Abstract: A prosthesis is provided and includes a central body having an outer surface and a longitudinal axis extending between a first end having an opening operable to receive an installation tool and a second end spaced apart from the first end. The outer surface extends between and connects the first end and the second end and defines the length of the central body. The prosthesis additionally includes a plurality of arms each attached to the outer surface of the central body and having an outer shape defined by a porous coating independent from a shape of the central body. The porous coating completely covers the outer surface of the central body between the first end and the second end.

Abstract: The application provides patient-specific surgical guides for positioning onto a glenoid of a patient, comprising two or more patient-specific positioning elements, each comprising a patient-specific surface which conforms with at least part of one or more features of the bone on or around the glenoid, and wherein the combination of these patient-specific positioning elements ensures a secure fit of the device when positioned onto the bone.

Abstract: An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adaptor. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adaptor to a female taper of the head. For reverse arthroplasty, the method includes attaching the adaptor to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adaptor to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.

Abstract: A reverse modular humeral implant for implantation into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.

Abstract: A system and method facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.

Abstract: An orthopaedic shoulder prosthesis includes glenoid defect-filling component configured to be implanted within a defect in a glenoid of a patient. The glenoid defect-filling component includes a porous metallic body and a plurality of holes formed in the porous metallic body, the plurality of holes being arranged in a pattern to receive a number of pegs of a discrete polymer glenoid component.

Abstract: A prosthesis may include a stem, a ball stud, an adaptor, and a head. The stem may include a longitudinal axis and a bore having a central axis that is angled relative to the longitudinal axis. The ball stud may include a cylindrical shaft and a ball end. The cylindrical shaft may be received in the bore of the stem. The adaptor may include a tapered outer surface and a ball socket rotatably receiving the ball end of the stud. The head may be rotatably supported by the adaptor and may include a semispherical articulating surface and a female taper rotatably receiving the tapered outer surface of the adaptor.

Abstract: A kit for implanting a glenoid component in one embodiment includes a retroversion glenoid component including a generally flat glenoid bone contacting surface defining a first plane, a first offset peg extending away from the glenoid bone contacting surface, a concave articulating surface, an upper surface extending about the concave articulating surface and generally opposite to the glenoid bone contacting surface, the upper surface defining a second plane, the second plane angled with respect to the first plane, and a drill guide configured to guide a drill in forming a bore in a scapula to receive the first offset peg.

Abstract: A system and method facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.

Abstract: A shoulder prosthesis kit includes a first metaglene component including (i) a first body defining an outer diameter, (ii) a first augment extending medially from the first body, and (iii) a first void defined by a portion of the first body and a portion of the first augment, and a plurality of bearing components, each of the plurality of bearing components defining a cavity configured to couple with the first body, and having a bearing surface that is sized differently from the size of another of the plurality of bearing components.

Abstract: Oscillating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such oscillating rasps are also disclosed.

Abstract: A method of forming an orthopedic implant, the method comprising the steps of providing a first implant component and a second implant component, the first implant component having a stem and a second implant component including a head defining a female taper sized to receive the stem; coupling the stem to the female taper of the head; forming a modular injunction between the stem and head; applying a seal to the modular injunction to limit bodily fluid from contacting the modular injunction; and forming the orthopedic implant.

Abstract: Apparatus for repairing a shoulder joint, said apparatus comprising: a baseplate for mounting to a glenoid, said baseplate comprising: a base portion comprising a medially-facing surface and a laterally-facing surface, and at least one opening passing through said medially-facing surface and said laterally-facing surface for receiving at least one base portion screw; and an anterior flange carried by said base portion, said anterior flange comprising an anteriorly-facing surface and a posteriorly-facing surface, said anterior flange extending away from, and perpendicular to, said medially-facing surface of said base portion, said anterior flange further comprising at least one opening passing through said anteriorly-facing surface and said posteriorly-facing surface for accepting at least one flange screw; an articulating surface component for mounting to said laterally-facing surface of said base portion so as to substantially cover said laterally-facing surface of said base portion; and an anterior cover fo

Abstract: A method of surgically implanting a reverse shoulder orthopaedic implant, the method comprises the step of installing a glenosphere component having a bore formed therein over a metaglene component implanted within bone tissue of a glenoid surface of a scapula, capturing a screw cap within the bore of the glenosphere component, the screw cap positioned with a shaft of the screw cap located within a bore formed in an elongated stem of the metaglene component and an upper surface of a locking flange opposite the shaft of the screw cap flush with an upper surface of a platform of the metaglene component opposite the elongated stem of the metaglene component.

Abstract: The invention relates to 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 shoulder can include a fixed bearing having a generally spherical articulating surface configured to be coupled to a glenoid. The implant can also include a floating bearing member defining a first spherical bearing surface and a second planar articulating bearing surface. The implant can include a stem defining a stem planar bearing surface coupled to the second planar articulating bearing surface. The second planar articulating bearing surface can cooperate with the stem planar bearing surface to enable the floating bearing to translate relative to the stem.

Abstract: A joint prosthesis system, specifically a shoulder prosthesis, for shoulder replacement, revision and repair. The implants provide fixation into the best bone available to a surgeon. The implants are used in a superior-inferior and anterior-posterior construct forming a type of cross or X-shape. The implants allow for interchangeability of the articulating component as well as rotational orientation. The systems will allow for augments to accommodate bone loss. The implants may allow for additional security using screws or anchors inserted into the scapula.

Abstract: The present disclosure relates to a stemless shoulder prosthesis comprising a fixation device for fixing the prosthesis to a resected humerus bone, the fixation device comprising a base portion (11, 31, 32) and anchoring means (12, 12?), the base portion (11, 31, 32) having a distal side adapted to contact a resection plane of the bone and a proximal side for carrying a humeral head. The anchoring means (12, 12?) are connected to the distal side of the base portion (11, 31, 32) and adapted to fix the prosthesis to the bone. The anchoring means (12, 12?) define a central axis (C), wherein the anchoring means (12, 12?) comprise a plurality of protrusions (13, 13?, 13a, 13b, 13c) projecting from the base portion (11, 31, 32), each protrusion (13, 13?, 13a, 13b, 13c) extending between an inner end (I) and an outer end (O). The protrusions (13, 13?, 13a, 13b, 13c) define a free central space (F) around the central axis (C).

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: An orthopaedic implant comprises a fixation plate and an articulation component comprising a bearing surface and an opposing securement surface formed of a porous material. The orthopaedic implant further includes at least one fastener extending through the fixation plate and secured within the porous material of the securement surface of the articulation component.

Abstract: A method for assembling a glenoid assembly. The method includes using a base having a first side and an opposing second side. The first side includes a plurality of connection features arranged in an array. The method further includes using a plurality of glenoid attachment members, wherein each of the plurality of glenoid attachment members has a locking mechanism. One of the plurality of glenoid attachment members is selected and is connected to the base by connecting the locking mechanism of the selected one of the plurality of glenoid attachment members to one of the plurality of connection features of the base.

Abstract: Prosthetic systems, devices, and methods for attaching prosthetic joint components to a vault-shaped portion of the anatomy. A device for attaching a glenoid joint component for a shoulder prosthesis to a glenoid cavity includes a body adapted to extend into the cortical bony vault of the glenoid cavity for supporting the glenoid joint component and a plurality of contact arms secured to the body and projecting outwardly from a central longitudinal axis of the body to define contact surfaces for engaging an internal face of a peripheral wall of a glenoid vault.

Abstract: An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and “reverse” total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or “reverse” total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.

Abstract: A surgical process for resurfacing a head of a humerus has the steps of applying a jig over a surface of the head so as to define a separation line between the head and the humeral shaft, sawing along the separation line so as to separate the head and the humeral shaft so as to expose an end of the shaft, applying a resurface implant over an exterior surface of the head, and affixing the head having the resurface implant thereon onto the exposed end of the shaft. The head is shaped so as to smooth the exterior surface of the head prior to the step of applying the jig. A hole is formed through the head so as to extend into the shaft. A stem of the resurface implant extends through the hole in the head and into the hole in the shaft.

Abstract: This glenoidal component for a shoulder prosthesis comprises a base which may be immobilized on the glenoid cavity of a shoulder, and an element provided to be mounted on this base and forming a convex surface of articulation centred on an axis of symmetry. This axis of symmetry is non perpendicular to a rear face of the base intended to abut against the glenoid cavity, this making it possible to compensate a defect in parallelism between the resectioned surface of the glenoid cavity and the axis of the patient's spinal column. A surgeon can select the component in which the axes of symmetry of the components are oriented differently with respect to their rear faces.

Abstract: An apparatus and modeling method of the present invention includes the successive steps of generating cartographic data representative of points belonging to a glenoid surface; distinguishing from among the cartographic data a first group of cartographic data corresponding to a first part of the glenoid surface, the first surface part being situated farthest down in the vertical direction in relation to the scapula; calculating from the first group of cartographic data a first ellipsoid portion that coincides substantially with the first surface part; and obtaining a theoretical glenoid surface from the first ellipsoid portion. By virtue of the theoretical glenoid surface obtained by this method, it is possible to assist the surgeon in optimizing the position of implantation of a glenoid component and to produce a glenoid component “made to measure” for the scapula that is to be fitted with a prosthesis.

Abstract: Method and set of surgical instruments for fitting a shoulder prosthesis, and the shoulder prosthesis. The proposed method seeks to interpose a bone graft between the previously prepared glenoid surface (G) of a scapula (S) of a patient's shoulder and the face of a glenoid prosthetic component opposite the articular surface. The set of instruments permit the bone graft to be taken from the upper epiphysis of the humerus (H), either in situ or ex vivo.

Abstract: A method for implanting a reverse modular humeral implant into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.

Abstract: Methods of forming polymeric articles using plasma treated polymer resins, and orthopedic implants comprising a polymeric article wherein the polymeric article has reactive groups bonded to polymer molecules in an interior region of the polymeric article.

Abstract: A joint prosthesis system, specifically a shoulder prosthesis, for shoulder replacement, revision and repair. The implants provide fixation into the best bone available to a surgeon. The implants are used in a superior-inferior and anterior-posterior construct forming a type of cross or X-shape. The implants allow for interchangeability of the articulating component as well as rotational orientation. The systems will allow for augments to accommodate bone loss. The implants may allow for additional security using screws or anchors inserted into the scapula.

Abstract: In one embodiment, the instant invention is a method that includes at least providing a prosthesis that includes at least an implant capable of deformation under pressure; inserting the implant in a void space in a joint; inflating the implant by adding a first amount of a filler to the implant, where the first amount of the filler is X; articulating the joint; releasing a second amount of the filler from the implant through a pressure regulating valve based on a predetermined pressure in the implant, where the second amount of the filler released from the implant is Y; and sealing the implant, where X is greater than Y.

Abstract: A unique baseplate for reverse and total shoulder replacement with added fixation to the scapula is disclosed. It adds increased fixation to the already existing fixation devices on the market to allow the indications for reverse shoulder replacement surgery to be expanded. It also allows for a standard shoulder replacement to be performed with intact rotator cuff and poor glenoid bone stock.

Abstract: Trials for a reverse shoulder system are described. The trials generally include an insert housed within a humeral cup. The insert has a proximal end and a distal end, the proximal end having a concave recess therein adapted to receive a glenosphere prosthesis. The distal end of the insert includes a shaft, the shaft is substantially housed within the confines of the humeral cup. A distal end of the humeral cup is inserted in a humeral stem.

Abstract: A prosthesis may include a stem, an adaptor and a head. The stem may include a longitudinal axis. The adaptor may include a first taper having a first taper axis of symmetry. The head may be rotatably supported by the adaptor and may include a semispherical articulating surface defined by a central axis of symmetry that is angled relative to the first taper axis of symmetry. The head may be coupled to the first taper and may be positionable relative to the stem through relative rotation between the head and the stem about the first taper axis of symmetry to adjust a radial offset of the head relative to the longitudinal axis of the stem. The head may be adapted to be received in a glenoid cavity of a scapula.

Abstract: Disclosed herein are components of a reverse shoulder prosthesis. In an embodiment, a reverse shoulder prosthesis includes a humeral adapter tray configured to sit near a resected surface of a humerus, the humeral adapter tray comprising: a cavity; a central bore; and a distal face including a boss, the boss: (i) configured as an extension of the distal face, (ii) posteriorly offset from the central bore by at least 10 mm, and (iii) configured to engage a humeral stem; and a humeral liner comprising: a distal rim configured to sit within the cavity of the humeral adapter tray; and a concave articulating surface configured to mate with a convex articulating surface of a glenosphere. In an embodiment, the boss, in addition to being posteriorly offset, is superiorly offset from the central bore by at least 8 mm. In an embodiment, the reverse shoulder a humeral stem which engages the boss.

Abstract: A prosthesis assembly configured for use with a scapula in one embodiment includes a spherical humeral component, an elongated glenoid bearing including a first bearing surface with (i) a first spherical end portion with a first radius of curvature, (ii) a second spherical end portion with a second radius of curvature, and (iii) a central portion located between the first spherical end portion and the second spherical end portion, and a first coupling portion extending from a second bearing surface opposite the bearing surface, and a base configured to rotatably support the elongated glenoid bearing, wherein the first radius of curvature is substantially equal to the second radius of curvature and the central portion does not have a radius of curvature that is substantially equal to the second radius of curvature.

Abstract: A prosthesis is provided and may include a central body having a longitudinal axis and an opening that receives an installation tool. The prosthesis may additionally include a plurality of arms each including a solid body attached to the central body and a porous coating covering the solid body. The porous coating may provide each of the plurality of arms with an outer shape having a different shape than the solid body.

Abstract: A prosthetic glenoid component has a body having a concave bearing surface and a convex glenoid contacting surface. First and second pegs extend outwardly from adjacent respective first and second ends of the bone contacting surface of the body, the first and second pegs have portions with a first diameter at the bone contacting surface extending for a first length and a second diameter extending from the first diameter for a second length, the first diameter larger than the second diameter. A third peg extends outwardly from the bone contacting surface intermediate the first and second pegs. The third peg has a third diameter greater than the second diameter portion of the first and second pegs and a third length greater than the first length of the first diameter portion of the first and second pegs. The third length is less than the sum of the first and second lengths.

Abstract: Provided are processes comprising crosslinking polyethylene or using crosslinked polyethylene. Furthermore, the processes may include compacting and/or sintering the polyethylene. The polyethylene can comprise virgin ultrahigh molecular weight polyethylene having a weight average molecular weight of at least 1,000,000 g/mol, to provide a compacted composition comprising virgin ultrahigh molecular weight polyethylene.

Abstract: Prosthetic systems, devices, and methods for attaching prosthetic joint components to a vault-shaped portion of the anatomy. A device for attaching a glenoid joint component for a shoulder prosthesis to a glenoid cavity includes a body adapted to extend into the cortical bony vault of the glenoid cavity for supporting the glenoid joint component and a plurality of contact arms secured to the body and projecting outwardly from a central longitudinal axis of the body to define contact surfaces for engaging an internal face of a peripheral wall of a glenoid vault.

Abstract: Trials for a reverse shoulder system are described. The trials generally include an insert housed within a humeral cup. The insert has a proximal end and a distal end, the proximal end having a concave recess therein adapted to receive a glenosphere prosthesis. The distal end of the insert includes a shaft, the shaft is substantially housed within the confines of the humeral cup. A distal end of the humeral cup is inserted in a humeral stem.

Abstract: A method and instrument for preparing a surface of a joint is provided. The glenoid surface is adapted for receiving a prosthetic component having a feature closely conforming to the surface. The prosthetic component provides a bearing surface for a head portion of a long bone. The instrument includes a guide having a first feature and a second feature and a tool. The tool is used for cooperation with the first feature for preparing the surface. The first feature is adapted to at least partially control the position of the tool as it prepares the surface. The second feature is adapted to assist in positioning of the guide with respect to the joint.

Abstract: This glenoidal component for a shoulder prosthesis comprises a base which may be immobilized on the glenoid cavity of a shoulder, and an element provided to be mounted on this base and forming a convex surface of articulation centered on an axis of symmetry. This axis of symmetry is non perpendicular to a rear face of the base intended to abut against the glenoid cavity, this making it possible to compensate a defect in parallelism between the resectioned surface of the glenoid cavity and the axis of the patient's spinal column. A surgeon can select the component most adapted to the orientation of the resectioned surface from a set of components in which the axes of symmetry of the components are oriented differently with respect to their rear faces.

Abstract: A shoulder implant for simulating a naturally occurring bursa proximal to or in lieu of a subacromial bursa, the shoulder implant comprising: an expandable member expandable to a size and/or a shape sufficient to fill a space beneath an acromion and/or a coracoid process of the shoulder, the space defines a filled volume less than a maximal volume occupied by the expandable member if fully expanded; and an amount of filler for filling the expandable member to the filled volume, such that, when implanted, the expandable member is configured to cushion and facilitate motion between a tendon and/or ligament of a rotator cuff, and a bone part in the shoulder.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, a artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo; and a mechanism attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, an artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a first component of the artificial joint prosthesis including a contact surface of the artificial joint prosthesis, the first component fabricated from at least one polymer and a plurality of magnetic particles; and a second component of the artificial joint prosthesis including at least one magnet configured to create a magnetic field within the artificial joint, the at least one magnet positioned to form a magnetic field directed to influence a location of debris including the magnetic particles in the joint to a position distinct from the bone-prosthesis interface in vivo.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints.

Abstract: The present disclosure relates to a stemless shoulder prosthesis comprising a fixation device for fixing the prosthesis to a resected humerous bone, the fixation device comprising a base portion and anchoring means the base portion having a distal side adapted to contact a resection plane of the bone and a proximal side for carrying a humeral head. The anchoring means are connected to the distal side of the base portion and adapted to fix the prosthesis to the bone. The anchoring means define a central axis perpendicular to the distal side of the base portion and a free central space around the central axis.

Abstract: A method for implanting a reverse modular humeral implant into a humerus that includes a natural humeral shaft and a natural humeral head. The implant includes a humeral stem implantable into the natural humeral shaft, and an adapter couplable to the humeral stem, the adapter including an anchoring projection configured to be coupled to a convex bearing.

Abstract: The present disclosure relates to a stemless shoulder prosthesis comprising a fixation device for fixing the prosthesis to a resected humerus bone, the fixation device comprising a base portion and anchoring means, the base portion having a distal side adapted to contact a resection plane of the bone and a proximal side for carrying a humeral head. The anchoring means are connected to the distal side of the base portion and adapted to fix the prosthesis to the bone. The anchoring means define a central axis perpendicular to the distal side of the base portion and a free central space around the central axis.