaphyseal sleeve, or the femoral or tibial implant.

Abstract: An impaction cradle (50) for supporting a femoral (10) or tibial (70) implant on a planar support surface such as a tabletop. The impaction cradle can orient the femoral or tibial implant on the impaction cradle such that an attachment feature of the implant for an intramedullary stem or metaphyseal sleeve is aligned with a vertical plane or parallel to the true vertical axis. In this position, the intramedullary stem or metaphyseal sleeve can be impacted along a generally vertical axis to drive the intramedullary stem or metaphyseal sleeve along an impaction axis parallel to a true vertical axis or positioned within a vertical plane. The generally vertical impaction angle can be easier for medical practitioners to accurately impact the intramedullary stem or metaphyseal sleeve, which lowers the risk of damage to the intramedullary stem, metaphyseal sleeve, or the femoral or tibial implant.

Abstract: According to one example, a for revision knee arthroplasty is disclosed. According to this example, the method can include shaping a bone of a patient to create one or more recesses therein, selecting a stem provisional, disposing the stem provisional within the one or more recesses, and assembling in vivo the stem provisional with both a first provisional component configured to simulate a shape of one of a tibial tray implant or a femoral implant and a second provisional component configured to simulate a shape of at least one of a sleeve component, a cone component or a keel component of an implant.

Abstract: According to one example, a for revision knee arthroplasty is disclosed. According to this example, the method can include shaping a bone of a patient to create one or more recesses therein, selecting a stem provisional, disposing the stem provisional within the one or more recesses, and assembling in vivo the stem provisional with both a first provisional component configured to simulate a shape of one of a tibial tray implant or a femoral implant and a second provisional component configured to simulate a shape of at least one of a sleeve component, a cone component or a keel component of an implant.

Abstract: A prosthetic implant system for reconstructing a knee joint comprises a prosthetic implant and sleeve. The prosthetic implant comprises a tibial tray component for reconstructing a tibia of the knee joint, and a stem configured to extend from the tibial tray component to anchor the tibial tray component in the tibia of the knee joint. The sleeve comprises an outer wall configured to engage with bone, and an inner bore configured to receive the stem. The inner bore is shaped to couple to the prosthetic implant at a first location proximate the tibial tray component while surrounding the stem, and uncouple from the prosthetic implant at a second location spaced from the first location while still surrounding the stem. Methods employing the prosthetic implant system can comprise intraoperatively determining to use the sleeve in a coupled or un-coupled configuration based on a depth of a broach into a broached channel.

Abstract: An impaction cradle (50) for supporting a femoral (10) or tibial (70) implant on a planar support surface such as a tabletop. The impaction cradle can orient the femoral or tibial implant on the impaction cradle such that an attachment feature of the implant for an intramedullary stem or metaphyseal sleeve is aligned with a vertical plane or parallel to the true vertical axis. In this position, the intramedullary stem or metaphyseal sleeve can be impacted along a generally vertical axis to drive the intramedullary stem or metaphyseal sleeve along an impaction axis parallel to a true vertical axis or positioned within a vertical plane. The generally vertical impaction angle can be easier for medical practitioners to accurately impact the intramedullary stem or metaphyseal sleeve, which lowers the risk of damage to the intramedullary stem, metaphyseal sleeve, or the femoral or tibial implant.

Abstract: According to one example, a for revision knee arthroplasty is disclosed. According to this example, the method can include shaping a bone of a patient to create one or more recesses therein, selecting a stem provisional, disposing the stem provisional within the one or more recesses, and assembling in vivo the stem provisional with both a first provisional component configured to simulate a shape of one of a tibial tray implant or a femoral implant and a second provisional component configured to simulate a shape of at least one of a sleeve component, a cone component or a keel component of an implant.

Abstract: According to one example, a provisional system for a knee arthroplasty is disclosed. The system can include any one or combination of a first provisional component, a second provisional component, a stem provisional assembly and a fastener. The first provisional component can be configured to be disposed on a resected bone surface. The second provisional component can be configured to be disposed in a first recess beneath the resected surface of the bone. The stem provisional assembly can be configured to be disposed in a second recess, the stem provisional assembly configured to be engageable in vivo to position the first provisional component on the resected surface of the bone. The fastener can be configured to couple the first provisional component, the second provisional component and the stem provisional assembly together as an assembly.

Abstract: A prosthetic implant system for reconstructing a knee joint comprises a prosthetic implant and sleeve. The prosthetic implant comprises a tibial tray component for reconstructing a tibia of the knee joint, and a stem configured to extend from the tibial tray component to anchor the tibial tray component in the tibia of the knee joint. The sleeve comprises an outer wall configured to engage with bone, and an inner bore configured to receive the stem. The inner bore is shaped to couple to the prosthetic implant at a first location proximate the tibial tray component while surrounding the stem, and uncouple from the prosthetic implant at a second location spaced from the first location while still surrounding the stem. Methods employing the prosthetic implant system can comprise intraoperatively determining to use the sleeve in a coupled or un-coupled configuration based on a depth of a broach into a broached channel.

Abstract: A surgical instrument including a shaping instrument for shaping a bone as well as an impaction/extraction device for use with the shaping instrument is disclosed.