Abstract: An implant assembly comprising an implant having a load bearing surface with a contour corresponding to a patient's articular surface, and a bone facing surface including a fixation element, an anchor configured to be secured to bone beneath said patient's articular surface, said anchor including a second fixation element, and wherein said first fixation element is configured to be secured to said second fixation element.

Abstract: A shoulder assembly is provided which includes a base member including a collar; a helical structure extending from the collar in a distal direction; and a first pathway projecting distally of the collar and through the helical structure adjacent to an inner periphery thereof, the first pathway being generally transverse to the helical structure and extending in a space between successive portions of the helical structure; and a locking device comprising a proximal support and a first arm projecting distally of the proximal support, the first arm configured to be disposed in the first pathway projecting distally of the collar when the proximal support is disposed adjacent to the collar; where the first arm is disposed through bone in the space between successive portions of the helical structure when the shoulder assembly is implanted.

Abstract: In one embodiment, a glenoid implant includes a body and a flange. The body includes a bearing surface and a bone-contacting surface opposite the bearing surface. The flange extends from the bone-contacting surface of the body to a free end. The flange has an inside facing surface that faces a center of the body and an outside facing surface that faces an outer perimeter of the body. The outside facing surface is opposite the inside facing surface and each of the inside and outside facing surfaces extend from the bone-contacting surface to the free end. The outside facing surface at the bone-contacting surface of the body is 8 mm or less from the outer perimeter of the body. The outside facing surface is tapered from the bone-contacting surface toward the free end. The inside facing surface is non-parallel to the outside facing surface.

Abstract: One embodiment of the present disclosure relates to a glenoid implant with a body and a keel. The body includes an articulation surface and a bone facing surface, and the keel has a depth that extends from the bone facing surface to a free end of the keel. The keel has a first length and a first width, both measured in a plane perpendicular to a direction of the depth. The first length is measured perpendicular to the first width and is defined by a first distance from an inferior end of the keel to a superior end of the keel. The first width is measured at a first location adjacent to the inferior end, and the keel has a width dimension along a first portion of the keel from the first location to the superior end that tapers from the first location toward the superior end.

Abstract: A prosthetic device can include a neck defining an upper surface and a sidewall extending from the upper surface, an opening defined by the sidewall and extending into the neck, one or more interior surfaces extending into the neck from the opening to define a female receiving cavity, and a radial head including a male protrusion received within the female receiving cavity through the opening.

Abstract: A multicomponent implant system includes a multicomponent implant comprising a base plate and a load plate. The base plate includes a bone facing surface and a base plate interface surface. The load plate includes a load plate interface surface and a load bearing surface, the load bearing surface being substantially parallel to the load plate interface surface and having a contour substantially corresponding to a contour of a removed portion of the articular surface. Both the load plate interface surface and base plate interface surface have a contour substantially corresponding to the contour of the load bearing surface. The load plate is configured to be advanced in an arcuate direction to slidably couple the load plate to the base plate after the base plate has been secured within the first excision site by an anchor.

Abstract: An impactor system is for impacting a base of a shoulder implant into a humerus. The system may include a housing having distal stabilizer configured to contact a proximal resected surface of the humerus. The distal stabilizer may define an open space. An impaction member may be slidably received within the housing. The impaction member may have a proximal surface and a distal connection mechanism adapted to connect to the base of the shoulder implant. The impaction member may be movable from a first proximal position in which the base of the shoulder implant, when connected to the impaction member, is positioned within the open space defined by the distal stabilizer, to a second distal position in which the base of the shoulder implant, when connected to the impaction member, is positioned at least partially distal to the open space defined by the distal stabilizer.

Abstract: Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.

Abstract: A patient tissue includes a primary patient tissue area and an anatomically differentiated bordering secondary patient tissue area. An apparatus is at least partially customized responsive to preoperative imaging of the patient tissue. Means are provided for mating with the primary patient tissue area in a preselected relative orientation. Means are provided for fixing a first landmark to the primary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. Means are provided for fixing a second landmark to the secondary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. A method of associating a plurality of landmarks with a patient tissue is also provided.

Abstract: An anatomy simulator can include a guide body having one or more faces. The anatomy simulator can include a first simulator socket forming a recess in a first face of the one or more faces. The first simulator socket can be configured to receive a first plate. The first simulator socket can include a first base portion. The anatomy simulator can include a bore extending from the base portion of the first simulator socket to an interior of the anatomy simulator. The bore can be configured to receive an alignment mechanism. The first base portion can be angled at a first angle with respect to the first face.

Abstract: The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

Abstract: A prosthetic glenoid implant may include a polymer bearing component, a metal base component, and a plurality of fixation members. The bearing component may have a first surface adapted to articulate with a humeral head, and an opposing second surface including a first mating feature. The base component may have a first surface and a bone-contacting surface, the first surface having a second mating feature adapted to engage the first mating feature, the bone-contacting surface adapted to contact the native glenoid. The base component may define a plurality of apertures. The fixation members may each have a head and a threaded shaft adapted to pass through a corresponding one of the plurality of apertures, the head of each fixation member adapted to be positioned within a recess defined between the base component and the bearing component in an assembled condition of the prosthetic glenoid implant.

Abstract: A bone reamer includes a first member having a first hub and a second member having a second hub. The first hub can extend along a first axis and have a pair of elongated cutting arms that are fixed to the first hub. The elongated cutting arms can extend along a second axis that is generally perpendicular relative to the first axis. The first hub can define a track thereon. The second hub can extend along a third axis. The second member can have a second pair of elongated cutting arms that are fixed to the second hub and extend along a fourth axis that is generally perpendicular to the third axis. The second member can have a track follower extending thereon and that is configured to slidably advance along the track causing the first and second members to move between a collapsed position and an expanded position.

Abstract: Disclosed herein is an implant. The implant can include a body and a plurality of fixation members. The body can define an articular surface and a bone engaging surface opposite the articular surface. The bone engaging surface can define a groove that separates a first section of the bone engaging surface from a second section of the bone engaging surface. The plurality of fixation members can extend from the bone engaging surface.

Abstract: Shoulder arthroplasty systems and configurations for components thereof are described. For example, implant systems for a total should arthroplasty (TSA), hemi shoulder arthroplasty, and reverse should arthroplasty (RSA) are described. In addition, exemplary configurations for baseplates, glenoid components, glenosphere components, humeral components, humeral head components, humerosocket components, connectors, and adaptors, are described.

Abstract: The present disclosure provides for prosthetic implants to be used in various surgical repairs, including for procedures like total shoulder arthroplasties and reverse total shoulder arthroplasties. The implants include two main parts—a frame and a prosthetic component. The frame includes an aperture that is configured to receive the prosthetic component, allowing the prosthetic component to make direct contact with bone at the surgical site. Various configurations are provided that allow the prosthetic component to be coupled to or otherwise engage with the frame, and at least some of the configurations are such that the reverse procedures can be done without having to fully re-tool and/or modify the bone. A variety of procedures resulting from the improved implants are also provided.

Abstract: A method of implanting a glenoid assembly, includes forming two bores in a glenoid region of a scapula. At least one of two pegs of a base component is flexed toward the other peg and the two pegs are positioned partially within the bores in the flexed position. After releasing the pegs from the flexed position, the pegs are fully inserted into the bores. At least one stiffening pin is inserted into a first passageway formed in the first peg after the first peg has been fully inserted into the first bore.

Abstract: A pin placement instrument for placing a pin in a bone comprises an anatomical interface with a hook-like portion being opened in a lateral direction of the instrument to receive a bone therein in a planned position. A drill guide is connected to the anatomical interface and defining at least one guide slot in a longitudinal direction of the instrument. The guide slot has a lateral opening over its full length in the drill guide to allow lateral withdrawal of the instrument in said lateral direction with the pin placed in the bone passing through the lateral opening. A bushing is removably placed in said guide slot via said longitudinal direction in a planned fit, the bushing defining a throughbore aligned with the guide slot and adapted to receive the pin extending in said longitudinal direction when the bushing is in the guide slot for pin placement.

Abstract: The glenoid implant described here addresses wear of the implant's portion which articulates with a humeral head, and also addresses a frequent need to reverse the normal glenoid and humeral articulating surfaces. The new glenoid implant provides a coupling portion between the implant's bone fixation portion, which joins the implant to the glenoid bone, and the implant's articulating portion which articulates on an opposing humeral head. The coupling portion is joined to the bone fixation portion firmly but is disengageable without requiring the bone fixation portion's replacement so that the articulating portion can be removed from the implant and replaced without changing either the coupling portion or the bone fixation portion.

Abstract: Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing a shoulder surgery guide based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants in patients undergoing shoulder surgery.

Abstract: A glenoid implant may include an articulating surface, a bone contacting surface opposite the articulating surface, and at least one anchor. The bone contacting surface may include a first portion with a first convexity configured to contact a first portion of the glenoid and a second portion with a second convexity configured to contact a second portion of the glenoid. The first convexity may be different than the second convexity. The implant may include a bearing component defining the articulating surface and an augment component defining at least a portion of the bone contacting surface. Anchors or protrusions may extend from the bone contacting surface. The anchors may include a substantially planar surface.

Abstract: The present invention relates to an improved glenoid anchor for a shoulder joint prosthesis, in particular a convertible prosthesis, of the type intended to be fixed to the glenoid cavity of the shoulder blade and comprising: —a pin (2) with an internally hollow and essentially thimble-like conical sleeve (12), which has a tapered distal end (3) and an open proximal end (4); —an annular recess (15) formed inside the cavity (13) of the pin (2) in the vicinity of said open proximal end (4), for receiving by means of snap-engagement an edge (34) of a lug (30) of a prosthesis component (9); —at least one pair of oppositely arranged anti-rotation notches (16, 17) in the proximity of said annular groove (15) for receiving by means of snap fit oppositely arranged teeth (18, 19) of the same lug (30) intended to be snap-engaged together with said pin (2).

Abstract: This disclosure relates to reaming assemblies and methods for repairing bone defects. The reaming assemblies disclosed herein may be utilized for removing bone prior to positioning a graft and/or implant at a surgical site.

Abstract: Stemless components and fracture stems for joint arthroplasty, such as shoulder arthroplasty, are disclosed. Also, methods and devices are disclosed for the optimization of shoulder arthroplasty component design through the use of medical imaging data, such as computed tomography scan data.

Abstract: A humeral head assembly is provided that includes an articular body and a coupler. The articular body includes a coupling portion disposed on a side of the articular body opposite an articular surface. The coupling portion includes a continuous zone of eccentricity adjustment. The coupler portion optionally includes one or more than one discrete position site. The coupler includes a first portion and a second portion opposite the first portion. The first portion is configured to mate with the coupling portion and the second portion is configured to mate with another member of a joint prosthesis. A coupling portion with the continuous range of eccentricity adjustment can be provided on a bone anchor and the eccentricity of another component can be selected by motion of a coupler, such as a tray for reverse humeral assemblies, along the coupling portion of the anchor.

Abstract: A method of implant a knee prosthesis includes forming a bone void at an end of a bone, implanting a void filler in the bone void, and implanting a knee prosthesis onto the end of the bone so that a stem of the knee prosthesis is received by the void filler.

Abstract: A multicomponent implant system includes a multicomponent implant comprising a base plate and a load plate. The base plate includes a bone facing surface and a base plate interface surface. The load plate includes a load plate interface surface and a load bearing surface, the load bearing surface being substantially parallel to the load plate interface surface and having a contour substantially corresponding to a contour of a removed portion of the articular surface. Both the load plate interface surface and base plate interface surface have a contour substantially corresponding to the contour of the load bearing surface. The load plate is configured to be advanced in an arcuate direction to slidably couple the load plate to the base plate after the base plate has been secured within the first excision site by an anchor.

Abstract: This shoulder prosthesis glenoid component (2) has on one of its faces an articulation surface (SA) adapted to cooperate with a humeral head and having, on an opposite face (SG) adapted to be immobilized on the glenoid cavity (G) of a shoulder, a keel (4) for anchoring it in the glenoid cavity (G). This keel (4) comprises a body (5) that extends from the opposite face (SG). The keel (4) comprises at least one fin (6) projecting from the body (5) 2 which runs over at least a part of the perimeter of the body (5).

Abstract: Disclosed is a reconfigurable hip joint prosthesis and elements therefor which is adapted to be surgically implantable in a human body, a part in the upper femur, another part in the pelvis. The implantable prosthesis may be configured in a reversible manner, and provide alternative configurations as may be desired or necessary. The present invention also includes a method of implanting into a human body a prosthesis as described herein, and subsequently reconfiguring the prosthesis as may be desired or necessary. A still further aspect of the invention is a kit of component parts used in providing a configured implantable prosthesis.

Abstract: Implementations described herein provide for a bone implant having a cylindrical member and an articulating member. The cylindrical member extends along an implant axis from a first end to an opposed second end thereof. The cylindrical member has a void disposed therein extending from the first end towards the second end. The cylindrical member has an interconnected open-pore structure for promoting bone tissue in-growth. The articulating member has an articulating portion and a core portion extending away from the articulating portion. The articulating member is coupled to the cylindrical member such that the core portion extends into the void disposed in the cylindrical member and the articulating portion is positioned adjacent the first surface of the cylindrical member and extends radially outward from the implant axis to cover the first surface of the cylindrical member.

Abstract: A method of pre-operatively developing a reverse shoulder arthroplasty plan can include receiving an image of a patient shoulder comprising a humerus and a glenoid. The image can be segmented to develop a 3D shoulder model. Virtual surgery can be performed on the 3D shoulder model to generate a modified shoulder model. The virtual surgery can include resecting and reaming a virtual humerus of the 3D shoulder model, and reaming a virtual glenoid of the 3D shoulder model. Selection of a humeral implant and selection of a glenoid implant can be received. A virtual representation of the humeral implant can be implanted on the virtual humerus and a virtual representation of the glenoid implant on the virtual glenoid to virtually update the modified shoulder model. A range of motion of the patient shoulder can be determined and a reverse shoulder arthroplasty can be finalized based on the range of motion.

Abstract: A glenoid component in one embodiment includes a base component with a planar upper circular rim defining a first plane, a receptacle opening to the first plane, a lower planar circular surface defining a second plane parallel to the first plane, and a conical outer wall extending from the upper circular rim to the lower planar circular surface. The glenoid component includes an articulating component with an upper articulating surface and a lower coupling portion configured to be inserted into the receptacle.

Abstract: A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and/or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and/or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.

Abstract: A component of an artificial joint according to an exemplary aspect of the present disclosure includes, inter alia, a base plate and a post selectively removable from the base plate. Further, an outer surface of the post includes a layer of the bone ingrowth material along substantially the entire length of the post.

Abstract: Disclosed are prosthesis systems and methods that provide ways by which the articulating surfaces of the implant can be exchanged such that the anatomic surfaces can be converted to reverse surfaces, while not exchanging the fixation components. Also disclosed herein are methods by which the surgeon can implant an inset anatomic articulating glenoid implant whereby at a later date, can remove the anatomic articulating surface and replace it with a reverse articulating surface such that the primary means of fixation remains well fixed in the glenoid fossa at the moment of articular exchange.

Abstract: A glenoid implant is provided and may include a body portion and a stem portion. The stem portion may extend from the body portion along a longitudinal axis. The body portion may include an articular side and a bone-engaging side opposite the articular side. At least a portion of the bone-engaging side may be disposed at a non-parallel angle relative to at least a peripheral edge of the articulation side.

Abstract: Arthroplasty components include an articular surface and a bone-facing surface. In some examples, the bone-facing surface bears at least one anchoring element adapted for an oblique implantation trajectory. The anchoring element includes a reinforcement plate, a dowel, and surface features. Each surface feature resists forces acting along a different direction. In other examples, the bone-facing surface bears anchoring elements that deform along the primary or longest axis of the anchoring element during insertion. In yet other examples, the bone-facing surface is enlarged relative to the articular surface so that at least a portion of the perimeter of the articular surface is circumscribed by the perimeter of the bone-facing surface.

Abstract: An example method includes displaying, via a visualization device and overlaid on a portion of an anatomy of a patient viewable via the visualization device, a virtual model of the portion of the anatomy obtained from a virtual surgical plan for an orthopedic joint repair surgical procedure to attach a prosthetic to the anatomy; and displaying, via the visualization device and overlaid on the portion of the anatomy, a virtual guide that guides at least one of preparation of the anatomy for attachment of the prosthetic or attachment of the prosthetic to the anatomy.

Abstract: A method of implanting a shoulder prosthesis in a scapula of a patient includes the step of placing a guide over a primary glenoid component previously implanted within the scapula of the patient. The method further includes the steps of removing the primary glenoid component from the scapula and preparing the scapula for implantation of a secondary glenoid component, wherein the removing and preparing steps occur simultaneously.

Abstract: A glenoid implant that is 3D-printed or machined from ceramic and/or metal as a substitute for an autograft or allograft in a surgical repair. Structural supports composed of metal are designed in the interior of the implant for support during implantation and post-operation. The remainder of the volume of the implant is composed of a material having optimal pore structure for rapid bone integration and healing.

Abstract: A glenoid component includes a laterally facing bearing surface configured to engage a bearing surface of an element associated with a humerus, and a stem portion extending medially away from the bearing surface. The stem portion is configured such that when implanted in a scapula the stem portion includes three cross-sections parallel to a medial lateral plane. The middle cross-section has a length in the medial-lateral direction which is shorter than the lengths of the other two cross-sections in the medial lateral direction.

Abstract: A glenoid implant for a shoulder prosthesis for implantation in the glenoid of a scapula according to embodiments of the present invention includes a central fixation element; an articular body configured for articulation with a humerus, the articular body comprising a plate, the plate comprising a side configured to be oriented toward the glenoid, the side comprising a central protrusion, wherein the central fixation element comprises a means for mechanically engaging with the central protrusion; a first means for locking rotation of the central fixation element with respect to the glenoid; and a second means for locking rotation of the articular body with respect to the glenoid.

Abstract: Customizable scapular anchor (1) for fixing a glenoid component of a shoulder joint prosthesis to a patient's scapula with compromised anatomy, comprising a glenoid support (2), said glenoid support (2) being defined by a pin element (3) for fixing said glenoid component to said scapular anchor (1) and by a flange (4) integral with said pin element (3), said flange (4) having a distal surface (5) adapted to be placed at least partially in contact with a glenoid cavity of said scapula and a proximal surface (6) opposite said distal surface (5); wherein at least one customized portion (5, 7, 8) is specifically shaped with respect to the bone morphology of a single patient's scapula with compromised anatomy; the customized portion (5, 7, 8) comprises at least one coracoid support projection (7) arranged to abut at a coracoid process (52) of the scapula (50).

Abstract: Various embodiments of the present invention provide systems and methods for treating a proximal humeral fracture. A system according to one embodiment includes a longitudinal member configured to be received within the humeral shaft. The system includes a jig assembly configured to be coupled to the longitudinal member, wherein the jig assembly includes at least one hole defined therethrough that is configured to guide placement of at least one hole in the humeral shaft, and wherein the hole formed in the humeral shaft is configured to align with at least one hole in the humeral implant such that the jig assembly is configured to locate the position of the humeral implant in the humeral shaft.

Abstract: A glenosphere includes a body, a first surface, and a cavity defined with the body. The body defines a center and an engagement axis, the engagement axis spaced by an offset from the center. The first surface includes a first rim positioned radially outward from a second rim, a base surface portion, and a hood surface portion extending from the base surface portion and oriented at an obtuse angle relative to the base surface portion. The body defines a hood portion extending from the hood surface portion to a plane including the base surface portion. The cavity has a perimeter defined by the second rim, and includes a first cavity portion configured to receive an attachment structure attachable to a bone, and a second cavity portion configured to engage an engagement member of the attachment structure and oriented along the engagement axis.

Abstract: A stem for fixating a prosthesis to a bone can include a first stem portion and a second stem portion. The first stern portion can extend substantially along a longitudinal axis. The first stem portion can include a distal portion. The second stem portion can extend substantially distally from the distal portion of the first stem portion along the longitudinal axis. The second stem portion can be securable to the bone, and the second stem portion can include a distal portion couplable to a compress assembly.

Abstract: An anatomy simulator can include a guide body having one or more faces. The anatomy simulator can include a first simulator socket forming a recess in a first face of the one or more faces. The first simulator socket can be configured to receive a first plate. The first simulator socket can include a first base portion. The anatomy simulator can include a bore extending from the base portion of the first simulator socket to an interior of the anatomy simulator. The bore can be configured to receive an alignment mechanism. The first base portion can be angled at a first angle with respect to the first face.

Abstract: Implants, device, systems and methods for replacing an articulation surface in a joint, for example, a glenoid implant with an articular surface and an opposing bone contacting surface having a ring and post extending therefrom that respectively mechanically connect with cortical bone and cancellous bone of a glenoid. Methods for implanting the glenoid implant are also disclosed.

Abstract: The present disclosure provides a shoulder prosthesis. The shoulder prosthesis includes a glenoid component, a humeral component, and an articulation component. The glenoid component includes a glenoid body having a proximal side and a distal side, the proximal side shaped to engage with a resected portion of a glenoid cavity. The humeral component includes a humeral body having a proximal side and a distal side, the distal side shaped to engage with a resected portion of a humerus. The articulation component is positionable between the distal side of the glenoid component and the proximal side of the humeral component, the articulation component configured to be maintained between the glenoid and humeral components, after implantation, by at least one of a deltoid muscle and a rotator cuff.

Abstract: The present disclosure provides a shoulder prosthesis. The shoulder prosthesis includes a glenoid component, a humeral component, and an articulation component. The glenoid component includes a glenoid body having a proximal side and a distal side, the proximal side shaped to engage with a resected portion of a glenoid cavity. The humeral component includes a humeral body having a proximal side and a distal side, the distal side shaped to engage with a resected portion of a humerus. The articulation component is positionable between the distal side of the glenoid component and the proximal side of the humeral component, the articulation component configured to be maintained between the glenoid and humeral components, after implantation, by at least one of a deltoid muscle and a rotator cuff.