Abstract: The present invention provides systems, devices, and methods for using two or more flexible bands to constrain shoulder and/or hip replacement components to reduce dislocation and/or instability (e.g., constrain the glenosphere against a glenosphere recess, or constrain a femoral head against an acetabular component). In certain embodiments, one end of the flexible bands are attached to, or are held by, a first ring (e.g., expandable ring, such as a snap ring) that is configured to be operably connected (e.g., via a humeral baseplate) to a humeral stem, while another end of the flexible bands are attached to, or are held by, a second ring (e.g., flat ring, washer, annular, hoop, or orbital) that is configured to be operably connected (e.g., via a scapular baseplate) to a scapular bone.

Abstract: Provided is a method of assembling an articular component of a prosthetic shoulder joint. The method includes: engaging an end of a coupler of a joint implant with a coupling portion of another component of the joint implant; providing relative rotation between the end of the coupler and the coupling portion of the other component of the joint implant along a continuous range of rotational positions while the end is engaged with the coupling portion of the other component of the joint implant; selecting an amount of eccentricity corresponding to a position within the continuous range of rotational position; and securing the other component of the joint implant to the end of the coupler at the selected amount of eccentricity.

Abstract: A stemless implant for shoulder arthroplasty includes a body having a proximal portion, distal portion, and an outer surface. A cylindrical extrusion is substantially perpendicular to and adjacent the proximal portion. At least a portion of the outer surface is configured to contact bone, the outer bone contacting surface comprising a concave taper. The stemless implant can be sized and shaped for insertion into a metaphysis of a humerus bone without penetrating a diaphysis of the humerus bone. The implant optionally comprises a medial fin, a lateral fin, an anterior fin, and a posterior fin. The medial fin and lateral fin may be thicker than the anterior fin. The fins may taper from the proximal portion to the distal portion.

Abstract: Disclosed is a central augment. The central augment can include a body and a protrusion. The body can include a first curved surface shaped to interface with a central portion of a bone and a second surface opposite the first curved surface and defining a recess sized to receive a portion of a prosthetic component. The protrusion can extend from the second surface within the recess.

Abstract: A glenoid implant for an inverted shoulder prosthesis includes a base, a glenosphere having a central orifice and mounted on the base by mutual wedging between conical bearing surfaces, a main anchoring screw crossing the base and including an anchor rod having a tapped end segment, and an inner hole having a threaded intermediate portion, and a tip portion. A locking screw crosses the central orifice and includes a proximal head and a locking rod having an end segment intended to slide in the tip portion of the inner hole and a tapped intermediate segment intended to cooperate by screwing with the intermediate portion of the inner hole to lock the mutual wedging of the conical bearing surfaces, the proximal head abutting on an annular bearing surface in the central orifice.

Abstract: The glenohumeral component of the invention comprises a first side and a second side, which are opposite each other and which, in an implanted state in which the glenohumeral component is free-floating with respect to a humerus and a glenoid of a human shoulder, are in contact respectively with an end portion of the humerus and with a glenoid component intended to be secured to the glenoid. The first side of the glenohumeral component includes a convex articular surface that is designed to articulate with a concave bone surface prepared within the end portion of the humerus. The second side of the glenohumeral component includes a concave articular surface that is designed to articulate with a convex articular surface of the glenoid component. The corresponding shoulder prosthesis is thus reversed.

Abstract: This disclosure relates to orthopaedic implants and methods for repairing bone defects and restoring functionality to a joint. The implants disclosed herein include augment geometries that may approximate a surface contour or bone void along a surgical site and include patterns of peripheral apertures that may be utilized for improved fixation of the implants at the surgical site.

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 acetabular hip implant includes a plurality of rings secured to an acetabular shell component. A method of fabricating a customized, patient-specific version of such an implant is also disclosed.

Abstract: A trial medical instrument for aligning an acetabular component, comprising: a first portion configured to fit within a patient's acetabulum; and a second portion extending from the first portion; wherein the second portion extends from the first portion in a direction that mimics a shape formed by a femoral implant component coupled with an acetabular implant component when a femur to which the femoral implant component is coupled is in a position relative to an acetabulum to which the acetabular implant component is coupled that is near an extent of a typical range of motion of the femur. As used herein, the phrase “extent of a typical range of motion” describes typical angular displacements of a femur as usually limited by patient anatomy.

Abstract: A modular reverse shoulder orthopaedic implant includes a humeral stem component and a separable fracture epiphysis component having a number of suture holes formed therein. The fracture epiphysis component is configured to receive a number of sutures for surgically repairing a proximal humeral fracture.

Abstract: An offset guide can include a body, an arcuate portion, a first fin, and a second fin. The body can have a first surface. The arcuate portion can extend from the body and have a second surface. The first surface and the second surface can define an opening. The first fin can extend from the first surface into the opening. The second fin can extend from the first surface into the opening. A portion of the first surface can be located between the first fin and the second fin and arranged at an angle relative to a longitudinal axis of the offset guide.

Abstract: A humeral prosthetic head has a non-spherical articulation surface coupled with an intermediate component connecting the head and the humerus, the intermediate component connected to the epiphysis, metaphysis, or diaphysis, or to one or more additional components connected to the humerus. The intermediate portion provides for axial and angular offset of the head with respect to a connection to the humerus, using a curvilinear tapered engagement.

Abstract: Methods for achieving an anatomically accurate reconstruction with a modular arthroplasty assembly that includes a generally disc shaped coupler component having a prosthesis component side that includes a recess configured to interchangeably engage a prosthesis component selected from a concave cup and a convex head that is either hemispherical or hemielliptical.

Abstract: A glenoid implant including a base plate and an articular component. The base plate can include a body and a support structure extending from a distal surface of the body. The body can include a plurality of openings. The articular component can be configured to removably couple to the base plate. The articular component can include a recessed portion configured to at least partially receive the body of the base plate. At least one engagement structure can protrude from a distal facing surface of the recessed portion. Each engagement structure can correspond to one of the plurality of openings in the body. A distal face of the articular component surrounding the recessed portion can be configured to abut the subchondral bone.

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: A modular reverse shoulder prosthesis according to embodiments of the present invention includes a stem having a proximal taper and a primary stem axis, the proximal taper extending from the stem about a metaphyseal axis, the metaphyseal axis at an angle with respect to the primary stem axis, a metaphysis having a proximal end, a distal end, a first aperture in the distal end configured to be placed over the proximal taper, and a second aperture in the proximal end having an insert axis that is eccentrically offset from the metaphyseal axis, the metaphysis configured for attachment to the stem at any rotational position of the metaphysis about the metaphyseal axis, and a reverse insert, the reverse insert having a proximal end and a distal end, wherein the proximal end comprises a concave cup formed about a cup axis and configured to receive a glenosphere, and wherein the distal end comprises a locking protrusion, wherein the locking protrusion has an outer surface with a cross-sectional shape that is rotatio

Abstract: Universal joint implant includes an artificial glenohumeral component having articulating surfaces. The artificial glenohumeral component can include a first portion for articulation against an artificial glenoid surface or natural glenoid of the patient, and second portion(s) for articulation against an artificial humeral surface or resected, natural humerus; and a universal joint connection. The connection includes a yoke to provide for a center of movement generally within or adjacent a volume defined by an upper head of a normal humerus, which otherwise would be resected; and a substantially spheroidal body, at least in part, dissected, yet connected to provide the yoke; a body pivotable with respect to the yoke for providing motion in a first direction; a rotatable glenoid fixing member, rotatably fixable about the artificial glenoid surface or natural or resected glenoid; and a rotatable humeral fixing member, rotatably fixable about the artificial humeral surface or resected humerus.

Abstract: A trial medical instrument for aligning an acetabular component, comprising: a first portion configured to fit within a patient's acetabulum; and a second portion extending from the first portion; wherein the second portion extends from the first portion in a direction that mimics a shape formed by a femoral implant component coupled with an acetabular implant component when a femur to which the femoral implant component is coupled is in a position relative to an acetabulum to which the acetabular implant component is coupled that is near an extent of a typical range of motion of the femur. As used herein, the phrase “extent of a typical range of motion” describes typical angular displacements of a femur as usually limited by patient anatomy.

Abstract: A stemless humeral shoulder assembly having a base member and an anchor advanceable into the base member. The base member can include a distal end that can be embedded in bone and a proximal end that can be disposed at a bone surface. The base member can also have a plurality of spaced apart arms projecting from the proximal end to the distal end. The anchor can project circumferentially into the arms and into a space between the arms. When the anchor is advanced into the base member, the anchor can be exposed between the arms. A recess can project distally from a proximal end of the anchor to within the base member. The recess can receive a mounting member of an anatomical or reverse joint interface.

Abstract: A modular shoulder prosthesis is provided. The modular prosthesis includes a stem, an anatomic insert, and a reverse insert. The stem is a unitary body that includes a distal shaft portion and a proximal portion. The proximal portion includes a stem face configured to directly couple to both the anatomic insert and reverse insert. The stem face includes a first engagement feature configured to couple directly to the reverse insert and a second engagement feature configured to couple directly to the anatomic insert. The stem can also include a metaphyseal portion between the shaft portion and proximal portion designed for use in humeral fracture repair procedures. The metaphyseal portion can include a medial arm and two lateral arms extending between the shaft portion and proximal portion, A window can be defined between the medial arm and the lateral arms, and a gap can be formed between the lateral arms.

Abstract: An implant (30) for a mammalian bone joint (3) for spacing a first bone (2) of the joint from a second bone (1) of the joint while allowing translational movement of the second bone in relation to the first bone is described. The implant comprises (a) a distal part (31) configured for intramedullary engagement with an end of the second bone, (b) a proximal part (34) having a platform (15) configured for non-engaging abutment of an end of the first bone and translational movement thereon, and (c) an articulating coupling (10, 16) provided between the distal and proximal ends allowing controlled articulation of the first and second bones. The bone-abutting platform is shaped to conform to and translate upon the end of the first bone. A kit for assembly to form the implant of the invention, and the use of the implant to treat osteoarthritis in a bone joint, are also described.

Abstract: An orthopedic anchoring system for attaching a spinal stabilization system and concomitantly fusing a sacroiliac joint is disclosed that includes a delivery tool and an implant assembly for insertion into a joint space of a sacroiliac joint. The implant assembly may be secured using anchors inserted through bores within the implant body and into the underlying sacrum and/or ilium. The implant body may also include an attachment fitting reversibly attached to a guide to provide attachment fittings for elements of the spinal stabilization system. The implant assembly may be releasably coupled to an implant arm of the delivery tool such that the implant arm is substantially aligned with the insertion element of the implant assembly. An anchor arm used to insert the anchor may be coupled to the implant arm in a fixed and nonadjustable arrangement such that the anchor is generally aligned with a bore within the implant assembly.

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 two-piece socket for a ball-and-socket arrangement, including a base and a cap. The socket includes a leg on one of the cap or base of the socket and a receiving groove on the other of the cap or base of the socket, wherein there is at least one opening in the leg which lines up with a corresponding opening in the groove for a fastener to extend through these openings to releasably secure the cap to the base of the socket. The orientation of the fastener is such that the fastener is under shear loading when the cap is pulled apart from the base.

Abstract: Spacer device for the two-phase treatment of infections of anatomic and reverse shoulder prostheses, including a humeral component equipped with a stem, a head component and means for connecting or articulating the humeral component with the head component.

Abstract: An method includes creating a first bore and a second bore in a glenoid region of a scapula offset from each other by a first distance. A glenoid component is provided that includes a base component having a bearing surface and a first peg and a second peg each extending from a scapula-facing side of the base component and being positioned in non-parallel orientation with respect to each other. At least one of the first peg and the second peg is flexed so that a first end portion of the first peg and a second end portion of the second peg are offset by a second distance which corresponds to the first distance. The first end portion of the first peg and the second end portion of the second peg are then advanced into the first bore and the second bore, respectively.

Abstract: A glenosphere includes a body, a first surface, a second surface, a cavity defined within the body, and a plurality of channels. The body defines a central axis passing through the body. The first surface includes a first rim and a second rim. The first rim is positioned radially outward from the second rim relative to the central axis. The second surface extends from the first rim of the first surface. The second surface has a convex shape. The cavity has a perimeter defined by the second rim and is configured to receive an attachment structure attachable to a bone. The plurality of channels extend from the first surface through the body to the second surface. Each channel defines a first opening positioned on the first surface between the first rim and the second rim and defines a second opening positioned on the second surface. Each channel is configured to receive a bone fixation member configured to secure the glenosphere to the bone.

Abstract: The present disclosure relates to a shoulder prosthesis comprising a glenoidal component having a glenoidal articulation surface and a humeral component having a humeral articulation surface, and a separate mobile glenohumeral bearing component comprising a glenoidal bearing surface and a humeral bearing surface arranged on opposite sides of the glenohumeral bearing component. The glenoidal bearing surface contacts in an implanted state the glenoidal articulation surface and/or the humeral bearing surface contacts in an implanted state the humeral articulation surface. At least one of the glenoidal and humeral bearing surfaces is concave. The glenohumeral bearing component is disposed in an implanted state between the glenoidal component and the humeral component. Both the glenoidal and humeral articulation surfaces are convex.

Abstract: A shoulder implant assembly including a humeral stem, a head, a cup, and a taper adaptor. The humeral stem is configured to be inserted into a humerus bone. The head includes a metal substrate having a coupling taper and a polymeric cover mounted to the metal substrate having a convex outer surface and a generally planar base. The cup has a concave surface configured to articulate with the polymeric cover of the head. The taper adaptor is configured to mate with the coupling taper of the head. The taper adaptor is configured to connect the head to the stem when the cup is connected to a glenoid. The taper adaptor is configured to connect the head to the glenoid when the cup is connected to the humeral stem.

Abstract: An implant assembly comprising a bone augment and an articulating member. The bone augment includes a bone-engaging surface and a coupling surface. The articulating member is configured to couple with the bone augment.

Abstract: An implant includes a fixed bearing, a floating bearing, and a coupling member. The fixed bearing defines a generally first spherical articulating surface and a stop. The floating bearing includes a second spherical articulating surface and a planar articulating bearing surface. The coupling member defines a bearing surface that translates relative to the planar articulating bearing surface.

Abstract: A humeral component of a reverse shoulder prosthesis includes a stem part configured for location within the intramedullary cavity of the humerus, the stem part having a stem axis, an epiphyseal part connected to the elongate stem part and having a concave bearing surface defining an epiphyseal axis, and wherein the epiphyseal axis is offset posteriorly relative to the stem axis.

Abstract: A prosthetic glenoid component for replicating the behavior of a patient's natural glenoid includes a rim that replicates the patient's natural glenoid labrum.

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 glenoid trial and implant assembly for use in reverse total shoulder arthroplasty is provided along with a method for using the same. The glenoid trial and implant assembly includes a baseplate assembly, an adapter assembly, a glenoid trial, a glenoid implant, a humeral cup, and a positioning guide. The glenoid trial is coupled to the adapter assembly when the glenoid trial and implant assembly is assembled in a trialing configuration. The glenoid implant is coupled to the adapter assembly when the glenoid trial and implant assembly is assembled in an installed configuration. A temporary connection, which may be magnetic, releasably couples the glenoid trial to the adapter assembly and provides separation of the glenoid trial and the adapter assembly without requiring disassembly of the adapter assembly. A permanent connection fixes the glenoid implant to the adapter assembly.

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.

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 modular, adjustable, prosthetic hip/shoulder spacer adapted to being implanted in the hip or shoulder joint; the spacer comprises a frame that supports a rotatable cylinder from which a neck extends with the ball element of the joint attached to its end, and rotating the cylinder reposition the ball in the socket; the stem is connected to the base of the frame and is implanted in the long bone (femur or humerus); the stem may be modified to include a system for delivering medication to the implantation site following surgery. The stem leg and stem base may be modified to form a modular unit to adjust the relation between a center line of the stem leg and a center line of the frame and position of the neck and ball.

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 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 artificial joint associated with an implant having a pair of three dimensional and structurally extending bones, each defining a contoured and opposing end face and collectively defining a joint location. A plasticized layer is applied to an end face of each bone and coacts in substantially frictional reducing fashion with an opposing end face of a further selected bone. The plasticized layer further includes at least a plurality of projecting contact locations, between which are defined a network of valleys for receiving, supporting, and distributing a lubricant across a surface area associated with the layer.

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: 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: A partial reverse shoulder prosthesis comprising a humeral stem and a variable angle tray comprising a plate including a through hole including at least two cutouts oriented horizontally across from one another, and a repositionable variable angle stem occupying at least a portion of an internal cavity defined by the through hole and comprising a first washer including threads at least partially defining a first opening, a post at least partially occupying the internal cavity, and a pin insertable into the first opening and having a threaded head sized to engage the threads of at least one of the first washer and the post; wherein the wall of the internal cavity is sized to retain the first washer and at least a portion of the post.

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: Various embodiments of the present invention relate to an apparatus and method for reverse shoulder arthroplasty (e.g., reverse total shoulder arthroplasty). In one specific example, a glenoid component used to resurface the scapula may be provided. Of note, unlike traditional total shoulder arthroplasty the glenoid component in a reverse shoulder is convex rather than concave; it acts as a physical stop to prevent the superior migration of the humeral head—a typical occurrence in patients suffering from rotator cuff tear arthropathy (CTA).

Abstract: A modular, adjustable, prosthetic hip/shoulder spacer adapted to being implanted in the hip or shoulder joint; the spacer comprises a frame that supports a rotatable cylinder from which a neck extends with the ball element of the joint attached to its end, and rotating the cylinder reposition the ball in the socket; the stem is connected to the base of the frame and is implanted in the long bone (femur or humerus); the stem may be modified to include a system for delivering medication to the implantation site following surgery. The stem leg and stem base may be modified to form a modular unit to adjust the relation between a center line of the stem leg and a center line of the frame and position of the neck and ball.