Abstract: Surgical cutting instruments and methods of use are described. The surgical cutting instrument (100) comprises an instrument body (102) with a first attachment mechanism (106) at a distal end. A cutter (104) has a central core (110), a plurality of cutting formations (130, 136) and a plurality of lobes (112, 114, 116) extending from the central core. The central core has side walls (118, 120, 122) which define an entirely open mouth and the side walls include a second attachment mechanism (140, 142, 144) which can interact with the first attachment mechanism to releasably attach the cutter to the distal end of the instrument body. At least one cutting formation (136) is provided on an end outer face (138) of the cutter opposite the entirely open mouth.

Abstract: Methods and devices are provided for implanting a cross-pin through a bone tunnel, such as in an arthroscopic surgical procedure. In general, the methods and devices allow a cross-pin hole to be formed in a medial side of a knee bone such that it intersects a bone tunnel formed in the knee bone. In one embodiment, a cross-pinning guide device is provided that can be configured to angularly position the cross-pin hole relative to the bone tunnel to allow the cross-pin hole to intersect the bone tunnel without passing through another side, e.g., a lateral side, of the knee bone. The knee bone can be a femur or a tibia such that the cross-pin hole and the bone tunnel can each be entirely formed in the femur or in the tibia.

Abstract: A surgical instrument extraction system includes a first extraction tool having a first body that extends between a first end and a second end. The first extraction tool has a first plurality of threads formed on the first end and a second plurality of threads formed on the second end. A second extraction tool has a second body that extends between a first end having a first diameter and a second end having a second diameter greater than the first diameter. The second extraction tool has a first plurality of threads formed on the first end and a second plurality of threads formed on the second end The first body of the first extraction tool is sized to extend through a bore of the second extraction tool. The second body of the second extraction tool is sized to extend through a bore of the first extraction tool.

Abstract: A cartilage trimmer according to an exemplary aspect of the present disclosure includes, inter alia, a guide pin connected to a cutter with a blade projecting from only one side of the guide pin.

Abstract: The present disclosure illustrates an osteotome for treating hard tissue. The osteotome embodiments described herein include a shaft with a working end configured to displace hard tissue and a lumen to deliver material through the shaft. The working end may create pathways by selectively transitioning from a linear to a non-linear configuration. The lumen may deliver material through the shaft while the working end is in a linear or a non-linear configuration allowing precise filling of the pathways.

Abstract: The present disclosure relates to a system and method for repairing an articular surface. A guide pin may be secured to an articular surface of a glenoid, wherein the guide pin defines a working axis and the working axis is positioned at an angle ? relative to the articular surface, wherein angle ? is less than or equal to 90 degrees. An excision device may be advanced over the guide pin, wherein the excision device includes a cannulated shaft and at least one cutter, wherein the at least one cutter is generally aligned in a single plane. A generally hemi-spherical excision site may be formed with the excision device within the articular surface of the glenoid.

Abstract: A gate driving circuit includes a shift unit and a switch unit. The shift unit receives a start input signal, a first clock input signal and a second clock input signal to generate an enable output signal. The switch unit is connected to the shift unit and receiving the enable output signal. The switch unit outputs a third clock signal based on the enable output signal.

Abstract: A tool for inserting a spinal implant is disclosed. The tool includes a tube with a handle end, an inserter end having an opening, and a curved portion located between the handle end and the inserter end. A driveshaft with an actuator extends within the tube so that the actuator is proximate to the opening. A knob is attached to the handle end and the driveshaft, wherein turning the knob rotates the actuator. Methods of utilizing the tool, as well as variations of the tool are also disclosed.

Abstract: A method and system for femoral condylar resection arthroplasty of the knee, which preserves the undamaged meniscus, whether by arthroscopy or arthrotomy, and only replaces the damaged area of the femoral condyle. In one embodiment, only the distal femoral condyle is replaced and the posterior femoral condyle remains intact. In another embodiment, both the distal and posterior femoral condyle are replaced. The method and system include placing an intercondylar insert between articular surfaces of a distal femoral condyle and a tibial plateau with the knee in extension. The method and system also includes a box retractor having four right angle blades, two for medial structures and two for lateral structures. The blades are at two depths, shallow and deep. The components of the system are preferably of plastic material. The method and system preserve the meniscus on top of the tibial plateau.

Abstract: Methods for resecting a portion of a knee joint are described herein. While the described methods can comprise any suitable step, in some implementations, the methods include cutting a cylindrically-shaped hole in a portion of the knee joint selected from at least one of a distal portion of a femur and a proximal portion of a tibia in the knee joint; and using a depth of the cylindrically-shaped hole as a reference point to resect bone around the cylindrically-shaped hole to a depth substantially matching the depth of the cylindrically-shaped hole. Other implementations are described.

Abstract: Disclosed is an invention that provides a method of treating a bone void of a patient through the use of an implantable device whilst minimising the potential for an increase in pressure within the bone void thus avoiding embolization of the void contents into the patient's bloodstream.

Abstract: The present disclosure relates to electromechanical surgical systems configured for use with removable disposable loading units and/or single use loading units for clamping, cutting and/or stapling tissue. A force transmitting assembly of surgical instrument transmits a rotation of a rotatable drive member of the surgical instrument to the rotation receiving member of the end effector. A distal neck assembly of the surgical instrument includes at least one gear system configured to convert a rotational input of the rotatable drive member into at least two output forces to the end effector; and an articulating neck assembly interconnecting the tubular body and the distal neck housing. The articulating neck assembly is configured to enable off-axis articulation of the distal neck assembly. The rotatable drive member extends through the articulating neck assembly.

Abstract: Various torque-limiting screwdriver devices, systems, and methods are disclosed. The screwdriver can include a body, a motor that is configured to rotate a screw engaged with the screwdriver, and a processor configured to control operation of the screwdriver. The screwdriver can have torque-limiting functionality, such as by monitoring the amount of torque applied to the screw and reducing or stopping rotation of the screw when certain torque-limiting criteria are met. In some embodiments, the screwdriver can be switched between manual operation by a user, and automated operation by a motor within the screwdriver. In some embodiments, the screwdriver can be attached to a robotic arm.

Abstract: The flexible and fluted cutting device for drilling and/or milling a space in bone tissue or connective tissue includes, on the one hand, a cutting element (2) made up of a rigid tube (20) secured at one of its ends to a supple and flexible connection (21) extended by a fluted cutter (22) and at the opposite end to drive element provided with a safety connector (23) for uncoupling the cutting device and, on the other hand, a guide element (3) providing the positioning and angular deformation of the cutting element (2) within the bone tissue or connective tissue.

Abstract: Systems and methods for calibration of a shaft of a surgical tool are provided. The tool includes an elongate shaft configured to be coupled to an electromechanical arm of a robotic surgical system and having an end effector coupled to a distal end thereof, the shaft being rotatable about its longitudinal axis. The tool also includes at least one target associated with the shaft and configured to be non-independently movable with respect to the shaft, wherein a position of the target is detected using at least one sensor disposed such that the shaft is able to move independently of the sensor. The detected position is used to determine a rotational angle of the shaft. This can involve accessing a memory on the tool or the system storing values related to a target position in association with corresponding values of a shaft rotation angle.

Abstract: An orthopedic device includes a patient-specific acetabular guide that may be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide has a body with an outer three-dimensional surface configured to match an acetabulum of a specific patient's hip joint designed from data of the patient's hip joint. The acetabular guide may further include a peripheral annular rim.

Abstract: There is disclosed a sagittal saw blade mount and corresponding sagittal saw blade. The blade mount is configured to rotationally oscillate along a plane of motion about an axis of rotation which passes through the blade mount crossing the plane of motion at a point of rotation. The blade mount comprises a securing portion comprising two securing faces passing through the plane of motion and a locking member configured to urge a blade towards the securing portion in a first direction parallel to the plane of motion, thereby securing the blade between the locking member and the securing faces. The two securing faces are angled such that the planes of the securing faces intersect with each other and with the plane of motion at a point of intersection which is positioned such that the point of rotation lies between the point of intersection and the securing portion.

Abstract: Sensing technology methods related thereto for determining cut through of bone and a depth of penetration of a working portion of a surgical instrument (e.g., an oscillating saw blade in a cut). A first sensor outputs a first signal representative of a displacement of the cutting edge of the saw blade in the cut. A second sensor outputs a second signal representative of a force applied to the cutting edge of the saw blade. As such, monitoring the first and/or second sensor may allow for the saw to be stopped upon completion of a cut (e.g., when the saw passes completely through a medium to be cut or upon reaching a predetermined depth for the cut).

Abstract: Described herein are specialized endoscopic drilling devices that may be readily powered by a conventional shaver handpiece and further may be utilized to secure a soft tissue graft to a boney surface. More particularly, the devices, systems and methods of the present invention enable the efficient and minimally invasive formation of off-axis sockets and/or tunnels in boney surfaces that may then serve as a site for graft placement by aperture and/or suspensory fixation means. As such, the present invention has particular applicability to the surgical repair and reconstruction of torn or ruptured tissues, such as ligaments and tendons, in the leg, knee and shoulder, for example.

Abstract: A mobile cage system for restoring motion kinematics of the spine featuring a pair of opposing caps that form a cavity and a nucleus disposed in the cavity. The system allows for motion of the caps relative to the nucleus. The mobile cage system provides sufficient support so as to eliminate the need for incorporation of a metal plate or rod and pedicle screws that may be used for spinal fusions. The mobile cage system of the present invention also prevents vertical collapse of the vertebrae and complete bone fusion, and the mobile cage system helps preserve intervertebral motion of the spine.

Abstract: A bone implant comprising an elongate body having a first end and a second end coupled by a shaft is disclosed. The first portion is configured to couple to a first bone. The second portion comprises a first expandable section comprising at least one expandable feature. The first expandable section is configured to be received within a reverse countersink in a second bone in a collapsed state and to expand within the reverse countersink. The expandable feature couples to a bearing surface of the reverse countersink. A surgical tool comprising a shaft and at least one expandable cutting edge is disclosed. The shaft is sized and configured to be received within a canal formed in a bone. The expandable cutting edge is formed integrally with the shaft. The expandable cutting edge is configured to expand from a collapsed position to an expanded position for forming a reverse countersink.

Abstract: The present invention relates to a medical instrumentation for implanting an acetabular cup, comprising at least one medical guiding instrument for a first reaming tool, wherein the guiding instrument comprises a shaped body, wherein the shaped body has a patient-specific bone abutment surface facing in the distal direction and deviating from a spherical surface section, wherein the bone abutment surface is shaped so as to correspond or substantially correspond to a bone surface of the patient, and wherein a guiding shaft, defining a longitudinal axis, for guiding the first reaming tool protrudes from the shaped body and faces in the proximal direction.

Abstract: There is disclosed a sagittal saw blade mount and corresponding sagittal saw blade. The blade mount is configured to rotationally oscillate along a plane of motion about an axis of rotation which passes through the blade mount crossing the plane of motion at a point of rotation. The blade mount comprises a securing portion comprising two securing faces passing through the plane of motion and a locking member configured to urge a blade towards the securing portion in a first direction parallel to the plane of motion, thereby securing the blade between the locking member and the securing faces. The two securing faces are angled such that the planes of the securing faces intersect with each other and with the plane of motion at a point of intersection which is positioned such that the point of rotation lies between the point of intersection and the securing portion.

Abstract: Bone harvesting tools and methods of use thereof are disclosed. In an embodiment, the tool comprises a chamber having a first aperture, a second aperture, an internal cavity, and a suction source fluidly connected with the chamber. The suction source is effective to generate negative pressure within the internal cavity of the chamber. The tool also has a reamer having a reaming portion, the reamer being sized to extend through the first and second apertures of the chamber, wherein the reamer is movable relative to the chamber. Additionally, the tool includes a storage container fluidly connected to the internal cavity of the chamber and effective to receive bone and/or cellular material extracted from the patient, the bone and/or cellular material being extracted during reaming a bone of the patient with the reamer.

Abstract: A patient-specific cutting assembly comprises a model file including geometrical data of a bone of the patient, of an intramedullary canal of the bone, and a planned orientation of a cutting block. A fixing rod is adapted to be longitudinally inserted in and extending partially from the intramedullary canal. A patient-specific cutting block is connectable to the fixing rod. The patient-specific cutting block includes a structure having a patient specific geometry corresponding to the model file of the patient, the structure configured to be connected to a portion of the fixing rod projecting from the bone in a unique coupling orientation. A cutting guide is connected to the structure, the cutting guide being in the planned orientation when the structure is connected to the portion of the fixing rod projecting from the bone.

Abstract: The invention relates to a surgical guide (1, 1?) for implanting a knee prosthesis, advantageously capable of allowing the intraoperative balancing of the knee ligaments, comprising: a first component (G1, G1?) intended for uniquely coupling with the distal epiphyseal end (Ed) of a femur (Fe); a template (Gr, Gr?) rotatably mounted with respect to said first component (G1, G1?) and intended for guiding a marking operation of said distal epiphyseal end (Ed) aimed to determine the position of a knee prosthesis to be implanted; and a second component (G2) intended for solidly coupling said template (Gr, Gr?) with a proximal epiphyseal end (Ep) of a tibia (Ti) corresponding to said femur (Fe).

Abstract: A surgical method utilizes a cutting blade having a thickness along a cutting edge of between about 0.0005 inch and about 0.020 inch and preferably between about 0.001 inch and 0.010 inch. The blade is moved in contact with relatively hardly tissues which are disposed adjacent to softer tissues at a surgical site in a patient. The blade is ultrasonically vibrated during the moving of the blade, whereby the hard tissue is cut with a modicum of damage being inflicted on the soft tissue.

Abstract: The present invention concerns a marker for bones, particularly for marking irregularities in the femoral head. There is described a surgical instrument having a shaft including a handle towards a proximal end and an arm towards a distal end. The arm includes a template, and the arm and/or template further includes tissue marking means for marking differences in the curvature of a tissue surface.

Abstract: Systems and methods for bone cement removal using real-time acoustic feedback, such as during a drilling process in a revision arthroplasty, are discussed. A system for bone cement removal may include a processor to perform operation comprising receiving digital frequency data from the microphone, comparing at least a portion of the digital frequency data to a plurality of frequency signatures, and determining, based at least in part on the comparing, whether the portion of the digital frequency data is representative of a cut bone frequency or a cut bone cement frequency.

Abstract: A dynamic trialing method generally allows a surgeon to perform a preliminary bone resection on the distal femur according to a curved or planar resection profile. With the curved resection profile, the distal-posterior femoral condyles may act as a femoral trial component after the preliminary bone resection. This may eliminate the need for a separate femoral trial component, reducing the cost and complexity of surgery. With the planar resection profile, shims or skid-like inserts that correlate to the distal-posterior condyles of the final insert may be attached to the distal femur after the preliminary bone resection to facilitate intraoperative trialing. The method and related components may also provide the ability of a surgeon to perform iterative intraoperative kinematic analysis and gap balancing, providing the surgeon the ability to perform necessary ligament and/or other soft tissue releases and fine tune the final implant positions based on data acquired during the surgery.

Abstract: The present invention discloses a lateral grinding drill with continuously variable angle, including a tube body component and a grinding head arranged at the front end of the tube body component, the grinding head being configured to be driven to pitch and rotate on its own axis, the tail end of the grinding head is articulated to the inner tube body along the circumferential direction in a form of transmission, and a flexible transmission part is arranged at least on the front end of the inner tube body, which is configured to be articulated to the tail end of the grinding head and be able to transmit torque. The present invention adopts a direct articulated structure to transmit the transmission between the inner tube body and the grinding head, and can implement pitching motion. A flexible transmission structure is used to compensate the axis deviation caused by the pitching and driving.

Abstract: Devices and methods for use in a hip replacement surgical procedure. One aspect includes methods and devices for reaming selective regions of the femoral canal. This may include reaming distal and proximal sections of the femoral canal prior to reaming a middle region of the canal. Another aspect includes a dummy implant and methods of use. The dummy implant is inserted into the femoral canal and may be used for one or more of retraction of the femur, gauging a space with the acetabulum, and further revising the femoral cut. The aspects may be used together in a single surgical procedure or separately in different surgical procedures.

Abstract: A system for implanting an anchor into bone, the system comprising a curved cannulated guide for percutaneous insertion, having a proximal end and a distal end; a flexible drill insertable through the curved guide from the proximal end to the distal end, the flexible drill having a shaft having a flexible portion; and a flexible inserter for inserting a suture anchor into a bore at the anatomical site formed by the flexible drill, the flexible inserter having a shaft having a flexible portion, wherein the flexible portions of both the flexible drill and flexible inserter include a series of discrete, interlocking segments.

Abstract: Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing an intravascular device having a distal portion, inserting the device into the vascular lumen, positioning the distal portion in the vascular wall to at least partially surround the occlusion, and removing at least a portion of the surrounded occlusion from the lumen.

Abstract: A drill guide includes a body, a stabilizing member, a tubular guide sleeve, and an engagement member. The body includes a first channel aligned with a longitudinal axis and a second channel transverse to the longitudinal axis. The first channel is dimensioned to receive the sleeve, while the second channel is dimensioned to receive an engagement member. The engagement member is adapted to move within the second channel between an engaged position, where the engagement member inhibits proximal motion of the sleeve, and a second position, where motion of the sleeve is not inhibited. An alignment member is further mounted to the distal end of the sleeve that includes a distally extending member, spaced from the sleeve. In use, the distally extending member may be employed to exert a force upon a bone or other tissue lateral to the longitudinal axis for improved positioning of the bone or tissue.

Abstract: A system and method for implanting and stabilizing spinal cord stimulators in an epidural space of the spinal column of a patient to prevent or limit axial movement of the stimulators once implanted in the epidural space. The system includes a drill assembly, a guide wire assembly, and a guide wire receiver. The drill assembly includes a cannula, a drill for creating access points in the patient's spinal column for implanting the stimulators, and an incremental drill adjuster for drilling into the patient's lamina a pre-set, discrete distance. The guide wire assembly includes a hollowed guide wire sleeve, a guide wire housed within the sleeve, and a magnet disposed on a proximal end of the guide wire assembly. The guide wire receiver includes a scoop for receiving and catching the magnet to assist in feeding the stimulators through the epidural space.

Abstract: A bur with features that minimize the application of substantially identical forces to the tissue against which the bur is applied. One of these features is the arrangement of the flutes so that one pair of flutes projects outwardly from the tip at an acute angle that is greater than the angle at which the other flutes project outwardly from tip. Consequently at the equator of the bur head, the location along the bur head where the bur head has a maximum diameter, the flutes define a perimeter that is non-circular in shape.

Abstract: A surgeon can place a bone perforator in contact with a bone, and can hammer on the bone perforator. The hammering can drive teeth on the bone perforator into the bone, thereby creating a perforation in the bone. The surgeon can pry or break the bone along the perforation, can access tissue beneath the bone as needed, and can replace the bone along the perforation. In some examples, the bone perforator is formed as a bendable sheet having teeth in a fixed, single-file pattern, with a hammerable surface opposite the teeth. In other examples, the bone perforator has repositionable teeth.

Abstract: A number of orthopedic surgical instruments are also disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed.

Abstract: A surgical device capable of interconnecting to an external motorized hand pieces, bending a distal end segment, rotating a window element positioned distal to the distal end segment and rotating independently of it, and actuating a cutting element positioned within the outer window element and rotating independently of it.

Abstract: A surgical instrument includes a finishing rasp having a longitudinal axis, an elongated shaft, a handle, and a cutting head. The elongated shaft has an outer circumference and a bore formed therein, and the bore has an open end defined in a distal end of the elongated shaft and a blind end positioned proximally of the open end within the elongated shaft. The handle is secured to an opposite, proximal end of the elongated shaft. The cutting head is secured to, and extends away from, the distal end of the shaft. The cutting head has a length that extends along the longitudinal axis and is arcuate in shape so as to extend around less than the outer circumference of the elongated shaft at the open end of the bore. The cutting head includes a plurality of linear cutting teeth that extend along the length of the cutting head.

Abstract: An alignment system for the muscular-skeletal system is disclosed. The system supports parameter measurement and alignment. The system comprises a sensored device, a reference position tool, and a remote system configured to receive and display sensor data. The sensored device includes a three-axis accelerometer configured to measure position, rotation, and slope. The reference position tool comprises a body, a first arm coupled to a proximal end of the body, and a second arms coupled to a proximal end of the body. The sensored device couples to the reference position tool. The first and second arms of the reference position tool couples to the muscular-skeletal system in predetermined locations to allow a position of the muscular-skeletal system to be referenced. The body of the reference position tool can extend and retract to adapt to different sized muscular-skeletal systems.

Abstract: An adjustable reaming device can include a proximal reamer and a positionable element. The positionable element removably attaches to the proximal reamer at one of a plurality of discrete longitudinal locations along the proximal reamer. A distal end of the positionable element forms a stop, which can contact a proximal end of a distal reamer and thereby limit distal motion of the proximal reamer with respect to the distal reamer. When the distal reamer is in contact with the positionable element, the distal reamer and proximal reamer are longitudinally offset by a one of a plurality of specified offsets. In some examples, the specified offsets correspond to a plurality of specified, discrete lengths for which implantable femoral stems are available.

Abstract: A guide for assisting with attachment of a stock prosthetic implant to a patient tissue includes a lower guide surface configured to contact an upper implant surface of the stock prosthetic implant when a lower implant surface of the stock prosthetic implant contacts the patient tissue. An upper guide surface is accessible to a user when the lower guide surface is in contact with the upper implant surface. At least one guiding aperture extends through the guide body between the upper and lower guide surfaces at a predetermined aperture location with respect to the guide body and defines a predetermined target trajectory through the guide body. At least one of the target trajectory and the aperture location of each guiding aperture is preselected responsive to preoperative imaging of the patient tissue. A method of assisting with attachment of a stock prosthetic implant to a patient tissue is also provided.

Abstract: A drill system for forming a curved tunnel in a bone includes a drill bit guidance device. The drill bit guidance device includes an elongated stationary outer tube extending along a first axis and an elongated inner tube. The elongated inner tube is configured to slidably move within the elongated stationary outer tube along the first axis and to exit from a distal end of the elongated outer tube. The elongated inner tube has a partially slotted distal end portion including a plurality of semi-cross-sectional slots extending perpendicular to the first axis. Each slot is configured to collapse inward in the slot direction when exiting the distal end of the elongated outer tube, thereby curving the distal end portion of the elongated inner tube.

Abstract: Sensing technology methods related thereto for determining cut through of bone and a depth of penetration of a working portion of a surgical instrument (e.g., an oscillating saw blade in a cut). A first sensor outputs a first signal representative of a displacement of the cutting edge of the saw blade in the cut. A second sensor outputs a second signal representative of a force applied to the cutting edge of the saw blade. As such, monitoring the first and/or second sensor may allow for the saw to be stopped upon completion of a cut (e.g., when the saw passes completely through a medium to be cut or upon reaching a predetermined depth for the cut).

Abstract: A system and method for aligning a guiding pin relative to a glenoid including a guiding pin insertion guide for orienting the guiding pin relative to the anatomic structure and an axis alignment device. The guiding pin insertion guide includes a base plate and a movable pin orientation device coupled to and extending from the base plate. The axis alignment device has a plurality of through holes that each define a different alignment axis. The guiding pin mates with one of the through holes to align the guiding pin at a patient-specific alignment axis, the guiding pin is then received within the guiding pin insertion guide when mated with the one of the through holes to align the guiding pin insertion guide along the patient-specific alignment axis relative to the base plate, and the guiding pin insertion guide is fixed to the base plate along the patient-specific alignment axis.

Abstract: A tool, in particular for use as a surgical drill, has a main tool body which, in order to be connected to a tool attachment unit, has a fixing unit which is provided to be at least partly unusable after the main tool body has been detached from the tool attachment unit. The fixing unit has at least one form-fit element, which is provided to accept axial tensile forces in order to axially secure the main tool body to the tool attachment unit. The fixing unit has an assembly direction and a deflection element which points in the assembly direction, and which is provided for movably attaching the form-fit element to the main tool body. It is proposed that the form-fit element and the deflection element have different directions of extension.

Abstract: An intramedullary bone fixation device is provided with an elongate body having a longitudinal axis and an actuator to deploy at least one gripper to engage an inner surface of the intramedullary space to anchor the fixation device to the bone. Methods of repairing a fracture of a bone are also disclosed. One such method comprises inserting a fixation device into an intramedullary space of the bone to place at least a portion of the fixation device on one side of the fracture, providing rigidity across the fracture, and operating an actuator to deploy at least one gripper to engage an inner surface of the intramedullary space to anchor the fixation device to the bone. Various configurations allow a segmented device body to lock in the intramedullary space before and/or after fixation of the bone.

Abstract: Arthroplasty components include an articular surface and a bone-facing surface. The bone-facing surface bears at least one anchoring element adapted for an oblique implantation trajectory. The articular surface includes a larger radius of curvature in the superior-inferior direction than in the anterior-posterior direction. An inferior chamfer may be present on the articular surface. Instruments and implantation methods are also disclosed. Reamers include reamer heads coupled to various offset shaft configurations.