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: A prosthesis and method for a ball and socket joint. The prosthesis includes a first component including an anchoring shank and a metaphyseal portion. The metaphyseal portion includes a first articular surface configured to move in translation relative to the anchoring shank. An intermediate component includes a first articular surface configured to engage with the first articular surface on the metaphyseal portion, and a second articular surface configured to engage with the ball and socket joint.

Abstract: The invention relates to a prosthesis for replacing a joint connection, wherein like magnetic fields from the condyle 10, socket 12 and joint collar 14 overlap in such a way that the repulsive forces generate a suspended state of the condyle 10 in the bearing and the damping effect is maximized. The invention is also directed to a method for replacing a bone junction in a mammal, wherein the prosthesis is fastened to the articular bone and repulsive forces generate a levitated state of the condyle 10 under load.

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

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 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: An expandable shoulder trial for a reverse shoulder system is described. The trial includes a rotatably adjustable 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 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 shaft of the insert. 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: The present invention discloses an implant for use with a joint defining bone having a three dimensional shape and including a first exposed and joint surface defining layer and an inner most and bone mounting layer. The body further has at least one intermediate layer exhibiting a hardness less than either of the exposed layer and the inner most layer such that, upon mounting the body to a conditioned end of a joint defining bone, it provides the dual features of dynamic cushioning support and external wear resistance.

Abstract: A metaglene assembly for use in a shoulder prosthesis includes a metaglene body, an augment, a void, at least one fastener hole, and at least one fastener. The metaglene body has a lateral, prosthesis-facing side, and a medial, bone-facing side. The augment extends medially from the medial, bone-facing side of the metaglene body. The void is defined by a portion of the medial, bone-facing side of the metaglene body and a lateral portion of the augment. The fastener hole extends from the void through the augment. The fastener is configured to extend within the fastener hole.

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: Adjustable reverse shoulder prostheses are disclosed herein. A glenoid assembly includes a glenoid plate configured for fixation to a glenoid bone for a reverse shoulder prosthesis; a glenosphere configured for connection to the glenoid plate; and an adjustment plate, wherein the adjustment plate has a connection for directly engaging the glenosphere, and wherein the adjustment plate has an articulation for directly engaging the glenoid plate at a variable angular orientation. During a reverse total shoulder arthroplasty method, a glenoid plate is fixated to a glenoid bone; an adjustment plate, configured for interfacing with both the glenoid plate and a glenosphere, is locked to the glenoid plate, wherein the adjustment plate is configured for angular orientation or positional change relative to the glenoid plate; a glenosphere is connected to the adjustment plate; and an angular orientation and position of the glenosphere relative to the fixated glenoid plate is independently adjusted.

Abstract: A shoulder prosthesis includes a vault-filling component defining a bearing-facing surface and having a first coupling component, the vault-filling component including (i) a vault-filling first portion defining a first part of the bearing-facing surface, and (ii) a projecting second portion projecting from the vault-filling first portion so as to define a second part of the bearing-facing surface. The vault-filling first portion and the projecting second portion define a bone space therebetween. The shoulder prosthesis further includes a bearing component defining a bearing surface and having a second coupling component configured to cooperate with the first coupling component to couple the bearing component to the vault-filling component. At least one bone attachment member positioned in the bone space. The projecting second portion of the vault-filling component further defines a scapula-facing surface.

Abstract: The prosthetic material for replacing at least one portion of the radial glenoid of a radius includes a prosthetic structure (1?) with a plate (2) extended by an endpiece (3) and a set of screws (4) for fastening the plate (2) on the receiving bone material (R). The plate (2) is made up of a planar body (7) extended by a one-piece head (8), itself extended by an extension (5) forming a portion of the endpiece (3) and having an inner face (5?) extending in a general plane (D) that is angularly offset relative to the plane (P) of said plate body (7). This extension (5) co-operates with a fitted panel (6) (forming the other portion of the endpiece (3)), and having an outer face (3?) reproducing at least approximately at least a portion of the surface of the radial glenoid of the radius.

Abstract: The invention provides a multi-polymer hydrogel article having a first polymeric, water-swellable material and a second polymeric material, organized such that a first region substantially comprises the first polymeric, water-swellable material, a second region adjacent the first region comprises a mixture of the first polymeric, water-swellable material and the second polymeric material, and a third region adjacent the second region substantially comprises the second polymeric material. The article exhibits an increasing concentration gradient of the second polymeric material moving from the first region, through the second region, to the third region.

Abstract: A trial implant component for use in a surgical procedure for replacement of a joint between a long bone and another bone, comprises a metaphyseal part which can be located so that it extends into a cavity at the resected face of the long bone in contact with the internal wall of the cavity in the metaphyseal region, and a disk which has an essentially flat shape and which can be fitted to the metaphyseal part to provide a gauge as to the appropriate size of a head part which is to be selected according to the location of the axis of the bone relative to the edge of the resected bone.

Abstract: A prosthesis assembly for use with a scapula is disclosed. The prosthesis assembly includes a glenoid bearing support and a bearing. The glenoid bearing support includes a glenoid vault-occupying portion configured to occupy at least a portion of a glenoid vault of the scapula, the glenoid-vault occupying portion having a first coupling component. The glenoid bearing support further includes a glenoid rim replacement portion attached to the glenoid vault-occupying portion. The bearing defines a bearing surface and has a second coupling component configured to cooperate with the first coupling component to couple the bearing to the glenoid vault-occupying portion. The glenoid vault-occupying portion defines a bearing-side end portion and an opposite-side end portion. The glenoid rim replacement portion projects outwardly from the bearing-side end portion of the glenoid vault-occupying portion. The glenoid bearing support defines a bone graft receptacle.

Abstract: A system for packaging a medical implant may include a sleeve for housing the implant within a cavity in the sleeve, with at least a portion of the cavity conforming to the shape of the implant. A flexible material film may cover and substantially conform to the shape of the sleeve so as to aid in stabilizing the sleeve and implant within an outer package. An insertion instrument for inserting the implant within the body of a patient may also be provided with the system. In some embodiments, the sleeve, with the implant inserted in the cavity of the sleeve, is configured for manipulation by a user without contacting the implant, and the implant is connectable to the insertion instrument while in the sleeve.

Abstract: A shoulder joint repair prosthesis (12, 14) comprises a support structure which comprises anchorage points (24) which are in the installed configuration positioned adjacent positions of the anatomical tendinous insertion points of the tendons related to the joint. A securing clamp (30) arrangement connects to the anchorage points with direct rigid connection devices (32), the securing clamp arrangement having a surface area larger than the direct connection devices, the securing clamp arrangement being arranged to clamp the tendons between the securing clamp arrangement and the underlying surface area and providing a fixed gap between clamp and underlying connecting areas to trap any attached bony fragments.

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 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: 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 prosthesis (20) for use in performing joint arthroplasty is provided. The prosthesis (20) is to be fitted to a long bone (3). The prosthesis includes a first body (22) having a first body articulating surface (24) defining a generally circular outer periphery (26) of the first body articulating surface (24). The first body (22) has a support surface (28) opposed to the articulating surface (24). The support surface (28) is adapted to receive the head of the long bone (3). The prosthesis (20) also includes a second body (30) operably associated with the first body (22). The second body (30) has a second body articulating surface (32) extending from a portion of the circular outer periphery (26) of the first body articulating surface (24).

Abstract: This set (J) comprises glenoid components (S1, S2, M1, M2, L1, L2) that each include a body (S1.1, S2.1, M1.1, M2.1, L1.1, L2.1) defining, on two of its opposite faces, respectively, a joint surface (S1.2, S2.2, M1.2, M2.2, L1.2, L2.2), intended to cooperate with a humeral head, and a bearing surface (S1.3, S2.3, M1.3, M2.3, L1.3, L2.3) bearing against the socket of a shoulder blade. In this set, the glenoid components are provided in several different sizes (S, M, L), respectively defined by the dimensions of the joint surface of their body. At least two glenoid components (S1 and S2, M1 and M2, L1 and L2) of which the bearing surfaces (S1.3 and S2.3, M1.3 and M2.3, L1.3 and L2.3) respectively have different dimensional geometries are provided so as to allow the surgeon to improve the durability of the mechanical cooperation between the implanted component and the operated socket.

Abstract: A method and apparatus of performing a procedure relative to the glenohumeral joint. Resection of the glenoid and/or the humerus can proceed through an incision formed near the glenohumeral joint. The incision can be formed generally near a superior-lateral portion near the glenohumeral joint and allow less invasive access to the glenohumeral joint and the portions that form the glenohumeral joint. A stem is positioned into a resected humerus through the incision. A humeral head is coupled to the stem within the incision after the stem has been coupled to the patient's humerus.

Abstract: An orthopedic device for ball and socket joint reconstruction. The anchor stem is adapted to be anchored in a medullary canal. A proximal portion of the anchor stem includes a threaded hole oriented along a longitudinal axis thereof. Metaphyseal portion includes a proximal end with recess and a longitudinal bore in fluid communication with the recess, and a distal end adapted to interface with the proximal portion of the anchor stem. An anti-rotation structure is preferably located at an interface of the anchoring stem to the metaphyseal portion to prevent rotation of the anchor stem relative to the metaphyseal portion around the longitudinal axis. A fastener is provided to extend through the longitudinal bore and to engage with the threaded hole on the anchor stem to fix the metaphyseal portion to the anchoring stem. The locking assembly is located in the recess and mechanically couples the head of the fastener to the metaphyseal portion to limit rotation of the fastener relative to the metaphyseal portion.

Abstract: An expandable shoulder trial for a reverse shoulder system is described. The trial includes a rotatably adjustable 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 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 shaft of the insert. 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: Joint prostheses and associated methods that have a medialized center of rotation, inhibit subluxation of the implant while facilitating full range of motion and normal articular function, are able to be implanted using standard bone preparation techniques, and/or provide increased implant lifetime.

Abstract: A glenoid component for a shoulder prosthesis adapted to be mounted in a glenoid cavity of a shoulder. An elongated keel adapted to engage with the glenoid cavity is attached to the internal surface of the base. The keel extends along a longitudinal axis of the base. The keel includes various configurations of transverse members extending away from the longitudinal axis. The surgeon selects a glenoid component with a keel and transverse member configuration that is anatomically optimized for the patient. Glenoid components properly optimized provide mechanical strength and stability superior to prior art devices. The glenoid components disclosed herein are particularly well suited for use in an anatomical total shoulder prosthesis, but may are also suited to partial shoulder prostheses and reverse shoulder prostheses.

Abstract: An orthopaedic device (1) for the mobile connection of a first and a second bony segment (4, 5) of an organic device for cooperating with or substituting a natural articulation comprising a first working surface (9) related to the first cooperating segment (4) with a second working surface (10) related to the second bony segment (5) in order to constrain (guide) the relative motion between the said bony segments (4, 5); the first and the second working surface (9, 10) are respectively practically shaped as the axodes of the relative motion of a first and a second link of a linkage practically equivalent to the natural articulation; in particular the first and the second link are corresponding, in the linkage, to the first and the second bony segment (4, 5).

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: 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 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: Glenoid prosthesis with a hybrid design (combining both peg and keel designs), and surgical methods for reconstitution of a shoulder joint. The hybrid design combines both peg and keel components into one device. The hybrid glenoid component of a shoulder prosthesis includes an oval body having a concave lateral articulating surface and an opposing convex medial surface. The medial surface is provided with a plurality of pegs and a single inferior protrusion. The pegs are used to attain both a superior location as well as a central location. The inferior protrusion provides stability in the superior-to-inferior translation of the humeral head, as well as rotational articulation of the same.

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: The present disclosure is directed to orthopedic implants and methods of rapid manufacturing orthopedic implants using in vivo data specific to an orthopedic implant or orthopedic trial. Specifically, the instant disclosure utilizes permanent orthopedic implants and orthopedic trials (collectively, “implants”) outfitted with kinematic sensors to provide feedback regarding the kinematics of the trial or implant to discern which implant is preferable, and thereafter rapid manufacturing the implant.

Abstract: The present invention discloses methods for enhancing the wear-resistance of polymers, the resulting polymers, and in vivo implants made from such polymers. One aspect of this invention presents a method whereby a polymer is irradiated, preferably with gamma radiation, then thermally treated, such as by remelting of annealing. The resulting polymeric composition preferably has its most oxidized surface layer removed. Another aspect of the invention presents a general method for optimizing the wear resistance and desirable physical and/or chemical properties of a polymer by crosslinking and thermally treating it. The resulting polymeric compositions is wear-resistant and may be fabricated into an in vivo implant.

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

Abstract: The present invention discloses methods for enhancing the wear-resistance of polymers, the resulting polymers, and in vivo implants made from such polymers. One aspect of this invention presents a method whereby a polymer is irradiated, preferably with gamma radiation, then thermally treated, such as by remelting of annealing. The resulting polymeric composition preferably has its most oxidized surface layer removed. Another aspect of the invention presents a general method for optimizing the wear resistance and desirable physical and/or chemical properties of a polymer by crosslinking and thermally treating it. The resulting polymeric compositions is wear-resistant and may be fabricated into an in vivo implant.

Abstract: A prosthesis assembly for use with a scapula in one embodiment includes an acromion spacer unit, a first articulation surface on an inferior surface of the acromion spacer unit, a bone contacting surface on a superior surface of the acromion spacer unit, and a bone mounting member extending sideways from the acromion spacer unit and oriented such that when the acromion spacer unit is mounted on a scapula, the acromion spacer unit is positioned at a height above the height of a midpoint of a glenoid fossa of the scapula.

Abstract: A glenoid implant assembly is provided. The assembly includes a first component for attachment to the glenoid fossa of a scapula. The component defines an assembly face of the component. The 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 face of the second component is in close approximation to the assembly face of the first component. The second component is attachable to the first component in a direction generally normal to the assembly faces.

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: Disclosed is a set of prosthetic components for use in shoulder replacements. A glenoid component having a base and a plurality of coupling members are disclosed. The coupling members are used to couple the base to at least one of the acromion or coracoid process. A polymer insert which is configured to couple to the base member and articulate with a humeral component is provided.

Abstract: A prosthesis assembly for use with a scapula is disclosed. The prosthesis assembly includes a glenoid bearing support and a bearing. The glenoid bearing support includes a glenoid vault-occupying portion configured to occupy at least a portion of a glenoid vault of the scapula, the glenoid-vault occupying portion having a first coupling component. The glenoid bearing support further includes a glenoid rim replacement portion attached to the glenoid vault-occupying portion. The bearing defines a bearing surface and has a second coupling component configured to cooperate with the first coupling component to couple the bearing to the glenoid vault-occupying portion. The glenoid vault-occupying portion defines a bearing-side end portion and an opposite-side end portion. The glenoid rim replacement portion projects outwardly from the bearing-side end portion of the glenoid vault-occupying portion. The glenoid bearing support defines a bone graft receptacle.

Abstract: A glenoid component having an offset center of articulation and associated systems and methods.

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: Scapular component of a shoulder joint prosthesis, having a base plate (11) anchorable to the scapula and, affixable to the base plate, a joint surface member (12) which defines either an anatomical (concave, 13) joint surface or a reverse (convex, 33) joint surface. On the rear side (14) of the base plate (11), which faces the scapula in the implanted state, there is arranged at least one anchoring pin (15, 16, 17) extending obliquely with respect to the base plate (11) in approximately the anterolateral direction.

Abstract: A glenoid implant assembly is provided. The assembly includes a first component for attachment to the glenoid fossa of a scapula. The component defines an assembly face of the component. The 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 face of the second component is in close approximation to the assembly face of the first component. The second component is attachable to the first component in a direction generally normal to the assembly faces.

Abstract: A system and method for installing a shoulder prosthesis. The method includes removing the original humeral head and shaping the proximal end of the humerus with one or more implements to prepare the humerus to receive the shoulder prosthesis.

Abstract: An orthopaedic bearing includes a metallic component having a polymer composite secured thereto. A method of making an orthopaedic bearing is also disclosed.

Abstract: Shoulder joint prosthesis, especially a reverse shoulder joint prosthesis, having a joint part, especially a humeral socket (10), connectible at the proximal end of a humeral shaft (18). The joint part associated with the humeral shaft (18) is held displaceably relative to the shaft (18) at least in the antero-posterior direction.