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 method for trochanteric reattachment can include positioning a femoral prosthesis relative to a proximal portion of a femur. A first portion of a self-locking adjustable flexible member construct can be coupled to a first attachment region of the prosthesis, and a second portion of the self-locking adjustable flexible member construct can be coupled to a second attachment region of the femoral prosthesis, where the second portion can be opposite the first portion. A trochanter can be positioned relative to the femur and a trochanteric engaging region of the prosthesis, and the self-locking adjustable flexible member construct can be positioned around an outer surface of the trochanter. Free ends of the self-locking adjustable flexible member construct can be tensioned to draw the trochanter into secure engagement with the prosthesis and the femur via the self-locking adjustable flexible member construct in an absence of a knot.

Abstract: An apparatus can include a base plate. A glenosphere can be configured to be mountable to the base plate. The glenosphere can be adapted to operate with a complementary humeral component. The base plate can include a removable taper member on a side of the base plate facing the glenosphere. The taper member can be configured to mount the glenosphere to the base plate.

Abstract: A augmented glenoid implant assembly for use in performing shoulder arthroplasty is provided. The augmented glenoid implant assembly is used for cooperation with the glenoid fossa of a scapula. The implant assembly includes a first component for attachment to the scapula. The first component defines a support surface for cooperation with the glenoid fossa, a second surface positioned adjacent a buttress formed in the glenoid fossa and an assembly surface. The implant assembly also includes a second component removably secured to the first component. The second component includes an assembly face of the second component. The assembly surface of the second component is in close approximation to the assembly surface of the first component. The second component further includes an articulating surface opposed to the assembly surface.

Abstract: A method of implanting a revision glenoid component in one embodiment includes accessing a previously implanted glenoid component in a scapula, removing the previously implanted glenoid component, identifying an inferior glenoid circle center of the scapula, preparing a glenoid fossa of the scapula to receive a revision glenoid component, selecting a revision glenoid component, and implanting the selected revision glenoid component based upon the identified inferior glenoid circle center in the prepared glenoid fossa.

Abstract: A reverse shoulder orthopaedic implant includes a glenosphere component having a lateral bearing surface configured to articulate with a humeral cup of a humeral prosthesis. A metaglene component includes a platform configured to receive glenosphere component.

Abstract: A reverse shoulder orthopaedic implant includes a glenosphere component having a lateral bearing surface configured to articulate with a humeral cup of a humeral prosthesis. A metaglene component includes a platform configured to receive glenosphere component.

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: 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: The present invention relates to a set of tools and accessories used for properly positioning a stemmed humeral component, and/or a humeral stem provisional, within a canal in the humerus. The set of tools and accessories includes one or more fin clamps that are configured to be temporarily attached to a fin on the humeral component or the provisional; a ruler that is configured to be attached to the arm of the fin clamp, a fixation pin and pin driver configured to be used with the other tools for marking a position on the humerus; and one or more sleeves that are configured to slide over the stem of the humeral stem provisional to maintain it in the desired position.

Abstract: Described herein is an expandable shoulder trial for a reverse shoulder system including a rotatably adjustable insert housed within a humeral cup. The insert has proximal and distal ends, 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 having a helical groove disposed on at least a portion thereof. A distal end of the humeral cup is inserted in a humeral stem. The humeral cup has a proximal end including a recess therein, the recess defined by a circular wall. A guide pin protrudes from the circular wall and is adapted to engage the helical groove of the insert shaft. The proximal end of the insert may rotate along an axis toward the proximal end of the humeral cup and along the same axis away from the proximal end of the humeral cup.

Abstract: A method of assembling a glenoid assembly. The method includes selecting a base from a plurality of bases. At least one of the plurality of bases has a size different than a size of one of the other of the plurality of bases. The selected base is coupled to an articulating member and the selected base is locked to the articulating member via a locking mechanism.

Abstract: An implant delivery system for delivering a sheet-like implant is disclosed. The implant delivery system includes a distal guidewire port for receiving the proximal end of guidewire after the guidewire distal end has been affixed to a first point on bone or other tissue. The implant delivery system is tracked over the guidewire to a selected position defined by the guidewire attachment. The device includes an implant spreader assembly disposed proximate the distal end of a delivery shaft. The implant spreader assembly includes a first arm and a second arm. The arms are coupled to the delivery shaft such that the first arm and second arm are moveable between a closed position and an open position. When pivoting to the open position the distal end of each arm travels in a generally transverse direction to spread a sheet-like implant.

Abstract: A glenoid implant has an anatomically formed body including of metal and/or plastic materials. It further has a contact surface adapted to extend the surface of a glenoid and to bear a humerus. In the implant body, there is at least one hole with a screw head seating area for holding the head of a screw, which may be screwed into a glenoid for fixedly attaching the glenoid implant.

Abstract: A system and method for attaching soft tissue to bone is provided. In general, the apparatus includes an expandable body that is configured to expand into bone, and an expander pin that is adapted to be driven into the expandable body. The device can also include a tissue attachment apparatus that can be used to secure tissue to the device, thereby providing a method for attaching tissue to bone.

Abstract: A hip prosthesis includes an acetabular cup and a femoral component comprising a head and a stem, wherein the stem comprises a truss structure, the truss structure comprising a space truss comprising a plurality of planar truss units having a plurality of struts joined at nodes, wherein the web structure is configured to interface with bone tissue.

Abstract: A prosthesis is provided and may include a central body having a longitudinal axis and a plurality of arms extending from the central body in a direction substantially perpendicular to the longitudinal axis. The plurality of arms may each include a first planar surface, a second planar surface, and a third planar surface that are each formed at an obtuse angle relative to one another to define an outer shape of the prosthesis.

Abstract: An insert (1) designed for insertion into a central cavity (10) within the upper part of the prosthetic stem (13) of a shoulder prosthesis. The insert (1) is provided with at least one transverse hole (6) that is threaded or provided with an inner retaining rib or any other screw-locking means. The insert (1) is designed for locking of transverse tuberosity bone screws (4) in the same way as a cross-dowel-nut. The outer surface of the prosthetic stem (13) is provided with at least one transverse unthreaded hole (7) communicating with the central cavity (10) in order to allow a sliding passage for the bone screw (4).The insert for a prosthetic humeral head implant of an anatomical shoulder prosthesis is interchangeable with an insert for the cup-shaped humeral implant (18) of a reverse shoulder prosthesis. The insert (1) is provided with a fixation site (8) for a targeting arm.

Abstract: A glenoid prosthetic is provided and may include a first component having an articulating surface engaged by the head of a humeral component or a natural humerus and an engagement surface formed on an opposite side of the first component than the articulating surface. A second component may be attached to the first component proximate to the engagement surface and may be attached to a resected glenoid of a scapula. The second component may be formed from a different material than the first component and may include at least one coupling stem received within an aperture formed in the resected glenoid.

Abstract: A bone graft applicator for applying bone graft to an orthopaedic implant. The bone graft applicator includes a pair of arms and a bone graft receptacle sized and shaped to be able to receive a portion of the orthopaedic implant within the receptacle. The bone graft receptacle is coupled to each of the pair of arms. The bone graft applicator also includes a linking mechanism. The linking mechanism includes a recess sized and shaped to extend at least partially around the portion of the orthopaedic implant and is coupled to the bone graft receptacle.

Abstract: Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Abstract: A modular glenoid assembly. The modular glenoid assembly includes a base having a first side and an opposing second side, the first side including a plurality of connection features arranged in an array. At least one glenoid attachment member is included. The glenoid attachment member has a locking mechanism sized and shaped to lock the glenoid attachment member in at least one of the plurality of connection features on the base.

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: The invention relates to a prosthesis cup (1), in particular for a shoulder prosthesis, comprising a shell (2) substantially in the shape of a hollow spherical cap defining a concave inner surface (3). The shell (2) includes anchoring means which project from the inner surface (3) and are shaped to penetrate a bone and anchor the cup (1) therein. The invention is characterised in that the anchoring means are shaped to trigger the rotation of the cup (1) as they penetrate the bone.

Abstract: The present invention relates to a prosthesis cup (1), particularly a shoulder prosthesis cup, comprising a shell (2) shaped substantially as a hollow spherical cap delimiting a concave inner surface (3), the shell (2) having a coupling stem (4) that extends from this inner surface (3) and is designed to permit coupling of the cup (1) to a fixing element, particularly an anchoring screw (26) or an anchoring pin (13), the cup (1) being characterized in that it additionally comprises anchoring and/or coupling means with a wall (6) which extends from the inner surface (3) of the shell (2) and has a substantially tubular shape and which, together with the coupling stem (4), delimits a recess (8) having what is substantially a ring shape.

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 kit for making a glenoid prosthesis. The kit includes an articulating member having an articulation side and an opposing second side opposing the articulating member. The opposing second side includes a locking mechanism. The kit further includes a plurality of bases, and each of the plurality of bases having an articulating-member facing side and a glenoid attachment side. Each of the plurality of glenoid attachment sides include at least one glenoid attachment member extending outwardly and sized and shaped to extend into a patient's glenoid. The glenoid attachment member of one of the plurality of bases differs from the glenoid attachment member of at least one other of the plurality of bases. Each of the plurality of bases includes a locking mechanism sized and shaped to lock each of the plurality of bases to the articulating member.

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: 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: Disclosed herein is an implant assembly including an alignment guide for aligning the engagement between a glenosphere and baseplate via a central screw engaged to the baseplate. The glenosphere includes first and second recess portions. The first recess portion of the glenosphere is configured to engage a tapered side surface of the baseplate and the second recess portion of the glenosphere is configured to engage a portion of a head of the central screw projecting outwardly from a top surface of the baseplate when engaged thereto. The portion of the head of the central screw projecting outwardly from the baseplate is slip-fit into the second recess of the glenosphere. This engagement aids the alignment of the glenosphere and the baseplate and helps to ensure the accurate alignment of the tapered engagement of the side surface of the baseplate and the first recess of the glenosphere.

Abstract: A prosthetic assembly and a method of assembling same. The prosthetic assembly includes a base component with at least one engagement surface. A pyrolytic carbon component includes at least one engagement surface. The pyrolytic carbon component is elastically deformed to mechanically interlock with the engagement surface on the base component. The pyrolytic carbon component retains at least a portion of the deformation stress created during coupling with the base component.

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) which runs over at least a part of the perimeter of the body (5).

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 shoulder implant assembly constructed in accordance to one example of the present disclosure includes a frame member, a cup, and a glenosphere. The frame member can have a central hub and a first arm extending therefrom. The frame member can be configured to selectively and alternatively couple with first shoulder implant components in a traditional shoulder configuration and with second shoulder implant components in a reverse shoulder configuration. The cup can have a concave surface that is configured to articulate with a humeral head component. The cup can be selectively coupled to the frame member in the traditional shoulder configuration. The glenosphere can have an outer articulating surface that is configured to articulate with a second cup. The glenosphere can be selectively coupled to the frame member in the reverse shoulder configuration.

Abstract: Apparatus and method for a shoulder implant, for example, for the glenohumeral joint. Optionally, The implant is expandable and deflatable during implantation. Optionally the implant is sized for the gelnoid fossa. In an exemplary embodiment of the invention, the selection and/or implantation of the implant include adapting the implant by size and function to a particular patient's need.

Abstract: A glenoid component used for shoulder arthroplasty is adapted to be implanted into a scapula and engaged by a head of a humeral component. The glenoid component includes a body having a first articulating surface and a second medial surface opposite to the first articulating surface. The first articulating surface is adapted to engage with a humeral head. A plurality of removable fixed pegs each have a first end adapted to engage a cavity formed in the scapula and a second end extending from the medial surface. A central peg fixation mechanism is provided that is configured to couple an optional central fixation peg to the medial surface.

Abstract: This method comprises the use of a repair equipment including a humeral rod (2) intended to be placed in the medullary cavity of the humerus, comprising at least one hole (6) for receiving a thread (11) for repositioning the tuberosities (101, 102) and for maintaining the latter with respect to the rest of the bone. Said hole (6) is formed in the metaphyseal portion of the humeral rod (2), in the anteroposterior direction thereof; and the repair equipment further comprises a so-called “guying” subassembly (3), to maintain the tuberosities (101, 102) when they re-installed, two second so-called “traction” subassemblies (4), for pulling of the tuberosities (101, 102) one toward the other, and two so-called third “pressing” subassemblies (5), for tackling the tuberosities (101, 102); each of these sub-assemblies comprises a needle and thread (11) connected to this needle, this thread (11) forming a loop.

Abstract: A prosthetic assembly and a method of assembling same. The prosthetic assembly includes a base component with at least one engagement surface. A pyrolytic carbon component includes at least one engagement surface. The pyrolytic carbon component is elastically deformed to mechanically interlock with the engagement surface on the base component. The pyrolytic carbon component retains at least a portion of the deformation stress created during coupling with the base component.

Abstract: A patient-specific implant includes (a) a body having a convex exterior surface configured to attach to a bone and a concave interior surface configured to receive a head portion of another bone, the body including a plurality of holes extending therethrough, the holes sized and shaped to receive a bone fixation element; and (b) a gap filler formed on the exterior surface of the body and having dimensions and a position corresponding to a gap between the exterior surface of the body and the bone to which the implant is to be attached.

Abstract: A prosthetic implant comprising a head having a spherical pyrocarbon shell (13,73) that is attached to a metal substructure (17,77) via an intermediate element (15,45,75). A subassembly of the intermediate element and the pyrocarbon shell may be connected to the metal substructure via a metal split ring (19) that resides partially in each of two facing grooves (33,35) or via interengaging elements (85,87,91) that are provided in two juxtaposed cylindrical surfaces. The design is such that compressive forces applied to the implant at its spherical articulating surface are transferred via compression through the pyrocarbon shell to the metal substructure.

Abstract: A shoulder prosthesis assembly includes a metaglenoid element (7) having a plate (13) with a central tubular bushing (14) and members for anchoring it in the glenoid cavity. The assembly also includes a glenoid sphere (9) that fits over the metaglenoid element which has an axial screw that is (35) screwed into the bushing. The glenoid sphere has a member to facilitate installation thereof on the metaglenoid element. The member may include a pin (46) adapted to slide in the tubular bushing (14) and in an axial channel of the screw, so that the glenoid sphere (9) can be screwed into place without any risk of damaging the thread of the screw or the tapping of the bushing.

Abstract: A shoulder inter-spacer implant has a first outer surface having a contoured profile simulating a glenoid surface and a second inner surface for resting on an outer surface of a prepared glenoid. The second inner surface has a flat or contoured profile void of any pegs, keels or bone interlocking projections so that the second inner surface is profiled to rest on the surface of the prepared glenoid when implanted free of any direct anchoring or cementing to the bone structure. In this fashion the inter-spacer is free to move or slide on the prepared glenoid. The inter-spacer may include one or more soft tissue attachment locations to which a tendon, cartilage, ligament or other soft tissue can be secured, the inter-spacer being otherwise free floating relative to the prepared glenoid.

Abstract: A surgical device (100) for guiding a key wire during a shoulder arthroplasty procedure, comprising a guide (105) for guiding a key wire (160) during the process of drilling into a scapula, and clamp means (101) configured to engage with the scapula neck such that a key wire located in the guide is located in a predetermined geometrical relationship with the scapula neck.

Abstract: A prosthesis is provided and may include a central body having a longitudinal axis and a plurality of arms extending from the central body in a direction substantially perpendicular to the longitudinal axis. The plurality of arms may each include a first planar surface, a second planar surface, and a third planar surface that are each formed at an obtuse angle relative to one another to define an outer shape of the prosthesis.

Abstract: The invention refers to a component for arrangement at an implant as well as a method for the assembling of an implant arrangement. The component comprises a basic component, at least one sensor arranged in the basic component for the detection of a measurement variable and for the generation of measuring data for the detected measurement variable, a telemetry device arranged in the basic component for transmitting and receiving data and a data transmission connection between the at least one sensor device and the telemetry device for the transmission of data between the at least one sensor device and the telemetry device, whereby the data comprise the measuring data. At the basic component, assembly means for mounting the basic component in an implant recess are formed.

Abstract: An apparatus comprises a head, a neck, and a stem. The head is shaped to be insertable into an interval. The interval is formed using a reamed upper glenoid, a coracoid, and an acromion. The neck is in communication with the head. The neck is dimensioned to seat the head in the interval formed by the reamed upper glenoid, the coracoid, and the acromion. The stem is in communication with the neck. The stem is shaped to be insertable into a humerus.

Abstract: A humeral prosthesis includes a stem component and a head component joined by an inclination component. The inclination component is provided with an opening that is designed to accommodate a pair of expandable tabs extending from a side of a plate. The plate is also provided with a taper extending opposite to the pair of expandable tabs. Inclination angle, radial offset, and version are adjustable and are separately and independently set and fixed.

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.

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: The present teachings provide a modular glenoid prosthesis for replacing a portion of the anatomy. The prosthesis can comprise a platform having a coupling portion, a base and a central bore that extends from the coupling portion through the base. The central bore can define a tapered region, and the coupling portion can include a plurality of bores. The prosthesis can include a glenoid component having a plurality of pegs. Each of the plurality of pegs can be coupled to a respective one of the plurality of bores. The prosthesis can include a glenosphere including a tapered stem couplable to the tapered region. The glenoid component and the glenosphere are selectively couplable to the platform for replacing the portion of the anatomy.