Abstract: A surgical device includes an elongate body extending from a proximal end to a distal end. The distal end of the elongate body defines a notch sized and configured to receive a reamer. A coupling assembly is supported by the elongate body and includes a reamer guide body disposed at the distal end of the elongate body. The reamer guide body configured to move between a first position and a second position in which the reaming guide body extends at least partially across the notch. A locking assembly is supported by the elongate body and is configured to releasably engage the coupling assembly to maintain the reamer guide body in the second position.

Abstract: A medical device for preparing a bone of a joint of a patient includes a numerically controlled instrument having a housing including a controller, a processor and a tool driver, a patient-specific reference guide removably couplable to the housing, and a cutting tool removably coupled to the tool driver. The patient-specific reference guide has a three-dimensional inner surface preoperatively configured to mirror and mate with a corresponding surface of a bone of a joint of a patient in only one position. The patient-specific reference guide is configured to automatically register the numerically controlled instrument to the patient's bone portion intraoperatively. The cutting tool is movable along a patient-specific tool path determined during the preoperative plan for preparing a portion of the bone.

Abstract: A method for guiding a saw blade (22) during preparation of a metatarsal (14) of a foot (10) for a procedure, such as to receive a metatarsal bone implant (20), includes positioning a housing (242) substantially adjacent to the metatarsal (14), coupling an aligner (38) to the housing (242), and aligning a saw guide (30) of the housing (242). The housing (242) includes the saw guide (30) for receiving and guiding the saw blade (22). The foot (10) includes one or more additional metatarsals (142), and the aligner (38) is used to align the saw guide (30) relative to the metatarsal (14) by aligning the aligner (38) to be substantially parallel to and positioned over a longitudinal axis (40) of one of the additional metatarsals (142).

Abstract: An assembly and method for performing a bone shortening osteotomy are provided. An assembly for performing a shortening osteotomy on a bone may include a main guide configured to be coupled to the bone and to guide at least one cut into the bone. The assembly also may include at least a first interchangeable bone resection guide configured to engage the main guide and guide at least one cut into the bone wherein the cuts formed using the main guide and the first interchangeable bone resection guide cooperate to define two bone segments. The two bone segments may then be compressed together and affixed to promote healing of the bone.

Abstract: A bone graft shaper for shaping bone graft. The bone graft shaper includes a first holder having at least one shaped slot and a second holder coupled to the first holder, such that the first and second holder are sized and shaped to grasp the bone graft. A cutting guide is also included and has at least one slot. The cutting guide is coupled to one of the first holder and the second holder. The bone graft shaper also includes a bone saw sized and shaped to fit within at least one of the shaped slot and the cutting guide slot.

Abstract: The present application relates to a system for navigation-assisted shoulder operations in which the humeral component is partially replaced with a prosthesis, comprising: a first tracking unit which is configured to be fastened to a section of a bone which is to be removed during the operation; a detection unit which is configured to detect landmarks on the bone; a second tracking unit which is configured to be attached to another section of the same bone; a camera unit which simultaneously detects the first and second tracking unit, in order to determine their respective location; and a computational unit which is connected to the camera unit and is configured to: determine a first relative location of the landmarks relative to the first tracking unit from data acquired by means of the detection unit; and calculate a second relative location of the landmarks relative to the second tracking unit on the basis of the first relative location; such that additional navigated treatment apparatuses can be exac

Abstract: A method for positioning a bone cutting guide on a tibia may begin with coupling a bone cut positioning apparatus with a tibia. The method may also include adjusting the positioning apparatus in a varus/valgus orientation to shine a light emitted by a light emitter approximately along a midline of an anterior surface of the tibia, swinging a pivoting arm about a pivot joint to direct the emitted light along a medial surface of the tibia, adjusting the positioning apparatus in an anterior/posterior orientation to shine the light approximately along a midline of the medial surface, contacting a stylus with a proximal end of the tibia to select a cutting depth for a bone cut to be made on the tibia, and attaching the bone cutting guide to the tibia in a position determined by the positioning apparatus.

Abstract: A stylus assembly (10) adapted to align a surgical tool with a bone, the stylus assembly (10) comprising: a mounting element (12,18); a tool guide (50) adjustably mounted relative to the mounting element (12,18); a stylus (16) adjustably mounted relative to the mounting element (12,18) and having a curved portion for engagement with a predetermined part of the bone; and a lockable retaining member (14) for simultaneously locking the surgical tool guide (50) and the stylus (16) to the mounting element (12,18).

Abstract: According to one embodiment, a preoperative planning method performed by a computer for hip replacement arthroplasty, includes a base jig setting step of setting a three-dimensional image of a base jig having three or more columnar supports which abut on three or more reference points of the pelvis with respect to the three-dimensional image of the pelvis obtained at the image reconstruction step, and a parameter acquisition step of parameterizing and acquiring a direction of an indicator which runs through a predetermined position on the base jig in the three-dimensional image of the base jig set at the base jig setting step and becomes parallel to the installation direction of the joint prostheses determined at the joint prostheses determination step.

Abstract: A method of performing a tibial tubercle osteotomy includes cutting a bone portion of a tibial tubercle from a remaining portion of the tibial tubercle, at least a portion of a patella ligament being attached to the bone portion. The bone portion of the tibial tubercle is separated from the remaining portion of the tibial tubercle such that the patella ligament remains attached to the bone portion. After completing a surgical procedure, the separated bone portion of the tibial tubercle is reattached to the remaining portion of the tibial tubercle.

Abstract: A computer-assisted surgery system for planning/guiding alterations to a bone in surgery, comprises a trackable member adapted to be secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data for at least two degrees of freedom in orientation of the trackable member A positioning block is adapted to be secured to the bone, with at least an orientation of the positioning block being adjustable once the positioning block is secured to the bone to reach a selected orientation at which the positioning block is used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data for at least two degrees of freedom in orientation of the positioning block. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block from the orientation-based data.

Abstract: There is provided a method and system for determining a distal cut thickness and posterior cut thickness for a femur in a knee replacement operation, the method comprising: performing a tibial cut on a tibia; performing soft tissue balancing based on a desired limb alignment; measuring an extension gap between the femur and said tibial cut while in extension; measuring a flexion gap between the femur and the tibial cut while in flexion; calculating a distal cut thickness and a posterior cut thickness for the femur using the extension gap and the flexion gap and taking into account a distal thickness and posterior thickness of a femoral implant; and performing said femoral cut according to the distal cut thickness and posterior cut thickness.

Abstract: Instrumentation for an open or arthroscopic Latarjet procedure that allows more control graft handling during the formation of the hole and proper positioning parallel to the articulating bone surface. The surgical instrumentation of the present invention includes an osteotome with a plurality of markings and a depth stop, a drill guide with jaws configured to securely engage an outer surface of the graft, and an offset guide to position the graft to the bone.

Abstract: A resection guide locator includes a bone engagement portion with surfaces that are complementary to the surface topographies of a bone to be resected during surgery. A housing includes a socket defined by a resilient annular wall that is sized and arranged so to accept a resection guide by press-fit to thereby position and hold the resection guide within he socket. The resection guide is maintained in a predetermined, preferred position while the surfaces are releasably locked in position on the bone. A method is disclosed for forming and using the resection guide locator.

Abstract: A moveable implant may be provided between the distal end portion of a femur and a proximal end portion of a tibia. The implant may be freely moveable relative to both the femur and the tibia. Embodiments may be configured to fit the surfaces on the distal end portion and proximal end portion of the femur and tibia. As a result of imaging a portion of the patient, the actual configurations of the existing surfaces on the femur and tibia can be accommodated.

Abstract: A pre-surgical planning method for performing a spherical osteotomy for the surgical sectioning of a bone includes obtaining a CT scan of a bone. Subsequently manipulating the scan into a three-dimensional CAD format. Utilizing the scan to identify one or more centers of bone correction or 3D CORAs. A surface, configured in the shape of a portion of a sphere, e.g., a semisphere, is then superimposed on the computer representation of the bone. The center of the surface is positioned at a respective center of bone correction. The intersection of the surface and the bone defines a sectioning surface along which the bone is to be cut. Simulating a sectioning of the bone along the sectioning surface and the subsequent realignment of the bone in an optimal configuration using the computer is then performed. The computer simulation is then utilized as a guide for actually sectioning the bone.

Abstract: A method and apparatus for forming an osteotomy in bone. The osteotomy opening is formed in a bone with a keyhole. A similarly configured implant is inserted into the opening with a key configured to engage the keyhole to provide stability and support to the osteotomy opening.

Abstract: A surgical kit includes a patient-specific alignment guide having a three-dimensional engagement surface custom-made by computer imaging to conform to a corresponding portion of a patient's tibial bone. The patient-specific alignment guide defines an elongated planar slot for guiding a blade. The planar slot is oriented at a selected angle and at a selected position relative to an anatomic axis of the patient when the engagement surface engages the corresponding portion of the tibial bone. The selected angle and selected position are determined during a pre-operative planning stage.

Abstract: A cutting block for use in a bone osteotomy procedure includes a first cutting guide surface, a second cutting guide surface, and a third cutting guide surface. The first, second, and third cutting guide surfaces are adapted to be temporarily affixed to a bone having a first side and a second side such that the first cutting guide surface is disposed on the first side of the bone, and such that the second cutting guide surface and third cutting guide surface are disposed on the second side of the bone forming an angle therebetween.

Abstract: A method for making a surgical cutting guide and the guide made by this method. The method includes obtaining a number of cross sectional images of a patient joint taken at a defined interval. On each image a patient contour is imaged. These patient surface contours are used to generate a pattern of parallel ridges on a surgical cutting guide.

Abstract: The present invention comprises a novel method and apparatus for performing an open wedge, high tibial osteotomy. More particularly, the present invention comprises the provision and use of a novel method and apparatus for forming an appropriate osteotomy cut into the upper portion of the tibia, manipulating the tibia so as to open an appropriate wedge-like opening in the tibia, and then mounting an appropriately-shaped implant at the wedge-like opening in the tibia, so as to stabilize the tibia with the desired orientation, whereby to reorient the lower portion of the tibia relative to the tibial plateau and hence adjust the manner in which load is transferred from the femur to the tibia.

Abstract: A bone cutting assembly includes a guide pin that may be securely inserted into a bone to define a cutting axis. The bone cutting assembly also includes a housing having a cam surface and features for temporarily fastening the housing to the bone. The bone cutting assembly also includes a burr mounting arm that rotatably and slidably fits onto the guide pin so that the arm can swing around the cutting axis and also translate up and down the guide pin. A user may move the burr mounting arm about the cutting axis so that the arm follows along the cam surface of the housing.

Abstract: The present invention relates to alignment systems and methods for detecting a distal hole of an intramedullary nail. A jig is attached to the proximal end of the nail and also mounted on the bone. The jig has an adjustable positioning head that includes a drill axis hole along with an alignment pin. The alignment pin includes reference marks that are visible in X-ray images and helps to align the positioning head drill axis with the distal hole of the intramedullary nail. A light source is insertable into the nail in order to shine light out of the distal hole to illuminate a spot on the bone surface as an alignment aid. Viewing optics are mountable on the positioning head for viewing the illuminated spot created by the light source in the intramedullary nail.

Abstract: Apparatus for reconstructing a joint of the sort comprising a first bone having a first articular surface and a second bone having a second articular surface, wherein the first articular surface and the second articular surface engage one another, the apparatus comprising: a prosthesis for replacing at least a portion of the first articular surface of the first bone, the prosthesis comprising: a prosthesis plate for positioning against an outside surface of the first bone; and a prosthesis body connected to the prosthesis plate, the prosthesis body comprising a first prosthetic articular surface which generally matches the shape and size of the first articular surface.

Abstract: An instrument for use in resecting a portion of a greater tubercle of a humerus in shoulder arthroplasty is provided. The instrument includes a guide support that has a first end coupled to a long bone. The guide support extends laterally and over the greater tubercle. The instrument also includes a cutting guide movably coupled to the guide support. The cutting guide including curved frame for abutting the humerus.

Abstract: Thumb carpometacarpal (CMC) joint implants include a trapezium implant defining an articulating surface and a cooperating first metacarpal implant with a base portion of the first metacarpal defining an articulating surface. The first metacarpal base articulating-surface is configured to articulate against the trapezium implant articulating surface.

Abstract: An instrument for harvesting an osteochondral plug graft in an implantable configuration, comprises a support pod comprising an elongated tubular member distally terminating in at least three splayed legs; a drill bit encompassed within a longitudinal axis of the tubular member; and a guide wire encompassed within a longitudinal axis of passageway of the drill bit and terminating at a threaded distal end for removably fixing a distal end of the instrument in a position oriented normal to an osteochondral surface for harvesting an osteochondral plug graft in an implantable normal configuration.

Abstract: A saw capture device comprising a body (2), coupling means for coupling the body (2) to a cutting block (4), the cutting block (4) being arranged to couple to a bone and an adjustable guide (22) comprising at least one curved arm couplable to the body (2). The adjustable guide (22) is couplable to the body (2) in a first configuration in which the at least one arm is arranged in use to curve away from a bone and a second configuration in which the at least one arm in use is arranged to curve towards the bone. When coupled to a cutting block (4) the adjustable guide (22) is spaced apart from the cutting block (4) to define a cutting slot (18).

Abstract: A device for ameliorating joint conditions and diseases comprising a) a first section comprising a joint-ward end, an opposing mating end, and a lateral wall, a peripheral column partially forming the lateral wall of the first section, a central column, and three or more than three struts extending between and connecting the peripheral column and the central column, and each strut thereby supporting the central column, the joint-ward end further comprising a plurality of fenestrations formed by a confluence of the peripheral column, the central column and two adjacent struts of the three or more than three struts, and first section further comprising a central aperture within and formed by the central column, and configured to mate with a driver, b) a second section comprising a mating end, an opposing leading end, and a lateral wall, the lateral wall of the second section comprising threads.

Abstract: An osteotomy implant for supporting an open wedge osteotomy and method of use are described. In one form, the implant is configured to contain a graft material within the osteotomy. In another form, the implant is composed of multiple parts capable of being assembled either before or after insertion into the osteotomy.

Abstract: The present invention provides surgical guiding tools for surgery on a bone head comprising a cutting component, a guiding component and a collar comprising a patient-specific component, which are interconnected and which ensure secure and accurate placement of the guiding tool and thus guarantee accurate implementation of the pre-operative planning of the surgical intervention.

Abstract: An alignment system for aligning a reaming guide during insertion into a cavity of a bone is provided. The bone has a resected surface and the cavity defines a cavity axis. The system includes a reaming guide that includes an elongate stem portion having a stem axis, a neck portion extending from the stem portion at an incline with respect to the stem axis, and an alignment instrument. The alignment instrument includes a handle defining a handle axis, the handle being releasably couplable to the reaming guide such that the handle axis is in a predetermined relationship with the stem axis. The alignment instrument further comprises a plane finder slidably coupled to the handle, the plane finder comprising a surface defined by a plane that intersects the axis of the handle at an angle having a predetermined relationship with the angle at which a resection surface of the bone intersects the cavity axis.

Abstract: An orthopaedic surgical device comprises a first sensor component and a second sensor component. Each sensor component includes a paddle set to contact a proximal tibia and a distal femur of a patient. The first sensor component and the second sensor component being movable with respect to one another to extend one paddle set beyond the other paddle set, and each paddle set includes cutouts for the clearance of the patellar tendon to avoid the need to avert the patella during use.

Abstract: A surgical cutting guide is adapted to receive a cutting instrument during a surgical procedure. The surgical cutting guide comprises at least one body portion including a bone engaging surface. A plurality of separate plates are secured to the at least one body portion. At least one cutting slot is formed in the surgical cutting guide between the plurality of separate plates. The at least one cutting slot is configured to receive the cutting instrument and orient the cutting instrument for the surgical procedure. The at least one body portion is comprised of a first material, such as a plastic material, and the plurality of separate plates are comprised of a second material, such as a metal material.

Abstract: A surgical instrument, for example a cutting block for use in knee surgery, comprises a mounting surface defining at least one opening for receiving a mounting projection. The mounting surface further defines a blind recess which extends linearly from the at least one opening. The blind recess may extend to an edge of the mounting surface. A system including a surgical instrument and one or more mounting projections is also disclosed. The blind recess can be used as a track to guide a projection to an opening, increasing the area of the instrument that can be used to locate the projection in the correct position. The recess acts as a guide for the projection to enter the opening by providing tactile feedback to guide the projection towards the opening. If the recess also extends to the edge of the instrument, the recess may be visible more easily when the surgeon is installing the instrument providing visual as well as tactile feedback.

Abstract: The present invention relates to a surgical navigation device, for the purpose of adjusting cutting planes to a desired position with respect to a bone of a patient, the device comprising: an adjustable guide (15) that contains several adjustable screws (1) that create contact points with the surface of the bone or cartilage such that the guide fits to the bone in a unique position calculated such that the holes and cutting blocks of the adjustable guide fit with the position planned on preoperative CT or MR images of the patient, a dedicated screwdriver (7) to adjust automatically the screws (1) to their target length, a navigation system used to check the correct position of the adjustable guide with respect to essential anatomical points and if necessary means to correct the positions of the adjustable screws.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: An apparatus to aid in cutting a bone during a bone osteotomy procedure, including a frame having a first bushing, a first fixation pin, and an adjustment screw. The apparatus further includes a side plate attached to the frame and moveable with respect thereto, the side plate having a second bushing and a second fixation pin. In addition, the apparatus includes a drill block assembly releasably attached to the side plate and moveable with respect thereto, the drill block having a third bushing and a hinge pin.

Abstract: A method of performing an osteotomy including the steps of: providing a guide assembly; placing the guide assembly in operative relationship to a bone to be cut so that the guide assembly defines first and second guide edges that are in fixed relationship to each other to each guide movement of a cutting tool; guiding the cutting tool along each of the first and second guide edges to produce first and second cut lines in the bone to facilitate separation of a fragment of the bone from between first and second bone surfaces formed respectively at the first and second cut lines; separating the bone fragment so that a gap with a first width is formed between the first and second bone surfaces; and changing the width of the gap to be less than the first width.

Abstract: A tissue resection guide for use with a datum includes a base releasably engagable with the datum. The tissue resection guide has a first frame fixed relative to the base and the first frame has at least one integral first guide path that is sized and configured to at least partially capture and guide a first tissue resection tool relative to the first frame.

Abstract: Surgical tools that increase surgical accuracy for orthopedic procedures involving long bone osteotomy with or without supplementation with allograft or autograft. Two clamps on the operative side are rigidly interconnected to one another with an adjustable rod that is locked into place, preserving length and rotation of the bone. A graft preparation device is used on the operative table. It enables alignment of the graft to preserve the desired mechanical and anatomic axes and to provide rigid fixation of the graft for cutting. Adjustable jigs ensure exact cuts.

Abstract: A positioning apparatus for guiding resection of a patient tissue and guiding placement of a prosthetic implant component in a desired implant position with respect to the resected patient tissue and method of use are described. A locating block includes a mating surface contoured for mating contact with the patient tissue. A cutting plane indicator provides a physical indication of a desired cutting plane for the resection. A placement indicator is spaced apart from the locating block and includes a component-contacting feature. An elongate spacing arm is operative to space the placement indicator apart from the locating block. The spacing arm is configured to place the component-contacting feature of the placement indicator at a predetermined placement position in three-dimensional space relative to the patient tissue. The placement position predetermination is at least partially based upon pre-operative imaging of the patient tissue.

Abstract: An improved patella resection guide and a method for applying the patella resection guide during the performance of knee arthroplasty. The patella resection guide includes a plurality of gripping handles having a corresponding plurality of pivotally interconnected crossover members at distal ends of said gripping handles, an opening in each pivotally interconnecting crossover member wherein one crossover member is position inside another crossover member, a stem having a proximal end connected to each gripping handle and each pivotally interconnected crossover member wherein the members are intertwined at a crossing point and are adjoined by fastening means to said stem, and further having a distal end comprised of a female receptor, a clamp having a top flange and side flange, and adjustable locking means for fixing a distance between the teeth of the top flange.

Abstract: A method for performing an open wedge osteotomy, the method comprising: forming a cut in a bone; manipulating the portions of the bone adjacent to the cut so as to open the cut into a wedge-like opening; providing an osteotomy implant, wherein the osteotomy implant comprises: an elongated body characterized by a distal end and proximal end, the elongated body having a screw thread thereon; positioning at least the distal end of the elongated body into the wedge-like opening so that the screw thread engages the surrounding bone; and threadingly advancing the elongated body into the wedge-like opening until the portions of the bone assume the desired positioning, with the elongated body stabilizing the bone portions in this position.

Abstract: A bone cutting guide system (110) includes a bone cutting guide assembly (111) and a positioning guide (114). The bone cutting guide assembly (111) includes a base pin (112) and a guide mounting arrangement comprising a placement pin guide (113). The pin (112) has an elongate cylindrical shaft (115) having a penetrating end (117). The positioning guide (114) includes a moulding (116) and a hollow cylindrical guide post (118) fixed to the moulding (116). The moulding (116) is constructed from anatomical data obtained by means of a radiographic scan of the head (55) of the femur (14) prior to surgery. The placement pin guide (113) has a handle (121) and a hollow cylindrical guide sleeve (119) dimensioned to slidingly receive the guide pin (112) therein. In use, the moulding (116) is fitted to the head (55) of the femur. The guiding formation (119) of the pin placement guide (113) is received in the post (118) for guiding the insertion of the pin (112) into the head (55) of the femur (14).

Abstract: A cutting guide for removal of bone during arthroplasty. The cutting guide includes a housing having a three-dimensional guide path and an arm coupled to the housing and extending through the guide path. The arm includes a burr. As the arm is slid along the path, the burr simultaneously cuts in two planes on the bone.

Abstract: Trials for spinal surgery include: (a) a trial implant portion having a shape corresponding to an implantable spinal disc implant; (b) a shaft connected to the trial implant portion; and (c) at least one axially extending cutting guide slot attached to the shaft at a position that is axially spaced apart from the trial implant portion, the cutting guide slot configured to releasably slidably receive and guide a cutting blade toward vertebral bone. Also described are additional surgical instruments, including, for example, pilot-hole punches, inserters, and methods of cutting keelways.

Abstract: Methods for anterior-to-posterior talus-calcaneus screw insertion through an ankle arthrodesis nail according to embodiments of the present invention include coupling a first jig to the nail, aligning a drill bit with a first aperture of the nail by inserting it through a second aperture in the first jig, drilling a first hole through a tibia aligned with the first aperture, fixing the nail to the tibia with a screw through the first hole into the first aperture, coupling a second jig to the first jig, aligning the drill bit with a third aperture in the nail by inserting the drill bit through a fourth aperture in the second jig, drilling a second hole through a talus and a calcaneus aligned with the third aperture; and fixing the nail to the talus and calcaneus by inserting a screw through the second hole into the third aperture in an anterior-to-posterior direction.

Abstract: A guide apparatus having a body having a central axis defined therethrough and a first channel and a second channel formed therethrough, a handle coupled to the body, the handle having a locking mechanism configured to prevent movement of the body relative to the handle in a first direction along the central axis of the body, and an arm coupled to the handle, the arm configured to engage at least a portion of a bone.

Abstract: A surgical instrument and method are provided for guiding a cutting tool to resect an anatomical structure. The surgical instrument includes a guide body formed of a guide body material having a guide body material hardness, and a first bearing and a second bearing formed of a bearing material having a bearing material hardness. The bearing material hardness is greater than the guide body material hardness. The first bearing and the second bearing are secured to the guide body with at least a portion of the first bearing and at least a portion of the second bearing exposed from the guide body. Also, the second bearing is spaced a distance from the first bearing. By arranging the first bearing and the second bearing in this manner, the first bearing and the second bearing provide a discontinuous bearing surface for a cutting tool to contact when moving within the guide body.